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<s>[INST] Hello doctor,I got toric lenses to correct my astigmatism. Can I switch to regular eye lenses? I want to have colored eye lenses, but it is not available in toric lenses. And how long will it take to correct astigmatism? [/INST] Hello, Welcome to Chat Doctor forum. You have not mentioned how much astigmatism you got. If it is negligible, then it will be fine with the spherical lens only. If it is significantly high, then you must need toric lenses. You can get a customized contact lens from some good optician or lens dispensing shop according to your refractive error and color of your choice. Usually, refractive error changes up to 20 to 22 years of age. Astigmatism or cylin ChatDoctor. But you can get laser treatment for refractive error correction after 20 to 22 years of age or when your refraction is stable for up to 6 to 12 months. </s> |
<s>[INST] Hello doctor,I have recurring UTI. Last time,a few months back, after taking medicines for the recurring UTI, results were normal. I took Cital syrup and antibiotics. After experiencing pain recently I again went for urine test, and it shows RBC, epithelial cells and bacteria. I have attached the reports. I was consulting a gynecologist prior to this, but she told me to consult a urologist. I have attached my last ultrasound and kidney function test along with today\s urine test. [/INST] Hi, Welcome to Chat Doctor forum. After reviewing your complains and your blood and urine test with ultrasound reports (attachment removed to protect patient identity), kidney functions are normal, your ultrasound is normal, your urine analysis showed pus cells and few red cells and white blood cells. My question is do you have symptoms like difficulty in passing urine? Or pain while passing urine? If not then did you have urine culture result before your antibiotics treatment? If you have documented UTI before and you got treated then you have pus cells and white cells in urine, your test might have been performed soon after antibiotics. The possibilities are incomplete treatment or chronic inflammation of the urinary bladder as sending infections are also common in postmenopausal period. You will need to follow up with urine culture test, if it is negative and you have no symptoms then no need to treat. If it is negative and you are still having symptoms (pain while passing urine), we need to do more tests. I hope to follow up you after urine culture results. As preventive measure, you need proper hy ChatDoctor. Cystitis, incomplete treatment. Urine culture. Cystitis bacterial, TB. Cystitis. Observation and hy </s> |
<s>[INST] Hello doctor,I am 31 year old male. My eardrum burst after coming down with the flu. It has been leaking this watery bloody substance. This happened about four hours ago. I was in pain till it burst. Seems like all the pressure went away and was a huge relief. My question is do I let it heal on its own or should I go see a doctor? [/INST] Hello, Welcome to Chat Doctor forum. Small perforations of tympanic membrane heal on their own, particularly if traumatic. However, you say that it happened after a flu. You may need to see an otolaryngologist to determine if you have any infection in the middle ear. If otitis media is present you will need a prescription medication to treat that. For now, do not put anything in your ear. While taking a bath, make sure no water gets in. Hope this helps. For more information consult a family physician online </s> |
<s>[INST] Hello doctor,My 4 years old daughter has an inward turn in her right eye after concentrating for a while. We had an eye test recently. Can you tell me if her results mean she needs glasses as she keeps saying her eyes hurt watching television and readings of her results are: Right eye sph +1.50 cyl -0.50, left eye sph +1.50 cyl -0.50. They told me she is long sighted and we have a strong family history of squints and glasses. I do not know if I should get a second opinion. [/INST] Hello. That is a very normal refractive condition of a 4-year-old child and I would not advise correction. However, you might want to consider reducing the time watching TV along with the brightness of the screen after sunset. Reduced blinking might lead to ChatDoctor. Monitor every six months considering the family history. </s> |
<s>[INST] I have TMJ disorder and I was wondering if there was anything I could do about the left side TMJ getting inflamed besides just letting it be and relax, as it is pushing on the inside of my ear. I can feel/hear it making a crackling wet noise when I push my jaw forward, or a painful pushing feeling inside my ear when I clench my teeth. It started yesterday and is better now that I\ve slept and it\s relaxed, but it\s still bothering me and the crackling/pushing is still there. [/INST] Hi! For a TMJ dysfunction you can consider the following advice Spasm in the muscles around the joint can be the reason for this probable dysfunction. It will take around 4 weeks for the muscle to get back to normal but chiefly depends on how much precautionary measures (mentioned above) you have followed. I hope I have answered your query. If there is anything that I can help, please do le me know. Get well soon! Warm regards! </s> |
<s>[INST] Hello doctor,I am 38 years old and a little obese. I have noticed two or three cherry color spots on my chest and back. Are they something to be worried about? I hope it is not a sign of some serious disease. Secondly, I am experiencing some generalized itching on my body. Last year same time of the year, I felt the same. Is it due to winter and dry skin? I am putting coconut oil and it gets better and also having Allegra 180. [/INST] Hi. I have gone through your case. These red spots are called cherry angioma and these are nothing to worry. They are just like black moles which normally do occur on our skin. These are due to swelling of the blood vessel. In winter we take bath with hot water which makes our skin more ChatDoctor. Heaters do the same. As a result, the skin becomes Take care. </s> |
<s>[INST] Hello doctor,I had braces years ago due to my bite being the wrong way round. I then have had retainers to wear at night for a few years. I think the retainers are giving me ulcers. I want to stop wearing them. Will my bite go back the wrong way if I do not wear them? [/INST] Hi. Yes, your bite may go back to a previous alignment if you will not wear retainers properly. This will cause your whole treatment to relapse and it would be bad. Things you can do is you can put some oral gel at ulcer in the daytime and at least wear for 2 to 3 hours for a week so that ulcer may heal up and then come back to 14 hours of wearing from the next week. If some wire is hurting you and creating ulcer, get it fixed from your dentist and then start wearing. If you cannot go to dentist urgently chew some chewing gum and put it on the point where it is causing the ulcer and wear it. Or you may put a tiny piece of moldable wax too at that point. It will not hurt that bad then and you can wear it. But do wear it somehow. Take care. Stay happy and blessed. </s> |
<s>[INST] Hello doctor,I am 28 years old. My weight is 55 kg. Whenever I am taking cold foods, I am suffering from nausea, headache, and chest pain. Kindly advice. [/INST] Hello. You feel those symptoms when you take cold foods, and so you may likely be having symptoms of common cold and malaria. The chest pain could be a symptom of an ulcer. There may also be fever, I presume. You can run a test for malaria (blood film) if it is positive then treat it. Tablet Artemether Lumefantrine 80/480 mg b.d (twice a day) for three days, tablet loratadine 10 mg b.d for five days, tablet vitamin C 2 t.d.s (thrice a day) for five days. Add tablet Rabeprazole 20 mg b.d in case of ulcer. </s> |
<s>[INST] Hello doctor,I am planning for a baby. I need suggestion on that like counseling. I have only acidity problem. [/INST] Hello. Kindly let me know how we can help you. Do furnish your age and your spouse age and also married life. Do you and your partner have any medical illness and also any history of abortions before? For more information consult an obstetrician and gynaecologist online Take care. </s> |
<s>[INST] Hello doctor, My mother is 53 years old. I have to discuss with you about my mother\s heart problem. Two years ago, we get to know that she is suffering from heart disease so we consulted a reputed cardiologist. He examined her and said that the only treatment for her problem is bypass surgery and gave her some common medicines like Aspirin, Roseday, etc. She takes the medicines for some time and left them. But three months ago, she got common cold and consulted a local physician, but she did not feel any relief. She rapidly changes four doctors and take their prescribed medicines for sometime and then left them. It resulted in damage to her kidneys. She got swelling on her whole body, my father took her immediately to the cardiologist whom she visited two years ago. He again examined her and perform all tests and tell us that she is suffering from left ventricular dysfunction and his left ventricle is only 20 percent left. After hearing this she is in a great depression and always she is thinking about it and saying to everybody that her heart is working only 20 percent. I want you to tell me some solution to this. She is weak and is also afraid of surgery. Is there any treatment that can be done with medicines alone? [/INST] Hello, Welcome to Chat Doctor forum. As far as I understand your mother is suffering from heart failure. Unfortunately, there is not too much to be done. A definite solution would be a heart transplant. Anyway, an optimization of her therapy can help improve her situation. So, I would recommend adding an ACEI (angiotensin-converting-inhibitor) Lisinopril, and Ramipril or ARB (angiotensin II receptor blocker), a diuretic to help improve the leg swelling Lasix and Hy ChatDoctor. Aldosterone antagonists Spironolactone, and a beta blocker in case of tachycardia. If these </s> |
<s>[INST] Hi doctor,I met with an accident before a few days where I happened to have a deep cut and I got in touch with the blood of another guy. Recently, I had a pimple on my penis shaft and when I approached a dermatologist he advised that I get tested for HIV. I had a third generation test using vitros eci post five to six weeks past exposure and tested negative. My doctor advised me to get a test at least after 10 weeks post-exposure for confirmation. I am pretty nervous regarding the same. Can you please advise me what are the chances of contracting HIV and do the symptoms definitely occur in every individual post-HIV contraction? [/INST] Hello, Welcome to Chat Doctor forum. Firstly, risk depends upon whether that guy has HIV or not. If not then nothing to worry, but considering the second possibility, then some risk remains of transmission, but not cent percent. Now, if the test is negative after five to six weeks then it is unlikely for you to have HIV as majority of those who are exposed becomes positive within this period. Only a minority of patients develop delayed seroconversion. So considering overall status, I think, there is no need to worry about it and you are unlikely to have HIV. However, get tested after a few weeks to clear out doubt and be sure. So you should not worry now and get back to routine, and get tested at later date. I hope this helps. </s> |
<s>[INST] Hello doctor,Impact injury to right ankle eight months ago, still painful and gets swollen. MRI was done on it. I am 20 years old, 158 cm, and 52 kg. All healthy apart from this. My daily medication is 20 mg Fluoxetine. [/INST] Hi, Welcome to Chat Doctor forum. The MRI scan does not show any area of strain or gross musculotendinous injury. Keep it elevated as much as possible. Apply Aircast ankle Sturrup orthosis (you can wear shoes over it too). Apply ice thrice daily for two days. I suggest the following medicines: Take these tablets only if you are not allergic to them. Do not take these tablets if you have bronchial asthma. Follow up immediately in case of any untoward reactions. Physical therapy: wobble board exercises to strengthen muscles. This should be done once the pain reduces. For more information consult a radiologist online </s> |
<s>[INST] Hello doctor,My symptoms are distinct white patches on the back of the throat, persistent swollen lymph node in the neck (for at least a week, possibly longer), slight soreness in throat near the node. No fever but have had headaches.Throat flared up in soreness about a week ago then subsided though lingered and lymph node has stayed swollen. Preceding this flare-up was a long period of post-nasal drip and feeling something thick in the back of the throat.Looking at photos of my throat from 2015, it looks like I had very similar white patches on the back of my throat then as well, so it is not clear if they are there permanently or chronically. I cannot find many images online that correspond to this particular shape and pattern of white blotches at the back of the throat. Please advise. I am a male of 39 years old. I take 100 mg Sumatriptan when needed. [/INST] Hello, Welcome to ChatDoctor. What you are seeing are enlarged lymphatic channels in the back of your throat. (attachment removed to protect patient identity). This condition is called cobblestone throat. It is a term we use to describe irritated throat with visible bumps and lumps at the back. Remember that these bumps are due to enlarged lymphatic tissue in the tonsils and adenoids. These are small pockets of tissue in the back of your throat which when you get irritated due to allergies, postnasal ChatDoctor. You do not have strep throat or fungal like picture. I would suggest trying anti-histamine and Tylenol for the next few weeks and see if it improves. If not consult an ENT. I hope this helps. </s> |
<s>[INST] Hello doctor,My last date of the period was last month. Usually, I have an improper cycle (one month miss). We had intercourse after almost a month and I took Ipill on the third evening. Please help. [/INST] Hello, Welcome to Chat Doctor forum. I read your message. Actually, chances of pregnancy are negligible as you have irregular cycles. As you said you took Ipill on the third evening, so in the next 3 to 4 days you should expect your periods. If in case of periods does not occur, then do a blood test (serum BhCG ) around 11th to 12th day. </s> |
<s>[INST] Hello doctor,I am 26 years old, and I have never used any product for my hair or skin. I am working in IT night shift, and I have dark circles. I came across a video from a bright side that Aloe vera can reduce dark circles. So I wanted your suggestions on this. Can I start using Aloe vera gel for my skin and hair? And for hair can I use it as a styling gel which means can I leave it after applying on my hair or I will have to wash it after a few minutes or hours? Please advise. [/INST] Hello, Welcome to Chat Doctor forum. See the dark circles you are having are due to awakening at night. So during the night shift, try to relax your eyes in between. You can use ice packs to soothe your eyes once or twice. Take fresh fruits and vegetables, also for dark circles and do not let them increase because they are hard to cure at later stages. As far as Aloe vera gel is concerned, you can use it on your hairs and skin. But make sure that it is 100 % natural. If you are using it as a styling gel, then you can wash it after a few hours. I will not recommend you to leave it on your hairs. I hope you understand my point. </s> |
<s>[INST] Hello doctor,Whenever I am outside of home my face is looking red and many people asks me that why your face looks red. Please suggest me what should I do for it? Even in the evening, I mean without in sun rays it also looks red. I am a 20-year-old male. [/INST] Hello. I just read your query. There might be many reasons for turning your skin red while going outside. Most common reasons may include that your skin is very sensitive and whenever you go outside your skin is not able to tolerate the external heat and produces heat stress to your skin and skin turns red. To avoid this condition ChatDoctor. </s> |
<s>[INST] Hi doctor,I am 18 years old. I am suffering from a squint eye. Can I have any solution for this problem without surgery? [/INST] Hi. I have gone through the query. I can tell you the options available to you. It mainly depends on the type of squint and your eye function. Is the squint involved in one eye or both? How do you see with the squinting eye? When you have double vision, how do you see? In case, if you see well, you are eligible for prisms. These are particular types of lenses which are embedded into glasses. They can be used, but this needs training to the people for straightening their eyes. In some instances, they produce useful singular vision. In case, if you are ineligible for prisms, you have to go for surgery. As soon as the surgery is done, the results will be better. </s> |
<s>[INST] Hello doctor,I am a 44-year-old male with a BMI of 26. During a recent health checkup of blood and urine, the following readings were observed. I have mentioned only the ones who have the higher readings. Protein 1+ detected in dipstick, serum uric acid at 9.2 mg/dL, MPV at 12.5 fL, FBS at 112 mg/dL, HbA1c at 5.5, cholesterol at 227 mg/dL, triglycerides at 181 mg/dL, VLDL is at 36.2 mg/dL, ALT/SGPT at 48 U/L. Serum creatinine at 1.23, increased from 0.99 tested six months back. Other than this, all others were normal. I also have been infected with hepatitis B twice and vaccinated for hepatitis B. I have been a diabetic for more than two years. The HbA1c vary between 5.5 and 6.5. The first one was done two years ago. I also have hypertension for more than five years. It is not very much under control. It varies from 135/80 to 150/100 and now it has reduced a bit to 140/90. I met my general physician who advised me to check my albumin to creatinine ratio. I tested it four times. The results are as follows: 55 ug/mg, 150 mg/g, 11.4 ug/mg, 37.5 mg/g. My ultrasonogram revealed fatty liver and cystitis. All the rest is fine. My ECG was fine. I have been advised to have a urine culture. My current medications are Telma-AM 40, Dynaglipt, Ecosprin AV 75, Levofloxacin, and CTD 12.5 mg. I am not able to understand why my albumin levels are so high and I would like to know how and when can they be rectified. I have attached reports for your further reference. [/INST] Hello, Welcome to Chat Doctor forum. I have seen all your reports (attachment removed to protect patient identity). I hope I have cleared your doubts. Thanks. For more information consult a urologist online </s> |
<s>[INST] Hello doctor,Why is Chlorhexidine mouthwash used only twice and not thrice daily? [/INST] Hello, Welcome to Chat Doctor forum. Chlorhexidine mouthwash is only used twice daily because of the following reasons: Wish you good health and happiness. For more information consult a dentist online </s> |
<s>[INST] Hi doctor,I have itching problem in the whole body since last six months. When I take the Cetirizine tablet for this then it is fine for 4 to 5 days after that it again occurs. [/INST] Hello. It seems you have chronic urticaria. In more than 50 % of cases, the cause is unknown. The rest of the patients it can be due to any infection anywhere in body or thyroid problems or diabetes, etc. I suggest you get the following tests done. CBC with ESR, S.TSH, S.T3, S.T4. Also, please note if it gets precipitated due to some stimuli such as sweat, exercise, cold, etc. Follow up with the above reports. Take care. </s> |
<s>[INST] Hello doctor,My wife is 34 years old, has thyroid deficiency for which she takes medicines and is under control. But she also has recurring allergy problems, her face cheeks, become red itchy and swollen frequently along with hay fever symptoms. She is very sensitive to facial creams. Please suggest tests, medicines to manage these conditions. Currently, I am taking Thyronorm 88 mcg, Dazit M and Tezine prescribed by skin specialist on the day two of medications. [/INST] Hi. The most effective way to treat the allergic reactions your wife experience is to avoid the allergen (the substance that causes the allergy) like pollen, dust, mites or detergent, etc. If it is difficult to identify the cause of allergy a batch skin test could be done to identify the cause. The medication prescribed is suitable for her condition. A short course of steroid can be tried if the symptoms are severe. Regarding her thyroid condition, follow up with TSH (thyroid stimulating hormone) level (target below 5) is required every eight weeks. For more information consult an internal medicine physician online Take care. </s> |
<s>[INST] Hello doctor,I just saw your pin about tear drop cells. I am trying to understand the meaning of this. Recently my 4 years old son had a CBC and the RBC was abnormal, he has tear drop cells 1+, schistocytes 1+, crenated cells 1+, stomatocytes 1+, schistocytes 1+, macrocytic 1+, microcytic 1+, poikilocytosis 1+, anisocytosis 1+. Please help me to understand this. [/INST] Hello. The presence of crenated red blood cells, schistocytes, tear ChatDoctor. The G6PD deficiency, spherocytosis, immune hemolytic anemia, etc., are some of the causes for that. Microcytes and macrocytes could be due to anemia. It is called dimorphic anemia which might be due to iron or B12 deficiency. I suggest you investigate further with full CBC, reticulocyte count, serum LDH estimation, DCT for primary work up. You can Consult a nearby pediatrician for detailed evaluation. </s> |
<s>[INST] Hi doctor,I am a 27 year old female. I had my last period 60 days before. I am pregnant and I opted to abort at home. Four days back I have taken one tablet of Mifepristone at 10 AM and then two tablets of Misoprostol 10 AM the next day. I have been bleeding lightly after taking Misoprostol tablets. There are still two tablets of Misoprostol left. Could you please advice when and how to take these two tablets of Misoprostol. I have attached my transvaginal scan reports taken yesterday for your reference. This is my second abortion. I did home abortion eight years ago using a set of two pills, but I did not remember the names. Now, I feel slightly dizzy with headache. Please guide me. [/INST] Hi. The methodology you have adopted for abortion is incorrect. You should have asked this question before taking the medicines. You have already crossed the time for the other two tablets. Ideally, two Misoprostol should have been taken orally and two inserted in vagina. So, I would suggest you to insert the two tablets as soon as possible. You will bleed a little more. As far as the reports are concerned, your pregnancy of 9 weeks is absolutely intact in the ultrasound. So, it does not seem that the pregnancy has been terminated. </s> |
<s>[INST] Hello Doctor,I am a 42 year old male. In my right testicle, I think spermatic cord is enlarged. I do not have any pain. The right testicle feels firm and spermatic cord feels hard. [/INST] Hi. You seem to have developed funiculitis which is inflammation of the spermatic cord. You will need a course of antibiotics. Please revert back with more details for further guidance. </s> |
<s>[INST] Hi doctor,I have a low grade burning sensation in the upper thigh on the right side, near the groin. I have the same burning sensation in the left arm, below the shoulder to forearm. I have heaviness in my legs with a sharp pain in the feet. It got started after taking Ativan. This burning is pretty new to me, and I have this problem for a week now. I also have loss of circulation in my left arm at night during sleep. What can I do now? [/INST] Hi, Welcome to Chat Doctor forum. Your symptoms are related to anxiety or peripheral neuropathy. I have reviewed all your tests, (attachment removed to protect patient identity) and they are perfectly normal. You have vitamin B12 level in a higher range, and it is not a problem. Coming to this point, I would recommend performing nerve conduction studies to investigate for neuropathy. I would also recommend checking magnesium plasma levels. If all these test results are normal, you can consider anxiety as a possible cause of your symptoms. In such a case, I would recommend adding Pregabalin or Gabapentin to your current therapy. You should discuss with your doctor on the above issues. </s> |
<s>[INST] Hi doctor,I am caught by very bad cough and cold. Please suggest some medicine for dry coughing. [/INST] Hello. Since when are you suffering from above problem? Is there any throat pain? Probably you may be suffering from acute viral rhinitis with bronchitis. Avoid cool ChatDoctor. I suggest you the following medicines: If symptoms not improved please consult your doctor, he will examine and treat you accordingly. Take care. For more information consult a general medicine physician online </s> |
<s>[INST] Hello doctor,My penis is in erection stage 5 inches, so is it normal? Secondly, recently I got married but I am not able to enter due to early ejaculation within 1 minute. [/INST] Hi. Size of 5 inch is absolutely normal and is in fact above the average penis size of most of the males. So no need to worry. Immediately after marriage due to lack of experience a lot of males suffer premature ejaculation and they ejaculate even on touching the vagina. This is normal, just do not lose confidence. Medicines like SSRIs like Dapoxetine can be used to delay the ejaculation time. You can talk with your doctor for prescription of this ChatDoctor. </s> |
<s>[INST] Hi doctor,I have mixed emotions. Sometimes I am overwhelmed with emotions. But sometimes I am entirely emotionless. I am unable to concentrate on my studies as I am extremely drained mentally. Nothing is making me feel better. If I feel better for some time, at the end of the day, I feel completely numb. I am sleeping a lot nowadays. I am unable to do my work. Please help me. [/INST] Hi, Welcome to Chat Doctor forum. I have gone through your problem, and I can understand your concern. It can be due to mood disorder and depression. You need to consult a psychiatrist soon as depression can present with a sleep problem, a decrease in energy, numbness, unable to concentrate on work, and low mood. In such situations, taking SSRI (selective serotonin reuptake inhibitor) can help you. </s> |
<s>[INST] Hello Doctor,Can I use expired condoms? Is it dangerous? Will it affect my health? [/INST] Hi Use of expired condom will not cause any serious health issue. The following can happen: Even if the condom is expired, it is better to use it rather than not using one. Consult a sexologist online to know other modes of contraception </s> |
<s>[INST] Hello doctor,This is concerning my mother, who has been having pain in her left hand and leg at times. She also has pain in her chest and breathlessness. We were concerned about this and decided to take her to a doctor. An echo was done, and the doctor found some abnormalities in the report. However, as per doctors recommendation, he has not advised any medicine as of now, since he says it is in the initial stages. We would like to have few opinions if there is something seriously wrong with the reports or how we can manage it. She is also a chronic asthmatic. I am attaching all the reports that I have of her. Request your kind help on advising what should we do next or if there is something to worry about. Thanks. [/INST] Hello. Thanks for providing all the test reports (attachment removed to protect patient identity). I have gone through the test results. For more information consult a cardiologist online Take care. </s> |
<s>[INST] Hello doctor,My son is 7 years old, and 20 kg. He is currently taking Taxim O Forte syrup for an infection. He has developed severe cough (dry) now. In the past, he was using the Duolin inhaler for an extreme cough. Please, could you advise if Duolin inhaler can be given to him when he is on Taxim O Forte syrup? [/INST] Hello. Yes, you can give Duolin (Salbutamol and Ipratropium bromide) inhalation along with oral antibiotics. But, as you have said it is a ChatDoctor. You can give honey for a </s> |
<s>[INST] Hello doctor,Are Halloween colored contact lenses safe? Do people who need prescribed contact lenses be using them? [/INST] Hello, Welcome to Chat Doctor forum. Ophthalmologists do not recommend colored contact lenses. However, they may be used occasionally for not more than a few hours. The reason is that compared to regular glasses, most colored lenses have a lesser tendency to allow oxygen to pass through to the corneas, thus causing damage to the corneal cells. This problem does not depend on whether the user is a prescription lens user or not. It depends on the quality of the lens and a few biological variables of the person using them. I hope this helps you. </s> |
<s>[INST] Hello doctor,My wife is having hypothyroidism. She is having the TSH level of 13 miu/l. We had consulted a doctor and after few tests, the doctor suggested to take Thyroxine 100 mcg everyday morning on empty stomach. How long she needs to take the medication? Is there a permanent cure for this? [/INST] Hello. I just read your query about your wife and her thyroid function test results. Well, she does seem to have hypothyroidism. But her dose seems to be a bit higher. Anyways, you must usually take it according to your body weight or the TSH values. Try to repeat the same TSH after six weeks and then we can decide what is an appropriate dose for her. Yes, she has to take this medicine for life. This is not a major disease but very important gland which is not functioning properly. So we need to replace the hormones which are formed by this gland all her life. This has no side effects, so relax and continue her treatment regularly. No, there is no permanent cure for hypothyroidism. Just replacement of the hormones which are deficient. </s> |
<s>[INST] Hello doctor,I am recommended the injection Fondum based upon the ECG. The ECG report says the blood supply to one valve is less other all is fine, already taken one. Also, other medicines as Rosumac gold (Aspirin, Rosuvastatin, Clopidogrel), Sorbitrate. Should I take balance two injections of Fondum or consult a cardiologist. Had done an Echo two years back and that was normal. [/INST] Hello, Welcome to Chat Doctor forum. These medicines are given for acute coronary syn ChatDoctor. Please send me ECG so that I can guide you accordingly that what to do next. Please tell about the age of patient, symptoms, and any blood tests performed. </s> |
<s>[INST] Hello doctor,I am a 25 year old male. I am 181 cm tall and I weigh 70 kg. All the members in my family are tall, but I am not that big when compared to my father and brother. I am mentally depressed since my childhood. It is all about my body. I was a female looking boy with very soft body, less energy and not interested in sports. Since that time my arms and legs are very long. But arms are very lean as girls.My puberty was too late at around 18 years of age. But after puberty, I have hair on face, but till now it is not much as my brother had in that age. Facial hair is also thin and not uniform everywhere.I feel my bones are like females and not very strong, arms and fingers are not as big as males. My muscles are less too. I went for gym and built up a little muscle, but forearm and fingers are still feminine. I feel my waist is a little wide.Did I have any genetic problem or hormonal imbalance at puberty stage? I am totally exhausted. I am always worried about that. Please help me. [/INST] Hi. I totally understand your anxiety. Based on the description which you have given, there could be a possibility of Klinefelter syn ChatDoctor. This condition can be seen in about one in 600 boys. A normal male will have a chromosomal pattern of XY. However, in case of Klinefelter syn Take care. </s> |
<s>[INST] Hi doctor,I have right lower back pain from the past two years. I have enclosed my MRI reports. I take Nucoxia 60, whenever needed, 3 to 4 days when pain increases. I cannot tolerate anti-inflammatory medicine due to stomach upset. The pain always remains, but it reduces when I lie on my stomach. It increases on lying on the back, sitting, and standing. All blood tests including RA factor, HLA-B27, etc., are normal. Please see the MRI and advise diagnosis and treatment. [/INST] Hello, Welcome to Chat Doctor forum. I would have preferred to see the MRI films myself rather than just the to report (attachment removed to protect patient identity). Number 1 and 2 are the most important. The exercises will help improve muscle strength and help with pain. For more information consult a fitness expert online </s> |
<s>[INST] \x80\x8bHi doctor,I have sharp pain in the right eye since yesterday evening. Also, I wore a fresh pair contact lens last evening. And I did not wear a contact lens for almost two months. The pain started two hours after wearing contact lens and I went to a marriage function and there were many people with conjunctivitis. There is mild swelling and redness of the right upper eyelid since today morning after I woke up, but no watering and itching. [/INST] Hello. I reviewed your history and the photo attached to the question. (attachment removed to protect patient identity). It seems like inflammatory swelling of the upper eyelid, most commonly in the form of hordeolum. I would like to treat this condition by the use of antibiotic eye ChatDoctor. </s> |
<s>[INST] Hello doctor,My ENT doctor told me that I am having granulation with pharyngitis. He applied silver nitrate. Will I be fine? [/INST] Hi. The condition you specified might be granular pharyngitis. If it is a recurrent condition you can be treated with Silver Nitrate to remove those granulations. There is no problem in the above-mentioned treatment. Apart from antacids, I suggest you take antibiotics and mouth gargles. If possible, provide me a picture of your throat by taking a picture in the mirror (if possible). </s> |
<s>[INST] Hi doctor,How to confirm that a person is suffering from SLE (Systemic Lupus Erythematosus)? [/INST] Hi, Welcome to Chat Doctor forum. Get ANA test (Antinuclear antibodies) done to diagnose SLE. Though ANA is positive in other autoimmune diseases too, it is strongly positive in SLE. Once this test is found to be positive, it is correlated with signs and symptoms to confirm SLE. In case of doubt, other confirmatory tests would be required. </s> |
<s>[INST] Hello doctor,I am 29 years old with 180 cm tall and 62 kg weight. I was diagnosed with hereditary spherocytosis before five years, and my gallbladder was removed. Recently had an ultrasound to see the liver and spleen. I would have mildly elevated liver readings. Hematologist wanted to check that these organs were fine. He thought they would be. Do elevated liver readings mean liver damage? I do not drink and eat a very healthy diet. Please help. [/INST] Hello. Your spleen is enlarged in size (attachment removed to protect patient identity). The liver appears normal in size, and the echotexture looks normal. I would like to know which liver readings get elevated? Liver enzymes can get elevated when the hemolysis is not entirely compensated for. In severe cases, it can cause jaundice. It looks to me that still the hemolysis is being compensated by your system on most occasions and less frequently. The liver enzymes might be elevated. Please have a discussion with your hematologist regarding details of the compensatory mechanisms. Take care. </s> |
<s>[INST] Hello doctor,I have started using Ashwagandha as a natural supplement for depression and anxiety. I have been feeling much better even after my doctor has reduced my sleeping medicines and antidepressant. My concern is if I stop using the Ashwagandha, will the depression anxiety return or get worse? [/INST] Hello. I understand your concern regarding getting the depression back once you stop Ashwagandha. I would advise you to continue taking Ashwagandha till you feel a good amount of improvement in your depression. Also, start doing meditation, and some yoga poses for getting rid of depression problems. Then gradually reduce the dose of Ashwagandha so that your body gets used to the reduced doses of Ashwagandha. Do not stop using it immediately. Make sure you do it gradually. This will help to maintain your health, and most likely, you will not get back with the previous symptoms. I hope I have answered your questions. </s> |
<s>[INST] Hello doctor,I had an ear perforation two months before. My ear was healing really well. The doctor told me to clean my ear by ear syringing. He gave me two shots of syringing. After that, earwax clean up. My ear had gone bad. I feel like my eardrum is hardened. Whenever I put my finger in my ear to pop up my eardrum, my eardrum does not flexibly move at all. It is like it got stuck in one place. It does not move up and down when I put my finger. It is just fixed up in one place and the tinnitus has also gone bad. It vibrates really bad when anyone talks to me or I talk to anyone. I am so worried. Will my eardrum heal again? [/INST] Hello, Welcome to Chat Doctor forum. First of all, tympanic membrane is anchored to bone and does not move up and down but moves inward and outward because of sound. Secondly, it is placed 2.5 cm from external ear orifice and cannot be moved with a finger. Since you had a perforation two years back, it might not have healed at all. The other symptom you are talking about is tinnitus. It is possible to have in presence of a perforation. You should get the ear examined. Also, I would like to know if you have any discharge now. </s> |
<s>[INST] Hi doctor,My daughter is 4 years 6 months old and had vomiting and fever from yesterday morning. Vomit and leg and hand are paining. If she has some food, she vomits. What is the reason? Please advice. No loose stools, not eating for past two days. [/INST] Hi. According to the complaints you gave, it may be viral fever with gastritis or urinary tract infection. Viral fever with gastritis, urine infection. Urine routine, and microscopy. Viral fever, urinary tract infection. </s> |
<s>[INST] Hi doctor,My father and my grandmother died within 3 months. After they expired, I started to face many issues like LIC claim and others. Due to too much stress, I am unable to sleep at night properly and feel sleepy in the morning. Because of this reason, I am unable to concentrate on my work. I am working in software industry. Due to the issue I am facing, I am not able to complete the tasks on time and going through a lot of problems. I am also suffering from body pain. Presently, I am on Zincovit multivitamin tablet. Thank you. [/INST] Hello, Welcome to Chat Doctor forum. I feel sorry for your loss. Your problems are stress, unable to sleep at night and body pain. So, basically it is your stress that is leading to other problems. Stress can be managed both by medication as well as by lifestyle modifications (behavior therapy). First, try lifestyle modifications which include: Also, proper sleep hygiene needs to be practiced daily, so as to help you to maintain good sleep in the long run. Sleep hygiene entails following important points. These lifestyle modifications will help in improvement of symptoms and you will feel better. If symptoms persist even after lifestyle changes, then visit a psychiatrist. ChatDoctor. Visit a psychiatrist for proper prescription of this </s> |
<s>[INST] Hello doctor,I am having problem in breathing sometimes and the body gets warm. Kindly help me with it. [/INST] Hello. I have gone through your reports. Do you have any history of chest pain or heaviness on exertion? I have noted a few abnormalities (attachment removed to protect patient identity): Other parameters are fine, and figures in bold are not necessarily abnormal. Slight derangement in liver enzymes is there, that is likely to be due to fatty liver. Get your BP checked once. For more information consult a cardiologist online </s> |
<s>[INST] Hello doctor,I am 40 years old woman. My husband is 53 years old. Since I married late, is it safe to conceive now or will I face any health issues? If safe, then when should I have sex to conceive at the earliest? [/INST] Hi. There is risk involved for conceiving at this age. Age-related screening is needed before conception even if you both are healthy and do not have any problem. As long waited oocytes (eggs) will be involved in conception, there are a few tests for conception at this age to check baby either it is free from anomaly or not like chronic villus sampling, amniocentesis and double, triple or qua ChatDoctor. I am not confirming any mishap but it is the only recommendation for lots of precautions. If you and your husband have been treated for any disease, better to take full treatment like thyroid or diabetes. Quit smoking, tobacco, alcohol and other recreational </s> |
<s>[INST] Hello doctor,I had my two back molars on the top left side of my mouth filled about three weeks ago and after a few days, everything was fine. No pain, nothing. But a few days ago, I realized that every time I drink hot, cold, and sometimes even room temperature liquids there is a sharp almost piercing pain that lasts for a few seconds. (More so with the cold drink than hot or room temperature drink). It does not hurt to bite down but it does hurt to actually chew something on that side. Even when I take a deep breath through my mouth, the cold air hurts the tooth. The pain feels like the liquid or the air is literally going inside my tooth and releasing that sharp pain. I made an appointment to see my dentist and he said the nerve might be exposed. What does that mean? What kind of procedure needs to be done? Or what do you think is wrong? [/INST] Hello, Welcome to Chat Doctor forum. First, get a radiograph done for those two teeth, it will tell the status of your teeth. Sometimes, if the filling is high, you experience pain. The filling might be fractured. The nerve exposure means caries has reached till the pulpal horn. Parts of teeth: Enamel: a hard mineralized structure that forms the crown part of the tooth. Dentin: calcified tissue. It is covered by enamel on the crown, cementum on the root part of the tooth and surrounds the entire pulp. Cementum: specialized calcified substance covering the outer surface of the root of the tooth. Pulp: consists of nerves. If caries are present in enamel or dentin filling is done. If caries reaches the pulp, root canal treatment has to be done. The dentist is talking about root canal treatment, in that treatment infected or dead pulp is removed and medicine is filled. Radiograph of those two teeth. Get a radiograph done and plan further. Meanwhile, do lukewarm saline mouth rinse three to four times daily. Use desensitizing toothpaste. Avoid too hot or cold food and beverages. </s> |
<s>[INST] Hello doctor,Bladder biopsy shows eosinophilic cystitis with prominent eosinophil infiltration in the lamina propria with a mild lymphomonocytic cell. Urothelium shows atrophic change. [/INST] Hello, Welcome to Chat Doctor forum. I went through your post well. Eosinophilic cystitis has been mentioned in the case reports because of its rarety. No clinical trials have been conducted on the condition, it is treated with a course of steroids or NSAIDS and occasionally with resection of the lesion by either open or transurethral resection. Before starting any treatment you need to be investigated for any parasites. As a course of steroids for a week settles the symptoms that will help in confirming the diagnosis. </s> |
<s>[INST] Hello doctor,I am scheduled to have the two wisdom teeth on my right side extracted tomorrow. While waiting for the appointment, I developed pain in my right upper jaw which became increasingly worse over a few days. I went to see the dentist who found out I have an infection in my first molar (upper right) which is a tooth that has been root canal filled for about 20 years.I started Penicillin for the infection but after three days with no improvement, I switched to Clindamycin 24 hours ago and I am still not sure if that is working either. My first question is, should I still have the wisdom teeth extracted as scheduled even in the presence of infection in that other tooth?The dentist made it sound like it would not be a problem but I am very nervous especially since I am already in quite a bit of pain. The second question is: should I have that tooth retreated as she suggested or am I better off extracting it and getting an implant? Thank you in advance. [/INST] Hi. I have read through your complaint and the relevant details. Penicillin and Clindamycin are the antibiotics and are usually prescribed for a course of five to seven days. These ChatDoctor. So, you might not notice a big change in how you feel. It is the painkiller which makes you feel that the </s> |
<s>[INST] Hello doctor,I have pain in lower abdomen, penis, and testicles. Please advice. [/INST] Hello, Welcome to Chat Doctor forum. Pain in lower abdomen and testes can be due to multiple causes ranging from urinary tract infection, infection of testes, varicocele, or some stone problem in ureter and kidney. You will need a few investigations to see for the cause then only treatment can be advised. You will require sonography of abdomen and testes, microscopic urine test, and renal function test. Depending on the report of this test, we can determine the cause and advice further. If pain is too severe, you can visit a urologist for physical examination. Sonography of abdomen, pelvis and scrotum,with colour Doppler testes, urine microscopic test, and renal function test. Epididymo Orchitis, urinary tract infection, varicocele,and intermittent torsion. Follow-up with reports. </s> |
<s>[INST] Hi doctor,I am 19 years old. I have pain in the corner of my left eye for the past one year. I went to the doctor, and he gave me Sterdex. I used it and felt better. My pain went away. After a few months, I started to have pain, but it was not so severe as the first time. I wear glasses and lenses, and I am treating my eye allergy with Chibro Cadron 5 ml, and for dry eyes, I use Fluidabak after taking the lens. Whenever I do my yearly eye checkup, my eyesight gets worse because of the pain in the corner, and I am scared about my sight. I do not know whether I use an appropriate medicine to my eye. Whenever I consult the doctor, he gives me the same medication. Please help me. [/INST] Hi. Minimize the use of steroids as much as possible to avoid side effects such as an increase in eye pressure leading to glaucoma. Both Sterdex (Dexamethasone) and Chibro are steroids. They may relieve your symptoms in the short run but may harm your eyes if used for long term. Pain in the corner should not affect your eyesight. Just use appropriate glasses. For lubricant, you can start with Carboxymethylcellulose containing ChatDoctor. For allergies, Olopatadine containing Take care. </s> |
<s>[INST] Hello doctor,I am having chest pains that are dull feeling in random parts of chest at random times throughout the day and night. Been having them for 2 weeks now. I have a newborn child, 9 months, and I do not sleep alot because he does not either. That has been going on for 9 months, the lack of sleep. I am 34 years old with no health issues and no family history of heart disease or issues. My doctor did an ECG and said it was normal with an abnormality. I went to a cardiologist and he did an ECG and said it was normal but scheduled me for a echocardiogram and stress test to rule out anything. Am I just having anxiety, which is what everyone keeps telling me, or could it very well be heart related? I am scared. Thank you for your assistance. [/INST] Hello. I passed carefully through your medical history and would like to explain that your ECG seems to be within normal ranges. Nothing to worry or panic about. The lack of sleep has played a role in exacerbating your clinical symptomatology. Anyways it is rationale to follow your doctor advise and pass through the recommended tests cardiac ultrasound and stress test. Take care. </s> |
<s>[INST] Hello doctor,My 36-year-old wife has a urine infection. She was diagnosed with postpartum preeclampsia after two days of delivery of a female child. She had high blood pressure at the time of delivery but now it is normal. Her average blood pressure is 110/75. She had a severe urinary infection before the birth of the baby. The infection was not controlled after birth too and an antibiotic was given. As per urine culture report, blood tests, and the doctor\s prescription, antibiotic and other medicines were given but the infection has not improved at all. What should be done? [/INST] Hello. I would suggest you to repeat urine culture and ChatDoctor. Few bacteria which cause urinary infection in women develop resistance very easily and become difficult to treat. So I suggest you get another urine culture and sensitivity and discuss with her treating doctor a combination of antibiotics which can be more effective than a single Take care. </s> |
<s>[INST] Hello doctor,I am 36 years old and had unprotected sex with my husband on 18th at night. Although he pulled out we are suspecting pregnancy as there can be 1 % chance of ejaculation. I had my last period on the 7th and usually, I get my periods one to three days before the expected time. I took Unwanted 72 on the 21st afternoon. But after taking it, I was feeling stomach and back pain in the lower region along with cramps. Though I am not feeling any other symptoms of pregnancy like nausea, vomiting etc, which I even did not have during my first pregnancy except stomach pain like periods. Will Unwanted 72 will be effective in my case? Can it stop fertilization/implantation? Am I pregnant or is it a side effect of the emergency pill? I am still feeling pain but it is less now. When can I expect my next period or when should I go for pregnancy kit test? I am already having a kid of 2 years and do not want a second one. In case I am pregnant, please guide me how to get it aborted. [/INST] Hello, Welcome to Chat Doctor forum. In your case, the unprotected intercourse took place at a very fertile time and the delayed intake of Unwanted 72 might render the pill useless. It is highly possible that you still might get pregnant despite the pill. However, the symptoms of back pain and stomach cramps are usually expected after taking the pill. So these symptoms are unlikely due to pregnancy and more likely due to the pill as pregnancy symptoms develop usually around five to six weeks of pregnancy. Expect your next periods to be a little delayed than usual and may look abnormal as well, like blackish in color. If your periods get delayed by over a week then take a pregnancy test and check. If positive, let me know and then we can discuss further. All the best. For more information consult an obstetrician and gynaecologist online </s> |
<s>[INST] Hi doctor,I had unprotected sex before three days. Today it is almost 72 hours completed. I have taken Mifepristone 200 mg. Are there chances of pregnancy still? [/INST] Hi, Welcome to ChatDoctor. There is a less likely chance to get pregnant. As you had taken your contraceptive within 72 hours of unprotected intercourse. </s> |
<s>[INST] Hello doctor,I am a 50 year old male, who until recently was in relatively good health, other than idiopathic severe osteoporosis and depression. Over the past six months, I have become lethargic, out of breath after very simple tasks, and loss of memory. My primary doctor noticed that my hemoglobin had been dropping over the past year. After more testing, I was diagnosed with iron-deficiency anemia. I underwent eight weekly infusions, which finally got my hemoglobin close to the normal range. However, while my iron is low, my unsaturated iron binding capacity is high at 421, total TIBC is high at 471, and my transferrin saturation is low at 11. Prior to starting the infusions, my platelets had been high and climbing. After the eight infusions, my platelets were only normal for a week. They have begun rising again and are a little high at 502. My RDW has always been out of range and is now high at 17.9.Also, a month ago, my CRP was 1.29, it is now 2.2. I have had an ANA screening for autoimmune, and it came back negative. My stool has been tested twice and it has no blood. My homocysteine and PSA are normal. I am still lethargic and getting worse, and I am constantly short of breath. My short-term memory is not good. I now have a constant pain in my lower back in the kidney area, but all tests for kidney function have been normal. My current hematologist has ordered a CT scan of my abdomen with barium contrast, but my insurance has not approved it yet. I understand that anemia is a symptom of something else, then what is the CT with contrast going to look for? Should I be concerned about the pain in my lower right side of my back? If you were in my shoes, would you see your doctor again or wait a couple of weeks until the CT is complete? What does your gut tell you is the most likely cause based on the limited information listed above. I have attached all my test reports. [/INST] Hi. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: Hope it helps. Any further queries are welcome. </s> |
<s>[INST] Hello doctor,I have anxiety and panic since five years. My GP had given Nexito forte and Veniz XR 37.5. And, I felt better and asked him to reduce the dosage two years ago. He stopped both and gave Nextio plus from then till date. I felt better. I did not smoke or drink while on treatment. 10 days back, I stopped taking the tablet. I drank half a beer at a party, and the anxiety disorder relapsed. I will not drink any longer. Now, my questions are as follows. I am on Nexito plus. Suppose there is a relapse, should I take Veniz XR 37.5? When I completely stop all the medications, and there is a future relapse, should I take Nexito forte, Nexito plus or Veniz XR? [/INST] Hello, Welcome to Chat Doctor forum. It seems to be an anxiety disorder. You need to avoid the triggering factors that cause the relapse. Be it alcohol or something like smoking, family issues or financial problems. It is better to be on Nexito forte (Escitalopram and Clonazepam) during the episode of anxiety. If your symptoms were not controlled then, add on Veniz (Venlafaxine) to your medications. Meditation and yoga will help control the problem. For more information consult an internal medicine physician online </s> |
<s>[INST] Hello doctor,I am 46 years old male, weighing 67 kg, height 176 cm. Current symptoms are weight loss (lost about 5 kg in one month), feeling hot. Sweating, problems falling asleep, difficulty focusing on one task, forgetfulness, change in bowel habits (experiencing loose motion sometimes), palpitations, nervousness, fatigue, heat intolerance (not able to hold hot objects like hot teacup). The blood test results show thyroid-stimulating hormone (TSH) 0.008 milli-international units per liter of blood (mIU/L), triiodothyronine (T3) 2.3 ng/ml, thyroxine (total T4) 17.8 \xb5g/dL, thyroid scan result is suggestive of thyroiditis. [/INST] Hello. From what you have mentioned and from the reports you have attached (attachment removed to protect patient identity), it appears that you have thyroiditis. Your results show that you have hyperthyroidism but not so bad but your scan results suggest thyroiditis which needs no treatment, so, therefore, you have two choices, either you wait and watch till your thyroid gland recovers from this crisis by taking bed rest and Aspirin. Or you take anti-thyroid medications if you had a high pulse rate but since you are not having any high pulse rate it would be better not to take any ChatDoctor. My personal advice would be to wait and repeat your thyroid function test after two weeks. Till that time we can be sure whether treatment is necessary or not. Till that time take strict bed rest. Keep a watch on your pulse rate and blood pressure. </s> |
<s>[INST] Hello doctor,Recently after watching a video of a young person dying of heart attack, I have developed a fear of death. Although I am young and have no heart problems, I tend to think about it all the time. Please help me to get rid of this. [/INST] Hello. Here are two kinds of fears or phobias. 1) Temporary. 2) Permanent. Temporary lasts for few days after you suffer or witness some traumatic thing. Permanent ones would slightly fall under some psychiatric issues worth paying attention. I would recommend you to wait for some time. Keep yourself busy with positive and productive things and try to be in the company of family or friends. Try deep breathing, meditation and running. Everything should be settled by two weeks. If it does not, then consult a psychiatrist for proper evaluation and treatment. Take care. </s> |
<s>[INST] Hello doctor,This is my CBC report and everything is normal except RBC. In it, RBC shows anisopoikilocytosis predominantly microcytic hypochromic cells along with normocytic hypochromic cells and few targets cells. WBC is within normal limits. Platelets: adequate. (MCV) mean corpuscular volume72.0 fL, normal range 80 to100 fL. (MCH) mean corpuscular Hb. 18.6 pg, normal range 30 to 36 pg. (MCHC) mean Corpuscular Hb. Concentration 30.0 g/dl, normal range 32 to 36 g/dl. I will attach the report.Please suggests cause and solution for this. [/INST] Hello, Welcome to Chat Doctor forum. Your report is suggestive of microcytic hypochromic anemia. Do not worry about that. It is a treatable condition. With the recovery of hemoglobin level by tablet, your PS (peripheral smear) will be reverted to normal. It is not an alarming condition. But I suggest the following work up for you. 1. Serum ferritin estimation. 2. Serum transferrin saturation. 3 Serum FEP. 4. Serum TIBC. These four investigations, help in rule out iron deficiency anemia. 5. HB electrophoresis. This fifth investigation will rule out any hemoglobinopathy if present. Kindly revert back with these reports so that I can guide you further. Hope I have answered your question. </s> |
<s>[INST] Hi doctor,Daily after my shower, my face turns red with rash. This has been happening since years. I have changed my soap and face wash several times. Besides, I have lived in many cities; this happens every time and everywhere. What could be the reason? What should I do for it? Please help. [/INST] Hi, Welcome to Chat Doctor forum. From your history it appears that, you are suffering from cholinergic urticaria or heat hives. This condition of being hypersensitive or extremely sensitive to heat or the response of sweating. People with this condition often wonder why they feel itch when they exercise or any time they seem to get hot. It can be sensitivity to cold water also. Heat hives can occur at any age and can come and go often without treatment but in some it persists. As you said, after exposure to hot or cold water the skin will become red and sometimes itchy lesions will appear. Itching or burning sensation during the initial attack is common, and normally goes away when the overall body temperature has cooled. No effective treatment is yet available to cure cholinergic urticaria except avoidance of trigger factors. Tablets like Levocetirizine or Desloratadine are only helpful for short periods. Avoidance of trigger should be your first priority. Oxyhive treatment is sometimes helpful. </s> |
<s>[INST] Hi doctor,My daughter is 15 years old and she has high levels of DHEA (dehydroepiandrosterone). In the first test, it was 641 and 381 in the second test. She took her test when she had periods, normal testosterone and thyroid antibodies. She always had a deep voice and body hairs on her chest and stomach.She was taking birth control pills two months ago because of her irregular periods. Routine blood test for being on birth control revealed the results above. Her cholesterol and lipids are high as well. She is not overweight and she has a healthy diet. My concern is why there is a high level of DHEA sulfate and what does it mean? [/INST] Hello, Welcome to Chat Doctor forum. I just read your query about your daughter. It appears that your daughter has irregular menses and hirsutism which is mostly due to polycystic ovarian disease. DHEA means dehy ChatDoctor. </s> |
<s>[INST] Hello doctor,My friend is 20 years old, female. Before some days ago she was sense less on a train and then this again happened with her. She consulted a doctor and he says that she is suffering from the first stage of conversion reaction disease. But the doctor could not suggest any medicines but he says that the last stage of this disease is paralysis. Doctor says to my friend that do not take any tension and to keep her mind free all the time. She was feeling weak what will she do? [/INST] Hello. I have read and completely understand that you feel quite concerned for your friend. As you have mentioned that she has been diagnosed by the doctor as having conversion disorder, it is quite probable that she may undergo these conversion attacks at any time. There are purely psychological reasons behind this disorder, no medical cause lead to this condition. Therefore, generally, no medical treatment could be found a cure for these attacks. If the doctor has suggested this diagnosis after complete assessment then there may be no further need for the tests. If complete testing has not been administered yet then you may go to a psychologist for confirming the diagnosis after keenly observing her medical test reports. Needs to be differentiated for the types of conversion disorder according to the DSM-5 (diagnostic and statistical manual of mental disorder) criteria. Conversion disorder. Generally, no particular medication is prescribed for conversion disorder. However, some doctors may suggest medication after observing the patient\s current condition (beware these medications would reduce anxiety or tension but would not cure the conversion disorder). The effective treatment for conversion disorder is found to be psychotherapy. Consult any psychologist or psychiatrist specialized in conducting psychotherapy sessions. Or you can suggest some online consultation sessions. Treatment mode can be cognitive behavioral therapy plus psycho-education. Must take expert guidance on how to deal with the patient behaviorally. Family members, closed ones of such patients also need guidance because their mishandling can increase the frequency of conversion attacks. Do take follow-up if you feel the need. Take care. </s> |
<s>[INST] Hello doctor,I had unsafe sex yesterday and took I-pill in half an hour to avoid pregnancy. Today, I had sex again. Should I take another pill? [/INST] Hi, Welcome to Chat Doctor forum. No, you need not take another pill. It works within 72 hours of sex. Hence, your second sexual act is also covered. Wait for the bleeding to start. Avoid further sex till bleeding occurs. Suppose you have intercourse, use barrier contraception like condom and not another pill. </s> |
<s>[INST] Hello doctor,I was positive for hepatitis B four years ago, and recently I was rushed to the hospital for coughing up blood from my lungs. The CT chest shows that there are some bleeding areas in my lungs. The Gene expert test shows that I have very low tuberculosis. My kidneys are normal and my liver is normal except that the total bilirubin is 32 umol/L and conjugated bilirubin is 10 umol/L. My anti-nuclear factor is positive. I am currently being treated for TB. I need expert advise. I have some test results with me. [/INST] Hello, Welcome to Chat Doctor forum. As your gene Xpert report (attachment removed to protect patient identity) shows you have been tested positive for MTB which is sensitive to Rifampicin. Means you have Pulmonary tuberculosis and it is sensitive to first-line ChatDoctor. The standard treatment in this case is combination four </s> |
<s>[INST] Hi doctor,I was just wondering. I like cereal and I try to go with a healthier option that still tastes good. So I found multigrain Cheerios and I thought they would be a healthier alternative to something like Froot Loops, Lucky Charms, and other sugary cereals. I know there are healthier options like steel-cut oats but I do not want to sacrifice all the taste. Just wondering what your thoughts on multigrain Cheerios are and if they are truly a healthier option. [/INST] Hello. When it comes to the content of sugar or high fructose corn syrup or chemicals, multigrain cheerios has it in the same amount as the normal one. Another good habit to follow is to eat one grain in a meal. For example, You should not be eating rice and wheat together in one meal. So multigrain is never the best option. You can try making steel cut oats more delicious by adding ChatDoctor. For more information consult a nutritionist online </s> |
<s>[INST] Hello doctor,I am a female, 32. For the past several months I have had tingling that comes and goes in my left arm. My left leg followed some time after and in the past few days also on the left side of my face.Relevant information:1. I have a slipped disc in the lower back but it always affected my right leg.2. I have had a baby last year and I carry him on my left arm and hip.3. I suffer from anxiety. No medication.4. I have very low B12 and vitamin D. [/INST] Hi. Such tingling sensation is very common to see in people with vitamin B12 deficiency. Anxiety is also one of the reasons for such tingling. I would need to know if you have any thyroid related disorder? What all medicines in total you take, please name them. </s> |
<s>[INST] Hi doctor,I had unprotected sex on the last day of my period. Three days later I took unwanted 72. 10 days after taking the emergency contraceptive I experienced spotting accompanied with mild stomach pain and sore breast. Could I be pregnant? [/INST] Hi. If you have had sex on the last day of your period, your chances of getting pregnant are slim. When you say you took unwanted 72 after three days, did you take it within 72 hours of having sex? If you have then it is unlikely you are pregnant. The spotting you had after 10 days could be the with ChatDoctor. Breast soreness too is because of the pill as it is very high in hormones. It should only be used in emergencies not as a routine contraceptive. Effects can change. It has a failure rate of 0 % to 2 %. So if you do not get your next period in two weeks, do a pregnancy test. For more information consult an obstetrician and gynaecologist online </s> |
<s>[INST] Hello doctor,My father is suffering from chest pain for the last six months which is during for about 30 seconds to 1 minute and he says he is feeling like his heart is vibrating, poking during the pain. He has consulted a cardiologist four months ago and has taken ECG, echocardiogram, treadmill stress test but the report is normal except on comments it was mentioned as mildly hypokinetic mid and apical anterior septum and conducted treadmill stress test for possible ischemic but the result came as negative. And when asked about any prescription, the doctor has denied prescription suggesting it is gastric problem, nothing to worry about but again the pain has started and he is even afraid to sleep (keeping alarms once in two hours). Can anyone please suggest is this something serious? [/INST] Hello, Welcome to Chat Doctor forum. It does not appear to be a serious problem. Cardiac pain is unlikely to occur for this short time. It typically occurs on exertion and relieves with rest, and persists for 5 to 10 minutes. Such rest occurs usually due to gastritis and reflux disease. He should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. He should have tablet Pan DSR (Pantoprazole, Domperidone) 40 mg or Esomeprazole, Domperidone combination before breakfast once a day for two weeks. If not adequately relieved, then you should add syrup Sucral O (Oxetacaine, Sucralfate) or Gelusil two teaspoons three times a day for a week. For more information consult a cardiologist online </s> |
<s>[INST] Hi doctor,I have noticed the past couple of days my vagina smells like rotten eggs. I have never been sexually active, but I use tampons. I do not have any other symptoms, like burning, itching, discharge, etc. What could this be? [/INST] Hi. How are you doing? The possible causes are: Hope I have clarified your queries, do write back. All the best. For more information consult an obstetrician and gynaecologist online </s> |
<s>[INST] Hello doctor,I am 60 years old and need a hip replacement. I am healthy, no diabetes, no heart problems. My sister had a horrible anesthesia awareness incident a few years ago, and now I am terrified to have my surgery because of any risk of being paralyzed but awake. What can I do to make sure I am asleep during operation? [/INST] Hello, Welcome to Chat Doctor forum. I suggest you opt for regional anesthesia by a spinal and epidural anesthetic. They will give an injection between your spine, and this will make your legs numb and any sensation below the navel you will not be feeling. After the surgery numbness will go and all the sensations will be recovered. If you want to sleep, the anesthetist can give mild sedative, and you will be able to hear everything but no paralysis. </s> |
<s>[INST] Hello doctor,My triglycerides are 296. Should I take some medicine to normalize it.? My total cholesterol is 183. [/INST] Hello. I suggest you take tablet Atorva (Atorvastatin) 20 mg once daily at night time before sleep for two months. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. Some patients do complain of myalgia after using this dose. If you find any kind of body pains after starting this, you need to take 10 mg tablet once daily. Diet management and regular physical exercise should be continued along with medication. For more information consult a general medicine physician online </s> |
<s>[INST] Hello doctor,I am 41 years old. My office colleague is giving me mental trauma by gossiping about my childhood physical abuse. Sometimes suicidal thoughts come to my mind. How should I tackle it? [/INST] Hello, Welcome to Chat Doctor forum. The first thing that you have to fix in your mind is you have done nothing wrong in that abuse episode, it is a matter of shame for that person who had done it and to those who are making fun of this. Be confident and set in your mind that you will never get disheartened, say to your own mind that you have fought very well with the circumstances and done your best to overcome that. Suicide can never be a solution to anything. Do people stop gossiping after you? They will keep talking, no matter or anyone else .one more thing, rule out other features of depression. If present consultant a psychiatrist. For the current situation try to talk with them and ask them if the same event had happened with someone to their relative or close one, will they keep talking like this? Do regular yoga and meditation. Take a healthy diet, proper sleep. Try to involve yourself in other activities and be happy. </s> |
<s>[INST] Hi doctor,I am 24 years old. Three months ago, I got viral conjuctivitis after two weeks everything was fine but eyes got blurred then my doctor recommended me Tobramycin + Fluorometholone acetate suspension and Tear Naturale Forte. Then after using it for one month my vision was clear but then doctor changed eye drops to Tobarest-F and Tear Naturale Forte. Now my vision is getting blurred again. What should I do? Now I have no other problem such as redness, itching, etc., just blurry vision is there. Please help. [/INST] Hello, Welcome to Chat Doctor forum. I have seen the picture. (attachment removed to protect patient identity). You are having post-viral SPK (superficial punctuate keratitis) in your eyes. It is a very common condition after viral conjunctivitis. It is that small whitish scar marks on the cornea which leads to blurred vision. It will take time to resolve. You have to continue ChatDoctor. </s> |
<s>[INST] Hello doctor,My blood work is showing high WBC and RBC. WBC is 11.3 (normal should be 11), and RBC is 5.14 (normal should be 5.0). Neutrophils are 7.6 (normal should be 7.5). Erythrocytes are at 2 not showing the normal number it should be at. However, it is flagged as high. My alkaline phosphatase is at 121 (normal should be 120), and alanine aminotransferase is showing at 75 (normal should be at 36). I also had an ultrasound done and showing 3.5 cm of bile sludge. Would these results indicate to you that I require gall bladder surgery? I do have pain under my right side rib cage into my right side upper back- tolerant pain. So my surgeon said to think about gall bladder surgery. Do my blood results and sludge showing in ultrasound reflect that I should have this surgery? [/INST] Hello. The concept of when to get the surgery depends upon how much pain you have, how bad is the underlying disease and how long you have the inflammation. Given the history of pain, a slightly elevated white count, abnormal liver function test and biliary sludge. It would be a good idea to consider laparoscopic gallbladder surgery. The timing of the surgery whether to do it during an acute attack of pain or as an elective procedure depends upon the surgeon you are seeing. </s> |
<s>[INST] Hello doctor,Actually, I had casual sex with a CSW a month back. I did my HIV 1/2 antigen and antibody test 15 days back, almost after 26 days. I got symptoms of swollen glands under jaw and stiff neck, as well as, joint and muscle ache. Today I got small ulcers in my tongue. Can you please tell me about my test accuracy and my symptoms? [/INST] Hello, Welcome to Chat Doctor forum. Sensitivity is up to 92 percent in your case. You need to repeat testing after 12 weeks. For more information consult an HIV AIDS specialist online </s> |
<s>[INST] Hi doctor,I am a 60-year-old male. I have swelling and discomfort in the testicle and sperm canal. I have wandering aches and pain around the groin area including buttocks and inner thigh. I am having these symptoms for the past four to five months. I am not taking medications. I have tried Neurontin with a low dose of 100 mg taken twice daily for two weeks. But I stopped it because of its side effects, and it does not relieve my symptoms. I had shaking episodes of anxiety and worried that I might have contracted herpes 2. I have tested for all the common STDs which showed a negative result except herpes simplex showing a positive outcome.I am also experiencing impotence. I had undergone a hernia operation with a net before 11 years. Also, I had undergone a small hernia surgery on my right side which is not very visible. I do a lot of swimming about 10 kilometers per week. I have overstrained myself. I had a sexual encounter with someone whom I do not know a lot. I have wandering pain around my lower abdomen and groin. Often it is hard to distinguish where the pain gets originated. Sometimes, it involves both upper and inner thigh in the vicinity of the testes sack. I have tenderness and minor swelling in my testis and epididymis. I have difficulty in erection. [/INST] Hi. I understand all your concerns. I have checked the provided information thoroughly. I need to know more details. Do you have any redness, swelling or ulcers in the genital or groin area? Have you performed urinalysis? Please send me some photos if possible. </s> |
<s>[INST] Hello doctor,I am 42 years old and have been diagnosed with multiple uterine fibroids. Two of them are a little more than 3 cm at different places in the uterus. In the past, I have been operated for endometriosis level 4. As usual, the gynecologist is suggesting a hysterectomy. But since I am in my perimenopausal phase, can the fibroids shrink with medication? I have been suggested Fibroease. [/INST] Hello. The medicine you are taking is good for your condition. If you want to try shrinking it with medicine alone, you can continue that. Along with that, I advise you to visit a nearby Ayurveda physician or a panchakarma center and ask for the procedure related to fibroids. Usually, Virechana which is a purgation therapy which is done and also medicine is given. It helps some patients in getting relief. Take care. </s> |
<s>[INST] Hello doctor,I have regular periods every month. I missed my period 10 months back and until now I have not received my period. I took two pregnancy tests a month later and both came out to be negative. I would sometimes get light cramps and discharge (clear). I want to know is this normal or is something wrong with my body? Could I still be pregnant? Please let me know I am desperate for help. [/INST] Hello. If your prime concern is pregnancy alone, then you can get a serum beta hCG test done which is the gold standard and conclusive. If the hCG levels are less than 5 mIY then you are surely not pregnant and the delay of menses could be stress induced as in most women. You can then opt for a with ChatDoctor. The other most common causes of oligomenorrhoea are PCOS, hypothyroidism, and hyperprolactinemia. So you may get a hormonal profile to get these levels checked as well and an ultrasound pelvis to rule out polycystic ovaries which are again very common in young women. </s> |
<s>[INST] Hello doctor,I went to an eye doctor and did an eye examination because I started feeling dizziness, loss of concentration, neck and shoulder pain, anxiety while driving, in crowds. Dizziness also rises when I am in bed and driving.Not painful, but I can feel the pressure behind the eyes, in the sinus areas. But sinus doctor said nothing is wrong. So I read about vertical heterophoria, and all the symptoms are the same as I have. So I wanted to ask is there a particular test for that? Is there any other ways to relieve while I eventually get the check up again besides prism glasses. [/INST] Hello, Welcome to Chat Doctor forum. I understand your concerns, vertical heterophoria is a disorder of the mechanisms which maintain the balance of the eye muscles, keeping them on target. Although rare, these can lead to significant distress and dizziness as well. The best test to see if you have heterophoria in any direction is the cover or cover-uncover and alternate cover tests. These should be done with glasses first and then without them. You need the help of another person while doing this at home or can be quickly done at the doctor\s clinic. 1. Cover test or uncover test - close one of your eyes with your hand while trying to look at an image around six meters away first and then held at 50 cm apart, with both your eyes, then take away the covering hand. If you see the eye that was covered moving, then you have a phoria in the direction opposite the direction in which the eye moved. 2. Alternate cover test - is the same as the cover or uncover tests, only that the covering hand is rapidly moved from eye to eye. This gives a more accurate picture of the type or magnitude of the heterophoria. These are two of the best, safest and economical tests that you can use to diagnose heterophoria. In case you need more information about heterophoria or tests or management options, please send me a scanned copy of your doctors reports and test results. I will do my best to help you with this. I hope you get well soon. </s> |
<s>[INST] Hello doctor,I had my mother\s ultrasound done today. She is a 39-year-old anemia patient admitted to the hospital. She has hypothyroidism from the last 12 years and is overweighed and obese. Her ultrasound shows 19 cm liver from the mid-clavicular line with increased echogenicity. Is this something of concern? If yes then what has to be done? [/INST] Hi, Welcome to Chat Doctor forum. I have reviewed the ultrasound report (attachment removed to protect patient identity) and I can say that she has hepatosplenomegaly probably due to fatty liver disease. This is why to my opinion she needs to do liver enzyme tests like AST, ALT, GGT and alkaline phosphatase, blood work too. It is important to lose weight and to avoid fatty foods. </s> |
<s>[INST] Hello doctor,I am 36, weighing 57 kg and having a resting heart rate of 60 to 65 bpm till last week, but now I am getting resting heart rate as 80 to 85 bpm. From last one week, I have started running every day for about 16 minutes, four minutes each lap (starting with 5 kmph to 8 kmph till 16th minute). I have heard that if we start running every day our heart rate goes down and down, but the reverse is happening for me, so scary. And also, I am a light smoker, smoke three to four cigarettes a day (till three months back, I used to smoke 10 cigarettes a day). Please help to figure out the issue. [/INST] Hello. I do not think there is anything to worry about. Running for a longer time, say for few months at least, will make the heart stronger and decrease the heart rate, not for a week. There are numerous factors which can affect our heart beat like exercise status, walking before taking heart rate, psychological status like anxiety, etc. So, this can cause an elevated heart rate. I guess you do not have any symptoms like dizziness, shortness of breath with elevated heart rate, right? Also, no harm in getting a thyroid test done as resting heart was on the lower side. For more information consult a cardiologist online Take care. </s> |
<s>[INST] Hello doctor,My gums surrounding my third molar/ wisdom tooth (lower left jaw) seem to be swollen. I started to feel pain on it yesterday morning and gargled with Bactidol. This morning the pain seemed to intensify. I feel pain when I swallow, open my mouth, and when I gargle. Somehow I feel the pain in my throat already. I took my first Amoxicillin as advice by a dentist friend. Any advice? [/INST] Hi, Welcome to Chat Doctor forum. It is a case of pericoronitis. Do not worry take tablet Oflox oz twice daily for five days, Hexidine mouthwash do gargles with it thrice daily for one week, tablet Zerodol SP twice daily for five days. It will relieve it. I tell you Amoxicillin will not help with this problem. Get these medicines you will be relieved. </s> |
<s>[INST] Hello doctor,I got married six months ago. My husband behaves weirdly in the bedroom. And he is using psychiatric medicine. Those are Limbitrol, Flutop 60, Prolol TR 40, Ventab plus from three months and Sildenafil too, but it is not effective.He keeps locking himself, avoids me, washing things repeatedly, repeats things and is scared when I am beside him. He is saying he does not feel like having sex with me. He says he is not getting erections. I asked him to take a semen test as well. The sperm count is 18 million and actively motile 5 % and asthenospermia. Could you please suggest whether he is marriage material or not. My in-laws blame me for not conceiving. [/INST] Hello, Welcome to Chat Doctor forum. Your husband is suffering from some psychiatric illness most probably an affective disorder. Semen analysis report (attachment removed to protect patient identity) is suggestive of asthenospermia, that is, low sperm motility. But all these problems including erectile dysfunction if present can be treated and several treatment options are available. First of all make sure he is taking treatment from a psychiatrist and not from a non-specialist, that is, a general practitioner. Support him and say you are with him and motivate him to share his problems with you. Open communication is the key for a healthy relationship. Not having a baby is not necessarily your fault, asthenospermia is one reason, and also to have a baby proper sexual relationship should be there. To conclude, I would say that every problem has a solution. You just need to try solving it. Help is just a step away. Feel free to ask if you have any further queries. For more information consult a psychiatrist online </s> |
<s>[INST] Hello doctor,My foreskin is attached to the head of the penis. Is there any solution to release it without pain? [/INST] Hi, Welcome to Chat Doctor forum. Phimosis means tight foreskin. In this condition, the foreskin may not be moving freely. There are two ways to treat it. One is medical and other is surgical. I will suggest medical treatment. First pull down the foreskin as down as possible and apply Betamethasone cream on the inner side of foreskin where it is tightly attached. Do it three times daily for next two to three months. Betamethasone will help to loosen the skin. Also, do daily stretching exercises of the foreskin. Strech forward foreskin for 30 seconds and then stretch downward for 30 seconds. Do it daily for five minutes. For more information consult a sexologist online </s> |
<s>[INST] Hello doctor,There is a white patch on either side of my cheek near upper wisdom tooth with a little pain. The wisdom tooth has erupted. I am a non-smoker. [/INST] Hello, Welcome to Chat Doctor forum. This could be related to upper wisdom tooth due to its sharpness. Visit a dentist soon and get it checked properly and ask the dentist to treat it accordingly. Maintain oral hygiene properly and use mouthwash after brushing twice a day. Rinse mouth with salt water twice a day after every meal. Cheek cut. Proper clinical examination. Ulcer, candidiasis. Injury due to cheek cut. Medicines like anti-ulcerative gel. Maintain oral hygiene properly and use mouthwash after brushing twice a day. Rinse mouth with salt water and baking soda after every meal. </s> |
<s>[INST] Hello doctor,I have PCOS. I want to know what happens to all these unreleased follicle eggs on ovaries? Why I have spotting after the period? And how can Yasmin help me? If it prevents ovulation so the number of follicle eggs would increase? What are the side effects once I get off Yasmin pills? Can you answer me with an explanation, please? [/INST] Hello. The unreleased follicles are multiple and tiny and small as the follicular phase is very long. FSH hormone is very high. They are all unripe and immature but one of them grows till ovulation (takes a long time in PCOS patients) and other undergo apoptosis, that is get dissolved. Some women experience spotting at the time of ovulation but not necessarily it could be due to ovulation. It could be mainly because of hormonal imbalances. I myself prescribe Yasmin to PCOS patients and works wonderfully as it is a low dose hormonal pill. It regularizes the menstrual cycle, the follicular phase becomes 14 days and luteal phase becomes 14 days, periods come on the exact date. It has Estrogen and Progesterone component which is active and it mimics like normal body rhythm (how it normally should be) unlike what imbalances happens in PCOS and corrects them. Spotting does not occur. The number of follicles do not increase even if it inhibits ovulation by a complex mechanism but the follicular phase which is very long in PCOS patients gets corrected thereby leading to normal FSH levels. Free an ChatDoctor. Side effects on stopping Yasmin are again irregular or delayed periods and hirsutism may increase as male hormone an </s> |
<s>[INST] Hello doctor,I had four wisdom teeth cut out and one permanent tooth on the 25th, three teeth on one side and two things on the other side on 28th. My left ear started to hurt and is still hurting but my right ear is not. The bottom of my cheek is sore and still a little swollen and near my teeth on the inside, I kind of feel a throbbing pain. I am on an antibiotic but is this normal or not? [/INST] Hello, Welcome to Chat Doctor forum. Some throbbing pain and discomfort are normal for a week after extraction. If the pain is severe even after five days, it means you may have a ChatDoctor. Also, if the ear pain is severe, you may have an active infection. Continue antibiotics. Use warm salt water gargle twice a day for a week. If the pain is unbearable, I would suggest you go for a checkup. if you could send a picture of the area, it will be good for more details and diagnosis. For more information consult a dentist online </s> |
<s>[INST] Hello doctor,I have a problem with alopecia for four months. My hair is not growing. Kindly suggest some medicine. I am on vitamins. [/INST] Hello, Welcome to Chat Doctor forum. I saw your clinical picture (attachment removed to protect patient identity). The diagnosis is alopecia areata. The most effective treatment will be intralesional steroid injection. This is the injection given straight to the bald area. You need to meet a dermatologist for this. I suggest you take For more information consult a dermatologist online </s> |
<s>[INST] Hello doctor,My son is 12 years old. Today in school another student threw a gift card (credit card size) which got stuck in his eye. He immediately experienced some internal eye bleeding and diplopia. He saw the urgent care MD who put dye in his eye and diagnosed a corneal abrasion and prescribed Erythromycin ointment four times daily. Should he consult an Ophthalmologist as well and what other treatment may be needed? [/INST] Hello, Welcome to Chat Doctor forum. I am very sorry to hear that your son is injured. But, rest assured that such things are quite common and corneal abrasions usually heal in about five to seven days without any further harm. I suggest that you continue with the Erythromycin ointment and make sure that your son does not go out in sunny, windy or dusty environments. If necessary dark goggles can be worn temporarily for extra protection. I recommend that you see an Ophthalmologist in case of the following: 1. If there are pain and watering that does not improve with the Erythromycin Ointment. 2. If the redness is not reducing. 3. If there is a ChatDoctor. I hope this helps you. </s> |
<s>[INST] Hello doctor,I have pain in the joints. [/INST] Hello. I went through your post, you have not mentioned which joints are paining and whether you have swelling of joints also. Your vitamin D level is low (attachment removed to protect patient identity) so you need to start taking supplements for it (capsule Lumia 60k) once a week for eight weeks. Do RF (rheumatoid factor) and anti-CCP to rule out arthritis. Take care. </s> |
<s>[INST] Hello doctor,I am suffering from dry, scaly patches on the scalp for the last six to eight months. Since childhood, I have severe dandruff, mild itching and hair fall. I consulted two doctors. First one said that it may by scalp psoriasis and the other told that it looks like some fungal infection. I am using Salisia KT shampoo. I do not have scales on any other parts of my body. I am worried by thinking it may be scalp psoriasis. I can easily remove the scales present on the hairline. Please suggest. Thank you in advance [/INST] Hello, Welcome to Chat Doctor forum. Yes, the symptoms can be of both seborrheic dermatitis and scalp psoriasis. Please follow up with the photos as it will help me to arrive a final diagnosis. Revert back with the answers to the above questions to a dermatologist online </s> |
<s>[INST] Hello doctor,I had two Paracetamol 500 mg and I started feeling a sharp pain in the throat. Is that normal? [/INST] Hi. The sharp pain in the throat is suggestive of acute pharyngitis case. To get relief from inflammation and pain, a nonsteroidal anti-inflammatory ChatDoctor. You can take Paracetamol that is available to you. Now for congestion relief, decongestant also needs to be prescribed. Salt water gargle can be done with warm water three times a day. Avoid excess spicy foods. </s> |
<s>[INST] Hi doctor,I am 18 years old and virgin. Lately, I have been having some problems down there. I have a bump or something on the right lip of my vagina. Sometimes, I feel itch and it sting unexpectedly throughout the day. It also did not heal. I am sure that it cannot be an STI or STD, because I am not sexually active. Can you help me? [/INST] Hi. Well, I do understand your dilemma. I have a few simple suggestions for you. Bear in mind though that the best method of treatment in your case is for you to visit a gynecologist and have him or her see the lesion. </s> |
<s>[INST] Hello doctor,Why does my pathology report not include classification of my LCIS? [/INST] Hello. LCIS (lobular carcinoma in situ) is not cancer in comparison to that of ductal carcinoma in situ. In LCIS, abnormal cells grow in lobules. It can be converted into invasive cancer in the future in some cases. LCIS itself is one of the classifications of a breast tumor. Treatment is not aggressive in such a case. Three therapies are available as follows: For more information consult a pathologist online </s> |
<s>[INST] Hello doctor,I am scheduled for a joint block injection in my right foot due to arthritis pain. Will I be able to drive home myself from my appointment or do I need to take someone with me? [/INST] Hi. The injection given for the joint block for arthritis contains some local anesthetic. So, you may not feel pain at least for half an hour to one hour. You will be able to ChatDoctor. But as soon as you reach home, keep your leg elevated and apply some ice packs as it may bother you that evening. Hope it helps. </s> |
<s>[INST] Hello doctor,I have seen a rheumatologist and all my tests on autoimmune diseases are normal. He even ordered hand X-rays and they are normal. My fingers are forming knobs on them and hurt constantly. My movement is getting more and more limited. I can barely bend my affected fingers. I feel sick all the time. My body is constantly hurting. Fatigue and exhaustion are with me all the time. [/INST] Hello, Welcome to Chat Doctor forum. If the markers for inflammatory arthritis are negative, then, the possibility of chronic fatigue syn ChatDoctor. I suggest you to start Pregabalin or Duloxetine to see the response which will be helpful in chronic fatigue syn </s> |
<s>[INST] Hi doctor,My daughter is 11 months old and started having her upper teeth when she was 9 months old. And I noticed she has white spots along the gumline and some on the middle. I took a photo and showed it to a dentist here and she said its hypocalcified enamel. My question is, is it reversible? What do I do to not make it worse and what causes it? I only give fruits and vegetables as food and water. And, I also breastfeed. What can I do to prevent worsening of her teeth condition? I brush her teeth two times a day with fluoride-free toothpaste. Is there anything I can do or let her take? [/INST] Hello, Welcome to Chat Doctor forum. I have seen the pictures (attachment removed to protect patient identity). The spots cannot be reversed. They form during fetal development inside the womb and first three months after birth. Any dietary deficiency for you or baby may cause or sometimes even genetic predisposition is found. There is nothing to do other than maintaining the teeth through brushing. Such hypocalcified enamel can break down fast if proper brushing is not done and the cavity may form soon. So, please be sure to brush every day till she can do so on her own. For more information consult a dentist online </s> |
<s>[INST] Hello doctor,I have been diagnosed with multidrug-resistant tuberculosis. I have attached the reports. Please suggest a way to treat this. [/INST] Hello, Welcome to Chat Doctor forum. I have seen both the reports (attachment removed to protect patient identity). Sputum report is positive and has also grown Mycobacterium tuberculosis. But the sensitivity test for all five first-line ChatDoctor. Patient weight is also not mentioned. If it is M </s> |
<s>[INST] Hello doctor,What is LV diastolic dysfunction grade 1? Doctor suggested stress echo cardiography. And conclusion includes this line. I can show you reports. What is the treatment for this. Any medicines? [/INST] Hello, Welcome to Chat Doctor forum. There are various causes of LV diastolic dysfunction like advanced age, hypertension, diabetes, and obesity. It has stages 1 to 4. In your case, it is grade 1, that is, mild diastolic dysfunction. Treatment for it is to treat underlying causes like hypertension, diabetes and to treat symptoms related to it like dyspnea. The doctor has suggested stress echocardiography probably to rule out blockages in heart arteries. Hope this helps. For more information consult a cardiologist online </s> |
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