Split (1)

train · 207k rows

Subsets and Splits

No community queries yet

The top public SQL queries from the community will appear here once available.

input stringlengths 1 11.2k ⌀	output stringlengths 10 3.44k	instruction stringclasses 1 value	formatted_prompts stringlengths 182 11.9k
I was diagnosed with H pylori and have the precpac, but wbc are elevated and the ER Dr., called me back after a visit in the ER and said I showed sign of Lymphocytosis need to follow up with my PCP. I did but he is not doing anything because he insists that the elevation is related to my pylori and my GI Dr says it s not. I am very concerned my wbc is at 14.3 and rising. Should I seek another opinion or just see a blood dr. My cbc s (4) all came back abnormal. My mom just went yesterday to a specialist because she has a high WBC also. Please help getting worse and no one seems to know why.	Hello and welcome to Chat Doctor, White blood cell counts (WBC counts) are raised in infections and leukemia. Leukemias are characterized by very high WBC levels (over 50,000/ cubic mm). However, the WBC count can be lower in case of leukemia. They are called sub-leukemic leukemia. In infections, the WBC count is also increased. An increase in lymphocytes (as in your case) can raise the WBC count. Lymphocytes are increased in chronic infections. H. pylori infection can lead to lymphocytes since it is a chronic infection. Treatment of H. pylori infection will clear away the lymphocytes and raised WBC count. Get the differential white blood cell count (DLC) in your mothers case. The DLC helps to determine the cause of infection. Thanks and take care Chat Doctor.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I was diagnosed with H pylori and have the precpac, but wbc are elevated and the ER Dr., called me back after a visit in the ER and said I showed sign of Lymphocytosis need to follow up with my PCP. I did but he is not doing anything because he insists that the elevation is related to my pylori and my GI Dr says it s not. I am very concerned my wbc is at 14.3 and rising. Should I seek another opinion or just see a blood dr. My cbc s (4) all came back abnormal. My mom just went yesterday to a specialist because she has a high WBC also. Please help getting worse and no one seems to know why. ### Answer: Hello and welcome to Chat Doctor, White blood cell counts (WBC counts) are raised in infections and leukemia. Leukemias are characterized by very high WBC levels (over 50,000/ cubic mm). However, the WBC count can be lower in case of leukemia. They are called sub-leukemic leukemia. In infections, the WBC count is also increased. An increase in lymphocytes (as in your case) can raise the WBC count. Lymphocytes are increased in chronic infections. H. pylori infection can lead to lymphocytes since it is a chronic infection. Treatment of H. pylori infection will clear away the lymphocytes and raised WBC count. Get the differential white blood cell count (DLC) in your mothers case. The DLC helps to determine the cause of infection. Thanks and take care Chat Doctor.
Hi For about a week my right testicle feels like it is pulling towards my leg, the sourness shifts from right to left and goes away. I did not feel a bump on the testicle and the pain is min, feels at times like it is tugging toward the right leg. I work out but never experienced this type of feeling. Not sure if I have a groin pull or not. Planning to stop into my doctors this week.	Thanks for asking in Chat Doctor forum This type of pain can be due to. Muscle pull in the groin. Initial stages of hernia. Blunt injury without notice to genitals etc. So, it is better that you visit a doctor for examination. All the best.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi For about a week my right testicle feels like it is pulling towards my leg, the sourness shifts from right to left and goes away. I did not feel a bump on the testicle and the pain is min, feels at times like it is tugging toward the right leg. I work out but never experienced this type of feeling. Not sure if I have a groin pull or not. Planning to stop into my doctors this week. ### Answer: Thanks for asking in Chat Doctor forum This type of pain can be due to. Muscle pull in the groin. Initial stages of hernia. Blunt injury without notice to genitals etc. So, it is better that you visit a doctor for examination. All the best.
Hi, I am 28 yr old male who is getting married for the first time in a couple of weeks, and im starting to get really really nervous, For the last couple of days i cant eat anything without out feeling sick, is there any medications out there to calm my nerves?	Degree understand your concerns went through your details. I suggest you not to worry much. Proper understanding about life, love life, love, affection and sex life can only clear you of the nervousness you are facing now. People get nervous mainly due to lack of proper sex knowledge and unnecessary misconceptions. Talk to your friends who are married and just assimilate. Do not get confused and ask questions about everything. If you cannot do it right for now, you will be able to do it next time. Worrying can make you more anxious. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi, I am 28 yr old male who is getting married for the first time in a couple of weeks, and im starting to get really really nervous, For the last couple of days i cant eat anything without out feeling sick, is there any medications out there to calm my nerves? ### Answer: Degree understand your concerns went through your details. I suggest you not to worry much. Proper understanding about life, love life, love, affection and sex life can only clear you of the nervousness you are facing now. People get nervous mainly due to lack of proper sex knowledge and unnecessary misconceptions. Talk to your friends who are married and just assimilate. Do not get confused and ask questions about everything. If you cannot do it right for now, you will be able to do it next time. Worrying can make you more anxious. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.
my husband had a vasectomy about 8 months ago and I have the Mirena IUD for about 8 months as well. My last cycle that I have was a lot heavier than it s normally been and had a lot of cramping with it. It s been about two weeks since then and now I m feeling sick all the time after I eat and discomfort like I m cramping and back is constantly hurting. How likely is it that I could be pregnant?	Hello madam, from the history you have given, well IRENA does cause certain side effects like irregular bleeding. I would suggest you to consult your gynecologist, as you may require an examination to make sure IRENA is in its position, as heavy bleeding may decrease your hemoglobin value and further decorate your health. Hope I was helpful to you.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: my husband had a vasectomy about 8 months ago and I have the Mirena IUD for about 8 months as well. My last cycle that I have was a lot heavier than it s normally been and had a lot of cramping with it. It s been about two weeks since then and now I m feeling sick all the time after I eat and discomfort like I m cramping and back is constantly hurting. How likely is it that I could be pregnant? ### Answer: Hello madam, from the history you have given, well IRENA does cause certain side effects like irregular bleeding. I would suggest you to consult your gynecologist, as you may require an examination to make sure IRENA is in its position, as heavy bleeding may decrease your hemoglobin value and further decorate your health. Hope I was helpful to you.
hello doctor ..im 28 yrs age frm nepal..my current report is Hbeab+ve, Hbeag-ve, Total brilium=0.5mg/dl, c brilium=0.10mg/dl, ALT=19.0 iu/ml, AST=23.5iu/ml, Total protin=7.3g/dl, Albumin=4.8g/dl...and HBV DNA Viral copies/ml plasma=750...so doctor i want to know my stage of disease and condition of liver ...please doctor...give me advice...	See you're now at chronic hepatitis B infected stage i.e. infection is long-standing one though right now it is in an inactive form...all u have to do is just get your got/Sept done regularly at 3 -4 months .....or if u find your appetite decreasing rapidly....also get a consultation done with a Chat Doctor.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: hello doctor ..im 28 yrs age frm nepal..my current report is Hbeab+ve, Hbeag-ve, Total brilium=0.5mg/dl, c brilium=0.10mg/dl, ALT=19.0 iu/ml, AST=23.5iu/ml, Total protin=7.3g/dl, Albumin=4.8g/dl...and HBV DNA Viral copies/ml plasma=750...so doctor i want to know my stage of disease and condition of liver ...please doctor...give me advice... ### Answer: See you're now at chronic hepatitis B infected stage i.e. infection is long-standing one though right now it is in an inactive form...all u have to do is just get your got/Sept done regularly at 3 -4 months .....or if u find your appetite decreasing rapidly....also get a consultation done with a Chat Doctor.
Twenty-seven patients with posterior urethral valves with varying degrees of renal function underwent both intravenous urography (IVU) and DTPA scan during their follow-up. Although the IVU was successful in excluding obstruction in 31 kidneys, the DTPA scan was successful in 43 kidneys. In addition, the DTPA scan provides quantifiable renal function, exposes the child to a lower radiation dose and has no morbidity compared with an IVU. It is recommended that the DTPA scan should replace the IVU for long-term follow-up and that the latter should be reserved for certain problems.	DTPA scan is definitely providing much more information about the sight of obstruction, differential function of both kidneys. Devoid of any significant radiation, much more convenient for the patient. Cost is the only prohibitive factor	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Twenty-seven patients with posterior urethral valves with varying degrees of renal function underwent both intravenous urography (IVU) and DTPA scan during their follow-up. Although the IVU was successful in excluding obstruction in 31 kidneys, the DTPA scan was successful in 43 kidneys. In addition, the DTPA scan provides quantifiable renal function, exposes the child to a lower radiation dose and has no morbidity compared with an IVU. It is recommended that the DTPA scan should replace the IVU for long-term follow-up and that the latter should be reserved for certain problems. ### Answer: DTPA scan is definitely providing much more information about the sight of obstruction, differential function of both kidneys. Devoid of any significant radiation, much more convenient for the patient. Cost is the only prohibitive factor
I am an 18 year old male. I have a list of symptoms which are bothering me. Since September, I have beendiagnosed with early stages of Appendicitis, mild Hepatomegaly, Gastritis, andGranular Pharyngitis. Also I have noticed a few other symptoms like: Withe pastethat is located on top of my tongue, which could be thrush, my stool is claycolored, and I currently am having a case of tonsillitis - with no fever. I amafraid this could be an HIV infection, for I was involved in risky behavior afew months ago, and also Im afraid this could be Hep C. What else could thismean?	Hi. Thanks for your query and detailed history. The fear of something serious as you have mentioned the symptoms and the probable fear of having HIV and Hepatitis, the best way is ; Get the blood, urine and IV and Hepatitis status done by relevant blood tests. Throat swab for gram staining, culture and sensitivity. Take a course of proper antibiotics and supportive medicines. See the results. I hope this will give us the best way for a proper diagnosis, investigations and treatment. If the results of the tests are negative you do not have to worry about.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I am an 18 year old male. I have a list of symptoms which are bothering me. Since September, I have beendiagnosed with early stages of Appendicitis, mild Hepatomegaly, Gastritis, andGranular Pharyngitis. Also I have noticed a few other symptoms like: Withe pastethat is located on top of my tongue, which could be thrush, my stool is claycolored, and I currently am having a case of tonsillitis - with no fever. I amafraid this could be an HIV infection, for I was involved in risky behavior afew months ago, and also Im afraid this could be Hep C. What else could thismean? ### Answer: Hi. Thanks for your query and detailed history. The fear of something serious as you have mentioned the symptoms and the probable fear of having HIV and Hepatitis, the best way is ; Get the blood, urine and IV and Hepatitis status done by relevant blood tests. Throat swab for gram staining, culture and sensitivity. Take a course of proper antibiotics and supportive medicines. See the results. I hope this will give us the best way for a proper diagnosis, investigations and treatment. If the results of the tests are negative you do not have to worry about.
Hi, I have a bump on the front left side of my gums, about half way up. It is a small bump and it has a smaller white head at the top of it. It is a little painful when I eat, and it feels like something is pushing against my gums when food, touches it. And it is sore to the touch. What is this?	Hi. Welcome to Chat Doctor. I read your query. The bump you mentioned on the gums correlate with abscess in your gum and the white point is the point of pus discharge that has formed. Check if corresponding tooth have cavity, which can be even on inner surface of teeth or in between two teeth. Or this could be due to trauma like hitting corresponding teeth or biting something hard from those teeth suddenly. You need to visit a dentist and get an x-ray done for definite diagnosis. It may require RCT of tooth. Do warm saline rinses. Take antibiotics and painkiller prescribed by dentist after check up. Permanent treatment is to get Chat Doctor. Hope the answer helps you. Thank you.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi, I have a bump on the front left side of my gums, about half way up. It is a small bump and it has a smaller white head at the top of it. It is a little painful when I eat, and it feels like something is pushing against my gums when food, touches it. And it is sore to the touch. What is this? ### Answer: Hi. Welcome to Chat Doctor. I read your query. The bump you mentioned on the gums correlate with abscess in your gum and the white point is the point of pus discharge that has formed. Check if corresponding tooth have cavity, which can be even on inner surface of teeth or in between two teeth. Or this could be due to trauma like hitting corresponding teeth or biting something hard from those teeth suddenly. You need to visit a dentist and get an x-ray done for definite diagnosis. It may require RCT of tooth. Do warm saline rinses. Take antibiotics and painkiller prescribed by dentist after check up. Permanent treatment is to get Chat Doctor. Hope the answer helps you. Thank you.
i am 22 year male..i have severe hair fall due to genetic.now i am using mintop 5% . whether will it work. pls give solution for hair loss and regrowth. i cant do my job properly.my full attention on my only. i feel shy to come out and facing others.	Hello. Thank you for writing to you seem to have an Chat Doctor. Minoxidil and Finasteride are approved remedies for an	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: i am 22 year male..i have severe hair fall due to genetic.now i am using mintop 5% . whether will it work. pls give solution for hair loss and regrowth. i cant do my job properly.my full attention on my only. i feel shy to come out and facing others. ### Answer: Hello. Thank you for writing to you seem to have an Chat Doctor. Minoxidil and Finasteride are approved remedies for an
I am having hermorids 3rd stage ( After stool I have to push inside) for which I am taking deflon 500 2 tab per day. since last 4 days, Today it started bleeding while passing stool. Now Dr have told me to take tranostat for 3 days. Is this treatment right.	Hi, thanks for posting your concern in the Chat Doctor. You were prescribed tranexamic acid (Transit) correctly for your acute bleeding. Also, you have been prescribed Teflon which is a Genotropin medicine, used for chronic venous insufficiency. I also think you should talk to your doctor regarding the possibility of any surgical intervention. Furthermore, I think you should have high fiber diet and Spatula husk (2 SF in cup of water after dinner) to avoid constipation. Hope you are satisfied with my answer. If you have any further query related to this, please write back. In case you have any new query in the future, you can directly ask me questions @ http://www.ChatDoctor .com/doctors/ Chat Doctor. I will try my level best to help you.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I am having hermorids 3rd stage ( After stool I have to push inside) for which I am taking deflon 500 2 tab per day. since last 4 days, Today it started bleeding while passing stool. Now Dr have told me to take tranostat for 3 days. Is this treatment right. ### Answer: Hi, thanks for posting your concern in the Chat Doctor. You were prescribed tranexamic acid (Transit) correctly for your acute bleeding. Also, you have been prescribed Teflon which is a Genotropin medicine, used for chronic venous insufficiency. I also think you should talk to your doctor regarding the possibility of any surgical intervention. Furthermore, I think you should have high fiber diet and Spatula husk (2 SF in cup of water after dinner) to avoid constipation. Hope you are satisfied with my answer. If you have any further query related to this, please write back. In case you have any new query in the future, you can directly ask me questions @ http://www.ChatDoctor .com/doctors/ Chat Doctor. I will try my level best to help you.
Hi,I am currently having episodes of seeing things that arent there, sometimes outlines of figures and objects.I also see things move a lot.I do wear glasses, I am short sighted in my left eye.I am becoming increasingly paranoid, lose concentration (I am studying my a levels), and feel like people are watching me and know what I am thinking.I am prepared to go to the doctors or speak to a specialist, I just need advice.	Hi. I had gone through your query. You had given just bird view of your complaint. Paranoia has different types and require evaluation. People are watching me is one of the kind of persecutor delusion but need to evaluate in detail about its content. Mental status examination which include speech/Psycho motor activity/Mood/Affect?thought etc. are necessary to reach proper diagnosis. I appreciate your outlook about consultation. So please consult psychiatrist and get further assistance about your mental health problems. I hope I have answered your query. Feel free to ask. Thank you. Regards. Chat Doctor.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi,I am currently having episodes of seeing things that arent there, sometimes outlines of figures and objects.I also see things move a lot.I do wear glasses, I am short sighted in my left eye.I am becoming increasingly paranoid, lose concentration (I am studying my a levels), and feel like people are watching me and know what I am thinking.I am prepared to go to the doctors or speak to a specialist, I just need advice. ### Answer: Hi. I had gone through your query. You had given just bird view of your complaint. Paranoia has different types and require evaluation. People are watching me is one of the kind of persecutor delusion but need to evaluate in detail about its content. Mental status examination which include speech/Psycho motor activity/Mood/Affect?thought etc. are necessary to reach proper diagnosis. I appreciate your outlook about consultation. So please consult psychiatrist and get further assistance about your mental health problems. I hope I have answered your query. Feel free to ask. Thank you. Regards. Chat Doctor.
Hey I have these purple bumps on the outside of my anus( only when I put pressure to poop) and somtimes a small ammount of stickey stringy pricees of liquid after. Just was wondering what s up also burning peeing sensation and pre yellow for days and a small whiteish ball is on the sack aera	Not to worry much as this is benign condition like piles, benign cyst or skin tags / fibroepithelial polyp if really worries you can go for a rectal examination for confirmation all the best!	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hey I have these purple bumps on the outside of my anus( only when I put pressure to poop) and somtimes a small ammount of stickey stringy pricees of liquid after. Just was wondering what s up also burning peeing sensation and pre yellow for days and a small whiteish ball is on the sack aera ### Answer: Not to worry much as this is benign condition like piles, benign cyst or skin tags / fibroepithelial polyp if really worries you can go for a rectal examination for confirmation all the best!
My son was diagnosed with Asthma early this year. He uses a pump daily which helps with short breaths, however he still gets chronic cough, runny nouse and post nasal drip consistently...They have done blood works and allergy tests and all was negative...Fustrated	Hi, thanks for using Chat Doctor The presence of post nasal Chat Doctor. You may need to consider the use of topical steroid nasal sprays to help reduce his symptoms. Examples are alone, Flonase, nasocortYou may need a prescription the allergic rhinosinusitis can be controlled, it would help with his asthma control. I hope this helps	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My son was diagnosed with Asthma early this year. He uses a pump daily which helps with short breaths, however he still gets chronic cough, runny nouse and post nasal drip consistently...They have done blood works and allergy tests and all was negative...Fustrated ### Answer: Hi, thanks for using Chat Doctor The presence of post nasal Chat Doctor. You may need to consider the use of topical steroid nasal sprays to help reduce his symptoms. Examples are alone, Flonase, nasocortYou may need a prescription the allergic rhinosinusitis can be controlled, it would help with his asthma control. I hope this helps
I am just curious.. I was watching tv when I randomly decided to look at my tongue haha.. I looked at the underside and I have 2 very visible vein streaks on both sides of my tongue.. They are dark purple. I heard that a healthy tongue is when you can barely see the veins underneath or not at all but mine are very apparent. Every other part of my tongue is healthy though I believe.. Can you tell me why my tongues veins are so visible?	Thanks for your query, I have gone through your query. The visible veins under your tongue is nothing but a varicose veins. These are the dilated veins and are not harmful. Nothing to be panic, if there is any increase in size and if there is any bleeding, then consult an oral physician and get it evaluated. Otherthan that no treatment is required as such. I hope my answer will help you, take care.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I am just curious.. I was watching tv when I randomly decided to look at my tongue haha.. I looked at the underside and I have 2 very visible vein streaks on both sides of my tongue.. They are dark purple. I heard that a healthy tongue is when you can barely see the veins underneath or not at all but mine are very apparent. Every other part of my tongue is healthy though I believe.. Can you tell me why my tongues veins are so visible? ### Answer: Thanks for your query, I have gone through your query. The visible veins under your tongue is nothing but a varicose veins. These are the dilated veins and are not harmful. Nothing to be panic, if there is any increase in size and if there is any bleeding, then consult an oral physician and get it evaluated. Otherthan that no treatment is required as such. I hope my answer will help you, take care.
MY PROBLEM IS THAT ACNE,OILY SCLAP AND FACE,ABDOMINAL PAIN NEAR DATE OF MY MONTHLY CYCLE.BUT NOT CONCEIVE AFTER 1YR MARRIAGE.I HAD VDRL,THYROID,LHS,FHS,LH TVS ETC. ALL TYPE OF TEST BEFORE CONCEIVING.BUT ALL ARE NORMAL AND PCOS IS MILD, TVS TEST SOME LIQUID IS UNDER OVARY THATS IT NOTHING ELSE.I CANT UNDERSTAND WHAT IS THE REASON BEHIND INFERTILITY .	Hello, your Acne, abdominal pain near your menstruation could be symptoms of PCs. Fluids under ovary depends on the time of TVS done. If you had done the scan around your ovulation time, the fluid represents rupture of your follicle(egg), so there is nothing to worry. In case if the fluid persists throughout your cycle then I would suggest a complete check-up of your blood and hormones. But since you have been married for a year and with mild PCs, keep your monthly calendar on check, marking your ovulation (since PCs patient even mild, tend to ovulate at different times) and your post-ovulation till your menstruation time should be around 15-18 days. If its short or longer that could hamper your chances of pregnancy. All together start with a complete hormone check and your partners' sperm morphology, motility and count check.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: MY PROBLEM IS THAT ACNE,OILY SCLAP AND FACE,ABDOMINAL PAIN NEAR DATE OF MY MONTHLY CYCLE.BUT NOT CONCEIVE AFTER 1YR MARRIAGE.I HAD VDRL,THYROID,LHS,FHS,LH TVS ETC. ALL TYPE OF TEST BEFORE CONCEIVING.BUT ALL ARE NORMAL AND PCOS IS MILD, TVS TEST SOME LIQUID IS UNDER OVARY THATS IT NOTHING ELSE.I CANT UNDERSTAND WHAT IS THE REASON BEHIND INFERTILITY . ### Answer: Hello, your Acne, abdominal pain near your menstruation could be symptoms of PCs. Fluids under ovary depends on the time of TVS done. If you had done the scan around your ovulation time, the fluid represents rupture of your follicle(egg), so there is nothing to worry. In case if the fluid persists throughout your cycle then I would suggest a complete check-up of your blood and hormones. But since you have been married for a year and with mild PCs, keep your monthly calendar on check, marking your ovulation (since PCs patient even mild, tend to ovulate at different times) and your post-ovulation till your menstruation time should be around 15-18 days. If its short or longer that could hamper your chances of pregnancy. All together start with a complete hormone check and your partners' sperm morphology, motility and count check.
Sir/Madam, Due to a Bike accident 5 yrs ago, I got few Keloid. One is in right Shoulder skin . Its itching frequently. Should I go for operation, will it re-occur after operation. Is the operation Minor / Major. Thanks, Pabitra, Pune	Hi Tabitha, Keloids are known to recur. At present intro keloid injection of steroid is considered the treatment of choice. It's a minor procedure administered in Out patient basis. Any excision is likely to recur. Hope that answers the question Take care	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Sir/Madam, Due to a Bike accident 5 yrs ago, I got few Keloid. One is in right Shoulder skin . Its itching frequently. Should I go for operation, will it re-occur after operation. Is the operation Minor / Major. Thanks, Pabitra, Pune ### Answer: Hi Tabitha, Keloids are known to recur. At present intro keloid injection of steroid is considered the treatment of choice. It's a minor procedure administered in Out patient basis. Any excision is likely to recur. Hope that answers the question Take care
I have allergic asthma. Once I was prescribed to take montair fx along witChatDoctorbihale and asthalin for 30 days. I was suggested to use asthalin liberally. After the course, my wheezing was down till a month or so. But gradually over the time the condition is that, i have it everyday. One day I took montair fx and it reduced for two days. I have been taking it since then. Now, wheezing doesn t reduce with the intake of inhalers. It reduces only with montair fx. What are the side effects of prolonged use of montair fx ? Any other remedy to cure/reduce my asthma attacks ?	Thanks for your question on Chat Doctor. I can understand your concern. Asthma is allergic disease. It needs regular treatment in the form of anti-allergic Chat Doctor. Best way to control allergy is identification of allergen and if possible complete avoidance of it. So avoid dust, pollen, mites, animal fur, smoke etc. Wear face mask every time you go outside home. Montage FX is having montelukast and fexofenadine. Montelukast is anti-allergic	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I have allergic asthma. Once I was prescribed to take montair fx along witChatDoctorbihale and asthalin for 30 days. I was suggested to use asthalin liberally. After the course, my wheezing was down till a month or so. But gradually over the time the condition is that, i have it everyday. One day I took montair fx and it reduced for two days. I have been taking it since then. Now, wheezing doesn t reduce with the intake of inhalers. It reduces only with montair fx. What are the side effects of prolonged use of montair fx ? Any other remedy to cure/reduce my asthma attacks ? ### Answer: Thanks for your question on Chat Doctor. I can understand your concern. Asthma is allergic disease. It needs regular treatment in the form of anti-allergic Chat Doctor. Best way to control allergy is identification of allergen and if possible complete avoidance of it. So avoid dust, pollen, mites, animal fur, smoke etc. Wear face mask every time you go outside home. Montage FX is having montelukast and fexofenadine. Montelukast is anti-allergic
My grandfather is taking dutas t for BPH. He was taking CCB for BP.but he has vertigo for last 3 days.BP was checked and it was 100/60.BP medicine was discounted.he has been prescribed vertizac tablet for 1 month twice daily before food.but myself as a medico told him to take it for 15 days.give suggestions.	Hello, Vertical is for symptomatic relief of vertigo, so as soon as the symptoms resolve your father can surely atop the Chat Doctor. Two weeks shower more than enough, rather if it is persistent post 2 weeks, again a review visit to the diagnosis should be done to make sure we are not missing anything. Also, the cause of giddiness might be the blood pressure and so stopping (though I would prefer gradual down titration) of the meds, should be enough. Lastly do keep a follow-up of his blood pressure reading. Hoping I could help For further assistance you may contact me on Chat Doctor. @ Http://doctor. ChatDoctor .com/doctors/	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My grandfather is taking dutas t for BPH. He was taking CCB for BP.but he has vertigo for last 3 days.BP was checked and it was 100/60.BP medicine was discounted.he has been prescribed vertizac tablet for 1 month twice daily before food.but myself as a medico told him to take it for 15 days.give suggestions. ### Answer: Hello, Vertical is for symptomatic relief of vertigo, so as soon as the symptoms resolve your father can surely atop the Chat Doctor. Two weeks shower more than enough, rather if it is persistent post 2 weeks, again a review visit to the diagnosis should be done to make sure we are not missing anything. Also, the cause of giddiness might be the blood pressure and so stopping (though I would prefer gradual down titration) of the meds, should be enough. Lastly do keep a follow-up of his blood pressure reading. Hoping I could help For further assistance you may contact me on Chat Doctor. @ Http://doctor. ChatDoctor .com/doctors/
I have 2 Tarlov cysts on spine and 2 herniated disc done Mir therapy reg injections I have never experience pain like this in my life 4 children no deme role age 54 please suggest should do go for epidural or surgery. Doctors aren t familiar with this.	Hi, Taylor cysts should not worry you since they are not treated and not the cause of your pain. Herniated disks, however, are the source of your pain. If you have not been tried on conservative measures such as physical or aqua therapy as well as standard medications for the pain then, I highly advise you do this before considering surgery. Have you tried traction, hot/cold therapy, acupuncture, or other forms of complementary medicine? If, however, there is a loss of power or loss of mass in the muscles of the leg affected then, surgery may very well have to be done, but I would say not until more serious complications have occurred. Hope I have answered your query. Let me know if I can assist you further.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I have 2 Tarlov cysts on spine and 2 herniated disc done Mir therapy reg injections I have never experience pain like this in my life 4 children no deme role age 54 please suggest should do go for epidural or surgery. Doctors aren t familiar with this. ### Answer: Hi, Taylor cysts should not worry you since they are not treated and not the cause of your pain. Herniated disks, however, are the source of your pain. If you have not been tried on conservative measures such as physical or aqua therapy as well as standard medications for the pain then, I highly advise you do this before considering surgery. Have you tried traction, hot/cold therapy, acupuncture, or other forms of complementary medicine? If, however, there is a loss of power or loss of mass in the muscles of the leg affected then, surgery may very well have to be done, but I would say not until more serious complications have occurred. Hope I have answered your query. Let me know if I can assist you further.
I just had my three wisdom teeth removed and filling put in on Friday, the 13th. Besides severe swelling, Ive been fine up until now where Im having deep chest pain. It comes in waves. I have a dentist appointment today at 5PM to discuss a hard lump along my jaw on the right side of my face that developed after surgery. Should I be concerned about the chest paiN?	Welcome to Chat Doctor .1. It could be just posted procedural changes, swollen/edematous changes in adjacent muscles.2. It should resolve on its own. If not happening means there is some infective process going on.3. See your dentist, doctor may give another course of antibiotic treatment.4. Hope it helps you. Anything to ask ? Do not hesitate. Thank you.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I just had my three wisdom teeth removed and filling put in on Friday, the 13th. Besides severe swelling, Ive been fine up until now where Im having deep chest pain. It comes in waves. I have a dentist appointment today at 5PM to discuss a hard lump along my jaw on the right side of my face that developed after surgery. Should I be concerned about the chest paiN? ### Answer: Welcome to Chat Doctor .1. It could be just posted procedural changes, swollen/edematous changes in adjacent muscles.2. It should resolve on its own. If not happening means there is some infective process going on.3. See your dentist, doctor may give another course of antibiotic treatment.4. Hope it helps you. Anything to ask ? Do not hesitate. Thank you.
My husband has a fluid pocket in the font left shoulder area around his collar bone. There is some swelling in his neck on the same side and he s feeling some discomfort and pain. You can actually poke the pocket and the fluid moves around. What could this be?	Hello, It may be blew or boil or lymph node etc. Until examination is done it is difficult to say what it is. Use Mupirocin point locally. If symptoms not improved please consult your dermatologist he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My husband has a fluid pocket in the font left shoulder area around his collar bone. There is some swelling in his neck on the same side and he s feeling some discomfort and pain. You can actually poke the pocket and the fluid moves around. What could this be? ### Answer: Hello, It may be blew or boil or lymph node etc. Until examination is done it is difficult to say what it is. Use Mupirocin point locally. If symptoms not improved please consult your dermatologist he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
Hey..It start Saturday night around 12 I had this real bad stomach pain..When I boo boo its hurts and its a lil soupy..It hurted all the way until 3 some I got up the the next day it didnt hurt or that night but the next morning about 6 some I had to boo boo it was less soupy..than round about 8 that felling I had Saturday night came back it last until 10:00 on the dot Im laying here and my but still hurts	It can be acute attack of gastritis esophagi this duo densities gall bladder infection appendicitis need to consult doctor who may recommend ultrasound to find the cause and treat accordingly	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hey..It start Saturday night around 12 I had this real bad stomach pain..When I boo boo its hurts and its a lil soupy..It hurted all the way until 3 some I got up the the next day it didnt hurt or that night but the next morning about 6 some I had to boo boo it was less soupy..than round about 8 that felling I had Saturday night came back it last until 10:00 on the dot Im laying here and my but still hurts ### Answer: It can be acute attack of gastritis esophagi this duo densities gall bladder infection appendicitis need to consult doctor who may recommend ultrasound to find the cause and treat accordingly
I m 18 and I have a slightly pinkish lump (about 1/2 cm big) slightly to the right and in between my anus and vagina. It s not squishy, and is firm. I first noticed it about a week ago as it was smaller and un painful. However, today when I was wiping it began to hurt and has continued to feel tender and a little but painful and it has gotten bigger than when I first noticed it. Nothing comes out or anything it s just under my skin creating a slight lump. Just wondering what this could be?	Hi, Dear Thanks for the query to Chat Doctor virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Cause for the lump around anus and vagina-From the limited facts and story of your query, you seem to have infective lump, and mostly it is Boil / hair follicle in that are. Treatment-Would depend on the cause. As I don't have any first hand clinical information, I would suggest consulting ER Surgeon to rule out other causes and who would treat it accordingly by either medicines or by surgical excision if need be.Don't Self-treat or medicate in your case as the case may go in to further complications. Hope this reply would resolve your query and would help you to plan treatment with your doctor. Hope this would relieve of your health concerns. Welcome for any further query in this regard before final suggestions are given in your query. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Specialist	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I m 18 and I have a slightly pinkish lump (about 1/2 cm big) slightly to the right and in between my anus and vagina. It s not squishy, and is firm. I first noticed it about a week ago as it was smaller and un painful. However, today when I was wiping it began to hurt and has continued to feel tender and a little but painful and it has gotten bigger than when I first noticed it. Nothing comes out or anything it s just under my skin creating a slight lump. Just wondering what this could be? ### Answer: Hi, Dear Thanks for the query to Chat Doctor virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Cause for the lump around anus and vagina-From the limited facts and story of your query, you seem to have infective lump, and mostly it is Boil / hair follicle in that are. Treatment-Would depend on the cause. As I don't have any first hand clinical information, I would suggest consulting ER Surgeon to rule out other causes and who would treat it accordingly by either medicines or by surgical excision if need be.Don't Self-treat or medicate in your case as the case may go in to further complications. Hope this reply would resolve your query and would help you to plan treatment with your doctor. Hope this would relieve of your health concerns. Welcome for any further query in this regard before final suggestions are given in your query. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Specialist
hi. i had four of my wisdom teeth extracted a week ago and my throat and left bottom side still hurts. he said that was the hardest one to do and my throat pain didnt start until after the extraction. it hurts to swallow and i still cant open my mouth very far because of the pain on the left side	Hello, Welcome Thanks for consulting Chat Doctor I have gone through your query, as you have mentioned that you have wisdom tooth extraction now swelling is there and painful throat, after extraction of wisdom tooth swelling occurs for week also, don't worry consult your dentist for check up again and Examination of socket Do warm saline gargle two - three times a day it will help you in healing of socket and painful throat also Hope this will help you. Wishing you good health Regards	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: hi. i had four of my wisdom teeth extracted a week ago and my throat and left bottom side still hurts. he said that was the hardest one to do and my throat pain didnt start until after the extraction. it hurts to swallow and i still cant open my mouth very far because of the pain on the left side ### Answer: Hello, Welcome Thanks for consulting Chat Doctor I have gone through your query, as you have mentioned that you have wisdom tooth extraction now swelling is there and painful throat, after extraction of wisdom tooth swelling occurs for week also, don't worry consult your dentist for check up again and Examination of socket Do warm saline gargle two - three times a day it will help you in healing of socket and painful throat also Hope this will help you. Wishing you good health Regards
My daughter has a very small round lump in the inner part of her elbow. She says it feels bruised in that area. No sign of bruising on the skin though. Its on the same place where she donated blood beginning of last year. What could this be? Regards Tessa	Hello! Thank you for the query. Yes, skin irritation with needle can cause a lump. Usually it is a fibrous, benign, painless lump which slowly grows. It does not turn into cancer. The best way to find out exactly what she is dealing with, is to remove if and send to histopathology. Please consult a surgeon. Hope this will help. Regards.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My daughter has a very small round lump in the inner part of her elbow. She says it feels bruised in that area. No sign of bruising on the skin though. Its on the same place where she donated blood beginning of last year. What could this be? Regards Tessa ### Answer: Hello! Thank you for the query. Yes, skin irritation with needle can cause a lump. Usually it is a fibrous, benign, painless lump which slowly grows. It does not turn into cancer. The best way to find out exactly what she is dealing with, is to remove if and send to histopathology. Please consult a surgeon. Hope this will help. Regards.
When I pee it purns, when I push on my penis like just below my tip it itches in the inside all the way down inside my bladder where my penis continues... Like I can grind my fingers together and it feel good to grind it together to itch its been doing this for about 2 weeks	HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely a urinary tract infection with urethritis. You can rule out the infection by doing a routine urinalysis. For urinary infection I treat my patients with antibiotics and urine alkalinizing agents like sodium citrate. You can take cranberry juice or barley water to alkalinize urine also. Hope this may help you. Let me know if you have any further query.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: When I pee it purns, when I push on my penis like just below my tip it itches in the inside all the way down inside my bladder where my penis continues... Like I can grind my fingers together and it feel good to grind it together to itch its been doing this for about 2 weeks ### Answer: HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely a urinary tract infection with urethritis. You can rule out the infection by doing a routine urinalysis. For urinary infection I treat my patients with antibiotics and urine alkalinizing agents like sodium citrate. You can take cranberry juice or barley water to alkalinize urine also. Hope this may help you. Let me know if you have any further query.
Hi Dr. Rynne, Good day. I am female, 23 years of age.Last 2009 I found out I have breast cyst but I did not consult a doctor (no enough money). I just treat it with a herbal plant which is mayana leaf because there was someone told me so. Does that plant can heal my cyst? Or should I take MX3 because I saw on tv it can cure cyst. Hope you can response on my concern. Because until this time I still have a cyst. Thank you & God Bless, Windy	Hi.noted history of breast cysts. It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Breast cysts should be monitored regularly. Some of these lesions, grow, spontaneously resolved, and some are just there. Do you have a history of breast cancer or concerns in your family? Breast ultrasound will be requested as an additional tool for evaluation. Depending on the findings, if a tissue diagnosis will be recommended or just a regular follow-up/monitoring will do. Occasional breast pain/tenderness/discomfort, resolving spontaneously, is usually associated with these breast cysts especially during hormonal changes (such as before and during menstruation). Hope this helps. Good day!!~ Chat Doctor.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi Dr. Rynne, Good day. I am female, 23 years of age.Last 2009 I found out I have breast cyst but I did not consult a doctor (no enough money). I just treat it with a herbal plant which is mayana leaf because there was someone told me so. Does that plant can heal my cyst? Or should I take MX3 because I saw on tv it can cure cyst. Hope you can response on my concern. Because until this time I still have a cyst. Thank you & God Bless, Windy ### Answer: Hi.noted history of breast cysts. It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Breast cysts should be monitored regularly. Some of these lesions, grow, spontaneously resolved, and some are just there. Do you have a history of breast cancer or concerns in your family? Breast ultrasound will be requested as an additional tool for evaluation. Depending on the findings, if a tissue diagnosis will be recommended or just a regular follow-up/monitoring will do. Occasional breast pain/tenderness/discomfort, resolving spontaneously, is usually associated with these breast cysts especially during hormonal changes (such as before and during menstruation). Hope this helps. Good day!!~ Chat Doctor.
We found calcium buildup in my aorta and branches. No symptoms. Female in early 70s Blood pressure controlled (120/70) exercise 5 days/week. LDL 99, HDL 69, Triglyceride 88. Can t take statiin. Terrible cramps. Not diabetic, non-smoker. Stress level totally lowered (retired). Don t want to take medication. Advice, pls.	Hi, there is no specific treatment to control calcifications in the aorta. What you can do is the strict control of blood pressure, serum levels of LDL cholesterol (below 70), paganism cessation, strict glycemic control and maintain a healthy lifestyle. The USO of medicines like statins could help with the cholesterol control. Your LDL cholesterol level is close to the therapeutic target of 70 and as you already do all non-pharmacological measures for the control of cholesterol, I believe that to achieve reach this goal you need the help of statins. I suggest you look for a cardiologist for further research. Hope I have answered your question. If you have any further questions I will be happy to help you. Wish you good health.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: We found calcium buildup in my aorta and branches. No symptoms. Female in early 70s Blood pressure controlled (120/70) exercise 5 days/week. LDL 99, HDL 69, Triglyceride 88. Can t take statiin. Terrible cramps. Not diabetic, non-smoker. Stress level totally lowered (retired). Don t want to take medication. Advice, pls. ### Answer: Hi, there is no specific treatment to control calcifications in the aorta. What you can do is the strict control of blood pressure, serum levels of LDL cholesterol (below 70), paganism cessation, strict glycemic control and maintain a healthy lifestyle. The USO of medicines like statins could help with the cholesterol control. Your LDL cholesterol level is close to the therapeutic target of 70 and as you already do all non-pharmacological measures for the control of cholesterol, I believe that to achieve reach this goal you need the help of statins. I suggest you look for a cardiologist for further research. Hope I have answered your question. If you have any further questions I will be happy to help you. Wish you good health.
Hi doctor i am haemophilia patient age 20 currently i ve been having this wierd sense of my heart beat like i can feel my veins beating to that heart beat my heart beat is normal but its more like its loud or beating heavily recently ive been having this worries about my visa medical exam i wonder if this is anxiety but I have one question is it common for a haemophilia to get Heart attacks specially my age	Hello! Welcome and thank you for asking on Chat Doctor! I read your question carefully and understand your concern. Regarding your concern, I would explain that hemophilia is not relate to heart attacks (which are thrombotic events) but to repeated episodes of hemorrhage. This disorder affects coagulation factors, resulting in an imbalance of coagulation, leading to spontaneous hemorrhages in all the parts for the body. Some studies have suggested that hemophilia is a protecting factor against coronary artery disease, but many studies have concluded that hemophilia patients have the same cardio vascular risk as other healthy persons. So there is nothing to worry about a heart attack at your age. Your symptoms may be related to anxiety. But I recommend consulting with the GP for a careful physical examination, to exclude other possible complications of hemophilia (internal hemorrhage or brain hemorrhage). Further tests may need to be performed if suspicions are raised. Hope to have been of help! Best wishes,	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi doctor i am haemophilia patient age 20 currently i ve been having this wierd sense of my heart beat like i can feel my veins beating to that heart beat my heart beat is normal but its more like its loud or beating heavily recently ive been having this worries about my visa medical exam i wonder if this is anxiety but I have one question is it common for a haemophilia to get Heart attacks specially my age ### Answer: Hello! Welcome and thank you for asking on Chat Doctor! I read your question carefully and understand your concern. Regarding your concern, I would explain that hemophilia is not relate to heart attacks (which are thrombotic events) but to repeated episodes of hemorrhage. This disorder affects coagulation factors, resulting in an imbalance of coagulation, leading to spontaneous hemorrhages in all the parts for the body. Some studies have suggested that hemophilia is a protecting factor against coronary artery disease, but many studies have concluded that hemophilia patients have the same cardio vascular risk as other healthy persons. So there is nothing to worry about a heart attack at your age. Your symptoms may be related to anxiety. But I recommend consulting with the GP for a careful physical examination, to exclude other possible complications of hemophilia (internal hemorrhage or brain hemorrhage). Further tests may need to be performed if suspicions are raised. Hope to have been of help! Best wishes,
I am 40 years old. My friends complains that i am biting my teeth during sleep. I dont know what i am doing? But next day tooth pain is there. By 2 teeth are badly damaged and i have to go for root canalsurgery.Please advise how to over come this problem.	Hello, Biting or grinding of teeth during nighttime is called Bruise. A night guard, or night guard, is an appliance much like a retainer that people put in their mouths to protect their teeth while they are sleeping. This device is commonly used by people who suffer from bruise, or excessive nighttime tooth grinding or clenching. This grinding and clenching puts pressure on the jaw, which can cause temporomandibular joint (TMJ) problems, severe headaches, ear pain, and neck pain as well as causing excessive wear to the teeth. Visit an oral surgeon or prosthodontist for this. Take care	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I am 40 years old. My friends complains that i am biting my teeth during sleep. I dont know what i am doing? But next day tooth pain is there. By 2 teeth are badly damaged and i have to go for root canalsurgery.Please advise how to over come this problem. ### Answer: Hello, Biting or grinding of teeth during nighttime is called Bruise. A night guard, or night guard, is an appliance much like a retainer that people put in their mouths to protect their teeth while they are sleeping. This device is commonly used by people who suffer from bruise, or excessive nighttime tooth grinding or clenching. This grinding and clenching puts pressure on the jaw, which can cause temporomandibular joint (TMJ) problems, severe headaches, ear pain, and neck pain as well as causing excessive wear to the teeth. Visit an oral surgeon or prosthodontist for this. Take care
One of my crowns came out, I went today to see my dentist and after seeing and x-ray he told me that he cant save my teeth, I need an extraction and bone grafting.1.-could you please tell me why is it possible ??2.- what is the risk of waiting to have the procedure be done ??Thank you	Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that your dentist have advised extraction and bone grafting, Extraction is advice when tooth is not in condition to save it when there is Bone Loss Vertical and Horizontal bone loss Grafting should be done, so don't worry go for treatment Hope this will help you. Wishing you good health. Regards	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: One of my crowns came out, I went today to see my dentist and after seeing and x-ray he told me that he cant save my teeth, I need an extraction and bone grafting.1.-could you please tell me why is it possible ??2.- what is the risk of waiting to have the procedure be done ??Thank you ### Answer: Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that your dentist have advised extraction and bone grafting, Extraction is advice when tooth is not in condition to save it when there is Bone Loss Vertical and Horizontal bone loss Grafting should be done, so don't worry go for treatment Hope this will help you. Wishing you good health. Regards
My husband is feeling stomach pain after eating a very hot pepper. The pain level is very high, causing mouth sweats and nausea. I m worried it is an ulcer. What symptoms should he watch for in the future? Stubborn husband will not go to a doctor yet.	Hi, * The symptoms of nausea, abdomen pain and mouth sweats are due to acute gastritis from the intake of hot pepper.* Though they are not confirmatory of an ulcer, but for sure they will lead to an ulcer on a long-term basis. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. Patel, General Surgeon	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My husband is feeling stomach pain after eating a very hot pepper. The pain level is very high, causing mouth sweats and nausea. I m worried it is an ulcer. What symptoms should he watch for in the future? Stubborn husband will not go to a doctor yet. ### Answer: Hi, * The symptoms of nausea, abdomen pain and mouth sweats are due to acute gastritis from the intake of hot pepper.* Though they are not confirmatory of an ulcer, but for sure they will lead to an ulcer on a long-term basis. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. Patel, General Surgeon
i get white spots on my gumline. lately ive getting them twice in to months and before now i think it lastest about two weeks i dont know what it is or how to treat it. each time they come up my hold mouth hurts bad.what is going on i am afraid. to ask but i need to fix this bad.	Hello! Thank you for posting in Chat Doctor. You did not mention if you smoke or have any other habits. This can be a candida infection as you say it comes and goes. You did not mention your age, general health status and if you suffer diabetes. Check if you are low on immunity. This can also be an oral lesion. However, you need a clinical examination with your dentist for definitive diagnosis. Maintain a good oral hygiene routine. Gargle warm saline thrice daily. Have a stress-free lifestyle. Please see an oral pathologist immediately for they can help you with a biopsy. Hope this helps.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: i get white spots on my gumline. lately ive getting them twice in to months and before now i think it lastest about two weeks i dont know what it is or how to treat it. each time they come up my hold mouth hurts bad.what is going on i am afraid. to ask but i need to fix this bad. ### Answer: Hello! Thank you for posting in Chat Doctor. You did not mention if you smoke or have any other habits. This can be a candida infection as you say it comes and goes. You did not mention your age, general health status and if you suffer diabetes. Check if you are low on immunity. This can also be an oral lesion. However, you need a clinical examination with your dentist for definitive diagnosis. Maintain a good oral hygiene routine. Gargle warm saline thrice daily. Have a stress-free lifestyle. Please see an oral pathologist immediately for they can help you with a biopsy. Hope this helps.
i had a fever for 4 days 2 weeks ago, now i have a barking productive cough and my left ear keeps plugging and crackeling. no pain from the cough or the ear. what can i take or should i get antibiotics. i dont have a fever but the cough is wearing me out.	HelloAccording to the history you provide in such conditions you should take antibiotics like Amoxicillin twice Regards Chat Doctor.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: i had a fever for 4 days 2 weeks ago, now i have a barking productive cough and my left ear keeps plugging and crackeling. no pain from the cough or the ear. what can i take or should i get antibiotics. i dont have a fever but the cough is wearing me out. ### Answer: HelloAccording to the history you provide in such conditions you should take antibiotics like Amoxicillin twice Regards Chat Doctor.
I had a hair removal wax treatment for the first time yesterday and have had an allergic reaction. The reaction has only occured in areas where a post treatment oil was applied. Affected areas are itchy and some small red lumps have appeared. I am using calomine lotion as a topical treatment. Will pseodoephedrine help? It is the only antihistamine I have at hand.	Hi, Thanks for writing your query. You should wash the affected area thoroughly. Pseudocode Chat Doctor. You should take antihistamines medicine like Fenofexadine or Cetirizine for relief. Application of Calamine lotion will help in decreasing the itching sensation, but local application of steroid cream will be more beneficial. You should get yourself examined clinically at the Emergency Department and take the appropriate medicine. Donor apply the post-wax treatment oil in the future, as your skin is sensitive to it. I hope this is helpful to you. Thanks.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I had a hair removal wax treatment for the first time yesterday and have had an allergic reaction. The reaction has only occured in areas where a post treatment oil was applied. Affected areas are itchy and some small red lumps have appeared. I am using calomine lotion as a topical treatment. Will pseodoephedrine help? It is the only antihistamine I have at hand. ### Answer: Hi, Thanks for writing your query. You should wash the affected area thoroughly. Pseudocode Chat Doctor. You should take antihistamines medicine like Fenofexadine or Cetirizine for relief. Application of Calamine lotion will help in decreasing the itching sensation, but local application of steroid cream will be more beneficial. You should get yourself examined clinically at the Emergency Department and take the appropriate medicine. Donor apply the post-wax treatment oil in the future, as your skin is sensitive to it. I hope this is helpful to you. Thanks.
Hi. We just got our yearly family blood results back yesterday and my 16 year old sons sGPT level is 52 and his sGOT level is 77. He is not overweight, works out every day doesnt smoke or drink either. My sGOT is normal but my sGPT is 43. My husbands sGPT is 58 and sGOT is 39. All our urine analysis are clear. The laboratory director who spoke to my husband thinks that maybe it is something we have all eaten and it has affected my son more. He wants to repeat the blood test in 3 months. I would be grateful for your thoughts on this.	Hi and welcome to Chat Doctor. Thank you for the query. This is slight elevation in LFT and it shouldn't work you. It can be found in acute liver damage but many other causes too. Also, it could be temporary gallbladder stone which passed and caused bile duct obstruction. He should repeat blood tests in several weeks and if this persists he ends to do liver ultrasound ad check viral markers. Wish you good health. Regards	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi. We just got our yearly family blood results back yesterday and my 16 year old sons sGPT level is 52 and his sGOT level is 77. He is not overweight, works out every day doesnt smoke or drink either. My sGOT is normal but my sGPT is 43. My husbands sGPT is 58 and sGOT is 39. All our urine analysis are clear. The laboratory director who spoke to my husband thinks that maybe it is something we have all eaten and it has affected my son more. He wants to repeat the blood test in 3 months. I would be grateful for your thoughts on this. ### Answer: Hi and welcome to Chat Doctor. Thank you for the query. This is slight elevation in LFT and it shouldn't work you. It can be found in acute liver damage but many other causes too. Also, it could be temporary gallbladder stone which passed and caused bile duct obstruction. He should repeat blood tests in several weeks and if this persists he ends to do liver ultrasound ad check viral markers. Wish you good health. Regards
Hello Doc , I am having severe hair loss and I am 27 years old . I am being treated for infertility and all the tests including hormone tests done turned out normal. I do not have a very stressful lifestyle. I am working and my diet is that of a nonveg. If the hairfall does nto stop now and i do not gain my hair back that would be the biggest stressor. Please suggest and help.	Howell come to ChatDoctorI really appreciate your concern, if you are female and being treated with hormone medicine and having some stress then such hair fall is very likely try to come out of this condition take proper care in diet, try some exercise, and stop worrying, hope this information helps, take care and have a nice day.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hello Doc , I am having severe hair loss and I am 27 years old . I am being treated for infertility and all the tests including hormone tests done turned out normal. I do not have a very stressful lifestyle. I am working and my diet is that of a nonveg. If the hairfall does nto stop now and i do not gain my hair back that would be the biggest stressor. Please suggest and help. ### Answer: Howell come to ChatDoctorI really appreciate your concern, if you are female and being treated with hormone medicine and having some stress then such hair fall is very likely try to come out of this condition take proper care in diet, try some exercise, and stop worrying, hope this information helps, take care and have a nice day.
Hi, am 32yrs old abt 130lbs and 5.5ft tall. For the past few weeks i ve bn having this electric shock on my left arm esp. my fingers whenever i exert pressure like carrying things with them.it really feels as if electric current is passing through my hand .i also feel some sort of tiredness on the arm. My email is YYYY@YYYY .	Dear I am sorry for the health problem you are experiencing. I would recommend you to take contact to a neurologist to undertake two examination, one to exclude a peripheral problem with ENG and neck exploration probably with MRI. There is nothing to be worry because any of them can be treated but first you have to be right diagnosed. Wish you all the best	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi, am 32yrs old abt 130lbs and 5.5ft tall. For the past few weeks i ve bn having this electric shock on my left arm esp. my fingers whenever i exert pressure like carrying things with them.it really feels as if electric current is passing through my hand .i also feel some sort of tiredness on the arm. My email is YYYY@YYYY . ### Answer: Dear I am sorry for the health problem you are experiencing. I would recommend you to take contact to a neurologist to undertake two examination, one to exclude a peripheral problem with ENG and neck exploration probably with MRI. There is nothing to be worry because any of them can be treated but first you have to be right diagnosed. Wish you all the best
Hi Sir I am on Selzic 300 for the past 7 years I take Venla XR 75 along wit it. I am 31 Years old weight 72 kgs and height 58. I have a history of Post MI 5 years back but i am fine after angioplasty. Past 3 months I was extremely anemic with 4 unit hemoglobin. I went through blood transfusion of 6 units O +ve blood. now my problem is my fingers are getting numb and I feel very Hot. Is it due to Selzic 300 or anemia?	Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Celtic is known to affect vitamin metabolism2. Possible vitamin deficiency leading to peripheral neuropathy symptoms along with anemia.3. You need It B12 supplements to improve the numbness and anemia symptoms. Hope it helps. Any further queries, happy to help again.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi Sir I am on Selzic 300 for the past 7 years I take Venla XR 75 along wit it. I am 31 Years old weight 72 kgs and height 58. I have a history of Post MI 5 years back but i am fine after angioplasty. Past 3 months I was extremely anemic with 4 unit hemoglobin. I went through blood transfusion of 6 units O +ve blood. now my problem is my fingers are getting numb and I feel very Hot. Is it due to Selzic 300 or anemia? ### Answer: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Celtic is known to affect vitamin metabolism2. Possible vitamin deficiency leading to peripheral neuropathy symptoms along with anemia.3. You need It B12 supplements to improve the numbness and anemia symptoms. Hope it helps. Any further queries, happy to help again.
Hi Doctor Samuel I had pain under my left rib cage on Monday lunchtime. Went to hospital and had blood, urine and ECG checked and was clear. Doctor then gave me laxative for constipation and after 2 dosage I had severe runs for a few hours. Runs had stopped but now when I drink or eat it hurts and feels like the food is stuck inside mid abdomen. Also when I walk my left side hurts. Please let me know what s wrong. Jan	HIT hank for asking to ChatDoctorIt is nothing to worry at all, hyper peristalsis wave causing such symptoms, while we eat a kind of wave appears in GI system that helps the food to propagate ahead when this wave becomes more active than it gives such kind of pain as you are feeling, you have to eat slow, eat little less in quantity, the purgative or laxative will aggravate the condition, :Dicyclomine" is Chat Doctor.	If you are a doctor, please answer the medical questions based on the patient's description.	### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi Doctor Samuel I had pain under my left rib cage on Monday lunchtime. Went to hospital and had blood, urine and ECG checked and was clear. Doctor then gave me laxative for constipation and after 2 dosage I had severe runs for a few hours. Runs had stopped but now when I drink or eat it hurts and feels like the food is stuck inside mid abdomen. Also when I walk my left side hurts. Please let me know what s wrong. Jan ### Answer: HIT hank for asking to ChatDoctorIt is nothing to worry at all, hyper peristalsis wave causing such symptoms, while we eat a kind of wave appears in GI system that helps the food to propagate ahead when this wave becomes more active than it gives such kind of pain as you are feeling, you have to eat slow, eat little less in quantity, the purgative or laxative will aggravate the condition, :Dicyclomine" is Chat Doctor.