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Hi, I have a fever, cant stop sweating but am cold all the time. I lay in bed and my lower back is killing me not allowing me to get more than 30 mins of sleep at a time. I have a painful cough, which is getting better and my poo is black. Do I have any reason to be concerned?	Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have fever along with sweating and cold and myalgic which is mainly due to viral infection. You seem to have fever of high grade. Need not worry, it will take 5-7 days for fever to go away. Till then do tepid sponging on head and extremities. Avoid intake of any oily and fried food and cold carbonated liquids. Take combination of antibiotic such as Levofloxacin along with Ibuprofen/ Acetaminophen. You should take Levocetrizine as well. As you are having along with back pain, you should take cough expectorants along with warm saline gargles as well. Apply mist humidifiers in room. Take muscle relaxants as well. Visit general physician once and get it examined and go for blood and sputum tests and start treatment. Hope your concern has been resolved. 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, I have a fever, cant stop sweating but am cold all the time. I lay in bed and my lower back is killing me not allowing me to get more than 30 mins of sleep at a time. I have a painful cough, which is getting better and my poo is black. Do I have any reason to be concerned? ### Answer: Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have fever along with sweating and cold and myalgic which is mainly due to viral infection. You seem to have fever of high grade. Need not worry, it will take 5-7 days for fever to go away. Till then do tepid sponging on head and extremities. Avoid intake of any oily and fried food and cold carbonated liquids. Take combination of antibiotic such as Levofloxacin along with Ibuprofen/ Acetaminophen. You should take Levocetrizine as well. As you are having along with back pain, you should take cough expectorants along with warm saline gargles as well. Apply mist humidifiers in room. Take muscle relaxants as well. Visit general physician once and get it examined and go for blood and sputum tests and start treatment. Hope your concern has been resolved. Best Wishes,
Hi,I have sharp pains to lower left and middle of abdomin that seem to releive after bowel movement or flatulance. I also feel releif with some movement/manipulation of the abdomin which causes noise and sensation. Urinary pressure also can cause discomfort, This has been with me for some weeks.	Hi thank you asking Chat Doctor in regard to your symptoms it may be related with dyspeptic syn Chat Doctor. I strongly suggest changing your lifestyle avoid constipation, increase physical activity, avoid stress and perform urinalysis. Wishing 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,I have sharp pains to lower left and middle of abdomin that seem to releive after bowel movement or flatulance. I also feel releif with some movement/manipulation of the abdomin which causes noise and sensation. Urinary pressure also can cause discomfort, This has been with me for some weeks. ### Answer: Hi thank you asking Chat Doctor in regard to your symptoms it may be related with dyspeptic syn Chat Doctor. I strongly suggest changing your lifestyle avoid constipation, increase physical activity, avoid stress and perform urinalysis. Wishing you all the best
anything that can be eaten to avoid acne fast.?	Hi .dear user..., Thanks for using Chat Doctor., There is no relation between diet and acne.but suggestion is avoided spicy, jenky and oil foods., Regular taking of fresh fruits, fresh vegetables will give good result., Plenty of oral fluids will eliminate the toxins in the liver.good for Acne., ACNE is due to hyperactivity of hormones that increases fatty synthesis .so avoid of acne is difficult ...good maintaining at the acne site (hygiene)with frequent. Washes with Triclosan soap.applying of clindamycin cream... 2 times daily ok. 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: anything that can be eaten to avoid acne fast.? ### Answer: Hi .dear user..., Thanks for using Chat Doctor., There is no relation between diet and acne.but suggestion is avoided spicy, jenky and oil foods., Regular taking of fresh fruits, fresh vegetables will give good result., Plenty of oral fluids will eliminate the toxins in the liver.good for Acne., ACNE is due to hyperactivity of hormones that increases fatty synthesis .so avoid of acne is difficult ...good maintaining at the acne site (hygiene)with frequent. Washes with Triclosan soap.applying of clindamycin cream... 2 times daily ok. Good luck...
i hate a hard bump along my back molars. it starts by the back molar and goes up to the third molar. it has been getting bigger for months now, to the point i can t wear my retainer because it gets in the way. HELP! I m 21, could this be cancer?	Hi, it is very difficult to comment on the diagnosis without examining the bump. I advise you not to panic. Please consult a dentist for complete oral examination. It may be an abscess or a bony swelling. You must go for a biopsy to know the exact diagnosis. Please do not delay and go for examination and investigations as soon as possible. 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: i hate a hard bump along my back molars. it starts by the back molar and goes up to the third molar. it has been getting bigger for months now, to the point i can t wear my retainer because it gets in the way. HELP! I m 21, could this be cancer? ### Answer: Hi, it is very difficult to comment on the diagnosis without examining the bump. I advise you not to panic. Please consult a dentist for complete oral examination. It may be an abscess or a bony swelling. You must go for a biopsy to know the exact diagnosis. Please do not delay and go for examination and investigations as soon as possible. Wish you all the best!
My six year old woke up screaming during the night and in great discomfort. Had a pain behing his pubic area and one of his testicle was nowhere to be found. Went up somewhere. His movement is alot better now, i.e. walking and going to the toilet but still not as bouncy as he should be. Should we take him to hospital or just see how he goes for the rest of the day?	Yes you should take in to hospital. Is there any redness or increased temperature near scrotum?? Your son needs to be evaluated for torsion of testis, infection , abdominal testes. If testes are abdominal they need to be brought in scrotum there is chance that they might turn into malignant. Torsion of testes needs immediate surgical intervention.	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 six year old woke up screaming during the night and in great discomfort. Had a pain behing his pubic area and one of his testicle was nowhere to be found. Went up somewhere. His movement is alot better now, i.e. walking and going to the toilet but still not as bouncy as he should be. Should we take him to hospital or just see how he goes for the rest of the day? ### Answer: Yes you should take in to hospital. Is there any redness or increased temperature near scrotum?? Your son needs to be evaluated for torsion of testis, infection , abdominal testes. If testes are abdominal they need to be brought in scrotum there is chance that they might turn into malignant. Torsion of testes needs immediate surgical intervention.
hi i would like to ask what are my chances that i could be pregnant i had clomid 25mg for 3 days last april 16 but didnt work and my fertility doc ask me to take another cycle started 6 may til 10 may..then i had blood test 13 may tested i ovulated over the weekend.we had sex 8 of may and 10,11 of may. what are my chances?thanks	Hi, Thanks for the query. As you had ovulation and had unprotected intercourse around that time ovulation, the possibility of pregnancy is there. If you had intercourse within 24 hours or before 24 hours of ovulation, the chance of pregnancy is more. Start taking folic acid prophylaxis from now onwards. And if you miss the expected date of periods, go for pregnancy test once. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ 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 would like to ask what are my chances that i could be pregnant i had clomid 25mg for 3 days last april 16 but didnt work and my fertility doc ask me to take another cycle started 6 may til 10 may..then i had blood test 13 may tested i ovulated over the weekend.we had sex 8 of may and 10,11 of may. what are my chances?thanks ### Answer: Hi, Thanks for the query. As you had ovulation and had unprotected intercourse around that time ovulation, the possibility of pregnancy is there. If you had intercourse within 24 hours or before 24 hours of ovulation, the chance of pregnancy is more. Start taking folic acid prophylaxis from now onwards. And if you miss the expected date of periods, go for pregnancy test once. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor.
in sep 2012 i had undergone a root canal in my lower molar tooth..everything went well.. bt in march 2013 i noticed an abscess lump on the side of the root canal treated , (gum ) the pain was agonizing and then i conslted a dentist, he prescribed sme anti biotics, n pain killers ,, i had them for almost a week n now d pain is gone . the lump is also gone.. bt now i have a hard swelling right there on rct treated tooth,, the swelling feels in d bone n its is nt painful bt is tender,,, is it dangerous ...?? wt shud i do ?? am i d first one to experience this problm??	Hi, Thanks for asking the query, Tooth pain along with swelling indicates infection of the tooth that had spread to the periapical tissues leading to formation of abscess. After successful root canal treatment the tooth is completely devitalized, so there are no chances of pain and infection. I would suggest you to visit to the concerned Dentist take an x-ray of the tooth, depending upon which the treatment will be extraction or reject. Start with tab Amoxiclav and tab Aerosol twice for three days. Take lukewarm saline gargles 3-4 times and antiseptic mouthwash gargles twice daily. Hope this helps out. 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: in sep 2012 i had undergone a root canal in my lower molar tooth..everything went well.. bt in march 2013 i noticed an abscess lump on the side of the root canal treated , (gum ) the pain was agonizing and then i conslted a dentist, he prescribed sme anti biotics, n pain killers ,, i had them for almost a week n now d pain is gone . the lump is also gone.. bt now i have a hard swelling right there on rct treated tooth,, the swelling feels in d bone n its is nt painful bt is tender,,, is it dangerous ...?? wt shud i do ?? am i d first one to experience this problm?? ### Answer: Hi, Thanks for asking the query, Tooth pain along with swelling indicates infection of the tooth that had spread to the periapical tissues leading to formation of abscess. After successful root canal treatment the tooth is completely devitalized, so there are no chances of pain and infection. I would suggest you to visit to the concerned Dentist take an x-ray of the tooth, depending upon which the treatment will be extraction or reject. Start with tab Amoxiclav and tab Aerosol twice for three days. Take lukewarm saline gargles 3-4 times and antiseptic mouthwash gargles twice daily. Hope this helps out. Regards....
sir,i have a female patient 45 yrs old, who presentd with altered mental status and generalized tonic clonic fits . her CT SCAN showed a hypodense area in rt parietal lobe . post contrast findings were similar to plain scan. Radiologist labelled that hypodense area as CSF GLIOSIS . plz explain what is this disase and what is its treatment.	Hi, First generalized tonic-clonic seizures and altered mental state is a medical emergency. She should be in intensive care unit for stabilization. Gloss is a proliferation of astrocytes (type of non-neural brain cells) in damaged areas of the central nervous system (CNS). It does not indicate cause of problem. For treatment, she should be stabilized, treated for seizures, monitored for sensorial, investigated for cause of lesion and treated according to cause. I hope this information has been both informative and helpful for 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: sir,i have a female patient 45 yrs old, who presentd with altered mental status and generalized tonic clonic fits . her CT SCAN showed a hypodense area in rt parietal lobe . post contrast findings were similar to plain scan. Radiologist labelled that hypodense area as CSF GLIOSIS . plz explain what is this disase and what is its treatment. ### Answer: Hi, First generalized tonic-clonic seizures and altered mental state is a medical emergency. She should be in intensive care unit for stabilization. Gloss is a proliferation of astrocytes (type of non-neural brain cells) in damaged areas of the central nervous system (CNS). It does not indicate cause of problem. For treatment, she should be stabilized, treated for seizures, monitored for sensorial, investigated for cause of lesion and treated according to cause. I hope this information has been both informative and helpful for you. Wish you Good Health.
I was wondering if you can help me I have been having a dizzy problem for 3 years and its not going away and I have had the dizziness since the victoria long weekend of last year and now I cant get rid of it like I feel it when I bend down for a long time and some stores can flare it up and I have had an MRI that came up clear and I have had an ENG and the guy who did it thought he might have something but my father thought our family doctor wouldnt want me to do the one test and the guy said I would need treatment and I was wondering do any of the doctors who are seeing this know what this problem is and what the treatment is for it. From Laura McIntyre	Hello Thanks for writing to ChatDoctorConstant dizziness may be due to many reasons like hypertension, cervical spondylosis, internal ear problem etc. You need clinical correlation and few investigations. You need investigations like routine hologram, random blood sugar, lipid profile, cervical spine X-ray AP/Lateral. Further investigations MRI (internal ear)can be done if needed. Proper treatment depend upon clinical findings and investigation reports. Hope I have answered your query. Get well soon. 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 wondering if you can help me I have been having a dizzy problem for 3 years and its not going away and I have had the dizziness since the victoria long weekend of last year and now I cant get rid of it like I feel it when I bend down for a long time and some stores can flare it up and I have had an MRI that came up clear and I have had an ENG and the guy who did it thought he might have something but my father thought our family doctor wouldnt want me to do the one test and the guy said I would need treatment and I was wondering do any of the doctors who are seeing this know what this problem is and what the treatment is for it. From Laura McIntyre ### Answer: Hello Thanks for writing to ChatDoctorConstant dizziness may be due to many reasons like hypertension, cervical spondylosis, internal ear problem etc. You need clinical correlation and few investigations. You need investigations like routine hologram, random blood sugar, lipid profile, cervical spine X-ray AP/Lateral. Further investigations MRI (internal ear)can be done if needed. Proper treatment depend upon clinical findings and investigation reports. Hope I have answered your query. Get well soon. Take Care Chat Doctor.
I have been feeling weird, for a little bit now. Every time I try and go to sleep I lay down, then feel all of a sudden like I m getting liteheaded and like I m going to die. It doesn t feel like my usual panic attacks, and it happens very offten. I even start to get tunnel vision, and feel a sharp pain in my stomach. I want to be sure if I should got to the hospital for this and what it might be.	Hello Nicoletta, There is no doubt in my mind that you need to go to a hospital ASAP and get yourself assessed. Yes, it could be a panic attack; some of your symptoms are certainly suggestive of a panic attack. However, a panic disorder is diagnosed only after ruling out other medical causes of the symptoms. In your case, there could be an endocrine (hormonal) or cardiac cause of your symptoms, or it could be something else. It will require assessment by a medical specialist and some investigations before an organic cause can either be diagnosed or ruled out. Saiph	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 been feeling weird, for a little bit now. Every time I try and go to sleep I lay down, then feel all of a sudden like I m getting liteheaded and like I m going to die. It doesn t feel like my usual panic attacks, and it happens very offten. I even start to get tunnel vision, and feel a sharp pain in my stomach. I want to be sure if I should got to the hospital for this and what it might be. ### Answer: Hello Nicoletta, There is no doubt in my mind that you need to go to a hospital ASAP and get yourself assessed. Yes, it could be a panic attack; some of your symptoms are certainly suggestive of a panic attack. However, a panic disorder is diagnosed only after ruling out other medical causes of the symptoms. In your case, there could be an endocrine (hormonal) or cardiac cause of your symptoms, or it could be something else. It will require assessment by a medical specialist and some investigations before an organic cause can either be diagnosed or ruled out. Saiph
Dear sir,My name is amit gupta. i am 37 yers old male. now a days i am feeling following problems with me. kindly advice me what to do?1 my memory is very now. i cant remember even 24 hrs back events2 my concentration has become very poor. when i read a book or any written paper i feel very difficulty to read it. i can see the words but the words did not impact on my mind. i can see the page but after lot of concentration i am able to read it3 some time i can see the things in front of my eye but it takes time to understand what this thing isall these kind of problems effecting adversely on my personal as well as professional life. you requested to advice me doctor so that i can feel relax	Dear friend,I am	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: Dear sir,My name is amit gupta. i am 37 yers old male. now a days i am feeling following problems with me. kindly advice me what to do?1 my memory is very now. i cant remember even 24 hrs back events2 my concentration has become very poor. when i read a book or any written paper i feel very difficulty to read it. i can see the words but the words did not impact on my mind. i can see the page but after lot of concentration i am able to read it3 some time i can see the things in front of my eye but it takes time to understand what this thing isall these kind of problems effecting adversely on my personal as well as professional life. you requested to advice me doctor so that i can feel relax ### Answer: Dear friend,I am
I have a 21 year old son who was born at 31 weeks (no complications - steroids administered prior to birth - 30 mins oxygen after birth) Home from hospital after 5 weeks. Suffered from acne at 17 took a course of roaccutane. Wisdom teeth removed at 19 years old. 194cm and 100kg. Doesnt smoke or take drugs. Goes clubbing/Drinks one weekend out of 4. Goes to the gym 3 to 4 times a week for weight training (not cardio) Takes pre work out stuff and has a protein shake after the gym. The problem we have is that he has suffered from a chronic dry cough for approximately 3 years. It is a deep cough that often gives him a headache. He has seen a GP and had tests for asthma, infections, blood tests etc - nothing unusual was picked up. Im not sure what to do next. Do you have an advice??	thanks for your query can feel your concern sit seems to be an allergic coughs it seasonal?take antiallergic and mast cell stabilizer like montelukast after consulting your doctor advise using a mask especially when go outlive him green tea and honey steam inhalation also improve symptoms avoid cold and soft 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 have a 21 year old son who was born at 31 weeks (no complications - steroids administered prior to birth - 30 mins oxygen after birth) Home from hospital after 5 weeks. Suffered from acne at 17 took a course of roaccutane. Wisdom teeth removed at 19 years old. 194cm and 100kg. Doesnt smoke or take drugs. Goes clubbing/Drinks one weekend out of 4. Goes to the gym 3 to 4 times a week for weight training (not cardio) Takes pre work out stuff and has a protein shake after the gym. The problem we have is that he has suffered from a chronic dry cough for approximately 3 years. It is a deep cough that often gives him a headache. He has seen a GP and had tests for asthma, infections, blood tests etc - nothing unusual was picked up. Im not sure what to do next. Do you have an advice?? ### Answer: thanks for your query can feel your concern sit seems to be an allergic coughs it seasonal?take antiallergic and mast cell stabilizer like montelukast after consulting your doctor advise using a mask especially when go outlive him green tea and honey steam inhalation also improve symptoms avoid cold and soft Chat Doctor.
My toe next to my big toe is red and irritated. It felt this way 6 months ago and then my toe nail went completely black and has not gotten normal. While I was walking today this pain started again. It maybe that it is raw from my 6 mile walk. I thought the black nail was from me excercising in sneakers with too long a toe nail and it bruised my toe bed. BUT That Does NOT Seem so.	Hi, thank you for providing the brief history of you. A thorough clinical musculoskeletal examination is advised. I will advise you to check your Blood glucose levels. Also, such discoloration of the skin occurs due to venous insufficiency and can be corrected by thorough examination. RegardsJay In 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 toe next to my big toe is red and irritated. It felt this way 6 months ago and then my toe nail went completely black and has not gotten normal. While I was walking today this pain started again. It maybe that it is raw from my 6 mile walk. I thought the black nail was from me excercising in sneakers with too long a toe nail and it bruised my toe bed. BUT That Does NOT Seem so. ### Answer: Hi, thank you for providing the brief history of you. A thorough clinical musculoskeletal examination is advised. I will advise you to check your Blood glucose levels. Also, such discoloration of the skin occurs due to venous insufficiency and can be corrected by thorough examination. RegardsJay In Chat Doctor.
My friend sent me a list of the following symptoms that she has: fever shaking cause im cold hurts to move cause im frozen puking headache stuffed up nose throat hurts ribs hurt belly hurts i have electric shocks trough my body eyes hurt hurts everywhere. even my feetshe said she also has yellow saliva.Any idea what this is?	Hi thanks for asking question. Here mostly your friend suffering from acute infection. Mostly acute sore throat. Yellow saliva can be due to exhaled cough that might give yellow color. Here better to do investigation for CBC and X RAY CHEST first for preliminary work up. If in CBC total count high with necrophilia acute bacterial infection most likely, for that antibiotic has to be taken. It is better to start antibiotic prophylactically even though it comes viral infection by elevated lymphocytes in CBC. Possibilities of pneumonia less, but x-ray will rule out it whether any consolidation or pleural effusion present or not.Meanwhile, maintain your immunity with more water, fruits and healthy diet. I hope my suggestion will help you. If still problem then further investigation is done.	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 friend sent me a list of the following symptoms that she has: fever shaking cause im cold hurts to move cause im frozen puking headache stuffed up nose throat hurts ribs hurt belly hurts i have electric shocks trough my body eyes hurt hurts everywhere. even my feetshe said she also has yellow saliva.Any idea what this is? ### Answer: Hi thanks for asking question. Here mostly your friend suffering from acute infection. Mostly acute sore throat. Yellow saliva can be due to exhaled cough that might give yellow color. Here better to do investigation for CBC and X RAY CHEST first for preliminary work up. If in CBC total count high with necrophilia acute bacterial infection most likely, for that antibiotic has to be taken. It is better to start antibiotic prophylactically even though it comes viral infection by elevated lymphocytes in CBC. Possibilities of pneumonia less, but x-ray will rule out it whether any consolidation or pleural effusion present or not.Meanwhile, maintain your immunity with more water, fruits and healthy diet. I hope my suggestion will help you. If still problem then further investigation is done.
I am a heart transplant patient (8 yrs). I thought I had a heart attack about a month ago, called the paramedics, went to ER, spent overnight in hospital. I had 5 before transplant and this seemed very much like the previous ones except the paramedics gave me 4 aspirins in transit. However, since there was no significant change in cardiac enzymes, thjy said no. I am still very weak, feel fatigued, and it changed my vision to the point of needing new glasses. What should I do?	Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. Your symptoms DO NOT sound like that of anything related to heart problem, plus you underwent a complete checkup and no heart issues were detected so in my opinion you should not worry about heart anymore. Now coming to your active issues that is fatigue and change of vision. Yes heart issues can cause fatigue, but it CAN NOT cause change in vision, as we have already ruled out heart issues so this fatigue and change of vision is because of something else. After a transplant the patient does take high potency immune suppressant medication which keeps you protected from heart damage, these immune suppressants have multiple side effects fatigue and damage to eyes is very common among them, you are probably suffering from those side effects. I would advise you not to panic about the heart issues but visit your doctor to discuss possible causes of fatigue and eye site problems other than the heart. I hope this answered your question, If you have more queries I am happy to answer you. 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: I am a heart transplant patient (8 yrs). I thought I had a heart attack about a month ago, called the paramedics, went to ER, spent overnight in hospital. I had 5 before transplant and this seemed very much like the previous ones except the paramedics gave me 4 aspirins in transit. However, since there was no significant change in cardiac enzymes, thjy said no. I am still very weak, feel fatigued, and it changed my vision to the point of needing new glasses. What should I do? ### Answer: Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. Your symptoms DO NOT sound like that of anything related to heart problem, plus you underwent a complete checkup and no heart issues were detected so in my opinion you should not worry about heart anymore. Now coming to your active issues that is fatigue and change of vision. Yes heart issues can cause fatigue, but it CAN NOT cause change in vision, as we have already ruled out heart issues so this fatigue and change of vision is because of something else. After a transplant the patient does take high potency immune suppressant medication which keeps you protected from heart damage, these immune suppressants have multiple side effects fatigue and damage to eyes is very common among them, you are probably suffering from those side effects. I would advise you not to panic about the heart issues but visit your doctor to discuss possible causes of fatigue and eye site problems other than the heart. I hope this answered your question, If you have more queries I am happy to answer you. Regards.
i want to know the use of oligocare and fertyl M as i am prescribed by two urologist, one prescribed oligocare and another Dr. Prescribed Fertyl M along oligocare for the Low sperm count (40 million/ml, low motility (60%), low rapid progressive (10%)) Thanks for your suggestion.	Hello, The medicines you have mentioned are prescribed mainly for patients with low sperm count who are trying to conceive and are unable to because of low sperm count. I would suggest you to follow your doctors' advice on intake of the medicines as per the prescription for better results. As these medicines are prescribed after careful evaluation of the patient. If you have doubts then you can have a conversation with your doctor on your next appointment. Hope this helps. Feel free to contact for any further queries in the future.	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 want to know the use of oligocare and fertyl M as i am prescribed by two urologist, one prescribed oligocare and another Dr. Prescribed Fertyl M along oligocare for the Low sperm count (40 million/ml, low motility (60%), low rapid progressive (10%)) Thanks for your suggestion. ### Answer: Hello, The medicines you have mentioned are prescribed mainly for patients with low sperm count who are trying to conceive and are unable to because of low sperm count. I would suggest you to follow your doctors' advice on intake of the medicines as per the prescription for better results. As these medicines are prescribed after careful evaluation of the patient. If you have doubts then you can have a conversation with your doctor on your next appointment. Hope this helps. Feel free to contact for any further queries in the future.
Hello I have been diagonsed with an umbilical hernia. It has been going on for 2 months now. Would this make my groin area cramp and be in pain? It makes it hard to walk most of the time.	Welcome to Chat Doctor grown[lower abdominal]cramps, pain may be due to hernia if bowel loops are there in the umbilical hernia when there is obstruction in the free flow of intestinal contents due to hernia intestinal comics will give rise to the symptoms as described consult surgeon and follow advice .it will require surgery hope you be alright soon	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 I have been diagonsed with an umbilical hernia. It has been going on for 2 months now. Would this make my groin area cramp and be in pain? It makes it hard to walk most of the time. ### Answer: Welcome to Chat Doctor grown[lower abdominal]cramps, pain may be due to hernia if bowel loops are there in the umbilical hernia when there is obstruction in the free flow of intestinal contents due to hernia intestinal comics will give rise to the symptoms as described consult surgeon and follow advice .it will require surgery hope you be alright soon
I am experiencing unexplainable bruising on arms and lower legs. Took an antibiotic for a sinus infection had a stomach issue and a yeast infection as a result. That was 10 days ago and I counties to see new bruises. These may not be related but thought I should mention it.	Hello, You need some blood tests done to determine if there is a problem with your blood coagulation (clotting) system. See your doctor as soon as possible. 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: I am experiencing unexplainable bruising on arms and lower legs. Took an antibiotic for a sinus infection had a stomach issue and a yeast infection as a result. That was 10 days ago and I counties to see new bruises. These may not be related but thought I should mention it. ### Answer: Hello, You need some blood tests done to determine if there is a problem with your blood coagulation (clotting) system. See your doctor as soon as possible. Regards
my two year old daughter is coming down from a bad cold and just recently she started complaining about her mouth hurting so i looked and saw some white bumps on the inside of her lip and her gums look red and swolen. could this just be a side affect from the cold or somthing more serious? thank you.	Hi... Welcome to Chat Doctor ... I have gone through your query and can understand your concerns. As per your complaint you daughter seems to be suffering from Viral Infection causing the above described symptoms and the condition is known as HEPATIC GINGIVOSTOMATITIS in which there can be symptoms of cold and blisters in mouth and gums with swollen gums and there can also be fever. You should consult a physician and get him evaluated. In case if the Viral Infection is diagnosed you should give him Tylenol or Motrin for pain relief. Do cool compresses over gums for relief from Inflammation and reduction in swelling. In case of pain in the sores on tongue a numbing gel like Ora gel can be applied. In severe cases antiviral Oral and topical Medication like Acyclovir therapy is given to the patient to reduce the duration of illness... Give him cool and bland diet. Give him sufficient rest. Maintain a good Oral hygiene and brush his teeth twice a day using an ultra soft toothbrush. Hope this information helps. Thanks and 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: my two year old daughter is coming down from a bad cold and just recently she started complaining about her mouth hurting so i looked and saw some white bumps on the inside of her lip and her gums look red and swolen. could this just be a side affect from the cold or somthing more serious? thank you. ### Answer: Hi... Welcome to Chat Doctor ... I have gone through your query and can understand your concerns. As per your complaint you daughter seems to be suffering from Viral Infection causing the above described symptoms and the condition is known as HEPATIC GINGIVOSTOMATITIS in which there can be symptoms of cold and blisters in mouth and gums with swollen gums and there can also be fever. You should consult a physician and get him evaluated. In case if the Viral Infection is diagnosed you should give him Tylenol or Motrin for pain relief. Do cool compresses over gums for relief from Inflammation and reduction in swelling. In case of pain in the sores on tongue a numbing gel like Ora gel can be applied. In severe cases antiviral Oral and topical Medication like Acyclovir therapy is given to the patient to reduce the duration of illness... Give him cool and bland diet. Give him sufficient rest. Maintain a good Oral hygiene and brush his teeth twice a day using an ultra soft toothbrush. Hope this information helps. Thanks and regards. Chat Doctor. .
there is a knot right below my shoulderblades on the right side of my spine it feels like a hard ball a little smaller than a marble. I ve had back pain after i jarred my back about a year ago and its caused. pain near the said area. ever since. the jarring. what could it be	Hi, thank you for providing the brief history of you. A thorough clinical examination is advised. As you have pain under the shoulder blade, it looks more of a muscle spasm and posture correction. Due to abnormal posture there will be a possibility of inter scapular muscle spasm leading to knots. Treatment:Physical therapy in my clinical practice has been helpful to many of patients. Physical therapy includes - therapeutic ultrasound therapy, TENS therapy and exercises. Regards Jay In 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: there is a knot right below my shoulderblades on the right side of my spine it feels like a hard ball a little smaller than a marble. I ve had back pain after i jarred my back about a year ago and its caused. pain near the said area. ever since. the jarring. what could it be ### Answer: Hi, thank you for providing the brief history of you. A thorough clinical examination is advised. As you have pain under the shoulder blade, it looks more of a muscle spasm and posture correction. Due to abnormal posture there will be a possibility of inter scapular muscle spasm leading to knots. Treatment:Physical therapy in my clinical practice has been helpful to many of patients. Physical therapy includes - therapeutic ultrasound therapy, TENS therapy and exercises. Regards Jay In Chat Doctor.
ALT showed higher than normal in two previous analysis; the first was in June 2010 and it was 62. The second was around 10 days ago and it was 97. I went to another lab yesterday and had Bilirubin total (0.72), AST (25), ALT (49), Albumin (4.20), and LDH (199) which are all in normal ranges. Except GGT which was 128 and marked as high. After the second analysys of the ALT (10 days ago) the doctor prescribed a medicine called "Essential Forte" which contains phospholipids from soy beans (he said it was a fatty liver after seeing ALT scoring 97). Currently I am suffering from a bad cold, sore throught, had swallow and thick saliva in my mough as well as phlegm. I fee fatigue and always want to sleep. Could this be ChatDoctorV related or is it liver related?	Hi thanks for contacting Chat Doctor... You had elevated liver enzymes in the past. So it could be liver related problem. Like fatty liver or gall stone etc.... Or it could be by cytomegalovirus like infection.... Just now treat your flu like infection symptomatically.... More water. Steam inhalation useful... Take decongestant like oxymetazoline and cetirizine.... Humidifier can be used for cold climate. Take amoxyclav antibiotic... If after few days liver enzymes elevated then USG abdomen and viral marker study and LFT profile done for diagnosis liver pathology.... 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: ALT showed higher than normal in two previous analysis; the first was in June 2010 and it was 62. The second was around 10 days ago and it was 97. I went to another lab yesterday and had Bilirubin total (0.72), AST (25), ALT (49), Albumin (4.20), and LDH (199) which are all in normal ranges. Except GGT which was 128 and marked as high. After the second analysys of the ALT (10 days ago) the doctor prescribed a medicine called "Essential Forte" which contains phospholipids from soy beans (he said it was a fatty liver after seeing ALT scoring 97). Currently I am suffering from a bad cold, sore throught, had swallow and thick saliva in my mough as well as phlegm. I fee fatigue and always want to sleep. Could this be ChatDoctorV related or is it liver related? ### Answer: Hi thanks for contacting Chat Doctor... You had elevated liver enzymes in the past. So it could be liver related problem. Like fatty liver or gall stone etc.... Or it could be by cytomegalovirus like infection.... Just now treat your flu like infection symptomatically.... More water. Steam inhalation useful... Take decongestant like oxymetazoline and cetirizine.... Humidifier can be used for cold climate. Take amoxyclav antibiotic... If after few days liver enzymes elevated then USG abdomen and viral marker study and LFT profile done for diagnosis liver pathology.... Take care Chat Doctor.
My 11 week old is very hard to wind (burp) whilst feeding. She is formula fed and I have noticed this problem only over last week or so. She is not really in any pain or crying but just refusing her bottle after taking small amounts. I have tried wind drops, but not much help. Around her mouth area is blue so I know it is a wind problem.	Dear parent, at times it's difficult for child to take out burp. You need to be patient. At times, it may take 20-30 minutes as well. After one burp if the child refuses to feed then put him in on stomach. That way it is easier for him to take out extra wind easily. Make sure that his bed is not too fluffy, it should be firm. Child will turn his head for breathing in the most comfortable position. If this does not help, please check with a pediatrician and change the formula.	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 11 week old is very hard to wind (burp) whilst feeding. She is formula fed and I have noticed this problem only over last week or so. She is not really in any pain or crying but just refusing her bottle after taking small amounts. I have tried wind drops, but not much help. Around her mouth area is blue so I know it is a wind problem. ### Answer: Dear parent, at times it's difficult for child to take out burp. You need to be patient. At times, it may take 20-30 minutes as well. After one burp if the child refuses to feed then put him in on stomach. That way it is easier for him to take out extra wind easily. Make sure that his bed is not too fluffy, it should be firm. Child will turn his head for breathing in the most comfortable position. If this does not help, please check with a pediatrician and change the formula.
i am a 27 yr old African american woman who was diagnosed with lichen planus about 4 years ago. it has been treated and i have not had a flare up (thank God)... but i am left with hyperpigmentaton that cover my entire body excluding my face. i have tired every bleaching product available, over the counter and prescribed. i have been tanning and nothing seems to really work. i do have fair skin so the marks are very noticeable. if there is something you can suggest to help or get rid of the hyperpigmentation please advise. Thank you!	Hi Clark, Thanks for writing in. You seem to have postinflammatory hyperpigmentation. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements. As the area of pigmentation is large some internal medication should be taken and external treatment would be of little use. Glutathione supplements are available as capsule and injections they can be very useful. You need to consult a dermatologist as dermatology being a visual field, the treatment required can only be suggested after proper skin examination. Some procedure can be helpful like dermabrasion. 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 am a 27 yr old African american woman who was diagnosed with lichen planus about 4 years ago. it has been treated and i have not had a flare up (thank God)... but i am left with hyperpigmentaton that cover my entire body excluding my face. i have tired every bleaching product available, over the counter and prescribed. i have been tanning and nothing seems to really work. i do have fair skin so the marks are very noticeable. if there is something you can suggest to help or get rid of the hyperpigmentation please advise. Thank you! ### Answer: Hi Clark, Thanks for writing in. You seem to have postinflammatory hyperpigmentation. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements. As the area of pigmentation is large some internal medication should be taken and external treatment would be of little use. Glutathione supplements are available as capsule and injections they can be very useful. You need to consult a dermatologist as dermatology being a visual field, the treatment required can only be suggested after proper skin examination. Some procedure can be helpful like dermabrasion. Take care. Chat Doctor.
My 11 year old woke up with hives on his torso and spread though out his body and today I took him to see his Dr and he has strept throat now his on medication Could his strep had cause his hives? Is just scary the way the hive just spread all over his body.	A strep throat is a bacterial infection of the throat (pharynx), tonsils or both caused by the bacteria group a streptococcus. Unfortunately common usage has deteriorated to mean sore throat in general. This is inaccurate. Many more viruses cause sore throats than streptococcal bacteria. Fever & sore throat for more than 2 days without cold symptoms suggests possible strep. A culture is the best diagnostic test. Hives (also called urticaria) are a common skin reaction in child Chat Doctor. The shape of these bumps can vary, and their size can range from about one-half inch to several inches in diameter. The larger wheals often have pale centers. In most cases, hives are caused by allergies. Foods like shellfish, milk, peanuts, or chocolate can trigger them. So can insect bites or	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 11 year old woke up with hives on his torso and spread though out his body and today I took him to see his Dr and he has strept throat now his on medication Could his strep had cause his hives? Is just scary the way the hive just spread all over his body. ### Answer: A strep throat is a bacterial infection of the throat (pharynx), tonsils or both caused by the bacteria group a streptococcus. Unfortunately common usage has deteriorated to mean sore throat in general. This is inaccurate. Many more viruses cause sore throats than streptococcal bacteria. Fever & sore throat for more than 2 days without cold symptoms suggests possible strep. A culture is the best diagnostic test. Hives (also called urticaria) are a common skin reaction in child Chat Doctor. The shape of these bumps can vary, and their size can range from about one-half inch to several inches in diameter. The larger wheals often have pale centers. In most cases, hives are caused by allergies. Foods like shellfish, milk, peanuts, or chocolate can trigger them. So can insect bites or
My dad is 75 and his dr put him on citaloptram HBO and since he started it two weeks ago he us almost a zombie. Past history- stroke 2 yes sago with some balancing issues and 2 small Tia s in last 2 months. Also has him on two blood pressure medications. Will the anti depressant medication have this effect on him. He wasn t like this before	His had gone through your jury. It is not due to antidepressant. Antidepressants do not have such problem. It may arise either due to 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 dad is 75 and his dr put him on citaloptram HBO and since he started it two weeks ago he us almost a zombie. Past history- stroke 2 yes sago with some balancing issues and 2 small Tia s in last 2 months. Also has him on two blood pressure medications. Will the anti depressant medication have this effect on him. He wasn t like this before ### Answer: His had gone through your jury. It is not due to antidepressant. Antidepressants do not have such problem. It may arise either due to Chat Doctor.
Hi. Ive been on a low dose bc pill for a few months now after switching from the IUD. All periods have been normal until this month. No period. Its several days late now, I start my active pills again today. Ive had lots of cramping for the last two weeks and nausea off and on for the last 2-3 days. Home pregnancy test was negative...? I know there were a few days I took my pill later than usual by a few hours. Not sure what to think.	Hi, Thanks for sharing your health concern with us. Since you have switched over to oral contraception, you have to use additional protection during the initial couple of months to avoid failure due to breakthrough ovulation. Since you are a few months into the pill, your hormone milieu should have settled by now. A few hours delay in the pill intake should not affect much. This delayed period is hence, of significance. Your symptoms are also suggestive of a possible pregnancy. Home pregnancy tests read well when performed 3-7 days after the missed period with a fresh early morning sample of urine. Since you have to start the active pills now, it is better to exclude/confirm pregnancy through the blood test and plan further management. 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: Hi. Ive been on a low dose bc pill for a few months now after switching from the IUD. All periods have been normal until this month. No period. Its several days late now, I start my active pills again today. Ive had lots of cramping for the last two weeks and nausea off and on for the last 2-3 days. Home pregnancy test was negative...? I know there were a few days I took my pill later than usual by a few hours. Not sure what to think. ### Answer: Hi, Thanks for sharing your health concern with us. Since you have switched over to oral contraception, you have to use additional protection during the initial couple of months to avoid failure due to breakthrough ovulation. Since you are a few months into the pill, your hormone milieu should have settled by now. A few hours delay in the pill intake should not affect much. This delayed period is hence, of significance. Your symptoms are also suggestive of a possible pregnancy. Home pregnancy tests read well when performed 3-7 days after the missed period with a fresh early morning sample of urine. Since you have to start the active pills now, it is better to exclude/confirm pregnancy through the blood test and plan further management. Hope this helps.
got off period friday, since then 5 days straight ive had a horrible stomach ache, like knots twisting n turning, taken pepto, no other symptoms? not like cramps at all, just a horrible stomach ache, mostly in the middle, nothing down low?	Hi Stephanie, You should take an antispasmodic and a good antacid. If the pain still persists then go for an ultrasound. Best wishes, 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: got off period friday, since then 5 days straight ive had a horrible stomach ache, like knots twisting n turning, taken pepto, no other symptoms? not like cramps at all, just a horrible stomach ache, mostly in the middle, nothing down low? ### Answer: Hi Stephanie, You should take an antispasmodic and a good antacid. If the pain still persists then go for an ultrasound. Best wishes, Take care
My friend had a picc line in his left arm to drip antibiotics onto his heart. It has been 7 years since he had it and now he is experiencing numbness in this arm and its been about 2 to 3 weeks. Could this be related to the picc line? What other reasons would he be having numbness in his arm?	Probably not. There are many reasons for numbness in the arm most commonly entrapment of the nerves at the elbow or wrist from repetitive motion such as typing on a keyboard or lifting things for a job. Also pinched nerves in the neck can do, but usually this is associated with pain first. A neurologist could sort it out for him. The treatment depends on the cause	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 friend had a picc line in his left arm to drip antibiotics onto his heart. It has been 7 years since he had it and now he is experiencing numbness in this arm and its been about 2 to 3 weeks. Could this be related to the picc line? What other reasons would he be having numbness in his arm? ### Answer: Probably not. There are many reasons for numbness in the arm most commonly entrapment of the nerves at the elbow or wrist from repetitive motion such as typing on a keyboard or lifting things for a job. Also pinched nerves in the neck can do, but usually this is associated with pain first. A neurologist could sort it out for him. The treatment depends on the cause
Hello! I read this am that Paxil may cause Breast Cancer. I have never had an issue with Breast cancer,however I was diagnosed with Paratoid salivary gland cancer 5 years ago, Stage 2, I was operated on and the surgery removed the tumor. I had 33 rounds of radiation at Beaumont Hospital. No chemotherapy. I still take a low dose of Paxil for Depression, I have taked it since 2005 the smallest dose possible. I table in the am. Should I continue taking the Paxil ?	There are no studies that antidepressants can cause breast cancer. No evidence that Pail can cause breast cancer or any other cancer. You can continue taking the 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! I read this am that Paxil may cause Breast Cancer. I have never had an issue with Breast cancer,however I was diagnosed with Paratoid salivary gland cancer 5 years ago, Stage 2, I was operated on and the surgery removed the tumor. I had 33 rounds of radiation at Beaumont Hospital. No chemotherapy. I still take a low dose of Paxil for Depression, I have taked it since 2005 the smallest dose possible. I table in the am. Should I continue taking the Paxil ? ### Answer: There are no studies that antidepressants can cause breast cancer. No evidence that Pail can cause breast cancer or any other cancer. You can continue taking the Chat Doctor.
norethisterone 5mg. when will i ovulate and become pregnant . please help norethisterone 5mg. when will i ovulate and become pregnant, please help in april i was given norethisterone 5mg tablets to get my periods started after having a baby. i only took a few out of the pack and my period came. Then i had a period 29th may which seemed normal. i am trying to get pregnant and i am hoping i will concieve this month( june) is there anyway that i wont ovulate and get pregant due to taking them tablets in april, please help i am so worried now.	Welcome to Chat Doctor tab take in previous cycle will not have effect in this cycle ovulation does not occur every month if you are for pregnancy and worried about it, you may consult gynecologist and take medicines to increase the chance of pregnancy there are medicines which increase the chance of ovulation and chance of pregnancy for pregnancy to occur husbands reports are to be normal also	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: norethisterone 5mg. when will i ovulate and become pregnant . please help norethisterone 5mg. when will i ovulate and become pregnant, please help in april i was given norethisterone 5mg tablets to get my periods started after having a baby. i only took a few out of the pack and my period came. Then i had a period 29th may which seemed normal. i am trying to get pregnant and i am hoping i will concieve this month( june) is there anyway that i wont ovulate and get pregant due to taking them tablets in april, please help i am so worried now. ### Answer: Welcome to Chat Doctor tab take in previous cycle will not have effect in this cycle ovulation does not occur every month if you are for pregnancy and worried about it, you may consult gynecologist and take medicines to increase the chance of pregnancy there are medicines which increase the chance of ovulation and chance of pregnancy for pregnancy to occur husbands reports are to be normal also
I am 16 and i had an ipill a few days ago.. Is it healthy, i mean safe to have them at this age? as i remmember ononce when i was 13 i slipped in my mothers ipill in place of antibiotic.. I dont remember getting any side effect as yet but would it cause problem latet in life or something	Hi, The pill is generally safe however it may cause nausea, vomiting, fatigue, headache, breast tenderness, lower abdominal pains, irregular or heavier menstrual bleeding and delayed periods. Hope I have answered your query. Let me know if I can assist you further. 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 16 and i had an ipill a few days ago.. Is it healthy, i mean safe to have them at this age? as i remmember ononce when i was 13 i slipped in my mothers ipill in place of antibiotic.. I dont remember getting any side effect as yet but would it cause problem latet in life or something ### Answer: Hi, The pill is generally safe however it may cause nausea, vomiting, fatigue, headache, breast tenderness, lower abdominal pains, irregular or heavier menstrual bleeding and delayed periods. Hope I have answered your query. Let me know if I can assist you further. Take care
i have woken up today with quite severe knee pain. I was flying yesturday on a 7 hour flight and today am in quite a lot of pain in my right knee. I am struggling to walk or climb stairs and feel like my leg will collapse under me at any point. Can you help. I suffered with growing pains in my knees when i was a teenager. I exercise although not too much as if i run too much without at least a days break between then my knees also hurt. I sometimes hear a cracking noise from my knees when i stand after sitting down although this is not painful	Hi, Knee pain could be due to any ligament, tendon, meniscus injury or autoimmune / inflammatory condition like arthritis etc. But the one with cracking or popping sounds in or around the knee joints could be a sign of emerging osteoarthritis. With this feature, age, gender, weight should also be considered as it might increase the risk of arthritis. I advise you to:- Do X-ray both knees-Analgesics like Tab. Ibuprofen or Diclofenac + Ice pack + Regular exercises- Intra-articular glucocorticoids if pain and swelling persists even after using analgesics- Charon Chat Doctor. Hope I have answered your question. 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 woken up today with quite severe knee pain. I was flying yesturday on a 7 hour flight and today am in quite a lot of pain in my right knee. I am struggling to walk or climb stairs and feel like my leg will collapse under me at any point. Can you help. I suffered with growing pains in my knees when i was a teenager. I exercise although not too much as if i run too much without at least a days break between then my knees also hurt. I sometimes hear a cracking noise from my knees when i stand after sitting down although this is not painful ### Answer: Hi, Knee pain could be due to any ligament, tendon, meniscus injury or autoimmune / inflammatory condition like arthritis etc. But the one with cracking or popping sounds in or around the knee joints could be a sign of emerging osteoarthritis. With this feature, age, gender, weight should also be considered as it might increase the risk of arthritis. I advise you to:- Do X-ray both knees-Analgesics like Tab. Ibuprofen or Diclofenac + Ice pack + Regular exercises- Intra-articular glucocorticoids if pain and swelling persists even after using analgesics- Charon Chat Doctor. Hope I have answered your question. Let me know if I can assist you further.
I have unwanted thoughts recurring frequently. Ex: I may die young , If I workout too hard my heart may stop ; If I get to stressed my blood pressure will raise , when the night starts to fall, I will become tense . These happen unexpectedely and are, at times, very recurrent. At other times not as much. What may I be facing here??? Thank you	HIT hanks for using Chat Doctor Some time due to underline depression, few patients have obsessive thoughts, maybe you have the same. In that case, you should consult a psychiatrist you get your mental status examination done. You need antidepressant to control underline depression and these thoughts. In case, you need my help you can consult me. 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 have unwanted thoughts recurring frequently. Ex: I may die young , If I workout too hard my heart may stop ; If I get to stressed my blood pressure will raise , when the night starts to fall, I will become tense . These happen unexpectedely and are, at times, very recurrent. At other times not as much. What may I be facing here??? Thank you ### Answer: HIT hanks for using Chat Doctor Some time due to underline depression, few patients have obsessive thoughts, maybe you have the same. In that case, you should consult a psychiatrist you get your mental status examination done. You need antidepressant to control underline depression and these thoughts. In case, you need my help you can consult me. Thanks
I am 28,52, 130-135. I was diagnosed with a heart murmur when I was 14 but it comes and goes. I recently have been having problems. My breathing has really decresed, my pulse is lower than usual, and my heart feels like it stops then starts again. It feels like I am not breathing enough.	Hi, If you have heart murmur, I would advise you to undergo echocardiography. If it comes back normal, then nothing to worry. Young people frequently have sucChatDoctorplaints without any abnormality. Follow healthy lifestyle ABD it will disappear gradually. Take fearsome back if you have any further questions	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 28,52, 130-135. I was diagnosed with a heart murmur when I was 14 but it comes and goes. I recently have been having problems. My breathing has really decresed, my pulse is lower than usual, and my heart feels like it stops then starts again. It feels like I am not breathing enough. ### Answer: Hi, If you have heart murmur, I would advise you to undergo echocardiography. If it comes back normal, then nothing to worry. Young people frequently have sucChatDoctorplaints without any abnormality. Follow healthy lifestyle ABD it will disappear gradually. Take fearsome back if you have any further questions
Hello since an half year i got white little flakes come out of cuts on my heels i already been to the doctor and Dermatologic they say that my skin is just dry but i almost sure that its something else. if i stand in the sunlight you can see thousands of little flakes around me and it get you a stuffy nose and sneez and you need to cough if it get into your mouth i hope you can help me	Hi,This ChatDoctor.	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 since an half year i got white little flakes come out of cuts on my heels i already been to the doctor and Dermatologic they say that my skin is just dry but i almost sure that its something else. if i stand in the sunlight you can see thousands of little flakes around me and it get you a stuffy nose and sneez and you need to cough if it get into your mouth i hope you can help me ### Answer: Hi,This ChatDoctor.
heartburn Hi im 40 female.Im a smoker no other health problems.I get heartburn and i have mild pain underneath my right ribcage to the middle.I weeze when i sleep and sometimes I cough.I had a terrible burning pain my chest twice while i was drinking brandy and coke.Now i rather dont have any alcohol.What can this be	Thanks for your question on Chat Doctor. I can understand your concern. Your symptoms are characteristic of HERD (gastroesophageal reflux disease). Since you are smoker, HERD is likely and this is even worse by alcohol intake. Actually both (smoking and alcohol) cause laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause chest pain. So better to avoid smoking and alcohol as soon as possible. Take proton pump inhibitors and prokinetic Chat Doctor. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Avoid hot and spicy food. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. 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: heartburn Hi im 40 female.Im a smoker no other health problems.I get heartburn and i have mild pain underneath my right ribcage to the middle.I weeze when i sleep and sometimes I cough.I had a terrible burning pain my chest twice while i was drinking brandy and coke.Now i rather dont have any alcohol.What can this be ### Answer: Thanks for your question on Chat Doctor. I can understand your concern. Your symptoms are characteristic of HERD (gastroesophageal reflux disease). Since you are smoker, HERD is likely and this is even worse by alcohol intake. Actually both (smoking and alcohol) cause laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause chest pain. So better to avoid smoking and alcohol as soon as possible. Take proton pump inhibitors and prokinetic Chat Doctor. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Avoid hot and spicy food. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
i went to the movies with someone and smoked a joint which was the first time ive ever done it i think it was laced i couldnt breath couldnt focous on anyones face kept closing my eyes very thristy and when i got in the ambulance my heart rate was 144	Hello, Your symptoms are related to marijuana adverse effects. It is a common reaction in sensitive persons, who are not accustomed to smoking marijuana. I would just recommend taking plenty of water to get this Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. 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 went to the movies with someone and smoked a joint which was the first time ive ever done it i think it was laced i couldnt breath couldnt focous on anyones face kept closing my eyes very thristy and when i got in the ambulance my heart rate was 144 ### Answer: Hello, Your symptoms are related to marijuana adverse effects. It is a common reaction in sensitive persons, who are not accustomed to smoking marijuana. I would just recommend taking plenty of water to get this Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care
Hello I am sonali.I am 23 years old.I have hyper tension.I have lost my girl child.she was only 800gms.I was taking s amplosafe 5 mg tablet during my preganancy.It was safe for me or not.This tablet was recommended by cardiologist.Plz give me ur suggestion for my next pregnancy.	Hello, I understand your concern and would explain that amlodipine is not safe during pregnancy as it can lead to abortion and malformation disorders in the growing child. The only safe Chat Doctor. 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: Hello I am sonali.I am 23 years old.I have hyper tension.I have lost my girl child.she was only 800gms.I was taking s amplosafe 5 mg tablet during my preganancy.It was safe for me or not.This tablet was recommended by cardiologist.Plz give me ur suggestion for my next pregnancy. ### Answer: Hello, I understand your concern and would explain that amlodipine is not safe during pregnancy as it can lead to abortion and malformation disorders in the growing child. The only safe Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.
We take Shaklee vitamins. Want to know what specifically is in vasculara and mechanism of action. Have history of asthma, BPH, and DVT. Our vitamins in include Multivitamin, Vit. B-Complex, Vit E, Betacarotene, Omega, Vivix(broad spectrum of over 15 polyphenols- including ellagitannins-a reservatrol and polyphenol preparation which suppresses oxidative and inflammatory stress response to a high fat, high carbohydrate meal), Calcium, magnesium Vit D, probiotic, coenzyme Q, Glucosamine, Alfalfa.	Eg:vitamin help to improve immune system so low level of infection and low number of allergy attack by improve immunity	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 take Shaklee vitamins. Want to know what specifically is in vasculara and mechanism of action. Have history of asthma, BPH, and DVT. Our vitamins in include Multivitamin, Vit. B-Complex, Vit E, Betacarotene, Omega, Vivix(broad spectrum of over 15 polyphenols- including ellagitannins-a reservatrol and polyphenol preparation which suppresses oxidative and inflammatory stress response to a high fat, high carbohydrate meal), Calcium, magnesium Vit D, probiotic, coenzyme Q, Glucosamine, Alfalfa. ### Answer: Eg:vitamin help to improve immune system so low level of infection and low number of allergy attack by improve immunity
I recently had a pap smear done and it came back with ASCUS. Since then, I now have a painful pea sized lump that moves with the skin on my right labia. I have alot of clear, sometimes bloody discharge and foul odor. I was also diagnosed with bacterial vaginosis which I took medication for and still have the symptoms. Could you tell me if the ASCUS and the bacterial infection have anything to so with the lump?	Hello and welcome to Chat Doctor, A lump on right labia could be due to lymph node enlargement or inflamed Catholics gland. A history of bacterial vaginosis can be the cause of lymph node enlargement. The presence of ASC US on Pap smear suggests presence of atypical squamous cells of undetermined significance. A repeat Pap smear or cervical biopsy may be required to rule out invasive malignancy. However, before repeating the pap test treatment for bacterial vaginosis needs to be done because atypical changes in squamous cells may be seen in case of infection. The presence of lump on labia is not related to ASC US. 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 recently had a pap smear done and it came back with ASCUS. Since then, I now have a painful pea sized lump that moves with the skin on my right labia. I have alot of clear, sometimes bloody discharge and foul odor. I was also diagnosed with bacterial vaginosis which I took medication for and still have the symptoms. Could you tell me if the ASCUS and the bacterial infection have anything to so with the lump? ### Answer: Hello and welcome to Chat Doctor, A lump on right labia could be due to lymph node enlargement or inflamed Catholics gland. A history of bacterial vaginosis can be the cause of lymph node enlargement. The presence of ASC US on Pap smear suggests presence of atypical squamous cells of undetermined significance. A repeat Pap smear or cervical biopsy may be required to rule out invasive malignancy. However, before repeating the pap test treatment for bacterial vaginosis needs to be done because atypical changes in squamous cells may be seen in case of infection. The presence of lump on labia is not related to ASC US. Thanks and take care Chat Doctor.