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hello, i have this itchy rash thing on my elbow joints, and on the back of legs (joints again) .. i looked it up and iv looked at pictures and this is exactly what it is (im almost certain) - Erythema annulare centrifugum .. what should i do about it??	Hi Dear, Understanding your concern. As per your query you have symptoms of itchy rashes on elbow and back of legs which is very common mainly due to fungal infection. Need not worry. I would suggest you to- Avoid wearing synthetic clothes and wear loose cotton track pants.- Keep this area clean and Chat Doctor. - Apply calamine lotion over rashes. If condition doesn't get better than consult dermatologist for proper examination. Doctor will examine physically along with blood tests if required and may prescribe medications. 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: hello, i have this itchy rash thing on my elbow joints, and on the back of legs (joints again) .. i looked it up and iv looked at pictures and this is exactly what it is (im almost certain) - Erythema annulare centrifugum .. what should i do about it?? ### Answer: Hi Dear, Understanding your concern. As per your query you have symptoms of itchy rashes on elbow and back of legs which is very common mainly due to fungal infection. Need not worry. I would suggest you to- Avoid wearing synthetic clothes and wear loose cotton track pants.- Keep this area clean and Chat Doctor. - Apply calamine lotion over rashes. If condition doesn't get better than consult dermatologist for proper examination. Doctor will examine physically along with blood tests if required and may prescribe medications. Hope your concern has been resolved. Best Wishes,
some nights when lieing in bed i feel as if my hart is fluttering and all of sudden i get a strange blood rush all over my body and if i get up i will be fine but if i stay lieing it will keep happening what could it be. also i was told i had vertigo last year but to me it felt like the feeling i get when lieing down and i nearly fell down.	Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be caused by anxiety. Anyway, I would recommend consulting with your doctor for a routine check up: - a resting ECG- a chest X-ray study-thyroid hormone levels for thyroid dysfunction- complete blood count for anemia-blood electrolytes. An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time. Hope to have been helpful! 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: some nights when lieing in bed i feel as if my hart is fluttering and all of sudden i get a strange blood rush all over my body and if i get up i will be fine but if i stay lieing it will keep happening what could it be. also i was told i had vertigo last year but to me it felt like the feeling i get when lieing down and i nearly fell down. ### Answer: Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be caused by anxiety. Anyway, I would recommend consulting with your doctor for a routine check up: - a resting ECG- a chest X-ray study-thyroid hormone levels for thyroid dysfunction- complete blood count for anemia-blood electrolytes. An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time. Hope to have been helpful! Best wishes,
hi. I have had this pain in my heart area for a long time now, i cant feel it when i breath half way and then sometimes i can feel it with every beat of my heart. I get dizzy when i stand up from doing gardening or low things. I have an irregular heart beat and my blood pressure is low as it runs in my family.	Hello, You described different symptoms and I will try to go over them one by one. If low blood pressure runs in your family, then nothing to worry about it, it is your normal blood pressure. The only issue with this is that you should be careful when standing up, as standing up abruptly can cause dizziness and blacken in front of your eyes. Just do it slowly and everything will be fine. Concerning the pain in your chest which worsens with breathing; such pain is usually muscle pain, it can come from the spine. It is not dangerous but can cause quite a discomfort. You can take Ibuprofen unless you are allergic to Ibuprofen or have stomach problems. For irregular heart rhythm; if you feel it occasionally, especially as a skipped beat, then there is nothing to worry, it can happen to a healthy adult as well without any consequences. Just limit the intake of caffeine and quit smoking and excessive Chat Doctor. In case the palpitations are frequent and don't decrease after decreasing caffeine, avoiding cigarettes and alcohol, you will need to refer to a doctor and have ECG monitoring, to find out what type of heart rhythm disturbance you have. So your doctor can prescribe treatment. 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: hi. I have had this pain in my heart area for a long time now, i cant feel it when i breath half way and then sometimes i can feel it with every beat of my heart. I get dizzy when i stand up from doing gardening or low things. I have an irregular heart beat and my blood pressure is low as it runs in my family. ### Answer: Hello, You described different symptoms and I will try to go over them one by one. If low blood pressure runs in your family, then nothing to worry about it, it is your normal blood pressure. The only issue with this is that you should be careful when standing up, as standing up abruptly can cause dizziness and blacken in front of your eyes. Just do it slowly and everything will be fine. Concerning the pain in your chest which worsens with breathing; such pain is usually muscle pain, it can come from the spine. It is not dangerous but can cause quite a discomfort. You can take Ibuprofen unless you are allergic to Ibuprofen or have stomach problems. For irregular heart rhythm; if you feel it occasionally, especially as a skipped beat, then there is nothing to worry, it can happen to a healthy adult as well without any consequences. Just limit the intake of caffeine and quit smoking and excessive Chat Doctor. In case the palpitations are frequent and don't decrease after decreasing caffeine, avoiding cigarettes and alcohol, you will need to refer to a doctor and have ECG monitoring, to find out what type of heart rhythm disturbance you have. So your doctor can prescribe treatment. Hope I have answered your query. Let me know if I can assist you further.
I had spinal stenosis done in my back. there was an over growth of bone from steroids. It pinched a nerve. there was a surgery to remove the bone pinching the nerve. Now I had pain in my left foot if has developed further up my leg into my back. I had a EMG and it read that the pain is coming from an old injured nerve from L4 down my left leg. Is there a way to do something about the nerve to relieve the pain?	Hello, Thank you for using Chat Doctor. I read your question and understood your concern. You can do physical therapy procedures (electrostimulation etc.) and take some medication such as Lyrics and vitamin B complex and NSAIDs for 1-3 months. If not better after 3 months then need to discuss surgery with your doctor. I wish you quick recovery.	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 spinal stenosis done in my back. there was an over growth of bone from steroids. It pinched a nerve. there was a surgery to remove the bone pinching the nerve. Now I had pain in my left foot if has developed further up my leg into my back. I had a EMG and it read that the pain is coming from an old injured nerve from L4 down my left leg. Is there a way to do something about the nerve to relieve the pain? ### Answer: Hello, Thank you for using Chat Doctor. I read your question and understood your concern. You can do physical therapy procedures (electrostimulation etc.) and take some medication such as Lyrics and vitamin B complex and NSAIDs for 1-3 months. If not better after 3 months then need to discuss surgery with your doctor. I wish you quick recovery.
Hi, I had a surgery done on a right hydrocele about a year ago, and recently the scar has developed a red lump under it. I am worried about this because I leave for basic training in about 2 weeks and I dont want it to make me fail my physical. It doesnt really hurt unless I put pressure on it.	Hello! Thank you for the query. A lump in the scar area after such long time usually indicates some tissues' irritation due to stitches which were left under the skin. This stitches usually get absorbed after 2-3 months. However, in some patients stitches can trigger inflammatory reaction. This results with lump creation. Other possibility is that your scar is growing and creating a keloid. Both conditions are not serious. But you should consult a surgeon with it. 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: Hi, I had a surgery done on a right hydrocele about a year ago, and recently the scar has developed a red lump under it. I am worried about this because I leave for basic training in about 2 weeks and I dont want it to make me fail my physical. It doesnt really hurt unless I put pressure on it. ### Answer: Hello! Thank you for the query. A lump in the scar area after such long time usually indicates some tissues' irritation due to stitches which were left under the skin. This stitches usually get absorbed after 2-3 months. However, in some patients stitches can trigger inflammatory reaction. This results with lump creation. Other possibility is that your scar is growing and creating a keloid. Both conditions are not serious. But you should consult a surgeon with it. Hope this will help. Regards.
hi,i have a 20month old boy who scratches his anus all the time for 3weeks now,i took him to hospital and they had his stool tested for amoeba and others but they all came out negative.am worried because from yesteday he started having rashes all over the body.	Welcome to the ChatDoctorIt seems that your child has worm infestation most likely due to pin worms along with allergic episode. Stool examination many a time is not sufficient to rule out these infestations. To detect pin worms, you need to apply a piece of cello tape in perianal area of your kid at night. Remove it and get it examined under microscope by your pediatrician the next day for sticking eggs or pin worm. To treat it completely I recommend my patients to take Albendazole (400 mg) on day 1 and 15. This should be along with trimming nails and good handwashing and hygiene. For allergic reaction, you may give your son Spy. Ben Chat Doctor. Apply lac to- calamine lotion on the skin lesions. It will reduce itching and redness. Hopefully this will help you. I would be glad to help you in any further questions. 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: hi,i have a 20month old boy who scratches his anus all the time for 3weeks now,i took him to hospital and they had his stool tested for amoeba and others but they all came out negative.am worried because from yesteday he started having rashes all over the body. ### Answer: Welcome to the ChatDoctorIt seems that your child has worm infestation most likely due to pin worms along with allergic episode. Stool examination many a time is not sufficient to rule out these infestations. To detect pin worms, you need to apply a piece of cello tape in perianal area of your kid at night. Remove it and get it examined under microscope by your pediatrician the next day for sticking eggs or pin worm. To treat it completely I recommend my patients to take Albendazole (400 mg) on day 1 and 15. This should be along with trimming nails and good handwashing and hygiene. For allergic reaction, you may give your son Spy. Ben Chat Doctor. Apply lac to- calamine lotion on the skin lesions. It will reduce itching and redness. Hopefully this will help you. I would be glad to help you in any further questions. Take care
Hi today my 5 yr old son woke up saying he was hot. Within 2 minutes of his waking and walking to bathroom he fell down to the ground crying in pain (belly pain-belly button area) then began to vomit- only bile came up. Once he had some water that came back up, toast, crackers, ginger ale- all came back up each time he tried to eat/drink. However, this only lasted 4 hrs... I am wondering if this could have been from being overheated? He slept fine and woke early then went back to bed (in my bed for 2hrs) after is when he woke saying he was hot.	Hi, I am sorry for the health situation your son is in. If you are sure he slept fine and not overheated, then, the symptoms he is having suddenly might be related to possible viral infection with GI complaints. I advise to:- monitor his body temperature- if he is not able to eat or 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 today my 5 yr old son woke up saying he was hot. Within 2 minutes of his waking and walking to bathroom he fell down to the ground crying in pain (belly pain-belly button area) then began to vomit- only bile came up. Once he had some water that came back up, toast, crackers, ginger ale- all came back up each time he tried to eat/drink. However, this only lasted 4 hrs... I am wondering if this could have been from being overheated? He slept fine and woke early then went back to bed (in my bed for 2hrs) after is when he woke saying he was hot. ### Answer: Hi, I am sorry for the health situation your son is in. If you are sure he slept fine and not overheated, then, the symptoms he is having suddenly might be related to possible viral infection with GI complaints. I advise to:- monitor his body temperature- if he is not able to eat or Chat Doctor.
Have had back pain for some time now. Area by kidney is swollen. I have different degrees of pain ranging from mild to very uncomfortable, not severe. Have been icing swollen/painful area two to three times a day for about 2 weeks now. I ice 20 minutes at a time. Yesterday, I started using moist heat for 15 min, followed by icing for 20 min. Seems to help, but start getting achy again in about an hour. I urinate frequently, usually once or twice in a couple of hours, and sometimes I get the urge where I have to urinate right away. I usually have to get up two to four times a night to urinate. It is never painful when I urinate, but I do sometimes seem to not be able to empty my bladder completely. I may go and then go again a half hour later. Since I m swollen around my kidney area, is it possible I may have a kidney infection, or kidney stones?	Dear patient frequent micturition even at night is early sign of diabetes Mellitus. Burning micturition with urgency is early sign of urinary tract infection. What is your age? Always mention your age while giving history. Diagnosis can very depend on age. For example if you are elderly all these symptoms points towards benign prostatic hypertrophy. This needs to be investigated with 1) urine examination for blood, sugar and crystals.2) fasting and postprandial blood sugar levels 3) ultrasound of pelvis to see prostatic volume. You need to consult your physician with all reports so that appropriate treatment can be started.	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: Have had back pain for some time now. Area by kidney is swollen. I have different degrees of pain ranging from mild to very uncomfortable, not severe. Have been icing swollen/painful area two to three times a day for about 2 weeks now. I ice 20 minutes at a time. Yesterday, I started using moist heat for 15 min, followed by icing for 20 min. Seems to help, but start getting achy again in about an hour. I urinate frequently, usually once or twice in a couple of hours, and sometimes I get the urge where I have to urinate right away. I usually have to get up two to four times a night to urinate. It is never painful when I urinate, but I do sometimes seem to not be able to empty my bladder completely. I may go and then go again a half hour later. Since I m swollen around my kidney area, is it possible I may have a kidney infection, or kidney stones? ### Answer: Dear patient frequent micturition even at night is early sign of diabetes Mellitus. Burning micturition with urgency is early sign of urinary tract infection. What is your age? Always mention your age while giving history. Diagnosis can very depend on age. For example if you are elderly all these symptoms points towards benign prostatic hypertrophy. This needs to be investigated with 1) urine examination for blood, sugar and crystals.2) fasting and postprandial blood sugar levels 3) ultrasound of pelvis to see prostatic volume. You need to consult your physician with all reports so that appropriate treatment can be started.
Good morning, I have a numbing sensation near my left knee. If I kneel on it it hurts? It doesn t hurt when I walk or run on it? Just this morning on the way to work I felt some discomfort, it shot right up to my knee cap. Just curious as to what this my be? Thanks.	Hi... Your knee numbness is due to bursae of the knee joint it could have inflamed while you kneel for a long time and out pressure over the bursae... Since it may not be that much worse you may not have much of issues from it currently... The same us responsible for your pain around patella. Nothing to worry. I suggest you to... Do lot if icing to receive pain and season ...do it frequently... Gentle massage around patella and over front thigh muscles, inner thigh muscles and calf muscles... Gentle stretching to front thigh muscle...and calf muscles... Lot of icing over painful area of the knee (in the lower area of knee cap)Hope this is helpful for you... Kindly revert in case you need any further help in this regard	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: Good morning, I have a numbing sensation near my left knee. If I kneel on it it hurts? It doesn t hurt when I walk or run on it? Just this morning on the way to work I felt some discomfort, it shot right up to my knee cap. Just curious as to what this my be? Thanks. ### Answer: Hi... Your knee numbness is due to bursae of the knee joint it could have inflamed while you kneel for a long time and out pressure over the bursae... Since it may not be that much worse you may not have much of issues from it currently... The same us responsible for your pain around patella. Nothing to worry. I suggest you to... Do lot if icing to receive pain and season ...do it frequently... Gentle massage around patella and over front thigh muscles, inner thigh muscles and calf muscles... Gentle stretching to front thigh muscle...and calf muscles... Lot of icing over painful area of the knee (in the lower area of knee cap)Hope this is helpful for you... Kindly revert in case you need any further help in this regard
hello sir, my daughter is 17 months old..two days back she got severe fever so doctor started with paracetamol and enterogermina due to somewhat disturbed motion...yesterday her fever increased and consulted again so he added augmentin...now today she got very severe diarrhoea that was light colored and in bulk... i didnt stop augmentin ..but motion were somehwhat loose before antibiotic and got severe after it...fever got less. now on enterogermina, augmentin, zinc , mebarid...what should i do...? so situation doesnt worsen	Hi...this looks like a viral diarrhea. One of the side effects of Augustin is antibiotic associated diarrhea. STOP Augmenting. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics (LIKE AUGMENTING) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D 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 sir, my daughter is 17 months old..two days back she got severe fever so doctor started with paracetamol and enterogermina due to somewhat disturbed motion...yesterday her fever increased and consulted again so he added augmentin...now today she got very severe diarrhoea that was light colored and in bulk... i didnt stop augmentin ..but motion were somehwhat loose before antibiotic and got severe after it...fever got less. now on enterogermina, augmentin, zinc , mebarid...what should i do...? so situation doesnt worsen ### Answer: Hi...this looks like a viral diarrhea. One of the side effects of Augustin is antibiotic associated diarrhea. STOP Augmenting. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics (LIKE AUGMENTING) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor.
I had unprotected sex he pulled out but I m not sure in time the next day I took plan b that night but when I woke up I had super sore breast and my stomach is tight feeling kinda bloated what am I witnessing at this time just happened Saturday n I took it Sunday night	Hello, Plan B and other related hormonal pills can cause similar problems, It is due to hormonal actions of pill. As a first-line management Chat Doctor. If symptoms persist better to consult a gynecologist and get evaluated. 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 had unprotected sex he pulled out but I m not sure in time the next day I took plan b that night but when I woke up I had super sore breast and my stomach is tight feeling kinda bloated what am I witnessing at this time just happened Saturday n I took it Sunday night ### Answer: Hello, Plan B and other related hormonal pills can cause similar problems, It is due to hormonal actions of pill. As a first-line management Chat Doctor. If symptoms persist better to consult a gynecologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care
I suffer from a G6PD deficiency which is an enzyme/red blood cells condition. I m interested in getting a permanent tattoo, and while online research has indicated I should stay away from henna tattoos specifically, there is little material available on normal permanent tattoos. My question is, with my G6PD deficiency, can I get a permanent tattoo safely?	Hello and welcome to Chat Doctor, Permanent tattoos involve injecting certain dyes in the skin with a needle. G-6-PD deficiency causes degradation and precipitation of hemoglobin in RBC's under conditions of oxidative stress. Oxidative stress is caused by number of conditions like certain Chat Doctor. You must be well versed that you have to avoid certain	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 suffer from a G6PD deficiency which is an enzyme/red blood cells condition. I m interested in getting a permanent tattoo, and while online research has indicated I should stay away from henna tattoos specifically, there is little material available on normal permanent tattoos. My question is, with my G6PD deficiency, can I get a permanent tattoo safely? ### Answer: Hello and welcome to Chat Doctor, Permanent tattoos involve injecting certain dyes in the skin with a needle. G-6-PD deficiency causes degradation and precipitation of hemoglobin in RBC's under conditions of oxidative stress. Oxidative stress is caused by number of conditions like certain Chat Doctor. You must be well versed that you have to avoid certain
dear sir my age is 28 year and i get married two years ago .i have semon problem that is total quantity 1.5 mltotal spermatoza count .30 milllion / mlmotile .40%sluggish 25%dead 35%pus cell 14 to 16 HPFRBC 18 to 20 HPFplease advise me the medicine to improve the semon	Hello, Since there are some pus cells in your semen analysis I suggest undergoing a culture studies as well and an ultrasound as well. It will be better for you to visit your doctor for your proper checkup for possible infection of your sex organs and seek treatment accordingly. 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: dear sir my age is 28 year and i get married two years ago .i have semon problem that is total quantity 1.5 mltotal spermatoza count .30 milllion / mlmotile .40%sluggish 25%dead 35%pus cell 14 to 16 HPFRBC 18 to 20 HPFplease advise me the medicine to improve the semon ### Answer: Hello, Since there are some pus cells in your semen analysis I suggest undergoing a culture studies as well and an ultrasound as well. It will be better for you to visit your doctor for your proper checkup for possible infection of your sex organs and seek treatment accordingly. Hope I have answered your question. Let me know if I can assist you further.
I have tiny little red bumps that surround my pee hole on my penis head...They recur..I only hae had one partner for many years and we rarely have sex...but I do masturbate about 2-3 times per week...Occasionally these bumps will turn into an extremely small scab...do yo know what it is/ it does not hurt or itch	Degree understand your concerns went through your details. I suggest you not to worry much. The tiny red dots could possibly be inflammation of the tender skin in that urethra opening area. This happens to everyone and is natural. I don't hink there is anything to worry if there is no itching or burning. Wash they are with warm saline water a give two day holiday to masturbation, and it should be alright. 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: I have tiny little red bumps that surround my pee hole on my penis head...They recur..I only hae had one partner for many years and we rarely have sex...but I do masturbate about 2-3 times per week...Occasionally these bumps will turn into an extremely small scab...do yo know what it is/ it does not hurt or itch ### Answer: Degree understand your concerns went through your details. I suggest you not to worry much. The tiny red dots could possibly be inflammation of the tender skin in that urethra opening area. This happens to everyone and is natural. I don't hink there is anything to worry if there is no itching or burning. Wash they are with warm saline water a give two day holiday to masturbation, and it should be alright. Hope this answers your query. Available for further clarifications. Good luck.
hello, last year october i had about 4 weeks of heavy bleeding. took an ultrasound and it was discovered that i had cyst on my ovaries. my periods were always irregular but the longest id go without a period was two to three months. since getting the bleeding to stop last october i beefed up on vitamins- folic acid and b complex especially and also was taking a heavy dose of herbal medications. what concerns me now is that i havent seen my period since, yes ive had unprotected sex since that october in fact that november. now its a whole lot of months later and i want to know what are my chance of being pregnant. i did one of thoshad a e pregnancy calculator things and when asked to fill in my last period i did which was oct 26 2012 and it told me the day i might have conceived which was the exact date i had intercourse. im now experiencing naseau, indigestion, mood swings, weight gain, alot of sleeping and always tired, breast tenderness at times, what confuses me is that when i researched PCOS i read that it mimic pregnancy symptoms and i took a hpt which had a negative result but i know my body ive never missed a period for this long Could i be pregnant?	Hi, Thanks for the query. As you are having irregular periods it is difficult to guess the time of ovulation. So though you are having some symptoms of pregnancy just by them, we cannot confirm or rule out the pregnancy. As some other conditions as you told PCs etc. can present with this kind of symptoms. So you once consult gynecologist, get examined and go for ultrasound. By this the chance of pregnancy can be rule out and also the possible cause for your amenorrhea can be made out. 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: hello, last year october i had about 4 weeks of heavy bleeding. took an ultrasound and it was discovered that i had cyst on my ovaries. my periods were always irregular but the longest id go without a period was two to three months. since getting the bleeding to stop last october i beefed up on vitamins- folic acid and b complex especially and also was taking a heavy dose of herbal medications. what concerns me now is that i havent seen my period since, yes ive had unprotected sex since that october in fact that november. now its a whole lot of months later and i want to know what are my chance of being pregnant. i did one of thoshad a e pregnancy calculator things and when asked to fill in my last period i did which was oct 26 2012 and it told me the day i might have conceived which was the exact date i had intercourse. im now experiencing naseau, indigestion, mood swings, weight gain, alot of sleeping and always tired, breast tenderness at times, what confuses me is that when i researched PCOS i read that it mimic pregnancy symptoms and i took a hpt which had a negative result but i know my body ive never missed a period for this long Could i be pregnant? ### Answer: Hi, Thanks for the query. As you are having irregular periods it is difficult to guess the time of ovulation. So though you are having some symptoms of pregnancy just by them, we cannot confirm or rule out the pregnancy. As some other conditions as you told PCs etc. can present with this kind of symptoms. So you once consult gynecologist, get examined and go for ultrasound. By this the chance of pregnancy can be rule out and also the possible cause for your amenorrhea can be made out. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor.
im in a horrible situation I moved out of my ex boyfriends house by oct 20th and met a guy very shortly after I had intercourse with him the first week of nov. I found out I was pregnant and my ogyn said my conception dat is oct 31st witch is impossible because I had sex before the 20 of oct and the first week of nov with the new guy I met. so im confused about id the baby belongs to my ex or my current boyfriend.	Hallow Dear, If you are having regular menses, it would be easier and simpler for you to figure out the date of conception. The egg release (ovulation) takes place 14 days prior to next expected menses. So you can calculate the date of your ovulation. The intercourse which is around (plus or minus 4 days) the date of ovulation is responsible for the conception. Since there is difference of about 15-20 days between the two intercourses, ultrasonography can give your approximate date of conception (rather the age of the baby). This also can help you to figure out which intercourse is responsible for this pregnancy. The foolproof evidence you can have about the paternity of this baby is by DNA test. I hope this helps you to resolve your dilemma.	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: im in a horrible situation I moved out of my ex boyfriends house by oct 20th and met a guy very shortly after I had intercourse with him the first week of nov. I found out I was pregnant and my ogyn said my conception dat is oct 31st witch is impossible because I had sex before the 20 of oct and the first week of nov with the new guy I met. so im confused about id the baby belongs to my ex or my current boyfriend. ### Answer: Hallow Dear, If you are having regular menses, it would be easier and simpler for you to figure out the date of conception. The egg release (ovulation) takes place 14 days prior to next expected menses. So you can calculate the date of your ovulation. The intercourse which is around (plus or minus 4 days) the date of ovulation is responsible for the conception. Since there is difference of about 15-20 days between the two intercourses, ultrasonography can give your approximate date of conception (rather the age of the baby). This also can help you to figure out which intercourse is responsible for this pregnancy. The foolproof evidence you can have about the paternity of this baby is by DNA test. I hope this helps you to resolve your dilemma.
rheumatoid arthritis for young adults? hello,im 16 y/o & i always play sports.. i play softball and my position that i frequently play is catcher.. im always squatting and bending over ect.. when i walk, walk up the stairs my ankles, feet and knees pop & crack! if i walk around for a long time, stand for a long time, my ankles become the size of bowling balls.. i dont have an injury, or anything! ive had multiple mris, and xrays. NOTHING and it becomes so unbearable that i sometimes cry due to pain. so is this rheumatoid arthritis? or something else? i have no idea! HELP.	Hi, For exact diagnosis to be made get serum uric acid, RA factor, ESR, CRP levels done and send me the report. TILL THEN have any painkiller that your have. 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: rheumatoid arthritis for young adults? hello,im 16 y/o & i always play sports.. i play softball and my position that i frequently play is catcher.. im always squatting and bending over ect.. when i walk, walk up the stairs my ankles, feet and knees pop & crack! if i walk around for a long time, stand for a long time, my ankles become the size of bowling balls.. i dont have an injury, or anything! ive had multiple mris, and xrays. NOTHING and it becomes so unbearable that i sometimes cry due to pain. so is this rheumatoid arthritis? or something else? i have no idea! HELP. ### Answer: Hi, For exact diagnosis to be made get serum uric acid, RA factor, ESR, CRP levels done and send me the report. TILL THEN have any painkiller that your have. Thanks.
Hi, Im 15 and Im not sexually active but Ive been extremely moody and agitated lately and I never feel hungry like I usually do I can just eat breakfast, lunch and then be done eating. My mom has always had a pretty severe case of depression and I keep researching and I have a lot of the same symptoms of depression. Could what Im going through be depression?	HiT hanks for writing to Chat Doctor The symptoms like decreased appetite, decreased sexual interest, agitation and moodiness could be suggestive of depression. As your mother has depression there is an increased risk for u having it. Depression is also associated with low mood, decreased energy and initiative, loss of interest in activities and negative thoughts(about self, others and future) Ideas of hopelessness and worthlessness are also seen. Sometimes one feels suicidal. If these symptoms occur in u try consulting a psychiatrist at the earliest. Hope this helps thanks and 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, Im 15 and Im not sexually active but Ive been extremely moody and agitated lately and I never feel hungry like I usually do I can just eat breakfast, lunch and then be done eating. My mom has always had a pretty severe case of depression and I keep researching and I have a lot of the same symptoms of depression. Could what Im going through be depression? ### Answer: HiT hanks for writing to Chat Doctor The symptoms like decreased appetite, decreased sexual interest, agitation and moodiness could be suggestive of depression. As your mother has depression there is an increased risk for u having it. Depression is also associated with low mood, decreased energy and initiative, loss of interest in activities and negative thoughts(about self, others and future) Ideas of hopelessness and worthlessness are also seen. Sometimes one feels suicidal. If these symptoms occur in u try consulting a psychiatrist at the earliest. Hope this helps thanks and regards
I started the combination pill a year ago then I stopped May 19th. Today I had unprotected sex with my boyfriend and he finished in me then I started the first pill hours later. Am i protected crom pregnancy and i should still continue taking the pill?	Hi, Irregular bleeding and spotting can occur during pregnancy. So, one can be pregnant and can have bleeding. The exact time of ovulation cannot be predicted. 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 started the combination pill a year ago then I stopped May 19th. Today I had unprotected sex with my boyfriend and he finished in me then I started the first pill hours later. Am i protected crom pregnancy and i should still continue taking the pill? ### Answer: Hi, Irregular bleeding and spotting can occur during pregnancy. So, one can be pregnant and can have bleeding. The exact time of ovulation cannot be predicted. Hope I have answered your query. Let me know if I can assist you further.
My father has vascular dementia and ended up in the hospital from a Tia stroke or seizure and the hospital gave him Haldol without taking into consideration the other drugs he is on...what kind of interaction does this drug have allopurinol,donetezil, love station,sertraline,enalatril,metoprolol,tikosyn,furosemide,traso-done?	Hello, I have gone through your query and understand your concern. There is a significant interaction between the Chat Doctor. Particularly his antihypertensives medications like Metoprolol and other medications like sertraline. I think you have not told about all history like Hypertension and all other things. These	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 father has vascular dementia and ended up in the hospital from a Tia stroke or seizure and the hospital gave him Haldol without taking into consideration the other drugs he is on...what kind of interaction does this drug have allopurinol,donetezil, love station,sertraline,enalatril,metoprolol,tikosyn,furosemide,traso-done? ### Answer: Hello, I have gone through your query and understand your concern. There is a significant interaction between the Chat Doctor. Particularly his antihypertensives medications like Metoprolol and other medications like sertraline. I think you have not told about all history like Hypertension and all other things. These
hi, i have been married for 6 yrs for now. n i m not able to conceive. once i conceived in 2009 but the baby could not survive for more than 15 days in my womb.then i m still on infertility medication. now recently i started blotting so got my TSH tested it was 5.4. i m taking medicine for that.i m due for today for my mensus. now my doubt is it difficult to concieve at this stagemy abdomen has also bloated as if i m carrying. i get my peroids regularly. plz reply	Hi, I think you should go for GUI. You can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. GUI will be done the next day. Take progesterone for next 2 weeks. Do a urine pregnancy test at home. You can try like that for 3 to 6 months. If it doesn't work then you can go for IVF. Discuss with your doctor regarding this. Hope I have answered your question. 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 have been married for 6 yrs for now. n i m not able to conceive. once i conceived in 2009 but the baby could not survive for more than 15 days in my womb.then i m still on infertility medication. now recently i started blotting so got my TSH tested it was 5.4. i m taking medicine for that.i m due for today for my mensus. now my doubt is it difficult to concieve at this stagemy abdomen has also bloated as if i m carrying. i get my peroids regularly. plz reply ### Answer: Hi, I think you should go for GUI. You can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. GUI will be done the next day. Take progesterone for next 2 weeks. Do a urine pregnancy test at home. You can try like that for 3 to 6 months. If it doesn't work then you can go for IVF. Discuss with your doctor regarding this. Hope I have answered your question. Regards
i need to know if i broke my knuckle i was playing basketball and the ball hit the tip of my finger and i heard a crackling of sorts i ran cold water over it and applied an ice pack and purchased a splint. trying to move the finger results in an extreme amount of pain.	Hi, In my opinion, you have damaged one of the bones, and you should undergo x-ray of the affected hand at the earliest and then consult an orthopedic surgeon. 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 need to know if i broke my knuckle i was playing basketball and the ball hit the tip of my finger and i heard a crackling of sorts i ran cold water over it and applied an ice pack and purchased a splint. trying to move the finger results in an extreme amount of pain. ### Answer: Hi, In my opinion, you have damaged one of the bones, and you should undergo x-ray of the affected hand at the earliest and then consult an orthopedic surgeon. Hope I have answered your query. Let me know if I can assist you further.
PE in 2006 due to traffic accident, no liver disease , high ferritin level, 729ng/ml Mar 2011, increased to 939ng/ml in September 2011, Decrease to 679ng/ml last week. Chinese, transferrin saturation at 42%, bad life style. zero excess , high red meat intake. over weight . pain at liver area only at running , no other symptoms.liver function normal, full blood count normal. done liver ultrasound,showing fatty infiltration within the liver , with an area of slightly reduced echogenicity adjacent to the porta which measure 3.5cm in maximal dimension. It may be a small area of focal tally sparing but follow up ultrasound of the same is indicated.no other significant findings identified. Gallbladder, common bile duct , aorta, spleen, pancreas and both kidneys appear normal. report attached. my questions is: is any possibility this could be cancer related? thank you	Hello David. Lee, high ferritin level-seen in iron storage disorders-hemochromtosis, hemosiderosis, porphyria or chronic disease process, alcoholic liver disease, adult onset stills disease, hemophagocytic lymphohistiocytosis, hemolytic anemia, sideroblastic anemia, autoimmune disorder, chronic infection - In USG-fatty liver-increase risk of diabetes, hypertension, obesity, dyslipidemia, with reduce echogenicity- may be seen in so many diseases, in hepatocellular carcinoma- hyperechogenic &hypoechogenic area present, in metallic carcinoma of liver diffuse loci present in liver from breast cancer, colorectal cancer, advice-CT SCAN with contrast if doubt MRI, PE(pulmonary embolism)- risk increase in prolonged bed rest, or cancer investigation-D-dimer test, CTpulmonary angiography, your history is not proper, you want to rule out which cancer, can you mention, hope my advice is useful to 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: PE in 2006 due to traffic accident, no liver disease , high ferritin level, 729ng/ml Mar 2011, increased to 939ng/ml in September 2011, Decrease to 679ng/ml last week. Chinese, transferrin saturation at 42%, bad life style. zero excess , high red meat intake. over weight . pain at liver area only at running , no other symptoms.liver function normal, full blood count normal. done liver ultrasound,showing fatty infiltration within the liver , with an area of slightly reduced echogenicity adjacent to the porta which measure 3.5cm in maximal dimension. It may be a small area of focal tally sparing but follow up ultrasound of the same is indicated.no other significant findings identified. Gallbladder, common bile duct , aorta, spleen, pancreas and both kidneys appear normal. report attached. my questions is: is any possibility this could be cancer related? thank you ### Answer: Hello David. Lee, high ferritin level-seen in iron storage disorders-hemochromtosis, hemosiderosis, porphyria or chronic disease process, alcoholic liver disease, adult onset stills disease, hemophagocytic lymphohistiocytosis, hemolytic anemia, sideroblastic anemia, autoimmune disorder, chronic infection - In USG-fatty liver-increase risk of diabetes, hypertension, obesity, dyslipidemia, with reduce echogenicity- may be seen in so many diseases, in hepatocellular carcinoma- hyperechogenic &hypoechogenic area present, in metallic carcinoma of liver diffuse loci present in liver from breast cancer, colorectal cancer, advice-CT SCAN with contrast if doubt MRI, PE(pulmonary embolism)- risk increase in prolonged bed rest, or cancer investigation-D-dimer test, CTpulmonary angiography, your history is not proper, you want to rule out which cancer, can you mention, hope my advice is useful to you, thank you.
I have a posterior capsule tear. Whats the best way to heal it and the fastest, Im an athlete, about 3 weeks ago I hyper extended my knee, no other torn ligaments at all. Have trouble bending my knee all the way back to my butt, doesnt go as far as the other one, without pain, any suggestions	Hi. As you wrote that you have posterior capsule tear without any other ligament torn. I presume that you confirmed the diagnosis made with an MRI as well. If their us posterior capsule tear... If I were your treating doctor. I would look to the grade of tear. And advent to move your knee and keep it immobilized.Don't keep pushing it to limits for checking its function often. The spasm could limit your movement by forcing it you are actually worsening and disturbing the healing. Do a lot of icing in the back of knee... Be patient as it would take around 6 Weeks to heal so don't be in a hurry to get back to your sport.once healed get proper rehabilitation and progress gradually to the sports... Hope this is helpful kindly Revert in case you need further clarification...	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 posterior capsule tear. Whats the best way to heal it and the fastest, Im an athlete, about 3 weeks ago I hyper extended my knee, no other torn ligaments at all. Have trouble bending my knee all the way back to my butt, doesnt go as far as the other one, without pain, any suggestions ### Answer: Hi. As you wrote that you have posterior capsule tear without any other ligament torn. I presume that you confirmed the diagnosis made with an MRI as well. If their us posterior capsule tear... If I were your treating doctor. I would look to the grade of tear. And advent to move your knee and keep it immobilized.Don't keep pushing it to limits for checking its function often. The spasm could limit your movement by forcing it you are actually worsening and disturbing the healing. Do a lot of icing in the back of knee... Be patient as it would take around 6 Weeks to heal so don't be in a hurry to get back to your sport.once healed get proper rehabilitation and progress gradually to the sports... Hope this is helpful kindly Revert in case you need further clarification...
i have been taking losartan for six months. during that time, i have also been complaining of fatigue, breathlessness, chest pain, edema (especially legs), intermittent chills and low-grade fever - all of which i recently discovered are potential negative side effects of taking losartan. i discontinued losartan cold turkey. i am monitoring my blood pressure and it is all over the place, but mostly running 120-130 / 60-80. that doesn t seem too bad at almost 60. am i safe to assume the only thing i need to be monitoring is BP?	Hello, It is unlikely be related to losartan. If symptoms persist, it is better to consult a physician and get evaluated. Detailed evaluation is required to find out the exact cause. 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 been taking losartan for six months. during that time, i have also been complaining of fatigue, breathlessness, chest pain, edema (especially legs), intermittent chills and low-grade fever - all of which i recently discovered are potential negative side effects of taking losartan. i discontinued losartan cold turkey. i am monitoring my blood pressure and it is all over the place, but mostly running 120-130 / 60-80. that doesn t seem too bad at almost 60. am i safe to assume the only thing i need to be monitoring is BP? ### Answer: Hello, It is unlikely be related to losartan. If symptoms persist, it is better to consult a physician and get evaluated. Detailed evaluation is required to find out the exact cause. Hope I have answered your query. Let me know if I can assist you further.
I had an endoscopic ultrasound today. Received Spiro introvienously. Was given a prescription to start Pills tomorrow. Info sheets that the pharmacist provided with the pills warns of serious problems with taking the pills, i.e. don t take with diuretics. Should I avoid taking this antibiotic?	Hello, since your doctor prescribed the antibiotic, you shouldn't avoid it. Antibiotic prophylaxis after endoscopic ultrasound procedures is not routinely required. The doctor estimates the risk for infection and prescribes (or does not prescribe) antibiotics. I hope I've answered your question. Please let me know if you need further assistance. Kind 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 an endoscopic ultrasound today. Received Spiro introvienously. Was given a prescription to start Pills tomorrow. Info sheets that the pharmacist provided with the pills warns of serious problems with taking the pills, i.e. don t take with diuretics. Should I avoid taking this antibiotic? ### Answer: Hello, since your doctor prescribed the antibiotic, you shouldn't avoid it. Antibiotic prophylaxis after endoscopic ultrasound procedures is not routinely required. The doctor estimates the risk for infection and prescribes (or does not prescribe) antibiotics. I hope I've answered your question. Please let me know if you need further assistance. Kind Chat Doctor.
Three days ago I accidentally mistook my husband s 37mg effexor Dr for my adderall. I took it on Thursday and Friday. On Friday night I mentioned to him that my medicine wasn t working. He then brought to my attention that I had been taking the wrong meds. It has been two days. Can I take my adderall?	Hello, Let me tell you that there is not much to worry if you have taken Effector by mistake especially if it was only for two doses. So yes you can start taking Adderall again which you've already been taking. So don't worry. 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: Three days ago I accidentally mistook my husband s 37mg effexor Dr for my adderall. I took it on Thursday and Friday. On Friday night I mentioned to him that my medicine wasn t working. He then brought to my attention that I had been taking the wrong meds. It has been two days. Can I take my adderall? ### Answer: Hello, Let me tell you that there is not much to worry if you have taken Effector by mistake especially if it was only for two doses. So yes you can start taking Adderall again which you've already been taking. So don't worry. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
My lymph nodes under my arm and behind my knees hurt so badly and sometimes my growing. I am tired all the time and now my bp was 167/107, 158/101 and 150/96 the past three days. All tests thus far CT, EKG, are neg. Im tired of feeling so awful. This has been going on for 3 months on and off. But this is the worst.	Hello, I have gone through your query. Thanks for using Chat Doctor. You have two different problems 1.lymphadenopathy 2. Hypertension.you must consult a physician for evaluation of cause of enlarged lymph nodes. You may start antihypertensive medicine from like April starting with dose of 2.5 mg along with chlorthalidone with target to control BP below 140/90. My best wishes 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 lymph nodes under my arm and behind my knees hurt so badly and sometimes my growing. I am tired all the time and now my bp was 167/107, 158/101 and 150/96 the past three days. All tests thus far CT, EKG, are neg. Im tired of feeling so awful. This has been going on for 3 months on and off. But this is the worst. ### Answer: Hello, I have gone through your query. Thanks for using Chat Doctor. You have two different problems 1.lymphadenopathy 2. Hypertension.you must consult a physician for evaluation of cause of enlarged lymph nodes. You may start antihypertensive medicine from like April starting with dose of 2.5 mg along with chlorthalidone with target to control BP below 140/90. My best wishes Chat Doctor.
My friend stopped his Dilantin went into seizure. He s color was purple neat death experience with life light to hospital. He s on 2000 mg Keppra. He s exhusted, muscle pain in bones. He very thin, and so fraile. He s to follow up with Nerologist but has not referred to one. We live in a small town, he has no insurance! I m trying to get him to rest his body after what he has been through. I m a surgical nurse fir plastic surgeons so giving him advice to take care of his body! I advised dobt stop your meds. He s tried some oil homioathy reamidy just I said was ridulious! Any advice ? Thanks so much !	Hello, His symptoms do not seem to be related to Kendra adverse effects. Did he have these adverse effects while taking Dilation? Anyway, I would recommend consulting with his GP and performing some blood lab tests: complete blood count, kidney and liver function tests, vitamin D levels for possible deficiency, PCR for inflammation, muscular enzyme levels, in order to exclude other possible causes that may lead to such clinical scenario. If these tests result normal and these complaints started with Kendra 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 friend stopped his Dilantin went into seizure. He s color was purple neat death experience with life light to hospital. He s on 2000 mg Keppra. He s exhusted, muscle pain in bones. He very thin, and so fraile. He s to follow up with Nerologist but has not referred to one. We live in a small town, he has no insurance! I m trying to get him to rest his body after what he has been through. I m a surgical nurse fir plastic surgeons so giving him advice to take care of his body! I advised dobt stop your meds. He s tried some oil homioathy reamidy just I said was ridulious! Any advice ? Thanks so much ! ### Answer: Hello, His symptoms do not seem to be related to Kendra adverse effects. Did he have these adverse effects while taking Dilation? Anyway, I would recommend consulting with his GP and performing some blood lab tests: complete blood count, kidney and liver function tests, vitamin D levels for possible deficiency, PCR for inflammation, muscular enzyme levels, in order to exclude other possible causes that may lead to such clinical scenario. If these tests result normal and these complaints started with Kendra Chat Doctor.
Hi, My father is 70yrs old and was recently admitted in hospital witChatDoctorplaints of low sodium (120). He was then discharged in a few days once his sodium levels were 132. But he was depressed and had delusions. Consulted a Neuro and he said he is having mild dementia/alzhimers. He initially gave aricept, nexito plus and vit b12 tablets for a week...nothing improved	Hello, dementia is a chronic condition that impairs the functional capacity of the patient, causing memory loss and other deficits as the disease progresses. I can't - obviously - explain your fathers condition without having examined him but I'm sure the neurologist is more than capable to handle such situations. After dementia becomes evident, you can't expect a great improvement, and you can't expect him to get back to normal. The Chat Doctor. Despite that, you should discuss how he's going with the neurologist. The neurologist should re-assess your father and perhaps modify his treatment regimen. Kind 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, My father is 70yrs old and was recently admitted in hospital witChatDoctorplaints of low sodium (120). He was then discharged in a few days once his sodium levels were 132. But he was depressed and had delusions. Consulted a Neuro and he said he is having mild dementia/alzhimers. He initially gave aricept, nexito plus and vit b12 tablets for a week...nothing improved ### Answer: Hello, dementia is a chronic condition that impairs the functional capacity of the patient, causing memory loss and other deficits as the disease progresses. I can't - obviously - explain your fathers condition without having examined him but I'm sure the neurologist is more than capable to handle such situations. After dementia becomes evident, you can't expect a great improvement, and you can't expect him to get back to normal. The Chat Doctor. Despite that, you should discuss how he's going with the neurologist. The neurologist should re-assess your father and perhaps modify his treatment regimen. Kind Regards!
I have a knot on the back of my leg and I have been going from doctor to doctor for the past six months. I am now experiencing pain all on my left side. Doctors check for cancer and have been giving pain killers. I want to know what is my health issue	HI. One thing is for sure, if the pain and the knot is same for the last 6 months, the possibility of a cancer is very rare. This can be a mass from the muscle or a herniation of muscle. Get a nice ultrasonography and / MRI to confirm what it is. Consult an Orthopedic 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: I have a knot on the back of my leg and I have been going from doctor to doctor for the past six months. I am now experiencing pain all on my left side. Doctors check for cancer and have been giving pain killers. I want to know what is my health issue ### Answer: HI. One thing is for sure, if the pain and the knot is same for the last 6 months, the possibility of a cancer is very rare. This can be a mass from the muscle or a herniation of muscle. Get a nice ultrasonography and / MRI to confirm what it is. Consult an Orthopedic Surgeon.
what is the survival rate after the initial start of the gangrene. my mother is 71 year old, diabetic and on hemodialysis 3X a week. she just started gangrene on her heels. it has not been infected yet, can it get heeled? what are the chances.	Hello and thank you for your question. Once gangrene has set in the gangrenous tissue must be removed. Sometimes this means an amputation. If the damaged tissue is removed then there should be good chance of survival. 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: what is the survival rate after the initial start of the gangrene. my mother is 71 year old, diabetic and on hemodialysis 3X a week. she just started gangrene on her heels. it has not been infected yet, can it get heeled? what are the chances. ### Answer: Hello and thank you for your question. Once gangrene has set in the gangrenous tissue must be removed. Sometimes this means an amputation. If the damaged tissue is removed then there should be good chance of survival. Regards
my sgot is 18 and sgpt is 20 as normal, hipatities level is high , is ther any range for sgot and sgpt(as abnormal) to reducing the hipatities b level... ?	Hi, dinesh, Thanks for query, As got and Sept are normal level you do not worry. Take less fat and more carboy Chat Doctor. Take fresh fruits juice, glucose. Avoid alcohol, fried and junk food. Ok and bye.	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 sgot is 18 and sgpt is 20 as normal, hipatities level is high , is ther any range for sgot and sgpt(as abnormal) to reducing the hipatities b level... ? ### Answer: Hi, dinesh, Thanks for query, As got and Sept are normal level you do not worry. Take less fat and more carboy Chat Doctor. Take fresh fruits juice, glucose. Avoid alcohol, fried and junk food. Ok and bye.
My testicles and inner thighs have itched for months and nothing cures it anti fungus creme works for while but it comes backs daily have to keep it on there all the time to stop it from itching and some burning what can i do please help it effects my daily routine everyday	HelloYour symptoms may indicate fungal infection. It is usually due to candida infection. You may need clinical examination and investigations. You may need routine hologram, random blood sugar. You may need clotrimazole ointment or powder to apply locally. I also prescribe antihistamines like tablet cetirizine(10 mg) twice daily for 10 days. Try to maintain personal hygiene and don't keep private areas wet. 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: My testicles and inner thighs have itched for months and nothing cures it anti fungus creme works for while but it comes backs daily have to keep it on there all the time to stop it from itching and some burning what can i do please help it effects my daily routine everyday ### Answer: HelloYour symptoms may indicate fungal infection. It is usually due to candida infection. You may need clinical examination and investigations. You may need routine hologram, random blood sugar. You may need clotrimazole ointment or powder to apply locally. I also prescribe antihistamines like tablet cetirizine(10 mg) twice daily for 10 days. Try to maintain personal hygiene and don't keep private areas wet. Get well soon. Take Care Chat Doctor.
I am 16 years old, I weigh 11 stone 10 pounds and am 5 foot 3 inches tall. For about a year I have had a small, hard, colourless lump on the top right side of my back. It has recently started hurting when I touch it. I have also recently developed very small red spots on my back and shoulder which are painless. The lump has never got bigger and it has become slightly smaller and sometimes I get an aching in my spine. I haven t suffered any other problems except the pain when the lump is touched. I suffered from mild asthma when i was younger but it hasn t effected me since i was about 13.	Hi these lumps are multiple boils. Test FBS and PPS as to find cause of its increase in number. Treat it with Tab NSAIDs and antibiotics. Hit thanks Gd 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: I am 16 years old, I weigh 11 stone 10 pounds and am 5 foot 3 inches tall. For about a year I have had a small, hard, colourless lump on the top right side of my back. It has recently started hurting when I touch it. I have also recently developed very small red spots on my back and shoulder which are painless. The lump has never got bigger and it has become slightly smaller and sometimes I get an aching in my spine. I haven t suffered any other problems except the pain when the lump is touched. I suffered from mild asthma when i was younger but it hasn t effected me since i was about 13. ### Answer: Hi these lumps are multiple boils. Test FBS and PPS as to find cause of its increase in number. Treat it with Tab NSAIDs and antibiotics. Hit thanks Gd day
Is Ebernet cream useful for treating Fungal skin infections like Ringworm? My family physician had prescribed Zole cream & Candid B cream. But the infection gets better and recurs every few days although I am keeping my thighs and groin areas very clean and dry.	Yes Ebert cream is a good treatment for ring worm or skin fungal infection. I may also suggest using season blue shampoo every other day on those areas that are affected by ring worm to help reduce reoccurrence.	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: Is Ebernet cream useful for treating Fungal skin infections like Ringworm? My family physician had prescribed Zole cream & Candid B cream. But the infection gets better and recurs every few days although I am keeping my thighs and groin areas very clean and dry. ### Answer: Yes Ebert cream is a good treatment for ring worm or skin fungal infection. I may also suggest using season blue shampoo every other day on those areas that are affected by ring worm to help reduce reoccurrence.
My 5 year old has a middle ear infection. Due to a yeast problem in his gut (hes currently on nystatin), we are waiting to see if the ear infection may be viral and resolve on its own. So weve postponed the antibiotics for a few days. But now he also has a lot of eye drainage in both eyes. Does that mean its a bacterial infection? If so, will that ever go away without antibiotics?	Hi, dairy have gone through your question. I can understand your concern. He has ear infection with some Chat Doctor. It can be bacterial infection. He should take antibiotics. Ciprofloxacin or ofloxacin is helpful. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very 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: My 5 year old has a middle ear infection. Due to a yeast problem in his gut (hes currently on nystatin), we are waiting to see if the ear infection may be viral and resolve on its own. So weve postponed the antibiotics for a few days. But now he also has a lot of eye drainage in both eyes. Does that mean its a bacterial infection? If so, will that ever go away without antibiotics? ### Answer: Hi, dairy have gone through your question. I can understand your concern. He has ear infection with some Chat Doctor. It can be bacterial infection. He should take antibiotics. Ciprofloxacin or ofloxacin is helpful. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
Hi, my name is jessica and im 20. I was diagnosed with Tuberous Sclerosis when i was born, i also have epilepsy as well as some Cognitive issues that go with thinking,learning,logic and everyday life. Im not sure if i could have some type of Mental disorder of some kind. I know Ive had a problem with it since i was young. I would always keep to myself, shy,quiet, hard to start conversations, my thinking is slower harder to process and learn things i have a slight stuttering problem cause of it. I also dont learn as fast, i have terrible problems with my body language and tone of my speech. I am terribly always been clumsy as well. Ive noticed it for the longest time just never been diagnosed and not sure if it is a disorder or not. Like i could be talking to someone and to me i sound normal and to them i sound like im whispering. Or i think i look fine then im told i look pissed or mad with my body language . I hope you could possibly help me.	Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that Tuberous Sclerosis and epilepsy can cause mood changes as well as cognitive deterioration. I recommend consulting with a neuropsychologist for a careful examination and some cognitive tests. Consult with a psychiatrist would also be helpful in excluding possible depression that may interfere with the cognitive functions. Hope to have been helpful! Kind 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, my name is jessica and im 20. I was diagnosed with Tuberous Sclerosis when i was born, i also have epilepsy as well as some Cognitive issues that go with thinking,learning,logic and everyday life. Im not sure if i could have some type of Mental disorder of some kind. I know Ive had a problem with it since i was young. I would always keep to myself, shy,quiet, hard to start conversations, my thinking is slower harder to process and learn things i have a slight stuttering problem cause of it. I also dont learn as fast, i have terrible problems with my body language and tone of my speech. I am terribly always been clumsy as well. Ive noticed it for the longest time just never been diagnosed and not sure if it is a disorder or not. Like i could be talking to someone and to me i sound normal and to them i sound like im whispering. Or i think i look fine then im told i look pissed or mad with my body language . I hope you could possibly help me. ### Answer: Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that Tuberous Sclerosis and epilepsy can cause mood changes as well as cognitive deterioration. I recommend consulting with a neuropsychologist for a careful examination and some cognitive tests. Consult with a psychiatrist would also be helpful in excluding possible depression that may interfere with the cognitive functions. Hope to have been helpful! Kind regards,
i am 33y, ht 1.65m, wgt 49 i am having problem with my reproduction organ.from lab test there is no sperm to count therefore i am asosperma and i have been to hosptal ui in nigeria and went via operation but no good result. i am married,i do feel temperature hot in my pennis, how can i have a biological child of my own.email_ YYYY@YYYY	Hi, It is quite normal and does not indicate any specific disease condition. 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 am 33y, ht 1.65m, wgt 49 i am having problem with my reproduction organ.from lab test there is no sperm to count therefore i am asosperma and i have been to hosptal ui in nigeria and went via operation but no good result. i am married,i do feel temperature hot in my pennis, how can i have a biological child of my own.email_ YYYY@YYYY ### Answer: Hi, It is quite normal and does not indicate any specific disease condition. Hope I have answered your query. Let me know if I can assist you further.
Hi i have had a sick feeling in my upper abdomen all week. It is constant but dull and im startnig o get very worried i am otherwise healthy and never experience pain or illnss without as reason for this long. Its a cross between nasusea and cramping and is very much the same to the feeling i get when i drink too much alcohol too quickly except not quite as intense. I have a number of different theories on what it may be but i would like a professinal opinion	HI. This scan be due to acidity problem-meaning there can be an ulcer. I think you need to undergo immediate upper GI endoscopy to see the exact problem. Please do not take any medicines if you are in a position to get an urgent appointment as a single tablet of Sanitizing / PPI can change the actual picture. Till Then: Stop alcohol, have bland non-spicy non-oily food, no beverages.	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 had a sick feeling in my upper abdomen all week. It is constant but dull and im startnig o get very worried i am otherwise healthy and never experience pain or illnss without as reason for this long. Its a cross between nasusea and cramping and is very much the same to the feeling i get when i drink too much alcohol too quickly except not quite as intense. I have a number of different theories on what it may be but i would like a professinal opinion ### Answer: HI. This scan be due to acidity problem-meaning there can be an ulcer. I think you need to undergo immediate upper GI endoscopy to see the exact problem. Please do not take any medicines if you are in a position to get an urgent appointment as a single tablet of Sanitizing / PPI can change the actual picture. Till Then: Stop alcohol, have bland non-spicy non-oily food, no beverages.