input
stringlengths 1
11.2k
⌀ | output
stringlengths 10
3.44k
| instruction
stringclasses 1
value | formatted_prompts
stringlengths 182
11.9k
|
|---|---|---|---|
I stopped my birth control a month ago last day of my period was last month on the 14 it is now the 13.I have diahria as well as a little brown discharge could this be from stopping my birth control or pregnant? I took 3 home pregnancy test and all were negative. I also have had a pin drop size of blood but that was all
|
HIT hank for asking to ChatDoctorI really appreciate your concern, if you are taking birth control tab or had taken it recently that does not cause diarrhea, diarrhea is different clinical symptoms and not related with the birth control tab, neither this is the sign of pregnancy, if this is the blood stain stool then wait for few days this would come around on its own, nothing to worry about this, take care and have a good 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 stopped my birth control a month ago last day of my period was last month on the 14 it is now the 13.I have diahria as well as a little brown discharge could this be from stopping my birth control or pregnant? I took 3 home pregnancy test and all were negative. I also have had a pin drop size of blood but that was all
### Answer: HIT hank for asking to ChatDoctorI really appreciate your concern, if you are taking birth control tab or had taken it recently that does not cause diarrhea, diarrhea is different clinical symptoms and not related with the birth control tab, neither this is the sign of pregnancy, if this is the blood stain stool then wait for few days this would come around on its own, nothing to worry about this, take care and have a good day.
|
i have black marks on my face all over so i need a best solution please advice me what to use and what to avoid for its cure? Name: Shekha Sharma Age: 40 Weight:63 BP: Normal Blood Group: O+ Gender: Female
|
Hello shekhafirst of all it is important to know more about your marks. Are they like Sara, their size, relation to any illness, affect of exposure to sunlight. Without the knowledge of a clinical details and examination of the marks it would be difficult to treat them. You should see a dermatologist in person.
|
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 black marks on my face all over so i need a best solution please advice me what to use and what to avoid for its cure? Name: Shekha Sharma Age: 40 Weight:63 BP: Normal Blood Group: O+ Gender: Female
### Answer: Hello shekhafirst of all it is important to know more about your marks. Are they like Sara, their size, relation to any illness, affect of exposure to sunlight. Without the knowledge of a clinical details and examination of the marks it would be difficult to treat them. You should see a dermatologist in person.
|
I am constantly making a em em sound somewhat under my breathe, my husband says I do it all the time. Female, 58 years old, finished chemo Feb 28 for rectal cancer, had surgery last summer. I have a colostomy and I think it might have started as a coping mechanism to get used to changing the bag, but not sure. Also have RA and degenerative disc problems. I am taking Ativan, Zoloft, tramadol, methotrexate (for last 2 months), hydroxycloriquine.
|
Welcome in Chat Doctor. I understand your query as you said you are a follow-up patient of rectal cancer and having sound while breathing. Here I would like to say that unwanted breathing sounds are produced whenever there is either swelling, phlegm or obstruction in airway. Whenever these sounds are heard only during sleeping hours we call it as snoring. As a rule all above may be either in nose or throat. Different clinical conditions may be-1- Deviated nasal septum.2- Chronic Maxillary sinusitis.3- Nasal polyps.4- Turbinate hypertrophy.5- Thick and slag soft palate.6- Short neck with double chin.7- Loose para pharyngeal soft tissue. All above may be easily ruled out by clinical examination by an ENT doctor and may be managed accordingly. Thanks for consulting 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 constantly making a em em sound somewhat under my breathe, my husband says I do it all the time. Female, 58 years old, finished chemo Feb 28 for rectal cancer, had surgery last summer. I have a colostomy and I think it might have started as a coping mechanism to get used to changing the bag, but not sure. Also have RA and degenerative disc problems. I am taking Ativan, Zoloft, tramadol, methotrexate (for last 2 months), hydroxycloriquine.
### Answer: Welcome in Chat Doctor. I understand your query as you said you are a follow-up patient of rectal cancer and having sound while breathing. Here I would like to say that unwanted breathing sounds are produced whenever there is either swelling, phlegm or obstruction in airway. Whenever these sounds are heard only during sleeping hours we call it as snoring. As a rule all above may be either in nose or throat. Different clinical conditions may be-1- Deviated nasal septum.2- Chronic Maxillary sinusitis.3- Nasal polyps.4- Turbinate hypertrophy.5- Thick and slag soft palate.6- Short neck with double chin.7- Loose para pharyngeal soft tissue. All above may be easily ruled out by clinical examination by an ENT doctor and may be managed accordingly. Thanks for consulting Chat Doctor.
|
I had a kidney transplant twelve years ago and also have hep C. I had a biopsy of a granunola and was subsequently diagnosed with sarcoidoisis. The cause of the kidney failure and Hep C were not known. Could sarcoidoisis be the cause of my kidney and liver issues?
|
As acidosis is a multi system disease, it can cause simultaneous liver and kidney disease. But you are also suffering from hep C. Remember that HEPA can also lead to liver disease and renal involvement (cryoglobulenemic Glomerulonephritis).
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: I had a kidney transplant twelve years ago and also have hep C. I had a biopsy of a granunola and was subsequently diagnosed with sarcoidoisis. The cause of the kidney failure and Hep C were not known. Could sarcoidoisis be the cause of my kidney and liver issues?
### Answer: As acidosis is a multi system disease, it can cause simultaneous liver and kidney disease. But you are also suffering from hep C. Remember that HEPA can also lead to liver disease and renal involvement (cryoglobulenemic Glomerulonephritis).
|
hi doc, my sister is suffering from severe hair loss since dec end,earlier we thought its something related to weather but it never ended.her hair is thinning from all over the scalp,mostly from the front area.every time whether she combs her hair or does oiling,washing whatever it keeps on falling. plz suggest.
|
Hi Dear, Understanding your concern. As per your query you have symptoms of severe hair loss with thinning which can occur due to many reasons such as compromised immunity of body, stress, genetic factor, improper hygiene, fungal infection and hormonal changes. Need not worry. I would suggest you to - Avoid using shampoos that contain excessive chemicals. - Take diet rich in supplements like vitamin A, Omega-3 and vitamin E.- Take protein rich diet and healthy food intake on daily basis. - Do massage of hair scalp on daily basis. If symptoms keeps on persisting visit dermatologist once and get it examined and start treatment with antifungal medication and shampoo. You should use olive for massage. 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 doc, my sister is suffering from severe hair loss since dec end,earlier we thought its something related to weather but it never ended.her hair is thinning from all over the scalp,mostly from the front area.every time whether she combs her hair or does oiling,washing whatever it keeps on falling. plz suggest.
### Answer: Hi Dear, Understanding your concern. As per your query you have symptoms of severe hair loss with thinning which can occur due to many reasons such as compromised immunity of body, stress, genetic factor, improper hygiene, fungal infection and hormonal changes. Need not worry. I would suggest you to - Avoid using shampoos that contain excessive chemicals. - Take diet rich in supplements like vitamin A, Omega-3 and vitamin E.- Take protein rich diet and healthy food intake on daily basis. - Do massage of hair scalp on daily basis. If symptoms keeps on persisting visit dermatologist once and get it examined and start treatment with antifungal medication and shampoo. You should use olive for massage. Hope your concern has been resolved. Best Wishes,
|
My fifty day old child has a feeding problem.She had refused the breast during her first few days and since she had neo-natal jaundice we were forced to bottle feed the baby. Last 2 weeks she has been refusing the bottle and is always crying. Pl. advise.
|
Ur baby may be crying due to infantile colic, common cold, earache, but more probably due to infantile colic. Are u give burping to your baby after every feed. In bottle-feed baby more chance of aerophobia & more chance of infantile colic. To prevent this keep bottle vertically during feeding & remove bottle whenever slightly milk remain in it & the hole of nipple not much small or not much large. Start burping practice after each feed. Apply been (assafoitida) paste on abdomen. Give 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 fifty day old child has a feeding problem.She had refused the breast during her first few days and since she had neo-natal jaundice we were forced to bottle feed the baby. Last 2 weeks she has been refusing the bottle and is always crying. Pl. advise.
### Answer: Ur baby may be crying due to infantile colic, common cold, earache, but more probably due to infantile colic. Are u give burping to your baby after every feed. In bottle-feed baby more chance of aerophobia & more chance of infantile colic. To prevent this keep bottle vertically during feeding & remove bottle whenever slightly milk remain in it & the hole of nipple not much small or not much large. Start burping practice after each feed. Apply been (assafoitida) paste on abdomen. Give Chat Doctor.
|
Sir I have a long history of chronic lumbar back pain, D.D.D., Stenosis this morning on my lower left side just above caudal equi area i am having horrific pain I take morphine sulf. 200 mg 2x daily and are having no effect I am 2 hours any from my primary and have tried heating pad ice nothing is helping????
|
Hi, Since your pain is not relieved by strong analgesics possible cause may be 1. Mechanical backache and 2. Instability. Detailed investigation in form of 1. X-ray of lumbosacral spine anteroposterior and lateral views and 2. MRI of the lumbosacral spine with screening of whole spine needs to be done. Please get it done from radiology center nearby you. Meanwhile, start tab. Attract. Visit to orthopedic surgeon for detailed clinical Examination is recommended. 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: Sir I have a long history of chronic lumbar back pain, D.D.D., Stenosis this morning on my lower left side just above caudal equi area i am having horrific pain I take morphine sulf. 200 mg 2x daily and are having no effect I am 2 hours any from my primary and have tried heating pad ice nothing is helping????
### Answer: Hi, Since your pain is not relieved by strong analgesics possible cause may be 1. Mechanical backache and 2. Instability. Detailed investigation in form of 1. X-ray of lumbosacral spine anteroposterior and lateral views and 2. MRI of the lumbosacral spine with screening of whole spine needs to be done. Please get it done from radiology center nearby you. Meanwhile, start tab. Attract. Visit to orthopedic surgeon for detailed clinical Examination is recommended. Hope I have answered your query. Let me know if I can assist you further.
|
My grandson aged 11 months had a scan today to determine where or if he had testicles. The scan could not identify that he had any testicles, but they did find that he had what seemed to be only one kidney - horse shoe shaped. What does having no testicles mean for him in the future?
|
Hi, I have gone through your question and I understand your concerns but unfortunately, if the tests were not indemnified and put back into the scrotum before the age of one year this means that he will be sterile or infertile. 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: My grandson aged 11 months had a scan today to determine where or if he had testicles. The scan could not identify that he had any testicles, but they did find that he had what seemed to be only one kidney - horse shoe shaped. What does having no testicles mean for him in the future?
### Answer: Hi, I have gone through your question and I understand your concerns but unfortunately, if the tests were not indemnified and put back into the scrotum before the age of one year this means that he will be sterile or infertile. Hope I have answered your query. Let me know if I can assist you further.
|
At times I feel like I actually have to make myself swallow and it feels difficult to take deep breaths. I felt like this two times this weekend, and they both happened while I was eating. I have felt this way a few times in the past before when I lie down to sleep.
|
Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of either esophageal motility disorder or HERD (gastroesophageal reflux disease) is more. In both these conditions, patient is having symptoms in lying down position and while eating. So better to consult gastroenterologist and get done upper GIs copy. Start proton pump inhibitors and prokinetic Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Keep 2-3 pillows under head in the bed to prevent reflux. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright. 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: At times I feel like I actually have to make myself swallow and it feels difficult to take deep breaths. I felt like this two times this weekend, and they both happened while I was eating. I have felt this way a few times in the past before when I lie down to sleep.
### Answer: Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of either esophageal motility disorder or HERD (gastroesophageal reflux disease) is more. In both these conditions, patient is having symptoms in lying down position and while eating. So better to consult gastroenterologist and get done upper GIs copy. Start proton pump inhibitors and prokinetic Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Keep 2-3 pillows under head in the bed to prevent reflux. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
|
I am 6 weeks and one day with a heartbeat of 86 bpm I have had three miscarriages one a chromosome issue. The doctor said that the gestational sac is looking kinda elongated and with my history was concerned. What are the chances of me carrying to full term? Should I be worried? Any suggestions on what to ask my doctor or should I adk for levels drawn?
|
Hi. There should be no cause for concern yet as long as the FHS was normal, but of course if the sac does look a little different from normal then a follow-up scan along with an anomaly scan on the 12th week should be conducted. Along with a check on other anomalies (e.g. AFP) with the help of a blood sample by the 16th week or so. 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: I am 6 weeks and one day with a heartbeat of 86 bpm I have had three miscarriages one a chromosome issue. The doctor said that the gestational sac is looking kinda elongated and with my history was concerned. What are the chances of me carrying to full term? Should I be worried? Any suggestions on what to ask my doctor or should I adk for levels drawn?
### Answer: Hi. There should be no cause for concern yet as long as the FHS was normal, but of course if the sac does look a little different from normal then a follow-up scan along with an anomaly scan on the 12th week should be conducted. Along with a check on other anomalies (e.g. AFP) with the help of a blood sample by the 16th week or so. Best wishes.
|
I was told I have SERtinuin Syndrom from taking the drug Savella for 6 weeks my doctor has been treating me with Beandryl my symptons are the same mri and eeg Dr said looked alright and I will get well it is just taking longer, I was told to stop taking the Benadryl,which is the only thing that stablizes me a little bit for the past 2 days my heart seems to be beating a little faster it feels funny. I have a heart condition Tetrology Fallot, had a cardic montor on 2 weeks ago everthing was ok so how can i tell if my heart is beating a litt faster
|
Hello, I passed carefully through your question and would explain that your symptoms could be related to possible tachycardia or cardiac arrhythmia. The increased heart rate could be related to the abrupt stopping of Ben Chat Doctor. Coming to this point, I would recommend you to closely monitor your heart rate and heart rhythm. In case of an irregular heart rhythm, I would recommend going to the ER for a resting ECG and checking blood electrolyte levels. 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 was told I have SERtinuin Syndrom from taking the drug Savella for 6 weeks my doctor has been treating me with Beandryl my symptons are the same mri and eeg Dr said looked alright and I will get well it is just taking longer, I was told to stop taking the Benadryl,which is the only thing that stablizes me a little bit for the past 2 days my heart seems to be beating a little faster it feels funny. I have a heart condition Tetrology Fallot, had a cardic montor on 2 weeks ago everthing was ok so how can i tell if my heart is beating a litt faster
### Answer: Hello, I passed carefully through your question and would explain that your symptoms could be related to possible tachycardia or cardiac arrhythmia. The increased heart rate could be related to the abrupt stopping of Ben Chat Doctor. Coming to this point, I would recommend you to closely monitor your heart rate and heart rhythm. In case of an irregular heart rhythm, I would recommend going to the ER for a resting ECG and checking blood electrolyte levels. Hope I have answered your query. Let me know if I can assist you further.
|
Hi, I went to my RE today for a day 12 follicle scan I had a 20 and 22 mm on the left side and a 15 on the right side. They tested my urine and it showed a positive LH surge. We then did the trigger shot at 11:00am and we are scheduled for an IUI tomorrow morning at 10:00. Does this sound hopeful at all?? The only issue we are dealing with is low morphology. Thank you for your help.
|
Hi welcome to Chat Doctor. I have gone through your question. A 22 mm size follicle is idle for rupture and day after that GUI has great chance of conceiving. So go ahead with your plan. Hope I answered your question. Would be happy to help 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: Hi, I went to my RE today for a day 12 follicle scan I had a 20 and 22 mm on the left side and a 15 on the right side. They tested my urine and it showed a positive LH surge. We then did the trigger shot at 11:00am and we are scheduled for an IUI tomorrow morning at 10:00. Does this sound hopeful at all?? The only issue we are dealing with is low morphology. Thank you for your help.
### Answer: Hi welcome to Chat Doctor. I have gone through your question. A 22 mm size follicle is idle for rupture and day after that GUI has great chance of conceiving. So go ahead with your plan. Hope I answered your question. Would be happy to help you further. Take care.
|
My 6 yr old daughter woke up 2 days ago with a bug bite on her right ankle. She usually has a bad reaction to them. This time it was worse than normal benedryl and hydrocortizone cream not working like it usually does. We figured she was walking funny because of the swelling. Today she is walking like a new born calf. Its like both legs are constantly asleep, like she has lost all muscle control in both legs. She has a hard time standing for more than a couple seconds while holding onto somthing before she falls to the floor.
|
I think you should consult your pediatrician and get the kid assessed. The pediatrician if it finds any change in the examination may further direct you to a PMR specialist or a neurologist.
|
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 6 yr old daughter woke up 2 days ago with a bug bite on her right ankle. She usually has a bad reaction to them. This time it was worse than normal benedryl and hydrocortizone cream not working like it usually does. We figured she was walking funny because of the swelling. Today she is walking like a new born calf. Its like both legs are constantly asleep, like she has lost all muscle control in both legs. She has a hard time standing for more than a couple seconds while holding onto somthing before she falls to the floor.
### Answer: I think you should consult your pediatrician and get the kid assessed. The pediatrician if it finds any change in the examination may further direct you to a PMR specialist or a neurologist.
|
my son is 34 yrs old and obese(about 300lbs) and now his blood work shows elevated liver enzymes as well as a gallbladdder number that is not normal. his tryc.,his sugar,his colesterol are all high. what can he do quickly to get on the right track. the dr is doing a 2nd blood test to make sure the first one was correct.he is already on blood pressure pills,including fluid pills. I am so worried about him and knew his over weight problem was going to turn into something much worse. he is a very stubborn guy but he is scared now,really scared. He might see that a Mom does know best and he should have listened to me.help!
|
HelloElevated liver enzymes may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes, obesity etc. High liver enzymes may be due to altered lipid profile in your sons case. Findings also suggests altered lipid profile. He may need few investigations like routine hologram, viral markers, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. I also suggest combination tablet of atorvastatin 10 mg and fenofibrate 160 mg single dose at night after dinner. It will control increased lipid level. He also needs diet and lifestyle modification. He should avoid saturated aft and go for brisk walk regularly. He also needs medicines for diabetes mellitus. 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 son is 34 yrs old and obese(about 300lbs) and now his blood work shows elevated liver enzymes as well as a gallbladdder number that is not normal. his tryc.,his sugar,his colesterol are all high. what can he do quickly to get on the right track. the dr is doing a 2nd blood test to make sure the first one was correct.he is already on blood pressure pills,including fluid pills. I am so worried about him and knew his over weight problem was going to turn into something much worse. he is a very stubborn guy but he is scared now,really scared. He might see that a Mom does know best and he should have listened to me.help!
### Answer: HelloElevated liver enzymes may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes, obesity etc. High liver enzymes may be due to altered lipid profile in your sons case. Findings also suggests altered lipid profile. He may need few investigations like routine hologram, viral markers, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. I also suggest combination tablet of atorvastatin 10 mg and fenofibrate 160 mg single dose at night after dinner. It will control increased lipid level. He also needs diet and lifestyle modification. He should avoid saturated aft and go for brisk walk regularly. He also needs medicines for diabetes mellitus. Get well soon. Take Care Chat Doctor.
|
Hi, I got chicken pox about 20 days ago, the scabs are falling off but not all, i am concerned whether the new skin that is formed will scar or not, i have been advised to apply dermadew lotion will it help or is it a conceler. Also can i go out as all the crusts have not fallen?
|
Usually chicken pox scars take about few months to get resolved on its own depending on individual ability of skin to regenerate ...application of decade lotion is one of the measure to get rid of the scars.along with it take vitamin E supplements...and stay HY 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 got chicken pox about 20 days ago, the scabs are falling off but not all, i am concerned whether the new skin that is formed will scar or not, i have been advised to apply dermadew lotion will it help or is it a conceler. Also can i go out as all the crusts have not fallen?
### Answer: Usually chicken pox scars take about few months to get resolved on its own depending on individual ability of skin to regenerate ...application of decade lotion is one of the measure to get rid of the scars.along with it take vitamin E supplements...and stay HY Chat Doctor.
|
Hi my name is barbara and I am having some pain in the lower part of my back and when I take a deep breath it hurt worst I started taking Advil on yesterday I took three at on time I was hurting so bad but today I just went online and ask the question about Advil v aleve and most of the sights sad aleve was better for mussel pain so I took two aleve can you give me any advise
|
Hello, Thank you for contact us,Nowadays it's mostly the common problems in humans. Mainly its due to inactivity of muscles it. Today every one having totally sitting life as no work at all that could be count as a body exercise due to that problem occurs. For lower back Pain you should follow instructions described below -Best medicine for Lower back pain is Rest. Resting for some days will heal the muscles which could be damage because of jerk. Muscles need some time to heal so give them time for the same. Another way is to take message with hot or cold water, Some people take cold water and some takes hot for massage. If pain is because of any accident or something big issue than you have to concern good doctor for the same. Other exercise should be done as doctors suggest after checking you physically. Hope it will work for your back pain. Good luck, Take care. Thanks & 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 barbara and I am having some pain in the lower part of my back and when I take a deep breath it hurt worst I started taking Advil on yesterday I took three at on time I was hurting so bad but today I just went online and ask the question about Advil v aleve and most of the sights sad aleve was better for mussel pain so I took two aleve can you give me any advise
### Answer: Hello, Thank you for contact us,Nowadays it's mostly the common problems in humans. Mainly its due to inactivity of muscles it. Today every one having totally sitting life as no work at all that could be count as a body exercise due to that problem occurs. For lower back Pain you should follow instructions described below -Best medicine for Lower back pain is Rest. Resting for some days will heal the muscles which could be damage because of jerk. Muscles need some time to heal so give them time for the same. Another way is to take message with hot or cold water, Some people take cold water and some takes hot for massage. If pain is because of any accident or something big issue than you have to concern good doctor for the same. Other exercise should be done as doctors suggest after checking you physically. Hope it will work for your back pain. Good luck, Take care. Thanks & regards,
|
hi there i am 29 weeks pregnant... honey bee has stung me just a couple of minutes ago and laterly i realised when my body was itching all over and also got swollen where the honey bee stung.. red spot on my body is spreading everywhere and is itchy ... plz advise me something good... thank you.
|
Hello, Thanks for contacting Chat Doctor. If you had a severe allergic reaction to bee sting in the past, then you need to rush to a nearby hospital. If you are not allergic to any insect bites, you can take any antihistamine like cetirizine and see for response. If the rashes and itching subsides or not grow in intensity or area then it should take nearby itself. You can repeat the dose every 12 hours for as minimum as required. 2- 3 doses should be enough. But if inspire of taking it if you experience increase in intensity of rash and itching, you better get to hospital soon.In the meantime you can apply cold application at the site of bite and if possible to get the sting out. Hope you get relieved. 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 there i am 29 weeks pregnant... honey bee has stung me just a couple of minutes ago and laterly i realised when my body was itching all over and also got swollen where the honey bee stung.. red spot on my body is spreading everywhere and is itchy ... plz advise me something good... thank you.
### Answer: Hello, Thanks for contacting Chat Doctor. If you had a severe allergic reaction to bee sting in the past, then you need to rush to a nearby hospital. If you are not allergic to any insect bites, you can take any antihistamine like cetirizine and see for response. If the rashes and itching subsides or not grow in intensity or area then it should take nearby itself. You can repeat the dose every 12 hours for as minimum as required. 2- 3 doses should be enough. But if inspire of taking it if you experience increase in intensity of rash and itching, you better get to hospital soon.In the meantime you can apply cold application at the site of bite and if possible to get the sting out. Hope you get relieved. Chat Doctor.
|
I have sore muscles in my lower legs and feeling very tired. I do have type 2 diabetes but my blood sugars are not high or out of control. The feeling of fatigue is being to be overwhelming and the pain in my legs keep me from sleeping or getting rem sleep
|
Hello, I read your query and I would like to say that Diabetes can cause weakness and loss of fitness. Having raised blood sugar levels sometimes after a heavy meal and occasional altered salt levels puts muscles at a disadvantage and they don't perform quite well. Also, with time as diabetes progresses, the blood supply to small nerves is lost and that nerve fiber dies. When the nerve serving a muscle fiber dies then the muscle fiber will also stop working. In addition, people with diabetes also have an increased tendency to narrowing of the arteries that is a condition called peripheral vascular disease which is caused by narrowing of the arteries, usually due to the build-up of cholesterol. It is associated with smoking and poor diet. The blood supply to the muscles is decreased with time and this phenomenon is more pronounced after exercise, as it can't keep up with the demand. Pain is often more noticeable than weakness, but both can be a problem. Hope that solves your query.
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: I have sore muscles in my lower legs and feeling very tired. I do have type 2 diabetes but my blood sugars are not high or out of control. The feeling of fatigue is being to be overwhelming and the pain in my legs keep me from sleeping or getting rem sleep
### Answer: Hello, I read your query and I would like to say that Diabetes can cause weakness and loss of fitness. Having raised blood sugar levels sometimes after a heavy meal and occasional altered salt levels puts muscles at a disadvantage and they don't perform quite well. Also, with time as diabetes progresses, the blood supply to small nerves is lost and that nerve fiber dies. When the nerve serving a muscle fiber dies then the muscle fiber will also stop working. In addition, people with diabetes also have an increased tendency to narrowing of the arteries that is a condition called peripheral vascular disease which is caused by narrowing of the arteries, usually due to the build-up of cholesterol. It is associated with smoking and poor diet. The blood supply to the muscles is decreased with time and this phenomenon is more pronounced after exercise, as it can't keep up with the demand. Pain is often more noticeable than weakness, but both can be a problem. Hope that solves your query.
|
hi Doctor, Im harry of Philippines, last September 2013 i was scratched by our cat, i completed the Verorab vaccine last October 2013, last December 2013 I was bitten by a Dog again I took booster dose completed. Last week of January 2014 I was bitten by Dog again I took booster dose of Verorab again completed it Feb. 2, 2014. Now There was a rat in our house after few days when I walk up I feel itchy in my finger now after 3 days I saw a faded wound on my itchy finger, Now, my question is, assuming it was a bite of a Rat do i need to take again booster dose of Verorab? Please answer Me I feel Anxiety.
|
Yes. To be on the safer side on confirmatory history. It is advised to have anti rabies vaccination.
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: hi Doctor, Im harry of Philippines, last September 2013 i was scratched by our cat, i completed the Verorab vaccine last October 2013, last December 2013 I was bitten by a Dog again I took booster dose completed. Last week of January 2014 I was bitten by Dog again I took booster dose of Verorab again completed it Feb. 2, 2014. Now There was a rat in our house after few days when I walk up I feel itchy in my finger now after 3 days I saw a faded wound on my itchy finger, Now, my question is, assuming it was a bite of a Rat do i need to take again booster dose of Verorab? Please answer Me I feel Anxiety.
### Answer: Yes. To be on the safer side on confirmatory history. It is advised to have anti rabies vaccination.
|
I took my dad to the ER last night his symptoms were yellow jacket bee stings severe stomach pain vomiting and shallow breathing and almost unconsciousness at times. When we got to the ER he was very confused and developed left sided weakness and numbness . Blood work showed 2 times over the limit blood alcohol levels. My dad only had a beer earlier in the day and two glasses of wine later that evening. My question is what could give all these symptoms He has no effects of having been drunk last night this morning and day and still has numbness and weakness. the ER also did Ct scan that showed nothing wrong. My dad is in his mid sixties good healthand around 150 s for wieght. Please help. Thanks
|
Welcome to Chat Doctor Due to the alcohol he could be a Transient ischemic attack due to arterial spasm in the brain. Alcohol can precipitate a TIA. He needs to get his blood pressure under control, also blood sugar in control, stop smoking and Chat Doctor. He needs a fat free diet, eat plenty of fresh fruits and vegetables in diet. If his cholesterol and lipids are high in blood he may need
|
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 took my dad to the ER last night his symptoms were yellow jacket bee stings severe stomach pain vomiting and shallow breathing and almost unconsciousness at times. When we got to the ER he was very confused and developed left sided weakness and numbness . Blood work showed 2 times over the limit blood alcohol levels. My dad only had a beer earlier in the day and two glasses of wine later that evening. My question is what could give all these symptoms He has no effects of having been drunk last night this morning and day and still has numbness and weakness. the ER also did Ct scan that showed nothing wrong. My dad is in his mid sixties good healthand around 150 s for wieght. Please help. Thanks
### Answer: Welcome to Chat Doctor Due to the alcohol he could be a Transient ischemic attack due to arterial spasm in the brain. Alcohol can precipitate a TIA. He needs to get his blood pressure under control, also blood sugar in control, stop smoking and Chat Doctor. He needs a fat free diet, eat plenty of fresh fruits and vegetables in diet. If his cholesterol and lipids are high in blood he may need
|
Lately my mid-back has been in quite some pain. Sometimes i bend over orlean down to get something and all of a sudden it s a little difficult to breath and i cant get up. It s almost like a cramp yet the pain is like stabbing or burning kind of feeling. Ever since this has started my knees, hands, and neck have done the same thing. Could this just be soreness or should I see a doctor.
|
Hello, As a first line management you can take analgesics like Tramadol or Diclofenac for pain relief. Most probably the symptoms can be due to spine related problems like prolapsed disc. Consult a neurosurgeon and plan for an MRI spine for further assessment. 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: Lately my mid-back has been in quite some pain. Sometimes i bend over orlean down to get something and all of a sudden it s a little difficult to breath and i cant get up. It s almost like a cramp yet the pain is like stabbing or burning kind of feeling. Ever since this has started my knees, hands, and neck have done the same thing. Could this just be soreness or should I see a doctor.
### Answer: Hello, As a first line management you can take analgesics like Tramadol or Diclofenac for pain relief. Most probably the symptoms can be due to spine related problems like prolapsed disc. Consult a neurosurgeon and plan for an MRI spine for further assessment. Hope I have answered your query. Let me know if I can assist you further.
|
The roof of my mouth is very sore with what looks like red veins like they are irritated. They are also along the inside gumline and outside gumline of my furthest back tooth. Its starting to be irritating because its been about a week. I brush and see a dentist every six months for cleanings.
|
Thanks for your query, the soreness in the floor of the mouth could be because of an ulcer secondary to trauma, the bluish or vein like structure could be because of the dilated veins(curiosities), or a manual(cystic lesion of the salivary gland)...so please consult an oral physician for complete integral examination and proper diagnosis.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: The roof of my mouth is very sore with what looks like red veins like they are irritated. They are also along the inside gumline and outside gumline of my furthest back tooth. Its starting to be irritating because its been about a week. I brush and see a dentist every six months for cleanings.
### Answer: Thanks for your query, the soreness in the floor of the mouth could be because of an ulcer secondary to trauma, the bluish or vein like structure could be because of the dilated veins(curiosities), or a manual(cystic lesion of the salivary gland)...so please consult an oral physician for complete integral examination and proper diagnosis.take care.
|
Hello doctor i feel i have a huge problem iam male 19 years old 5 feet 9 inches and only weigh 110 pounds. I eat normally 3 meals a day few snacks hear and there but i dont gain weight. I lose a lot of hair and have a very very hard time sleeping i find myself thinking to much. I believe i might be stressed and even have ADD. Can you please help with any suggestions.
|
Hi, You have to rule out hyperthyroid by serum TSH estimation. If it comes normal than stress or anxiety indices hair fall and weight loss can be possible. You can Consult a nearby psychiatrist for detailed evaluation and behavioral counseling. Antianxiety medication like alprazolam or clonazepam also can be prescribed. 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: Hello doctor i feel i have a huge problem iam male 19 years old 5 feet 9 inches and only weigh 110 pounds. I eat normally 3 meals a day few snacks hear and there but i dont gain weight. I lose a lot of hair and have a very very hard time sleeping i find myself thinking to much. I believe i might be stressed and even have ADD. Can you please help with any suggestions.
### Answer: Hi, You have to rule out hyperthyroid by serum TSH estimation. If it comes normal than stress or anxiety indices hair fall and weight loss can be possible. You can Consult a nearby psychiatrist for detailed evaluation and behavioral counseling. Antianxiety medication like alprazolam or clonazepam also can be prescribed. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
|
For over a year I have had a rash on groin/crease near vagina, that also effects the anus , i have been using lotrimin ultra and dilucan and allergy med and the rash looks like a bruise and its severly itchy,and burns after i do itch it and it painful along with a very itchy anus, also have one red blister on side, no sure if it has anything to do with it. i have seen a dermatologist but nothing has helped
|
This seeme to be fungal rather than allergiesKeep area 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: For over a year I have had a rash on groin/crease near vagina, that also effects the anus , i have been using lotrimin ultra and dilucan and allergy med and the rash looks like a bruise and its severly itchy,and burns after i do itch it and it painful along with a very itchy anus, also have one red blister on side, no sure if it has anything to do with it. i have seen a dermatologist but nothing has helped
### Answer: This seeme to be fungal rather than allergiesKeep area ChatDoctor.
|
Hello Sir, I have been masturbating from the age of 13. Almost everyday from the age of 16. Now my testicles have shrunk and become loose and small.( they are like a very small ball in a big sack of skin ). Even the skin over my penis has become loose and veins are visible from outside. Also, my erections are not hard enough to have sex. Right now I am 23 years old and its really scary to see the condition of my penis.Please tell me what to do??
|
HelloThanks for your query, based on the facts that you have posted it appears that you have been indulged in masturbation since 7 years and now facing problem related to your sexual health.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you have narrated are mind related and due to anxiety. Following measure will help you to boost up your confidence and getting good erection.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. 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, I have been masturbating from the age of 13. Almost everyday from the age of 16. Now my testicles have shrunk and become loose and small.( they are like a very small ball in a big sack of skin ). Even the skin over my penis has become loose and veins are visible from outside. Also, my erections are not hard enough to have sex. Right now I am 23 years old and its really scary to see the condition of my penis.Please tell me what to do??
### Answer: HelloThanks for your query, based on the facts that you have posted it appears that you have been indulged in masturbation since 7 years and now facing problem related to your sexual health.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you have narrated are mind related and due to anxiety. Following measure will help you to boost up your confidence and getting good erection.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor.
|
I have recently been diagnosed with Stage 3 CKD. I have also been scheduled for a routine colonoscopy. The prep I was given was Gavilyte-G. According to information I have access to, that is contraindicated and may cause additional damage. Is that true and if so, what prep would be kidney safe? Thank you for your response.
|
Hello, Bowel preparation can cause fluid overload and is not recommended in patients with severe kidney disease, You can consider alternatives like neglect. Consult your gynecologist before starting bowel preparation. 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: I have recently been diagnosed with Stage 3 CKD. I have also been scheduled for a routine colonoscopy. The prep I was given was Gavilyte-G. According to information I have access to, that is contraindicated and may cause additional damage. Is that true and if so, what prep would be kidney safe? Thank you for your response.
### Answer: Hello, Bowel preparation can cause fluid overload and is not recommended in patients with severe kidney disease, You can consider alternatives like neglect. Consult your gynecologist before starting bowel preparation. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
|
Hello sir/mami had physical contact with my gf on 21 st....that was 10-11th day of her period....without penetration i ejaculated my semen near her vagina.....on 25th she vomitted twice...n she had fever....on next day,,she was feeling some kind of sweating......then is there any chance that she is pregnant....??????
|
Hello, Yes, she can be pregnant from above sexual activity as you did that close to her fertile period or ovulation day. Do one home pregnancy test if she misses her upcoming period. Good luck and practice safe sex 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: Hello sir/mami had physical contact with my gf on 21 st....that was 10-11th day of her period....without penetration i ejaculated my semen near her vagina.....on 25th she vomitted twice...n she had fever....on next day,,she was feeling some kind of sweating......then is there any chance that she is pregnant....??????
### Answer: Hello, Yes, she can be pregnant from above sexual activity as you did that close to her fertile period or ovulation day. Do one home pregnancy test if she misses her upcoming period. Good luck and practice safe sex in the future.
|
I was detected with hydronephrosis and have serum creatinine 3.9, and blood urea at 98. The doctor advised CISC (self-cathetarisation), but that is resulting in UTI. Antibiotics for curing UTI again raise the level of creatinine. Is there any way out of this loop? Pl help me with your kind advice.
|
Hi and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. You should write your age, gender,cause of CKD and its duration. You must get examined by a Urologist and do the following tests :1. Urine routine, culture and ACR.2. Blood routine, RBS,LFT, platelets and electrolytes.3. Ultrasound -PUB, with residual urine. According to reports, the best treatment is advised. CISC is advised in CKD people, whore not fit for a transplant or dialysis.That's the best option, along with cyclical, chemoprophylaxis.
|
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 detected with hydronephrosis and have serum creatinine 3.9, and blood urea at 98. The doctor advised CISC (self-cathetarisation), but that is resulting in UTI. Antibiotics for curing UTI again raise the level of creatinine. Is there any way out of this loop? Pl help me with your kind advice.
### Answer: Hi and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. You should write your age, gender,cause of CKD and its duration. You must get examined by a Urologist and do the following tests :1. Urine routine, culture and ACR.2. Blood routine, RBS,LFT, platelets and electrolytes.3. Ultrasound -PUB, with residual urine. According to reports, the best treatment is advised. CISC is advised in CKD people, whore not fit for a transplant or dialysis.That's the best option, along with cyclical, chemoprophylaxis.
|
hello sir! i am having some problem with my asthma since last 5 years. as per doctor prescription i used to have asthma machine for my better breathing and inhaling. from last 4 days i am just feeling pain in my left side of the shoulder and which getting affected to my other side of the body then eventually i feel like my whole body is burning these pain. So i need to ask that , these problems are just because of my asthma problem or no i have to check it. moreover please guide me , which field of doctor i should concern for my diasees. Thanx Mr. noyan
|
Hi, Shoulder pain is normally not related to asthma unless you are on oral steroids. I suggest you visit an orthopedic and get yourself evaluated. 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: hello sir! i am having some problem with my asthma since last 5 years. as per doctor prescription i used to have asthma machine for my better breathing and inhaling. from last 4 days i am just feeling pain in my left side of the shoulder and which getting affected to my other side of the body then eventually i feel like my whole body is burning these pain. So i need to ask that , these problems are just because of my asthma problem or no i have to check it. moreover please guide me , which field of doctor i should concern for my diasees. Thanx Mr. noyan
### Answer: Hi, Shoulder pain is normally not related to asthma unless you are on oral steroids. I suggest you visit an orthopedic and get yourself evaluated. Regards
|
I have 2 sons that have Candida and have had this for the last 2 yrs. and have tried all different supplements for this condition and have had no luck. What treatment can they seek and a Doctor that will help them. This has interfered with their lives and work ect. This is coming from a worried mother.
|
Hello, Welcome to Chat Doctor, The presence of fungal infection should be confirmed by the lab investigation like KOH mount of the skin scrapings of the affected area. The symptoms and the lab investigations should correlate in making the diagnosis, if both of your son is having the fungal infection it should be treated by proper medications. I would suggest them to follow1. Keep that area clean and Chat Doctor. Topical application of griseoflavin3. Oral antifungal
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: I have 2 sons that have Candida and have had this for the last 2 yrs. and have tried all different supplements for this condition and have had no luck. What treatment can they seek and a Doctor that will help them. This has interfered with their lives and work ect. This is coming from a worried mother.
### Answer: Hello, Welcome to Chat Doctor, The presence of fungal infection should be confirmed by the lab investigation like KOH mount of the skin scrapings of the affected area. The symptoms and the lab investigations should correlate in making the diagnosis, if both of your son is having the fungal infection it should be treated by proper medications. I would suggest them to follow1. Keep that area clean and Chat Doctor. Topical application of griseoflavin3. Oral antifungal
|
Hi,I am 25y of age, 183cm height and weight 77 kg.I had tinea curis for about 1 year and a half in the groin area. I didnt really treat it. Lately, I visited my GP. He was quite expeditive and recommended me anti-fungal creams and tablets. Ive been doing the treatment for 3 weeks, no improvement except for red skin rash. Since the colour of the affected area is slightly lighter than the skin (and a bit darker on the edge of those patches) and stable (hadnt grow for a very long time), I suspect that the infection healed a while ago, but due to having it for a long time it left scars. Does that sound feasible? If yes, is there any way to remove these scars?Regarding treatment, I used Lamsil cream (Terbinafine 1% w/w) twice into the infection: once after about 6 months and then 9 months into, for about 2 weeks each time. At those times, the skin was red-ish. Recently, after visiting the doctor, I am using Trimovate Cream (clobetasone butyrate, oxytetracycline, nyastin), Canesten Cream Clotrimazole 1%w/w 20g for fungal infection and some anti-fungal pills 4 times a day for 7 days. I also use Tea Tree Oil (via a stick).
|
Thanks for asking in Chat Doctor forum If you have infection persisting, then only you may find red bordered lesions like that. SO, continue applying antifungal cream and visit doctor again for oral antifungals. Usually it takes months for some people to get completely cured by fungal infection. So, please have patience. It is not a scar.
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: Hi,I am 25y of age, 183cm height and weight 77 kg.I had tinea curis for about 1 year and a half in the groin area. I didnt really treat it. Lately, I visited my GP. He was quite expeditive and recommended me anti-fungal creams and tablets. Ive been doing the treatment for 3 weeks, no improvement except for red skin rash. Since the colour of the affected area is slightly lighter than the skin (and a bit darker on the edge of those patches) and stable (hadnt grow for a very long time), I suspect that the infection healed a while ago, but due to having it for a long time it left scars. Does that sound feasible? If yes, is there any way to remove these scars?Regarding treatment, I used Lamsil cream (Terbinafine 1% w/w) twice into the infection: once after about 6 months and then 9 months into, for about 2 weeks each time. At those times, the skin was red-ish. Recently, after visiting the doctor, I am using Trimovate Cream (clobetasone butyrate, oxytetracycline, nyastin), Canesten Cream Clotrimazole 1%w/w 20g for fungal infection and some anti-fungal pills 4 times a day for 7 days. I also use Tea Tree Oil (via a stick).
### Answer: Thanks for asking in Chat Doctor forum If you have infection persisting, then only you may find red bordered lesions like that. SO, continue applying antifungal cream and visit doctor again for oral antifungals. Usually it takes months for some people to get completely cured by fungal infection. So, please have patience. It is not a scar.
|
my right testicle is hanging lower than my right and feels heavierand also notice a small lump but when i touch it it feels like a bunch of vains instead of round i also get a wierd not painful feeling in my testicle hanging lower this has gone on since yesterday and no serious pain has occurred what could it be?
|
HelloThanks for your query, based on the facts that you have posted it appears that you have slight discomfort in your Rt testicle and can palpate bunch of veins. This is most likely to be Varicocele. And needs to be confirmed by clinical examination by a qualified Urologist and color Doppler study of scrotum. 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 right testicle is hanging lower than my right and feels heavierand also notice a small lump but when i touch it it feels like a bunch of vains instead of round i also get a wierd not painful feeling in my testicle hanging lower this has gone on since yesterday and no serious pain has occurred what could it be?
### Answer: HelloThanks for your query, based on the facts that you have posted it appears that you have slight discomfort in your Rt testicle and can palpate bunch of veins. This is most likely to be Varicocele. And needs to be confirmed by clinical examination by a qualified Urologist and color Doppler study of scrotum. Chat Doctor.
|
Hi My name is Melanie, Im a 20 year old female. and have lump on the left side of my neck rite next to my collar bone . I noticed it about 3 months ago, it is hard immovable and feels like there are other small round lumps around it. Sometimes it feels larger and I can find it as soon as I touch my neck, other times I have to dig around to feel it or for someone else to. Had blood work about a month ago, came back fine showing no sign of infection however there was blood that came back in my urine test . I also have had a couple swollen lymph nodes in my neck and behind my ear. I have an ultra sound booked 2 weeks from now that I have been waiting for over a month now, however im terrified if its cancer im waiting too long. scared, and desperate for help or advice. I should also mention I weigh around 115 lbs, my diet is impeccable, I hardly drink and do not smoke. Melanie.
|
Hi Melanie, You seem to have a good number of enlarged nodes. Though not always malignant, one should always get a biopsy, an x-ray of the chest and a scan done even if your blood tests are normal. There are a lot of infectious and other causes for enlarged nodes, so I would not worry too much.
|
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 Melanie, Im a 20 year old female. and have lump on the left side of my neck rite next to my collar bone . I noticed it about 3 months ago, it is hard immovable and feels like there are other small round lumps around it. Sometimes it feels larger and I can find it as soon as I touch my neck, other times I have to dig around to feel it or for someone else to. Had blood work about a month ago, came back fine showing no sign of infection however there was blood that came back in my urine test . I also have had a couple swollen lymph nodes in my neck and behind my ear. I have an ultra sound booked 2 weeks from now that I have been waiting for over a month now, however im terrified if its cancer im waiting too long. scared, and desperate for help or advice. I should also mention I weigh around 115 lbs, my diet is impeccable, I hardly drink and do not smoke. Melanie.
### Answer: Hi Melanie, You seem to have a good number of enlarged nodes. Though not always malignant, one should always get a biopsy, an x-ray of the chest and a scan done even if your blood tests are normal. There are a lot of infectious and other causes for enlarged nodes, so I would not worry too much.
|
I had a white spot on my tonsil (right side) which I was scared was turning into strep throat. I gargled with warm water and salt yesterday and it was still there today. I gargled again, and the white spot ended up detaching from my tonsil. I was just wondering what this was and if I should go to a doctor to get checked for an infection?
|
Hi dear, you did not mention other symptoms with white patch. If you have any other symptoms then you should consult your doctor.
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: I had a white spot on my tonsil (right side) which I was scared was turning into strep throat. I gargled with warm water and salt yesterday and it was still there today. I gargled again, and the white spot ended up detaching from my tonsil. I was just wondering what this was and if I should go to a doctor to get checked for an infection?
### Answer: Hi dear, you did not mention other symptoms with white patch. If you have any other symptoms then you should consult your doctor.
|
Hai Doctor, I am 31 year old unmarried man. I have been using psychiatric drugs for 9 years.At the beggining the medicines were Olaweb , thiozine and Cap neuro web.6 months later I started feeling discomfort and began a feeling that I cantnt stop my thoughts.Then the doctor started Qutace and venjoy by removing thyrox and olaweb gradually.Then instead of Qutace Quser XL 300 had been started and Venlaway XR 75 instead of Venjoy and also started Olace 10 and Dipro OD 500. Now I am using Dipro OD 500, Venlaway XR 75, Q web 200 all at 2 times Besides I use Envas 2.5 mg at morning for BP and Human Mixtard insuline 12 ml morning and 8 ml Evening and Thyrox 50 and Supradyn tablet daily. Will all this medicines affect my body negatively? For what problems I am using the psychiatric medicines? Can I stop all medicines by curing my problems ? Can I marry and lead a happy life with my partner? Now I am feeling that all these health problems are caused because I was trapped by my neighbour. Because I was hospitalized because of fever and didnt cured. Then my neighbour forced me to go with him to a private hospital where he knows a doctor and I was admitted there and there when the medicine was injecting to my body it affected a great pain flows from hand to my head and after a weak I lost all my controll and that neighbour took me to a psychiatrist and told him about my little jokes as madness and then I began to treated as a mentel patient. But now I am feeling so good and within this period I went to study and occupied a Govt. job and occupied Driving Licence and is using my own vehicle.But now only that neighbour is not talking to me. As earlier now also I wish to live long with good health. But I am so tired now. sir please give me a solution to save my life if there are any possibilities. I request you to keep my personal details including name to be secret. Thanking you, X
|
HIT hanks for using Chat Doctor You have mentioned the treatment history, but did not mention the symptoms you have for last 9 years. I think, I can say, that you may have bipolar disorder that why you are not valproate, quetiapine etc. May be due become diabetic due to metabolic side effects of olanzapine or valproate. You can be 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: Hai Doctor, I am 31 year old unmarried man. I have been using psychiatric drugs for 9 years.At the beggining the medicines were Olaweb , thiozine and Cap neuro web.6 months later I started feeling discomfort and began a feeling that I cantnt stop my thoughts.Then the doctor started Qutace and venjoy by removing thyrox and olaweb gradually.Then instead of Qutace Quser XL 300 had been started and Venlaway XR 75 instead of Venjoy and also started Olace 10 and Dipro OD 500. Now I am using Dipro OD 500, Venlaway XR 75, Q web 200 all at 2 times Besides I use Envas 2.5 mg at morning for BP and Human Mixtard insuline 12 ml morning and 8 ml Evening and Thyrox 50 and Supradyn tablet daily. Will all this medicines affect my body negatively? For what problems I am using the psychiatric medicines? Can I stop all medicines by curing my problems ? Can I marry and lead a happy life with my partner? Now I am feeling that all these health problems are caused because I was trapped by my neighbour. Because I was hospitalized because of fever and didnt cured. Then my neighbour forced me to go with him to a private hospital where he knows a doctor and I was admitted there and there when the medicine was injecting to my body it affected a great pain flows from hand to my head and after a weak I lost all my controll and that neighbour took me to a psychiatrist and told him about my little jokes as madness and then I began to treated as a mentel patient. But now I am feeling so good and within this period I went to study and occupied a Govt. job and occupied Driving Licence and is using my own vehicle.But now only that neighbour is not talking to me. As earlier now also I wish to live long with good health. But I am so tired now. sir please give me a solution to save my life if there are any possibilities. I request you to keep my personal details including name to be secret. Thanking you, X
### Answer: HIT hanks for using Chat Doctor You have mentioned the treatment history, but did not mention the symptoms you have for last 9 years. I think, I can say, that you may have bipolar disorder that why you are not valproate, quetiapine etc. May be due become diabetic due to metabolic side effects of olanzapine or valproate. You can be Chat Doctor.
|
Hi my mother had a brain anneursym on jan 15 2914 she was showing improvement a month in mouthing words and moving around and responding when told to open or close eyes. she was put on a trach and they bounced back and fourth with the vent and trach and she is now in rehab and had phenomia and ulser bleeds. she is responding some and also had a craniotomy I waqs wondering since she isnt responding as much is this normal for what she has gone through.
|
Hello! Thank you for asking on Chat Doctor! I understand your concern and would explain that her symptoms seem to be related to the brain hemorrhage caused by the aneurysm rupture. You should know that it is needed a long time (months up to a year), to recover from such a disorder. After the first year, the possibility of improvement is too low, and the situation remains the same. This is because during the first months, the blood is being absorbed and the there is inflammation in the surrounding tissues. But after this long period, the deficits which remain are caused by the damaged brain cells, which do not regenerate. The situation, complicated with pneumonia and ulcer bleeds is really concerning and needs a careful treatment in specialized medical centers. They could be related to aspiration and the therapies she has been taking. Hope to have been helpful! Best 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 mother had a brain anneursym on jan 15 2914 she was showing improvement a month in mouthing words and moving around and responding when told to open or close eyes. she was put on a trach and they bounced back and fourth with the vent and trach and she is now in rehab and had phenomia and ulser bleeds. she is responding some and also had a craniotomy I waqs wondering since she isnt responding as much is this normal for what she has gone through.
### Answer: Hello! Thank you for asking on Chat Doctor! I understand your concern and would explain that her symptoms seem to be related to the brain hemorrhage caused by the aneurysm rupture. You should know that it is needed a long time (months up to a year), to recover from such a disorder. After the first year, the possibility of improvement is too low, and the situation remains the same. This is because during the first months, the blood is being absorbed and the there is inflammation in the surrounding tissues. But after this long period, the deficits which remain are caused by the damaged brain cells, which do not regenerate. The situation, complicated with pneumonia and ulcer bleeds is really concerning and needs a careful treatment in specialized medical centers. They could be related to aspiration and the therapies she has been taking. Hope to have been helpful! Best regards,
|
i am facing cystic acne for 3-4 years,every time my dermotologist prescribed isotretinoin and then tetracycline antibiotics ..after using the above mentioned drugs my skin used to be free from acne for a period of 5-6 months...but again acne used to appear....every time my derm prescribed only 1 month of isotretinoin ...but i read that 5-6 months of isotretinoin treatment is required...wat is the exact dosage of isotretinoin....
|
Hi, hope you are doing great. The dose of isotretinoin varies depending on the body weight and one full course is for 20 weeks. The dose can be continued till all the existing acne have gone and formation of new ones has been stopped. Therefore, it may take up to a year. Despite all this, if there is a relapse, the cycle needs to be started again
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: i am facing cystic acne for 3-4 years,every time my dermotologist prescribed isotretinoin and then tetracycline antibiotics ..after using the above mentioned drugs my skin used to be free from acne for a period of 5-6 months...but again acne used to appear....every time my derm prescribed only 1 month of isotretinoin ...but i read that 5-6 months of isotretinoin treatment is required...wat is the exact dosage of isotretinoin....
### Answer: Hi, hope you are doing great. The dose of isotretinoin varies depending on the body weight and one full course is for 20 weeks. The dose can be continued till all the existing acne have gone and formation of new ones has been stopped. Therefore, it may take up to a year. Despite all this, if there is a relapse, the cycle needs to be started again
|
My creatinine level is 08 Is it right or wrong do i need to worry I am 41 yrs old male slightly overweight . I had reported high bp , that is when doctor asked me to go for kidney functional test and blood sugar ,All other tests are in normal range as per report but my creatinine level is 0.8 against normal range mentioned as .9 to 1.2 .Most of my lipid profile tests are also in normal range . pl advise
|
Your creatinine is absolutely normal & so are your kidney functions ..... yes u shut worry because you're hypertensive i.e. u have high BP ...... which can damage silently the organs inside including kidneys if no properly treated ... .. So b regular with your BP tabs
|
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 creatinine level is 08 Is it right or wrong do i need to worry I am 41 yrs old male slightly overweight . I had reported high bp , that is when doctor asked me to go for kidney functional test and blood sugar ,All other tests are in normal range as per report but my creatinine level is 0.8 against normal range mentioned as .9 to 1.2 .Most of my lipid profile tests are also in normal range . pl advise
### Answer: Your creatinine is absolutely normal & so are your kidney functions ..... yes u shut worry because you're hypertensive i.e. u have high BP ...... which can damage silently the organs inside including kidneys if no properly treated ... .. So b regular with your BP tabs
|
Hi I have uterine cancer earliest possible stage. In july my dose in hormone went up. Im on a really high dose of Megace basically 320mg a day 4pills in the morning 4 pills in the night. I dont feel sick. No bleeding no problems but from the medicine. After my last DNC in July the oncologist advised me to do surgery since there was not a huge difference, but I said no sugery and he raised the dose. He said to get a second opinion but its hard when everyone knows him in the area. I am only 35...I want a child naturally. Im drinking an tonic thats suppose to help and I believe there is no cancer or its disappearing. whats my best next step?
|
Hello have gone through your query and understood your concerns. I will always suggest you to take a second opinion, and it will always help you a lot to know more about the condition and possible treatments. As the early stages of uterine cancer can be treated, but mostly we suggest surgery to prevent further spread. But as you have started using hormones I advise you to have investigations done again and stage the disease at present so that any doctor can help you much better. Hope this information helps you. Thank you.
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: Hi I have uterine cancer earliest possible stage. In july my dose in hormone went up. Im on a really high dose of Megace basically 320mg a day 4pills in the morning 4 pills in the night. I dont feel sick. No bleeding no problems but from the medicine. After my last DNC in July the oncologist advised me to do surgery since there was not a huge difference, but I said no sugery and he raised the dose. He said to get a second opinion but its hard when everyone knows him in the area. I am only 35...I want a child naturally. Im drinking an tonic thats suppose to help and I believe there is no cancer or its disappearing. whats my best next step?
### Answer: Hello have gone through your query and understood your concerns. I will always suggest you to take a second opinion, and it will always help you a lot to know more about the condition and possible treatments. As the early stages of uterine cancer can be treated, but mostly we suggest surgery to prevent further spread. But as you have started using hormones I advise you to have investigations done again and stage the disease at present so that any doctor can help you much better. Hope this information helps you. Thank you.
|
Blood pressure is 123/86 with a pulse of 109. 53 year old male. 74 kilos and live in warm part of Costa Rica. I m taking Ramipril, Hydrovhlorothiazide, amlodipne, cipralax and oxi-dine for knee pain. I am on a good diet and try to exercise daily.. I sleep more often now then before and have stopped smoking 11 days ago.mi was taking zyBan. But decided to stay off it. I have been suffering by hypertension for two years now and still find the need to monitor my pressure as it has increased to 150/110 without reason.. Await your reply
|
Hi, dairy have gone through your question. I can understand your concern. Your blood pressure is too high. You should immediately consult your doctor and take treatment for that. Life-threatening events like myocardial infarction or stroke can occur with this blood pressure. We can not find all the cause of blood pressure. Genetics, lifestyle, stress and many other factors are there. You need to set the dosage of your antihypertensive medicine. 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: Blood pressure is 123/86 with a pulse of 109. 53 year old male. 74 kilos and live in warm part of Costa Rica. I m taking Ramipril, Hydrovhlorothiazide, amlodipne, cipralax and oxi-dine for knee pain. I am on a good diet and try to exercise daily.. I sleep more often now then before and have stopped smoking 11 days ago.mi was taking zyBan. But decided to stay off it. I have been suffering by hypertension for two years now and still find the need to monitor my pressure as it has increased to 150/110 without reason.. Await your reply
### Answer: Hi, dairy have gone through your question. I can understand your concern. Your blood pressure is too high. You should immediately consult your doctor and take treatment for that. Life-threatening events like myocardial infarction or stroke can occur with this blood pressure. We can not find all the cause of blood pressure. Genetics, lifestyle, stress and many other factors are there. You need to set the dosage of your antihypertensive medicine. 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.
|
I was in a car wreck three days ago. had seatbelt on so there are marks were the impact pulled on my lower stomach and i just noticed last night that i have dark bruising on the top and underneath my scrotum, is sensitive and sore at touch. should i be concerned and what are some risks of this?
|
Hello, Mostly you have bruise over the scrotum area due to car accident trauma. For that, I suggest you take an anti-inflammatory Chat Doctor. However, It's advisable to investigate with ultrasound testis to check whether orchids that is testis inflammation present or not. 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 was in a car wreck three days ago. had seatbelt on so there are marks were the impact pulled on my lower stomach and i just noticed last night that i have dark bruising on the top and underneath my scrotum, is sensitive and sore at touch. should i be concerned and what are some risks of this?
### Answer: Hello, Mostly you have bruise over the scrotum area due to car accident trauma. For that, I suggest you take an anti-inflammatory Chat Doctor. However, It's advisable to investigate with ultrasound testis to check whether orchids that is testis inflammation present or not. Hope I have answered your query. Let me know if I can assist you further.
|
when my son was born eighteen years ago half of his body and face was red the other half was normal.the doctor at that time gave a very long name for this.then he said that it is sometimes what we may call clown syndrom.what is the medical term for what this was?
|
Hi. It is known as Harlequin color change. It is a transient vascular phenomenon seen in few newborns, and it subsides spontaneously.
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: when my son was born eighteen years ago half of his body and face was red the other half was normal.the doctor at that time gave a very long name for this.then he said that it is sometimes what we may call clown syndrom.what is the medical term for what this was?
### Answer: Hi. It is known as Harlequin color change. It is a transient vascular phenomenon seen in few newborns, and it subsides spontaneously.
|
Im 28 weeks pregnant now. Im having fever for 4 days (between 100.4 and 102.4) After taking paracetamol it goes down and come again in 5-6 hours. My babys movements are normal. And there is no any other symptoms. Is it harmful to my baby? Thank you
|
Hi, Thanks for the query under Chat Doctor forum. I understand your question. Paracetamol is a safe Chat Doctor. It does not have any adverse effect/ teratogenicity in fetus. It should be taken three or four times dose as per doctors advise, Still you should consult a physician for the fever & take specific treatment. If it is viral fever only paracetamol is sufficient BUT in case its due to infection. You need suitable antibiotic along with it . To cure the condition. 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: Im 28 weeks pregnant now. Im having fever for 4 days (between 100.4 and 102.4) After taking paracetamol it goes down and come again in 5-6 hours. My babys movements are normal. And there is no any other symptoms. Is it harmful to my baby? Thank you
### Answer: Hi, Thanks for the query under Chat Doctor forum. I understand your question. Paracetamol is a safe Chat Doctor. It does not have any adverse effect/ teratogenicity in fetus. It should be taken three or four times dose as per doctors advise, Still you should consult a physician for the fever & take specific treatment. If it is viral fever only paracetamol is sufficient BUT in case its due to infection. You need suitable antibiotic along with it . To cure the condition. Thanks.
|
Hello..I have given birth for about a month..but i had a recent sexual intercourse with my husband..my husband is suffering with a certain internal infection and secreting pus as indicated on its marks on his underwear...unfortunately, i think i am also infected..i am secreting a yellowish liquid same with my husband..we are both taking amoxcicilin
|
Hi, Thanks for writing to Chat Doctor. From the description you have mentioned, it appears that both you and your husband are suffering from Urinary Tract Infection (UTI). It needs to be treated with appropriate antibiotics. I am sorry to state that amoxicillin Chat Doctor. Since you have started it, kindly complete the course for 5 days. You can take another antibiotics of quinolone family like Ciprofloxacin or Levofloxacin 500 mg twice a day for 5 days to overcome the infection. Heep your self well HY
|
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 given birth for about a month..but i had a recent sexual intercourse with my husband..my husband is suffering with a certain internal infection and secreting pus as indicated on its marks on his underwear...unfortunately, i think i am also infected..i am secreting a yellowish liquid same with my husband..we are both taking amoxcicilin
### Answer: Hi, Thanks for writing to Chat Doctor. From the description you have mentioned, it appears that both you and your husband are suffering from Urinary Tract Infection (UTI). It needs to be treated with appropriate antibiotics. I am sorry to state that amoxicillin Chat Doctor. Since you have started it, kindly complete the course for 5 days. You can take another antibiotics of quinolone family like Ciprofloxacin or Levofloxacin 500 mg twice a day for 5 days to overcome the infection. Heep your self well HY
|
If I am allergic to Epidermophyton and Trichphyton allergens, does this mean I have them. I do not show any symptoms other than chronis sinus infections. Is the only treatment drops or injections or can econazole and clotrimazole aid in my chronic sinus infections?
|
Dear, If you are allergic to trichophyton & epidermophyton which are fungi, then you don't have them. First you should find out the cause of your chronic sinus infection by doing culture sensitivity by consulting an ENT specialist, then you should start the treatment.
|
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: If I am allergic to Epidermophyton and Trichphyton allergens, does this mean I have them. I do not show any symptoms other than chronis sinus infections. Is the only treatment drops or injections or can econazole and clotrimazole aid in my chronic sinus infections?
### Answer: Dear, If you are allergic to trichophyton & epidermophyton which are fungi, then you don't have them. First you should find out the cause of your chronic sinus infection by doing culture sensitivity by consulting an ENT specialist, then you should start the treatment.
|
My complexion is fair but my ankles and knees are dark what can I do pls guide me ?
|
Along with cleaning n local application you should use some multi vitamin tab as heading and black discoloration of skin can cause of vitamin deficiency
|
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 complexion is fair but my ankles and knees are dark what can I do pls guide me ?
### Answer: Along with cleaning n local application you should use some multi vitamin tab as heading and black discoloration of skin can cause of vitamin deficiency
|
hi i injured my neck 3 weeks ago while i was performing martial arts, i was rolling on the ground. i went to the hospital they said the xray is fine i sprained my neck its been 3 weeks and i feel less pain but i still have pain behind my head and a little swelling,headaches, im able to move my body
|
Hello ! I read you question and understand your concern. It is very common to have headache after head concussion or trauma. It may be caused by the muscle contractions in the scalp, or by an irritated occipital nerve from the trauma. I think that it will get better spontaneously. You don't have any other symptoms like gait problems or numbness in your limbs. This is an indicative sign that there is nothing wrong with you (like an intracranial hemorrhage for example). So I would recommend having some rest. There is a high risk after a head trauma to get in a serious condition if the trauma is repeated. For this reason it is very important to be careful for a month after trauma and to avoid possible other trauma. Regarding the headache I would recommend painkillers for some days. Hope to have been helpful! Greetings !
|
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 injured my neck 3 weeks ago while i was performing martial arts, i was rolling on the ground. i went to the hospital they said the xray is fine i sprained my neck its been 3 weeks and i feel less pain but i still have pain behind my head and a little swelling,headaches, im able to move my body
### Answer: Hello ! I read you question and understand your concern. It is very common to have headache after head concussion or trauma. It may be caused by the muscle contractions in the scalp, or by an irritated occipital nerve from the trauma. I think that it will get better spontaneously. You don't have any other symptoms like gait problems or numbness in your limbs. This is an indicative sign that there is nothing wrong with you (like an intracranial hemorrhage for example). So I would recommend having some rest. There is a high risk after a head trauma to get in a serious condition if the trauma is repeated. For this reason it is very important to be careful for a month after trauma and to avoid possible other trauma. Regarding the headache I would recommend painkillers for some days. Hope to have been helpful! Greetings !
|
Hi, my grandson is 14 months old and he has been diagnosed to be having metabolic propionic academia. He is not in severe condition, he is under controlled diet and constant medication and regular medical care. I want to know if there is treatment, genetic treatments and if ALT auxiliary liver transplant is the solution and what would be the risks and benefits and would this be successful solution .
|
Hello, Unfortunately, curative treatment is not available. Newer techniques like gene therapy are not routinely available. In severe cases liver transplantation may be required. Consult a pediatrician and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: Hi, my grandson is 14 months old and he has been diagnosed to be having metabolic propionic academia. He is not in severe condition, he is under controlled diet and constant medication and regular medical care. I want to know if there is treatment, genetic treatments and if ALT auxiliary liver transplant is the solution and what would be the risks and benefits and would this be successful solution .
### Answer: Hello, Unfortunately, curative treatment is not available. Newer techniques like gene therapy are not routinely available. In severe cases liver transplantation may be required. Consult a pediatrician and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
|
Hi doctor, my mother has been advised to go for gall bladder removal surgery after the scan report confirmed she had multiple stones in the gall bladder. She was also diagnosed with a 6mm stone in her right kidney recently. she is 46 years old and she has thyroid and is under medication for the same. About 8 years back, she had cysts in her uterus, she underwent a surgery and both her ovaries and uterus were removed! Will she have problems if her gall bladder is removed, also she gets emotional to know why body parts have to be removed! Can you pls suggest what could be done and what effects will this surgery have on her?
|
Hello there! Thank you for asking. Aside from all other issues your concern for gallbladder removal is un necessary. Many patients are advised to get rid of gall bladder. Gall bladder function is to just store bile an ingredient whicChatDoctores from liver and stored in gall bladder for usage of fat digestion. So maximum trouble after gall bladder removal would be too unable to eat fatty foods in excess. So instead of taking 3 large meal 5 small meals in a day would be recommended, or low fat diet would be all your mother need. Stones once slipped to common bile ducts can be a disaster then, so it is better to go electively for its removal with minimal invasion. Good Lucks Khan
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: Hi doctor, my mother has been advised to go for gall bladder removal surgery after the scan report confirmed she had multiple stones in the gall bladder. She was also diagnosed with a 6mm stone in her right kidney recently. she is 46 years old and she has thyroid and is under medication for the same. About 8 years back, she had cysts in her uterus, she underwent a surgery and both her ovaries and uterus were removed! Will she have problems if her gall bladder is removed, also she gets emotional to know why body parts have to be removed! Can you pls suggest what could be done and what effects will this surgery have on her?
### Answer: Hello there! Thank you for asking. Aside from all other issues your concern for gallbladder removal is un necessary. Many patients are advised to get rid of gall bladder. Gall bladder function is to just store bile an ingredient whicChatDoctores from liver and stored in gall bladder for usage of fat digestion. So maximum trouble after gall bladder removal would be too unable to eat fatty foods in excess. So instead of taking 3 large meal 5 small meals in a day would be recommended, or low fat diet would be all your mother need. Stones once slipped to common bile ducts can be a disaster then, so it is better to go electively for its removal with minimal invasion. Good Lucks Khan
|
My son had a fever that went up to 103.4 during the early afternoon through evening and then it went back down to 100 for a few days along with a sore throat, malaise, and a severe headache. He only threw up a few times at the onset of it. His appetite came back after a day. He has been fine during the day, but at night he gets to sleep very fast from being exhausted. A little over a week later he developed a very swollen left lymph node that hurt yesterday. It seems to be going down today. Could you give me some thoughts as to what it may be. Thanks!
|
Swollen lymph nodes can be there when there is focus of infection like in the throat. Need to take antibiotics for 5 days then node swelling and pain will subside.
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: My son had a fever that went up to 103.4 during the early afternoon through evening and then it went back down to 100 for a few days along with a sore throat, malaise, and a severe headache. He only threw up a few times at the onset of it. His appetite came back after a day. He has been fine during the day, but at night he gets to sleep very fast from being exhausted. A little over a week later he developed a very swollen left lymph node that hurt yesterday. It seems to be going down today. Could you give me some thoughts as to what it may be. Thanks!
### Answer: Swollen lymph nodes can be there when there is focus of infection like in the throat. Need to take antibiotics for 5 days then node swelling and pain will subside.
|
Hi, Im suffering with a bout of very bad depression and ocd thoughts.I am on 200mg of Lamictal 1.5mg of Xanax and 40mg of Lexapro daily they have stopped working.Ive been on Prozac,Wellbutrin,luvox,cymbalta,and just recently Effexor.What other meds are there to make this go away so I can have my life back again?
|
Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your depression. You have mentioned that you have already been tried on different anti-depressant medication, but have not had a resolution of your symptoms. So, it is likely that you are suffering from what we call a treatment resistant depression. In such a case, the next step would be to try a combination of two antidepressants or to augment the antidepressant medication with Lithium or Thyroxine. Also, adding on CBT (Cognitive Behavior Therapy) to medication has also been proven to be effective. So, I would advise you to discuss these options with your doctor so that the next appropriate line of treatment can be decided. Wish you all the best.
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: Hi, Im suffering with a bout of very bad depression and ocd thoughts.I am on 200mg of Lamictal 1.5mg of Xanax and 40mg of Lexapro daily they have stopped working.Ive been on Prozac,Wellbutrin,luvox,cymbalta,and just recently Effexor.What other meds are there to make this go away so I can have my life back again?
### Answer: Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your depression. You have mentioned that you have already been tried on different anti-depressant medication, but have not had a resolution of your symptoms. So, it is likely that you are suffering from what we call a treatment resistant depression. In such a case, the next step would be to try a combination of two antidepressants or to augment the antidepressant medication with Lithium or Thyroxine. Also, adding on CBT (Cognitive Behavior Therapy) to medication has also been proven to be effective. So, I would advise you to discuss these options with your doctor so that the next appropriate line of treatment can be decided. Wish you all the best.
|
Hello, Ive had recurring pain in my next for a couple of weeks now, it feels like a pinching burning stabbing sensation that is very sharp but only lasts a few seconds at a time, coming back every few seconds to 30 seconds in intervals. I just noticed a rash on my neck in a v shape ending at my mid chest. what could this be?
|
Hi, Welcome to Chat Doctor. You seem to suffer from Shingles or Herpes zoster with mild presentation. Check with Second Opinion from Dermatologist due to its uncommon presentation and to rule out any other causes after physical check up. Hope this would help you to resolve your query. Else Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS
|
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, Ive had recurring pain in my next for a couple of weeks now, it feels like a pinching burning stabbing sensation that is very sharp but only lasts a few seconds at a time, coming back every few seconds to 30 seconds in intervals. I just noticed a rash on my neck in a v shape ending at my mid chest. what could this be?
### Answer: Hi, Welcome to Chat Doctor. You seem to suffer from Shingles or Herpes zoster with mild presentation. Check with Second Opinion from Dermatologist due to its uncommon presentation and to rule out any other causes after physical check up. Hope this would help you to resolve your query. Else Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS
|
Hello,I have been dealing with knee pain with it popping and upper thigh swelling and unable to bend leg for 3 weeks. I have been taking Cataflamm and a Tylenol 800 mg but still no relief. I have leg weakness and blurred vision and shortness of breath. I have no injuries to leg/knee I am overweight. Ice seems to help but just a short fix. It feels like its on fire but not hot to touch , at times it will be all of leg(right). I am frustrated other than above prescriptions I am not currently taking anything else. Thank You Debbie
|
Hi, Consult an orthopedics and get an MRI scan to look for possibilities like arthritis. 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 have been dealing with knee pain with it popping and upper thigh swelling and unable to bend leg for 3 weeks. I have been taking Cataflamm and a Tylenol 800 mg but still no relief. I have leg weakness and blurred vision and shortness of breath. I have no injuries to leg/knee I am overweight. Ice seems to help but just a short fix. It feels like its on fire but not hot to touch , at times it will be all of leg(right). I am frustrated other than above prescriptions I am not currently taking anything else. Thank You Debbie
### Answer: Hi, Consult an orthopedics and get an MRI scan to look for possibilities like arthritis. Hope I have answered your query. Let me know if I can assist you further.
|
I took almost two weeks ago the morning after pill because the condom broke.Yesterday I did just one test because I was feeling nautious and had stomache. It was positive. Could I be pregnant or could it be a false positive? Should I try another test?
|
Hello, Thanks for sharing your health concern with us. If you tested positive with a standard test kit, you need not repeat the pregnancy test. Instead, see a specialist for a proper clinical evaluation and go for a sonogram of the pelvis, preferably in the trans-vaginal route, to confirm the gestation sac, the location, the age and the viability. Emergency contraceptive pill offers 85-98 percent protection depending on the time duration elapsed after unprotected intercourse. Please plan further management after review. Hope this helps.
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: I took almost two weeks ago the morning after pill because the condom broke.Yesterday I did just one test because I was feeling nautious and had stomache. It was positive. Could I be pregnant or could it be a false positive? Should I try another test?
### Answer: Hello, Thanks for sharing your health concern with us. If you tested positive with a standard test kit, you need not repeat the pregnancy test. Instead, see a specialist for a proper clinical evaluation and go for a sonogram of the pelvis, preferably in the trans-vaginal route, to confirm the gestation sac, the location, the age and the viability. Emergency contraceptive pill offers 85-98 percent protection depending on the time duration elapsed after unprotected intercourse. Please plan further management after review. Hope this helps.
|
Hello Doctor, My 2.6-year son got results of his stool test showing the following result. Could you please point out if the range is normal or not, and the reason? Pus Cells: 20-25/HPF RBC: 1-2/HPF He was suffering from diahroea and joundince for the last 4 days. Now got these results after treatment. Thanks alot
|
Hi... this is a normal report. Nothing to worry about it. If the kid is otherwise active and feeding appropriately, you need not worry at all. 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: Hello Doctor, My 2.6-year son got results of his stool test showing the following result. Could you please point out if the range is normal or not, and the reason? Pus Cells: 20-25/HPF RBC: 1-2/HPF He was suffering from diahroea and joundince for the last 4 days. Now got these results after treatment. Thanks alot
### Answer: Hi... this is a normal report. Nothing to worry about it. If the kid is otherwise active and feeding appropriately, you need not worry at all. Regards -
|
My mother, 58 years, feels a blockage around her chest while eating/drinking?What could be this and what should be my line of action. No prior family history exists of such aliment and she has been healthy other than having much muscular pains for last 05 years.
|
Thanks for your question on Chat Doctor. I can understand your concern. Blocking sensations in chest while eating and Chat Doctor. So get done1. Barium swallow2. Upper GI (gastrointestinal) scopy3. CT thorax. So consult gastroenterologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. 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: My mother, 58 years, feels a blockage around her chest while eating/drinking?What could be this and what should be my line of action. No prior family history exists of such aliment and she has been healthy other than having much muscular pains for last 05 years.
### Answer: Thanks for your question on Chat Doctor. I can understand your concern. Blocking sensations in chest while eating and Chat Doctor. So get done1. Barium swallow2. Upper GI (gastrointestinal) scopy3. CT thorax. So consult gastroenterologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.
|
Hello Doctor, my 3 years old kid had cold and cough one and half month back for more than a month. That time doctor prescribed Sinaest, ambridil s and antibiotics . Now, he is suffing little cold and cough again.while sleeping there is some sound from his nose. I am giving him ambridil s. Is it right? Ormextra will work better?plz reply.
|
Hello, Ambrodil S medication for a productive cough, it contains medication as an expectorant. For cold, you can use sincerest, or Mantra or any antic old medication of good brand, all are equally effective. Still remain alert for the possibility of lower respiratory tract infection which presents similarly to cough, cold. 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 Doctor, my 3 years old kid had cold and cough one and half month back for more than a month. That time doctor prescribed Sinaest, ambridil s and antibiotics . Now, he is suffing little cold and cough again.while sleeping there is some sound from his nose. I am giving him ambridil s. Is it right? Ormextra will work better?plz reply.
### Answer: Hello, Ambrodil S medication for a productive cough, it contains medication as an expectorant. For cold, you can use sincerest, or Mantra or any antic old medication of good brand, all are equally effective. Still remain alert for the possibility of lower respiratory tract infection which presents similarly to cough, cold. Hope I have answered your query. Let me know if I can assist you further.
|
Hello there, A few days ago, I started having neck issues and assuming its from work being I have a very physical job, but whatever the case may be. At first I had thought it was pulled muscle knotted up, but I noticed I had these bubble like/ball like things in my neck that move around and I m not sure if it s swollen lymph nodes or something else? I been getting these killer head ache from it so bad I feel like my neck/head is going to exploded. Going to be seeing my doctor this weekend but it rough because i work 12 hr shifts being the holidays coming up and on the 3rd shift.
|
Hello, I read carefully your query and understand your concern. The symptoms seem to be related to.muscle knots in the neck. I suggest using muscle relaxant such as Baclofen three times a day. I also suggest using magnesium supplement for muscle relaxation. Furthermore, I suggest warm compresses for local application at the neck area. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind 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: Hello there, A few days ago, I started having neck issues and assuming its from work being I have a very physical job, but whatever the case may be. At first I had thought it was pulled muscle knotted up, but I noticed I had these bubble like/ball like things in my neck that move around and I m not sure if it s swollen lymph nodes or something else? I been getting these killer head ache from it so bad I feel like my neck/head is going to exploded. Going to be seeing my doctor this weekend but it rough because i work 12 hr shifts being the holidays coming up and on the 3rd shift.
### Answer: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to.muscle knots in the neck. I suggest using muscle relaxant such as Baclofen three times a day. I also suggest using magnesium supplement for muscle relaxation. Furthermore, I suggest warm compresses for local application at the neck area. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor.
|
My mother has brain cancer and only a few months to live. She is on a number of medications, including steroids and her stomach is getting bigger. I dont think she has been putting out enough and I know she does not drink enough water. She is on anti seizure meds also. What can we do in addition to the stool softeners and laxatives she is already taking. I dont think her body is even digesting these,.
|
Hi, Thanks for writing in. Cancer is a challenging diagnosis and one should fight it till the end. It is possible that your mother is being given a high dose of systemic steroids to control brain swelling and other symptoms like pain. Treatment with steroids can lead to several side effects including abdominal distension and retention of fluid. The enlargement of stomach is due to steroid dependent side effects leading to such an appearance. Not 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 mother has brain cancer and only a few months to live. She is on a number of medications, including steroids and her stomach is getting bigger. I dont think she has been putting out enough and I know she does not drink enough water. She is on anti seizure meds also. What can we do in addition to the stool softeners and laxatives she is already taking. I dont think her body is even digesting these,.
### Answer: Hi, Thanks for writing in. Cancer is a challenging diagnosis and one should fight it till the end. It is possible that your mother is being given a high dose of systemic steroids to control brain swelling and other symptoms like pain. Treatment with steroids can lead to several side effects including abdominal distension and retention of fluid. The enlargement of stomach is due to steroid dependent side effects leading to such an appearance. Not Chat Doctor.
|
Gb walls thickened with enlargement with echo genic area in hartmans pouch suggestive of stone in GB at hartmans Pouch Inference ac chole cystits with cholelithiasis ( stone impacted in hr pouch Please suggest whether i can go for Gb Removal Operation if there is swelling
|
I would like to know first whether u have any symptoms are not? As you mentioned Gall bladder wall thickening, I want to know size of thickness. If you are having abdominal pain with GB thickness more than 4 mm suggestive of acute cholecystitis which needs surgery.
|
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: Gb walls thickened with enlargement with echo genic area in hartmans pouch suggestive of stone in GB at hartmans Pouch Inference ac chole cystits with cholelithiasis ( stone impacted in hr pouch Please suggest whether i can go for Gb Removal Operation if there is swelling
### Answer: I would like to know first whether u have any symptoms are not? As you mentioned Gall bladder wall thickening, I want to know size of thickness. If you are having abdominal pain with GB thickness more than 4 mm suggestive of acute cholecystitis which needs surgery.
|
Hi My husband has for the past few months, has been getting alot of pain to the top of his head. His head is very tender to touch. Lately this is followed by sharp shooting pain in his ears. As it is happening alot and getting worse could you offer any advice.thanking you, Deborah.
|
This type of pain may be due to a lot of reasons as1. Trigeminal neuralgia2.temporal arteritis3. Mastoiditis4. ATOM You must seek an ENT opinion first to rule out most of these causes. If nothing comes out we may have to think of more serious intracranial pathology like1. Venous sinus thrombus2. Tumor etc
|
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 husband has for the past few months, has been getting alot of pain to the top of his head. His head is very tender to touch. Lately this is followed by sharp shooting pain in his ears. As it is happening alot and getting worse could you offer any advice.thanking you, Deborah.
### Answer: This type of pain may be due to a lot of reasons as1. Trigeminal neuralgia2.temporal arteritis3. Mastoiditis4. ATOM You must seek an ENT opinion first to rule out most of these causes. If nothing comes out we may have to think of more serious intracranial pathology like1. Venous sinus thrombus2. Tumor etc
|
Hi, may I answer your health queries right now ? Please type your query here...i ate a weed brownie yesterday not knowing my roomate put weed in them. i freaked out for about 9 hours. I also have a bad anxiety and panic disorder now the next day i still feel weird and scared is it just my anxiety what can i do to make this stop
|
Yes, such an anxiety shall cause such problems. So be care of your emotions well, and you will be reducing the severity and the frequency of such attacks. Try to do some physical exercise on a regular basis and that shall help you.
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: Hi, may I answer your health queries right now ? Please type your query here...i ate a weed brownie yesterday not knowing my roomate put weed in them. i freaked out for about 9 hours. I also have a bad anxiety and panic disorder now the next day i still feel weird and scared is it just my anxiety what can i do to make this stop
### Answer: Yes, such an anxiety shall cause such problems. So be care of your emotions well, and you will be reducing the severity and the frequency of such attacks. Try to do some physical exercise on a regular basis and that shall help you.
|
I have major depression since the suicide death of my daughter Oct 2011. I am currently on wellbutrin and have just been prescribed Prozac.I am fighting suicide and alcohol abuse. I have been sober for 29 months. What would your recommendation be. They had me on pristiq, Zoloft, abilify and venlafaxine. They made me gain weight so we stopped them.
|
Greetings ! Well Prozac is a decent anti-depressant, but it is unlikely to work for you since you have already exhausted many anti depressants belonging to its class such as Zoloft, etc. therefore by now your body must have developed tolerance / resistance against Prozac and therefore use of this Chat Doctor. So I reckon that you ask your doctor to choose a different class
|
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 major depression since the suicide death of my daughter Oct 2011. I am currently on wellbutrin and have just been prescribed Prozac.I am fighting suicide and alcohol abuse. I have been sober for 29 months. What would your recommendation be. They had me on pristiq, Zoloft, abilify and venlafaxine. They made me gain weight so we stopped them.
### Answer: Greetings ! Well Prozac is a decent anti-depressant, but it is unlikely to work for you since you have already exhausted many anti depressants belonging to its class such as Zoloft, etc. therefore by now your body must have developed tolerance / resistance against Prozac and therefore use of this Chat Doctor. So I reckon that you ask your doctor to choose a different class
|
Hi so recently I was showering and when drying me self off I noticed a few pimple sized red spots behind my scrotum, for the most part they are not raised and do not hurt or itch, in fact if I had not physically seen them I would have never known about them. I work in a auto shop in very heavy pants so I have been getting normal sweat pimples occasionally but I feel the proximity and area of these are a little different. The last time I had sex was probably a month ago and it was fully protected with just a short bit of unprotected oral. And as of today i have been feeling a little bit clammy and off the weather but Intend to over myself so it could be that, along with recent lack of sleep the past few nights, but after drinking a bit of water felt a lot better. My question to you is how closely do any of these symptoms correspond to a std such as herpes. I know nothing is certain over the internet but a little peace of mind will make me feel better
|
Hi Heath symptoms that you have described is most likely to be a fungal infection which occurs after skin excoriation caused by sweat. Fungal infections can be treated relatively easily, but some modification in clothing will allow it to heal faster. Try wearing looser clothing or clothing that will not make you sweat as much. When sleeping, if possible, wear as little clothes that cover your pubic area as possible. Antifungal creams/ointments such as Ketone / Clotrimazole /Tamil etc. should be applied on the area. Remember, scratching will only allow the infection to spread faster and delay healing. A mild antihistamine will help if the itching is affecting your daily activities.
|
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 so recently I was showering and when drying me self off I noticed a few pimple sized red spots behind my scrotum, for the most part they are not raised and do not hurt or itch, in fact if I had not physically seen them I would have never known about them. I work in a auto shop in very heavy pants so I have been getting normal sweat pimples occasionally but I feel the proximity and area of these are a little different. The last time I had sex was probably a month ago and it was fully protected with just a short bit of unprotected oral. And as of today i have been feeling a little bit clammy and off the weather but Intend to over myself so it could be that, along with recent lack of sleep the past few nights, but after drinking a bit of water felt a lot better. My question to you is how closely do any of these symptoms correspond to a std such as herpes. I know nothing is certain over the internet but a little peace of mind will make me feel better
### Answer: Hi Heath symptoms that you have described is most likely to be a fungal infection which occurs after skin excoriation caused by sweat. Fungal infections can be treated relatively easily, but some modification in clothing will allow it to heal faster. Try wearing looser clothing or clothing that will not make you sweat as much. When sleeping, if possible, wear as little clothes that cover your pubic area as possible. Antifungal creams/ointments such as Ketone / Clotrimazole /Tamil etc. should be applied on the area. Remember, scratching will only allow the infection to spread faster and delay healing. A mild antihistamine will help if the itching is affecting your daily activities.
|
my heart has been fluttering alot lately to the point to were my pulse rate goes really high when all im doing is sitting. Im a 23 year old female and last saturday I experience some really bad pain in the chest that shot from my chest to my shoulder then to my elbow it was horrible I have extremely low calcium D levels and I was wondering if maybe that could have been the cause or Maybe a possible heart attack.
|
It may be angina .u may né having CAD coronary artery disease or AORTIC stenosis ...please go for ECG...CHEST X RAY AND echocardiography as soon as possible ...donor ignore it
|
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 heart has been fluttering alot lately to the point to were my pulse rate goes really high when all im doing is sitting. Im a 23 year old female and last saturday I experience some really bad pain in the chest that shot from my chest to my shoulder then to my elbow it was horrible I have extremely low calcium D levels and I was wondering if maybe that could have been the cause or Maybe a possible heart attack.
### Answer: It may be angina .u may né having CAD coronary artery disease or AORTIC stenosis ...please go for ECG...CHEST X RAY AND echocardiography as soon as possible ...donor ignore it
|
Hi sir my daughter got mental stress which is haunting her in my house ,she keep saying someone talking to her always to kill her parents, if not she will be sent to prison or loose her job,she is Working in the police force with high education,can you help me What must I do ,I am staying in Singapore.How can we meet and what s procedure and how long must I stay in Kerala . Thanks Regards RAvipare
|
Your daughter is having psychotic symptoms, and she requires medication for that, and with regular medication chance of recovery is high. If u r in Kerala, consult a psychiatrist there. And start medication after detail evaluation by any psychiatrist.l
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: Hi sir my daughter got mental stress which is haunting her in my house ,she keep saying someone talking to her always to kill her parents, if not she will be sent to prison or loose her job,she is Working in the police force with high education,can you help me What must I do ,I am staying in Singapore.How can we meet and what s procedure and how long must I stay in Kerala . Thanks Regards RAvipare
### Answer: Your daughter is having psychotic symptoms, and she requires medication for that, and with regular medication chance of recovery is high. If u r in Kerala, consult a psychiatrist there. And start medication after detail evaluation by any psychiatrist.l
|
Hi I recently had a ruptured cerebral aneurysm and had a coiling proceedure done. They did a spinal tap to be able to find traces of blood in my fluid. Since the spinal tap I have had lower back pain everyday and in a couple of cases my legs have almost given out on me. The spinal tap was done about 3 weeks ago now. Should I be worried about this. I have researched the internet and have found that other people have experienced this as well.
|
Hello. Thanks for writing to us. The spinal tap is sometimes associated with a persistent pain in the legs due to the irritation of the nerve roots at the level of spinal cord. This is a self limiting symptom and is likely to improve in next 2-3 weeks. Taking methylcobalamin supplements will help. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ 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 recently had a ruptured cerebral aneurysm and had a coiling proceedure done. They did a spinal tap to be able to find traces of blood in my fluid. Since the spinal tap I have had lower back pain everyday and in a couple of cases my legs have almost given out on me. The spinal tap was done about 3 weeks ago now. Should I be worried about this. I have researched the internet and have found that other people have experienced this as well.
### Answer: Hello. Thanks for writing to us. The spinal tap is sometimes associated with a persistent pain in the legs due to the irritation of the nerve roots at the level of spinal cord. This is a self limiting symptom and is likely to improve in next 2-3 weeks. Taking methylcobalamin supplements will help. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor.
|
I have back pain in my body with weakness stomach pain and it has been that way for over three weeks and only getting worse. I also been having diarrhea. I injured my back at work almost two years ago and been dealing with chronic pain Can the injury be the cause.
|
Hello Thanks for writing to you need proper clinical examination and investigations. Back pain may be due to many reasons like unaccustomed exercise, disc prolapse, vitamin D, calcium deficiency, hypothyroidism etc. Investigations include routine hologram, RBS,LFT, RFT, urine RE/ME, serum calcium and vitamin D level, TSH estimation, ultrasound of abdomen, X-ray L/S spine AP/Lateral view, urine RE/ME. Further investigations MRI L/S spine can be done if needed. At present, you should take rest, analgesics and muscle relaxants. Proper treatment depend upon the findings. 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 have back pain in my body with weakness stomach pain and it has been that way for over three weeks and only getting worse. I also been having diarrhea. I injured my back at work almost two years ago and been dealing with chronic pain Can the injury be the cause.
### Answer: Hello Thanks for writing to you need proper clinical examination and investigations. Back pain may be due to many reasons like unaccustomed exercise, disc prolapse, vitamin D, calcium deficiency, hypothyroidism etc. Investigations include routine hologram, RBS,LFT, RFT, urine RE/ME, serum calcium and vitamin D level, TSH estimation, ultrasound of abdomen, X-ray L/S spine AP/Lateral view, urine RE/ME. Further investigations MRI L/S spine can be done if needed. At present, you should take rest, analgesics and muscle relaxants. Proper treatment depend upon the findings. Get well soon. Take Care Chat Doctor.
|
my mother is having fatigue, nausea, bloating. She recently had her gall bladder removed and she is still having these symptoms. Also she had a chest scan and the doctor said that her adrenal gland was shriveled and dying?? could this be causing her symptoms? If so what would the recommended treatments be. She is 70 years old and a smoker.
|
Hi, dairy have gone through your question. I can understand your concern. A Chat Doctor. Please send me the scan report of a
|
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 mother is having fatigue, nausea, bloating. She recently had her gall bladder removed and she is still having these symptoms. Also she had a chest scan and the doctor said that her adrenal gland was shriveled and dying?? could this be causing her symptoms? If so what would the recommended treatments be. She is 70 years old and a smoker.
### Answer: Hi, dairy have gone through your question. I can understand your concern. A Chat Doctor. Please send me the scan report of a
|
Hello my name is Joseph about 3wks ago I had a really bad lower back pain so bad it hurt when I would cough I have not fallen or strained myself in any way then the pain traveled to my front lower right side the pain is gone but I have been having this burning feeling on my lower right front side when I press in it hurts a little but this burning feeling is really uncomfortable now I have diareha for about 3 days now is this something I should be concerned with I have no insurance and the local health clinics have a long waiting list and I really do not want a emergencie bill
|
Hi, From history it seems that you might be having chronic gastrointestinal infection giving rise this problem like pain and loose motions. Go for one course of Ofloxacilin, tinidazple combination for 3-5 days. Take light diet. Tale plenty of water. Ok and 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: Hello my name is Joseph about 3wks ago I had a really bad lower back pain so bad it hurt when I would cough I have not fallen or strained myself in any way then the pain traveled to my front lower right side the pain is gone but I have been having this burning feeling on my lower right front side when I press in it hurts a little but this burning feeling is really uncomfortable now I have diareha for about 3 days now is this something I should be concerned with I have no insurance and the local health clinics have a long waiting list and I really do not want a emergencie bill
### Answer: Hi, From history it seems that you might be having chronic gastrointestinal infection giving rise this problem like pain and loose motions. Go for one course of Ofloxacilin, tinidazple combination for 3-5 days. Take light diet. Tale plenty of water. Ok and take care.
|
I had a right side partial discectomy in 2010. Since then my pain has worsened and is extrememly piercing harp in nature. same suregery, I also had a laminenectomy. To no avail. Can t drive, sit, stand, walk for very long without needed to lean forward to relief the pain. Can you first reply regarding partial discectomy? laminectomy, 3 levels, left side L4 L5 S1
|
Dear patient you can go for selective nerve root blocks with steroid injected around concerned nerve roots...or you can have a USG or C- arm guided epidural steroid injection... It will definitely help you.
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: I had a right side partial discectomy in 2010. Since then my pain has worsened and is extrememly piercing harp in nature. same suregery, I also had a laminenectomy. To no avail. Can t drive, sit, stand, walk for very long without needed to lean forward to relief the pain. Can you first reply regarding partial discectomy? laminectomy, 3 levels, left side L4 L5 S1
### Answer: Dear patient you can go for selective nerve root blocks with steroid injected around concerned nerve roots...or you can have a USG or C- arm guided epidural steroid injection... It will definitely help you.
|
Yes, I have elevated hepatic enzymes 2-4 points for each enzyme. I am 74 year old female. a ct scan of the liver showed a fatty layer around the liver. I am asymtomatic.My primary care physcian want a liver biopsy done by a general surgeon. He seems reluctant to do the procedure although he said would only take 15 minutes to perform. It is schudulefor July 8th., but I am confused.
|
Hi. Thank you for your query. Further information may have been helpful. Are you alcoholic?what is the status of Hepatitis B & C profile? If your NON-alcoholic and Epic serology is negative, then the only concern is mildly elevated liver enzymes. You NEED NOT worry. Its "fatty liver disease" which is reversible. Do NOT Chat Doctor. Then follow up after 3 to 6 months. Wish you good health. Regards,
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: Yes, I have elevated hepatic enzymes 2-4 points for each enzyme. I am 74 year old female. a ct scan of the liver showed a fatty layer around the liver. I am asymtomatic.My primary care physcian want a liver biopsy done by a general surgeon. He seems reluctant to do the procedure although he said would only take 15 minutes to perform. It is schudulefor July 8th., but I am confused.
### Answer: Hi. Thank you for your query. Further information may have been helpful. Are you alcoholic?what is the status of Hepatitis B & C profile? If your NON-alcoholic and Epic serology is negative, then the only concern is mildly elevated liver enzymes. You NEED NOT worry. Its "fatty liver disease" which is reversible. Do NOT Chat Doctor. Then follow up after 3 to 6 months. Wish you good health. Regards,
|
Hi Sir, My wife having upper abdominal pain both side since last 5 days, she is taking antibiotic for infection/ swallowing by a doctor, but dont getting releif, yesterday we did whole abdomen ultra sound , which is normal, Doctor gave her 2 injections yesterday, but today again she have pain in stomach .. please suggest me .... what we should do , many thanks Ashwani YYYY@YYYY
|
Hi, Thanks for posting your query. Let me know the associated symptoms along with abdominal pain. Does she have vomiting/ fever/ watery shit? Does she have acidic belching along with abdominal heaviness? You should consult with your treating doctor and should go for antispasmodics along with proper antibiotics. If her condition won't improve then she should go for endoscopy along with CT/ MRI scan abdomen. Hope that helps you. Take care,
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: Hi Sir, My wife having upper abdominal pain both side since last 5 days, she is taking antibiotic for infection/ swallowing by a doctor, but dont getting releif, yesterday we did whole abdomen ultra sound , which is normal, Doctor gave her 2 injections yesterday, but today again she have pain in stomach .. please suggest me .... what we should do , many thanks Ashwani YYYY@YYYY
### Answer: Hi, Thanks for posting your query. Let me know the associated symptoms along with abdominal pain. Does she have vomiting/ fever/ watery shit? Does she have acidic belching along with abdominal heaviness? You should consult with your treating doctor and should go for antispasmodics along with proper antibiotics. If her condition won't improve then she should go for endoscopy along with CT/ MRI scan abdomen. Hope that helps you. Take care,
|
i am a nurse..was prick by a needle specifically tubercullin syringe used for skin test of a patient with positive hep b...but it was used 4 days ago by the patient..how many percent is my chance of being infected...and in addition i have no hep b vaccine..pls help me!!
|
HiT hank you for asking ChatDoctorI have gone through your query. You can take 5 ml intramuscular hepatitis B immunoglobulin (BIG) within 48 hours of the injury plus hepatitis B vaccination also. With this you can be safe. Check your blood at 1 3 6 and 12 months for further confirmation. Hope this may help you. Let me know if you have any further query.
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: i am a nurse..was prick by a needle specifically tubercullin syringe used for skin test of a patient with positive hep b...but it was used 4 days ago by the patient..how many percent is my chance of being infected...and in addition i have no hep b vaccine..pls help me!!
### Answer: HiT hank you for asking ChatDoctorI have gone through your query. You can take 5 ml intramuscular hepatitis B immunoglobulin (BIG) within 48 hours of the injury plus hepatitis B vaccination also. With this you can be safe. Check your blood at 1 3 6 and 12 months for further confirmation. Hope this may help you. Let me know if you have any further query.
|
i have done my MRI as per suggested by a doctor report showed some problem that 1.there is an evidence of hypercelluar marrow in the vertebrae 2. c4-5 and c5-6 show mild posterior bulge which indent the thecal sac without causing any neural compression . is it something to be worried off? any major problem?? thanks for your reply in advance
|
Hi, Could you tell your age? MRI that showed hypercellular bone marrow is mostly a factor of age. In general, in adults, hypercellularity is due to anemia causing increased stress on bone marrow (hemolytic). But in a child of 10 years it is considered normal. Mild disc bulges are commonly seen above 50 years and NEEDS NO WORRY, as you don't seem to have either compression or foraminal stenosis. Hope I am clear.
|
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 done my MRI as per suggested by a doctor report showed some problem that 1.there is an evidence of hypercelluar marrow in the vertebrae 2. c4-5 and c5-6 show mild posterior bulge which indent the thecal sac without causing any neural compression . is it something to be worried off? any major problem?? thanks for your reply in advance
### Answer: Hi, Could you tell your age? MRI that showed hypercellular bone marrow is mostly a factor of age. In general, in adults, hypercellularity is due to anemia causing increased stress on bone marrow (hemolytic). But in a child of 10 years it is considered normal. Mild disc bulges are commonly seen above 50 years and NEEDS NO WORRY, as you don't seem to have either compression or foraminal stenosis. Hope I am clear.
|
Hello, i ve had water retention in my feet several times when i fly or when it s hot and humid. However, i ve noticed for the first time my left foot is swollen (water retention) but there s like a lump on top of my foot ( i just started my period two days ago) could this be just another form of water retention?
|
Hi! Foot swelling in a diffuse pattern especially around ankles is a sign of edema or water retention but water retention should not present as a localized lump...! However, this lump is easily palpable therefore easy to diagnose clinically and determine the cause behind it; the various causes could be gouty tofu, synovitis, cysts, abscess etc. etc...Therefore, you need to see your physician for a clinical examination and possibly to undergo a needle biopsy for confirmation and management! Take care; 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: Hello, i ve had water retention in my feet several times when i fly or when it s hot and humid. However, i ve noticed for the first time my left foot is swollen (water retention) but there s like a lump on top of my foot ( i just started my period two days ago) could this be just another form of water retention?
### Answer: Hi! Foot swelling in a diffuse pattern especially around ankles is a sign of edema or water retention but water retention should not present as a localized lump...! However, this lump is easily palpable therefore easy to diagnose clinically and determine the cause behind it; the various causes could be gouty tofu, synovitis, cysts, abscess etc. etc...Therefore, you need to see your physician for a clinical examination and possibly to undergo a needle biopsy for confirmation and management! Take care; regards,
|
My child 11 yrs weight 54 kg..has been having throat infection for 3 days for which he had been prescribed clavam and the course has been completed.since morning he has been having fever spells 102 degree...for which given him CRocin in only..fever is again picking up now...what medication can I give now for the night till see the doc in the morning...given him sponging also..but he s complaining of the heat of the fever...thanks for the assistance.
|
HiRe peat, sponging often. Ibuprofen along with paracetamol can be taken at night for the fever to reduce. Associated symptoms such as vomiting, cough , abdominal pain and diarrhea must be ruled out. Follow up with your physician next day to identify the cause. Hope I have answered your query. Let me know if I can assist you further. 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 child 11 yrs weight 54 kg..has been having throat infection for 3 days for which he had been prescribed clavam and the course has been completed.since morning he has been having fever spells 102 degree...for which given him CRocin in only..fever is again picking up now...what medication can I give now for the night till see the doc in the morning...given him sponging also..but he s complaining of the heat of the fever...thanks for the assistance.
### Answer: HiRe peat, sponging often. Ibuprofen along with paracetamol can be taken at night for the fever to reduce. Associated symptoms such as vomiting, cough , abdominal pain and diarrhea must be ruled out. Follow up with your physician next day to identify the cause. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor.
|
is it possible to get free dental work? if so how? the reason i ask is because i have no dental insurance and unfortunately i am unemployed and in need of a dentist as soon as possible because i have a chipped tooth from the back and is really starting to bother me.
|
Hello, Welcome Thanks for consulting ChatDoctor, Here is
|
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 it possible to get free dental work? if so how? the reason i ask is because i have no dental insurance and unfortunately i am unemployed and in need of a dentist as soon as possible because i have a chipped tooth from the back and is really starting to bother me.
### Answer: Hello, Welcome Thanks for consulting ChatDoctor, Here is
|
We have a family friend who lives in Japan whom we have known for many years we live in the us). When we met, he seemed like a normal person. He has an exceptional ability with numbers (being able to mentally calculate 6~7 digit numbers in seconds) which we found amazing. But aside from that, we have been noticing that he severely lacks social skills; as he does not seem to have any friends. To give an example, he recently contacted my brother over the phone several times and by email; when he did not receive a response, he said that he is flying over to see us. As in other instances, he is very persistent and refuses/cannot have anyone drift away from him.
|
Exceptional math skills !!That's wonderful. A few people are gifted. And a few people have the misery of lacking social skills. This need not be a mental issue per se. Try to keep him involved with people he understands and share the same interests. And just when the friendship is deep enough between them, try to disarm the social bomb making him aware of what boundaries are. Such people might get hurt pretty easily, so be sure you are polite and convey the message straight enough. 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: We have a family friend who lives in Japan whom we have known for many years we live in the us). When we met, he seemed like a normal person. He has an exceptional ability with numbers (being able to mentally calculate 6~7 digit numbers in seconds) which we found amazing. But aside from that, we have been noticing that he severely lacks social skills; as he does not seem to have any friends. To give an example, he recently contacted my brother over the phone several times and by email; when he did not receive a response, he said that he is flying over to see us. As in other instances, he is very persistent and refuses/cannot have anyone drift away from him.
### Answer: Exceptional math skills !!That's wonderful. A few people are gifted. And a few people have the misery of lacking social skills. This need not be a mental issue per se. Try to keep him involved with people he understands and share the same interests. And just when the friendship is deep enough between them, try to disarm the social bomb making him aware of what boundaries are. Such people might get hurt pretty easily, so be sure you are polite and convey the message straight enough. Good Luck !
|
Sir. My aunty age 77 fasting sugar is 303.which medicine should she take.pp not done.before one year she took vozuca.2active for the same condition for 3 months and it was helpful but thereafter she stopped.please advice me what to do now.should she continue the same.
|
Good day, Noted your question. Why did she stop Victory? It is good Chat Doctor. Please get a Basic, Fasting blood glucose, creatinine, Liver function test, Lipid profile and Urine albumin tests to decide the best choice of
|
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. My aunty age 77 fasting sugar is 303.which medicine should she take.pp not done.before one year she took vozuca.2active for the same condition for 3 months and it was helpful but thereafter she stopped.please advice me what to do now.should she continue the same.
### Answer: Good day, Noted your question. Why did she stop Victory? It is good Chat Doctor. Please get a Basic, Fasting blood glucose, creatinine, Liver function test, Lipid profile and Urine albumin tests to decide the best choice of
|
My 6 yo girl was accidentally hit in the her mouth and the top two front teeth were knocked loose. ER doc removed one by just trying to push it back in. She is distraught because of loosing them, hasnt lost any teeth yet. We were told that the remaining tooth might be pushed back in and it may stay in place. What would be your recommendation on how to handle this with her and what type of dentist to seek for treatment. We are guardians and she hasnt had anything more than a cleaning or two before our care. I wanted more information and was just doing what I thought was general research. I didnt expect a payment component as I wanted to get a background of this type of situation. I think I need to start over and come back once I have basic knowledge.
|
Hi...thanks for the query...most probably your daughters tooth was primary... permanent erupt at the age of 7-8 years... so don't worry if re implantation failed...just clean the affected area or socket properly... tell her to go for warm saline rinses... and assure her that new tooth will come soon...you can also go for temporary removable plate also after the area get healed... it will also maintain your daughters arch form by acting as space maintainer...but please do CONSULT PERIODONTIST ONCE... and don't worry... she will be fine...
|
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 6 yo girl was accidentally hit in the her mouth and the top two front teeth were knocked loose. ER doc removed one by just trying to push it back in. She is distraught because of loosing them, hasnt lost any teeth yet. We were told that the remaining tooth might be pushed back in and it may stay in place. What would be your recommendation on how to handle this with her and what type of dentist to seek for treatment. We are guardians and she hasnt had anything more than a cleaning or two before our care. I wanted more information and was just doing what I thought was general research. I didnt expect a payment component as I wanted to get a background of this type of situation. I think I need to start over and come back once I have basic knowledge.
### Answer: Hi...thanks for the query...most probably your daughters tooth was primary... permanent erupt at the age of 7-8 years... so don't worry if re implantation failed...just clean the affected area or socket properly... tell her to go for warm saline rinses... and assure her that new tooth will come soon...you can also go for temporary removable plate also after the area get healed... it will also maintain your daughters arch form by acting as space maintainer...but please do CONSULT PERIODONTIST ONCE... and don't worry... she will be fine...
|
My son age 27 year suffering from left side pain nearby kidney , pain coming from back to front side, CT scan of KUB and Spine done both report showing normal position. No disorder detected . Before one month he was suffering from fever , Malaria was not detected , he was admitted in hospital and Falsi injection with glucose are given by doctor. He was operated for appendix before 3 year, digestive system is weak presently. some doctor say it is infection. Now the pain as shows above are not reducing please guide me for further treatment please.
|
Hi, pain in the renal angle could be due to infection, i.e. nephritis/pyelonephritis. Sometimes ureteric calculi i.e. stone may cause this. See urologist for the problem.
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: My son age 27 year suffering from left side pain nearby kidney , pain coming from back to front side, CT scan of KUB and Spine done both report showing normal position. No disorder detected . Before one month he was suffering from fever , Malaria was not detected , he was admitted in hospital and Falsi injection with glucose are given by doctor. He was operated for appendix before 3 year, digestive system is weak presently. some doctor say it is infection. Now the pain as shows above are not reducing please guide me for further treatment please.
### Answer: Hi, pain in the renal angle could be due to infection, i.e. nephritis/pyelonephritis. Sometimes ureteric calculi i.e. stone may cause this. See urologist for the problem.
|
I was diagnosed with mild encroachment of the spine on my left CV4-CV5 IVF....the pain became unnoticeable after a bit so I didn t follow up with an orthopedic doctor but not the pain is back and is becoming more noticeable...what are the procedures for relieving the pain, etc.?
|
Hello, I have studied your case. Due to compression of c 4-5 nerve root there is tingling numbness in your arm and pain. In cervical spine muscle spasm there may be loss of lordosis. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. 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 was diagnosed with mild encroachment of the spine on my left CV4-CV5 IVF....the pain became unnoticeable after a bit so I didn t follow up with an orthopedic doctor but not the pain is back and is becoming more noticeable...what are the procedures for relieving the pain, etc.?
### Answer: Hello, I have studied your case. Due to compression of c 4-5 nerve root there is tingling numbness in your arm and pain. In cervical spine muscle spasm there may be loss of lordosis. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.
|
my 19 months old daughter is neurotic syndrome patient, and she is under medication from the last 60 days, at present we are giving 15mg prednisolone tablet for every alternate day, and her weight is 11kg. At present her spot urine creatinine ratio is 0.23. But due to cold suddenly her temperature raised to 101 what to do, kindly suggest me
|
HI...it is not neurotic syn ChatDoctor. It is Nephrotic syn
|
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 19 months old daughter is neurotic syndrome patient, and she is under medication from the last 60 days, at present we are giving 15mg prednisolone tablet for every alternate day, and her weight is 11kg. At present her spot urine creatinine ratio is 0.23. But due to cold suddenly her temperature raised to 101 what to do, kindly suggest me
### Answer: HI...it is not neurotic syn ChatDoctor. It is Nephrotic syn
|
I have had a toothe ache on one of my bottom teeth (premolar) left side for a couple of days. A few hours ago it began hurting worse and my bottom lip around the area of the bad toothe began to go numb. Please advise on what is happening. Thank you.
|
HiT hanks for writing in. You are having deep caries in that tooth. As per your symptoms it requires Root Canal Treatment if you want to save that tooth. Get x-ray done of that tooth. Consult your dentist for proper treatment plan. 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 have had a toothe ache on one of my bottom teeth (premolar) left side for a couple of days. A few hours ago it began hurting worse and my bottom lip around the area of the bad toothe began to go numb. Please advise on what is happening. Thank you.
### Answer: HiT hanks for writing in. You are having deep caries in that tooth. As per your symptoms it requires Root Canal Treatment if you want to save that tooth. Get x-ray done of that tooth. Consult your dentist for proper treatment plan. Regards
|
I have been having pelvic pain now for a month. I recently went to family doctor. I had a hernia check with they did not feel anything unusal. Said it was not from a pulled muscle. I was refered to a general surgen. Another 20 days to wait. The pain I am and have been having is a dual to medium pain in my groin area. I have a feeling of stiffness in my upper right thigh. There is also pain in my scrotum area. A feeling of a tugging on testicles (both testicles). Sometimes sharp pain in lower groin area. The pain can last anywhere from a few minutes to a while. I typically have it everyday or every other day. No pain when going to bathroom. I am sexually active but no pain with errection or when ejackulating. I have moderate IBS but was told it is more than likely not from that. I getting anxious and worried that it could be something major. I to tend to worry alot about health problems. I just looking for possible answers or suggestions i could bring up to general surgen when I go see him. Thanks
|
Hi. The surgeon will probably exclude the usual groin hernias - direct and indirect hernias. We also have what is called Gilmore's or Sportsmen hernia which is at the back of the inguinal canal and may not present with the usual bulge that inguinal ones have. Just ask the doctor to exclude that as well. Management is usually repair of the posterior wall of the inguinal canal. 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 been having pelvic pain now for a month. I recently went to family doctor. I had a hernia check with they did not feel anything unusal. Said it was not from a pulled muscle. I was refered to a general surgen. Another 20 days to wait. The pain I am and have been having is a dual to medium pain in my groin area. I have a feeling of stiffness in my upper right thigh. There is also pain in my scrotum area. A feeling of a tugging on testicles (both testicles). Sometimes sharp pain in lower groin area. The pain can last anywhere from a few minutes to a while. I typically have it everyday or every other day. No pain when going to bathroom. I am sexually active but no pain with errection or when ejackulating. I have moderate IBS but was told it is more than likely not from that. I getting anxious and worried that it could be something major. I to tend to worry alot about health problems. I just looking for possible answers or suggestions i could bring up to general surgen when I go see him. Thanks
### Answer: Hi. The surgeon will probably exclude the usual groin hernias - direct and indirect hernias. We also have what is called Gilmore's or Sportsmen hernia which is at the back of the inguinal canal and may not present with the usual bulge that inguinal ones have. Just ask the doctor to exclude that as well. Management is usually repair of the posterior wall of the inguinal canal. Good luck.
|
AndI have 1.2 year old child. He has covirsion problem from when he is2 month old after birth.delivery is pre planned cizarion. First admitted in vs hospital and all report donned like a Brian water , brain sonography , eeg ,MRI etc.. All report found normal but covirson strock continue 2-3 time in every day during treatment in vs hospital.then I checked out and admitted in Apple hospital at parimal garden Dr.abhishek bansal and other Dr refrance donned baby shield report it was normal .Dr sanjiv Mehta also consulted from. But till now Asper reffrance torleva and troptal medicine contiue but convirsoin strock continue in one time in day. He has weight now only 5.5 kg and he has no balance always keep stick his hand and leg and development is so slow kindly suggest for Treatment .
|
Thank you for your quires and sorry to hear about him. Most likely he has developed some brain white matter lesion which is not always visible in MRI or other tests. Now coming for treatment option, firstly you should give medicines for stopping the convulsion attack as every convulsion put a stop for blood circulation in brain for time being and put a damage which will be more detrimental for his development. He may require some combination therapy for convulsion. To improve his development you should start physiotherapy and occupational therapy which will improve his motor, sensory and speech development. 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: AndI have 1.2 year old child. He has covirsion problem from when he is2 month old after birth.delivery is pre planned cizarion. First admitted in vs hospital and all report donned like a Brian water , brain sonography , eeg ,MRI etc.. All report found normal but covirson strock continue 2-3 time in every day during treatment in vs hospital.then I checked out and admitted in Apple hospital at parimal garden Dr.abhishek bansal and other Dr refrance donned baby shield report it was normal .Dr sanjiv Mehta also consulted from. But till now Asper reffrance torleva and troptal medicine contiue but convirsoin strock continue in one time in day. He has weight now only 5.5 kg and he has no balance always keep stick his hand and leg and development is so slow kindly suggest for Treatment .
### Answer: Thank you for your quires and sorry to hear about him. Most likely he has developed some brain white matter lesion which is not always visible in MRI or other tests. Now coming for treatment option, firstly you should give medicines for stopping the convulsion attack as every convulsion put a stop for blood circulation in brain for time being and put a damage which will be more detrimental for his development. He may require some combination therapy for convulsion. To improve his development you should start physiotherapy and occupational therapy which will improve his motor, sensory and speech development. Hope this helps.
|
I have a patient who had abdominal pain and loose stools for 3 weeks.travelled from pakistan 10 year old.stool routine analysis ,urine analysis and ultrasound were normal.treated with metronidazolefor 7 days and he improved but after 5 days now he came now with 4 days of fever ,cough,loose motions,vomitting and abdominal pain.got his blood analysis done.CBC, CRP ,-normal.BUN-5,creat-normal,but SGPT-1820 raised.widal,blood cultureand urine analysis awaited.what should be the differentials
|
HiT hanks for your query. Your patient has a highly elevated serum SGPT level. In this case you should go for total liver function test (LFT) which include total bilirubin, conjugated and conjugated fraction, serum albumin, GOT, SGPT and alkaline phosphatase level. Along with these you should also have hepatitis surface antigen (HBS Ag), anti-bug, test for hepatitis c virus (ANTIOCH), hepatitis A virus (Anti-vax), Hepatitis E virus (Anti-HEV). Also wait for the other results to come which you have sent. It may be a case of viral hepatitis. If alkaline phosphatase and conjugated bilirubin is very high you should have an ultrasonography (USG) of abdomen. Keep the boy on bland diet, plenty of water per mouth and liver tonic and digestive enzymes until further diagnosis is reached. Thank you.
|
If you are a doctor, please answer the medical questions based on the patient's description.
|
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description.
### Question: I have a patient who had abdominal pain and loose stools for 3 weeks.travelled from pakistan 10 year old.stool routine analysis ,urine analysis and ultrasound were normal.treated with metronidazolefor 7 days and he improved but after 5 days now he came now with 4 days of fever ,cough,loose motions,vomitting and abdominal pain.got his blood analysis done.CBC, CRP ,-normal.BUN-5,creat-normal,but SGPT-1820 raised.widal,blood cultureand urine analysis awaited.what should be the differentials
### Answer: HiT hanks for your query. Your patient has a highly elevated serum SGPT level. In this case you should go for total liver function test (LFT) which include total bilirubin, conjugated and conjugated fraction, serum albumin, GOT, SGPT and alkaline phosphatase level. Along with these you should also have hepatitis surface antigen (HBS Ag), anti-bug, test for hepatitis c virus (ANTIOCH), hepatitis A virus (Anti-vax), Hepatitis E virus (Anti-HEV). Also wait for the other results to come which you have sent. It may be a case of viral hepatitis. If alkaline phosphatase and conjugated bilirubin is very high you should have an ultrasonography (USG) of abdomen. Keep the boy on bland diet, plenty of water per mouth and liver tonic and digestive enzymes until further diagnosis is reached. Thank you.
|
Hello, my daughter is 3 year and 4 months old. Since birth she had these straight line like skin growth in both her inner cheeks. We didn t pay much attention to it before, but recently it is more visible than before and today she has been complaining that they are itching a lot. Please advise what we should do. Thanks.
|
Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid 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: Hello, my daughter is 3 year and 4 months old. Since birth she had these straight line like skin growth in both her inner cheeks. We didn t pay much attention to it before, but recently it is more visible than before and today she has been complaining that they are itching a lot. Please advise what we should do. Thanks.
### Answer: Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
|
My 11 years old got a vicine yesterday. And right now He ia in pain. He says his arm hurts 6 in the scale of 1 to 10. I gave him.Tylenol and rubed his arm with mentol. Still in pain? Should I take him to.the emergency room,? Wharmt should I do? Why is He in pain. his arm looks fine, no swallowing.
|
Do icing 10 to 15 minutes 4 time a day and ask you kid to move his limb actively Don't keep arm as it is move and do some sort of active exercise or at least play activity This will relieve spasm as well as pain.
|
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 years old got a vicine yesterday. And right now He ia in pain. He says his arm hurts 6 in the scale of 1 to 10. I gave him.Tylenol and rubed his arm with mentol. Still in pain? Should I take him to.the emergency room,? Wharmt should I do? Why is He in pain. his arm looks fine, no swallowing.
### Answer: Do icing 10 to 15 minutes 4 time a day and ask you kid to move his limb actively Don't keep arm as it is move and do some sort of active exercise or at least play activity This will relieve spasm as well as pain.
|
hello, I couple months ago I had a rough night where i drank too much, and the next day I had abdominal pains in the stomach area, the pain has come and gone, but I had noticed that a small lump had developed there, it normally isn t painful but sometime it is but mainly if I kind of poke at it, any idea what it could be?
|
Hi, Dewdrops, Thanks for query. It seems that you might have developed Gastritis causing this problem. It is also possible that your liver might be affected due to alcohol. Go for ultrasound of stomach and liver. Quit alcohol. Take Omeprazole tablet. Avoid 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: hello, I couple months ago I had a rough night where i drank too much, and the next day I had abdominal pains in the stomach area, the pain has come and gone, but I had noticed that a small lump had developed there, it normally isn t painful but sometime it is but mainly if I kind of poke at it, any idea what it could be?
### Answer: Hi, Dewdrops, Thanks for query. It seems that you might have developed Gastritis causing this problem. It is also possible that your liver might be affected due to alcohol. Go for ultrasound of stomach and liver. Quit alcohol. Take Omeprazole tablet. Avoid fried and junk food. Ok and bye.
|
I am a 78-year-old female who broke my toe next to big toe when I was age 8 or so. It healed in a bent position like a hammertoe. Now I am having a difficult time with swollen ankles and inflammed fat pad on both of my feet. I weigh 138 lbs. and am 5 1 . I have this foot pain flare up several times a year. I usually ice and take ibuprofen and in three or four days it settles down, but now for the past few months my feet have been very sore and the other day were so painful, I could not step. I have been icing for the past few days and feel someone better but fat pad still red and looks swollen. Could you please give me an idea of what I am dealing with. Thank you so much.
|
Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is needed. As mentioned by you the brief history there are 3 possibilities coming in my mind for which a thorough neuromuscular assessment is needed. The first is a vascular insufficiency, the second is the increased uric acid levels and the third is the neuropathic pain.to rule out the factors here - performing a urine test will help us determine is the pain and swelling is because of the increased uric acid levels and by medication and physical therapy the pain and recurrence can be avoided. For ruling out the vascular insufficiency the Doppler test for both the Lowe limbs will be performed post which is the test is positive - rest, Medication and physical therapy will be advised for better results. You need to use even stockings of lower limbs to ensure the venous return. For the neuropathic pain, your blood glucose levels and MRI of lumbar spine will be guided. Post which based on the possible positive test the treatment will be planned. As due to aging factor - there is even a possibility of lower cardiac output and slower venous return can lead to swelling of ankles. Understanding that the body needs mobility more at this age to allow the venous return to occur and improve the metabolism as well. After a thorough assessment the root cause can be found and post which the treatment will be planned to avoid the future recurrence. 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: I am a 78-year-old female who broke my toe next to big toe when I was age 8 or so. It healed in a bent position like a hammertoe. Now I am having a difficult time with swollen ankles and inflammed fat pad on both of my feet. I weigh 138 lbs. and am 5 1 . I have this foot pain flare up several times a year. I usually ice and take ibuprofen and in three or four days it settles down, but now for the past few months my feet have been very sore and the other day were so painful, I could not step. I have been icing for the past few days and feel someone better but fat pad still red and looks swollen. Could you please give me an idea of what I am dealing with. Thank you so much.
### Answer: Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is needed. As mentioned by you the brief history there are 3 possibilities coming in my mind for which a thorough neuromuscular assessment is needed. The first is a vascular insufficiency, the second is the increased uric acid levels and the third is the neuropathic pain.to rule out the factors here - performing a urine test will help us determine is the pain and swelling is because of the increased uric acid levels and by medication and physical therapy the pain and recurrence can be avoided. For ruling out the vascular insufficiency the Doppler test for both the Lowe limbs will be performed post which is the test is positive - rest, Medication and physical therapy will be advised for better results. You need to use even stockings of lower limbs to ensure the venous return. For the neuropathic pain, your blood glucose levels and MRI of lumbar spine will be guided. Post which based on the possible positive test the treatment will be planned. As due to aging factor - there is even a possibility of lower cardiac output and slower venous return can lead to swelling of ankles. Understanding that the body needs mobility more at this age to allow the venous return to occur and improve the metabolism as well. After a thorough assessment the root cause can be found and post which the treatment will be planned to avoid the future recurrence. RegardsJay In Chat Doctor.
|
Hi,I did a TMT as a formality for a new insurance policy, and the comment says, TMT MILD POSITIVE FOR INDUCIBLE INFERIOR AND LATERAL WALL ISCHEMIA.. is this dangerous, just let me know. i have a balanced lifestyle, with regular exercising and almost zero cholesteral and adequate carb diet. Iam 37 yrs, 170cm tall and 72 kgs.. Kindly suggest on how big a worry this is...
|
Your cardiologist will decide what should be next step... As there is problem in stress test need to undergo... Coronary angiography... Either conventional or CT angiography.... Chances of coronary angiography becoming normal Is also good... But its always to be 100% assurance . Which can be through coronary angiography... Need personal interpretation of your TMT report to tell significance ... 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 did a TMT as a formality for a new insurance policy, and the comment says, TMT MILD POSITIVE FOR INDUCIBLE INFERIOR AND LATERAL WALL ISCHEMIA.. is this dangerous, just let me know. i have a balanced lifestyle, with regular exercising and almost zero cholesteral and adequate carb diet. Iam 37 yrs, 170cm tall and 72 kgs.. Kindly suggest on how big a worry this is...
### Answer: Your cardiologist will decide what should be next step... As there is problem in stress test need to undergo... Coronary angiography... Either conventional or CT angiography.... Chances of coronary angiography becoming normal Is also good... But its always to be 100% assurance . Which can be through coronary angiography... Need personal interpretation of your TMT report to tell significance ... Take care
|
Hi, I was just bitten by what looked like a darker version of a common garter snake. It drew blood, and I washed the bites, but now my hand is sort of swollen and a little painful. Am I having an allergic reaction? I just took 50mg of diphenhydramine HCL Thank you, Julia
|
Hi & Welcome to Chat Doctor. I appreciate your concern for the painful swollen hand following a snakebite. This is due to an inflammatory response to snake bite. Given alone Defense 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 was just bitten by what looked like a darker version of a common garter snake. It drew blood, and I washed the bites, but now my hand is sort of swollen and a little painful. Am I having an allergic reaction? I just took 50mg of diphenhydramine HCL Thank you, Julia
### Answer: Hi & Welcome to Chat Doctor. I appreciate your concern for the painful swollen hand following a snakebite. This is due to an inflammatory response to snake bite. Given alone Defense Chat Doctor.
|
I ve been on omeprazole for a dozen years (reflux) and developed microscopic colitis about two years ago. No pain with the colitis, but very soft stool and occasionally diarrhea. Nothing has helped: I ve tried Entocort, laiada, bismuth, probiotics, lactose free diet (for about a month). Because the omeprazole may contribute to the colitis, I ve been urged to substitute pantoperazole or lanoperazole for the omeprazole. I ve been told that the former may be less likely to trigger the colitis than the omeprazole. Any suggestions?
|
Hi, Based on the history colitis seems to be due an important side effect of proton pump inhibitor omeprazole. Colitis seems to be due to bacterial infection which occurs due to suppression stomach acid production by proton pump inhibitors. All the proton pump inhibitors are known to cause colitis or diarrhea. I suggest you to take and H2-receptor blocker like famotidine for your reflux disease. 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 ve been on omeprazole for a dozen years (reflux) and developed microscopic colitis about two years ago. No pain with the colitis, but very soft stool and occasionally diarrhea. Nothing has helped: I ve tried Entocort, laiada, bismuth, probiotics, lactose free diet (for about a month). Because the omeprazole may contribute to the colitis, I ve been urged to substitute pantoperazole or lanoperazole for the omeprazole. I ve been told that the former may be less likely to trigger the colitis than the omeprazole. Any suggestions?
### Answer: Hi, Based on the history colitis seems to be due an important side effect of proton pump inhibitor omeprazole. Colitis seems to be due to bacterial infection which occurs due to suppression stomach acid production by proton pump inhibitors. All the proton pump inhibitors are known to cause colitis or diarrhea. I suggest you to take and H2-receptor blocker like famotidine for your reflux disease. Hope I have answered your question. Let me know if I can assist you further.
|
Dear Sir, I m 40 years male found HBsAg + in 2006 HBeAg negative but SGPT was 79, a bit fatty liver , HBV DNA + 1.0 x 10 (4) then I go under medication (Lamivir 100mg) after 3 years in August 2009 HBV DNA found negative but continue medication. Further test in May 2010 HBV DNA found negative then I leave medication, meanwhile SGPT always fluctuating in between 50-90. after leaving medication SGPT fluctuated same as earlier. Recently SGPT increased to 120 in last August 2 days back SGPT found 124. May I know what is my current condition and what should I do?
|
Hello, Your SGPT levels are almost three times the upper limit of normal, this suggests reactivation of the disease. I would advise you to Get a HBV DNA viral load done and in case it is detectable you would need to start treatment. It would have to be a medicine other than lamivudine as now better Chat Doctor. I would also suggest you get a USG and complete LFT done. I would advise you to consult a gastroenterologist who would guide you regarding the further management plan Hope this helped get back in case you have further queriesRegards
|
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, I m 40 years male found HBsAg + in 2006 HBeAg negative but SGPT was 79, a bit fatty liver , HBV DNA + 1.0 x 10 (4) then I go under medication (Lamivir 100mg) after 3 years in August 2009 HBV DNA found negative but continue medication. Further test in May 2010 HBV DNA found negative then I leave medication, meanwhile SGPT always fluctuating in between 50-90. after leaving medication SGPT fluctuated same as earlier. Recently SGPT increased to 120 in last August 2 days back SGPT found 124. May I know what is my current condition and what should I do?
### Answer: Hello, Your SGPT levels are almost three times the upper limit of normal, this suggests reactivation of the disease. I would advise you to Get a HBV DNA viral load done and in case it is detectable you would need to start treatment. It would have to be a medicine other than lamivudine as now better Chat Doctor. I would also suggest you get a USG and complete LFT done. I would advise you to consult a gastroenterologist who would guide you regarding the further management plan Hope this helped get back in case you have further queriesRegards
|
I have stage 3 a kidney disease, a history of hypertension, which is currently controlled to borderline, and high cholesterol. I take 10mg SimvastTin, 2.5mg Bendroflumethiazide only as I have an intolerance for other BP drugs. More recently I have developed burning sensation of soles of feet at evening and night, tingling sensation down one arm in the main, and nerves firing in lower limbs in evenings and night. I am aware it may be signs of nerve damage? What do you think. Otherwise, I look very fit for my age which is 63, am still working and very active.
|
Hello! Welcome on Chat Doctor ! Your symptoms could be related to peripheral neuropathy. For this reason, I recommend consulting with a neurologist for a careful physical examination and a nerve conduction study. Further, blood lab tests may be needed to investigate for the possible causes : complete blood count, blood electrolytes, thyroid hormone levels, HbA1C levels, kidney and liver function tests, vitamin B 12 plasma levels, PCR, sedimentation rate. Hope you will find this answer 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: I have stage 3 a kidney disease, a history of hypertension, which is currently controlled to borderline, and high cholesterol. I take 10mg SimvastTin, 2.5mg Bendroflumethiazide only as I have an intolerance for other BP drugs. More recently I have developed burning sensation of soles of feet at evening and night, tingling sensation down one arm in the main, and nerves firing in lower limbs in evenings and night. I am aware it may be signs of nerve damage? What do you think. Otherwise, I look very fit for my age which is 63, am still working and very active.
### Answer: Hello! Welcome on Chat Doctor ! Your symptoms could be related to peripheral neuropathy. For this reason, I recommend consulting with a neurologist for a careful physical examination and a nerve conduction study. Further, blood lab tests may be needed to investigate for the possible causes : complete blood count, blood electrolytes, thyroid hormone levels, HbA1C levels, kidney and liver function tests, vitamin B 12 plasma levels, PCR, sedimentation rate. Hope you will find this answer helpful! Best wishes,
|
What happens when you stop taking the mood stabilizers and anti-psychotic medication and starting menopause with no hormone treatment due to breast cancer (ductal incarcineria) and on high doses of pain medication. I have stop taking my bi-polar due to loss of health insurance and can not afford to pay full cost of bi-polar meds
|
Hi, Thanks for writing in. Mood stabilizers and anti-psychotic medications are a group of Chat Doctor. It can cause a lot of discomfort and side effects leading to return of symptoms and appearance of newer symptoms due to with
|
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 happens when you stop taking the mood stabilizers and anti-psychotic medication and starting menopause with no hormone treatment due to breast cancer (ductal incarcineria) and on high doses of pain medication. I have stop taking my bi-polar due to loss of health insurance and can not afford to pay full cost of bi-polar meds
### Answer: Hi, Thanks for writing in. Mood stabilizers and anti-psychotic medications are a group of Chat Doctor. It can cause a lot of discomfort and side effects leading to return of symptoms and appearance of newer symptoms due to with
|
I had two mercury fillings removed today and new fillings put in. I noticed the dental assistant was doing minimal suction during the entire procedure so I was swallowing a lot. This evening I m having severe abdominal cramps. What could be causing this from my dental appointment today.
|
Hi. The mercury for fillings is in the form of an amalgam and supposed to cause no harm. Yet on a safer side you can contact ER and give the history. You would also be examined to see that you are not suffering from something else. (this also is a possibility).
|
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 two mercury fillings removed today and new fillings put in. I noticed the dental assistant was doing minimal suction during the entire procedure so I was swallowing a lot. This evening I m having severe abdominal cramps. What could be causing this from my dental appointment today.
### Answer: Hi. The mercury for fillings is in the form of an amalgam and supposed to cause no harm. Yet on a safer side you can contact ER and give the history. You would also be examined to see that you are not suffering from something else. (this also is a possibility).
|
Hi there. I brought my daughter to see her Dr about a dark spot on the lip that she s had for 7 months. It hasn t got any bigger but it s not going away either. He told me it wasn t anything to worry about but when I brought her to her dentist app today her hygenist almost seemed a little worried and said that they may refer her to an oral surgeon the next time she comes in if it s still there. Should I make an app for her now to see an oral surgeon? What could it be?
|
Hello In your question you haven't mentioned the age of your daughter as these spots disappear by them self in growing age(10-16). Normally they are of not major concern. These spots are basically melanin pigments deposited in skin of lip. Wait for next 6-8 months and notice any change, if their and then see a skin specialist rather than an oral surgeon. 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 there. I brought my daughter to see her Dr about a dark spot on the lip that she s had for 7 months. It hasn t got any bigger but it s not going away either. He told me it wasn t anything to worry about but when I brought her to her dentist app today her hygenist almost seemed a little worried and said that they may refer her to an oral surgeon the next time she comes in if it s still there. Should I make an app for her now to see an oral surgeon? What could it be?
### Answer: Hello In your question you haven't mentioned the age of your daughter as these spots disappear by them self in growing age(10-16). Normally they are of not major concern. These spots are basically melanin pigments deposited in skin of lip. Wait for next 6-8 months and notice any change, if their and then see a skin specialist rather than an oral surgeon. Best
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.