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If you are a doctor, please answer the medical questions based on the patient's description.

im a 39yr old female,i just had a spinal fusion surgery on my back in December. in December I missed my period,january comes I get my period but its really heavy and then I started vomiting for 8 days straight when my period was over s were my symptoms, then febuary comes same thing I get my period and vomit for 8 days again,now march just before my period started I vomited for 8 days then my period started and I vomited for another few days . ive been hospitalized for dehydration 5 times since jan. before my back surgery I was on a high dose of morphine for pain but im off it now and have been for 6 weeks my dr thought it could be my receptors in my brain he also said I didnt have any of my own endorphins to fight pain so I need to work on building them back up.but even now my dr is confused by my symtoms and is now sending me for a colonoscopy ive already had an ultrasound that came back normal and blood work came back good to except my white cell count has been concistantly high since this started I believe my cell count was 13,000 . the er dr last night asked me if I use marijuana and I said I did for my pain cause I cant take pain killers so the er dr told me about a study being done called cannibanoid hyperemesis syndrome,never heard of it before but hes the only dr ive seen to mention it.

It is not that your spinal fusion got to do with pain, successful surgery will prevent all movement there and nerve impingement, so cause for pain is not it. Your doctor should gradually shift you on alternative painkillers if at all needed. Heavy periods and vomiting has got something to do with hormonal imbalance probably, and a gynecological consult is necessary. If USG is not finding anything, simple anti-emetics before periods must be taken and may be prescribed by genes specialist after giving you internal check and hormonal profile. If you are having abdominal pain, then maybe colonoscopy may be necessary for bowel symptoms/findings that has made your doctor think on those lines.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: im a 39yr old female,i just had a spinal fusion surgery on my back in December. in December I missed my period,january comes I get my period but its really heavy and then I started vomiting for 8 days straight when my period was over s were my symptoms, then febuary comes same thing I get my period and vomit for 8 days again,now march just before my period started I vomited for 8 days then my period started and I vomited for another few days . ive been hospitalized for dehydration 5 times since jan. before my back surgery I was on a high dose of morphine for pain but im off it now and have been for 6 weeks my dr thought it could be my receptors in my brain he also said I didnt have any of my own endorphins to fight pain so I need to work on building them back up.but even now my dr is confused by my symtoms and is now sending me for a colonoscopy ive already had an ultrasound that came back normal and blood work came back good to except my white cell count has been concistantly high since this started I believe my cell count was 13,000 . the er dr last night asked me if I use marijuana and I said I did for my pain cause I cant take pain killers so the er dr told me about a study being done called cannibanoid hyperemesis syndrome,never heard of it before but hes the only dr ive seen to mention it.<|eot_id|><|start_header_id|>assistant<|end_header_id|>It is not that your spinal fusion got to do with pain, successful surgery will prevent all movement there and nerve impingement, so cause for pain is not it. Your doctor should gradually shift you on alternative painkillers if at all needed. Heavy periods and vomiting has got something to do with hormonal imbalance probably, and a gynecological consult is necessary. If USG is not finding anything, simple anti-emetics before periods must be taken and may be prescribed by genes specialist after giving you internal check and hormonal profile. If you are having abdominal pain, then maybe colonoscopy may be necessary for bowel symptoms/findings that has made your doctor think on those lines.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

hi i have a med sized lump under my left testicle that is very painful i found it 24 hours ago . in the last couple of hours my testicle has became very swolen and my lower adomen hurts and im feeling aches and pains as if i am getting a cold, and a little bit of pain on both sides of neck

Hi ! Goode veining. I am Chat Doctor answering your query. Possibly you have got epididymo-orchitis (inflammation of the testicles) which could be a viral or bacterial cause if there is no history of trauma. You might be developing mumps which is giving rise to the pain on the sides of neck, and feverish feeling. If I were your doctor, I would advise you for an anti-inflammatory medicine along with a proton pump inhibitor, an antibiotic if need be, and a proper scrotal support. A routine blood tests would be helpful as a baseline. You would be needing close observation. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi i have a med sized lump under my left testicle that is very painful i found it 24 hours ago . in the last couple of hours my testicle has became very swolen and my lower adomen hurts and im feeling aches and pains as if i am getting a cold, and a little bit of pain on both sides of neck<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi ! Goode veining. I am Chat Doctor answering your query. Possibly you have got epididymo-orchitis (inflammation of the testicles) which could be a viral or bacterial cause if there is no history of trauma. You might be developing mumps which is giving rise to the pain on the sides of neck, and feverish feeling. If I were your doctor, I would advise you for an anti-inflammatory medicine along with a proton pump inhibitor, an antibiotic if need be, and a proper scrotal support. A routine blood tests would be helpful as a baseline. You would be needing close observation. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have what appears to be an insect/spider bite on my left forearm. It started out as a quarter sized red mark yesterday morning with itching and localized minor pain. This morning it is about the size of a silver dollar with itching and moderate pain. I am using ice, anti-inflamatories, benadryl and antibiotics my doctor had given me for acne. Is this treatment alright, or should I be doing something different?

HelloWelcome to Chat Doctor, Spider bites are actually rare occurrences and bites from most spiders cause local redness, irritation and pain that usually can be treated at home. These local reactions usually resolve without treatment over a period of 7-10 days. I would suggest you to follow Wash the site of the spider bite well with soap and water. Apply a cool compress or ice pack over the spider bite location. Over the counter pain relievers may be used to relieve symptoms. Thank you.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have what appears to be an insect/spider bite on my left forearm. It started out as a quarter sized red mark yesterday morning with itching and localized minor pain. This morning it is about the size of a silver dollar with itching and moderate pain. I am using ice, anti-inflamatories, benadryl and antibiotics my doctor had given me for acne. Is this treatment alright, or should I be doing something different?<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloWelcome to Chat Doctor, Spider bites are actually rare occurrences and bites from most spiders cause local redness, irritation and pain that usually can be treated at home. These local reactions usually resolve without treatment over a period of 7-10 days. I would suggest you to follow Wash the site of the spider bite well with soap and water. Apply a cool compress or ice pack over the spider bite location. Over the counter pain relievers may be used to relieve symptoms. Thank you.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi doctor.! My baby is 16 mnths old now.1mnth back she gt boils on her scalp which later filled with pus and cause ictching.with one pediatrician suggestion I used antibiotic syrup and ointment.bt again it recurred in the same area causing much problem.pl help me.

Hi, Thank you for asking question on Chat Doctor. If recurrent boils are coming, do a culture and sensitivity of the pus from the boils and the appropriate antibiotic suggested by the sensitivity report may be used in consultation with your doctor. Antihistamine like benzine may be used to relieve itching. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi doctor.! My baby is 16 mnths old now.1mnth back she gt boils on her scalp which later filled with pus and cause ictching.with one pediatrician suggestion I used antibiotic syrup and ointment.bt again it recurred in the same area causing much problem.pl help me.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thank you for asking question on Chat Doctor. If recurrent boils are coming, do a culture and sensitivity of the pus from the boils and the appropriate antibiotic suggested by the sensitivity report may be used in consultation with your doctor. Antihistamine like benzine may be used to relieve itching. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

i had a c-section seven moths back..we had water shortage this month. i started getting water from my neighbor past three days .i had no problem till third day i had sharp pain in my lower abdomen its not seems to get lessen. i cant go for long walk with my husband nor able to stand longer .i can do normal household work still am worried.we ll go to the doctor today will i need to do ct scan ? how i can lessen the pain i just feel like to sleep n do nothing ..please advise

Hi and so sorry about what you are experiencing. After surgery, most of the cut structures get health, solid enough to keep us strong but can break or be strained if subjected to a great force. It is the same thing that can happen in healthy people. Because you c-section was just 7\u00a0months ago, I would have advised that you avoid very strenuous tasks for now. Your symptoms are dominated by bearable pains which correlate mostly with strain. This explains the pains and the limited ability to do routines like before. I am not convinced a CT scan is going to be ordered right away unless the physical exam findings or some other serious symptoms you have not mentioned come up. I suggest rest, painkillers and reassurance will be the way to go. If symptoms persist, worsen or new ones add, then these tests will become very needed. Hope this helps and wish you a speedy recovery.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i had a c-section seven moths back..we had water shortage this month. i started getting water from my neighbor past three days .i had no problem till third day i had sharp pain in my lower abdomen its not seems to get lessen. i cant go for long walk with my husband nor able to stand longer .i can do normal household work still am worried.we ll go to the doctor today will i need to do ct scan ? how i can lessen the pain i just feel like to sleep n do nothing ..please advise<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and so sorry about what you are experiencing. After surgery, most of the cut structures get health, solid enough to keep us strong but can break or be strained if subjected to a great force. It is the same thing that can happen in healthy people. Because you c-section was just 7\u00a0months ago, I would have advised that you avoid very strenuous tasks for now. Your symptoms are dominated by bearable pains which correlate mostly with strain. This explains the pains and the limited ability to do routines like before. I am not convinced a CT scan is going to be ordered right away unless the physical exam findings or some other serious symptoms you have not mentioned come up. I suggest rest, painkillers and reassurance will be the way to go. If symptoms persist, worsen or new ones add, then these tests will become very needed. Hope this helps and wish you a speedy recovery.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Is it possible that the swine flue trigered accute heart failure Had swine flue August 2009 cardiomyopathy acute heart failure pulmonary odaema feb 2010 have probably had a problem for 20yrs misdiagnosed as asthma. Is it possible the swine flue trigered this Ive been on medication for a year and my pump function has now returned to normal

Hi thanks for asking question in Chat Doctor. Swine flu can trigger the chronic condition like that of heart disease as in your case. It can also lead to pneumonia like respiratory problem so pulmonary edema also can be aggravated. Sometime lead to respiratory failure also. So it is better to recover fast whenever flu like condition with proper lifestyle management. For that taking enough rest, Chat Doctor. Fruit juice helpful. So both the condition you mentioned can be aggravated by swine flu. I hope I have solved your query well. If still doubt then Chat Doctor team ready to help.thanks.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Is it possible that the swine flue trigered accute heart failure Had swine flue August 2009 cardiomyopathy acute heart failure pulmonary odaema feb 2010 have probably had a problem for 20yrs misdiagnosed as asthma. Is it possible the swine flue trigered this Ive been on medication for a year and my pump function has now returned to normal<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi thanks for asking question in Chat Doctor. Swine flu can trigger the chronic condition like that of heart disease as in your case. It can also lead to pneumonia like respiratory problem so pulmonary edema also can be aggravated. Sometime lead to respiratory failure also. So it is better to recover fast whenever flu like condition with proper lifestyle management. For that taking enough rest, Chat Doctor. Fruit juice helpful. So both the condition you mentioned can be aggravated by swine flu. I hope I have solved your query well. If still doubt then Chat Doctor team ready to help.thanks.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have been on gabapentin for about the last three weeks due to chemo caused feet neuropathy. In the last few days i have developed red not exactly pimples nor a rash but it has spread to three pockets of six or seven in each pocket not itchy but kind of burns when touched.they are on my upper left thigh going into groin area, What can I do? YYYY@YYYY Thank you

Hi, The rash could be a hypersensitivity reaction to a Chat Doctor. You could empirically apply an antifungal cream and take an antihistamine tablet for a week. If your symptoms do not improve in a week or if your rash worsens, I request you to consult your dermatologist for confirming the diagnosis and to initiate the apt treatment. Hope I have answered your query. Let me know if I can assist you further.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have been on gabapentin for about the last three weeks due to chemo caused feet neuropathy. In the last few days i have developed red not exactly pimples nor a rash but it has spread to three pockets of six or seven in each pocket not itchy but kind of burns when touched.they are on my upper left thigh going into groin area, What can I do? YYYY@YYYY Thank you<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, The rash could be a hypersensitivity reaction to a Chat Doctor. You could empirically apply an antifungal cream and take an antihistamine tablet for a week. If your symptoms do not improve in a week or if your rash worsens, I request you to consult your dermatologist for confirming the diagnosis and to initiate the apt treatment. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

How to treat hepatitis B surface ab and what the best way to prevent that? Does hepatitis surface past infection or become worst? How to healing or treat hepatitis surface B core ab? What kind med need to take? Need to see a doctor with treatment or can self treatment? Please explain to me all the reasons and all the information about the hepatitis B surface ab and hepatitis surface B core ab.

Hi far. It is obvious that you need information. You cannot treat antibodies. Antibodies are products of our immune system which helps us to fight against viruses and sectarian. You need to treat hepatitis. These antibodies just can tell us is there any reaction on infection in our organism. Soyou have obviously been infected in your life because you have these antibodies. Question is your infection active and symptomatic. To know this you must find antigens levels(Ag) and viral RNA polymerase test. If you have HBS Ag and HBC Ag positive then you have infection which persist and can cause liver damage and should be treated. If not it means that you passed through infection and there is no risk for liver damage. Hope i ve been helpful.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: How to treat hepatitis B surface ab and what the best way to prevent that? Does hepatitis surface past infection or become worst? How to healing or treat hepatitis surface B core ab? What kind med need to take? Need to see a doctor with treatment or can self treatment? Please explain to me all the reasons and all the information about the hepatitis B surface ab and hepatitis surface B core ab.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi far. It is obvious that you need information. You cannot treat antibodies. Antibodies are products of our immune system which helps us to fight against viruses and sectarian. You need to treat hepatitis. These antibodies just can tell us is there any reaction on infection in our organism. Soyou have obviously been infected in your life because you have these antibodies. Question is your infection active and symptomatic. To know this you must find antigens levels(Ag) and viral RNA polymerase test. If you have HBS Ag and HBC Ag positive then you have infection which persist and can cause liver damage and should be treated. If not it means that you passed through infection and there is no risk for liver damage. Hope i ve been helpful.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

okay my name is dylan i have bin getting really heavy phlegm for the past 2 days i am a smoker and i was just wondering if there is anything i should be concerned about . its even worse when i eat sumthin i am constantly spiting this discusting matter out of my throat HELP!!

Thanks for your question on Chat Doctor. I can understand your concern. Since you are a active smoker, you are at increased risk of lung diseases like lung infection (pneumonia), bronchitis etc. And both these can cause cough with excessive phlegm. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. You may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS) on the basis of these reports. In any case, smoking cessation as soon as possible is needed. Don't worry, you will be alright, but please quit smoking as early as possible. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: okay my name is dylan i have bin getting really heavy phlegm for the past 2 days i am a smoker and i was just wondering if there is anything i should be concerned about . its even worse when i eat sumthin i am constantly spiting this discusting matter out of my throat HELP!!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. Since you are a active smoker, you are at increased risk of lung diseases like lung infection (pneumonia), bronchitis etc. And both these can cause cough with excessive phlegm. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. You may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS) on the basis of these reports. In any case, smoking cessation as soon as possible is needed. Don't worry, you will be alright, but please quit smoking as early as possible. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My 1 year old has rash on face and mucus in stool and poops every 30mins to an hour For month now. we have taken him off milk but he still has it. We left our house for 3days to go to grandmas and it was gone tge next day. Then two days after we came home it came back.

If you can repeat your experiment again and things clear up, then you know he's reacting to something in the home. If that is the case, it is less likely that a specific food is the cause, but rather a chemical that he's being exposed to or some other environmental irritant. It would be highly worthwhile to repeat the stay away, and see what happens. Keep all other variables the same while away (i.e. don't change diet, clothing type, or other things)

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My 1 year old has rash on face and mucus in stool and poops every 30mins to an hour For month now. we have taken him off milk but he still has it. We left our house for 3days to go to grandmas and it was gone tge next day. Then two days after we came home it came back.<|eot_id|><|start_header_id|>assistant<|end_header_id|>If you can repeat your experiment again and things clear up, then you know he's reacting to something in the home. If that is the case, it is less likely that a specific food is the cause, but rather a chemical that he's being exposed to or some other environmental irritant. It would be highly worthwhile to repeat the stay away, and see what happens. Keep all other variables the same while away (i.e. don't change diet, clothing type, or other things)<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

mastrubating causing problem I mastrubating about 5 years or so .. my age is 21 now .. I get shivering often while I feel hungry or tensed .. its get reduced if I give a long break rate of shivering gets reduced .. I want to get rid off of this shivering problem.. prescribe

Hi, Thanks for writing in. The shivering is from the stimulation of the sympathetic parasympathetic nervous system in the body. This is not always under our voluntary control and is a part of autonomic nervous system. It is due to brain behavior to external stimuli. Masturbation, feeling hungry or tensed causes this in you. The best way to control your shivering will be to maintain a strong mind and this can be achieved by doing cognitive exercises like meditation and physical activity. Please do 30 minutes meditation every day, and you will see the improvement in your concentration ability and the shivering will decrease. Physical exercises can be done for 30 minutes, and it will keep you fit. A healthy 2000 kcal diet is important for you and this should contain nutrients. Please do not worry.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: mastrubating causing problem I mastrubating about 5 years or so .. my age is 21 now .. I get shivering often while I feel hungry or tensed .. its get reduced if I give a long break rate of shivering gets reduced .. I want to get rid off of this shivering problem.. prescribe<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for writing in. The shivering is from the stimulation of the sympathetic parasympathetic nervous system in the body. This is not always under our voluntary control and is a part of autonomic nervous system. It is due to brain behavior to external stimuli. Masturbation, feeling hungry or tensed causes this in you. The best way to control your shivering will be to maintain a strong mind and this can be achieved by doing cognitive exercises like meditation and physical activity. Please do 30 minutes meditation every day, and you will see the improvement in your concentration ability and the shivering will decrease. Physical exercises can be done for 30 minutes, and it will keep you fit. A healthy 2000 kcal diet is important for you and this should contain nutrients. Please do not worry.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

MY SON HAD HIS JAW FRACTURED IN A SPORTING ACCIDENT THE ORAL SURGEON WIRED HIS JAW TOGETHER AND SAID THAT IS GOING TO TAKE 6-8 WEEKS TO HEAL. MY SON IS THIRTEEN AND HAS ALREADY LOST 7 POUNDS IN 1 WEEK. I AM CONCERNED ABOUT HIS WEIGHT LOSS AND NUTRIENT INTAKE SINCE THE SURGEON SAID THAT I DOES NOT LOOK SO BAD AND THAT IT IS ONLY GREEN STICK FRACTURE. IS THIS ALWAYS A NECESSARY PROCEDURE?

Hello, I would highly recommend that you keep the jaw wired as advised. The best condition to benefit long term healing should take precedence over short term discomfort. There are so many notorious liquid diets, smoothies and vitamin Chat Doctor. If appearance is a factor, try to convince him to bear with it. If the jaw doesn't heal completely and a complication occurs, it could mean pretreatment for a longer period. The jaw is under a great deal of stress and is powerful. Pressure of chewing or any grinding at night may cause a fracture to expand. Complications with the condole healing could leave you with a lifetime of TMJ complications. Consult with the surgeon to see if an earlier removal would be advisable since he is experiencing some difficulty. Since you have a concern and difficulties adjusting, consider a consult with a second surgeon. Each fracture is unique and all details of your particular circumstances would need to be considered. Thank you for your inquiry. I hope my information has been helpful to you.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: MY SON HAD HIS JAW FRACTURED IN A SPORTING ACCIDENT THE ORAL SURGEON WIRED HIS JAW TOGETHER AND SAID THAT IS GOING TO TAKE 6-8 WEEKS TO HEAL. MY SON IS THIRTEEN AND HAS ALREADY LOST 7 POUNDS IN 1 WEEK. I AM CONCERNED ABOUT HIS WEIGHT LOSS AND NUTRIENT INTAKE SINCE THE SURGEON SAID THAT I DOES NOT LOOK SO BAD AND THAT IT IS ONLY GREEN STICK FRACTURE. IS THIS ALWAYS A NECESSARY PROCEDURE?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I would highly recommend that you keep the jaw wired as advised. The best condition to benefit long term healing should take precedence over short term discomfort. There are so many notorious liquid diets, smoothies and vitamin Chat Doctor. If appearance is a factor, try to convince him to bear with it. If the jaw doesn't heal completely and a complication occurs, it could mean pretreatment for a longer period. The jaw is under a great deal of stress and is powerful. Pressure of chewing or any grinding at night may cause a fracture to expand. Complications with the condole healing could leave you with a lifetime of TMJ complications. Consult with the surgeon to see if an earlier removal would be advisable since he is experiencing some difficulty. Since you have a concern and difficulties adjusting, consider a consult with a second surgeon. Each fracture is unique and all details of your particular circumstances would need to be considered. Thank you for your inquiry. I hope my information has been helpful to you.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My daughter is a month old and a few days ago a bump apperared on her cheek which spreded to a fulll blon out red rash with lots of bump and spreded to other cheek. Now today her eye is swollen started with one and now other one as well. WHat could this be?

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.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My daughter is a month old and a few days ago a bump apperared on her cheek which spreded to a fulll blon out red rash with lots of bump and spreded to other cheek. Now today her eye is swollen started with one and now other one as well. WHat could this be?<|eot_id|><|start_header_id|>assistant<|end_header_id|>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.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Yes, I have been having bilateral knee pain R L. My right knee buckles and is very painful. I had a xray of both knees and was told results were lateral tilting knee caps and my right knee showed calcified density. My doctor prescribed Mobic and if symptoms do not improve in a month or so she would recommend a MRI and/or ortho consult. Do you agree?

Hello, Based on your description of your complaints, you seem to be suffering from osteoarthritis of knee joint. Although you have not told me your age, this occurs due to age, overweight, or having MAL aligned knees. This is commonly treated in early stages with lifestyle modifications (weight loss, exercises, and holistic approaches like yoga). X-rays will show the MAL alignment and also degeneration. As your doctor has rightly said MRI SCAN will reveal the status of joint cartilage and also the status of all knee structures. Usually with these measures the knee pain will come down. Only in advance cases if knee pain persists you may require surgical intervention. Hope I have answered your query. Let me know if I can assist you further. Take care

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Yes, I have been having bilateral knee pain R L. My right knee buckles and is very painful. I had a xray of both knees and was told results were lateral tilting knee caps and my right knee showed calcified density. My doctor prescribed Mobic and if symptoms do not improve in a month or so she would recommend a MRI and/or ortho consult. Do you agree?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Based on your description of your complaints, you seem to be suffering from osteoarthritis of knee joint. Although you have not told me your age, this occurs due to age, overweight, or having MAL aligned knees. This is commonly treated in early stages with lifestyle modifications (weight loss, exercises, and holistic approaches like yoga). X-rays will show the MAL alignment and also degeneration. As your doctor has rightly said MRI SCAN will reveal the status of joint cartilage and also the status of all knee structures. Usually with these measures the knee pain will come down. Only in advance cases if knee pain persists you may require surgical intervention. Hope I have answered your query. Let me know if I can assist you further. Take care<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

i have an appointment friday. a few weeks ago i found a pea size lump on the rim of my cervix, now it is less of a lump and more like half of my cervix rim is mushy (i am not pregnant, nor sexually active) and with in the last 2 days i believe i have the beginnings of a UTI. friday seems to far off to the questions i have today. can u tell me anything about this?

Hi, Dear,thanks for the query to Chat Doctor. I studied your query in depth. I am of the opinion that it's just the co-incidence and the UTI you have needs routing -care-with-High intake of fluids and proper hygiene of the private parts.Maybe the cervical lump-with infectious discharge my lead to UTI. So don't get panicky. If pain is more-get sodabicarb-lemon juice 3 -4 times a day, would reduce the burning pain you have. If any more query please feel free to ask. Hope this would resolve the query. Thnks. Wellcome.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i have an appointment friday. a few weeks ago i found a pea size lump on the rim of my cervix, now it is less of a lump and more like half of my cervix rim is mushy (i am not pregnant, nor sexually active) and with in the last 2 days i believe i have the beginnings of a UTI. friday seems to far off to the questions i have today. can u tell me anything about this?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Dear,thanks for the query to Chat Doctor. I studied your query in depth. I am of the opinion that it's just the co-incidence and the UTI you have needs routing -care-with-High intake of fluids and proper hygiene of the private parts.Maybe the cervical lump-with infectious discharge my lead to UTI. So don't get panicky. If pain is more-get sodabicarb-lemon juice 3 -4 times a day, would reduce the burning pain you have. If any more query please feel free to ask. Hope this would resolve the query. Thnks. Wellcome.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi. I am a 17 year old female. I had my appendix removed when I was three years old due to a pinhole sized leak. My concern is that I often still get pain in my lower right abdomen, around where my appendix should be. It gets extremely tender and lately its been a bit more painful. Also, a few nights ago, i got a very sudden, very sharp stabbing pain in my mid abdomen on the right side. It was worse than I ever recall feeling. Help please?

Welcome to Chat Doctor! I have read your question carefully and from my clinical experience I can say that the pain you have been having is not likely to be related to the past appendectomy surgery. The surgery was one long back and was successful without any complication, so the current pain symptoms are due to something else (even is the site appears to be similar one.) I think you should meet a doctor, get an ultrasound abdomen done along with routine blood test and see what is causing it. For the acute pain, you may go for painkiller injections

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi. I am a 17 year old female. I had my appendix removed when I was three years old due to a pinhole sized leak. My concern is that I often still get pain in my lower right abdomen, around where my appendix should be. It gets extremely tender and lately its been a bit more painful. Also, a few nights ago, i got a very sudden, very sharp stabbing pain in my mid abdomen on the right side. It was worse than I ever recall feeling. Help please?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to Chat Doctor! I have read your question carefully and from my clinical experience I can say that the pain you have been having is not likely to be related to the past appendectomy surgery. The surgery was one long back and was successful without any complication, so the current pain symptoms are due to something else (even is the site appears to be similar one.) I think you should meet a doctor, get an ultrasound abdomen done along with routine blood test and see what is causing it. For the acute pain, you may go for painkiller injections<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My 21 y/o daughter was diagnosed with pernicious anemia she is on the B12 regiman. 1 injection q daily X 7 days then I injections weekly x 4 weeks and then one injections monthly for the rest of her life. At what point during the course of the treatment should. She start to feel better.?

Hello and welcome to Chat Doctor, Pernicious anemia leads to deficiency of vitamin B 12 in body. Deficiency of vitamin B 12 leads to microcytic anemia. Vitamin B 12 injections will correct the deficiency of vitamin B 12, and you will feel better after 5-7 doses of vitamin B 12 injections. The injections thereafter will maintain sufficient levels of vitamin B 12 in body and prevent its deficiency. In pernicious anemia, the ability of the gastric cells to absorb vitamin B 12 is lost. Thanks and take care Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My 21 y/o daughter was diagnosed with pernicious anemia she is on the B12 regiman. 1 injection q daily X 7 days then I injections weekly x 4 weeks and then one injections monthly for the rest of her life. At what point during the course of the treatment should. She start to feel better.?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello and welcome to Chat Doctor, Pernicious anemia leads to deficiency of vitamin B 12 in body. Deficiency of vitamin B 12 leads to microcytic anemia. Vitamin B 12 injections will correct the deficiency of vitamin B 12, and you will feel better after 5-7 doses of vitamin B 12 injections. The injections thereafter will maintain sufficient levels of vitamin B 12 in body and prevent its deficiency. In pernicious anemia, the ability of the gastric cells to absorb vitamin B 12 is lost. Thanks and take care Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I am 43 years old married man.Two weeks ago I got a small cut in the top potion of my fore skin of my penis.I used some antiseptic cream and got the cut cured.Now my problem is that during erection of my penis ,at the place of that cut round area , flexibility of forskin has been lost and at that place in round maner it tights the penis like a sting has tightned the penis. In result I feel very uncomfortable and it seems that veinas of forskin will burst. Please advice what should do I?

Hithe cut on the foreskin has gone through process of inflammation which ultimately leads to fibrosis and due to fibrosis the foreskin has shrunken, and it will be much difficult for you to retract the foreskin over the glans penis, this condition is called fibrosis and this would get worsen over the time, I would recommend you to get your circumcision done to get rid of this problem once and for all.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am 43 years old married man.Two weeks ago I got a small cut in the top potion of my fore skin of my penis.I used some antiseptic cream and got the cut cured.Now my problem is that during erection of my penis ,at the place of that cut round area , flexibility of forskin has been lost and at that place in round maner it tights the penis like a sting has tightned the penis. In result I feel very uncomfortable and it seems that veinas of forskin will burst. Please advice what should do I?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hithe cut on the foreskin has gone through process of inflammation which ultimately leads to fibrosis and due to fibrosis the foreskin has shrunken, and it will be much difficult for you to retract the foreskin over the glans penis, this condition is called fibrosis and this would get worsen over the time, I would recommend you to get your circumcision done to get rid of this problem once and for all.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi was wondering if you could help I have women in the night with this awful taste in my mouth.. I have got up an brushed my teeth an it s still there.. 2 things are worrying me I did dye my hair but I have dyed it a million time before and been fine.. But I am also on two lots of antibiotics for a bad stomach infection?? I have a sore throat too?? Any of these related?? Many thanks

Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a bad taste in mouth with a medical history of taking antibiotics seems related as the bad taste in mouth is a common side effect of taking antibiotics and as the antibiotic intake will stop gradually the taste in mouth will become normal. Sore throat can be due to either viral throat infection [bacterial infection is not probable as you are already on antibiotics] or can be due t aid reflux caused due to antibiotic intake as antibiotics can cause hyperacidity and acid reflux which in turn cause sore throat. You should chew flavored sugar-free chewing gums, do warm saline gargles, steam inhalations, can anti-inflammatory painkiller like Ibuprofen and avoid spicy food. Hope this information helps. Thanks and regards. Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi was wondering if you could help I have women in the night with this awful taste in my mouth.. I have got up an brushed my teeth an it s still there.. 2 things are worrying me I did dye my hair but I have dyed it a million time before and been fine.. But I am also on two lots of antibiotics for a bad stomach infection?? I have a sore throat too?? Any of these related?? Many thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a bad taste in mouth with a medical history of taking antibiotics seems related as the bad taste in mouth is a common side effect of taking antibiotics and as the antibiotic intake will stop gradually the taste in mouth will become normal. Sore throat can be due to either viral throat infection [bacterial infection is not probable as you are already on antibiotics] or can be due t aid reflux caused due to antibiotic intake as antibiotics can cause hyperacidity and acid reflux which in turn cause sore throat. You should chew flavored sugar-free chewing gums, do warm saline gargles, steam inhalations, can anti-inflammatory painkiller like Ibuprofen and avoid spicy food. Hope this information helps. Thanks and regards. Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have 24/7 discomfort/pain and have had it for 3 1/2 months. The pain/discomfort moves around my abdomen . I have had a pap , ultra sound , 4 blood test ,4 urine test. I have gone to DO, Internist & GI. I do have moderate diverticulosis and had a colon test 1 1/2years ago with one polp. No constipation , diarrhea , vomit , losing weight, fever, bloating , and very little gas. I take Meloxicam, Amtripyline. Liptor, Omeprazole and have been taking all of them for years. I am very worrried that I have something serious and the doctors haven t found it. Can you help?

Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. F. You are having mild abdominal pain, 24/7, since 3 1/2 months. Pain moving all round the abdomen. You have got all the tests done and found only diverticulosis. It appears to be the exacerbation of the diverticulosis. Or worms in the intestines, or something else. I advise you to consult a G.E.surgeon, for diagnosis and treatment. You may need to go for gastrostomy, M.R.I. besides other routine tests for confirmation. I also advise you to follow some diet recommendations as avoid taking foods rich in spices, junk foods, and oily foods, to avoid irritation of the gut. Take more of bland foods, like bread, curd etc. Take more of water and liquids. Wishing for a quick and complete recovery. Best regards.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have 24/7 discomfort/pain and have had it for 3 1/2 months. The pain/discomfort moves around my abdomen . I have had a pap , ultra sound , 4 blood test ,4 urine test. I have gone to DO, Internist & GI. I do have moderate diverticulosis and had a colon test 1 1/2years ago with one polp. No constipation , diarrhea , vomit , losing weight, fever, bloating , and very little gas. I take Meloxicam, Amtripyline. Liptor, Omeprazole and have been taking all of them for years. I am very worrried that I have something serious and the doctors haven t found it. Can you help?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. F. You are having mild abdominal pain, 24/7, since 3 1/2 months. Pain moving all round the abdomen. You have got all the tests done and found only diverticulosis. It appears to be the exacerbation of the diverticulosis. Or worms in the intestines, or something else. I advise you to consult a G.E.surgeon, for diagnosis and treatment. You may need to go for gastrostomy, M.R.I. besides other routine tests for confirmation. I also advise you to follow some diet recommendations as avoid taking foods rich in spices, junk foods, and oily foods, to avoid irritation of the gut. Take more of bland foods, like bread, curd etc. Take more of water and liquids. Wishing for a quick and complete recovery. Best regards.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hello Doctor,Im 26years old. Having semen leakage and body muscles are loosening severely. The teeth gums are moving away or receding very fast. Can you please what exactly im suffering from and what treatment should i take. Im depressed a lot due to these health issues. Can anyone please help me out?

Degree understand your concerns went through your details. The health issues you are speaking about are not because of semen leakage. I can assure you that. Semen leakage through urine or while sleeping is common and natural. ICANN be unhealthy. For gum and muscle weakness, please consult a physician. If you still need my assistance in this regard, please use this link. . Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello Doctor,Im 26years old. Having semen leakage and body muscles are loosening severely. The teeth gums are moving away or receding very fast. Can you please what exactly im suffering from and what treatment should i take. Im depressed a lot due to these health issues. Can anyone please help me out?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Degree understand your concerns went through your details. The health issues you are speaking about are not because of semen leakage. I can assure you that. Semen leakage through urine or while sleeping is common and natural. ICANN be unhealthy. For gum and muscle weakness, please consult a physician. If you still need my assistance in this regard, please use this link. . Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi I am currently on my third cycle of clomid and my doctor has called me to say that my last day21 blood test showed my progesterone was 118.4nmols so he thinks I should be pregnant. Done a home test and it s negative though. Could I still be pregnant or is there another reason why my progesterone is so high? My previous day21 results were 58.7 Thanks Laura

Hello, welcome to Chat Doctor. Urine pregnancy test kit may give some time false negative results. Please do it with other brand kit and with first early morning urine sample. In first 3 months of pregnancy, progesterone level ranges between 15-90 NG/ml. It may be due to pregnancy, but other factors are also there which change the level of hormone. Please consult your gynecologist for vaginal examination. Hope this will help you. Thanks for contacting. Have a healthy life ahead. Take care...

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi I am currently on my third cycle of clomid and my doctor has called me to say that my last day21 blood test showed my progesterone was 118.4nmols so he thinks I should be pregnant. Done a home test and it s negative though. Could I still be pregnant or is there another reason why my progesterone is so high? My previous day21 results were 58.7 Thanks Laura<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, welcome to Chat Doctor. Urine pregnancy test kit may give some time false negative results. Please do it with other brand kit and with first early morning urine sample. In first 3 months of pregnancy, progesterone level ranges between 15-90 NG/ml. It may be due to pregnancy, but other factors are also there which change the level of hormone. Please consult your gynecologist for vaginal examination. Hope this will help you. Thanks for contacting. Have a healthy life ahead. Take care...<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I went to the dentist to get a crown last year and he told me that I was going to need some complete work done with my teeth. My two upper front teeth and some that are next to it are decaying, recently I was playing with my dog and he was running towards me and slammed me right in the face which made my upper front tooth break in half no pain whatsoever which I assume is because it was decayed. I was just wondering when I go into the dentist is he going to tell me that other teeth have to come out first before I can get this tooth fixed? My parents 30th anniversary is in one month and I really dont want to be absent from there weekend in Vegas, but at the same time I dont like having to speak with my lips closed because I dont anyone to notice my missing half tooth

Hello there, Thanks for writing your query, As you have mentioned you have encountered impact injury in the upper front teeth which got broken. Such broken teeth need x-ray examination and pulp vitality test to rule out the vitality of the teeth. If the tooth is non-vital, it needs to be treated by a root canal procedure, so please consider getting the treatment done by consulting a dentist. If the teeth are vital and pain less, broken teeth can be restored with prosthetic crown coverage. Other decayed teeth can be restored with simple fillings or root canal procedure if needed. Please consider getting the treatment done approaching a dentist. I hope this helps, take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I went to the dentist to get a crown last year and he told me that I was going to need some complete work done with my teeth. My two upper front teeth and some that are next to it are decaying, recently I was playing with my dog and he was running towards me and slammed me right in the face which made my upper front tooth break in half no pain whatsoever which I assume is because it was decayed. I was just wondering when I go into the dentist is he going to tell me that other teeth have to come out first before I can get this tooth fixed? My parents 30th anniversary is in one month and I really dont want to be absent from there weekend in Vegas, but at the same time I dont like having to speak with my lips closed because I dont anyone to notice my missing half tooth<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello there, Thanks for writing your query, As you have mentioned you have encountered impact injury in the upper front teeth which got broken. Such broken teeth need x-ray examination and pulp vitality test to rule out the vitality of the teeth. If the tooth is non-vital, it needs to be treated by a root canal procedure, so please consider getting the treatment done by consulting a dentist. If the teeth are vital and pain less, broken teeth can be restored with prosthetic crown coverage. Other decayed teeth can be restored with simple fillings or root canal procedure if needed. Please consider getting the treatment done approaching a dentist. I hope this helps, take care.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi My son is 2 years old he has had intermittent diarrhea for 11 days which has been coupled with some vomiting. We are awaiting the results of a stool sample which won t be back til next week. The diarrhea has stopped a little and the poo is no longer watery. The thing is, his stools are now very dark green and have black lumpy bits and mucus in them. His mood is very good although he is quite pale. his temperature is fine and he has a bit of an appetite, for which i am giving him very plain biscuits and watery squash. No dairy products at all for 4 days. Basically, what do i do? Do we just wait for the results of the stool sample and keep with the plain diet or is there something else I can do? I have been cleaning and disinfecting as instructed and nothing seems to be getting better. Thanks for your help

Hi, No need to do anything active as he is on the recovery path already. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. Don't worry. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi My son is 2 years old he has had intermittent diarrhea for 11 days which has been coupled with some vomiting. We are awaiting the results of a stool sample which won t be back til next week. The diarrhea has stopped a little and the poo is no longer watery. The thing is, his stools are now very dark green and have black lumpy bits and mucus in them. His mood is very good although he is quite pale. his temperature is fine and he has a bit of an appetite, for which i am giving him very plain biscuits and watery squash. No dairy products at all for 4 days. Basically, what do i do? Do we just wait for the results of the stool sample and keep with the plain diet or is there something else I can do? I have been cleaning and disinfecting as instructed and nothing seems to be getting better. Thanks for your help<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, No need to do anything active as he is on the recovery path already. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. Don't worry. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I was playing soccer and my foot stopped but my body kept moving sideways and my knee made a weird popping/cracking sound, like when you crack your fingers but louder. I couldn t walk initially but then it got a little better, still limped. However, as the night went on my knee became sore again, not too painful, but I can t bend it 90 degrees without it feeling like it will pop out of place. Is it just sore from the impact?

Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you have hurt your knee, and there can be internal derangement of knee, which means that you would have torn your ligaments or meniscus, which are cushions in your knee, the best is to consult a knee surgeon and get an MRI done, to see the problem, these days arthroscopic surgeries are available to tackle these issues with very less morbidity. I hope that answers your query. If you want any more clarification, contact me back.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I was playing soccer and my foot stopped but my body kept moving sideways and my knee made a weird popping/cracking sound, like when you crack your fingers but louder. I couldn t walk initially but then it got a little better, still limped. However, as the night went on my knee became sore again, not too painful, but I can t bend it 90 degrees without it feeling like it will pop out of place. Is it just sore from the impact?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you have hurt your knee, and there can be internal derangement of knee, which means that you would have torn your ligaments or meniscus, which are cushions in your knee, the best is to consult a knee surgeon and get an MRI done, to see the problem, these days arthroscopic surgeries are available to tackle these issues with very less morbidity. I hope that answers your query. If you want any more clarification, contact me back.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

yes i have a triglycerides level of 252, a cholesterol level of 260 and ALT level of 100 a glucose levee of 112 and an AST level of 54. I am concerned what this all means and how it relates. Ldl is 167 and the VLDL is 50. Can you let me know how I need to proceed.

Yes of course your cholesterol and triglycerides levels are high. Your LDL level is high which is considered as bad cholesterol. It increases the risk of coronary event and other vascular events. So you need to concerns about that. Consult physician. Atorvastatin is helpful in this condition. Take 10/20 mg atorvastatin once a day after consulting your physician. Also control your diet. Take more amount of polyunsaturated fatty acids with low fat diet. Thanks for using Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: yes i have a triglycerides level of 252, a cholesterol level of 260 and ALT level of 100 a glucose levee of 112 and an AST level of 54. I am concerned what this all means and how it relates. Ldl is 167 and the VLDL is 50. Can you let me know how I need to proceed.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Yes of course your cholesterol and triglycerides levels are high. Your LDL level is high which is considered as bad cholesterol. It increases the risk of coronary event and other vascular events. So you need to concerns about that. Consult physician. Atorvastatin is helpful in this condition. Take 10/20 mg atorvastatin once a day after consulting your physician. Also control your diet. Take more amount of polyunsaturated fatty acids with low fat diet. Thanks for using Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, my father underwent CABG on Dec 2. He started taking bath from Dec 8 after the surgeon advised so. It seemed then that his stitches had healed. Today we found a water like liquid coming out from where the upper end of the incision started. We observed that after he felt something there. Is it something to worry about? What should be the first aid? We are going to see the surgeon tomorrow.Thanks

Hello there, I am Chat Doctor. If infection is there it cause associated symptoms like fever and body ache etc. Sometimes it is inflammatory because there is cut has been made and presence of stitches cause local irritation cause serous(watery) fluid from there by inflammatory response of our body. You should go for culture examination of that watery fluid along witChatDoctorplete blood count to rule out infection. I advise you to maintain hygienic cleaning of wound and take rest along with healthy diet. Please Follow your surgeons' opinion. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating according to your satisfactory level. Thanking you.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, my father underwent CABG on Dec 2. He started taking bath from Dec 8 after the surgeon advised so. It seemed then that his stitches had healed. Today we found a water like liquid coming out from where the upper end of the incision started. We observed that after he felt something there. Is it something to worry about? What should be the first aid? We are going to see the surgeon tomorrow.Thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello there, I am Chat Doctor. If infection is there it cause associated symptoms like fever and body ache etc. Sometimes it is inflammatory because there is cut has been made and presence of stitches cause local irritation cause serous(watery) fluid from there by inflammatory response of our body. You should go for culture examination of that watery fluid along witChatDoctorplete blood count to rule out infection. I advise you to maintain hygienic cleaning of wound and take rest along with healthy diet. Please Follow your surgeons' opinion. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating according to your satisfactory level. Thanking you.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I got outside and pulled some weeds out of my flowers and by the time I got to the porch I was numb in my feet and legs and my hands and my face and lips and then I passed out, do I need to go to the er right now. it happened about 2 hours ago and I am still not feeling like my self and with a big headache, I hope you can help me

HI, thanks for using Chat Doctor It is possible that the symptoms are related inadequate fluid intake and excess heat exposure from your time in the garden. Excess fluid and electrolyte loss can cause altered sensations such as numbness and also cause fainting. If you have tried using oral fluids and rest with no response then you may need to visit your doctor for further evaluation. I hope this helps

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I got outside and pulled some weeds out of my flowers and by the time I got to the porch I was numb in my feet and legs and my hands and my face and lips and then I passed out, do I need to go to the er right now. it happened about 2 hours ago and I am still not feeling like my self and with a big headache, I hope you can help me<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI, thanks for using Chat Doctor It is possible that the symptoms are related inadequate fluid intake and excess heat exposure from your time in the garden. Excess fluid and electrolyte loss can cause altered sensations such as numbness and also cause fainting. If you have tried using oral fluids and rest with no response then you may need to visit your doctor for further evaluation. I hope this helps<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

my boyfriend has a past with kidney stones, he had surgery a few years ago and they removed stones. for the past few days the pain from his kidney has been unbearable and he doesnt have insurance so he is affraid to go to the doctor just yet he wants to wait untill he cant handle it anymore, he said hes almost positive that his tube is closed shut, he is swelling on his left side lower back, and in alot of pain, can you tell me what i need to do with him please this is a huge emergency and if i can get you to confirm that this is serious and he needs to go to the emergency room asap. so please help

Hi and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. You should rush your boyfriend to the ER. He's most likely having a stone problem. This can be confirmed after examination and doing following tests

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: my boyfriend has a past with kidney stones, he had surgery a few years ago and they removed stones. for the past few days the pain from his kidney has been unbearable and he doesnt have insurance so he is affraid to go to the doctor just yet he wants to wait untill he cant handle it anymore, he said hes almost positive that his tube is closed shut, he is swelling on his left side lower back, and in alot of pain, can you tell me what i need to do with him please this is a huge emergency and if i can get you to confirm that this is serious and he needs to go to the emergency room asap. so please help<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. You should rush your boyfriend to the ER. He's most likely having a stone problem. This can be confirmed after examination and doing following tests<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Sir,I am a 35 years old person(male) working at arround nagpur in a power compa.recently i have observed in my self the following symptons like forgetfulness, loss of concentration,language problems while speaking,a lot of confussion and depression.Kindly advice

Hi, Thanks for writing to Chat Doctor. If all symptoms are present that you mentioned, they present for more than 15 days in absence of any general medical condition than it may be major depressive disorder. You have not mentioned details about your illness which is very needed for perfect diagnosis. Like, is this 1st episode in your life, are there symptoms of being high for long periods, do you have any substance use disorder like alcohol or opioid or else. Consult psychiatrist for your illness. SSRIs and other antidepressant group Chat Doctor. Psychotherapy can also be helpful in mild to moderate depression. Hope I have answered your query,

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Sir,I am a 35 years old person(male) working at arround nagpur in a power compa.recently i have observed in my self the following symptons like forgetfulness, loss of concentration,language problems while speaking,a lot of confussion and depression.Kindly advice<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for writing to Chat Doctor. If all symptoms are present that you mentioned, they present for more than 15 days in absence of any general medical condition than it may be major depressive disorder. You have not mentioned details about your illness which is very needed for perfect diagnosis. Like, is this 1st episode in your life, are there symptoms of being high for long periods, do you have any substance use disorder like alcohol or opioid or else. Consult psychiatrist for your illness. SSRIs and other antidepressant group Chat Doctor. Psychotherapy can also be helpful in mild to moderate depression. Hope I have answered your query,<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi ! My son is 5 months old. He has cold and cough for last 2 weeks. At first we are prescribed sinarest drops and ascoril syrup. Later Doc told it is bronchitis and prescribed asthalin and omnacortil syrup. Still he has not improved. I am worried whether i should go to another doc or should i wait ? Are these medicines right for his condition ? Thanks in advance !

Thanks for consulting. Your child suffer 2 weeks. It seems he has acute obstructive bronchitis. If I were your doctor I would prescribe you antibiotic, which can treat inflammation and nebulizer inhalation. What you wait at home? If you don't see effect then go to hospital and do inhalation with albuterol, aerosol or Pulmicort or fluticasone, because when medicine will go inside of lungs then you will see real effect. Special vibrational massage is also helpful 3 times during 5 min, baby will cough easier. You should do x-ray examination of lungs for excluding pneumonia, because it is often complication of bronchitis, check blood test, urinalysis for excluding complications from side of kidney. Take care am I wishing you speedy recovery Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi ! My son is 5 months old. He has cold and cough for last 2 weeks. At first we are prescribed sinarest drops and ascoril syrup. Later Doc told it is bronchitis and prescribed asthalin and omnacortil syrup. Still he has not improved. I am worried whether i should go to another doc or should i wait ? Are these medicines right for his condition ? Thanks in advance !<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for consulting. Your child suffer 2 weeks. It seems he has acute obstructive bronchitis. If I were your doctor I would prescribe you antibiotic, which can treat inflammation and nebulizer inhalation. What you wait at home? If you don't see effect then go to hospital and do inhalation with albuterol, aerosol or Pulmicort or fluticasone, because when medicine will go inside of lungs then you will see real effect. Special vibrational massage is also helpful 3 times during 5 min, baby will cough easier. You should do x-ray examination of lungs for excluding pneumonia, because it is often complication of bronchitis, check blood test, urinalysis for excluding complications from side of kidney. Take care am I wishing you speedy recovery Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

i got chicken-pox. can i stay in ac. would anyone with me in ac too get chicken-pox.my age is 11years 9months. weight is nearly 45kg. please give advice. this is 4th day i got it. my mother didnt get the disease till now. will she get. i am staying ig ac all time. what to do to get rid of this pox.

Hi thanks for contacting Chat Doctor... Noted if your mother had developed chickenpox in past then acquiring infection chance is very less... Second until at least 10 days try to keep away from her to prevent infection to her if she has never developed it... It can also spread through respiratory Chat Doctor. ... For pruritic calamine lotion can be applied. If there is much scabbing slack gauze piece in potassium permanent diluted form over affected area. If secondary infection present antibiotic given. Oral acyclovir tablet taken... And if needed for rash antihistamines

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i got chicken-pox. can i stay in ac. would anyone with me in ac too get chicken-pox.my age is 11years 9months. weight is nearly 45kg. please give advice. this is 4th day i got it. my mother didnt get the disease till now. will she get. i am staying ig ac all time. what to do to get rid of this pox.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi thanks for contacting Chat Doctor... Noted if your mother had developed chickenpox in past then acquiring infection chance is very less... Second until at least 10 days try to keep away from her to prevent infection to her if she has never developed it... It can also spread through respiratory Chat Doctor. ... For pruritic calamine lotion can be applied. If there is much scabbing slack gauze piece in potassium permanent diluted form over affected area. If secondary infection present antibiotic given. Oral acyclovir tablet taken... And if needed for rash antihistamines<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi dr my son is 36 dys old n hav cough n cold since 10 dys. Last wk he ws prescribed gudcef drops n mucolite drops aftr da prescribed course again hez havin blocked nose wid mild fever. He is evn continuing 2 vomit wat is been feeded. Before these medicines dr hd prescribed mox drops, domstal drops n colicaid drops so plz suggest wat to usenw since hez also havin mild temperature

Hi welcome to Chat Doctor It is very difficult to comment on illness of 36 days old baby without examining him. If I were treating pediatrician I would have looked for any dullness in baby, activity of baby, any rapid breathing or respiratory distress, fever, if all is ok, baby accepting feed well, passing urine adequately, no evidence of any serious illness, I will prescribe simple saline nasal Chat Doctor. But at the same time at this tender you need to be extracautious, and report immediately to your pediatrician at any of danger signs Hope I answered your query thanks

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi dr my son is 36 dys old n hav cough n cold since 10 dys. Last wk he ws prescribed gudcef drops n mucolite drops aftr da prescribed course again hez havin blocked nose wid mild fever. He is evn continuing 2 vomit wat is been feeded. Before these medicines dr hd prescribed mox drops, domstal drops n colicaid drops so plz suggest wat to usenw since hez also havin mild temperature<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi welcome to Chat Doctor It is very difficult to comment on illness of 36 days old baby without examining him. If I were treating pediatrician I would have looked for any dullness in baby, activity of baby, any rapid breathing or respiratory distress, fever, if all is ok, baby accepting feed well, passing urine adequately, no evidence of any serious illness, I will prescribe simple saline nasal Chat Doctor. But at the same time at this tender you need to be extracautious, and report immediately to your pediatrician at any of danger signs Hope I answered your query thanks<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

yesterday after eating some cereal my chest began to hurt really bad it started in my left side all the way down to my breast..now every time i eat or swallow food or water burp or even laugh it hurts alot..it keeps comming no matter what i do it feels like some pressure or some ones squeezing my throat bad im only 18 can it be a heartattack sign?

Thanks for your question on Chat Doctor. I can understand your concern. Possibility of HERD (gastroesophageal reflux disease) is more likely in your case because your symptoms are more after eating. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in esophagus and cause symptoms of chest pain, chest pressure, tightness etc. So take pantoprazole and levosulperide combination twice daily before food. Avoid stress and tension, be relaxed and calm. Avoid hot and spicy food. Go for walking after meals.Don't worry, you will be alright with all these. No need to worry about heart attack. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: yesterday after eating some cereal my chest began to hurt really bad it started in my left side all the way down to my breast..now every time i eat or swallow food or water burp or even laugh it hurts alot..it keeps comming no matter what i do it feels like some pressure or some ones squeezing my throat bad im only 18 can it be a heartattack sign?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. Possibility of HERD (gastroesophageal reflux disease) is more likely in your case because your symptoms are more after eating. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in esophagus and cause symptoms of chest pain, chest pressure, tightness etc. So take pantoprazole and levosulperide combination twice daily before food. Avoid stress and tension, be relaxed and calm. Avoid hot and spicy food. Go for walking after meals.Don't worry, you will be alright with all these. No need to worry about heart attack. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My SGPT levels deceased from 68 to 53 but my bilrubin levels are elevated from 2.34 to 3.10,should I be worried,AST & ALT are all normal & m not feeling nauseous, fever or headache it s just from 4 days m also suffering from loose motion but it s only for 1 time in a day.

Hello, The bilirubin level can fluctuate in case of liver hepatitis. You need to investigate with a viral profile for hepatitis and ultrasonography abdomen to guide you further. Kindly revert with that two reports. Meanwhile, avoid high fatty foods and take more fruit juice. The sugar cane juice, apple juice, lemon water etc. beneficial in reducing your jaundice. Hope I have answered your query. Let me know if I can assist you further.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My SGPT levels deceased from 68 to 53 but my bilrubin levels are elevated from 2.34 to 3.10,should I be worried,AST & ALT are all normal & m not feeling nauseous, fever or headache it s just from 4 days m also suffering from loose motion but it s only for 1 time in a day.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, The bilirubin level can fluctuate in case of liver hepatitis. You need to investigate with a viral profile for hepatitis and ultrasonography abdomen to guide you further. Kindly revert with that two reports. Meanwhile, avoid high fatty foods and take more fruit juice. The sugar cane juice, apple juice, lemon water etc. beneficial in reducing your jaundice. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi doctor I had Bilateral Release on my Left Knee around 2 years ago. Since then till now I m great but recently after a gym session I feel a slight shift in a ligament above my knee cap on the left knee. it almost feels like a small ball. It just feels weird for 2 seconds but their is no discomfort or pain what so ever. Im just curious to know it is. It only occurs when I fully bend the knee

Hi after most operations whether open surgery or keyhole surgery the healing process is by formation of scar tissues in the operated area and this scar tissue sometimes can be perceived by a patient when stretching the operated area. If it is not painful or uncomfortable then there is no need to worry about it, but please continue monitoring this phenomenon and if it worsens in any way then please visit your surgeon again

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi doctor I had Bilateral Release on my Left Knee around 2 years ago. Since then till now I m great but recently after a gym session I feel a slight shift in a ligament above my knee cap on the left knee. it almost feels like a small ball. It just feels weird for 2 seconds but their is no discomfort or pain what so ever. Im just curious to know it is. It only occurs when I fully bend the knee<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi after most operations whether open surgery or keyhole surgery the healing process is by formation of scar tissues in the operated area and this scar tissue sometimes can be perceived by a patient when stretching the operated area. If it is not painful or uncomfortable then there is no need to worry about it, but please continue monitoring this phenomenon and if it worsens in any way then please visit your surgeon again<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Dear Krueger,I am SM Malhotra form Delhi I Cousin had a Cancer and operation of Intestine Two years ago.With the passage of time ,It spred to secondary region of Liver and enlargement of the liver has been declared unfit to operate,Having treatment at All india Medical Sciences Chemo is going on of advance nature,Feeling too uneasy unable to eat and digest,To-day Doc are doing endoscopy what it coul be pl.

Hi, dairy have gone through your question. I can understand your concern. You have intestinal cancer spread to the liver. SO it is stage 4 cancer. Surgery is not possible at this stage. Only treatment options are chemotherapy and radiotherapy. Explain like Chat Doctor. Consult your doctor and take treatment accordingly. Endoscopy is done for to check inside intestine. GO for it according to your doctors' advice. Hope I have answered your question, if you have any doubts then contact me at bit.ly/

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Dear Krueger,I am SM Malhotra form Delhi I Cousin had a Cancer and operation of Intestine Two years ago.With the passage of time ,It spred to secondary region of Liver and enlargement of the liver has been declared unfit to operate,Having treatment at All india Medical Sciences Chemo is going on of advance nature,Feeling too uneasy unable to eat and digest,To-day Doc are doing endoscopy what it coul be pl.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. You have intestinal cancer spread to the liver. SO it is stage 4 cancer. Surgery is not possible at this stage. Only treatment options are chemotherapy and radiotherapy. Explain like Chat Doctor. Consult your doctor and take treatment accordingly. Endoscopy is done for to check inside intestine. GO for it according to your doctors' advice. Hope I have answered your question, if you have any doubts then contact me at bit.ly/<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My 4 year daughter stated she hit her head on the floor. I didnt see it but she has been complaining of a headache. Last night I gave her motrin and she went to bed. This morning she was ok but now she is complaining again and now she is sleeping (nap) which she NEVER does. Should I be worried?

Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child. In case of trauma to head of child if their loss of consciousness, seizures, mouth or nose bleed or persistent vomiting, then there are chances of internal bleed or fracture. If these things are not present, then chances of internal bleeding are minimal. Pain at site of trauma may persist for few days. An examination by neurosurgeon is a must. I hope this will help you. Wishing your child good health. Take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My 4 year daughter stated she hit her head on the floor. I didnt see it but she has been complaining of a headache. Last night I gave her motrin and she went to bed. This morning she was ok but now she is complaining again and now she is sleeping (nap) which she NEVER does. Should I be worried?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child. In case of trauma to head of child if their loss of consciousness, seizures, mouth or nose bleed or persistent vomiting, then there are chances of internal bleed or fracture. If these things are not present, then chances of internal bleeding are minimal. Pain at site of trauma may persist for few days. An examination by neurosurgeon is a must. I hope this will help you. Wishing your child good health. Take care.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

35 yr. old female, 5 ft. 3 in., and 235 pounds I just had my gallbladder removed two weeks ago and Im having upper right stomach pains just under the ribs, towards the center of chest, and down towards my belly button. About five minutes after I eat I feel pressure and movement under my right ribcage. I will have another HIDA scan next week. I have suffered from constipation since I was a child. I have GERD and a hiatal hernia. Is this related to my surgery or could it be my intestines?

Thank you for posting your query. Briefly, you have pain RUN with a History of cholecystectomy differential is - Postcholecystectomy syn Chat Doctor. Meanwhile,- take Medium (omeprazole) 40\u00a0mg once daily before breakfast-avoid fats and oil in diet - do NOT eat stomach full wish you good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards,

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: 35 yr. old female, 5 ft. 3 in., and 235 pounds I just had my gallbladder removed two weeks ago and Im having upper right stomach pains just under the ribs, towards the center of chest, and down towards my belly button. About five minutes after I eat I feel pressure and movement under my right ribcage. I will have another HIDA scan next week. I have suffered from constipation since I was a child. I have GERD and a hiatal hernia. Is this related to my surgery or could it be my intestines?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thank you for posting your query. Briefly, you have pain RUN with a History of cholecystectomy differential is - Postcholecystectomy syn Chat Doctor. Meanwhile,- take Medium (omeprazole) 40\u00a0mg once daily before breakfast-avoid fats and oil in diet - do NOT eat stomach full wish you good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards,<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I wanted to discuss a problem with you about my loving wife. She is PG medical microbiology student and doing quite well in her academics. She lives in hostel. We got married one year back. She is BPD (bipolar disorder) patient. She used to report me that she always feared in the evening I mean she think that now evening starts and her bed will shake in the night, she felt someone presence near to her door and table. When she go on bed got sleep than she think that some is shaking her bed she jumped on the bed and her sleep broken. She is not able to take sleep properly because of this fear problem and used to take medicine for the sleep. I listen to her very patiently but I got perturbed when I saw her in pain. I am not able to her except giving her some assurance. I discussed with yesterday night whether she got similar fear when she stays with me. She said no. She only got those dreams when she is alone. I asked her to go and meet with people in the hostel. She said she did the same. When she speak to me over phone nothing comes in her mind but as soon as she got alone she starts thinking in same direction. I am writing to you by keeping in my mind that you can help me in some way. Please advise me how to handle the situation so that I can see her happy. I cannot see her in pain. I will be very thankful to you.

On what basis, you are claiming that she is suffering from Bipolar affective disorder. Have you seen her prescription by any consultant psychiatrist? It includes alternate attracts of manic / hypo manic episodes and depressive episodes. Moreover with the history that you have provided more corresponds with paranoid schizophrenia. As you have not mentioned her family history, past medical history and affective episodes whether present or not so more likely she seems to be suffering from paranoid schizophrenia. You should consult a nearby psychiatrist for proper diagnosis and treatment. I hope this helps you and your partner.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I wanted to discuss a problem with you about my loving wife. She is PG medical microbiology student and doing quite well in her academics. She lives in hostel. We got married one year back. She is BPD (bipolar disorder) patient. She used to report me that she always feared in the evening I mean she think that now evening starts and her bed will shake in the night, she felt someone presence near to her door and table. When she go on bed got sleep than she think that some is shaking her bed she jumped on the bed and her sleep broken. She is not able to take sleep properly because of this fear problem and used to take medicine for the sleep. I listen to her very patiently but I got perturbed when I saw her in pain. I am not able to her except giving her some assurance. I discussed with yesterday night whether she got similar fear when she stays with me. She said no. She only got those dreams when she is alone. I asked her to go and meet with people in the hostel. She said she did the same. When she speak to me over phone nothing comes in her mind but as soon as she got alone she starts thinking in same direction. I am writing to you by keeping in my mind that you can help me in some way. Please advise me how to handle the situation so that I can see her happy. I cannot see her in pain. I will be very thankful to you.<|eot_id|><|start_header_id|>assistant<|end_header_id|>On what basis, you are claiming that she is suffering from Bipolar affective disorder. Have you seen her prescription by any consultant psychiatrist? It includes alternate attracts of manic / hypo manic episodes and depressive episodes. Moreover with the history that you have provided more corresponds with paranoid schizophrenia. As you have not mentioned her family history, past medical history and affective episodes whether present or not so more likely she seems to be suffering from paranoid schizophrenia. You should consult a nearby psychiatrist for proper diagnosis and treatment. I hope this helps you and your partner.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

my son was diagnosed with anxiety disorder and possible PTSD. he has multiple health issues including epilepsy, global dyspraxia, hypotonia, sensory integration disorder, cognitive delays, etc. I am trying to research anti-anxiety meds - any advice?

His admire you for positive outlook. He has cognitive delay and neurological issues. PTSD is difficult to say in this case. It is more or less adaptation problem or generalized anxiety due to cognitive deficit. The best way is evaluation. Both psychiatry and neurological evaluation is must reach proper conclusion.If you require then anxiety can be treated with mild anxiolytic like etizolam0.25 mg as and when required.Sometimes it is look like anxiety but core problem is different which can be evaluated with consultation. Thank you. Hope for the best. Still have a query then feel free to ask. Always here to help you.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: my son was diagnosed with anxiety disorder and possible PTSD. he has multiple health issues including epilepsy, global dyspraxia, hypotonia, sensory integration disorder, cognitive delays, etc. I am trying to research anti-anxiety meds - any advice?<|eot_id|><|start_header_id|>assistant<|end_header_id|>His admire you for positive outlook. He has cognitive delay and neurological issues. PTSD is difficult to say in this case. It is more or less adaptation problem or generalized anxiety due to cognitive deficit. The best way is evaluation. Both psychiatry and neurological evaluation is must reach proper conclusion.If you require then anxiety can be treated with mild anxiolytic like etizolam0.25 mg as and when required.Sometimes it is look like anxiety but core problem is different which can be evaluated with consultation. Thank you. Hope for the best. Still have a query then feel free to ask. Always here to help you.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

hi.. about 9 months ago i went to the doctors with what i thought were swollen glands on either side of my neck along my jaw line. It turned out that they were not swollen and felt completley normal to the doctor. But what she did notice was my heart rate was pretty high i think it was about 94bpm which ive heard is normal but im an 18 year old male and wouldnt call my self unfit and i can never recall it ever being that high before. so ever since i have been cheking my heart rate atleast once a week.. it varies from about 89 to 100 and has even been as high as 105 this is at resting rate. then about 3 months ago i noticed a few small lumps under my chin, which stayed the same size and didnt hurt untill about a week ago when one of them grew over nyt and felt a bit tender when i touched it. so i booked another appointment at the doctors and she told me that they were swollen lymph nodes but wasnt to concerd about them due to the positioning ( concerned about leukemia and lymphoma i mean ) i was just writing to see if there was any other opinions out there to help put my mind at rest... thanks

Hi. Noted that you are 18 years old and had swelling on both sides of the neck under the jawbone. Your Doctor found nothing but the heart rate was more. The commonest reasons can be

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi.. about 9 months ago i went to the doctors with what i thought were swollen glands on either side of my neck along my jaw line. It turned out that they were not swollen and felt completley normal to the doctor. But what she did notice was my heart rate was pretty high i think it was about 94bpm which ive heard is normal but im an 18 year old male and wouldnt call my self unfit and i can never recall it ever being that high before. so ever since i have been cheking my heart rate atleast once a week.. it varies from about 89 to 100 and has even been as high as 105 this is at resting rate. then about 3 months ago i noticed a few small lumps under my chin, which stayed the same size and didnt hurt untill about a week ago when one of them grew over nyt and felt a bit tender when i touched it. so i booked another appointment at the doctors and she told me that they were swollen lymph nodes but wasnt to concerd about them due to the positioning ( concerned about leukemia and lymphoma i mean ) i was just writing to see if there was any other opinions out there to help put my mind at rest... thanks<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Noted that you are 18 years old and had swelling on both sides of the neck under the jawbone. Your Doctor found nothing but the heart rate was more. The commonest reasons can be<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have a lump about the size of a soft ball under my left breast on my rib cage. Its soft and squishy and feels kind of like a water balloon under my skin. There are no lesions, but it is sore. I had x rays and they came back negative for broken bones. I am 15 years old 179 pounds and 52.

Hi and welcome to Chat Doctor. Thanks for the query. Xray can't show soft tissues well, and you should do ultrasound to check the exact diagnosis but in your age this is usually just some benign subcutaneous cyst or lipoma or atheroma, and you should not be worried. If there is pain and redness around it, you should visit doctor and do further test as soon as possible. Wish you good health. Regards

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have a lump about the size of a soft ball under my left breast on my rib cage. Its soft and squishy and feels kind of like a water balloon under my skin. There are no lesions, but it is sore. I had x rays and they came back negative for broken bones. I am 15 years old 179 pounds and 52.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and welcome to Chat Doctor. Thanks for the query. Xray can't show soft tissues well, and you should do ultrasound to check the exact diagnosis but in your age this is usually just some benign subcutaneous cyst or lipoma or atheroma, and you should not be worried. If there is pain and redness around it, you should visit doctor and do further test as soon as possible. Wish you good health. Regards<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, today I was working a peice of machinery when I was pulling on a torque bar when it slipped and pushed he back of my hand into a metal corner on the machine. It instantly turned purple at the slight gash and is swollen and numb around the area. what should I do

Hi, Thanks for asking. Based on your query, my opinion is as follows.1. If you are able to move the hand, possibly there is no fracture.2. Some amount of swelling and pain is going to be there due to tissue injury. It will reduce within 1-2 days. You can keep ice pack. Will help you with pain and swelling.3. Take NSAID painkillers for pain. If you are unable to move the hand and even if slight movement causes severe pain, you need to get an x-ray done to rule out any fracture. At present, avoid any movement and give the hand, rest. Hope it helps. Any further queries, happy to help again.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, today I was working a peice of machinery when I was pulling on a torque bar when it slipped and pushed he back of my hand into a metal corner on the machine. It instantly turned purple at the slight gash and is swollen and numb around the area. what should I do<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Thanks for asking. Based on your query, my opinion is as follows.1. If you are able to move the hand, possibly there is no fracture.2. Some amount of swelling and pain is going to be there due to tissue injury. It will reduce within 1-2 days. You can keep ice pack. Will help you with pain and swelling.3. Take NSAID painkillers for pain. If you are unable to move the hand and even if slight movement causes severe pain, you need to get an x-ray done to rule out any fracture. At present, avoid any movement and give the hand, rest. Hope it helps. Any further queries, happy to help again.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, may I answer your health queries right now ? Please type your query here...I was recently diagnosed with zollinger Ellison syndrome, I have decided to switch doctors and have an appt with mayo clinic on march 3rd.... I m drained, not sure if I can wait another 2 weeks.....

Hi thanks for contacting Chat Doctor.... You have YES that gastronomy, gastrin producing tumor. So hyper acid secretion present.... So main aim is to reduce acid secretion by parietal cell. For which pantoprazole like proton pump inhibitor given..... Take less spicy food. Coffe, tea, smoking, alcohol, meat like irritant avoided. Avoid stress. Ultimate treatment is along with medical therapy which keeps basal acid output less, surgical removal of tumor necessary. Take care. Consult surgeon for that... Best one is oncosurgeon for that.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, may I answer your health queries right now ? Please type your query here...I was recently diagnosed with zollinger Ellison syndrome, I have decided to switch doctors and have an appt with mayo clinic on march 3rd.... I m drained, not sure if I can wait another 2 weeks.....<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi thanks for contacting Chat Doctor.... You have YES that gastronomy, gastrin producing tumor. So hyper acid secretion present.... So main aim is to reduce acid secretion by parietal cell. For which pantoprazole like proton pump inhibitor given..... Take less spicy food. Coffe, tea, smoking, alcohol, meat like irritant avoided. Avoid stress. Ultimate treatment is along with medical therapy which keeps basal acid output less, surgical removal of tumor necessary. Take care. Consult surgeon for that... Best one is oncosurgeon for that.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I am a 44 year old female with pain in my mid to left back, I have shortness of breathe and dizzy/light headed. I currently have stopped take my hormone replacement medication. Can these symptoms be due to stopping my hormone replacement medication?

Thanks for your question on Chat Doctor. I can understand your concern. Yes, you're all symptoms can be due to stopping of hormone replacement medication. You are approaching menopause. And hormonal imbalance is likely during this phase. This kind of imbalance causes mood disorder, stress, anxiety, depression etc. And all these causes' breathlessness, back pain etc. But better to rule out other possible causes first. So first get done chest x-ray and PFT (Pulmonary Function Test) to rule out internal lung related causes. If both these are normal then no need to worry. Your symptoms are mostly due to stopping hormonal therapy. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I am a 44 year old female with pain in my mid to left back, I have shortness of breathe and dizzy/light headed. I currently have stopped take my hormone replacement medication. Can these symptoms be due to stopping my hormone replacement medication?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thanks for your question on Chat Doctor. I can understand your concern. Yes, you're all symptoms can be due to stopping of hormone replacement medication. You are approaching menopause. And hormonal imbalance is likely during this phase. This kind of imbalance causes mood disorder, stress, anxiety, depression etc. And all these causes' breathlessness, back pain etc. But better to rule out other possible causes first. So first get done chest x-ray and PFT (Pulmonary Function Test) to rule out internal lung related causes. If both these are normal then no need to worry. Your symptoms are mostly due to stopping hormonal therapy. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

hello doctor,I am suffering with abdominal pain at right iliac fossa since 3 days back i took usg abdomen they told i have stone in rt kidney, later i consult with urologist he suggested X ray KUB from that report he told those may be sodium stones further he suggest cue and sr.uricacid now he advise to take syp potrate for TID.Now my doubt is for this tests are enough are any other tests is required...

Hi, Ultrasonogram and X-ray PUB are the basic tests which are done to detect kidney stones. A computed tomography (CT scan) with biography (injection of contrast to visualize the structure of urinary tract and functioning of kidneys) is required if there is any doubt about the presence of stones (especially ureteric stones), anatomy of urinary tract or when a surgery is planned. Some routine tests include

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hello doctor,I am suffering with abdominal pain at right iliac fossa since 3 days back i took usg abdomen they told i have stone in rt kidney, later i consult with urologist he suggested X ray KUB from that report he told those may be sodium stones further he suggest cue and sr.uricacid now he advise to take syp potrate for TID.Now my doubt is for this tests are enough are any other tests is required...<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Ultrasonogram and X-ray PUB are the basic tests which are done to detect kidney stones. A computed tomography (CT scan) with biography (injection of contrast to visualize the structure of urinary tract and functioning of kidneys) is required if there is any doubt about the presence of stones (especially ureteric stones), anatomy of urinary tract or when a surgery is planned. Some routine tests include<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Im almost done with phase one of the south beach diet and Ive been urinating alot. Ive lost 14 lbs in 2 weeks and my doctor did a urine test and stated that my ketone levels were higher than normal. She stated to add some good carbs to my diet now. How do I lower the ketones.

Hello and welcome to Chat Doctor. As a Urologist, i can understand your concern. What you should do in such a situation is the following

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Im almost done with phase one of the south beach diet and Ive been urinating alot. Ive lost 14 lbs in 2 weeks and my doctor did a urine test and stated that my ketone levels were higher than normal. She stated to add some good carbs to my diet now. How do I lower the ketones.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello and welcome to Chat Doctor. As a Urologist, i can understand your concern. What you should do in such a situation is the following<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

hi Dr i am a man of 32 i am suffering from slight problem of Ed and hard problem of PE. i took estrilopam 10 for two month it make my time from 15 sec to 1 mint. i want to make it 5 mints at least and with full erection.whether this nano leo cap are right choice for me or i should take some thing else to improve my self permanently.

Hello I appreciate your concerns will definitely help you in the best possible way if you can answer my these questions presence of any medical or metabolic disease like diabetes or thyroid disease Do you smoke or consume liquor first of all it needs to rule out any organic cause for discharge and poor erection need not worry this condition is very much treatable and size of penis doesn't make much difference for a successful marriage, so consult your doctor would advise you following guidelinesWatch your frequency of hand practice and look for any injury can press at the base of the glans when you feel to ejaculate and can stay longerAvoid smoking and alcohol consumptionAvoid stress and anxiety, just relax and enjoy your day you should not take any medicine without doctors prescriptionThere are medicines available for erectile dysfunction as well as premature ejaculation, please let me know if you have need any more assistance, I will gladly answer you Hope this answers your question Best wishes

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi Dr i am a man of 32 i am suffering from slight problem of Ed and hard problem of PE. i took estrilopam 10 for two month it make my time from 15 sec to 1 mint. i want to make it 5 mints at least and with full erection.whether this nano leo cap are right choice for me or i should take some thing else to improve my self permanently.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello I appreciate your concerns will definitely help you in the best possible way if you can answer my these questions presence of any medical or metabolic disease like diabetes or thyroid disease Do you smoke or consume liquor first of all it needs to rule out any organic cause for discharge and poor erection need not worry this condition is very much treatable and size of penis doesn't make much difference for a successful marriage, so consult your doctor would advise you following guidelinesWatch your frequency of hand practice and look for any injury can press at the base of the glans when you feel to ejaculate and can stay longerAvoid smoking and alcohol consumptionAvoid stress and anxiety, just relax and enjoy your day you should not take any medicine without doctors prescriptionThere are medicines available for erectile dysfunction as well as premature ejaculation, please let me know if you have need any more assistance, I will gladly answer you Hope this answers your question Best wishes<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have been sick for about two weeks now, Im not sure yet if its really bad allergies or bronchitis. I made an appointment with a doctor however, my period is about a week late and I am not sure why. I am not having any symptoms of pms or pregnancy, and usually if Im very stressed it gets delayed. I was wondering if my period could be possibly delayed because of being sick and being very stressed?ll

HI, thanks for using Chat Doctor Physical or emotional stress can cause a delay in periods. Physical stress would include feeling unwell. Other causes of period delay are

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have been sick for about two weeks now, Im not sure yet if its really bad allergies or bronchitis. I made an appointment with a doctor however, my period is about a week late and I am not sure why. I am not having any symptoms of pms or pregnancy, and usually if Im very stressed it gets delayed. I was wondering if my period could be possibly delayed because of being sick and being very stressed?ll<|eot_id|><|start_header_id|>assistant<|end_header_id|>HI, thanks for using Chat Doctor Physical or emotional stress can cause a delay in periods. Physical stress would include feeling unwell. Other causes of period delay are<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I had a bump come up on my bottom lip, (so it starts out as just a bump) with in a day or so it turns into like a sore with white layer of skin over it. It forms pus inside of it. I pop it and it goes away in a couple days. Its not painful until I start messing with it. Any ideas on what this could be?Im 28 and i dont think any sort of lip cancer runs in my family but I do smoke. This is the second time this has happened in the last month but its never happened before.

Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. The symptoms you mention in query are clearly indicating that bump on your lower lip is muscle which typically occur on lower lip. Well it's a harmless bump which form due to minor injury. Due to injury the duct of salivary gland gets blocked which turned into a muscle. It often for away without any treatment. But do not pick them. It may be possible that injury occur during smoking to lower lip that is why it occurs again. I would suggest you to consult dentist /oral surgeon for proper examination and rule out other growth. Doctor will perform physical examination or may order biopsy. Doctor may recommend surgical removal , marsupilization (extracting saliva) or may prescribe topical steroid. For now avoid smoking at least for the time being and let the condition resolve properly and apply honey on bump 2-3 times a day. Hope your concern has been resolved. Get Well Soon. Best Wishes,

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I had a bump come up on my bottom lip, (so it starts out as just a bump) with in a day or so it turns into like a sore with white layer of skin over it. It forms pus inside of it. I pop it and it goes away in a couple days. Its not painful until I start messing with it. Any ideas on what this could be?Im 28 and i dont think any sort of lip cancer runs in my family but I do smoke. This is the second time this has happened in the last month but its never happened before.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. The symptoms you mention in query are clearly indicating that bump on your lower lip is muscle which typically occur on lower lip. Well it's a harmless bump which form due to minor injury. Due to injury the duct of salivary gland gets blocked which turned into a muscle. It often for away without any treatment. But do not pick them. It may be possible that injury occur during smoking to lower lip that is why it occurs again. I would suggest you to consult dentist /oral surgeon for proper examination and rule out other growth. Doctor will perform physical examination or may order biopsy. Doctor may recommend surgical removal , marsupilization (extracting saliva) or may prescribe topical steroid. For now avoid smoking at least for the time being and let the condition resolve properly and apply honey on bump 2-3 times a day. Hope your concern has been resolved. Get Well Soon. Best Wishes,<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, may I answer your health queries right now ? Please type your query here...I noticed yesterday after a bowl movement a big knot by anus that was extremely sore to the touch. I have been is pain and discomfort ever since, especially when sitting down. I have hemroids and this feels diffrent.

Hello appreciate your concern Looking at your description this might be related to infected hemorrhoids, Infected anal gland, fissure in anus or an abscess. If I were your treating doctor I would have advised you for a battery of tests like blood for hemoglobin, CBC liver function test and photocopy or endoscopy if need be.Meanwhile, please follow these guidelinesAvoid constipation by taking laxatives or stool softeners Have lots of dietary fibers, fresh fruits and vegetables. You can apply anesthetic ointment like lidocaine for pain on touch. Hope this answers your question, please feel free to ask for more clarification or fill up questionsWish you good heath

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, may I answer your health queries right now ? Please type your query here...I noticed yesterday after a bowl movement a big knot by anus that was extremely sore to the touch. I have been is pain and discomfort ever since, especially when sitting down. I have hemroids and this feels diffrent.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello appreciate your concern Looking at your description this might be related to infected hemorrhoids, Infected anal gland, fissure in anus or an abscess. If I were your treating doctor I would have advised you for a battery of tests like blood for hemoglobin, CBC liver function test and photocopy or endoscopy if need be.Meanwhile, please follow these guidelinesAvoid constipation by taking laxatives or stool softeners Have lots of dietary fibers, fresh fruits and vegetables. You can apply anesthetic ointment like lidocaine for pain on touch. Hope this answers your question, please feel free to ask for more clarification or fill up questionsWish you good heath<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

after jarring my shoulder playing volleyball, my right nostril is constantly running, and this has been going on since May, and I also have a stiffness on the right side of my neck, and my clavicle doesn t feel right ( I have broken my clavicles before ),...... it doesn t feel like that.

Hi, As with the history it appears to me that running nose can be due to the dust infection. You need to get your blood routine get checked as sometimes infection goes on for longer and needs a medication. A pulmonologist will be helpful to examine and assess it. For the neck stiffness and clavicle old injury you need to get an x-ray done and MRI for the cervical spine. As due to the tightness in the Trapezius muscle there might be a chance of having deviation in the normal cervical curvature. Having it assessed by a sports Rehabilitation team which will include the orthopedist and a physiotherapist to help you. Usually due to Trapezius muscle spasm, there might be changes in the curvature of the spine and a change in the position of the intervertebral disc. Which might lead to some compression over the nerve root. It's never a mandatory that people might have symptoms of neuropathy but have small deviation and can lead to discomfort. With conservative management bike medication and exercise people respond well and having undergoing sports rehabilitation program helps them have a good outcome score in sports. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: after jarring my shoulder playing volleyball, my right nostril is constantly running, and this has been going on since May, and I also have a stiffness on the right side of my neck, and my clavicle doesn t feel right ( I have broken my clavicles before ),...... it doesn t feel like that.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, As with the history it appears to me that running nose can be due to the dust infection. You need to get your blood routine get checked as sometimes infection goes on for longer and needs a medication. A pulmonologist will be helpful to examine and assess it. For the neck stiffness and clavicle old injury you need to get an x-ray done and MRI for the cervical spine. As due to the tightness in the Trapezius muscle there might be a chance of having deviation in the normal cervical curvature. Having it assessed by a sports Rehabilitation team which will include the orthopedist and a physiotherapist to help you. Usually due to Trapezius muscle spasm, there might be changes in the curvature of the spine and a change in the position of the intervertebral disc. Which might lead to some compression over the nerve root. It's never a mandatory that people might have symptoms of neuropathy but have small deviation and can lead to discomfort. With conservative management bike medication and exercise people respond well and having undergoing sports rehabilitation program helps them have a good outcome score in sports. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My husband has been having pain in his back and bloating, nausea and gas. Sometimes when he eats nuts, he gets these symptoms but he only had a few nuts this morning but his back is hurting and he is nauseated and very fatigued. He is sleeping now. He also has diarrhea. He thinks he might have gallbladder problems. I am not sure but would appreciate your opinion.

Hi, I had gone through your question and understand your concerns. Pain in the abdomen radiating to back and bloating can be due to acute pancreatitis, gall stone disease, peptic ulcer disease or hepatitis. It would have been great had I examined your husband on my own. Do not worry. I would suggest you to ask him to- Have a soft, bland diet-Avoid oily, spicy food-Get an abdominal ultrasound done to look at the exact pathology-Get a complete blood count. Hemoglobin, Liver function test, amylase, lipase, urea, creatinine done-Stop smoking, stop alcohol- I would start tablet Pantoprazole. Your doctor can guide on the exact dosage. I would also suggest you to take your husband to a gastroenterologist. He/she can examine him and correlate clinically. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your husbands good health.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My husband has been having pain in his back and bloating, nausea and gas. Sometimes when he eats nuts, he gets these symptoms but he only had a few nuts this morning but his back is hurting and he is nauseated and very fatigued. He is sleeping now. He also has diarrhea. He thinks he might have gallbladder problems. I am not sure but would appreciate your opinion.<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, I had gone through your question and understand your concerns. Pain in the abdomen radiating to back and bloating can be due to acute pancreatitis, gall stone disease, peptic ulcer disease or hepatitis. It would have been great had I examined your husband on my own. Do not worry. I would suggest you to ask him to- Have a soft, bland diet-Avoid oily, spicy food-Get an abdominal ultrasound done to look at the exact pathology-Get a complete blood count. Hemoglobin, Liver function test, amylase, lipase, urea, creatinine done-Stop smoking, stop alcohol- I would start tablet Pantoprazole. Your doctor can guide on the exact dosage. I would also suggest you to take your husband to a gastroenterologist. He/she can examine him and correlate clinically. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your husbands good health.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I ve had upper right abdomen pressure radiating all the way down to my right groin area for awhile now but today I started having sharper pains in my left side mid to lower abdomen. I haven t had a regular bowel movement in months. Could this all be connected?

Thank you very much for contacting Chat Doctor. First you have to do your abdominal ultrasound sonography for diagnosis. Intestinal infection, diverticulitis or chops disease may cause this type of symptoms. You don't mention exact site of pain and aggravating factor and time duration. That helpful for diagnosis. Proper physical examination and history give exact idea. Consent a physician for further diagnosis. I hope my guidance is helpful to you. Take care. Thank you very much.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I ve had upper right abdomen pressure radiating all the way down to my right groin area for awhile now but today I started having sharper pains in my left side mid to lower abdomen. I haven t had a regular bowel movement in months. Could this all be connected?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Thank you very much for contacting Chat Doctor. First you have to do your abdominal ultrasound sonography for diagnosis. Intestinal infection, diverticulitis or chops disease may cause this type of symptoms. You don't mention exact site of pain and aggravating factor and time duration. That helpful for diagnosis. Proper physical examination and history give exact idea. Consent a physician for further diagnosis. I hope my guidance is helpful to you. Take care. Thank you very much.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My hemoglobin is always dropping. I have Had watermelon stomach since 2004. I also have had Reynauds and last week my rheumatologist told me I have sclaraderma. My gi doctor does not think that my low hemoglobin is because of watermellon stomach. Last year alone I had 10 iron infusions. My gi can t find any other bleeding. What else can it. E? This has been going on for years!!!

Hi, dairy have gone through your question. I can understand your concern. You have low hemoglobin despite iron treatment. It suggests you may have some chronic bleeding. You may have bleeding from GI tract or any other site. You should go for ultrasound abdomen to search the cause of bleeding. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My hemoglobin is always dropping. I have Had watermelon stomach since 2004. I also have had Reynauds and last week my rheumatologist told me I have sclaraderma. My gi doctor does not think that my low hemoglobin is because of watermellon stomach. Last year alone I had 10 iron infusions. My gi can t find any other bleeding. What else can it. E? This has been going on for years!!!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, dairy have gone through your question. I can understand your concern. You have low hemoglobin despite iron treatment. It suggests you may have some chronic bleeding. You may have bleeding from GI tract or any other site. You should go for ultrasound abdomen to search the cause of bleeding. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

i take adderral xr but can t go to sleep till 5 in the morning then i can t get up till 3 or five in the morning plus i take cymbalta for deppresion for i had a back fusion so i take perocet for pain is that ok or does it affect the adderral xr ? why cant i sleep at night because i am under doctors care dor deppression and i take lamictal desyrl klonapin and ambien at night also i don t know what to do also taking adderral give you demdemenyia or brain damage.thank you kathy

HiT hanks for using Chat Doctor Adderall is a stimulant and if you take it daily, it would affect on your sleep, Better to avoid it for few days. Cymbal ta is good antidepressant, but it has good response on somatic symptoms rather than depression. Better to shift on antidepressant like trazodone for mirtazapine to get sound sleep. You can take Klonopin and ambient at night. Take parcel on sos' basis for pain. Thanks

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i take adderral xr but can t go to sleep till 5 in the morning then i can t get up till 3 or five in the morning plus i take cymbalta for deppresion for i had a back fusion so i take perocet for pain is that ok or does it affect the adderral xr ? why cant i sleep at night because i am under doctors care dor deppression and i take lamictal desyrl klonapin and ambien at night also i don t know what to do also taking adderral give you demdemenyia or brain damage.thank you kathy<|eot_id|><|start_header_id|>assistant<|end_header_id|>HiT hanks for using Chat Doctor Adderall is a stimulant and if you take it daily, it would affect on your sleep, Better to avoid it for few days. Cymbal ta is good antidepressant, but it has good response on somatic symptoms rather than depression. Better to shift on antidepressant like trazodone for mirtazapine to get sound sleep. You can take Klonopin and ambient at night. Take parcel on sos' basis for pain. Thanks<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Dear Doctor! I have had pain on my left abdominal side for a while now. The pain starts from my left abdominal side, moves on to my left chest and then back to where my shoulder blades are. The pain can be sharp, burning or very constant. I have had many EKGs done, blood tests and all possible tests you can imagine but it all came out clear. I am going crazy, the pain comes and goes, usually stays for a 1-2 weeks and then disappears for a while and comes back again. Please help me! Sincerely, A frustrated patient

Hi. Thanks for your query and an elucidated history. It is good that doing EKG and other test the heart problem has been ruled out. Yet, it is better to get a cardiac consultation from a Cardiologist to undergo further investigations like Eco-cardio and so on. Another reason can be recurrent colitis or HERD. I would advise you the following

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Dear Doctor! I have had pain on my left abdominal side for a while now. The pain starts from my left abdominal side, moves on to my left chest and then back to where my shoulder blades are. The pain can be sharp, burning or very constant. I have had many EKGs done, blood tests and all possible tests you can imagine but it all came out clear. I am going crazy, the pain comes and goes, usually stays for a 1-2 weeks and then disappears for a while and comes back again. Please help me! Sincerely, A frustrated patient<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for your query and an elucidated history. It is good that doing EKG and other test the heart problem has been ruled out. Yet, it is better to get a cardiac consultation from a Cardiologist to undergo further investigations like Eco-cardio and so on. Another reason can be recurrent colitis or HERD. I would advise you the following<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Ok I have Detearation of my bone,s in pain all the time never had a dr to help and im not interested in pain meds I no the pain I have pill want help I have neck pain cant turn my head had a fracter few years back that a start all so my shoulders have deterative the Lower part of my back never stops nor does the right hip bone have lots of slip disk neck and back

Hi and welcome to Chat Doctor. I believe you have osteoporosis, a condition, where the bones get brittle with age and are more prone to fractures. I would suggest that you get a bone density test done and also blood screening for IT D, calcium levels and Rheumatoid arthritis. If not found within their normal limits, one can take supplements for these, and I would also recommend you to start an exercise routine for the fitness of your spine, to help develop your core strength and thereby maintaining your posture and disc heights, by bringing it back to its position. Here are some specific exercises to relieve pain in your neck. 1. Self stretching for side neck muscles, by trying to touch the ear on the shoulder of the same side, 2. Do gentle neck movements in all directions. Go only as far as you can, do not push beyond from where the pain starts. The pain will slowly vanish away. Try to feel the quality of the movement as you practice this everyday. I would recommend that you do it in supine lying position. Thank you, and take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Ok I have Detearation of my bone,s in pain all the time never had a dr to help and im not interested in pain meds I no the pain I have pill want help I have neck pain cant turn my head had a fracter few years back that a start all so my shoulders have deterative the Lower part of my back never stops nor does the right hip bone have lots of slip disk neck and back<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi and welcome to Chat Doctor. I believe you have osteoporosis, a condition, where the bones get brittle with age and are more prone to fractures. I would suggest that you get a bone density test done and also blood screening for IT D, calcium levels and Rheumatoid arthritis. If not found within their normal limits, one can take supplements for these, and I would also recommend you to start an exercise routine for the fitness of your spine, to help develop your core strength and thereby maintaining your posture and disc heights, by bringing it back to its position. Here are some specific exercises to relieve pain in your neck. 1. Self stretching for side neck muscles, by trying to touch the ear on the shoulder of the same side, 2. Do gentle neck movements in all directions. Go only as far as you can, do not push beyond from where the pain starts. The pain will slowly vanish away. Try to feel the quality of the movement as you practice this everyday. I would recommend that you do it in supine lying position. Thank you, and take care.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

hi Doc, I am diagonised with reduced disc spaces at l5-s1 and partial sacralization of l5 vrtebral body.Degenerative end plate changes noted at lower margins of l5 and upper margin of s1.I have undergone IFTs( 30 sessions), ultrasonics, laser,long wave and 25 disc decompression theraphys. There was some relief for few days but now my codition is worse, i cant stand or do work for more than 5-7 minutes. I have severe pai in buttocks which sometimes goes down in legs.my doc has advised me that now i should try for transformental blocks. But now i am fed up , i have sepent lot of money on therapies and the spines braces and multiple tests (blood) but of no use. just need your advise...

Hello, It looks that you are facing severe problem. In your case with reduced disc space (most probably due to degenerative changes at spine), I shall advise you to consult to your doctor, best will be a spine surgeon, for further treatment. In such cases spine fusion surgery is best. Foraminal block will also give you a temporary relief. Your neurosurgeon is best guide for this problem. Take care. Hope I have answered your question. Let me know if I can assist you further.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hi Doc, I am diagonised with reduced disc spaces at l5-s1 and partial sacralization of l5 vrtebral body.Degenerative end plate changes noted at lower margins of l5 and upper margin of s1.I have undergone IFTs( 30 sessions), ultrasonics, laser,long wave and 25 disc decompression theraphys. There was some relief for few days but now my codition is worse, i cant stand or do work for more than 5-7 minutes. I have severe pai in buttocks which sometimes goes down in legs.my doc has advised me that now i should try for transformental blocks. But now i am fed up , i have sepent lot of money on therapies and the spines braces and multiple tests (blood) but of no use. just need your advise...<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, It looks that you are facing severe problem. In your case with reduced disc space (most probably due to degenerative changes at spine), I shall advise you to consult to your doctor, best will be a spine surgeon, for further treatment. In such cases spine fusion surgery is best. Foraminal block will also give you a temporary relief. Your neurosurgeon is best guide for this problem. Take care. Hope I have answered your question. Let me know if I can assist you further.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My husband works on an assembly line, and today, he came home complaining of abdominal pain. It started on the right side of his stomach, and he said that whenever he moved a certain way, he felt a sharp pain about 5 inches below his heart. Now, I felt his stomach, where he says it hurts, and there is a huge knot right above his belly button. I do not know if its hard or tender, because as soon as I touched it, he winced and jumped back from me. I want to take him to the ER, but hes fighting me on this. What can it be?

Welcome to Chat Doctor .1. Similar pains are seen in the patients with hernias, gastric ulcers and similar things, Gall bladder stones do gives such picture.2. Diifcult to jump for any diagnosis, initially if he is my patient, I would ask for an ultrasound abdomen pelvis get done and a plain x-ray erect abdomen and chest.3. Take to ER as soon as you can, they will perform all needful investigations.4. Hope it will help you. Anything to ask ? Do not hesitate. Thank you.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My husband works on an assembly line, and today, he came home complaining of abdominal pain. It started on the right side of his stomach, and he said that whenever he moved a certain way, he felt a sharp pain about 5 inches below his heart. Now, I felt his stomach, where he says it hurts, and there is a huge knot right above his belly button. I do not know if its hard or tender, because as soon as I touched it, he winced and jumped back from me. I want to take him to the ER, but hes fighting me on this. What can it be?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to Chat Doctor .1. Similar pains are seen in the patients with hernias, gastric ulcers and similar things, Gall bladder stones do gives such picture.2. Diifcult to jump for any diagnosis, initially if he is my patient, I would ask for an ultrasound abdomen pelvis get done and a plain x-ray erect abdomen and chest.3. Take to ER as soon as you can, they will perform all needful investigations.4. Hope it will help you. Anything to ask ? Do not hesitate. Thank you.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have these black spots on the tip of my tongue--had them for so many years--at times there would be more spots and at times less. I use a tongue cleaner every day, but no results. How do I get rid of these black spots on the tip of my tongue?

Hias you have mentioned black spots, so they may be disclosed papillae due to some adverse affect of any Chat Doctor. It can be due to some sort of nutritional deficiency also. You have mentioned that you use a tongue cleaner with no effect. So it's clear that they are not superficial but deep within the surface. If they are asymptomatic and are not increasing in their size, then no need to worry. If for esthetic purposes, you want them removed, you can contact some dentist with laser specialty. With regards

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have these black spots on the tip of my tongue--had them for so many years--at times there would be more spots and at times less. I use a tongue cleaner every day, but no results. How do I get rid of these black spots on the tip of my tongue?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hias you have mentioned black spots, so they may be disclosed papillae due to some adverse affect of any Chat Doctor. It can be due to some sort of nutritional deficiency also. You have mentioned that you use a tongue cleaner with no effect. So it's clear that they are not superficial but deep within the surface. If they are asymptomatic and are not increasing in their size, then no need to worry. If for esthetic purposes, you want them removed, you can contact some dentist with laser specialty. With regards<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi For a few months now I have had severe back pain and shooting pains down the back of my right leg, my GP diagnosed Sciatica and said it would go. Well, it hasnt, the pain down my leg is not as bad but the pain in the base of my back is continuing and is very painful and is interfering with everyday life

Hi, Chronic back pain can be debilitating. There are lifestyle changes that may help you. You are overweight then weight loss may help. Regular low impact exercise such as swimming or cycling could be considered. Exercises to build up your core muscles to support your back will help. Do not rest as this will cause stiffness. Warm or cold compresses to area. Paracetamol and ibuprofen for pain. Also, steroid injections usually give lasting relief and can be repeated if needed. I hope this helps you. Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi For a few months now I have had severe back pain and shooting pains down the back of my right leg, my GP diagnosed Sciatica and said it would go. Well, it hasnt, the pain down my leg is not as bad but the pain in the base of my back is continuing and is very painful and is interfering with everyday life<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Chronic back pain can be debilitating. There are lifestyle changes that may help you. You are overweight then weight loss may help. Regular low impact exercise such as swimming or cycling could be considered. Exercises to build up your core muscles to support your back will help. Do not rest as this will cause stiffness. Warm or cold compresses to area. Paracetamol and ibuprofen for pain. Also, steroid injections usually give lasting relief and can be repeated if needed. I hope this helps you. Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have a problem with delayed ejaculation. All the feeling is there but it is very difficult to ejaculate. One research hospital report researchers from NewYork-Presbyterian Hospital/Weill Cornell Medical Center in the February issue of the British Journal of Urology International. Cialis is currently approved for the treatment of ED, benign prostate hypertrophy (BPH) and for treatment of men with both conditions. What do you think? DJD

Hello,Delayed ejaculation is an uncommon condition compared to premature ejaculation. Some causes of delayed ejaculation are hygonadism. It is said that thyroid disorders also cause delayed ejaculation. But the most common cause for delayed ejaculation is loss of nerve sensations over the tip of your penis and also because of certain masturbation techniques. Here are some suggestions on how to go about this1. Meet a urologist to see for local causes like loss of sensation over the glans penis. This could have caused by trauma to the nerves. 2. Rule out systemic issues like thyroid disorders, diabetes, It D levels3. Certain medications like anti depressants and anti-psychotic agents can cause this issue. If you are on it then please go to your psychiatrist for an alternative.4. Complete relaxation and avoid anxiety of delayed ejaculation. Anxiety can be relieved by performing yoga and breathing exercise. Thank you.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have a problem with delayed ejaculation. All the feeling is there but it is very difficult to ejaculate. One research hospital report researchers from NewYork-Presbyterian Hospital/Weill Cornell Medical Center in the February issue of the British Journal of Urology International. Cialis is currently approved for the treatment of ED, benign prostate hypertrophy (BPH) and for treatment of men with both conditions. What do you think? DJD<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello,Delayed ejaculation is an uncommon condition compared to premature ejaculation. Some causes of delayed ejaculation are hygonadism. It is said that thyroid disorders also cause delayed ejaculation. But the most common cause for delayed ejaculation is loss of nerve sensations over the tip of your penis and also because of certain masturbation techniques. Here are some suggestions on how to go about this1. Meet a urologist to see for local causes like loss of sensation over the glans penis. This could have caused by trauma to the nerves. 2. Rule out systemic issues like thyroid disorders, diabetes, It D levels3. Certain medications like anti depressants and anti-psychotic agents can cause this issue. If you are on it then please go to your psychiatrist for an alternative.4. Complete relaxation and avoid anxiety of delayed ejaculation. Anxiety can be relieved by performing yoga and breathing exercise. Thank you.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have noticed over the last 4 or more days that I have a bitter taste in my mouth - similar to the one you get after drinking coffee or soda. I thought maybe I wasnt drinking enough water. I havent looked at my tongue at all, until today. The first inch or so from the tip is the normal pink color. After that it turns a dark yellow color. I am thinking that has to be related to the taste in my mouth. What can it be? Should I be worried or go see a doctor?

Hi. Thanks for the query. Dark yellow appearance of tongue can be due to improper oral hygiene leading to deposit of debris over tongue. There seems to be overgrowth of bacteria and fungus leading to thick layer over tongue. Bad taste is also due to it. I would suggest you to start using a tongue scraper to clean your tongue. You should also gargle with a solution of HY Chat Doctor. . Use a soft toothbrush and dip it in HY

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have noticed over the last 4 or more days that I have a bitter taste in my mouth - similar to the one you get after drinking coffee or soda. I thought maybe I wasnt drinking enough water. I havent looked at my tongue at all, until today. The first inch or so from the tip is the normal pink color. After that it turns a dark yellow color. I am thinking that has to be related to the taste in my mouth. What can it be? Should I be worried or go see a doctor?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi. Thanks for the query. Dark yellow appearance of tongue can be due to improper oral hygiene leading to deposit of debris over tongue. There seems to be overgrowth of bacteria and fungus leading to thick layer over tongue. Bad taste is also due to it. I would suggest you to start using a tongue scraper to clean your tongue. You should also gargle with a solution of HY Chat Doctor. . Use a soft toothbrush and dip it in HY<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, I m Ramandeep, recently we have tested our father Blood Urea and haemoglobin report, it shows Blood Urea 157 and normal comes in range 1-47 and haemoglobin shows 4.5 and serum creatinine is not normal. My Father is suffering from Liver Cirrhosis problem.Please suggest remedies

Welcome at Chat Doctor.... I have gone through your query and being your doctor I completely understand your health concerns.... Based upon the data you have provided it seems he has got liver cirrhosis along with deranged kidney functions.... For his long he has cirrhosis? What about serum albumin levels? Serum bilirubin? Any ascites on ultrasound?? What is the cause of cirrhosis?? Any other co-morbidity like diabetes or hypertension!!! As far as cirrhosis is concerned you cannot reverse it... You can treat it conservatively with diuretics and other supportive medications....try to avoid meat and salt intake..... Use fresh vegetables fruits and fish once a week....consult hepatologist... For kidney function meet nephrologist for proper workup and management. Sometime kidney failure occur secondary to liver cirrhosis... You need to meet hepatologist and nephrologists . His HE us too low he should be transfused whole blood Till his GB ve cine more than 10..... May he get well soon...if you still have any query feel free to ask Regards Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi, I m Ramandeep, recently we have tested our father Blood Urea and haemoglobin report, it shows Blood Urea 157 and normal comes in range 1-47 and haemoglobin shows 4.5 and serum creatinine is not normal. My Father is suffering from Liver Cirrhosis problem.Please suggest remedies<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome at Chat Doctor.... I have gone through your query and being your doctor I completely understand your health concerns.... Based upon the data you have provided it seems he has got liver cirrhosis along with deranged kidney functions.... For his long he has cirrhosis? What about serum albumin levels? Serum bilirubin? Any ascites on ultrasound?? What is the cause of cirrhosis?? Any other co-morbidity like diabetes or hypertension!!! As far as cirrhosis is concerned you cannot reverse it... You can treat it conservatively with diuretics and other supportive medications....try to avoid meat and salt intake..... Use fresh vegetables fruits and fish once a week....consult hepatologist... For kidney function meet nephrologist for proper workup and management. Sometime kidney failure occur secondary to liver cirrhosis... You need to meet hepatologist and nephrologists . His HE us too low he should be transfused whole blood Till his GB ve cine more than 10..... May he get well soon...if you still have any query feel free to ask Regards Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Dear doctor, since last 4 weaks aim having pain in the back righ side , ten inches above waist and not in the spine area, may be near kidney area. I got scanned my kidneys and are OK. scan says my liver is fatty. and I got belly 4 inches over my chest. my abdomen is not in perfect condition these days. constipation problem is experienced. pl guide me

Hi, Its difficult to figure out the cause of constipation. Constipation definition varies from person-to-person. Stools may be too hard or too small, difficult to pass, or infrequent (less than three times per week). Some people with constipation may feel a sense that the bowels are not empty advice

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Dear doctor, since last 4 weaks aim having pain in the back righ side , ten inches above waist and not in the spine area, may be near kidney area. I got scanned my kidneys and are OK. scan says my liver is fatty. and I got belly 4 inches over my chest. my abdomen is not in perfect condition these days. constipation problem is experienced. pl guide me<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi, Its difficult to figure out the cause of constipation. Constipation definition varies from person-to-person. Stools may be too hard or too small, difficult to pass, or infrequent (less than three times per week). Some people with constipation may feel a sense that the bowels are not empty advice<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

what disease can be the cause of low back pain that comes with noisy rumbling stomach, constipation alternating with diarrhea, rash under tip of penis, itchy anus, internal heat, stubborn rashes on the shoulder and on the buttocks . My age is 32 years, weight 77 kg.

It is a clear case of pitta vitiation which manifests all these symptoms of irritation - internal or external. If I had been your physician, I had asked you to straightway take Ayurveda's Avipattikar Khorana mixed with Kam\u0101ncha NASA in indicated ratio and take. Externally by bathing with fullers earth and apply Marichyadi oil (it stains fabrics) once may take you out of trouble very safely and without bad effects. Need capsules from Himalaya co. will have enhanced action. Any Ayurveda doctor will guide you for this. If you are not satisfied in four weeks, you have the option to resort to toxic multiple Chat Doctor. Hope it enlightens you.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: what disease can be the cause of low back pain that comes with noisy rumbling stomach, constipation alternating with diarrhea, rash under tip of penis, itchy anus, internal heat, stubborn rashes on the shoulder and on the buttocks . My age is 32 years, weight 77 kg.<|eot_id|><|start_header_id|>assistant<|end_header_id|>It is a clear case of pitta vitiation which manifests all these symptoms of irritation - internal or external. If I had been your physician, I had asked you to straightway take Ayurveda's Avipattikar Khorana mixed with Kam\u0101ncha NASA in indicated ratio and take. Externally by bathing with fullers earth and apply Marichyadi oil (it stains fabrics) once may take you out of trouble very safely and without bad effects. Need capsules from Himalaya co. will have enhanced action. Any Ayurveda doctor will guide you for this. If you are not satisfied in four weeks, you have the option to resort to toxic multiple Chat Doctor. Hope it enlightens you.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hello... I m 23 years old... have three children already... for the past month or so I have been having every pregnancy symptom you could think of... but I didn t think nothing of it until I missed my period & today I m two weeks late. I ve taken 3 hpt in the past couple of weeks but they all have been negative. I have also been experiencing a lot of pain and pressure in my pelvic area. Today my husband and I tried to have intercourse but I was afraid that it would hurt due to the pain that I ve been in. Sure enough we had to stop because I had the worst pain in my life; I never had pain like that in all three of my previous labor! I had extreme sharp pain and pressure in my pelvic area, I could barely move. My husband helped me to the shower were I could only sit because it hurt too bad to stand and I let the hot water fall on me to try and ease the pain. The pain wa so bad that I threw up in the shower. When I got done, I set on the toilet because of all the pressure and it sorta felt like something was going to fall out of me. I ended up having to get my husband to help me to the bed so that I could lay down because the pain was so unbearable that I turned pale and cold and I was sure that I was going to past out, but never did, thank God. That was this morning and for the rest of the day I have been resting in bed and taking Motrin. I only feel a little pain while I m laying down but when I get up, I get the pressure in my pelvis area and I get so dizzy and lightheaded. What could this possibly be? I plan on seeing my doctor but I have to wait until after the holidays. I also have the Mirena IUD . Thank you for your help!

Hello, MIRENA IUD is very much effective in preventing unwanted pregnancy with failure rate less than 1%. Pain around pelvic region may be due to pelvic infection, endometriosis, PID associated with insertion of IRENA. Do a pelvic USG with some hormones test & blood for TC/DC/ ESR and a urine test for R/E, M/E to rule out underlying pathology. Also, you have to undergo some clinical and pelvic examination. Check tail end of thread to make sure that IRENA is properly placed and not displaced. Use some anti-spasmodic medicine like Tab Chat Doctor. Avoid stress, take healthy diet, control body wt and need proper sleep.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello... I m 23 years old... have three children already... for the past month or so I have been having every pregnancy symptom you could think of... but I didn t think nothing of it until I missed my period & today I m two weeks late. I ve taken 3 hpt in the past couple of weeks but they all have been negative. I have also been experiencing a lot of pain and pressure in my pelvic area. Today my husband and I tried to have intercourse but I was afraid that it would hurt due to the pain that I ve been in. Sure enough we had to stop because I had the worst pain in my life; I never had pain like that in all three of my previous labor! I had extreme sharp pain and pressure in my pelvic area, I could barely move. My husband helped me to the shower were I could only sit because it hurt too bad to stand and I let the hot water fall on me to try and ease the pain. The pain wa so bad that I threw up in the shower. When I got done, I set on the toilet because of all the pressure and it sorta felt like something was going to fall out of me. I ended up having to get my husband to help me to the bed so that I could lay down because the pain was so unbearable that I turned pale and cold and I was sure that I was going to past out, but never did, thank God. That was this morning and for the rest of the day I have been resting in bed and taking Motrin. I only feel a little pain while I m laying down but when I get up, I get the pressure in my pelvis area and I get so dizzy and lightheaded. What could this possibly be? I plan on seeing my doctor but I have to wait until after the holidays. I also have the Mirena IUD . Thank you for your help!<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, MIRENA IUD is very much effective in preventing unwanted pregnancy with failure rate less than 1%. Pain around pelvic region may be due to pelvic infection, endometriosis, PID associated with insertion of IRENA. Do a pelvic USG with some hormones test & blood for TC/DC/ ESR and a urine test for R/E, M/E to rule out underlying pathology. Also, you have to undergo some clinical and pelvic examination. Check tail end of thread to make sure that IRENA is properly placed and not displaced. Use some anti-spasmodic medicine like Tab Chat Doctor. Avoid stress, take healthy diet, control body wt and need proper sleep.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

I have recently began noticing an ulcer like bubble at base of front teeth, causing pain of teeth, wearing cpap mask is adding to pain. Its been a couple weeks now. Never had problem like this before. I have had recent problems with gall bladder, having removed Tuesday. Can issue be related?

Hello, A bubble like an ulcer on the bottom gum can be due to abscess formation that can occur due to infection in any of the tooth. It can also be due to gum infection causing gum boil formation. For confirmation, a clinical examination and an x-ray have to be done. If it is due to tooth infection, then either root canal treatment of the tooth or extraction has to be done. If it is due to gum infection, then deep scaling followed by antibiotics like Metronidazole can help. For now, take painkillers like Ibuprofen and apply Lidocaine gel over it. Hope I have answered your query. Let me know if I can assist you further.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: I have recently began noticing an ulcer like bubble at base of front teeth, causing pain of teeth, wearing cpap mask is adding to pain. Its been a couple weeks now. Never had problem like this before. I have had recent problems with gall bladder, having removed Tuesday. Can issue be related?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, A bubble like an ulcer on the bottom gum can be due to abscess formation that can occur due to infection in any of the tooth. It can also be due to gum infection causing gum boil formation. For confirmation, a clinical examination and an x-ray have to be done. If it is due to tooth infection, then either root canal treatment of the tooth or extraction has to be done. If it is due to gum infection, then deep scaling followed by antibiotics like Metronidazole can help. For now, take painkillers like Ibuprofen and apply Lidocaine gel over it. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi I have some spine issues back of neck upper back lower back mainly left side I had a car accident which T-Barred me and now I have constant pain. I am tramadol and thats the only thing that gives me relief I try not to take but then Im back to square one. I have trouble sleeping tossing and turning and hardto get up in the morning I have pain Neck back of head which is really bad and Left shoulderwith bersitis and I have pins and needles down my arm and hand. same as down hip and down to foot left side. Pain Drs. seem to only want tomedicate my brain so I cant function. The authopaedicsurgeons arent interested in the pain you endure. So where do I go I was suggested to see a neaurologist could you tell me what a neaurologist do to help?

Hello, I have studied your case. Due to compression of nerve root there can be pins and needle with pain your arm. I will advise you to MRI cervical spine for better diagnosis. 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. 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

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi I have some spine issues back of neck upper back lower back mainly left side I had a car accident which T-Barred me and now I have constant pain. I am tramadol and thats the only thing that gives me relief I try not to take but then Im back to square one. I have trouble sleeping tossing and turning and hardto get up in the morning I have pain Neck back of head which is really bad and Left shoulderwith bersitis and I have pins and needles down my arm and hand. same as down hip and down to foot left side. Pain Drs. seem to only want tomedicate my brain so I cant function. The authopaedicsurgeons arent interested in the pain you endure. So where do I go I was suggested to see a neaurologist could you tell me what a neaurologist do to help?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I have studied your case. Due to compression of nerve root there can be pins and needle with pain your arm. I will advise you to MRI cervical spine for better diagnosis. 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. 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<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Dear Doctor, I had my embryo transfer from ICSI 4 days ago, luckily I feel very well, however I am confused, is it true that I should stop excercising? I train 1-2hrs /day, I work in a gym as an instructor, and feel stressed about zero activity now. Will physical activity affect the success of the procedure? Thank you very much for time and answer. AAAA

Dear Concerned., Thanks for writing to us. In the first three trimesters and the last three trimesters vigorous movements of any kind affecting the fetus have to be avoided including lifting of weights/long bus/train journey/two-wheeler Chat Doctor. This abnormal movements may dislodge the implanted embryo. In addition, sexual activity involving normal sex to be avoided as the prostaglandins present in the semen may precipitate the adverse effect i.e., abortion. The above precautions which applies for a normal pregnancy applies very well for IVF embryo as well. All the very best for a safe and healthy pregnancy. Regards.,

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Dear Doctor, I had my embryo transfer from ICSI 4 days ago, luckily I feel very well, however I am confused, is it true that I should stop excercising? I train 1-2hrs /day, I work in a gym as an instructor, and feel stressed about zero activity now. Will physical activity affect the success of the procedure? Thank you very much for time and answer. AAAA<|eot_id|><|start_header_id|>assistant<|end_header_id|>Dear Concerned., Thanks for writing to us. In the first three trimesters and the last three trimesters vigorous movements of any kind affecting the fetus have to be avoided including lifting of weights/long bus/train journey/two-wheeler Chat Doctor. This abnormal movements may dislodge the implanted embryo. In addition, sexual activity involving normal sex to be avoided as the prostaglandins present in the semen may precipitate the adverse effect i.e., abortion. The above precautions which applies for a normal pregnancy applies very well for IVF embryo as well. All the very best for a safe and healthy pregnancy. Regards.,<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Mymom has stones in gall bladder for more than 10 yrs wheras there is no pain and any other issue regarding that issue even doctors said they dont need operate but for couple of yrs shes having a sort f gastric problems like her blood pressure lowers she feel extremely weak and on times loose her concious we have done her colonscopy which was clear she also passes liquidy stool eevery alternate ay after she as te same problem kindly advice cuz shes geeting very weak and i m extremely concerned shes also diabetic

Welcome to Chat Doctor. Thank you for your query. If gall bladder stone remain asymptomatic then there is no need of surgery. Her weakness may be due diabetes or its complication like diabetic neuropathy or nephropathy. Weakness with sudden fall of blood pressure is a feature of autonomic neuropathy which is also a feature of diabetes. Alteration of bowel habit may occur due to same problem. Though there is possibility of irritable bowel syn Chat Doctor. So all complication of diabetes should be excluded. Physical examination & some elevation investigation are all to exclude these. Take care.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Mymom has stones in gall bladder for more than 10 yrs wheras there is no pain and any other issue regarding that issue even doctors said they dont need operate but for couple of yrs shes having a sort f gastric problems like her blood pressure lowers she feel extremely weak and on times loose her concious we have done her colonscopy which was clear she also passes liquidy stool eevery alternate ay after she as te same problem kindly advice cuz shes geeting very weak and i m extremely concerned shes also diabetic<|eot_id|><|start_header_id|>assistant<|end_header_id|>Welcome to Chat Doctor. Thank you for your query. If gall bladder stone remain asymptomatic then there is no need of surgery. Her weakness may be due diabetes or its complication like diabetic neuropathy or nephropathy. Weakness with sudden fall of blood pressure is a feature of autonomic neuropathy which is also a feature of diabetes. Alteration of bowel habit may occur due to same problem. Though there is possibility of irritable bowel syn Chat Doctor. So all complication of diabetes should be excluded. Physical examination & some elevation investigation are all to exclude these. Take care.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

My P.A.. just told me that I have a Low White Blood Count (3.6 - the normal here is 4.1 - 10.9) The clinic just put in a new computer system so he cant easily check past counts & feels this is probably due to a respiratory problem I had a month or so ago, but I just checked my lab results from last year and found that it was a tiny bit low then too (4.0 ). Ive been tired lately and am now wondering if I should ignore the low count or ask for other things to be checked to make sure theres nothing serious going on?

Hello, So far as your question is concerned, a bit of information about your health history and current status (including Chat Doctor. Keeping in view the information you provided, if you are not having other illnesses, especially infections, and you are not taking any long-term medication and are not having any serious health problem(s) due to low WBC count (frequent and severe infections), then you can just ignore it. But you may need to get the blood counts done regularly at least on 6 monthly basis so that if further decline occurs, it can be timely picked up and managed accordingly. Hope I have answered your query. Let me know if I can assist you further.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: My P.A.. just told me that I have a Low White Blood Count (3.6 - the normal here is 4.1 - 10.9) The clinic just put in a new computer system so he cant easily check past counts & feels this is probably due to a respiratory problem I had a month or so ago, but I just checked my lab results from last year and found that it was a tiny bit low then too (4.0 ). Ive been tired lately and am now wondering if I should ignore the low count or ask for other things to be checked to make sure theres nothing serious going on?<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, So far as your question is concerned, a bit of information about your health history and current status (including Chat Doctor. Keeping in view the information you provided, if you are not having other illnesses, especially infections, and you are not taking any long-term medication and are not having any serious health problem(s) due to low WBC count (frequent and severe infections), then you can just ignore it. But you may need to get the blood counts done regularly at least on 6 monthly basis so that if further decline occurs, it can be timely picked up and managed accordingly. Hope I have answered your query. Let me know if I can assist you further.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hi Doctor! My wife,33y/o has a PCOS & we ve been trying to have a baby for almost 4yrs already.She even tried to undergo an Ovarian Drill procedure on both ovaries last 2010 in order to lessen her ovarian follicles which was adviced by her Dr,underwent different tests

Hello, Since your wife is already 33 years old and have tried pregnancy for past 4 years under the guidance of doctor, I would advise you to go for assisted reproductive therapy like IVF or CSI. There is no point waiting time as PCs is a very tricky and complex situation and one cant be sure of pregnancy by natural means. Consult a Gynecologist who is specializing in this field and discuss with her. Till you consult a specialist I would advise your wife to go for regular aerobic exercises and shed weight if she is overweight. It is said that even a reduction of 10% weight can regain the fertility in women. Thanks

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hi Doctor! My wife,33y/o has a PCOS & we ve been trying to have a baby for almost 4yrs already.She even tried to undergo an Ovarian Drill procedure on both ovaries last 2010 in order to lessen her ovarian follicles which was adviced by her Dr,underwent different tests<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, Since your wife is already 33 years old and have tried pregnancy for past 4 years under the guidance of doctor, I would advise you to go for assisted reproductive therapy like IVF or CSI. There is no point waiting time as PCs is a very tricky and complex situation and one cant be sure of pregnancy by natural means. Consult a Gynecologist who is specializing in this field and discuss with her. Till you consult a specialist I would advise your wife to go for regular aerobic exercises and shed weight if she is overweight. It is said that even a reduction of 10% weight can regain the fertility in women. Thanks<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

hello sir i got hit by hard tennis ball to the penis shaft today morning......luckily it was not thrown by tennis machine ..and just by spin baller..but i got hit....after hiting i get vomitted...and then it start paining...but now at evening pain is gone...only when i touch right testis mild pain occur....does there is necessary to worry

HelloThanks for your query, based on the facts that you have posted it appears that you have injured your genitals while playing and had pain in penis and testicle which eventually subsided without any treatment. Vomiting that you had was reflex vomiting due to severe pain which is very common and nothing to be worried about it. Now you have mild pain in Rt testicle, Please take painkiller like Broken for a couple of days. It should get cured and nothing to be worried about. Chat Doctor.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: hello sir i got hit by hard tennis ball to the penis shaft today morning......luckily it was not thrown by tennis machine ..and just by spin baller..but i got hit....after hiting i get vomitted...and then it start paining...but now at evening pain is gone...only when i touch right testis mild pain occur....does there is necessary to worry<|eot_id|><|start_header_id|>assistant<|end_header_id|>HelloThanks for your query, based on the facts that you have posted it appears that you have injured your genitals while playing and had pain in penis and testicle which eventually subsided without any treatment. Vomiting that you had was reflex vomiting due to severe pain which is very common and nothing to be worried about it. Now you have mild pain in Rt testicle, Please take painkiller like Broken for a couple of days. It should get cured and nothing to be worried about. Chat Doctor.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, wondered if you could help? I have had a total knee replacement from which I came out of hospital yesterday. Since the morning of Friday 1st July ( I went into hospital on 1st July) I have been unable to have any bowel movements. I have 2sachets of movicol, 3senna, 5doses of lactulose and still nothing. I tend to think ducalax always helps but wondered if it s safe to take with lactulose? Any suggestions as I m feeling sick and in pain, thanks for your help, XXXX

Hello, I think you are suffering the side effects of analgesics used in hospital for your total knee replacement surgery (especially when it comes to opioids). Due to their effect, the bowels become lazy ending up in no bowel movement. Dulcolax does contain lactulose, so it is the same thing. You can use rectal enema to help. Increase fluids intake. Continue taking SYVICOL or Dulcolax. Laxatives and fiber rich supplements such as Psyllium/Fig, can also help. But enema is important to use. Hope I have answered your query. Let me know if I can assist you further. Wish you the best recovery.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: Hello, wondered if you could help? I have had a total knee replacement from which I came out of hospital yesterday. Since the morning of Friday 1st July ( I went into hospital on 1st July) I have been unable to have any bowel movements. I have 2sachets of movicol, 3senna, 5doses of lactulose and still nothing. I tend to think ducalax always helps but wondered if it s safe to take with lactulose? Any suggestions as I m feeling sick and in pain, thanks for your help, XXXX<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hello, I think you are suffering the side effects of analgesics used in hospital for your total knee replacement surgery (especially when it comes to opioids). Due to their effect, the bowels become lazy ending up in no bowel movement. Dulcolax does contain lactulose, so it is the same thing. You can use rectal enema to help. Increase fluids intake. Continue taking SYVICOL or Dulcolax. Laxatives and fiber rich supplements such as Psyllium/Fig, can also help. But enema is important to use. Hope I have answered your query. Let me know if I can assist you further. Wish you the best recovery.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

i have a problem in my stomach,veins of stomach are stereching so the result is pain in lower stomach.if i put some heavy thing then pain increases.weins are stimbring automaticaly and eyes are also stimbring ,i felt lots of fatigue and mentaly stress as wel.so i am not able to concentrate on things.after that acidity also started in my stomach i am sufring from this problem for last six months.pls tel me the solution to this problem. Regards Davender Arora

Hi Defender, For the discomfort that you are having in the abdomen, you must consult a doctor and get a detailed examination done, including ultrasound scan and if indicated gastro-duodenoscopy to diagnose the cause of your abdominal discomfort. Once the cause is established correct treatment can be instituted. Twitching in the abdominal muscle and eyes may be due to calcium deficiency. If that is the case you will require calcium supplement. Wishing you all the best.

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i have a problem in my stomach,veins of stomach are stereching so the result is pain in lower stomach.if i put some heavy thing then pain increases.weins are stimbring automaticaly and eyes are also stimbring ,i felt lots of fatigue and mentaly stress as wel.so i am not able to concentrate on things.after that acidity also started in my stomach i am sufring from this problem for last six months.pls tel me the solution to this problem. Regards Davender Arora<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi Defender, For the discomfort that you are having in the abdomen, you must consult a doctor and get a detailed examination done, including ultrasound scan and if indicated gastro-duodenoscopy to diagnose the cause of your abdominal discomfort. Once the cause is established correct treatment can be instituted. Twitching in the abdominal muscle and eyes may be due to calcium deficiency. If that is the case you will require calcium supplement. Wishing you all the best.<|eot_id|>

If you are a doctor, please answer the medical questions based on the patient's description.

i was washing dishes and all of a sudden my chest started to hurt i felt like i was going to pass out got dizzy and started sweating went to the bathroom and vomited my chest has eased off but my hand feels numb what could this have been I have high blood pressure and i take meds for bipolar disorder

Hi thanks for contacting Chat Doctor.... Noted you have chest pain with sweating and some numbness.... Let me know you here two possibility present....... First it could be ischemic heart disease like angina or myocardial infarction....ECG and ECHO useful for it... If present treated accordingly..... Second it could be by panic attack lead similar presentation which is induced by stress....as you have psychiatric history so suspecting.... You can consult physician for rule out above problem.... As you have hypertension, heart failure like case also be ruled out by ECG or echo. Take care

<|start_header_id|>system<|end_header_id|>If you are a doctor, please answer the medical questions based on the patient's description.<|eot_id|><|start_header_id|>user<|end_header_id|> This is the question: i was washing dishes and all of a sudden my chest started to hurt i felt like i was going to pass out got dizzy and started sweating went to the bathroom and vomited my chest has eased off but my hand feels numb what could this have been I have high blood pressure and i take meds for bipolar disorder<|eot_id|><|start_header_id|>assistant<|end_header_id|>Hi thanks for contacting Chat Doctor.... Noted you have chest pain with sweating and some numbness.... Let me know you here two possibility present....... First it could be ischemic heart disease like angina or myocardial infarction....ECG and ECHO useful for it... If present treated accordingly..... Second it could be by panic attack lead similar presentation which is induced by stress....as you have psychiatric history so suspecting.... You can consult physician for rule out above problem.... As you have hypertension, heart failure like case also be ruled out by ECG or echo. Take care<|eot_id|>