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The conversation between human and AI assistant. [|Human|] I have been having right sided chest pain for the past three months every time I eat or drink. I have had a chest x-ray which was normal and have seen my GP who has advised me to try an anti-inflammatory gel and also gave me a months supply of Lansoprazole. Neither of these have helped. Please can you advise what this may be? [|AI|] Thanks for your question on Chat Doctor. I can understand your concern. Since your chest x-ray is normal, no need to worry about Pulmonary causes for your chest pain. In my opinion, you are mostly having stress induced HERD (gastroesophageal reflux disease). You need to follow these lifestyle modifications along with lansoprazole for better symptomatic relief. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. 3. Go for walk after meals. 4. Keep 2-3 pillows under head in the bed to prevent reflux. 5. Lose weight if you are obese. Avoid smoking and alcohol if you are having these habits. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.

The conversation between human and AI assistant. [|Human|] Mother diagnosed: clinical depression with psychosis, severe anxiety d/o. Sleeps maybe 3-4 hrs a night. 70 lb wt loss over past two yrs ( since death of spouse). i am daughter and a nurse. Have taken to neuropsychologist, psychiatrists and brief in house treatment ( she left after two days). Daily negativity related to EVERYTHING. Accepts no responsibility for actions, very delusional related to current situations. Lack of ability to have absract thinking. Refuses to admit anything wrong even w professional dx. Term mental illness just provokes anger and immediate deflection to people around her. She refuses treatment and I am at the end of my rope. How do I get her to admit problem and seek tx? [|AI|] Hi, Many people go through this kind of problem. You have different options1. Take psychiatrists or legal help and admit her on involuntary admission and once she improves she will gain insight2. Give medicines prescribed to her without her knowledge covertly in food or Chat Doctor. Depends on the law of your land -It is considered illegal and arguably unethical, in some parts of the world.3. Don't argue or confront direct conversations in such a way that she comes out with her inabilities and enumerate her problems. Can use non-mental models like explaining physical problems or weakness as reason to the inabilities and take treatment for same.4. Take help of psychologist for insight oriented psychotherapy5. Talk about the stigma and motivate to get rid of stigma. Choose any but keep the first option always open. Hope your effort succeeds.

The conversation between human and AI assistant. [|Human|] hello.... i am 26 years old .... hieght 5.9 ft, weight 102 kg . recently after three days fever i have tasted my sgpt and s. bilirubin ..... and the reports r ... sgpt - 1590.0 U/L and bilirubin - 3.0 mg/dl........... doctor sujjested me to take rest to decrease my bilirubin level .... how can i decrease my sgpt level soon ...... ( i dont drink alcohol and i am taking ismoprazal and domperidone daily for last one years for gas purpose ) [|AI|] Hi there. Do you have jaundice, dark yellow urine, foul smelling stools ? Any fever, weight loss and loss of appetite ? There could be many causes for this clinical picture, but one has to rule out liver problems like Hepatitis and gall bladder and pancreatic problems as well. Kindly get checked for Hepatitis A, B, C. Do not delay. Avoid unprotected sexual intercourse till you are tested for Hepatitis. Eat a diet rich in proteins and fresh fruits and green leafy vegetables. Avoid smoking and alcohol. Consult your Doctor as soon as possible and get the required testing done to find the cause of liver damage. Wishing speedy recovery.

The conversation between human and AI assistant. [|Human|] Hi, may I answer your health queries right now ? Please type your query here... I have a golf ball-size bruise on my inner & and upper left thigh. Beneath it I can feel a small hard lump, slightly tender to rub over it. I have no idea how I got the bruise. I exercise regularly but have not hit into anything. Should I be concerned and if I need to see a doctor, should I go to my regurlar physician? Thank you. [|AI|] Welcome to Chat Doctor. 1. The history and location suggest most possible cause could be lymph nodal enlargement, followed by venous pathology.2. Ths lymph nodal enlargement is seen in any infections / inflammation, localized or systemic conditions and presence of malignancies.3. I would recommend getting an ultrasound examination done which will differentiate the lymph nodal mass from any vascular, cystic structures.4. The ultrasound will help to identify the nature of lump, and where it is existing from. An FNAC will give definitive histological diagnosis.5. You can see your regular physician - the physician would refer according to the findings. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you.

The conversation between human and AI assistant. [|Human|] sir i had an unprotected sex with my wife on 20 december 2011 and she consumed ipill on the very same day she had her period on 15 december 2011 she started up again with a vaginal bleeding on 25 decembernow in this month her period has skippedis she pregnant [|AI|] Hello.thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about.chances of getting pregnancy if missed period after unprotected sex.right.well.the answer is.YES. there are chances of getting pregnancy if you are not taking any precautions during or after unprotected sex. But your wife already had taken precaution (i-pill). So DON'T WORRY, you are in safe zone.u people had sex during safe period of sense(1st-7th day of menses), so u both already take DOUBLE PRECAUTION. So RELAX.nothing to worry. Usually after taking i-pill, period might be delayed or may come earlier. So its just due to the hormones.so.RELAX.with above discussion u can try out my suggestions-1. If u r in doubt then do urinary pregnancy test, it is easily available in medical store. Do it, if it is negative, nothing to worry.2. If it is positive then visit to nearby gynecologist. He/she can help u.3. in the future, take precautions during unprotected sex. I hope the above information is useful, informative and helpful for u.regards- Chat Doctor. (I can understand your tense-full situation, DONT WORRY, EVERY PROBLEM HAVE SOLUTION.RELAX)

The conversation between human and AI assistant. [|Human|] Hi,I m 25 year old. Diagnosed PCOD. Prescribed MET-500,APCOD, AUTRIN ,Aloes Compound& Menoreg.. recent Scan report shows Bilateral polysystic ovaries. My mensturation cycle is regularly for every 28 days, body weight -48 kg. April month i missed period ,took 3 test as negative,so we consult doctor ,she said "it is not pregnancy"after scan. Scan Report indicates- Left ovary appear enlarged in size with multiple small folicles,no evidence of any cyst .& Moderate free fluid in Pouch of douglasthen may month period came.. i m taking medicine from may month ,How long time will take to cure PCOD.& get conceive??? [|AI|] Hello, All above Chat Doctor. As you have regular period, you have to regular unprotected sex for 6-12 months close to ovulation day (approx 14 days prior to next period) or fertile days (12th to 18th day of each cycle) to maximize the chance. You can use ovulation prediction kit or LH kit. Along with, you must take folic acid & vitamin-E supplement with balanced diet. If you fail to conceive, basic fertility tests like husband semen analysis, tubal patency test, hormonal assay, cervical factor, follicular study etc. are needed to carry out to rule out exact cause. Treatment is required on the basis of test result. Good luck.

The conversation between human and AI assistant. [|Human|] Hi yday i had my pelvis ultrascan test & the impression was PCOS, ROV follicles 35mm & LOV 16mm, Doctor told everythings fine and told to take chorioman Inj for 2 days. I am just worried about the size of the follicle(35mm) is it ok for getting pregnant. [|AI|] Hi, thanks for writing. Ideally the size of the follicle should be 20 mm for ovulation. This follicle has grown more but not ovulated. A repeat scan needs to be done after 36 hrs of in to see the signs of ovulation. It can also be an ovarian cyst if It's still there after giving in. If ovulation has occurred, intercourse should be around that time to conceive. Take progesterone post ovulation for 10 days for luteal phase support. Hope I have answered your query. Good day.

The conversation between human and AI assistant. [|Human|] My father has been traveling and had a heart attack 7 driving hours from home. Two stents were placed in his arteries that were 95% blocked. He was told that another "more main artery" is 80-90% blocked and should stay in that hospital to have a second procedure to place more stents into that "more main artery". We would like to get him home as soon as possible but am worried about the 7 hour car drive home. He is already on Aspirin and Plavix, how soon after the surgery could he make the 7 hour car drive home? [|AI|] Hi latest protocol says patient can be discharged the next day post PTC. Once the sheath out procedure is done the site of puncture is to be kept pressed to prevent hematoma., 48 hours post PTC the patient should be kept in a recovery unit because chances of arrhythmia and stent thrombosis are more with in 48 hours, if every thing is fine in 48 hours then patient can be taken back to home after 7-hour journey on back seat lying down, in fact walking inside the house and doing household chores is advice as a part of cardiac rehabilitation 72 hours after PTC.

The conversation between human and AI assistant. [|Human|] hi. i am a 32 yrs old guy. for last three years i am having a problem in my in right hand upper side of my belly.its not a pain,a discomfort rather. i feels like it has balooned up from inside. when my stool comes in contact with water, i find bubbles.stool is very soft, one time a day or rarely two times.please help me to come out of this discomfort. usg,endoscopy,colonoscopy was normal before a year.mucas is present in stool. [|AI|] Hi, Welcome to Chat Doctor. I have read your query and understand your concern. As mucus is present in your stool, so the discomfort can be due to dysentery or amoebic colitis. I usually put my patients with similar complaints on a course of antibiotics like metronidazole or ornidazole for 5-7 days. And I would suggest to you the same. But for the prescription, you need to see a local doctor. Hope I have been helpful.

The conversation between human and AI assistant. [|Human|] My husband has been working many hours sitting on a hard chair behind a computer screen very stressed lately and this morning he woke up feeling very exhausted and has leg muscle pain in his left thigh and has not exercised at all for quite some time. He says it feels like the kind of pain in your muscles after a workout. ? [|AI|] Degree understand your concerns went through your details. Such a pain is possible and could be due to cramps. Whenever a body is stressed continuously, so many muscles contracts as a defense mechanism to stress. Pain around neck, shoulders, chest and extremities are normal. Understanding stress should help to manage stress. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck.

The conversation between human and AI assistant. [|Human|] We live in a hot humid environment and my son has developed a summer cough. Can the hot air with exercise be the cause from his bronchioles not dialating? My Nanny just him to the pediatrician for me and this is what she told me he said was the cause. [|AI|] Thanks for your question on Chat Doctor. I can understand your concern. Yes, hot and humid climate can cause coughing. Extremes of temperature can cause inflammatory reaction in airways. It is known as bronchitis. This inflammation causes edema and mucus production. These cause bronchospasm and bronchospasm cause coughing. So better to consult pulmonologist and get done clinical examination, PUT (Pulmonary Function Test). He needs inhaled bronchodilators and inhaled corticosteroid (ICS). So temperature related bronchitis is more likely in his case. Hope I have solved your query. Wishing him good health. Thanks.

The conversation between human and AI assistant. [|Human|] I was looking at the symptoms for H1N1. I have 7 out of 10. I lack vomiting, fever, respitory problems. Ive felt the symptoms now for 5-6 days. Wondering, how long one has to have these symptoms and certain symptoms for this to be considered dangerous and requiring medical intervention? It is the 6th day and I am starting to feel marginally better. Probably at 50%. Please advise. thanks [|AI|] Hi, Welcome to Chat Doctor I have read the query and understand the concern, the symptoms of seasonal flu are very similar to swine flu and considering that now you are feeling better it is most probably seasonal flu you are suffering from so no need to worry about. Severe symptoms like difficulty in breathing, severe vomiting, bluish discoloration of lips or skin due to inadequate oxygen supply because of lung dysfunction, convulsive attacks need immediate consultation to the doctor to rule out swine flu by examination of nasopharyngeal swab irrespective of duration of symptoms. Have good sleep, Chat Doctor. Hope this answers your query.

The conversation between human and AI assistant. [|Human|] My daughter had hard spots on her meaty part of her palm near her wrist . And complained of itchiness. The hard spots are gone. But now she has blister like bumps in the middle of her palm which is very itchy for her. I just lathered on some hydrocortisone Creme 1%. To calm it down. Could this be an allergy of some sort or beginning sign of eczema? [|AI|] Hello, Reading your query, irritant contact dermatitis is a likely possibility if this is restricted to both hands and wrists. Patch tests (usually read at 48 hours and 72 hours) to a variety of chemicals (or if there is a clear trigger like rubber) can be done by Dermatologists and the trigger may be identified. Low potent steroids with antihistamines are useful, but stronger steroids can be used if required. I hope this was useful.

The conversation between human and AI assistant. [|Human|] iam 32 yrs old. I had anemia & getting treated for that. My hemoglobin count increased from 9 (bef. trmt) & increased to 11.3 now. And at present iam feeling some light pain in my left hand & chest area. But after consulting my physician he cleared me that the slight pain in my pulse due to low oxygen count in blood & suggested me some medicines & also had word about having a pace maker. Now i have got engaged & planning to get married kindly explain me for increase the oxygen count naturally & will i prone to heart attack [|AI|] Hi Thereafter going through your query I understand your concern. I would like to tell you that , Low oxygen level in blood means you are still anemic and have less red blood cells available. Continue the treatment for anemia is advisable. And I want to ask why did your doctor tell you for having a pacemaker? If he is advising you for a pacemaker then it is a serious condition you should be concerned for. Talk to him again regarding this. Hope this has answered your query. Kind Regards

The conversation between human and AI assistant. [|Human|] I have sticky sweat, light headness. I am diabetic, have heart palpitations, high thyroid and under severe stress which my heart doctor is aware. My question is I have sticky sweat, tired, and light headiness, any ideas. YYYY@YYYY [|AI|] Thank-you user for your query. I understand your concern. Heart palpitations are very common in diabetics and also in thyroid disorders and weakness is also more or less common in such disorders too. In your case all I want to suggest is that kindly get your thyroid profile along with fasting and post radial blood level done. That will clear the picture that whether your symptoms are related to diabetes or thyroid disorders. Well, your palpitations demands urgent advice from cardiologist as he might start any medications related to palpitations. In my opinion you can start 0.25 mg of alprazolam to reduce your anxiety as this will in turn reduce your palpitations and sweating too. So far as your sticky sweats are concerned, it is quite common in diabetics. You can use any good quality Persians for it. God bless

The conversation between human and AI assistant. [|Human|] Hello dr. My name is XXXXXXX From last night i have pain in my left kidney . so i m gone to the doctor. He was tell me do usg . So i did the USG. In this report they show (impression) left hydroureteronephrosis secoundary tocalculus in the left lower ureter adjacent the vesicoureteric junction. Significant post void residue-To rule out the possibility of cystitis [|AI|] Good day!you have a stone lodged at the junction between the bladder and the ureter (tube where urine passes that connects the kidney to the bladder). Depending on the size of the stone treatment options 1) conservative - wait for the stone to pass out on its own with adequate pain control 2) endoscopic treatment - put in a scope and remove the stone by basket or laser 3) ESL - fragmentation by using shock waves (less invasive). Like I said the treatment options would be determined depending on the stone size and availability of equipment and expertise in your area. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes.

The conversation between human and AI assistant. [|Human|] Gday. I dont really know where to start but i suffer from panic disorder whereby it is affecting my life in that i am not living life to the fullest. I used to travel/fly heaps but now i am to scaed to get on a plan, train boat, bus numerous things even rollercoaster. It isnt the ride itself that scare me i love the feelings of a rollercoaster or the turbulence but i panick at the thought of going on a plane or waiting to get on a train/plane and then worry about having a panic attack in mid air or on the train or whatever it be. I have xanax that i was prescribed by my GP in 2011 and am stll on the first script so i only take it when i need to do something scary. But i havent used them to go on a plane or boat or train yet as i am still to scared and i also wish to take more than the one tablet that was suggested. I would like to take maybe three or four and see if it really helps. Any suggestions? [|AI|] Hi, I have gone through your query. You are already diagnosed with Panic Disorder and on prescription of Alprazolam (Xanax). You haven't mentioned the dose. Alprazolam is a benzodiazepine and is not first line of treatment for Panic disorder as it causes tolerance, dependence and abuse. You are suffering from its tolerance and ongoing dose is not working on you. Rather than increasing the dose I would prefer that you should go for Selective Serotonin Re-uptake Inhibitors (SSRIs) like Fluoxetine and Cognitive behavioral therapy. It is better to consult a psychiatrist about the prescription and treatment. Do consider positive feedback as a credit to my work. Let me know if you have any further questions.

The conversation between human and AI assistant. [|Human|] I have stenitious lower back been to theropy to try,and correct the problem. It didnt do any good as I expected it wouldnt I went to a chirprator had a pinch nerve. i have scolious curve of the spine. I went one last time,and I havent been able to walk hardly at all. Ive had this for months now went to take a walk,and had to turn around come back. I see the doctor next month to find out what will need to be done. Ive been told all kinds of things massage lazer so on. I get curious as to how long the I would I be off my feet weeks days a couple hours Plus I was told I have a sist at these thats what I was told when the MRI results were back. Not able to lift to much weight if any or stand for a long period of time. I dont want to keep haveing surgrious in order to get it right. Im at a loss : ) [|AI|] Hello, Welcome at Chat Doctor. I have read your details. It looks from your details that you are having back pain with deformity at your back. The abnormal curve at your back may be due to presence of displaced disc or due to spondylosis or other spine pathology. You should have some investigations including MRI of spine to check the problem. If this is an early stage then you may have relief with conservative & physiotherapy methods. In late cases or if problem is severe then you may have relief by surgery. Hope this will help you. With best wishes.

The conversation between human and AI assistant. [|Human|] i have a small lump on my penis, where when i squeeze it a small amount of what seems to be pus come out. It doesnt seem to be a spot as it seems to fill with pus almost every day. I can not tell how ever when it has filled with pus as its not visible,i only notice when i squeeze it. what could this be? [|AI|] Hello had gone through your question very diligently, and I can understand your concern A small lump followed by pus discharge might be related to Inflammation or infection of the penis. Here I would like further information for better assessment of the conditioning how long you have this problem any history of unprotected intercourse? If I were your treating doctor I would have advised you for battery of test like blood for hemoglobin, CBC, Liver and kidney function test, blood sugar, urine testing for microscopy as well as culture. In my opinion you should clean it thoroughly with antiseptic solution and apply mupirocin or clotrimazole with dexamethasone ointment for 3 to 5 days.Meanwhile, you should take plenty of fluids 3 to 4 liters a day. You can take Ibuprofen for pain. Avoid sex or use condoms until you recover fullyPlease feel free to ask for more clarification, I will be happy to help you Best wishes

The conversation between human and AI assistant. [|Human|] Not too long ago i was due to have physical taken because i wanted to go to the selective service and i was being told by one of the doctors that i had a heart murmur, sometimes i also have this sharp pain coming from my chest and some severe pain from my heart. [|AI|] As off now you are totally asymptomatic would advise you to go for a test called 2d echocardiography this test we can see whether all the valves are working properly or not ,if there is any stenosis(narrowing) of the valve or if any valve is leaking(regurgitation) giving rise to murder murder is not always due to problem in valves some times murder can be innocent murder which need not be treated my advice is to go for detailed 2d echo as soon as possible

The conversation between human and AI assistant. [|Human|] I have been having the symptoms of silent migraine although they never last more than 1 hour. A friend has mentioned TIA, which I have now researched. The symptoms all match, including the length of time they last. I have however, had an Mri 3 months ago whicChatDoctore back all clear. Would TIA have been picked up on the MRI? Donna [|AI|] Dear Donna, Thank you for choosing Chat Doctor. It would be helpful for us to analyze if you describe your symptoms in detail. If you think your symptoms are fitting in TIA(Transient Ischemic attack of brain) you have to undergo stroke work up to know the exact reason for symptoms. MRI can pick up TIA s but not all the time. So I would advise you to see a neurologist at the earliest and have a full stroke work up to prevent further stroke. Usually they will investigate you to know the source of your problem with carotid Doppler(to rule our carotid stenosis), echocardiogram(to rule out any cardiac source - blood clots from heart travel to brain and can give you stroke). Apart from the investigation it is very important to control your risk factors like hypertension, diabetes and hyperlipidemia if you have any of these conditions. Visit a neurologist at the earliest.

The conversation between human and AI assistant. [|Human|] I am experiencing pain behind my left knee. My foot feels numb and kind of tingles. It hurts when I walk but I am able to bend the knee. I went for a short walk this morning, some of which was uphill. The pain did not start until several hours later. I am 72 years old and not in great physical shape. I am worried about a possible blood clot. What should I do? [|AI|] Cannot diagnose or treat without actually being there. Pain can often be localized to where the problem is by 1) poking areas and seeing what is painful. Joint pain varies a bit, but generally it hurts when moving the joint or bearing weight on it. Muscles often hurt after the exercise in situations that are NORMAL. Blood clots hurt soon after they occur and stay constant.2) the pattern of what causes the pain exercise causes pain due to lack of blood flow and occurs as a dull ache after exercise and often gets worse hours or a day later. If this occurs with minimal exercise atherosclerosis to the area and serious circulatory problems can be there. This would show other signs of an area not getting blood (pale, white, cold, poor pulse, etc.)these would need evaluation and treatment pretty soon.

The conversation between human and AI assistant. [|Human|] I have a very hard lump just above my left temple. It is the size and shape of an almond. I noticed it a couple weeks ago. I did not bump my head. Does not hurt to touch. Might cause headaches. 35 yo female. No previous head injuries. Any ideas? Thank you [|AI|] Hello! Welcome to Chat Doctor. This can be an asteroid Osceola most likely as you said It's very hard in consistency. This is a benign lump.Also, it can be very tense cystic swelling perceived as hard, a Desmond or sebaceous cyst. Clinical examination is necessary for diagnosis, also FNAC - fine needle aspiration cytology is advisable for diagnosis. Treatment is done accordingly. Hope this helps. Wish you healthy life. Thanks. Regards.

The conversation between human and AI assistant. [|Human|] Saw my doctor last week because I was sobbing for no reason, light headed, felt porely...following a blood test she has me getting Vitamin B12 shots daily for 1 month, then reducing; due to prior heart problems (triple by-pass) she has me seeing my cardiologist (I was doing so well I am on a every other year annual checkup with him. Could the high potassium in my blood be endangering my heart. I am a widow and have been basically eating Lean Cuizine and Healthy Choice meals, thinking that was a good thing. What may be the bad results of low B-12 and other problems a result of high potassium/sodium in my blood? Is there a charge for this? If so, don t respond. [|AI|] HIT hank for asking to ChatDoctorI really appreciate your concern in your case nothing are related either with the potassium or any other electrolyte component, of course the high potassium level could cause great harm to body, no need to worry this may not be in your case, you must have given vitamin B12 for extra supplement of vitamin stop thinking irrelevant this could make you more conscious, take care and have nice day.

The conversation between human and AI assistant. [|Human|] Hello sir, I m 25 years old & i have started gyming seriously. my dieter gave me evion 400 caps after workout immediately so can you please confirm is it safe to have Evion 400 & celin caps? The motive behind this is to gain weight, does it works? Vishal [|AI|] Hi, Yes, it is safe to take these two together. Evian is vitamin E required for regulating important functions in the body and Colin is vitamin C (ascorbic acid) helps in the maintenance of healthy body tissues and the immune system. There is no harm in taking these two vitamins together however they are not used for the purpose of gaining weight. Hope I have answered your question. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] My blood pressure today was 130/100. I have a seizure disorder and am on Topamax, lamactil and klonopil. I just recently starting taking Norvasc. I started Jan 5th. I feel nauseated all the time too. Are they related? I thought my blood pressure would go down by now. [|AI|] Hello! Thank you for asking on Chat Doctor! Regarding your concern, your symptoms may be related to novas intake (nausea has been seen in up to 3% of patients using this Chat Doctor. Topiramate can decrease the levels of novas (by acting in its degradation in the liver), causing a lower effect of novas in controlling the blood pressure. Topiramate has been shown increase the blood pressure in 1-2 % of the patients. It can also cause kidney dysfunction and stones, which can induce a secondary hypertension. I recommend you to perform a routine blood test, kidney and liver function tests, thyroid hormone levels blood electrolytes and an ECG. An ambulatory 24 hours BP monitoring would be helpful to have more information on your blood pressure during the day. I would recommend changing into another antihypertensive

The conversation between human and AI assistant. [|Human|] Following is my Biopsy report. Is it normal or is there something to worry about? Sections examined from incisional biopsy show fragments of fibrocollagenous tissue with focal salivary gland tissue. Heavy acute and chronic inflammation with focal foreign body type gaint cell reaction is seen. Fibroblastic proliferation with ectatic blood vessels are also identified. Few blood vessels appear thrombosed and congested. Surrounding areas of fibrosis are also present. Diagonsis: Incisional biposy: Acute and chronic non-specific inflammation, granulation tissue and fibroblastic proliferation [|AI|] Thanks for your question on Chat Doctor. In my opinion you should not worry much about cancer as per this report. I guess this report is from salivary gland. And it clearly mentioned acute on chronic inflammation and fibroblast proliferation. This is characteristics of chronic infection like TB. So no need to worry about malignancy, treat infection. You may need antibiotic and anti-inflammatory Chat Doctor.

The conversation between human and AI assistant. [|Human|] When my daughter was 10 years old (she is now 41) she had an I.V.Pyelogram which showed that she had an extra calyx on one of her kidneys. The test was done because she was showing protein (I believe or possibly albumen - dont remember) on her blood test. Now that she is much older she is having back pain. She had a MRI which showed mild degeneration but nothing serious. Her Dr. suggested P.T. which she just recently completed after many weeks of therapy. Her back pain has not gotten better and her Orthopedic Dr. suggested she see an internist. Could this extra calyx somehow be causing some kidney problem and back pain? [|AI|] Welcome to ChatDoctorAfter going through your query I concluded that you there are having chronic backache. I Don't think extra calyx can because of chronic backache. Important cause of chronic backache is vitamin D3 deficiency, so you can get your vitamin D3 level and if low you can take its supplements. Vitamin B and C with be helpful in recovery. You can discuss with your Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask Chat Doctor. Take care.

The conversation between human and AI assistant. [|Human|] Hi doctor, I have being suffering from lowback pain, and some numbness of toes for quite some time. There is an area just above the knees (both), parallel to the hands when when stand with arms hanging down. It is fairly a small area where the feeling is different. i have consulted many neuro and orthopaedic surgeons and taken two to three MRI images along with number of x-rays. But none of those MRI s show a severe damage to the joints L4 L5 or any other area examined. But highlighted there is a slight bulging in L4 & L5, I m a regular Badminton player for the last one & half years. When playing i don t have much of difficulties, but after sitting and doing some work, it is difficult to strighten my back with one go, it takes a while for me to settle down. In addition to that if i put my right arm back of my head or extend above the head and keep resting for a while, i find it very difficult to bring it back without the healp of the other arm. But after few movements it becomes close to normal, but have very pale pain in the shoulder joint area. Would appreciate if you could advice me on the type of problem i have and how to overcome or treat to my problem. Thank you Hussain [|AI|] Hello Hussain! I just read your concerns. The pain on your lower back and numbness in your toes is caused by the bulge in your L4-L5 (lumbar area). With the description you gave me, it seems you have a nerve root compression in your back. Nerve compressions are treated initially with physical therapy, analgesics, and warm compress. For more severe cases, surgical intervention is suggested. I suggest you go to the nearest rehabilitation for you to start your physical therapy-- it will greatly reduce your pain and discomfort.

The conversation between human and AI assistant. [|Human|] i felt like my heart shrunk for a second, like someone squeezing it. Then i get a numb feeling in my head, its like the feeling before fainting. Then i start feeling dizzy and breathing difficulty. But it all happens in a few seconds. I first had it two or three months back while i was having dinner. Since then it became more common and has happened a few more times. I would like to know what are the possible causes because its kinda worrying. I m worried that it would get even worse. Thanks. [|AI|] Hello, There are two possibilities, one is gastritis and reflux disease and second is cardiac arrhythmia. It can be an acidity and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks. If none of the above symptoms are present, then there is a possibility of cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Ln order to abort such episodes you should try to cough hard. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day.

The conversation between human and AI assistant. [|Human|] hi doctor my sister is 24 years of age and was having severe back pain since 2 months . we got her treated from physiotherapist but since 10 days she was having regular fever . and now spinal tb has been diagnosed . how to get treatment done? how long will it take to recover and what precautions should be taken ? [|AI|] Hello! I really appreciate your concern. Spinal TB is also treated by same oral medication as Pulmonary TB. Visit your local doctor for treatment schedule. Successful treatment outcome of any TB depends on Chat Doctor. Your has to follow treatment schedule meticulously. Symptoms of TB starts declining after some days of starting the treatment. One should not stop taking medications after it. Whole course of 6 months treatment should be completed. No extra precautions are needed. Hope my answer has solved your query. Take Care. Thank you. Best Regards.

The conversation between human and AI assistant. [|Human|] Yes. My 2 year old son has never been a good eater from ime we started baby food until now it has been an ongg daily struggle to get nutrition in him. He has always been in a low percentile for his weight and had monthly weight checks with his pediatrician, who seems to be unable to help us figure out why our son will not eat. He refuses to eat for hours on end has no interest in food at all never acts the least bit hungry as if he has no appetite. We have tried every trick in the book. We have asked for and received no help from his pediatrician and he sees a occupational therapist weekly who too has tried every trick in the book to try and get him to eat. We are completely at a loss of what to do and thought at this point we would see what a gastro dr may have to say. So what do you think may be going on and do you have any ideas of what we can do to help increase appetite? [|AI|] Hi. I completely understand your concern. But I would like to first reassure you that it's a very common problem in Pediatrics and very rarely do we find a physiological or anatomical cause for poor appetite or weight gain. Though I don't know your sons present weight I would like to give you certain clues to judge if his lack of weight gain is worrisome or not. 1. Any issues during your pregnancy or delivery? 2.was was his birth weight and how was his initial one month of life?3. Did you breastfeed him, and how long you did exclusive breastfeeding? 4. Wat diet do you give him usually? 5. Does his weight fall between 10 and 12 kg at present? Or Has his birth weight increased by approximately 3 times plus a kilo for now? 6. WATS the usual weight and height stature of you and your spouse? 7. Does his height approximately falls between 75 and 90 cm?8. Are all the milestones in him age appropriate? 9. Has he been hospitalized ever for any major issues? Just check out the above and get back to us. You will get a rough picture of your sons' health status. I would be pleased to clarify any further doubts. Chat Doctor. S. Sri Vichy Chennai

The conversation between human and AI assistant. [|Human|] My son has cerebral palsy and recently had bilateral femoral, tibia and fibula osteotomies about 3 weeks ago. How long does it normally take to start seeing results. He is 23 yrs old and in good health. I am afraid he is getting depressed because he is not able to left his legs and still not able to bare any weight. [|AI|] Hi, Thanks for writing in. Cerebral palsy is a chronic lifelong condition that can be improved by providing good rehabilitation services. The femoral, tibial and fibular osteotomies will take at least 6 months to heal, and then the results can be seen. It is a surgical procedure and in bones such procedures requires the patient to be in recommended rehabilitation for proper healing. After about 6 weeks of the surgery the bone ends which were cut will form a soft callus and at 3 months the callus becomes more mature. After six months and after taking guidance from the doctors and rehabilitation experts he can start bearing weights as per his recovery. Please do not be in a hurry as this can cause damage to the healing areas and lead to complications. Please do not worry.

The conversation between human and AI assistant. [|Human|] Just had an MRI and was diagnosed w/ multilevel degenerative changes w/ C5 -C7. Broad based disc bulging w/ mild to moderate disc bulging. Moderate to severe disc space loss...mild to moderate stenosis . Also found Reversal of the normal cervical lordotic curvature w/ approx 14 Degrees of kyphosis (what the heck is that???) Also 2mm degenerative anterolistesis of C4 AND I made Team USA Triathlon World Championships and am going to London in Sept to compete.... this is REALLY cramping my training!!! HELP!!! [|AI|] Hello Linda, Welcome at Chat Doctor. I have read your question. It looks from your details that you are having multilevel disc degeneration at cervical spine level. The multi level disc degeneration can be a part of age related changes. If stenosis is there & this is causing symptoms to you like radiation of pain or other symptoms then this can be best tackled with conservative measures. You should consult to a physiotherapist for relief. You may learn some exercises for strengthening of neck muscles. He may give you relief by traction therapy,infra-red therapy, etc. Your doctor may also help you by some analgesic medicines or by epidural steroid injection. Hope this all will help you.

The conversation between human and AI assistant. [|Human|] I have been diagnosed with fibroids, cysts and gallstones. I have bee given pain relief for gallstones but no further treatment has.been recommended. I have bloating, wind, pain under my ribs, stomach cramps and pain in the centre of my abdomen on an almost daily basis. [|AI|] Hi and welcome to Chat Doctor. I understand your concerns and I will try to help you as much as I can. You are saying that you had medications f or gallbladder which may suggest that you have gallbladder stones. Your symptoms are actually suggestive of gallbladder stones, so you should do ultrasound or CT scan to evaluate it more accurately. Fibroids and cysts should not be related with digestion problems. If stone is verified:1. You need to change your dietary habits first. Need to avoid fried food, carbonated Chat Doctor. You should eat more milk products, vegetables and boiled food.2. Medications such as spasmed or ursodeoxcolic acid may help but have limited efficiency.3. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.

The conversation between human and AI assistant. [|Human|] Hello.. I feel lower abdominal pain after eating, not always though. Bowel movement is normal, no fever, I feel some gas in stomach and abdominal pain/ stomach burning when lying down on my stomach. Felt nausea a couple of days but it went away. If I touch my belly hard it huryts (slightly to the right, not lower side as towards the appendix nor upper right as towards the gallbladder). Dr prescribed dexlansoprazole which seems to work but still hurts.. [|AI|] Hello, Thanks for the query to Chat Doctor. Forum. Dexlansprazole is an antacid Chat Doctor. As you stated that there develops pain after eating and bloating. Sometimes relief after lansoprazole i.e. an indication is that disease is hyper acidity or gastritis. Tension, fried food, spiced food, junk food, high protein diet, fatty food, sweets all develops hyper acidity, so avoid these food items as far as possible. Due to gastric erosion patient feel pain and such type of symptoms. Endoscopy will find out the nature of disease. Till take rebamipide 100 mg 2-2 for 3- 6 months for complete cure. But get this treatment after the advice of your physician. Good luck.

The conversation between human and AI assistant. [|Human|] my brother spend 3 days in intensive care with an infection which brought his b/p dangerously low. He had kidney stones which they pushed back into kidney. He had had the pain which has been different from the pain of stones which he has continuously had all of his life. They are now telling him he has an enlarged spleen and kidney. He is scheduled Tuesday to have a stint removed and another one inserted. Could this be cancer? He had just had stones blasted from the other kidney two weeks before the infection which put him in intensive care. [|AI|] Hi, Thanks for writing in. Infection is always caused by a pathogenic organism like a bacterium. Stones in kidney causes stasis of urine and this leads to urinary obstruction. The urinary blockage acts as a favorable medium for the bacteria to multiply. Sometimes infection might also ascend from the urinary bladder and enter the kidneys. In severe cases the bacteria release air in the collecting system of the kidneys and cause a condition called emphysematous pyelonephritis. Doing a blood culture and sensitivity is important to know any blood-borne septicemia. Similarly, a urine culture and sensitivity will also help. A broad range antibiotic should be given through intravenous route. This ensures better Chat Doctor. Most people recover in a week after starting treatment. Cancer is less likely however detailed imaging is suggested. Please do not worry.

The conversation between human and AI assistant. [|Human|] This has never happened to me before I ve got back problems so I smoke a joint or two a day and this was at night and I smoked a joint had two small beers that are 3.5 percent I was laying in bed watching monsters inside us I started feeling like I had to throw up and I stood up and all of a second my vision started going black and I felt dizzy and started walking funny then I ran into the wall just before the bathroom and fell down and I sat up and was rubbing my tummy to get the upset and wierd feeling gone and next I know I m hitting my head on the wall and my husband woke up and goes u alright and he comes to me takes me into the bathroom and I threw up for about 8 minutes then my vision was coming in more clearly and I felt better [|AI|] As it is obvious you are already aware of wrong effects and it's best to rid one off the habit gradually. Emotional stability comes from non-dependency and it is best to shake it off with the help of doctors or therapist who wean or help in weaning away from certain addictions.in my opinion getting busy with hobbies, or domestic chores requiring physical involvement, gardening, carpentry deviate the emotional pent-up demands. Pranayam, yoga and meditation are other ways.

The conversation between human and AI assistant. [|Human|] I have a long standing problem in my mid to upper back, aggravated by lifting heavy weights (bench press), or doing things like serving in tennis or throwing a ball without properly warming up. I ve had it for 30 years. Is this just likely a muscle that I injured and that I keep aggravating? [|AI|] Hi there. The pain you experience in your mid upper back could be due to mainly a faulty technique while using bench press or that you're not giving your back muscles adequate time to rest and recover. This can have possible long term implication on your spine by causing degenerative changes earlier. I suggest that you take enough breaks between each rep and if you're planning to increase the weights do so gradually, so your muscles get time to adapt to it. Throwing motion without properly warming up can also harm your back muscles as well.

The conversation between human and AI assistant. [|Human|] Hi Im a 23 yr old female 5ft 140lbs. I stepped on a 3/4 inch wood drill bit last night and punctured the bottom of my foot in the soft area just above my heel. I cleaned it and bandaged it last night and reapplied dressing this morning. I still cant put weight on that foot without a lot of pain. Any thoughts? [|AI|] Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. As you have punctured with Chat Doctor. I advise you should take the diclofenac with serratopeptidase for pain, definite for infection prevention, and pantoprazole for acidity control. Please take the above medication under your doctors' guidance. Please maintain good local hygiene, frequent

The conversation between human and AI assistant. [|Human|] Hi there, so I am a 15 year old girl and every where from my knees down to the tops of my feet are aching really badly. I feel as though the pain slowly pulses from harsh to mild over and over again. Sometime the pain is so unbearable that I start to cry! Please help! [|AI|] Hello, As most of the cases reported in this age are due to changes in the physiology. Lack of vitamin D, calcium, hormonal changes, menstrual cycle, etc. I will advise getting your hemoglobin checked once. As low levels of iron can also lead to aches. Post which you can consult a local PCP who can help you with Medications for Calcium, vitamin D3, iron, etc. Do simple exercises at home and exposure to sunlight is a must. Chat Doctor.

The conversation between human and AI assistant. [|Human|] Hi , My brother was suffering from panic attacks for 8-9 months. while reducing the course of medicine he feels the same issue is coming back again. He is now prescribed lonazep .25 half tablet in morning and 1/2 in evening along with rexipra 5mg. Dr. asked to leave the tablet when he feel ok. what can be effect once he discontinues the lonazep ? is there any chance he can get addicted to lonazep if same issue back again? [|AI|] Hi, I do appreciate your concern for your brother. Panic disorder responds well to treatment if provided adequately. Extra (Escitalopram) is a safe and effective treatment option for panic disorder. However, the current dose of 5 mg/day is suboptimal. The dose range for Escitalopram is between 10-20 mg/day. Located is clonazepam which helps in reducing the anxiety on symptomatic basis. The anxiety remains controlled as long as it is taken, but will re-emerge when it is stopped. The problem is, with time, there is a high chance for developing dependence on it. So, it is usually recommended only for a short period of time. In your brothers case, I would recommend that you discuss with his psychiatrist regarding increasing Escitalopram further up (to 20 mg as required). It will help control his panic attacks and he won't need clonazepam. Moreover, the treatment with Escitalopram should be continued even after the panic attacks has stopped completely (around 1-2 years), to prevent relapse. I do hope I was able to answer your query. Best wishes.

The conversation between human and AI assistant. [|Human|] Hello Doctors, With an great Respect, i would like to ask an question. My wife recently got Chest TB and she is undergoing the treatment. i would like to know that after successful completion of Tuberculosis treatment, when we can start family planning. or is it is advisable to start planning during last month of treatment or after complete treatment. thank you for your reply with great honor. [|AI|] Hello, TB treatment is prolonged over a few months depending on the severity and type of infection. It is advisable to complete the entire treatment duration before planning to extend your family. Thereafter completion, a few months of wait is needed to ensure that your wife has regained good health. As a healthy child is our utmost importance, ensuring mothers good health is a must. I hope this was helpful.

The conversation between human and AI assistant. [|Human|] hello i have a 4 year old and he was running a fever yesterday, i took him to the hospital, his fever was at 102.5 when i got him there, mind you the only thing he did was sleep and drink, he would not eat anything but a little bit of eggs, the doctors at the hospital say he had a summer virus, and to give him fever reducer med. they gave him motrin at the hospital and he broke his fever, this morning he woke up running a fever again and it was at 101 this time so i gave him some fever reducer med. that seem not to help so i went and got him some motrin and made him drink gatorade. he broke his fever and around 6pm he spiked a fever again and again it was 101.5. i was wondering if i should go get a second opinion or just wait it out since i gave him more motrin [|AI|] Welcome to the Chat Doctor I have gone through your question and understand your concerns. But don't worry. Most common cause of fever in this age group is self limiting viral infections. They usually last for less than a week. There is no use of going for blood or other investigations so early unless and until the fever is associated with any other symptoms or finding. At present, I would recommend you to give him Spy. Paracetamol for fever spikes at 15-20 mg/kg (max. 500 mg) and repeat the dose at 6-8 hours interval if fever persists or recurs. It's better than Motrin for fever relief. Also, keep him well HY Chat Doctor. Hopefully this will be helpful. For any further questions, you may contact us. Take care

The conversation between human and AI assistant. [|Human|] I have a soft lump that just appeared suddenly tonight under my eye, right on my cheekbone. I doubt it is a spider bite because I think I would have noticed a spider on me as it s evening. It seems fluid filled,like someone inserted water under my skin. It doesn t hurt or itch. [|AI|] Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, in my opinion it is mostly due to bite only. Another possibility is skin infection or allergy. So better to consult dermatologist and get done clinical examination. You need removal of fluid to avoid infection in it. So get done proper surgical Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.

The conversation between human and AI assistant. [|Human|] My 83 year old mother had a massive stroke on Wednesday. She has not spoken or opened her eyes in two days. Her arm does move occasionally. Each doctor has independently agreed that their is no chance of recovery of any kind.. My mothers directive is for no life support. The family has arranged for hospice care per here directive. if the family follows her no life support directive, approximately how long will she live? [|AI|] Hello, Thank you for your query. Am sorry about your mother. A person with massive stroke with a poor prognosis/chance of recovery can survive anywhere from a week to a year (occasionally longer) if there are no further complications. More commonly 3-6 monthsKidney failure, sepsis, heart failure, overall health condition (diabetes, hypertension, coronary disease, obesity, age) before the incident all factor in. Recommendations :-Proper nutrition through a feeding tube, parenteral feeding should be given with adequate calories, proteins. - Position must be changes every two hours to prevent bed sores.-Personal hygiene maintained by a trained personnel or family member. -Passive physiotherapy of the limbs to maintain circulation and muscle tone should be done- neuroprotective Chat Doctor. The aim is to keep her as comfortable as possible Hope this helps. Please let me know if I can help you with anything else Wish you good health

The conversation between human and AI assistant. [|Human|] I am feeling what i thought were palpitations, but they honestly feel like too much blood is being pumped at times- like moments where my heart pumps hard then normal. What does this mean? Sometimes I get this, it goes away for a while, then is back. Happening more often lately even though im eating better, lost some weight. [|AI|] Welcome to Chat Doctor many causes of palpitation few of them as following1)Anxiety is one of the important cause when you're anxious for anything, or you fear something at that time you can feel your heart beat as in panic attack also2)any cardiac arrhythmia that is cardiac rhythm abnormality can be felt as palpitation for that cardiac evaluation should be done3) some time hyperdynamic circulation may cause this feeling as in severe anemia So please evaluate this thing with your primary physician

The conversation between human and AI assistant. [|Human|] My daughter is 16 and has Cerebral Palsy,visited her ENT specialist today due to her allergies,whilst there she had a large watery bowel movement in his office,he prescribed enterogermina,one a day for three days,he said she had a virus which will give her that loose bowel movement, that I observed for the last two or three days she has been having at least twice per day.How good is this drug and what are the side effects?,because she is on seizure meds,Epilim and Phenobarbitol [|AI|] Hi, I had gone through your question and understand your concerns. Enterogermina is a probiotic based on Bacillus CLUSIF, it is used to improve bacterial flora of the bowels. It has no negative effects on health and doesn't interfere with other Chat Doctor. 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.

The conversation between human and AI assistant. [|Human|] My spouse is complaining about abdominal pains after we had a dry humping last two days. we planned to be on family planning by dry humping to avoid early pregnancies and we agreed. but she is having these pains down her umbilical cord patch. so what can be the causative agent?? [|AI|] Hello dear, The symptoms as mentioned in your post may be attributed to an infection in the Gastrointestinal tract. Symptomatic relief can be obtained with intake of anti spasmodic like Dicyclomine preparations (to be taken after meals) & Pantoprazole (to be taken 30 minutes before meals) along with a course of antibiotics. If symptom still persist, investigation like Ultrasound scan of abdomen & pelvis will be helpful to rule out any pathological cause for the symptoms. Wishing her a good health. Take care.

The conversation between human and AI assistant. [|Human|] i have a couple lumps in my armpit that have been there for awhile they never fully leave but sometimes get smaller.. One of the lumps sometimes ooze or bleed but i can never pop them.. and ive been getting more and they are so very painful i can barley close my arm.. any clue what it is? [|AI|] Hi. Thanks for your query and an elucidated history. This is a condition called HY Chat Doctor. This is the reason the boils develop and before the first ones are healed the another crop up. I advise all my patients:Clean with water 2 to 3 times in a day. Apply liquid provide iodine thrice daily. This will kill all the skin bacteria and may avoid further infection. A course of antibiotic to start with and continue with doxycycline daily. Wait and watch for 3 weeks. Y this time most of the disease is under control. In case of failures a small surgery may be needed to remove the disease bearing skin. This is a staged surgery and needs a little seating.

The conversation between human and AI assistant. [|Human|] I have numbness kind of feeling inside of my right mouth, when i rinse my mouth i can properly feel it on the left side but not on the right side, i have been smoking for 5years and am 22 yrs old. does this mean i have mouth cancer. and even when i fill my mouth with air i cannot feel my right side. please help. [|AI|] Hello, Welcome to Chat Doctor, Please first consult the dentist then general physician and get your check-up done. So that your problem can be clinically identified, depending on numbness since how long, any other symptom or lesion in the mouth. Please stop smoking. Maintain a good oral hygiene. Any other habits like tobacco chewing, Chat Doctor. Consult the doctor asap. Hope this will sort your query. Take care

The conversation between human and AI assistant. [|Human|] I had sudden pain left side, on my midback. . . not on the spine. It was like a popping sensation. Pain went around my left side . . then next day I noticed a dark bruise the size of a half dollar on my left side adjacent to my belly button. Any thoughts? [|AI|] Hello, As the bruise on the belly is not connected to the upper back pain. This may be some other thing and needs an abdominal examination on a clinical basis. The pain in the upper back one side will be related to Trapezius and inter-scapular muscle spasm. Doing hot water fermentation, gentle kneading massage, myofascial release, strengthening exercises should help ease the pain. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.

The conversation between human and AI assistant. [|Human|] 6yr old c/o sore throat, and upset stomach. Eating and drinking normally, no cough, no headache. Stated she just felt a little pukey but did not vomit. Gave her 7mls of acetaminophen and a children s Sucrets, at bedtime. She is sleeping now. Temp at 2100 was 38.5 and her forehead feels warm to the touch. Should I take her to the doctor right now, or see how she is in the morning. Thank you for any help, for this Mommy won t sleep tonight. [|AI|] Hi... Thank you for consulting in Chat Doctor. This seems to be a viral illness - all this is usual. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 3-4 days. So do not worry about duration if the kid is active. The red flags when you need to take her to an emergency are - loss of consciousness/ seizures/ green colored vomiting/ blood in the stools/ low urine output/ excessive lethargy/ breathlessness. Regards -

The conversation between human and AI assistant. [|Human|] Hi my age is 55 male wieght 82 kg height 5.6ft. I took erythrodar thrice daily for 3 weeks to treat burning in urine and possible prostatis. prostrate slightly enlarged. I did my blood test right after the erythrodar antiobiotic course. My SGPT is 356 SGOT is 270 and alkaline phosphatase 117. Is it due to this medicine? I have very significant allergy problem from food. [|AI|] Hi thanks for contacting Chat Doctor .... I have gone through your query.... Following can be possibilities .....-erythromycin Chat Doctor. So if hypersensitivity to gluten containing diet like rye, wheat etc. then celiac disease can there, and it can lead elevated enzymes.USG, complete LFT profile with HIDE scan might useful. More fruits taken with less fatty and fried food.... Green leafy salad more.... For celiac antiendomysicial antibody screening done.... One tsp licorice with honey taken.... If still cause not clear then after prostatic treatment CT scan or liver biopsy might be needed if gastroenterologist need it. Hope your concern solved. Take care.

The conversation between human and AI assistant. [|Human|] I feel my wrist yesterday but I thought nothing of it because it was it just look like broken blood vessel s. But when I woke up this morning the scahlpoid bone I believe that s what it s called the bone below your thumb was very swollen and my whole rest is bruised I can move on my fingers but it hurts when I grab stuff or try to turn it sideways and I don t know whether to go to the hospital in case it s broken or stay home because I might be a sprain I don t want to waste my parents time or money please help [|AI|] you must go to orthopedic doctor and an MRI/X-ray should be done. Treatment will depend on findings with immobilization. In meantime take Advil tabs after meals for pain and inflammation. Scaphoid, if fractured may be treated either conservatively in plaster or b surgery, it depends on nature of fracture. It will be taken care of, do not worry, it's not wasting money, but prudence to save hand to prevent problems of long terms, cofide in parents

The conversation between human and AI assistant. [|Human|] Ive undergone many tests to determine the cause of my shortness of breath that occurs immediately upon slight exertion & chronic fatigue. Not to go into the long list of symptoms, it just occurred to me that my degenerative disc disease in my c-spine could cause my s.o.b. I have moderate ddd in C3-C4 & advanced ddd in C5-6 & C6-C7. My s.o.b occurs when I begin the slightest movement with my arms such as washing hair, reaching for high objects, etc. Cardiac & lung tests are normal. [|AI|] Hi, From history as cardiac and lung tests are normal this problem might be due to pinched nerve pressure due to cervical spondylitis. There is a possibility of having frozen shoulder called peri-artheritis precipitating your problem. After consulting orthopedic surgeon go for active physiotherapy, short way diathermy and if you require for cervical traction. Avoid putting pillow under the neck while sleeping. Ok and take care.

The conversation between human and AI assistant. [|Human|] Hi, my wife is pregnant and 8th month is running. Recently due to itching in legs doctor suggested for LFT. she has a high level of sgot and sgpt. SGOT- 279 U/L ,SGPT- 248 U/L and Serum Alkaline Phosphatase- 310 U/L. doctor has given Ursodeoxyholic Acid Tab and Levo Cetrizine. Is this safe during pregnancy. [|AI|] Hemstitching is commonly seen in pregnancy. Raised GOT and SGPT may be due to homeostatic jaundice, and it is common during pregnancy. Your wife has been prescribed right medicines. Ursodeoxyholic acid tablet helps in regeneration of liver cells. It will correct raised SGPT and GOT. Levo cetirizine is an anti-histaminic, and it will relieve from itching. These medicines are absolutely safe during pregnancy, and it is recommended by FDA. Get well soon. Take Care Chat Doctor.

The conversation between human and AI assistant. [|Human|] On August 14th I went to the ER with a kidney stone , shown by a CT scan . There were the following things also noted from the scan: Nonspecific abdominal varicosities, indeterminate nodules in mesentery , recommend close F/U CT. I have had no more pain since the day following the ER visit, so apparently the stone passed. I saw my family doctor yesterday. He said it was my choice to do the follow up scan in 3 months or go to a general surgeon for his opinion now. Last night I had blood tinged urine twice, but have not had it since today. I do have a little lower abdominal discomfort, but no pain. I see my urologist Monday (9/09) for the results of the x-ray he did on 8/23. What could be the cause of the blood tinged urine and should I be alarmed? [|AI|] HelloThanks for your query. Based on the facts that you have posted it appears that you had pain in abdomen due to kidney stone detected on CT scan Now you have passed blood stained urine (Hematuria) for two days. Most likely this could be due to small stone in urinary system. Or UTI Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Cefuroxime along with urinary antiseptics like Nitrofurantoin twice daily. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria. If hematuria continues you may need to consult qualified Urologist for clinical evaluation and further management.

The conversation between human and AI assistant. [|Human|] i am a 44 yr old male pack a day smoker, no family history of major health issues, i do not drink or do drugs, i am on my feet 8-10 hrs a day, ive never had any health issues and i dont exactly eat the way i should, i am around paint and some chemicals on the weekends and i dont have a doctor that i see.every now and then i get a thump or fluttering in my stomach and chest area and i cant seem to exhale and for a second i lose my breath entirely and honestly it really scares me. any thoughts on what may cause this and am to young to have developed emphasema pr to old to develope asthma ? please help [|AI|] Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of arrhythmia (rhythm disturbances in heart) and COPD (chronic obstructive pulmonary disease) is more. Fluttering sensations in chest are mostly due to arrhythmia. And arrhythmia is common in smokers. So consult doctor and get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. You are also having breathlessness. So chances of COPD (emphysema or bronchitis) is also high as you are a active smoker. Smokers are prone ti develop emphysema after the age of 40 years. So at 44 years of age, you are at risk of developing emphysema. So consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose COPD, but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilator and inhaled corticosteroids (ICS). In any case, quit smoking as soon as possible. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

The conversation between human and AI assistant. [|Human|] Hi its regarding my elder brothers mental health .hes is a 35 yr okd,married for 10 yrs abd a 1 yr old baby.he does not work, has not finished univerdity rducation.highly intelligent,very shy,very violent has trouble controlling his anger.now I am his younger dis 3 yr younger snd have grown up together. Hes behavior changes took place after he dropped out of medical school after 1 st yr dedpite being a good student.he then camr back and lived with family in isolation.no ineraction with outside world and very suicidal. Hence bomy mum and dad listened to every thing he said or wanted. And covered his behavior wuth family.however some family mrmbers were approached snd came to concil after ehivh he was mire violent.also haf a pschycatris come to examin and prescribef anti depressants of which sone were discretely mixed wiyh foof and coz my mum worrued about sude effects stopped giving them.in addition to this he showed signs od sadism and vulgarity and urge if having sec and dirty thougjts .due to tjis mt parents took him ti ibdia to get narried .byt he had to work in dads shop for 1 year. He marrief a lively girl and settled togethet. And contnued working at the shop fr one mmore year. Aafter whuch he stopped and had been at hime ever since.hus eife had brrn worrief because if his vuolance towards ger byt dedpite that she had a baby and us worrued about vuolence toeards naby.my parents to mske mattets worde spoon feed him by giving money minthly as they are scared uf they dont di so he will get violent.im worried fir my parents and my dis in law n baby pls help [|AI|] Hi there ~ I understand that your brothers' situation is complicated, and it is giving his, you and your family a lot of heartache. It is understandable that you are quite worried about the whole situation. I am unsure of what the current living situation is for your brother. It would be very well to consult a psychiatrist or a qualified psychologist in your brothers case. It seems like he does require both medications and therapy. More needs to be known in terms of his symptoms and this can only be elicited during a direct interview with the patient. I hope this helps. Take care and keep posted.

The conversation between human and AI assistant. [|Human|] yes i hope you can i am in need of finding a physicatric doctor i am bipolar i have ocd pdst i have not been on any meds in a few years and i am very manic and i need them really bad my moods are up and down and i am gonna go into a depression i dont know how to set up a email address you can call me at 0000 [|AI|] Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. The symptoms that you have stated appear to be of bipolar mood disorder and this will need you to take mood stabilizers and antipsychotics for improvement. Mood stabilizers such as valproate, lithium, carbamazepine and antipsychotics like quetiapine, olanzapine or aripiprazole are good Chat Doctor. The treatment needs to be taken for a longer period, and you can function as a normal person during the period. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/

The conversation between human and AI assistant. [|Human|] Hello. I had surgery 7 weeks ago to remove 3 benign tumors in my abdomen . I had 2 large dermoid ovarian tumors (size of an orange and grapefruit) and my adrenal gland was removed due to the adrenal tumor being the size of a racquetball. Fast forward to last week and I suddenly began experiencing pain in my lower right side. Sometimes it is in my lower abdomen (similar to the feeling I had when I had the ovarian cysts) and sometimes it is in my right lower back. I am concerned that I am getting another cyst or that I have an issue with my kidney. Other than the tumors, I ve been a very healthy person. I m 5 3 and weigh 105 lbs. Could you provide any insight as to why I would be feeling this particular pain? Thank you, Keri [|AI|] HelloThanks for your query. Based on the facts that you have posted it appears that you have undergone surgery for removal of ovarian tumor and a Chat Doctor. Most likely this pain may be due to post-operative adhesions in abdomen which develop due to surgery Most of the tie these adhesions get absorbed over a period of time. However, consult the surgeon who has performed the surgery for evaluation and further treatment. He may advise getting ultrasound scanning of the abdomen to confirm the diagnosis,In the meanwhile take painkillers like Broken available over the counter of medical store.

The conversation between human and AI assistant. [|Human|] There are multiple small white bumps on the gums above my front two teeth. They feel slightly rough to my tongue, and I can feel them when I run my fingernail across it. They are the size of periods or pepper grains. Please help as I am worried I have oral cancer because I also have what seems to be an abscess around my back molar. It feels rough and has red around it with white in the middle. I know its not a canker sore..and it has a burning feeling now. [|AI|] I do not think, this could be cancer .oral cancer unlike to occur over the gingival of anterior tooth unless u had habit of keeping tobacco there. What I fell this could be gingival inflammation may be gingivitis or Chat Doctor. Check whether you're taking any medicine like phenytoin, nifedipine, carbamazepine etc. in that case u might have fibrotic gingival enlargement .some time EVN if run over your finger over the normal gingival the also it will be felt fibrotic hard. So better u go to an oral pathologist take the advice. But I believe simple scaling will serve the purpose.

The conversation between human and AI assistant. [|Human|] Hello I just now had a soft squishy bump(that is also slightly painful when pressed on) appear on the lower left back of my gum. I had taken a drink of coke and it just appeared. Its located underneath the molar which is actually chipped on the side and a tooth next to it was knocked out not too long ago. Any idea as to what it is? [|AI|] Hi. Welcome to Chat Doctor. As you mentioned you have problem of gum swelling around impacted tooth that may be because of access or inflamed tissue surrounding a tooth means peritonitis. Consult your dentist for oral examination. After see an oral diagnose can occur. If this one is an access than Chat Doctor. . Antibiotics courses helpful ... Start a treatment as per reason behind it... I hope my guidance helpful to you. Take care. Thank you.

The conversation between human and AI assistant. [|Human|] I found out today I have a fractured 9th rib on the right side. It hurts under my right breast. Very swollen but using ice. I have pain meds and lidocaine patches. Is there anything else I can do to re-leave the pain. What is a rib brace and will it work. [|AI|] Hi, Rib belt is very useful to decrease movements at the rib fracture site and pain. You should wear at the level of the fractured rib. Continue analgesics and patch treatment. Mild pain may remain as rib moves with every inspiration and expiration till the bone integrates. Don't worry about that. Ribs are very vascular and union usually happens in 4 to 6 weeks. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] Hello..My mom is of 56..She had been operated for breast cancer two years back, and den 3 cycles of chemo therapy...Before 20 days, she was hospitalized bcoz of water in lungs...At that time, 2D echo was done and result was weak pumping...Her ANGIOGRAPHY has been done,but its report is normal..Stil she is not fine...And for last 12 months she feels BEATS( similar to heart beats) in head...We have shown to neuro physician also, but he cud not help much....Is her life in danger? If needed, i m ready to post or send her reports.... [|AI|] Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, she might be having metastases in the heart muscles (myocardium). This can cause poor functioning of heart muscles and so pumping is reduced. Angiography will detect if there is blockage in coronary arteries. Since her angiography is normal, her coronary arteries are clear from blockage. So her poor heart pumping is mostly due to myocardium involvement. This will cause retention of fluid in the body organs like lungs, abdomen, lower limb etc. So get done PFT scan for the diagnosis of myocardium involvement. And yes, this is not good sign for prognosis. If you wish, you can ask me directly on bit.ly/ask Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.

The conversation between human and AI assistant. [|Human|] I have a tooth abscess. Ive had it for five days now. Went to the er three days ago. They gave me penicillin and ibuprofen. I exclaimed that I took five Aleve and seven Tylenol and it didnt work. How they thought ibuprofen would work.....your guess is good as mine. Either way Ive been taking penicillin for three days. Im still in pain and the swelling is about the same. Slightly smaller. When I feel it. It feels like a knot. Its hard and about the size of two pieces of chewed gum. What should I do? I dont think the antibiotics are working. Do I need to wait a few more days? [|AI|] Hi. Welcome to Chat Doctor. As per your complaint tooth abscess occurs when there is pus formation below the root tips of the tooth leading to accumulation of pus in soft tissues causing swelling and pain. As the pus creates pressure over the nerves, therefore there is severe pain. In this case taking only antibiotics and painkillers will not provide permanent relief, and you need to get your tooth treated. I would suggest you to consult an Endodontist and get evaluated and a thorough clinical evaluation and investigations like IOP AR [x-ray] can help in diagnosis and treatment can be done accordingly. You can be advised Root Canal Treatment followed by antibiotics and painkillers. As of now if pain is severe you can take higher painkillers like Tramadol or Motorola. Ibuprofen can help in relieving moderate pain. Do cool compresses over the cheek and do warm saline gargles. Hope this helps. Regards.

The conversation between human and AI assistant. [|Human|] sir, my 18 months old daughter is passing stools in bits and pieces.Her routine stool & urine tests are ok.Stool is not hard, abit sticky & soft. Doctor was earlier suspecting urine infection/ameobisis which does not appear in test results. Doctor has anyway prescribed Oflaxin for 5 days. Daughter is otherwise playful but passing stools 8-10 times per day in pieces & looks like applying some effort.please advice. [|AI|] Hi, Bowel habits vary widely among child Chat Doctor. Frequent stools are also normal in this age group, as well as one motion in 2-3 days. There are only few bowel types which indicates a disease state, needing evaluation and management:1. Abnormally tight stool with pain on passing2. Too watery, as in diarrhea3. Blood / excess mucus in stool4. Pale colored or black tarry stool5. Stool that is too oily and floating in closet the above features are not there, just take it as his normal excrement. The consistency can change over time. Hope I have answered your question. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] I started taking birth control in September 2012. 3 months later I started spotting for 2 weeks, so I decided to get off the birth control, hoping the spotting would stop. A week later my period comes, but it doesn t seem like a normal period.. it was a thicker consistency. It lasted for a bout 4 days, and then the spotting started back up again...then 2 days after ending me period I start to get excruciating cramps on the lower right side of my stomach (more toward my pelvic bone). The first 3 days were horrible, making it hard to do simple things like sit down, or bend down to put my shoes on. But, then I noticed the pain decreasing after 3 days, and now it is more of a pain in the center of my abdomen . I don t notice the pain so much until I cough, or go to the restroom. (and I m still spotting). What could this be??? I read different possibilities online, such as appendicitis , or pelvic inflammatory disease ..others stated that it s just my body readjusting after coming off the pill.. I m hoping it isn t anything serious [|AI|] Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You started taking birthcontrole pills, in September 2012, 3 months latter, you started spotting, for 15 days and stopped the pills. After 4 days of stopping the pills, you got the period, and it was thick, and followed by sporting, after 2 days, you had severe pain in right lower abdomen, for 3 days, then it comes down bit, and it is in the center lower abdomen. While on pills, and after stopping the pills such changes are predictable, but it is not compulsory with every one. Other possibilities are pelvic inflammation, Urinary tract infection, or stone in the urinary tract, of course may buy secondary changes they can occur. I advise you to consult a cynic surgeon for diagnosis and treatment. You may need to have M.R.I.besides other routine tests for confirmation. Wishing for a quick and comfortable recovery. Best wishes.

The conversation between human and AI assistant. [|Human|] Hi there, I have a red rash all over my body - when I itch it leaves red marks, and it has not responded to anti histamine . I thought it might bean allergy to washing powered, but even parts of my body not in contact with fabric are itching. It started as a bumpy, blisters rash between my fingers and ow my whole body. I am worried I might have shingles again? Thank you for ay advice you can offer. [|AI|] Hi, Thanks for writing in. The rashes can be contact dermatitis, insect bite reaction, dermatitis herpetiformis, chickenpox etc. Apply cooling and soothing lotion like aloe vera over the area. Shingle occurs in particular dermatome, and it would not spread to all over the body. Take tablet fexofenadine 180 mg twice daily.Also, oral steroids can help a lot in stopping the spread of the lesions. Hope this helps. Regards Chat Doctor.

The conversation between human and AI assistant. [|Human|] I stayed at a friend s house and woke up itchy. Later I got huge itchy red welts all over my arms,some on my stomach, neck ,legs, hands and feet also. I went to the doctor and am now taking antibiotics . Please tell me it wasn t bed bugs or at least that they don t travel after they are fed because i m really hoping that I left it at her house. Also, there was more hours later that day. [|AI|] Hi there. There is possibility that you may have eaten something you are allergic to like nuts, eggs, certain fish etc. Also lying in a bed with allergenic bedsheets or bed clothes can cause allergic wheals on the parts of the body exposed to the bedclothes. It could also have been an allergic reaction to an insect bite. You can take Tablet Cetirizine and you may need a steroid shot as well. Kindly consult your Doctor in this regard. Kindly get a consult at an Allergy clinic to find out what you may be allergic t so that you can avoid the same. This is the only way to prevent such attacks again. Wishing good health.

The conversation between human and AI assistant. [|Human|] I am taking levoxyl and cytomel for hypothyroid. I had a physical with my general practitioner and she tested my blood and found that I was low TSH and my liver enzymes were up a bit high. Will that clear up once my thyroid levels come back to normal? [|AI|] Hi, dairy have gone through your question. I can understand your concern. You have hypothyroidism and mild liver damage. Your TSH level will come back to normal once your thyroid hormone become normal. But you should search the cause of high liver enzymes. Hepatitis, alcohol, Chat Doctor. You should search the cause and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.

The conversation between human and AI assistant. [|Human|] hi,i am xxxx..age 26 years..i have been suffering from psoriasis for 5 yeas...today I noticed that it spraed in my back portion..doctor told me that it is treatable but not curable..it feared me a lot...if it spread all over my body...can you please suggest me if that is not curable..how can I get rid of this??my email address is YYYY@YYYY ... [|AI|] Hi, I can understand your concern for psoriasis which is spreading to entire body. Psoriasis is a long-running disease and needs proper best treatment. It is due to fast renewal process of the skin. Methotrexate is the mainstay of the therapy but has its own blood and liver related side effects. Always take it under dermatological advise otherwise can cause serious side effects. You should start it after dermatological supervision and complete blood counts and liver function tests. Topical steroids such as clobetasol can be used in combination with moisturizing cream. Take care.

The conversation between human and AI assistant. [|Human|] I am currently on blood thinners as I have a history of blood clots. I have had a back ache on my left side for over two months now, while camping a month I tripped over one of our dogs on a down hill slope, I slammed my forehead which went back and I heard a pop in my neck. since then I have had head aches every morning, night and in between. they are from mile to moderate with terrible cramping in my neck. I have since developed cramping in the joints of the left side of my body, which includes fingers, arm, elbows, shoulder, neck, etc. last night at work I got light headed, with a headache, weakness, and felt as if I was to pass out. Again, I still have the left pain/back ache for the last two plus months. could this be related to my blood clots, or something else? And when I fell and snapped my neck a month ago could this have made things worse? i can t even spell it but it is authritis in the spine where the cushion has disappeared and it is bone on bone. [|AI|] you must undergo thorough check up by an orthopedic. A few x-rays? MRI spine may be needed. You may be requiring anti-inflammatory medicine like naproxen and certain precautions for neck and spine which may be decided after diagnosis by orthopedic doctorArthritis is due to degenerative changes in joints commonly which should be diagnosed early to enable doctors to control them early and prevent disabilities for future Best Wishes,

The conversation between human and AI assistant. [|Human|] hello. i had redness around my gums which lead to severe pain later on. after a day or so i ended with some swelling on the outside of my face around my gum area. i have started taking anti biotics and brufeon with that i use a mouth wash. but i am still concerned because i have spot like things coming up on my gums. could you please advice me. will this get better or should i do something else. [|AI|] Hello, Thank you for consulting with Chat Doctor. There can be two reasons for this gum and face swelling and spot. First it can be possible that the tooth might be infected of that region, which has formed an abscess in the apex and a swelling with collection of pus. For this you have to go for root canal treatment of tooth as medications can not relieve it. Second it can be possible that there is an abscess of gums called as gingival abscess, for this also you have to visit a dentist. Hope it will help you.

The conversation between human and AI assistant. [|Human|] hi doc, my mom is 71 y/o, just had her labtest this morning and the result of her sgpt/alt is 106.4, according to the blood chem result normal value should be 4-38 IU/L. could you please give me the answer to her lab. result?by the way here are the results of her other labtest: FBS 103.9, cholesterol 202.4, triglycerides 64.4, HDL cholesterol 72.5, LDL cholesterol 117.0, BUA 7.4, creatinine 1.3. Thank you so much. [|AI|] Hi thanks for contacting Chat Doctor... Noted liver enzymes value high.... Your moms total cholesterol high... But triglyceride within normal limit and LDL mild elevated.... But your HDL that is good cholesterol are high. So regarding cholesterol no need for much worry.... Investigate your mother case with USG to rule out gall stone or steatohepatitis like condition if present.... If your mother having positive cardiac history in past then it also can lead elevated enzymes. Malabsorption syn Chat Doctor. . If needed and omitting, malaise, headache, fever like presentation viral market study done to rule out viral hepatitis.... Take care.... Consult gastroenterologist with keeping this in mind...

The conversation between human and AI assistant. [|Human|] my mom has ascites and she is 74 years old, what other options of treatment are there to keep the fluid from coming back. She has drained 3 liters of fluid off twice. she doesnt want to go through that procedure again because of the pain. when the weather changes she can feel where she was stuck to remove the fluid. they are also saying that she has a tumor on her ovaries and think it is some form of cancer. she refuses biopsy because she is too weak. she has no pain other than where she was stuck by the needle to drain the ascites. [|AI|] Hello user, The ascetic fluids your mother is getting, are due to the secretions from the layers around the tumor, whicChatDoctores back sometimes, and the pt may require regular ascetic tap !! You are hereby advised to meet with an oncologist for terminal or palliative treatment for her tumor, according to type of tumor, which can be detected by biopsy/ excisional biopsy of the ovarian specimen. Hope my advice helped you. Regards Chat Doctor.

The conversation between human and AI assistant. [|Human|] Hello! My name is Lupascu Vasilica and i have a son. He has 27 years old an he was diagnosed with: Skin neuroimaging suggestive of hippocampal dysplasia third bilateral anterior and middle and mega cisterna magna. I would like to know if you can help him and how much does it cost.Thank you! [|AI|] Your best bet for information on cost is to check with the doctors in your geographic area since it depends on what type of procedure would most benefit your son. You would need to provide more information on his clinical symptoms since it may be the case that despite radiographic findings-not "fixing" anything could be the best option. For example, is he suffering from some type of neurological deficit, weakness/paralysis on one side of the body or the other, severe headaches, mental slowing or retardation, other cognitive or neurobehavioral types of disorders? You may write to me at: www.bit.ly/ Chat Doctor. Please rate this a 5-STAR ENCOUNTER. Many thanks.

The conversation between human and AI assistant. [|Human|] Have bronchitis...3 weeks now...started as cold-sinus, went to ENT and he gave me Levequin, inhaler, cough syrup etc. Had a bad coughing attack on Thkgiving day...ER, abuterol treatment in Er...followed up back home...coughing up quite abit of green phlem, long thin and dense ( about 1 inch by 1/4 inch) and thick...lots of coughing. Dr gave me a nebulizer and abuterol vials...has really helped but a few days before I started the treatments I cracked the 9th rib on the right side from coughing. I ache all over...my shoulders, delts, across the chest and now the ribs. This is the pits...any thing else I should know? [|AI|] Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done1. Chest x ray2. Sputum culture and sensitivity3. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis. Since you are on antibiotics and inhalers, but still not improved with cough and started developing green phlegm, all these suggest possibility of pneumonia. So better to rule out this by chest x-ray. Also get done sputum culture to identify the causative organism, And antibiotic sensitivity to Guide therapy. This will prevent haphazard use of antibiotics and thus improves outcome and fastens the recovery.

The conversation between human and AI assistant. [|Human|] Hi, I m 36 and most of my teeth are in very very bad way. mostly the rear teeth. Either I have missing ones though rotten away or half teeth where the filling has fallen out. I live with pain on and off most days, strugle to eat and talk to people so the people I know don t see my bad teeth. I really need to see a dentist to sort my teeth out which I think will result in extrations. I feel sick just thinking about it and I just can;t bring my self to get to a dentist. Can I try anything [|AI|] Hi, the condition you had written in the query is really critical. You need a dentist and proper treatment. nowadays the dentistry is completely painless. Please do not have any fear in your mind. Just visit and get the proper diagnosis and treatment. Extraction is one of the alternative but not for all.... with so much of advancements in dentistry nowadays, it is quite easy to save a tooth. There is no other way out, by taking palliative treatment you are advancing yourself to the extraction of tooth. I am sure if you visit dentist once you will get the confidence and trust. Best of luck. Thanks,

The conversation between human and AI assistant. [|Human|] Hello Doctor, Hope you are doing good. My name is Chitra, 26 years old. From the time of puberty(which was 15 years back) I am having irregular menstrual cycle. And from the time I am under medication. Initially I was told that due to early age puberty my periods are irregular. And it used to be vast.. Either when I get my periods it will last for 15-20 days and when I stop it using tablet it will not come again for months. I have consulted around 4 doctors in this 15 years and found that I have PCOS and so far my period was not regularized and in continuous treatment. My Gynecologist said that many women have this issue and it will get alright for some once they get married and have a child. Now I am married for 4 months and I was under medication till last before month. I was having Duoluton tablet and my Dr. asked me to stop this birth control after 2 months of marriage and to start having Hyponidd for 6 months which will help me conceive. I stopped Duoluton last month and started having Hyponidd, but missed my period which was supposed to be on 18th May 2014. I even had a pregnancy test and it was negative. Unfortunately after marriage I moved to USA and couldnt have a personal consultation with my Dr. and also could reach her through phone only by next week since she is in abroad and not in India now. Now I am confused as to what would be the best treatment for me from now on that will help me getting conceive. I am also obese since I have gained so much weight before marriage due to computer job, heavy mental stress due to family issues and in addition with PCOS. Now I am a house wife and also away from mental stress and family issues and here in USA I am trying to workout atleast thrice a week in treadmill and cycling for 1 or 1.5 hours. But I feel difficult to reduce it now, still I am trying hard continuously. For sure I know reducing my weight will slightly help me. But apart from that what would be the treatment I should take further? Is that a personal consultation with doctor compulsory by this time and if yes which specialization doctor should I consult? It will be of great help to get an answer and I am worried if I will get pregnant and make my husband happy who loves me a lot. Thank you! [|AI|] Answer: Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1) You need to get your hormonal profile done. 2) Take high fiber food along with diet and exercise.3) You need to consult an infertility specialist for proper guidance.4) It is necessary to see a doctor personally as PCs is not a disease that can be cured with medicines alone.5) Do not worry. With proper and regular medications, you will be able to conceive. I hope this answer helps you. Thanks.

The conversation between human and AI assistant. [|Human|] My 4 month old boy has a mild reddish left eye and tears/ watery alot. Some crust, but we think is normal. It s been like this for three months! Is this a blocked tear duct or something worse? Also, we just switched from a crib to a pack and play for sleeping arrangements for baby boy, since then , we ve noticed red bumps/ pimples on his head only! He will have them for up to five days, then they go away on there own, almost like bug bites, but don t think they are. Is it possible bumps are allergic reaction to new mattress/pack and play? Thanks - jake [|AI|] Hi, you don't have to worry. The eye discharge is due to narrowing or blockage of nasolacrimal duct, you need to massage the nasal bone near inner part of eyelids for 1 to 2 minutes 5 times a day, and it will gradually improve in 2 months. Secondly, the red rashes appear to be allergic, you have to change cushion cover, and it will be fine. I hope this has helped you. Wishing your child good health. Take care.

The conversation between human and AI assistant. [|Human|] I have many vague symptoms, Weight gain, tiredness, lethargy, fuzzy confused thinking difficulty in thought process at times, joint aches and muscle aches, involuntary muscles twitches Plus lower back ache that comes around left hip into groin area [|AI|] Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, we should definitely rule out hypothyroidism in your case. So get done thyroid function test (Serum TSH, free T3 and T4). If all these are normal then no need to worry about hypothyroidism. Start exercising and follow healthy diet. Avoid stress and tension, be relaxed and calm.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

The conversation between human and AI assistant. [|Human|] I HAVE BEEN COUGHING UNCONTROLLABLY AT NIGHT AND AT TIMES DURING THE DY, IT CHOCKS ME AND I CANNOT SLEEP BECAUSE EVERY TIME I lay down I start coughing again what can I do to stop this. I happens at work and other places and people think I am sick but I m not. what can I do? [|AI|] Thanks for your question on Chat Doctor. Coughing especially in night can be seen in many causes but most commonly seen in 1. Cardiac diseases like left ventricular failure2. Asthma3. Lung infection. So I advise you to consult pulmonologist first and get done chest x-ray and PFT (Pulmonary Function Test) to rule out asthma and lung infection. Also get done ECG and 2D ECHO to rule out cardiac failure and other valvular heart diseases. Start antihistamines and get done these tests.

The conversation between human and AI assistant. [|Human|] Hi, may I answer your health queries right now ? Please type your query here...My daughter is 4 years old, fell down from bed accidentally, hit her mouth on the floor and had her upper lip cut. Bleeding stopped but she had a cut in upper lip and a large swelling. Can I use metrogyl DG Gel in the area, and what else I can give her. She is not complaining of any pain. There is no fever whatsoever. [|AI|] Himetrogyl DG gel contain metronidazole -an antibiotic used for preventive or therapeutic for anaerobic infection. There is Little Chance of getting anaerobic infection this highly vascular lip. So by applying it will be very little useful. Topical cream of gentamicin g can be given if the cut is deep enough to produce infection. If the cut is not deep much, no other antibiotic required. You should give some anti inflammation medication (ibuprofen) to reduce swelling and pain.

The conversation between human and AI assistant. [|Human|] If one became addicted to large doeses of oxycotin prescribed because of pain associatied with a fracured pelvic (misdiagnosed as bone cancer), then had to take methadone to treat withdrawal symptoms, is it OK to take hydrocodone with tylenol 3 years later without becoming addicted again? [|AI|] Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised As you had a bone fracture which was misdiagnosed with bone cancer and on a medication for long it is not advisable. As medication should be utilized only when the pain is unbearable. Also, too much medication will lead to kidney damage and I fear the physician will take a chance. Physical therapy is a parallel treatment for reducing pain and the majority of patients in my clinical practice have been helped. I wish you the same from you. RegardsJay In Chat Doctor.

The conversation between human and AI assistant. [|Human|] Hello Doctor ! 2 days back I had a sever spinning of my head while sleeping with restlessness & sweating . Checked in nearby hospital Doc suggested me to take Virtin16 two times a day. ECG was ok , Blood sugar was ok , I am also taking BP medicine Benetec H 20 since last 3 years . Also checked my Ear with ENT Doctor . He advised me to take Virtin16 alon with Nuromet cap 1 per day . In place of this cap , I get Mecofol plus nf . Please suggest me should I take this Cap in place of Nuromet ? Also suggest me for what purpose this medicine is ? Any side effect ? What you suggest for next course of action . Rgds Sanjeev [|AI|] **1. Since blood sugar and EKG came normal, thus probably could be vestibular symptoms for which medicine is given, but since you are taking blood pressure medicines, it may be excess dose or postural hypotension, you may ask your doctor to adjust the dose or use a different Chat Doctor. 2. Alcohol plus NF is a class of nerving tonic [nootropic] and is a combination of multivitamins and minerals essential for normal body growth. You can safely take it as a regular supplement, and since taking it in oral form thus few adverse

The conversation between human and AI assistant. [|Human|] I went to an urgent care center yesterday for cough and shortness of breath. I have a history of asthma. In the process of being worked up they ordered a d dimer test which turned out to be positive. They then sent me to have a CT of chest. They said that the CT was negative for a PE but that my lymph nodes in my chest were enlarged. He suggested that I wait 3 months and have a repeat CT of the chest. He put me on a zpack just in case of infection even though I don t feel sick. I attributed my symptoms to breathing all the smoke from 4th of July with the fireworks. I am an RN and now am worried more about lymphoma and wondering if 3 months is too late for a follow up. [|AI|] As u have a history of asthma I think most probably it was the exacerbation that caused the shortness of breath. D-DIMER test although positive the CT chest turned out to be negative for an any pulmonary embolism. The lymph nodes may be due to tuberculosis if their us any necrosis mentioned however they won't cause any breathlessness of acute nature. Kindly see a good chest physician for further queries and thorough examination

The conversation between human and AI assistant. [|Human|] I have a pea size lump that moves around near my elbow. The lump doesnt give me pain but if I put any pressure on my elbow it hurts a lot. The pain in the elbow is getting worse over the last couple of days. I only notice this issue they last two weeks. [|AI|] Hi, The lump near your elbow appears to be boiled/ fur uncle / or infective origin, which resolves on its own in 2 weeks time. I would advise following treatment under cover of your PCP doctor-Antibiotics /Anti-inflammatory Chat Doctor. Cold compresses x 2-3 days time. Hope this would resolve your query. Welcome for any further query in this regard to Chat Doctor. Write good review and hit thanks if this reply is helpful to you. Have a Good Day.

The conversation between human and AI assistant. [|Human|] What is wrong with me? I have been experiencing: Severe fatigue, some nausea, headaches, slight dizziness, temperature changes. Over the last 3 days. I don t know what is wrong with me. I have been very stressed. I have been paranoid of contracting a possible STD, its been 5 days since I have had sex. Also I think I could be lacking vitamins or something needed. What do you think may be causing me to feel this may? I really appreciate any help. Thank you. [|AI|] Thanks for asking in Chat Doctor Forum In short: Urinary tract infection may cause these symptomsExplanation: You have not mentioned your age and sex and any discharge from your genitals. You have mentioned that you had sex 5 days back with the above symptoms. If you had sex with unknown person STD is a possibility. Don't get panic, be calm and pay a visit to your local doctor and get yourself examined and tested for Urinary tract infection and STD for the relief of your anxiety. Good luck

The conversation between human and AI assistant. [|Human|] How worried should I be about the possibility of getting pregnant at age 48 from one night of unprotected sex with my husband - one week after the first day of my last menstrual cycle? Had my son at age 44 -conceived naturally after 4 years of unprotected sex. [|AI|] Hi, How are you doing ? From worldwide studies & my personal experience I feel you need not be worried at all. 45 yrs is age of the eldest mother in world. But miracles do occur. But in your case another factor going against chances of pregnancy is the day of periods. Ovulation occurs around Day13-15 of the period. Day 1 being firs day of bleeding. Life of egg is only 24 hrs & life of sperm is only 3 days. So there is no chance a sperm would have survived from Day7 till Day 13. All these facts put together Pregnancy chances is nearly Zero Hope I have clarified your overall the best Chat Doctor.

The conversation between human and AI assistant. [|Human|] My husband is 67 years old and has vericies from his liver not functioning, had eight liters of fluid removed from his belly several times recently and is wondering if swimming in salt water pool is detrimental and cause him to retain any fluids? Sorry that I misunderstood when I was reading the terms as I saw the word free and should have realized that nothing in life is free, especially in the medical field as I deal with this world daily with my husband needing a liver transplant and my twenty two year old son with Ewing Sarcoma, never anything free....sorry I bothered with a question but as a retired teacher, I understand that everyone has to make a living by charging for answering questions.....have a good week... [|AI|] Hi, Thanks for posting your query. I am Chat Doctor. K and I am pleased to assist you. No swimming in salt water will not lead to fluid accumulation in the abdomen. But taking salt in diet may lead to accumulation of fluid in abdomen in a patient with decompensated cirrhosis. Salt restricted diet and diuretic pills will help in removing the accumulated fluid. I hope that answers your query. Regards.

The conversation between human and AI assistant. [|Human|] my son is 6 months his xray report questionable enlargement of the cardiac silhouette. clinical correlation is suggested. questionale lucency over the skull in the occipital region. etology is not clear. it is not clear if these are sutures... please someone translate this for me, i am worried! [|AI|] Hi, Can you tell me why the x-ray was ordered? Report says in chest X-ray, there is doubtful engagement of the heart, and in skull X-ray there is doubtful lucency on the back. The lucency mentioned in skull X-ray can be taken as normal at this age, as skull sutures are yet to fuse together. To comment on heart enlargement, which is doubtful only, we need clinical details like any breathing/feeding difficulty, excessive head sweating while feeding, abnormal heart sound on examination. Your doctor will explain in more detail. Hope I have answered your question. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] ear Sir,I am 26 years old and have not done sex with any girl. I will be married this year and i am too much worried about sex life with my wife. I have a problem of masturbation & ejaculation. I use to masturbate daily and always i like to rub my penis on the mattress of my bed, thinking like a girl is down and you are on top of girl and doing sex with her. If anyday i will stop to masturbate, the next day it disturbs my mind. It is like my penis is forcing me to do the erection and masturabte and once i have ejaculate my mind will be ok. Doing masturbation every day my penis has a hard erection but sometimes i feel my penis is very soft even in a erection also. I got a habit of doing masturabtion once daily. Please help me to stop this daily.Secondly, from the age of 18 i am doing masturbation daily but my semen was always comes in white color and it was thick but nowadays my semen is coming out very thin and it is like a water and it is less, i mean if the normal semen is about 5ml then maybe i am getting near 3ml. What should i do now? Please help me to stop daily masturbation and to get my semen thicker with a 5ml also. And with these problems if i will have a sex with my wife, is this semen like water is ok for my wife to be pregnant and to make a baby? And is my penis with softer erection is enough to satisfy my wife while doing sex? [|AI|] Hello, Masturbation does not cause any health issues. Yes semen becomes thinner after every act. You can avoid this action by keeping yourself busy with others and some productive stuff. Do not let yourself alone at home. During alone time keep yourself busy in some hobbies you like. Eat healthily and do regular exercise to build up some stamina. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.

The conversation between human and AI assistant. [|Human|] I am 45 year old woman and suffer from severe anxiety but my blood pressure is always ok normally 110/74 or there abouts but I suffer from light headedness and I was convinced it was my blood pressure but my doctor says its anxiety I am really worried and its affecting my whole life I rarely go outside the house. Thank you [|AI|] Hi, I think your doctor is right. It's a good thing that your blood pressure is normal. What you need now is accepting the situation and living with it. Anxiety management is first of a personal decision, and you see if you decide to live and be happy in life with yourself, most of the symptoms will degrade on their own. It would be advisable to spend more time with your loved ones, avoid isolation and maybe involve your self in some physical activity or group activity that you enjoy. Answer if not well managed could lead to depression. Chat Doctor. It could be advisable at some point in time to discuss with a psychologist and a psychiatrist, but the key of the treatment depends on your personal effort to motivate yourself, avoid isolation and take your

The conversation between human and AI assistant. [|Human|] My step daughter is visiting on vacation. We were having our nails done and the place smelt strongly of chemicals. Here finger got a small cut and they put something on. At that moment, she says she got dizzy, couldnt see and got nautious. I took her outside and had her sit on the ground. She lay down for at least 10 minutes until her dad arrived and we took her home. She has low blood pressure and anxiety, and she has had panic attacks in the past. When I Googled her symptoms, it came up with panic attack. I had just finished telling her that when my husband showed up, asked her what was wrong, and she began to cry. Does this sound like a panic attack to you? [|AI|] His understand your concern. It is basically stress reaction due to injury. Everyone has that type of reaction for a while got injured.These symptoms arise due to sympathetic hyperactivity and nor epinephrine dishrags from brain. But gradually it will decrease by time. No need to do extra treatment. It is not panic attack. Just do support to her and explained to her how this all occurs and common reaction. Strengthen her confidence. Thank you.

The conversation between human and AI assistant. [|Human|] Good day!I have a question please help me to explain the result of my husband s x ray..I don t really understand what does it mean..There are no active pulmonary infiltrates.Both lungs are hyperaerated.Pulmonary vascular markings are within normal limits. The heart is not enlarged. Aorta is unremarkable.Trachea is midline. Sulci and osseous structures are intact.. Impression:Pulmonary hyperaeration,Bilateral Does it mean that he has a Tubercolosis?? [|AI|] Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the x-ray report you have mentioned. No need to worry about tuberculosis because there is no consolidation or infiltration. Pulmonary hyperaeration means his lungs are hyperinflated. And this is commonly seen with smokers. So if your husband is active smoker then he should quit smoking immediately. Nothing is suggestive of tuberculosis so no need to worry. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.

The conversation between human and AI assistant. [|Human|] i have pain under left breast toward the side in rib area it feels like when i try to pick something up or try to reach for something it feels like a crack rib or something .makes me mad because i did not do any thing to cause this YYYY@YYYY [|AI|] Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you get pain when you bend over the left side than it is totally a muscle weakness and some tightness of the intercostal muscles. Performing regular stretches and breathing exercises should help relieve the symptoms. Also, the inner garments shouldn't be worn tight as this may lead to muscle tightening lead to weakness. Majority of cases in my clinic who has similar complaints are just a muscle weakness and tightness. With simple physical therapy they respond well. RegardsJay In Chat Doctor.

The conversation between human and AI assistant. [|Human|] I wanna know the side effects of melaglow cream.I have been using since a week on doctors recomendation... Even if I get exposed for sun just for 5 mins my face gets tanned easily and have been using sunmate cream since 2 months.doctor had told me to continue it for 2 more months and m to use melaglow cream at night [|AI|] Hi, Based on the history you have shared, it's better to use recommended sunblocks in such cases if your skin is prone to sunburn so quickly. Any formulation above SPF 30 is better however dermatologist review should be sought for a long term solution. Meanwhile, you can continue the formulation you are using. Pigmentation creams are not required for long at this stage. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.

The conversation between human and AI assistant. [|Human|] hi my name is andrea and my right kiddny is smaller then the left one. the right one is 9.8 cm and the left one is 12.1 cm. i just want to know if this is something i should worry about and if this coud cause my higy blood pressure? i also have itp could it be because of that? i was an prednison for 1 year. than you for your time. [|AI|] Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. No, this is not something that you should worry about since this is normal variation of kidneys size and two kidneys are never the same size. Only if this is larger than 14 cm or smaller than 6 cm it may indicate some disorders. Also, it will not affect your blood pressure unless there is some parenchymal kidneys disorder and for that to evaluate, the size itself would not be sufficient. You should do additional:1. Doppler's ultrasound and blood flow measuremnet2. Blood urea and creatining3. Holder blood pressure measurement. These tests will show if blood pressure is determined by kidneys or heart function and then you'll have more info about how to treat it. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.