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The conversation between human and AI assistant. [|Human|] i hav got irregular periods and took treatment for that..i was given clomiphene for induction..on day 16 follicle on rt was 20mm..my partner is in different state..we mated on my day 17..on day 20,follicle ruptured and there was free fluid in pod..my doubt is that when could have ovulation taken place?for how many days after ovulation will there be fluid in pod?plsss answer me [|AI|] Hi, Welcome to Chat Doctor . . To tell exactly when ovulation has happened you need to get daily ultrasound. Fluid in POD remains for 1 to 2 days and gets absorbed later. Since you have mated on day 17, and you have ovulated somewhere between day 17 to 20 that should not be a problem. Because sperm stays for 3 to 4 days in uterus. Anytime in between egg formed if other factors are normal fertilization occurs. Hope I have been helpful. Regards Chat Doctor.

The conversation between human and AI assistant. [|Human|] the liquid toched my sex organ wil i get pregnant .if i what to eay? i am 17.16o ht.54 is wt. [|AI|] Hi Dear, Welcome to Chat Doctor. Your question is not clear. I presume you mean seminal fluid touched your sex organ. You have not mentioned the date of your last period. If it was in the first week of your period or a week before you were expecting your period, then it is unlikely that you could get pregnant, which is called safe period. Even in unsafe period if the seminal fluid did not enter the vagina, then you are not likely to get pregnant. If the fluid entered your vagina possibility of becoming pregnant is always there. In such case if you miss your next period then you will need to do pregnancy test with urine, to find out if you are pregnant.Don't worry most likely you will get your next regular period, which will exclude pregnancy. All the best.

The conversation between human and AI assistant. [|Human|] Hi doc, I am 6 weeks and 4 days pregnant. I have been spotting for the past weeks. i had an ultrasound today and my doctor told me he is not happy with the amniotic fluid which is less. I could see the baby and the heart and he said the baby is alive. my question is what can i do to increase my amniotic fluid and is this a problem for the baby? My last ultrasound was on thursday when i was 5 weeks and 6 days and doc said the size of the sac looks fine. my hormone levels at 5w6d was progesterone - 22.57 and ChatDoctor - 12174. do you think this is a viable pregnancy? [|AI|] Hello dear, I understand your concern. In my opinion the amniotic fluid is not much concerned at this gestational age. The parameters like crown rump length, fetal pole, yolk sac, cardiac activity and placenta might be important. But as you have spotting the causes for it like any hormonal imbalance like thyroid abnormalities, progesterone insufficiency, any cervical bleeding etc. should be ruled out. Avoid physical strain and intercourse. Take rest. Take adequate fluids up to 3 liters per day because deny Chat Doctor. Also take high protein diet. Best regards...

The conversation between human and AI assistant. [|Human|] Hello nice people,please iam living in hell since almost one year,help me please,since one year i had a risk with a woman,i gave her oral sex ,i tested after that risk for 6 months anti HCV and it came back negative,i repeated the same test after 3 more weeks and it came back the same,can i move on and forget everything? [|AI|] Hi there, you can stop worrying and live your life to the full. Is it hepatitis C that you are worried about or is it something else? Usually reconversion takes place by 6-8 weeks after exposure, and you would test positive for the infection after that so as the episode occurred a year ago, and you have tested negative on two occasions it is unlikely for you to have got infected during that episode. In the future you would like to be a little more careful and spare yourself this mental trauma. For now, you can be rest assured that you are fine if you have not tested positive on two tests even after a year of exposure. For the future take care!

The conversation between human and AI assistant. [|Human|] Hi, I am 27 years old. Earlier I used to do masturbation 3 times a day slowly it decreased by keeping scheduled busy but still cant control. Now a days I do once every two weeks if sitting without work. will it effect my health. Doctor says am having uric acid problem.Is it because of this. Will it effect my marriage life.having sex with future wife and having no children. My tummy is getting increased is it because of masturbation. pls advise [|AI|] HelloThanks for query. Based on the facts that you have posted it seems that you have been indulged in frequent masturbation since many years and now worried about problems related to sexual activities in the future.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are anticipating to face in future now are mind related and due to anxiety. Following measure will help you to boost up your confidence and getting good erection and delay ejaculation. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. The increase in size of your tummy can not be due to masturbation but may be due to over eating and sedentary lifestyle. Chat Doctor.

The conversation between human and AI assistant. [|Human|] my daughter just found out her bladder is full of stones. This was determined by an ultrasound test. The issue is, she underwent a gastro bypass about 7 years ago, and how would this problem with her gallbladder affect her should she elect to have surgery to remove the stones? [|AI|] Good morning I am sorry to hear about her ill healthGallstones without symptoms like stomach pain would generally be observed without any further treatmentGastric bypass surgery would definitely have caused weight loss in her in last 7 years Now weight loss and previous obesity are very strong risk factors for gallstone disease Hope this would answer your question would love to answer your future queries if any

The conversation between human and AI assistant. [|Human|] My son was running in a cross country event when he started to have problems with his asthma. (This does not happen very often.) He completed his race and then used his inhaler. It took awhile to work and his right hand began to cramp up and feel numb. His hand was not cold and when we pressed his fingernail it turned red quickly showing that there was blood reaching his fingers. After his breathing was under control the feeling began to come back into his hand and it uncramped. What could of caused this? [|AI|] Hi, Asthma problem may be the cause for his numbness and cramp due to decreased oxygen supply. Usually before any exercise or sports better to give one puff of inhalation Chat Doctor. This will prevent his symptoms to appear. Sports or activity may act as a trigger for asthma attack. Daily montelukast will also help in preventing exercise induced asthma. Hope this helps you. Feel free to ask for any further queries. Regards

The conversation between human and AI assistant. [|Human|] hello dr. this is satish iam 24 years old and i am hbs ag +ve and hbe ag +ve. i dont knot when it attacked, two years back i was tested by blood its hbs ag +ve at that time i dont know about this disease . few months back i met an accident i tested my blood and doctor told me that its hbs ag+ve. and he said there is no cure. sir i want to know what will happens with this disease, and when will i effected ? and is there any cure in medical science or in ayurvedic treatment any thing else so please guide me [|AI|] Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read you question completely, I understand your concern and will try to help you in the best way possible.First, I hope you world have a speedy recovery the accident you had recently. The brief details you have shared refer to as, you have been diagnosed recently, incidentally as having hepatitis B infection while having a blood screening for your other issues. Since it was incidentally found, it means it has not given you any problem in the past, that is why it was left undiagnosed until now, and it is good news. Hepatitis B virus is among the few causes of chronic liver disease, and currently some antiviral

The conversation between human and AI assistant. [|Human|] I started my period last weekend on Saturday 2/22/14 and then it stop then on the night my period stop , I had unprotected sex but he pulled out before he came ,then in the middle of the night I started to bleed , so I put a pad back on and a lil blood was in there when I woke up , now I only see a lot of blood when I wipe but I see lil blood on my pad every time I where now . Is it possible that Im preg??? [|AI|] Hi and thank you so much for this query. It is very unlikely to get pregnant by having sex on the same time your menses stopped flowing. There is just no egg that can be fertilized at this time. Bleeding is probably related to the intercourse and nothing else. Though it is unlikely that you get pregnant this time around, I strongly recommend that you talk to your doctor about contraception. He would help you to adopt and use correctly a method of contraception to help prevent unwanted pregnancies. Please, protection during intercourse also help prevent against sexually transmitted infections. Please, always consider using them each time you have sex. I wish you the best of health. Hope you find the above helpful.

The conversation between human and AI assistant. [|Human|] Hi, I have noticed that every time I wee it burns a little and every time i finish i feel like i need to go again but there nothing coming out. I have now noticed that there a little bit of spotting of blood. I took the morning after pill around a week ago, is there something i should be worried about? [|AI|] Hellman and blood in urine may be due to many reasons like urinary tract infection(UTI), calculus in kidneys or ureters etc. You need clinical correlation and investigations like routine hologram, renal function test, urine RE/ME, Urine culture and sensitivity and Ultrasound of abdomen. Ultrasound of abdomen and urine RE/ME is most important in your case. Proper treatment depend upon findings. It is important to exclude prostate enlargement in males because enlarged prostate may give rise to sense of incomplete emptying. Get well soon. Take Care Chat Doctor.

The conversation between human and AI assistant. [|Human|] My sister (21) just suffered from cardiac arrest about 3 hours ago; she is an asthmatic and was experiencing difficulties breathing . She was taken to the ER and that is when her heart stopped. The doctors said they performed CPR for about 5-10 mins before the heart began beating again. She is now in ICU on a ventilator and being sedated. The doctor stated that there is a possibility of brain damage and I m scared. What extent of damages should be expected? Was 5-10 mins too long of a time period? [|AI|] Thanks for coming to Chat Doctor for your query. When there is cardiac arrest, there is cessation of blood supply to different organs in the body including brain. If the duration of cardiac arrest is sufficiently prolonged (>20 mins)- there is very high chance of brain injury. For shorter duration of cardiac arrest, outcome is difficult to predict. From the description given, she had cardiac arrest in ER (and thankfully not on the way to hospital). In-hospital cardiac arrest has better outcome than out-of-hospital cardiac arrest, as prompt treatment was given. In your sisters case - the next step over next 48-72 hours will be tried and get her off the ventilator and sedation and assess her brain function. Your doctor may ask for an MRI Brain/EEG to get some idea about any neurological damage. I hope I've able to answer most of your queries. Wish your sister good luck for complete recovery. Regards Chat Doctor.

The conversation between human and AI assistant. [|Human|] Why can I feel my spine through my abdomen?I had a ct scan to verify that its my spine but still have no answers.I am 5ft 3 146lbsI am 28 years old I was born with bilateral clubbed feetMy left leg went numb last november and I have been diagnosed with foot drop and fibromyaltia. I hav mid and lower burnigback pain all the time and weakness.I have been having unexplained abdominal pain. [|AI|] Hi. Thanks for your query and an elucidated history. Your history is so clear. It looks that you have a serious problem with your lower spinal column. There may be kyphoscoliosis which is giving you a chance to touch your spine through abdomen. This is the reason to have foot Chat Doctor. What you need is as follows::MRI study of the whole spine. This will the perfect diagnosis, and an evaluation by a Neurologist for nerve conduction studies, and Neurosurgeon to see the possibility of surgical correction so that your problems can be reduced or solved ...

The conversation between human and AI assistant. [|Human|] I have difficulty swallowing dry mean/dry bread. It always come back up but when it finally goes down I no longer have problems finishing the meal. I also have eczema...I researched something called Eosinophilic Esophagitis...a condition people with eczema who usually have allergies get. Is there a home remedy for this until I get to see a doctor? [|AI|] Hi, if swallowed food comes back even once its called as gastric reflux but if it happens repeatedly then it requires to be diagnosed so that we can understand what's actual problem. Now in your case if this is happening repeatedly then u need to see a gastroenterologist and yes don't try to search on portal to diagnose medical disease, although there are plenty of Information available on net but That's doctors job and u will never able to do that. Forget about eosinophilic esophagitis.

The conversation between human and AI assistant. [|Human|] HI,i AM 27 YRS OLD WOMEN.From last two months after 4 or 5 hours sleeping at night,I feel a tremendous pain in my chest just bottom the rob,sometimes it goes also in back side.I feel it strong at the time of bed movement.I also feel right upper abdomen pain at the same time.I have already visited a doctor and according to him I did many tests like USG of upper abdomen,chest x-ray,TC/Dc.Himoglobin ,liver functioning test and blood sugar test,here are also some problems found like in USG it shows that a have an enlarged liver with heterogeneous parenchyma.and my hemoglobin is slightly is 11.6. In Dc blood test neutophils is 72. Now I am also taking some medicines but there is no relief from wake up main.plz suggest [|AI|] Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Hepatomegaly with hepatitis? With Anemia with Necrophilia. You seem to suffer from some infective pathology besides hepatomegaly detected on USG. Fatty liver with NASH is the possibility, as you seem to be non-alcoholic as per the history. The inflamed liver tissue irritates the diaphragm which causes pain in chest while sleeping and movements in the bed. Get the tests for hepatitis done and fix the cause of this. Hope this would help you to reduce worry with your problem. Take care and wish you to recover fast and Live healthy. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS

The conversation between human and AI assistant. [|Human|] when I was 12 I fell flat on my back im 25 now and still have pain and I believe it s getting worse feels like my spine is stiff on the left side around the middle my hands feet muscles sometimes cramp and I now have bad posture also sometime when im bent over for a min or 2 it will get stiff on me and I have to push my back with hands to stand straight again it also feels like I have a ball or small piece of bone [|AI|] Your history reveals that when you fell there was a traumatic lesion at that time and may be some hairline fracture was also caused. Whatever it was healed without proper management. Stiffness in such joints cannot go without Yoga. It's in your own interest to learn it to live happily thereafter by gaining flexibility. On 21 June international day of Yoga will be held all over world. They will teach 35 minutes free yoga. Practice it later. Medicines and relaxants have only secondary support in it. Hope it helps you.

The conversation between human and AI assistant. [|Human|] How early can you see a baby on an ultrasound? i was looking up the dates, and when i had intercourse, it was in july, sometime before the 28th, the 28th is when i went for my ultrasound and said they saw nothing, And the blood test was negative, BUT my urine test was positive, is it because it was too early? thats what im thinking, cause i would only be two or three weeks when i went. [|AI|] Hello dear, I understand your concern. In my opinion usually the gestational sac is seen on ultrasound first. It is seen at 5 weeks in transvaginal ultrasound and a week later in transabdominal ultrasound. And fetal cardiac activity is seen around 6-8 weeks. As the urine pregnancy test is positive there might be pregnancy. I suggest you to repeat the ultrasound after 2 weeks. Nothing to worry. Avoid stress. Best regards... Chat Doctor.

The conversation between human and AI assistant. [|Human|] my mother aged about 58 years had a prolonged cough for more than 2 months . now though the cough has sudsided she has wheezing and sometimes dyspnea while inhaling. The sputum test done then reveiled no malignant cells . x-ray few calcified spot. suspecting allergic bronchitis ??? propable treatment options [|AI|] Hi thanks for contacting Chat Doctor.... Here you are diagnosed as allergic bronchitis ... In this case x-ray also shows prominent bronchovascular markings. . Wheezing can occur in bronchitis ... For assessing severity of bronchoconstriction spirometry done and according to which further management done ..... You might need bronchodilator therapy by inhaler form or nebulization... If allergic inflammation there CBC will show eosinophilic ... For which Allegra LC tablet needed ..... Take more water .... Avoid excess spicy and fried food. Smoking exposure avoided ... If headache and muscle ache present broken can be given ... Consult pulmonologist with keeping this in mind ... Take care ...

The conversation between human and AI assistant. [|Human|] Hi I have a lump about the size of a tennis ball but not exactly round in back of my right knee. Just under the back of my right knee actually, to the left side. It doesnt hurt but it is uncomfortable when I walk up stairs or get up from being on my knees. I appreciate your response. Thanks. [|AI|] HI, Welcome with your query to Chat Doctor. Based on the facts of your query - you seem to have Moran Bakers Cyst of the knee, under your right KNEE. Remedy-Get the USG and X-ray Knesset Second Opinion on the knee lump from Orthopedic Surgeon. Who would treat it accordingly as per the need of your case. Hope this would help you to plan treatment with your doctor. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS

The conversation between human and AI assistant. [|Human|] Two years ago I fell and broke my left thumb . After a short period of time I began to have pain in the scapula area in my back, then my left shoulder began having tremendous pain and limited motion in my left arm. I have had two MRI s and a torn rotator cuff was eliminated. It was determined that I have a bulging disc in the 5-6 vertebrae with a pinched nerve causing the limitation of motion and pain in my back and down my left arm to the left thumb. This may have been caused by the fall. Now I am having pitting edema in my left ankle. Also I have severe indigestion (which I feel is not connected) and I am not taking any medications. I did have cortisone injections in my neck which helped the pain for a short while, but is returning. Is there any connection with the swelling and the pinched nerve? [|AI|] Hello elmogreeneyes. Welcome to Chat Doctor .com. A broken thumb does not cause a pinched nerve at the c5-6 level. That is coincidental. The fall could have caused the pinched nerve at the same time that your thumb was broken. The nerve interactions of c5-6 may explain the pain in the left arm that radiates to the thumb, however, those nerve paths do not have a connection to the difficulties of your left leg. Unilateral swelling (swelling on only one side) indicates a disease process that is not related to your heart. Some causes of unilateral swelling include fractures, ankle sprain, thrombophlebitis (blood clot), cellulitis (skin infection), venous stasis dermatitis (skin infection due to pooling of fluid in the lower extremity). If your leg is hot and red, go in for emergency evaluation of your swelling, if not, contact your family physician for evaluation of your condition. Be well,

The conversation between human and AI assistant. [|Human|] i think i may have ovairan cancer, i have had consistant pain in my lower abdoman for over a year now, i had a blood test to check for ibs ect and nothing came up i have a appointment on monday for a vaginal swab. im affraid my doctor isnt taking me seriously a few of my family members have had ovarian cancer so it runs in the family [|AI|] Hi, Thanks for writing in. Since there is ovary cancer in your family, it will help to get investigated in detail. Please visit a cancer unit of a nearby hospital in your place and request for a complete cancer screening check with special emphasis on cancer ovary. Cancer screening includes basic investigations like blood tests, ultrasound examination abdomen and pelvis, mammography if required and a general check of head and neck and gynecological organs in females. For ovary cancer, it will help to get a detailed ultrasound scan of pelvis including a transvaginal scan which will help evaluate the pelvis in detail. You might also get your blood tested for ovary tumor markers and if found high go for more detailed tests to evaluate for ovary cancer. Please do not worry.

The conversation between human and AI assistant. [|Human|] hi sir i am mohammed i am working in dubai this year i am going to marry i have some sex problem my penies is very small 4.5" only not hard also please advice me can i take musli power extra and sheelajit gold capsule and i am using Tigar power enlarging men spray. [|AI|] Hello dear, The size of penis is genetically determined, and it does not increase after a certain limit. But one thing should be known that the size of penis does not determine the potency of an individual. So, do not get influenced by any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful. Though medications like Calls & Viagra increase blood flow to penis & maintains erection, it can be improved by having a diet rich in fruits, vegetables, fish, nuts & honey. Avoid stress...practice meditation.this helps in improving concentration & builds up the confidence level. Avoid smoking & alcohol. You can also do oil massage of the penis...it increases blood flow & maintains the erection. Wishing you a Healthy Life. Take care.

The conversation between human and AI assistant. [|Human|] I have stomach pains. A dull swelling feeling in my lower abdomen. Its been going on for 3 weeks now. my doctor prescribed amoxicillin. I am worried that he might have underestimated my problem as he didnt even take any scans, or even feel the affected area. Will amoxicillin be ok, and should schedule perhaps a stomach scan soon ? I might be over exaggerating, but i feel it might be a kidney, pancreatic or liver issue. Could the amoxcilin worsen any of the cases if it was a problem with any of the other organs? [|AI|] Hello dear, Amoxycillin will help if it was caused by a soft tissue infection. In this case, pain and swelling will begin to decline in 2-3 days. If not, we have to consider other antibiotics or other diagnosis, which will need a detailed physical examination and some investigations. So, if you do not get it better by two days, you can discuss this with your doctor. Need not schedule for higher investigations before that. Hope you will find my answer useful. Thank you

The conversation between human and AI assistant. [|Human|] Hi.. one of my friends is in the ICU, the doctors have not been able to diagnose the cause and they have put him on dialysis. His blood tests are normal parameters for all the checks, but his creatinine has been increasing, it was around 8 to start with and he has been under treatment in numerous hospitals for over the past one month, but it started to increase to 14 around 3 days back and today it is around 18. Could anyone pls let us know what could be the diagnosis.... [|AI|] Hello, welcome to Chat Doctor. I have read your question and understand your concerns. Rising in s.great tier has only one diagnosis-KIDNEY FAILURE(might be temporary or permanent). My advice to you is-1. If s.great is still increasing then it means that dialysis frequency should be increased. We cant allow creatinine to be raised like that. Patient may go into coma. So, ask your doctor about that on urgent basis.2. You have not mentioned any past history of patient or any clinical history. So, its very difficult to tell whether it's a temporary or permanent kidney failure. Hope it will be temporary failure and kidney recover gradually.Otherwise, if kidney failure is permanent then he has to undergo lifelong dialysis or renal transplantation.3. Repeat kidney profile and electrolytes daily and strongly avoid fruit juices and coconut water. Thank You.

The conversation between human and AI assistant. [|Human|] The baby is one month old. She is loosing her hair just above the fore head and skin in that area is also getting dried one. We are applying Almond oil to her body n hair. We dont understand whats the problem of her skin getting dried and hair loss? [|AI|] Hello. Thanks for writing to us at Chat Doctor. I would keep a possibility of infantile seborrhea dermatitis, which can present as greasy adherent scales, erythema on the scalp and is usually associated with hair loss. This condition is quite common in infants. If I was the treating doctor I would have asked you to use a 5 % certified based shampoo, daily or on alternate days. Cetrimide is antiseborrheic and antiseptic. In my patients, I usually also ask to use a moderately potent topical steroid e.g. fluticasone propionate 0.05%, twice daily, for faster resolution of the dermatitis. This is a prescription product and I would suggest that you seek an appointment with a dermatologist before trying it. Regarding the hair loss, it is completely reversible, and you need not worry about that. Regards

The conversation between human and AI assistant. [|Human|] Hello Dr. this is Daniel.My problem is that when ever i have to do something in front of my class(in college),be it getting in late or speaking even a single thing,i feel very nervous.My heart pumps like hammer strokes,breathing problem,but the thing that worries me the most is my mouth area,like it is not in my control & its trembling & bending of my lower lips that is the worst part & like a trigger point of all other symptoms.I first experienced it in 12th std & is a problem since than. [|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. It is a social phobia, and it is seriously disabling condition. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. Especially serotonin, nor a Chat Doctor. Medicines are the best options to take care of these symptoms. Paroxetine is the most popular medicine and my

The conversation between human and AI assistant. [|Human|] I believe I had a zit on my penis. I popped it and the white dirt came out like it does on my face when I pop it. I looked up if it was possible to have zits on your penis and of course, being online I don t know what is true or not. Sources kept saying it could be herpes...it burns a little where the zit is, but since I popped it the burning is slowly going away. What does all this mean? [|AI|] Hi, I have gone through your query. Zits you have mentioned are pustules and not herpes. These may be due to ingrown hairs at the base of penis or scrotum and can be bacterial infection on penis. Popping them will cause depression in that area. I advise you to take course of antibiotic like doxycycline orally. Antibiotic ointments can be used for local application. Antiallergic tablets like levocetrizine can be taken to prevent itch. Maintain proper hygiene of the area. Avoid popping them. Do consider positive feedback as a credit to my work. Let me know if you have any further questions. You can contact me on my page http://bit.ly/1dYupT2

The conversation between human and AI assistant. [|Human|] Hello Doctor, My self Arun Arora I am from Delhi,India. Yesterday My Grandmother Was Washing Cloths after 10 or 15 mins she let down when we checked her BP it was 200hm .And we took her to hospital .ECG was Normal But in MRI it seems Brain hemorrhage .and Doctors said this treatment will be done by medical si i wana ask will be she fine .. ? Can u disscus with me about that.. ? [|AI|] Hi, Thank you for posting your query. It is unfortunate that your grandmother suffered from brain hemorrhage due to very high blood pressure. The treatment and outcome of brain hemorrhage depends on the size and location of bleeding in the brain. If it is possible, please upload the CT/MRI scan of brain. If the bleeding in the brain is large, a surgery may be required to remove the blood and swelling. If the bleeding is small, then, medications may be given to reduce the brain swelling. In addition, her BP should be kept under good control. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/

The conversation between human and AI assistant. [|Human|] Fell and hit head on door frame. Slight swelling in temple moving into cheek. Little to no discoloration. Slight pressure, no headaches, no dizziness, no blurred vision on that side. Just slightly worried. Swelling seeming to increase even after 48hrs + [|AI|] Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that you have got a soft tissue injury and not deep-seated injury. Due to soft tissue injury there has been inflammation of soft tissues and a LSO there is accumulation of inflammatory fluid leading to swelling on temple that has progressed to cheek. As you have no other symptoms you need not worry as gradually the swelling will subside. You can do cool compresses over the swelling 2 to 3 times a day. You can take anti-inflammatory painkillers like Ibuprofen. Do not sleep on the side that is swollen to prevent compressing or pressure over the area. In case if swelling does not improve in a week or there is exaggeration of symptoms consult a General Physician and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor.

The conversation between human and AI assistant. [|Human|] Hi I have had 3 children. And my stomach muscles have torn apart quite badly I went to my go and he gave me physio. That has not worked I have tried workouts I have tried lotions. Nothing seems to work im only 24 and my tummy is ruined. Could you advise anything as its making me depressed. Thanks jess [|AI|] Hi. Thanks for posting your question here. Your problem needs a bit longer time to heal and warrants graded progression of exercises progressively.... Approximately it will take 12 weeks to recover...initially you can start with Abdominal breathing ...and core stability exercises... No where during the exercises you bulge your abdomen...that us no holding breath.as this would delay the healing... Core stability like air cycling...side plank...plank position. Hun Chat Doctor. ...in these exercises you are supposed to press your spine down towards floor and hold it that way... Hope this is helpful for you. Kindly revert in case you need any further help in this regard...

The conversation between human and AI assistant. [|Human|] I have been using approvel to reduce my bp since 2004 till last when my doctor prescribed me coveram since bp was a bit higher than normal, and almost a year now of been using coveram I have been having diarrhea and a peripheral neuropathy where I can t use my muscles like before what should I do? Do I stop taking coveram to another medicine? Is this peripheral neuropathy a permanent damage to my whole nervous system or there is a chance for recovery? Thanks a lot for any advice, Cimo, [|AI|] Hello! Thank you for asking on Chat Doctor! Regarding your concern I would explain to you that Cove ram is generally safe; it comprises Perindopril and Amlodipine and it doesn't seem that your referred complains of diarrhea and neuropathy be obviously caused by that Chat Doctor. Nevertheless, I recommend you to refer your complaints to your prescribing doctor to take a decision about the ongoing antihypertensive therapy. I suggest you to consult a neurologist for a comprehensive evaluation of your neurological status. Hope to have been helpful to you. Greetings!

The conversation between human and AI assistant. [|Human|] age:25, height:4.11, i have pcos problem and irregular periods 5 months. now i am taking medicine diane 35, gluconorm sr, and cabgolin .25. and from last two months my periods are regular. i want to become pregnant. is that possible. pls tell me and guide me [|AI|] Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns today. You have irregular periods because ovulation is not occurring. It is possible to get pregnant with PRO. You are still very young. Don't worry. Diane acts like contraceptive pill. So if you wish to conceive, first discontinue Diane. At first your husband and you need to consult infertility specialist. You need to do some hormone test, fallopian tube patency test and semen analysis for your husband to find out if there is any other problem. If ovulation is the only problem, there are medicines to induce ovulation. Your doctor will guide you regarding this. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. I hope this is helpful. If you have further concerns, do write to me. I will be happy to answer.

The conversation between human and AI assistant. [|Human|] I am a 55 years old Black Female about 5 5 and 200 ilbs. For the last 6 months or more I have intermittently had lumps to appear on my forehead about a nickle to a quarter size in diameter and protuding out. Satruday morning I woke up with another one on my forehead it went away by nighttime without any heat or cold compresses. I have high blood pressure and have had high readings lately (192/85 and 214/102). The Doctor once said it is the way I sleep and fluid is going to one side. Can you tell me what I need to do or what kind of Doctor do I need to see to figure this out? I have to go out in public like this and come to work with people staring at me too. I now have a permanent line or mark on my forehead from these lumps. I am cuurently vey stressed. [|AI|] Hi, Good Evening. Thanks for the query to Chat Doctor. I studied it in depth and I understood your health concerns.-Treatment-for Recurring-lump on head-1-These recurring lumps on head are mostly Chronic Menopausal Urticaria. As these are leaving marks on the forehead-they may indicate the Menopausal Psoriasis Urticaria, and needs following treatment-a-Tb-Fexofenadine for anti-pruritic action with less sedative effect.b-Tb-Steroids-if hives are very aggressive with angio-neurotic edema.c-Tb-anti-eosinophilic Chat Doctor. G-Dipsalic cream for face-psoariatic lumps to prevent marks on the forehead. Good dietary habits to reduce the histamine reaction would help you a lot besides the above treatment. Hope this would help you a lot to relieve from your forehead recurring lumps with -Menopausal Urticaria-/Hives. Wish you fast recovery-and healthy life. Wellcome to Chat Doctor with more queries till you are satisfied. Have a Good Day...!!

The conversation between human and AI assistant. [|Human|] i have endo. i was due for my preiod on the 21st of sept , skipped 8 days, positive pregnancy test.. heavy 2 day period. stopped. started bleeding again oct 9 and still am. its light, some brown spotting, now its like orangy in color.. back to brown and orange, with dischargge.. are there problems? or am i synching with my roomate who is on her period? [|AI|] Hi, Chat Doctor. I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. As your pregnancy test is positive, and you are having bleeding or brown discharge, it needs to be investigated properly. I will suggest you to get USG done. This will help to know exact gestational age of the pregnancy and viability of the pregnancy. It can be due to Bleeding around the pregnancy sac. Alsager, it will help to rule out serious condition like ectopic pregnancy. Till that time take rest. Tab Pause 500 mg 3 times a day till bleeding or discharge stops. I hope this answer helps you. Thanks

The conversation between human and AI assistant. [|Human|] Hi This is my semen Analysis report My age is 30 quantity : 2.5ml pH : 8.0 Total Sperm Count/ml : 34.4million Sperm Vitality at 30 min.% : 80 Actively Motile Sperms at 30 min.% : 30 Sluggishly Motile Sperms at 30 min.% : 20 Actively Motile Sperms at 2 Hrs.% : 30 Sluggishly Motile Sperms at 2 Hrs.% : 15 Abnormal Forms % : 38 We are planning from 8to10 months but no success. Is this report ok? Thanks in advance. [|AI|] Hello, Welcome to Chat Doctor, I am Chat Doctor Look, your semen analysis report indicates normal sperm count (normal is > 15 ml as per WHO 2010). The motility is within normal limit (as per WHO 2010, grade a should be >25% or all total >50%). The Normal sperm count is also within normal limit (as per WHO 2010, normal sperm should be > 04%). The pus cells, RBC's are within normal limit.(as per WHO 2010, normal semen should not contain any pus cells or RBC's). So, overall, your report indicates no abnormality. You do not need anything to do. You are absolutely normal. Regards.

The conversation between human and AI assistant. [|Human|] my son 7 year old have CTEV problem, we doing his treatment regularly, we done 1 miner & one masure surgery on his right leg., and totla 40 cast, but not correct his right leg. he has a problem only in his right leg, so pls guide me what to do right now for him? [|AI|] Thank you for posting your query. I can understand your concern for your son. The treatment of Congenital Tales equino-varus (CTV) requires time and the patience of the parents and the kid. Yes serial casting and wearing the Dennis-Brown shoe at night are the treatments. He must have undergone soft tissue release operations or is waiting for one. At around 12 years there is provision for a triple arthrosis operation. Do not worry much. There are loads of treatment. It will take a bit of time. But keep patience. If you are in a rush, the deformities will persist. Take your son to the doctor at regular intervals. All the best.

The conversation between human and AI assistant. [|Human|] I have pea sized lump on my left buttock cheek. It is smooth, firm and painless but causing a little discomfort when I sit. Could it be a type of sarcoma? I had Hodgkin s almost 10 years ago and a tumor in my left lung removed. Went through chemotherapy but no radiation. Please advise soonest possible. I am so worried that it could be a recurring cancer . [|AI|] Welcome to Chat Doctor. The status of malignancy of this small swelling can be known from more details like since how long it has been there, is there any change in size, do you have any other associated symptoms. You can provide these details as comment to this reply or feel free to mail me. It is unlikely to be a recurring cancer, however as you had a history of cancer, it is very important for you to get examined. I advise you to visit your Physician and get examined to rule out malignancy. Take care

The conversation between human and AI assistant. [|Human|] hello, i dont know wheher i have ocd or not, but let me tell you about my problem from this january 2011, i just get stressed on seeing commas, full stops and like if in front of me there is a bottle, then i just remove it, is this because of masturbating and how often should a healthy person masturbate? i am 15 years old [|AI|] HIFI admire you for positive outlook. On basis of such detail it is difficult to say whether it is OCD or not. OCD require complex symptomatically which can be possible only after proper evaluation. So need to consult psychiatrist or give more brief detail regarding your illness is necessary to reach proper diagnoses. Masturbation is normal physiological function of our body it is one of the method to satisfy sexual pleasure in absent of partner both sex and masturbation has same and has same end result to get satisfaction. So it is not due to your masturbation. The symptoms that you have are due to other illnesses so better to consult psychiatrist and get treatment. Thank you. Get well soon.

The conversation between human and AI assistant. [|Human|] this is john, I am from ohio. can I ask you a question when I have sex with my wife when I cum Inside her I do see all my sprem come out why is that, but I am 9 incher long with my penis. what is a health color for sprem.? I am sorry about a stupid question... [|AI|] Degree understand your concerns went through your details. I do not get the first part of question. You mean come out of her vagina? That is nothing to worry and that is the way it is. As it is a liquid, it follows the gravity path. That is all. The healthy color of your sperm should be off-white with around 40 % viscosity. 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|] I was diagnosed with cancer cells in my right neck lymph node. it is a metastatic squamous cell carcinoma, is this also know as lymphoma. This is my forth time having cancer in the head and neck. I had a radical neck disection in 2003 and in 2010 had chemo and radiation for another cancer in nasial pharnex. My cancer Dr says I will need to cancer removed and have chemo and radiation again. What and how long are my survival chances [|AI|] Hi!WELCOME TO Chat Doctor!cancer cells in your right neck lymph nodes indicate that you have squamous cell carcinoma somewhere in head and neck region, and they have reached your lymph nodes via lymphatic channels. In your case it seems to be recurrence of cancer arising in hypopharynx. Lymphoma is different from squamous cell carcinoma, its the tumor arising in lymph node itself. As your doctor suggests you will need that treatment again. Survival chances depend on tumor grade and stage. Hope this information will be useful to you!TAKE CARE!

The conversation between human and AI assistant. [|Human|] h,i m wondering about my son,he is 19 yrs. of age,an ever since he was young child he has had a bd temper,he used to be good for a few mts. then crazy for next few mths. this was when he was about 4,at 10 mths. old he would bang his head off a wall if he was mad...now he s 19 an he can blow up in seconds,he s ok when he wakes up then within seconds his mood changes he becomes very verbally abusive,he can be physically abusive,he always beat on his 2 sisters when he was younger age 4 or younger,he says it feels good to hurt ppl. it gives him a rush,rite now he only hurts verbally,but u can see rite through his eyes when he gets in a certain state,an he scares me,it takes everythin he has not to be physical,but everyone that knows him,knows it only a matter of time,do u think he could be scitoprania(sorry for the spelling) i have a first cousin of mine that is,an ppl. through my sons life has said i should get him tested,there is something not rite with him,an my family doc. likes to just say he just likes to get wat he wants,e s ok..but he never tried to look at my son...plz. help [|AI|] Degree understand your concerns went through your details. I suggest you not to worry much. From the given symptoms (the symptoms are always biased, they are according your view point) your son could not be suffering from schizophrenia. This could be Borderline personality disorder (BPD) and is a serious mental illness marked by unstable moods, behavior, and relationships. Most people who have BPD suffer from Problems with regulating emotions and thoughts, Impulsive and reckless behavior and Unstable relationships with other people.Therefore, you should make sure to consult a psychiatrist for treatment. In my opinion, psychiatric treatment along with psychotherapy is a must in this case. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.

The conversation between human and AI assistant. [|Human|] Hi,Ive been breastfeeding my baby since she was a new born she had some weight loss in the beginning and she would cry every time I would put her on my left breast so I told the pediatrician and he told me lets give her formula and breast milk. I noticed only 2drops of milk would come out of my left breast so I told my prescription theirs something wrong with my left breast Im only breast feeding with one breast my right side and I told her breast cancer runs in my family she said dont stop breastfeeding it heals breast cancer does it?Well I havent stop breastfeeding then all of a sudden last week buttermilk started coming out. What should I do? [|AI|] HIT hank for asking to ChatDoctorMam ! Breastfeeding is God given gift to a mother as well as to a baby, no formula being made like milk of mother, the information given to you is wrong, you just keep feeding the child even with breast which is lack in milk the sucking action of baby may induce the lactation or else try Domeperidone tab, one tab. Thrice in day. Feel proud while feeding feel happy when baby start crying for feed have nice day.

The conversation between human and AI assistant. [|Human|] Whenever I get my heart rate up in the slightest like barely running a very short distance or even walking holding my grandson I get shortness of breath my heart feels like its gonna beat out of my chest my face goes red I start sweating. And I feel lightheadness and kinda sick. Along with my chest hurting and I have to sit down.I am a40 year old female [|AI|] Thanks for asking your question I completely understand your issue breathlessness with sweating can be due to variety of causes in elderly. It may be due to some lung diseases like COPD, old, or heart diseases .you need to get yourself evaluated for a cause.visit a pulmonologist he can evacuate tour disease by requesting some basic investigations like chest X-ray and ECG, spirometry if needed. He may prescribe you some bronchodilators and antibiotics if needed thanks / regards feel free to ask more questions may god bless you with good health

The conversation between human and AI assistant. [|Human|] I would like to know something about obstructive jaundice. Actually my father-in-law is suffering from this obstructive jaundice.He has been hospitalized in bhagwan mahaveer jain hospital. He is 50 years old. His doctor told me that there is some blockage in his lower part of the liver for which they put 1 stunt before 15 days and they told me like once the the jaundice will come down we have to go for a surgeryin which they will remove the block and make it byepass. The jaundice is present since 1.5 months. [|AI|] Hi. Hemoglobin in the blood gets hemolysis and is metabolized to bilirubin in the liver which is then secreted into the intestines through the gall bladder and its duct... Obstruction in these duct leads to accumulation of bilirubin which causes jaundice. This is referred to obstructive jaundice. The cause for the obstruction could be a stone or any other structural problems in this biliary/gall bladder duct which could be detected by means of a scan or an imaging technique (CT or MRI scan). And the treatment part, you know.

The conversation between human and AI assistant. [|Human|] Hi, My dad just foung out that he has brain tumour and suffering from cancerous malignant Glioblastoma , grade IV as per biopsy. Presently he is in Hyderabad with my family and medicated on radiation and chemotheraphy...we also started Ayurvedic Sarvapishti. plz advice. [|AI|] Hello and welcome to Chat Doctor , any type of cancer depends on the spread of it to the body parts, age of a person, how much metastasis or spread it has and on which organs, how healthy is your dad now, what is his vitals -blood pressure pulse etc. and what is the progress of the disease would let you know the exact status of the patient, treatment is symptomatically and radiotherapy regularly, consult also radiologist for advice, take care

The conversation between human and AI assistant. [|Human|] hello sir, im from tamilnadu and before a year we got transfered to karnataka. for this past one year im suffering from severe cold and cough. even it seems there is asthma problem also. my two sides bone below my breasts are paining a lot. pls give me a solution. [|AI|] Hello dear, The symptoms as mentioned in your post can be attributed to acute exacerbation of asthma, secondary to a respiratory tract infection. Pain on chest is due to fatigue of respiratory muscles due to continuous coughing and labored breathing. Management involves:1. A course of antibiotics to eradicate the causative organism.2. Stalin & Aeroflot inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.4. Antihistamine & anti-tussive preparations for symptomatic relief from cough.5. Steam inhalation & deep breathing exercises.6. Maintain adequate HY Chat Doctor. 7. Also make sure that you are well protected from cold, dust & other allergens. If symptoms still persist, kindly consult a Pulmonologist for proper clinical evaluation. Wishing you a good health. Take care.

The conversation between human and AI assistant. [|Human|] I had the mirena put in nearly 6 weeks ago, I ve had loads of side effects but a week ago i started itching on my body. It s mostly the top of my back, shoulders, stomach, breasts and top of the legs. My scalp has also been itchy too. I haven t changed my washing powder and i have used hedrin as i thought i might have lice but it s still itching on my body. I m getting concerned now and it s very irritating [|AI|] Hi, Thanks for the query. I understand your concern. When the itching starts after 5 weeks of Mineral insertion... it is less likely to be due to the hormone Levonorgestrel allergy. Such itching on the covered parts of body could be due to contact dermatitis/allergy to sweat, cosmetics / fungal infection./ Chat Doctor. - Steroid skin ointments relieve allergy/ contact dermatitis. But fungal infections are not only unaffected but are increased with such ointment. You need to apply antifungal ointment for skin over the counter to get relief from the itching. Consult a physician if you have kidney of liver complaints OR if there is no effect of local ointments. Thanks

The conversation between human and AI assistant. [|Human|] My 88-year-old mother has dry gangrene on her foot and leg from atherosclerosis. Due to many other complications (heart, blood clotting) shes not a candidate for amputation, which has been suggested by a physician. What is her life expectancy if the dry grangrene is left untreated? [|AI|] Hi, sorry to note about the condition your mother is suffering from. Gangrene is a potentially life-threatening condition caused by a critically insufficient blood supply causing tissue necrosis. Chat Doctor. But since the dead tissue is more viable for infection, it is difficult to predict about the life expectancy. Once the infection sets in locally and starts spreading inside the body (septicemia), then they land up in one by once complication of multi-organ failure.

The conversation between human and AI assistant. [|Human|] I have been experiencing intermittent right sided abdo pain for a few wks with no urinary symptoms or change in bowel habits/vomiting/nausea/wt loss etc I am 54 years old and have a Mirena coil which was changed 18 mths ago. A recent pelvic and vaginal scan in Aug 2011 for similair symptons was normal as were my bloods and CA125. The pain feels like an interntal burning sensation and can radiate down into my right thigh and sometimes my back. Any suggestions? [|AI|] Hi. The burning character of the pain and the history of radiation to the thighs suggest me to think of Neuralgic pain originating either from the Retroperitoneal area or from the spine. I would advise you an MRI of the spine and the posterior abdominal wall to see for Destructed vertebrae due to cancer or tuberculosis, Compression on the spinal cord or affection of the ilio-psoas muscles. Also go for regular stool, urine and blood tests including quantifier gold test for TB and so on. The treatment will obviously depend upon the diagnosis one gets

The conversation between human and AI assistant. [|Human|] hi ... i have pain in my left hand on the base of my thumb i belive it is called thenor ... i even have a hard time to pick anything up or open a bottle ... it started 4-5 month ago but i thought it is maybe a pinched nerve and will go away ,... but last couple pf days got more pain.... i work 7 days a week using my hand every day .. i have a cleaning business scrubb all day long... anything i can do ? i have put my hand in paraffin wax looks like the heat helps... [|AI|] Dear patient what is your age? Pain at the base of thumb if happens in elderly patients above 60 years of age likely cause is 1st carpometacarpal joint arthritis. This is age related degenerative arthritis. If you are younger age likely cause of pain is dequervains tenosynovitis. In this condition there is inflammation of the synovial layer of first dorsal wrist compartment. Hot wax bath relieves pain in both conditions. Diagnosis can be confirmed on X-ray of the hand. If there is arthritis joint space reduction will be seen on X-ray. You need to consult hand specialist for detailed assessment.Meanwhile, start tab attract twice a day for pain relief. Continue hot wax bath.

The conversation between human and AI assistant. [|Human|] Hi My mother age 80 radiation treatment for cancer of the vagina 2 years ago could radiation contribute to lowering of sodium level which has happen ended over the last two years now at 120 in hospital at the moment on saline drip any info would help at wits end thankyou [|AI|] Hi welcome to Chat Doctor I have gone through your query regarding low sodium levels of your mother. I can understand your concern .THE CAUSES of low sodium, known as hyponatremia may be many. But apparently it may be outcome of - cirrhosis of the liver, congestive heart failure, nephrotic syn Chat Doctor. Radiation and other therapies also have good or bad impacts on our blood counts. Too little sodium in the diet alone is very rarely the cause of hyponatremia, although it can promote indirectly. A low sodium level in the blood may result from excess water or fluid in the body, diluting the normal amount of sodium so that the concentration appears low. Normal level of sodium in blood is 135 - 145 your mothers level is 120, which not very low and is manageable with

The conversation between human and AI assistant. [|Human|] I hit the back of my leg between my ankle and calf on the corner of a table about a month ago. It instantly bruised and swelled up. As I said it has been about a month and although the bruising has faded considerably(almost gone), there is still a small bump there that is very painful and tender to touch. The bump is long about 2 inches across and 1/2 inch tall. The only time I feel any pain there is when I touch it. Until tonight when I started getting sharp shooting pains where I hit it. [|AI|] Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion your bump could be a coming from a damaged nerve, and may need desensitization or surgery to get rid of this pain. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only.

The conversation between human and AI assistant. [|Human|] my daughter is 17, 5ft4", normal weight (not skinny or fat) and last week she had a localised swelling on the inside of her elbow. about the size of a small orange. The swelling was firm to the touch, hot, red and itchy. She went to the hospital and was prescribed ibuprofen and antihystamines. 2 days later she had the same but also on the outside of the top of her arm. We iced it and it went down. last night it was worse; inside of her knee, sole of her foot, one hand, her top lip and cheek. Again a visit to the hospital and more ibuprofen. She does not have any bites or rashes. Only different lately is she has had a full set of immunizations for Tanzania. Any ideas please ? [|AI|] HI, Dear -Very Good Morning from India. Thanks for your query. I understand your concerns about the daughter. I studied your query in depth.-I would advise you not to worry. In my opinion its -Hives-Generalised CIU-Chronic-Idiopathic-URTICARIA.-Commonest cause-is Eosinophilic induced by infestation with -worms and amoeba.-Treatment- I would advise-Tb-Hetrazan-100 mg BD for 21 days. Tb-Wormin / Vermont with parallel with advise of a doctor.-Antiallergic-Tb Xolair-or some times--Tb-oncotrex for few was(to suppress immunological excitation in CIU of your daughter)- in moderation could be tried under expert skin doctor of ER department.-Hope this reliefs your worry-some query. Welcome for any more queries in time to come. Have a Good Day.

The conversation between human and AI assistant. [|Human|] hello I just got a severe pain that radiated from the bottom of my skull all the way through my head for about 15 seconds and now it s still kind of hurts this is the first time I ve ever felt it and it was incredibly painful probably like a six or seven on a scale to 10 [|AI|] Hi, I am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you Question : What causes severe pain from the bottom of the skull to the head? Answer : The Most common causes are 1. Problems with your Radio Vertebral Junction 2. Problems in your Cervical Spine I would suggest that you take X-Rays / CT / MRI of these regions so that the issues can be identified at once. It is always easier to treat these disorders in their earlier stage Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care.

The conversation between human and AI assistant. [|Human|] my daughter is being seen by a neurologist for headaches. she previously had ALL when she was 6 months old. she is now 10 years old. her mri showed enlarged lacrimal glands, her eeg showed intermittent slowing of the temporal lobe and her mcv is 81. should i be worried? she had a conner s test which was negative and he is still wanting to put her on vivance for adhd which i said no too. [|AI|] Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query will take on the reports 1 by 1First, enlarged lacrimal glands are nothing to be worried about unless she has excessive tearing from her eyes. Second, EEG changes- I need to know of she was sleeping during the changes. Because then it may be normal. Else its abnormal and she has a potential of developing seizures and medial temporal epilepsy. Repeat MRI would be needed periodically in this case. Third, MTV 81 might just be within normal range depending on the laboratory. We would need to know the labs reference range. As per me its normal, but at the lower limit. Checking hemoglobin would be advisable. As for Amphetamine, it may actually benefit her, but may trigger a seizure. So I will not recommend it unless advised by a neurologist who has examined her. I hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. You can upload them on the site. You can upload them with the query, or if you have a problem, send them to attachments@ChatDoctor .com with Sub: ATTN Your Name. Once we receive the photos or diagnostic reports, my team will send reports / pictures to me. Please do understand that some details could be extracted from a detailed history and examination. Please click on Thanks/Helpful if found useful. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. Chat Doctor. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)

The conversation between human and AI assistant. [|Human|] I have a strange, persistent spasm or flutter just under my rib cage above my stomach . It reminds me of how it felt when I was pregnant (in which case the sensation was much lower). But I m not pregnant! And it feels uncomfortable at times, and obviously annoying. This has been happening every day for about two weeks now. Any ideas? [|AI|] Hi welcome to Chat Doctor forum. As you describe you have got pain and flutter under the rib cage, for 2 weeks. It appears to be gastric irritation, may be due to diet habits, peptic ulcer, intestinal worms etc. I advise you to consult a gastroenterologist for diagnosis and treatment. You may have to go for gastrostomy besides other routine tests for confirmation. I advise you to follow some diet recommendations as avoid taking spices, junk foods, and oily foods, to avoid gastric irritation. Wishing for a quick and complete recovery, and thanks for calling. Best regards.

The conversation between human and AI assistant. [|Human|] Hi, may I answer your health queries right now ? Please type your query here... My child started a fever 6 weeks ago with the flu. Since then, he has been on 2 rounds of antibiotics for sinus infections. We just finished the last dose when the low grade fever reappeared. There is nothing that gives the indication that he still has a sinus infection and he acts completely normal. Is it possible that inflammation is causing a low grade fever rather than an infection. [|AI|] Dear user we know that recurrent fever or prolonged fever or fever of unknown cause resembles worry to every person but we should not get worry and try to find the cause.......your child was having sinus infection then he took two types of antibiotics that may lead to bacterial resistance of antibiotics as administration of different types of antibiotics causes the bacteria to accommodate and get resistance...........may be your child have another bacterial infection rather than sinusitis and not treated.........simply you should do urinalysis test for him to investigate if there is urinary tract infection or not ....also you should do tidal test to indicate if there is typhoid disease that causes recurrent fever... another test to do is blood culture test ....low grade fever reappears means that there is bacterial infection that is not diagnosed until now ....doing these three simple tests will help a lot and try to see your doctor infectious disease specialist or pediatrician...........also you should notice your child if he has any troubles rather than fever such as changing urine color or diarrhea or constipation or any rash appears on him, and please send to us about that...we can help reach diagnosis ........and any abnormal symptom you notice will lead us to the correct way of diagnosis and treatment..............I wish your child happy healthy life

The conversation between human and AI assistant. [|Human|] I have pain in the lower portion of my right back extending to my right side a little bit. I did a urine test and there are no infections. I also do not recall doing any activity that could have caused a strained muscle. The pain is really bad when I lay down in bed and try to turn over. [|AI|] Hi, Thanks for your query and Welcome to Chat Doctor. I am Chat Doctor. You have mentioned pain in your lower back region with radiation of pain to the Right side, I guess your lower limb. Anyways since you are certain that there was no injury which could have actually caused a muscle strain etc., then we will have to work up in your case to actually rule out a fiscal prolapse or a degeneration etc. Before I can give you some advice I would like you to send me the following details:- What was the cause of onset of this pain if you can recall it?- Duration of the back pain and if present, your leg pain?- Apart from your back pain do you also have any associated numbness, weakness in limbs, paresthesia etc. as well?- Any aggravating or relieving factors of your symptoms?- How much distance can you walk, and what are your analgesic requirements on a daily basis?- What investigations and management has been done till now for your existing problems? I can tell you that lower back pain could be due to many reasons but at your age it is mainly postural and sometimes Fiscal in nature in which the Inter vertebral disc has lost height as a result of which there can be a mechanical back pain which is very discomforting for the patient. Rarely there can be a bony instability like pars defect or something which can lead to pain while doing work or activity involving movements at spine region. But the majority of these conditions actually can be managed conservatively with Posture maintenance, physical therapy and medications. Although I am sure you have tried a lot of medications and alternate form of treatments, but till the time I can see your details, If you have localized back pain with no other neurological symptoms like numbness, weakness, paresthesia etc., then you can start with following recommendations for initial period of 2-3 weeks:- To maintain proper posture of your back while working and sleeping, try maintaining an erect posture as much as possible- If pain is more than you can take a short course of an anti-inflammatory medications which suits you-Physical therapy initially under supervision of a trained physiotherapist, initially concentrating on SWD/IT or LASER therapy for back pain and TENS for your radiating leg pain-Adequate calcium & vitamin D intake if levels are low in body-Hot fomentation can be done at home 3-4 times in a day, if possible-Analgesic spray or ointment for local application can be used after fomentation- Avoid lifting heavyweight/ acute forward bending in mornings and take adequate precautions till pain completely subsides.etc will observe you for next 2-3 weeks how you respond to this conservative management protocol. If there is no clinical improvement, then we will plan for your investigations including blood tests, X-Rays and if your back pain is a long-standing one, then MRI of lower back region. Do not hesitate to contact me if you need any further assistance/SOS with more clinical details and test reportsThanks & Regards

The conversation between human and AI assistant. [|Human|] My name is mark and have had back pain now for 20 years. Got hurt on the job and the co. never took responsibility for it. Take some parifon forty and naperson then go back to work. Every body thought I was faking, because I kept working. Any way fast foreward till now, forced into retirement 2012 oct. Have found a doc. that got rid of the pain,methadone, been on it since late 1997. Will be on it for the rest of my life. Now I have a hernia in my scrodem, had it for over a year. My dr. told me to take care of it He diagnosed it a over a year ago. Last april or may went to the hospital ST. Marys in reno,Nv. and told dr. I have a hernia to please fix it. He came back to tell me I have a hernia and that I have to get it fixed. Im afraid to go to hospital again with no ins. just to be told what I have and another bill telling me something I already know. But I didnt know was you want a credit card just to tell me I have a hernia and back pain thanks [|AI|] Hernia will have to be reduced by surgery and closure of opening that is letting bowel or its sac to protrude through. Since you have waited one year you may wait for finances and get it done as early as possible to avoid complications like strangulation and pain. For back pain wear a spinal brace during daytime and do back strengthening exercises under physiotherapist. Switch over to excel Chat Doctor.

The conversation between human and AI assistant. [|Human|] In the last year my dad has been diagnosed with a genetic brain disease called CCM type 3 and I have been diagnosed as well. But i do not necessarily have the same symptoms. Earlier this year they found a tumor on his brain stem and it has caused his social skills, reasoning skills to go downhill, and it has changed his personality. I am afraid that this will happen to me as well. If so I don t ever want to get married and put my spouse through what my mom goes through. What do i do? [|AI|] Hello. I he been through your question and understand tour concern. Your fathers diagnosed lesion in the brain stem is not responsible to none of the symptoms you described. It seems a more personal reaction to the finding which is hard to face, and it is considered a "normal" reaction, but in case you have the same finding (which is not for sure) you might react not the same way. Hope this helps. Wish you the best health

The conversation between human and AI assistant. [|Human|] I normally have a strong hard flat tummy. Four months ago after hoing on a detox I devloped sharp pains around my abdomen. It has resulted in fluid or a soft layer of fat forming around my navel. It is painful. I felt sick snd cant fasten my clothes yet I am a slight person. Please help [|AI|] Hi. Thanks for your query. Noted your history of getting detoxification followed by pain around naval, formation fluid or fat layer feeling. The most probable cause is an infection in the umbilicus. I would advise cleaning the umbilicus and area around with spirit or liquid provide iodine. You need an examination by a Surgeon and a prescription of an antibiotic and anti-inflammatory medicines. Tests of blood and urine to see WBC count and to rule out diabetes. If there is an umbilical granuloma you may need a small surgery.

The conversation between human and AI assistant. [|Human|] i have a lump 2 cm by 1/2 cm left outer thigh for years,painless, now a large lump left side of neck painless, ultrasound negative, and about 2 months ago a lump top of rigth hand size of fifty cent piece, raised one cm in height, non movable, painful to palpation , near wrist , not due to trauma . my friend has her third sarcoma and now my lumps worry me, i am sixty and disabled after multiple abd hernia repairs with mrsa . but no surgery since 2008/but have medical conditons and no abd support for huge abd hernia, so cannot return to work, have no abd fascia was eaten away by infection [|AI|] Sir...the multiple swellings which you are describing can be multiple lipomas/ neurofibromas. They can sometimes increase in size and can become painful. I can see you are apprehensive because your friend has been diagnosed with recurrent sarcomas. The best way to get over this apprehension is to consult a doctor and get an FNAC (fine needle aspiration cytology) [a test in which the material from the lump is aspirated and analyzed under a microscope]. This test will make it clear whether your lesions are benign or malignant. Your abdominal hernias are unrelated to the present condition.

The conversation between human and AI assistant. [|Human|] i have always taken the two tablets of postinor 2 in a single dosage but in a month s interval for about two years. i stopped using it for about three months ago and i have always had my normal periods even though i have continued to have unprotected sex with my husband. could this have caused any side effects that stops me from conceiving? thanks Rhonah [|AI|] Hi, Thanks for the query. Emergency contraceptive pills will have high dose of hormones compared with regular contraceptive pills. Repeated usage of emergency contraceptive pills can lead to problems like hormonal imbalance, menstrual irregularity etc. For more details : http://srsree.blogspot.in/2012/08/emergency-contraceptive-pill-short-term.html The usual recommend gap between two emergency pills is two months. As you are not having menstrual irregularity, there may not be any problem for fertility. As you have used the pills for longer period, better to avoid emergency pills from downwards. You once go for ultrasound to check the uterine size, endometrial thickness, ovaries etc. Then track the ovulation in next cycle and plan intercourse around that period. This will increase the possibility of pregnancy. Take care.

The conversation between human and AI assistant. [|Human|] Hi I have a small lump almost like a little ball I can feel it when I stand it hurts if I press it its tender not sharp or shooting pains also its been here since last summer it hasnt bothered me except once in a while if I lay a certain way or touch it what might this be? [|AI|] Welcome to Chat Doctor. 1. It looks like a ganglion arising from the joint space of your spinal region.2. In this case one need to examine to help you in better way after Sean and palpating the area.3. These ganglia arise from joint space, tendon and nerves - usually painless and does not need any intervention unless it is symptomatic. 4. Investigations recommended in this case is an ultrasound of the region - that will evaluate the nature of the lump, its content, source and extensions. 5.MRI will be definitive. You initially get examine first and follow the physician. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor.

The conversation between human and AI assistant. [|Human|] Hi, My mothers aged around 56 is suffering from pain in lower back bone and pain in the upper side backbone (near sholders) the MRI report shows the following. Mild diffuse disc bulge at l4-l5 with indentation over thecal sac and causing mild narrowing of bilateral lateral recess/foramen. What is the best treatment she should under go? [|AI|] Hello, Initial treatment for this kind of problem is taking pain medications for few days and physiotherapy. After few days, pain meds should not be taken regularly because of their side effects and physiotherapy should be continued. A lateral recess stenosis will cause compression on nerves and will in turn lead to leg pain, numbness and in extreme cases weakness. Not sure if your mother has any leg symptoms also or not? This treatment should cause significant improvement in symptoms. In case of no relief, further treatment is recommended which usually consists of spinal injections or surgery. Hope this helps,

The conversation between human and AI assistant. [|Human|] I tore my meniscus 35 years ago and had scope surgery. Over the years after various activities my knee swells and i limp for several days then return to normal . Is there a way to go back in and remove anything that may still be in the knee area that is causing the persistent problem? Thank you [|AI|] Hi. Of course, an arthroscopy would do just that. But in my opinion the more likely cause would be osteoarthritis which would have developed over the years due to the torn meniscus. So treating that would be more wise than any other approach. But we can go ahead with the arthroscopy which will also predict the grade of osteoarthritis usually 3 and 4 (grade) will require adequate attention. Best wishes

The conversation between human and AI assistant. [|Human|] I brought my daughter into a family physician on Wed of this week. They diagnosed her with an enlarged spleen . They checked her blood , full CBC and mono test, whicChatDoctore back negative. She is 17 years old, they feel that it is swollen because of a viral infection. My concern is she still is in lots of pain AND her sister, now 19 had acute myeloid leukemia at 11. I am very concerned as I looked on the internet and this can be a cause of leukemia. What should I do now?? Both to put our mind at ease and to help her pain. [|AI|] Hi, Welcome to Chat Doctor, There are many causes of spleen enlargement, her CBC and Mono test are normal, so do not worry but as there is family history of AML, just wait and watch and keep her under medical supervision. Blood test can be repeated and if Hematologist thinks it is appropriate a bone marrow examination can be done. One should be positive, I hope splenomegaly will regress or other cause if any will be detected and treated, and she should be better soon. Best of luck Take care.

The conversation between human and AI assistant. [|Human|] Mom, just got diagnosed with brain cancer with a 1 inch by 1 inch tumor in her head. She has just finished up with breast cancer, surgery, mastectomy and radiation last month. About 2 weeks ago she started losing her balance and not thinking straight. Her breast cancer was stage 3 and in lymph nodes which were removed. [|AI|] Thanks for your question on Chat Doctor. Breast cancer is very notorious in spread. And brain metastases are very common. So even with the absence of brain metastases it is protocol to give prophylactic radiotherapy to brain for prevention of brain metastases. But your mother already had brain Mets, so chances of worsening brain Mets are more at present. Imbalance mostly due to this only. So get done repeat MRI brain for this. Another possibility is cerebral edema due to tumor and radiation. MRI brain will also diagnose this. So get done MRI Brain and consult your oncologist to rule out worsening brain metastases.

The conversation between human and AI assistant. [|Human|] I am looking for a Dr. in SIerra Vista, AZ that will accept a patient that has several medical problems and has had several surgeries. I just came here a year ago from the east. I am on Pain Medications for Migraines and Back & Neck fusions. I have diabetic neuropathy also. Thanks very much [|AI|] Hi and thank you so much for this query. I am so sorry to hear about this several medical conditions you have and all the inconveniences this has caused you. The best way to get the doctors you need is through your primary health care physician. He constantly evaluates you and make the decision on what your various health needs are and which of the physicians can help you most. This is more important when you need several specialists to attain to you and the need someone to coordinate and integrate all of this care for you. You would most likely need the services of a planetologist, neurosurgeon, neurologist, etc. and there is no single physician who specializes in all this. Talk to your primary care physician to get this sorted out. I hope this helps. I wish you well, and thanks for using our services.

The conversation between human and AI assistant. [|Human|] I have had excessive teeth staining (brown) for the past 4 yrs which requires that I have my teeth cleaned every 3-4 months. My dentist cannot quite figure it out. The worst staining is located on my bottom teeth in the front and especially behind the front bottom teeth. My dentist thinks I may have colored saliva, or he thinks it may be something in our water (well water). No one in my family has this problem. I do not smoke, I drink 3-4 glasses of red wine/week, I eat about 3 oz. chocolate every day and I drink 1 cup of coffee or 1 can of cola/day. Any ideas what this staining could be a result of? [|AI|] Hello.thank you for sharing your problem with Chat Doctor. All three cola, coffee and red wine cause teeth staining. As your dentist said if your water contains excessive fluoride then it too can tooth staining. Try to avoid above beverages for three months we will get idea if stain was due to it. You also should brush your teeth properly with proper brushing technique. Including brushing back of your teeth. You can recons ult for further queries. Wish you good health.

The conversation between human and AI assistant. [|Human|] Do antipsychotics and benzodiazepines cause permanent damage, I took them for about 3.5 years and then stopped after reading all of the horrible things about them. I am trying to get off the last pill, lorazepam, I was on 2 mg but a Dr. is helping me to try and get off it, I am down to 1.5 mg and slowly tapering down. Will I get back my natural sleep back once I am totally off of lorazepam? Or will I have troubles sleeping for the rest of my life now. Before taking lorazepam, I slept like an angel. [|AI|] HiT hanks for using Chat Doctor Antipsychotic and benzodiazepine do not cause any damage to brain, but they have abuse and dependence potential. You can try to taper off lorazepam, the way you are doing. That would help to get off the Chat Doctor. In case, you feel any problem, you can try some sedative antidepressant like mirtazapine. It does not have dependence pattern. Rest, you can consult your doctor. In case, you need further help, you can ask. Thanks

The conversation between human and AI assistant. [|Human|] hello I was wondering if you could help me understand my m r I. I have a left foraminal annular bulge at l3-l4 with impingement upon the left l3 nerve root. Left foraminal and posterior left paracentral annular bulge which may impinge upon left l5 nerve root as it passes this level. and evidence of impingement of left l4 nerve root exiting at this level. [|AI|] I read your question and I understand your concern. The MRI indicates disc disease at several levels which can compress the nerve roots coming out of your lumbar column. The management depends on your symptoms as they don't necessarily cause nerve compression symptoms. If you have symptoms which don't respond to treatment with anti-inflammatory Chat Doctor. At which of those levels to intervene depends on the localization of your symptoms, if in doubt an EMG could be of help. I hope to have been of help.

The conversation between human and AI assistant. [|Human|] Hi, I have developed an itchy spoty rash only on my left arm. It is very small spots, there is no pus or follicle inflamation. I was in contact with insulating fibre glass a few days ago, but the pictures of an allergic reaction do not look like the rash I have, should I be worried - the itching is driving me insance. [|AI|] Dear Israel. Having worked in the UAE & seen a lot of similar cases, you may be on the right track. Contact with fiber glass may present similarly. Pictures don't often tell the real story. This is why medicine can never be totally taken over by the net-wizards! Apply a topical strong steroid cream & take a non-sedative long acting antihistamine. You should be well on your way to recovery in 24-48 hrs. Avoid further contact with similar products or take preventive measures. Good luck Chat Doctor.

The conversation between human and AI assistant. [|Human|] My son is 7 yrs old he was suffering from cold and fever from last 4 days so I gave him crocin and clamp and montek lc kid.now he doesnt have fever from last 2 days but today he is complaining of pain in both his legs in his calf when he walks and it I quite painfull now what is the reason? [|AI|] Hi... Pain in the legs could be due to inflammation of the calf muscles due to viral illness and fever. Fever of few days without any localizing signs could as well a viral illness. 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 (Clamp) at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards -

The conversation between human and AI assistant. [|Human|] my back of neck with constant pain started about a month ago I set all day at a computer I also feel lke I am going to fall when it hurts they gave me Mobic but it is not working Tylenol also not working was in a bad car accident with 2 broken legs and rt wrist [|AI|] Hello, I have studied your case. You can take tramadol consulting your doctor will advise you to MRI cervical spine for better diagnosis. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care

The conversation between human and AI assistant. [|Human|] A 29 year old male presents with extreme burning and cramping pain upon exertion in the lower limbs. The patient is a competitive marathon runnerand recently ran the New York marathon despite the pain. The patient reports that the pain coincides with the start of physical activity. When the pain was first noticed, it subsided almsot immediately after the completion of physical activity. Over time, the pain has become more acute annd now it takes some time after the cessation of activity for the pain to subside. The patient also reports that recently numbness and and extreme weakness of the calf will result after sustained physical activity. [|AI|] Hello, His symptoms could be related to a pinched nerve. Another possible cause to consider would be a muscle disorder or chronic venous insufficiency in the lower limbs, or a connective tissue disorder. For this reason, I would recommend consulting with a neurologist for a physical exam and some tests: - nerve conduction studies- a Doppler ultrasound of the leg vessels- CPK plasma levels-complete blood count, PCR, ESR for inflammation-A SOT tier. You should discuss with your doctor on the above tests. 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|] When I walk up or down the stairs my ankle freezes up and I have horrid pain it does not last for very long however I have fallen down if I do not hold onto to the hand rail. I also have knee and hip pain are all of these things related? I take Arthrotec 75 for pain... [|AI|] Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to arthritis. Arthritis may cause inflammation and freezing of the joints. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using anti-inflammatory cream such as Voltaren cream for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor.

The conversation between human and AI assistant. [|Human|] * 3 weeks ago I had urgency to urinate but just couldn t * then I noticed blood on the paper / not light or dark but RED * the urgency became so significant I had to use a mini pad * I thought it may be vaginal * rev d a script for Biaxin (500 mg) bid * life went back to normal * now I have blood and puss (visible) * urgency * feel like my bladder is not emptying * pain on lower left back at times * notice bruising (generalized / no pain) * little red dots on my arms that seam to cluster (no pain) hx: small kidney stones / ETOH abuse / New Mexico resident -- always dehydrated [|AI|] Hi, welcome to Chat Doctor. Looking to your history, it seems that you have urinary tract infection and associated kidney stone. Urine infection needs proper evaluation that it has involved kidney or not. Do basic urine report including urine culture, blood count, S. creatinine and sonography or better if you can do CT scan. Kidney stone can precipitate urine infection. So, take opinion of urologist about stone management if it is obstructing the fine passage. Proper treatment of urine infection for adequate duration of antibiotic can completely eradicate your urine infection and your symptoms. So, don't get worried. Maintainig adequate HY Chat Doctor. I think this would be helpful to you. Please feel free to communicate further with your reports. Best wishes. Tc.

The conversation between human and AI assistant. [|Human|] I have what feels like a lump towards the back of my mouth. It s almost right where the tongue meets the gum line. I ve had this feeling before, years ago. It feels irritated whenever I swallow or eat something, but it isn t very painful, just annoying. I can t see it in the mirror. I can only feel it when I stick my finger back there. It feels like a small lump. What could it be and is it serious? [|AI|] Hello and welcome to Chat Doctor forum, I would like to inform you that a lump which has suddenly appeared needs to be checked thoroughly by the dentist, it may increase in increase over time, I therefore advise you to see a dentist. Do not worry, the lump may be normally present, just to make sure nothing is wrong kindly visit your dentist. The lump may be due to an infection and subside as the infection resolves, Dentist may prescribe medication if required, i hope I answered your query, i wish you good health, take care.

The conversation between human and AI assistant. [|Human|] I had this problem about thirty years ago. i constantly swallowing. he called it farenchittis Im not sure. but he gave suddafad/ but Im sure. but i think i am panicing because i have a loose tooth and i cant get it out and i cant eat anything soild right now. I cant aford a dentist right now. [|AI|] Thanks for using Chat Doctor. Read your query. Loose tooth has usually nothing to do with pharyngitis. This can be due to periodontal reason (if you have not been maintaining your teeth well). I would advise you to stop panicking and visit your local dentist(do not try to remove it yourself as you may end up doing ore harm) and have it evaluated. If very loose and hampering your eating process, have it extracted. Missing tooth can be rehabilitated with a denture. Have your teeth professionally cleaned. Hope this was helpful. Thanks and regards.

The conversation between human and AI assistant. [|Human|] my 17 y.o. daughter is suffering from fatigue, has a sore throat, and states she is not getting enough sleep. The physician finds swollen lymph nodes; an enlarged spleen; and tonsillitis. The CBC showed an increased WBC and normal RBC. The liver function test showed increased liver enzymes, and a positive heterophil antibody test what is my daughters diagnosis? [|AI|] Hi, Thanks for asking. Based on the symptoms and investigations, it appears to be infectious mononucleosis. My comments are as follows:1. Sore throat with lymph node enlargement.2. Splenomegaly and liver enzymes elevated.3. Positive astrophile antibody test. Based on above my diagnosis is Infectious mononucleosis. Close followup is necessary for this viral infection by Epstein Barr virus. Any further queries, happy to help again.

The conversation between human and AI assistant. [|Human|] Hi. I am 24 years old and for the past three days I have lost my appetite . I don t get hungry or thirsty. When I do eat something because I know I have to I either get nauseous or get a really bad upper gastrointestinal pain that comes and goes as if it were cramping. Aside from that the rest of the day I feel totally normal. [|AI|] Hi thanks for your question. Nausea and abdomen pain following eating could lead to loss of appetite. Most probably nausea and vomiting could be due gastritis that is inflammation of stomach. I would suggest you to consult a physician who may examine you and may perform upper G I endoscopy on you to establish cause of, nausea, pain abdomen and loss of appetite. You may need antacid and proton pump blocker like pantoprazole for management of your symptoms. Hope this answers your question.

The conversation between human and AI assistant. [|Human|] I am not able to read small letters. I am wearing a specks and went to check eye for new specks. He asked me to check my left eye with a eye doctor. I am a diabetic and take medicine regularly. But my BP is on the higher side. PL advice My phone is 0000 and email YYYY@YYYY My Name BHAMINI MOHAN [|AI|] This is a little too brief to offer counsel. If someone counseled seeing an eye doctor while you were being fitted for glasses, the worry may be related to diabetes, the lens of the eye or some observation of blood vessel disease. Excepting the lens, you should get the eye doctor to see you soon. With respect to your blood pressure, higher side of what. Record your blood pressure twice daily. Write it down and bring a two-week record to your doctor for review.

The conversation between human and AI assistant. [|Human|] I had about 8 beers last night and I woke up feeling fine just a little sleepy. About two hours later I got sharp pains in my lower back. I layed down flat and it went away, still a dull ache but not sharp. My whole body hurts and I got chills with no fever. What could be causing this...could it be just a hangover. I m scared my liver or kidneys are failing. And I m really scared and have no way to going to the doctor. Please help.,! Thank you [|AI|] Dear Sir/ Madam, Thank you for posting your query at Chat Doctor.comic could be hangover. Take proper rest and Chat Doctor. If the pain is not unbribable you can take anti-inflammatory. If you do not have fever take hot water fermentation for back this will relax the muscle and reduce the pain. If still you do not feel better with all the above advice kindly consult a nearby physician. Hope my advice is useful to you. Your thank-you note will be very much appreciated. If you any further information, please revert to me, I will be happy to assist you. With best wishesTehzib

The conversation between human and AI assistant. [|Human|] I had a blunt force trauma to my foot several months ago. I keep having pain and repeated bruising in the same spot when I move my 2nd toe at just the wrong angle. I m thinking I did more damage then I originally thought. Could it possibly be broken and I keep re-injuring it? [|AI|] Hello, I had gone through your query and understand your concern. As you had a blunt injury several months ago, an underlying fracture might have healed by this time. If you still have pain then healing is not proper. Injury to blood vessels causes repeated bruises. I suggest you to consult an orthopedic doctor who will advise you to get an X-ray done to see what exactly is the problem. I hope this helps. If you have any other queries, feel free to ask. Chat Doctor.

The conversation between human and AI assistant. [|Human|] I had a tumor removed 12 yrs ago c2-c6. Since then i have suffered spasticity left leg and back. Severe pain. Have been diagnosed with a tethered cor and have a syrinx. The problem i have is my cord where they opererated is very narrow. The question is can they wided my cord if the detether it? ThanksRob [|AI|] Hello! Welcome on Chat Doctor ! I understand your concern and would explain that another surgery to remove the scar tissues, can be tried in your clinical situation. It could help improve the pain. But the spasticity is related to the damage to the spine, and it does not improve. Physiotherapy is the best way to treat spasticity, besides Chat Doctor. I would also recommend trying amitriptyline for the chronic management of the pain. Hope you will find this answer helpful! Best wishes,

The conversation between human and AI assistant. [|Human|] I started having chest pain 7 hours after eating so tried alieve, mylanta and acid contoller. No relief so sat up all night. This morning same pain . I have good steady pulse and low pressure. This is a on going thing for me. Taking Flecinide for atrial Fib which no attacks for years now. Had lots of test for heart but no problem three months ago. Still the pain is causing me sleepness nights [|AI|] Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) related chest pain is more likely. Only Chat Doctor. You need to follow below-mentioned lifestyle modifications too.1. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals.2. Avoid stress and tension, be relaxed and calm. Keep 2-3 pillows under head in bed.3. Go for walking after meals. Lose weight if you are obese.4. Quit smoking and alcohol if you have these habits.5. Start pantoprazole and levosulperide combination on empty stomach twice daily.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|] Hi - I am experiencing a burning pain in my left upper abdomen that goes thru to my back and has been constant for the last two days. I went thru several cases of pancreatitis before it was discovered that I had a sluggish gall bladder, it was removed, but the pain feels very much like it did in those incidents. I am not running a fever and have restricted liquids and foods since yesterday afternoon and have been taking percocet and ibuprofen to help deal with the pain. Does this sound like it could be another case of pancreatitis or could it be something else and what can I do from home? I got laid off last year and have no insurance and would like to avoid racking up the kind of medical bills I had with the other bouts of pancreatitis. Thanks - Jodi [|AI|] Hi. Thanks for your query. From your history there is no Pancreatitis, only you had sluggish gall bladder, which was already removed. Your classical symptoms of pain in the left upper abdomen going through to the back can be due to Gastritis for which Upper GI endoscopy should have been done. Get Endoscopy done if not yet done. The treatment required by you is as follows. I would advise the following in such a patient:Santa 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Risperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ Chat Doctor. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor)Lying in a reclining positional around after dinner. Think of the factors which increased the present problem, HERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you, hopefully.

The conversation between human and AI assistant. [|Human|] SInce 1 month i had been Having 3 boiled eggs everyday in breakfast but , ever since i started having boiled eggs in my breakfast i have been having hea boils all over my back and in my face too is it beacause of the eggs or my stomach is not clean ? [|AI|] Welcome to hellcat magic Chat Doctor. . it’s though a very rare incidence but yes there have been reports of egg allergy and most of them were to the people who consumed egg yolks (whole egg)Things to do: (1) First stop using egg for ten days.if issues resolve it means eggs are culprit(2) Start taking just egg white not the yolk if no issue arises it means yolk was the culprit not the whole egg.(3) if even egg white causes issues then stop eggs and use other protein sources like red beans .pulses. Chicken .fish stopping egg does not resolve the issue then your suspicion about egg being culprit was wrong may be its some new med.diet...cloth.or place you have just came in contact with try to find out the causing agent and contact your physician.plus we at Chat Doctor are always there to help you:)I hope this would be helpful. Stay blessed and healthy

The conversation between human and AI assistant. [|Human|] Hi, I am a male of 26yrs age. For the past 15days, I have been suffering from full fever and cough i went to doctor he said i have pleural fluid effusion on my left sided chest.now doctors got fluid out in fluid lab test they found colour yellow/lymphocytes are incresed by 90% i got antibiotics now i want to know the diet/nutrition plan in (fruits/veg/non-veg/dry fruits)etc.. [|AI|] The common reason for a lymphocytes yellowish pleural fluid with oxidative level of proteins is usually tuberculosis. In tuberculosis one needs to take the anti TB medicines religiously the full and adequate course. Diet should be protein rich containing plenty of fresh fruits and vegetables, better to take frequent small meals in a day. Whatever suits you can be taken it diet like any fruits, vegetable Chat Doctor.

The conversation between human and AI assistant. [|Human|] hi doctor , I am Anil age 27, recently I was selected for MNC company as a Accountant in SAUDI. But problem is I am having Hepatitis B (HBSAG Positive), My family doctor suggested me no need of any treatment now because virus is inactive and low in..,please help me doctor............ [|AI|] Hi Mr Anil, Where are you writing from? I am so sorry to hear about your diagnosis. But your doctor is absolutely right. Unlike hepatitis C, in hepatitis B, there is no need to take treatment if your liver function is normal and if your viral load is low. You will need additional tests to look for other markers of infection and to see if you are infective to others (Hepatitis B PCR, Antics ab, Anti HBC ab, Anti He Ab, and also for hepatitis C). Based on this we can categorize you as a carrier or as someone who has cleared the virus. Most people will clear the virus by themselves without any treatment. Only a minority become chronic carriers and only a minority in them will develop cirrhosis at a later stage. Hepatitis B only needs treatment if the viral load is very high or if the liver is being damaged as evident from blood tests. In the meantime, I would advise you to take precautions against spreading the virus (avoid contact with body fluids). I hope this helped, and I hope you feel better soon. Please do not hesitate to contact me for further details - [email protected]

The conversation between human and AI assistant. [|Human|] hello doctor m 24 year old bachelor, a few days back a lump appeared inside my lower lip wall it is whitish n light jelly like in colour.. though it does not cause any pain but its quite disturbing... m a regular tobacco user until this tiny lump appeared.. m worried please suggest what it may be [|AI|] Hello, Thanks for your post on Chat Doctor. I carefully read your query and able to find out your point of concern.Don't worries its not a serious issue to get worried. I think it is a muscle, caused due to local trauma. Mucocele are formed by accumulation of mucous from trauma to salivary duct. Usually it is not harmful and spontaneously resolve on their own after a short time, and you can rinse the mouth thoroughly with salt water for two to three times per day for few days to augment the process. If persist for long time then you can go to a dermatologist for laser treatment or surgical excision. I think it will help you. Wish your good health. Regards

The conversation between human and AI assistant. [|Human|] Every morning my baby will wake up with vertical nystagmus and sometimes he will have an upward gaze. It started 2 weeks ago when he was sick with a cold and ear infection. He had an EEG and the results were normal. We have an appointment to see a neurologist in two weeks. I am very concerned. What is the cause of this? [|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. Many times seizure disorders can get missed in the single EEG. What is required is multiple EGGS and if possible EEG's with photic stimulation. Seizure disorder is a most likely diagnosis but occulogyric crisis is also one of the possible etiologies and this can occur as a side effect of some Chat Doctor. Are you baby on any medications? That needs to be checked. Your neurologist visit is certainly warranted. 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|] I was diagnosed with hep b 3 years ago. With the medicine ( baraclude ) that my doctor prescribed my liver tests became normal . Last night I started to have lbm and I cant think of anything that I ate that would cause the lbm. Is it possible that the lbm is triggered by my hep b? [|AI|] Hi thanks for contacting Chat Doctor.... You have now normal liver function after diagnosed with hepatitis b infection 3 year ago ... But you can be carrier ... So confirm your negative infection by viral marker study by ELISA. Anyway here your irregular bowel movement could be by eating outside food or excess fatty meal or excess spicy food. It could be from gastroenteritis like infection also by virus or bacteria. If diarrhea with mucus or blood present or fever start antibiotic.... If muscular spasm more dicyclomine can take. Small meal with frequent interval taken. Avoid alcohol, smoking etc. If problem more USG done. Take care. Consult gastroenterologist if not improving. Chat Doctor.

The conversation between human and AI assistant. [|Human|] (34yo Female) MRI showed well-circumscribed, low attenuating, hypoechoic liver mass. Grew from 1.2cm to 1.8cm since last MRI (18 months ago). Initially my dr wasn t concerned (it was found accidentally during an MRI for kidney issues) but he wasn t thrilled that it had grown on my most recent scan. He is debating sending me to GI. Thoughts on what this could be? Hemangioma? Can cancer be ruled out due to the characteristics? [|AI|] Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion it is more favoring benign etiology. Following are the benign causes for slowly enlarging liver mass. 1. Liver cyst2. Liver abscess3. Hematoma etc. Possibility of malignant lesion is less likely because mass is well circumscribed and low attenuation, hypoechoic. This is less likely finding in malignant mass. But we need to get done biopsy of the lesion to confirm the etiology. So consult GI doctor and get done biopsy to rule out above-mentioned causes.

The conversation between human and AI assistant. [|Human|] I ami tajine antibiotics for what my urologist suspects may be a low grade prostate infection. My prostate is normal as well as my bladder. No cancer either. However after one week the pain and frequent urination is still occurring. Also painful erection and ejaculation burning sensation. Penis also has developed an hourglass Appearance intermittently. What else can this problem be? [|AI|] HelloThanks for query. Frequency for urination, painful ejaculation.burning urination that you have strongly suggest active infection of Prostate (prostatitis) Please consult qualified Urologist for clinical and digital examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Serum PSA.4) Semen Examination and culture 5) Swab test of urethral discharge obtained after digital prostate massage.In the meanwhile start taking antibiotic like Doxycycline along with anti-inflammatory medicine like Diclofenac twice daily. You will need to take these Chat Doctor.

The conversation between human and AI assistant. [|Human|] I have the nexplanon implant. Last week I got a ppd test done (wednesday) over the weekend I have experienced pain and a burning feeling around my nexplanon site.it is to the point where putting my arm down in a normal resting potion hurts, even when it slightly touchest anything. Is it possible that it could have affected my birth control? The test was done in the same arm as my nexplanon, honestly didn t realize it until today. [|AI|] Hi, It is due to minor inflammation at the site of the implant. You can take analgesics/anti-inflammatory combination like Acetaminophen/Serratiopeptidase combination for pain relief. Generally, the symptoms will subside in a couple of days and in case of persistent symptoms or any signs of infection, you have to consult a physician. Hope I have answered your query. Let me know if I can assist you further.

The conversation between human and AI assistant. [|Human|] i had a dental implant that got infected. it wound up infecting the 3 teeth next to it. this went on for 4 months. i had the implant and the 3 teeth removed but i still got infection in my gums. is there a type of blood test that can determine what kind of infection i have. [|AI|] Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for query. The gum infection usually does not need any blood test. It can be diagnosed by dentist by simple technique like :-- By physical examination like redness, swelling and bleeding.- Sometimes X-ray can be taken to check the extent up to which infection has spread and infected bone.- There is instrument called probe which is used to check the pocket depth of gum that will give clear idea of infection. I would suggest you to consult oral surgeon and periodontist for proper examination. Doctor may order x-ray or blood test (if required) to rule out other underlying condition and prescribe antibiotics (amoxicillin). For now do Betadine rinses 2-3 times a day and HY Chat Doctor. Hope your concern has been resolved. Best Wishes,

The conversation between human and AI assistant. [|Human|] I have severely crowded teeth and I have a tooth that sits directly behind on of my front teeth. The gums surrounding that back tooth are very swollen and it bleeds daily. I have also noticed pus lately. Is is possible to just get this tooth removed? [|AI|] Hello:)Welcome to Chat Doctor. Crowded teeth are responsible for your infection of your gums. Get a complete scaling(cleaning) done. I strongly recommend, get a consultation from an orthodontist for straightening your teeth. Straightening your teeth will reduce crowding and improve gum health in your case. He will check your x-rays and will decide if the tooth can be removed. You did not provide your age either. Gargle warm salt water twice daily. This will help maintain your gum health. Regards.

The conversation between human and AI assistant. [|Human|] My son is 22 and just recently went back playing rugby after a year. He was diagnosed with grade 1 spondylolistheses at L5/SI secondary to bilateral pars defect. He is now complaining of pins and needles and weakness. He has gone to a college doctor and a physio today. Nobody seem to be to concerned. He does not live in the same city as me. I am an experienced nurse and I am quite concerned. I have told him to go straight to an emergency room if the pins and needles persist. I just want clarification on this. [|AI|] Hi there, if the tingling and weakness is in your sons legs I recommend that he goes to an emergency room without delay. A grade 1 spondylolisthesis is usually not very concerning, but if it is mobile (or unstable) and worsens with activity, it could be worse than a grade 1 currently and pinching the nerve roots that control his legs, bowels/bladder. I am extremely concerned about the weakness you state that he is having, and I would have him seek emergent medical attention without delay.

The conversation between human and AI assistant. [|Human|] hi, i have irregular periods problem. now trying to conceive. my doctor suggested ovaa sheid ds, apcod, folic acid and ycst tablets. will there be any side effects due to this tablets. my last period is on 28th Dec 2012, please let me know when is the best time to have intercourse to increase pregnancy chances. thanks. [|AI|] Hello thanks for your everywhere are many causes of irregular periods. You should be investigated thoroughly to rule out all of overexercise, stress, anxiety, fluctuations in weight and age around 40 are chief causes. Polycystic ovaries can cause irregular cycles for which various hormonal assays are necessary for diagnosis. Thyroid disorder, a Chat Doctor. Also, some disease within the uterus or ovaries can also lead to irregular cycles. The medications prescribed to you act empirically, and are not known to cause any side effects. However, you should consult a proper Infertility specialist, to get all investigations done, also your partners' semen testing and tests to know if both your tubes are open. As your cycles are irregular, it is extremely difficult to pinpoint the days of ovulation, around which, intercourse leads to maximum chances of pregnancy. Also with irregular periods, it is very likely that you might not be ovulating at all. Please consult an infertility specialist, who would perform follicular monitoring by ultrasound for you, and hence advise the best days for trying to conceive, as well as treatment for an ovulation. Take care.