{"_id": "000000000", "text": "Aneurysm in brain causes headache due to compression of pain sensitive structure in brain. But pain is usually unilateral not bilateral. This pain will not radiate in both upper limb. Bilateral upper limb pain may be due to cervical spondylosis or other causes. You have anxiety of aneurysm, so due to anxiety your mood is horrible because aneurysm does not cause horrible mood change. So your headache may be chronic tension type headache. You may relieve by antianxiety Chat Doctor."}
{"_id": "000000001", "text": "Hello, thanks for writing in. I understand your anxiety. The pull-out method is not 100% foolproof. If your partner has a 26-day cycle, it means she would be due around the 18th. A delay does not always mean a pregnancy, it can also be due to the mental anxiety, illness etc. She can test for a pregnancy using a home pregnancy kit about 4-5 days after the date of the missed period (assuming she has regular cycles). Ask her to use a morning sample preferably. If there is a doubt, better do a pelvic ultrasound the week after. Do not worry, seek a gynecologist opinion in case it is positive. All the best."}
{"_id": "000000002", "text": "Hi, Welcome to Chat Doctor Forum. I have gone through your Query & I really appreciate your concern about the problem you are facing. As a physician I would like to tell you that you need to observe your dog till15-20 days. Also, your son needs to take 3rd shot, i.e., of 7th day. Also, you did the right thing by vaccinating our dog. So you need not worry about anything. Thanks for Trusting & Posting your Query on this forum. Hope this will help you. Feel free to ask any further question. Have a nice Day. Chat Doctor."}
{"_id": "000000003", "text": "Hello Their have gone through your question, I had a same case with swelling in ankle area because of the cellulitis, I have found electro-therapy effective in the treating the swelling caused by cellulitis. We call this machine IT [inter-ferential therapy]. An experienced Physiotherapy will give you IT treatment at a frequency of 70-100 and if pain is there 20-30 frequency current would be used.in the meantime you can start calf stretching to activate \\\"pumping mechanism\\\" of your calf muscles as Calf muscle is called as HEART of lower body. So once these muscles get activated swelling would not e a problem anymore. Also try Isometric exercises of calf muscle. I am hoping a speedy recovery for you. Regards"}
{"_id": "000000004", "text": "HIT hank for asking to ChatDoctorI can understand this, these are two different conditions and that might not be due to unsafe intercourse, but this could be some allergic rash might have developed at the same time in two different areas, just wait till few more days the chances of getting alright on its own is likely, if this does not go away, then you can use \\\"Tab Levocetrizine 10 mg three times in day\\\" hope this information helps you, have a nice day."}
{"_id": "000000005", "text": "Welcome to Chat Doctor. Metanx is a medical food made that contains L-methylfolate (vitamin B9), methylcobalamin (vitamin B12) and pyridoxine 5-phosphate (vitamin B6). It is a vitamin B supplement. Treatment is on right way for neuropathy, but you have to be watchful for your sugar level. You have to take oral as well as intramuscular NSAID to subside pain. Gabapentin will be useful. Ask your doctor about your pain and further management."}
{"_id": "000000006", "text": "Thy mic cancer causes respiratory distress. After a thy mic tumor is found and tests have been done to get a sense of its Factors important in choosing a treatment include the type and stage of the cancer, whether it is respectable (able to be completely removed with surgery), and whether you have any other serious medical problems. Because thy mic cancer is rare, it is often hard to accurately predict the effectiveness of treatment strategies, and in many cases the best way to treat this cancer is still not preselecting a treatment plan is an important decision, and you should take the time to think about all of your choices. The main treatments for thymus cancer are"}
{"_id": "000000007", "text": "Hi. Welcome to Chat Doctor. I read your query. In tongue there are naturally larger taste buds at the back of tongue as compared to front. Also, there is lingual papillae As you mentioned you have an infection, chances are it could be an enlarged taste bud or papillae due to infection, medication or some allergy. It can also be an ulcer. Normally This happens with fever and infection and regress on their own. I suggest you to check if it is discolored, enlarge or have uneven borders, then get it checked. Else you can wait for healing up of your infection. Take your prescribed medications. Take multivitamin tablet one per day. Maintain God oral hygiene. If warm water is tolerated, do warm saline rinses. Maintain good diet and HY Chat Doctor.  If it burns while eating, you can apply oral anesthetic gel 5 min before eating. Hope the answer helps you. Thank you!"}
{"_id": "000000008", "text": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that low blood pressure can be associated to different symptoms"}
{"_id": "000000009", "text": "Hi Welcome to ChatDoctorI Have gone through your query regarding your17 years of amoebas It is after OC great concern. I want to know what all symptoms you face , and for how much time they carry on ? Individuals with weakened immune systems are at a higher risk of amoebas. Conditions such as cancer, malnutrition and old age can contribute to suppressed immunity. Normally seen symptoms are, Sudden weight loss Abdominal cramping & painNausea, Loss of appetite, Flatulence , Tiredness , Dehy Chat Doctor. Treatment also includes certain medications which help to destroy the parasites. These may lead to some side effects such as nausea and a metallic taste in the mouth. Medications to treat diarrhea may also be prescribed. It is important to"}
{"_id": "000000010", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection o urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health."}
{"_id": "000000011", "text": "Hi thereafter going through your query I understand your concern. I would like to tell you, palpitations along with shortness of breath is more likely to happen due to cardiac Arrhythmias, and it requires further evaluation to avoid fetal cardiac events. Kindly get your ECG, treadmill test or stress echocardiography done and see a Cardiologist with reports for further management. Hope to have been helpful. Kind Regards Chat Doctor."}
{"_id": "000000012", "text": "Hayes with Chat Doctor.  Some breast cancers are made to grow faster by a natural hormone called estrogen. Anastrozole decreases the amount of estrogen the body makes and helps to slow or reverse the growth of these breast cancers. Hot flashes, headache, trouble sleeping, dizziness, stomach upset, nausea/vomiting, constipation, diarrhea, loss of appetite, weight gain, tiredness/weakness, increased coughing, or sore throat may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Before using this medication, tell your doctor or pharmacist your medical history, especially of"}
{"_id": "000000013", "text": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. The history is suggestive of Peripheral Neuropathy You need to visit a Neurologist and undergo Clinical Examination of ReflexesExamination of Sensory System Nerve Conduction Studies After that we can treat and try to cure you at the earliest 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. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http"}
{"_id": "000000014", "text": "Hi, dear. I have gone through your question. I can understand your concern.  You may have some leukoplakia or some malignant lesion.  You should go for biopsy of that lump. Go for biopsy and histopathological examination. Then take treatment according to your diagnosis. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000015", "text": "Hi welcome to ChatDoctorcerebral atrophy means decrease of brain size(fewer cells, neurons etc.). Cerebral atrophy can not be reversed. Your baby needs developmental, rehabilitative, neurologic care, and early intervention services so that the best possible outcome can be achieved, how much can be achieved depends upon degree of damage to child. Normal development as on a normal child can not be achieved, the best possible development for your child should be tried. Thanks"}
{"_id": "000000016", "text": "Hi, welcome to Chat Doctor. Thank you for posting your query. Let me make it clear about uses of potassium in the body. It helps in functioning of muscle and nerve cells in the body. Certain symptoms like severe vomiting, loose motions, antibiotic use, diuretics, chronic kidney diseases cause hypokalemia. Hope I have answered your question. If you have any further questions I will be happy to help."}
{"_id": "000000017", "text": "Hi, If your mother doesn't have kidney failure, it is a good idea to prescribe Spironolactone and Furosemide together. Spironolactone will not let to a big Chat Doctor.  It is Ok to take them together with Candesartan. I would advise you to check electrolytes once monthly, after 3 months, if they are stable, then you can check it once in 3 months. Hope I could help nourishing you good health In case of further questions don't hesitate to ask"}
{"_id": "000000018", "text": "Hi. Thanks for your query. Understood your concern for your daughter. The treatment of tuberculosis anywhere in the body is straight and simple. The standard protocol of 2 months of intensive phase and the next months of continuous phase have to be completed. Since this is abdominal tuberculosis called as extra-pulmonary, you have to give her 3 months of treatment. In addition to the standard treatment, you have to give her the best of proteins, correct anemia, give multivitamins. Whenever she has intestinal obstruction, she may need a surgical correction. Hyderabad - Consult any General Surgeon or Surgical Gastroenterologist."}
{"_id": "000000019", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. Most kidney stones pass spontaneously and this is usually a painful experience. You should continue with painkillers and Vital and Chat Doctor.  If there is no urination in 24 hours, you should see urologist and do tests to rule out ureter obstruction. Also, you need to avoid high calcium food and high protein food for few days. If fever or pus in urine occur, you should see doctor as well since it may indicate kidneys infection. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health."}
{"_id": "000000020", "text": "Welcome to Chat Doctor. 1. Lump in the armpit / axillary region without pain, tenderness suggestive of lymph nodal enlargement at first place and lipoma, vascular causes on the second place.2. If you are my patient I would have examined first and ask for an ultrasound axillary region - ultrasound will give me the nature of the disease, its source and extensions.3. Lymph nodal enlargement is seen because of the underlying medical conditions any infections / inflammation it can be localized or systemic or possible lymph nodal pathology itself (lymphadenopathy)4. So one has to find out the cause - if required FNAC - fine needle aspiration cytology will gel to evaluate the cause and cells involving.5. I can understand your financial status, but this is the standard procedure one has to follow. Try the way you can do so. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you."}
{"_id": "000000021", "text": "Hello, I passed carefully through your question and would explain that it is important performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical situation"}
{"_id": "000000022", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have burning sensation, numbness and tightness in the feet. Well there can be many reasons for symptoms you mention in query like chronic alcohol use , athletes foot, diabetic neuropathy, hypothyroidism, nerve injury or vitamin deficiency anemia. I would suggest you to consult general practitioner for proper examination. Doctor may order certain tests like blood test, nerve conduction test and take history. Doctor may prescribe iron supplement or refer you to endocrinologist for thyroid problem or orthopedic surgeon for nerve injury. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000000023", "text": "Hello, I will suggest you to discontinue the hormonal method of weight loss. ChatDoctor Chat Doctor.  Lack of vitamin C in diet and other important micro nutrients can lead to browsability. Chat Doctor has also many side effects, one of which a rare one is browsability. It's best to get into a weight loss program using natural methods and not skipping these essential nutrients, under the guidance of a professional nutritionist.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000024", "text": "Hello appreciate your concern for your boyfriend. Looking at your description this might be related to inflammation due to infection or injury during sexing my opinion you should ask him to have plenty of fluids with glucose water and fruits juices if he is not diabetic. You can also give him ibuprofen with pantoprazole for symptomatic reliefs him to take rest until he recovers fully Hope this answers your question please feel free to ask for further clarification I will.be happy to help you Best wishes"}
{"_id": "000000025", "text": "Hi, dear. I have gone through your question. I can understand your concern. There are many causes of low WBC count.  Even simple viral infection, typhoid, malaria can lead to low WBC count.  If you have any symptoms then consult your doctor and take treatment accordingly. If you don't have any symptoms then no need to worry at all.  Your Chat Doctor.  Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000026", "text": "Hi Elaine, Thanks for asking. Based on your query, my opinion is as follows.1. No, hemochromatosis does not cause difficulty to walk. 2. I am not sure if it is anything related to hemochromatosis as you can walk at nights and not in day. Are you able to move your limbs during daytime? If you are able to move any of the limbs, then you will require psychological support and counseling.3. Routine hologram along with serum iron investigations will give a guide on hemochromatosis. Liver biopsy can confirm it. If more details are available regarding investigations and clinical history, I can be more helpful. Hope it helps. Any further queries, happy to help again."}
{"_id": "000000027", "text": "Hallow, I fully empathize your sufferings. Mirena is an intrauterine device. When with IRENA in you start getting severe pain in abdomen, the cause could be"}
{"_id": "000000028", "text": "Hello, Thanks for writing to us. Irregular intake of birth control pill & unprotected sex close to your fertile period or ovulation day (occurs 14 days prior to due date) are quite risky for being pregnant. In this case, I suggest you to undergo one home pregnancy test if you miss your next period. Above clinical features are quite relevant with possible pregnancy. Common symptoms of pregnancy"}
{"_id": "000000029", "text": "Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions"}
{"_id": "000000030", "text": "Hello, What I can infer from your complaints is that you have had a soft tissue injury to your hand. If the x-rays do not show any bony injury then most likely it will be a soft tissue injury of the hand. I would suggest you wait for one more week and if the pain increases then to recons ult your physician till that time you can take it easy. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000031", "text": "Hi. Treatment for PCs begins with weight loss and metformin, if either or both are indicated, and then is individualized depending on the patients reproductive needs"}
{"_id": "000000032", "text": "Thanks for using Chat Doctor. Read your query. Excess tissue growth with ill-fitting denture as you have described is usually harmless referred as Ellis fissuratum. This is usually cause by chronic tissue irritation by an ill-fitting dentures and its response to the soft tissue. Biopsy is usually done to rule out any other lesions including neoplasm. I would suggest you to go ahead with surgical removal of the tissue. After the healing get a new denture done with proper fitting and proper maintenance of the denture. Hope this was useful. Thanks and regards."}
{"_id": "000000033", "text": "Hi, it appears that the pain is only due to the infection. The removal of the wisdom tooth is a lumbar some process, with the breaking of the alveolar margin of the jaw bones, which may damage the nerves and vessels of the jaw. It also may be due to pressure on the trigeminal nerve, so it may cause trigeminal neuralgia. So I advise you to consult a neurologist for diagnosis.  I to my patient with such symptoms prescribe ofloxacin, ornidazole, serratiopeptidase, and anti-inflammatories. Thank you."}
{"_id": "000000034", "text": "Hi! Welcome to Chat Doctor, and thanks for giving us an opportunity to discuss on perineal infections! So, your perineal lump is recurrent, small, nodular and accompanied by another yellowish nodule in the pubic area! I must consider, if you had visited my clinic, that these two are same in pathological terms; they are sebaceous inclusion cysts getting infected and resolving due to bodies immunity power! These needs a simple needle biopsy for confirmation and surgical excision / antibiotics for cure...Therefore, please see a surgeon for a clinical examination and necessary management.don't worry, ..."}
{"_id": "000000035", "text": "Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You seem to suffer from -Chronic Sinusitis with left lung nodule, with high BP. Seems mostly to be a case of -Aspergilli with APA with sinusitis with high BP. Bronhcoscopic Lavage with aspiration and biopsy-would fix it from other causes-like-TB /Cancer etc. Remedy-Check up with ENT and second opinion from Chest and allergy specialist would rule out cause of accompanied high BP with it. CT Chest with CT -PNS(paranasal sinuses)would resolve the complex health issues in your case. Depending on causal confirmation of the lung nodule, attending Physician/chest specialist and ENT Specialist team would plan further treatment accordingly. General antibiotics/with enough HY Chat Doctor. Commonest cause in your case would be Bronchopneumonia with aspirations from Sinusitis. Other common cause -TB bronchopneumonia- needs to be ruled out and treated with anti-tb medicines accordingly. Steroid with Itraconazole(Strong)-would resolve the nodule -is from aspergilli. Simultaneous treatment to control high BP with antihypertensive medicines would be needed in your case. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!!"}
{"_id": "000000036", "text": "HI, Dear Carson-Very Good Morning from India. Thanks for your query. I understand your concerns. I studied your query in depth.-I would advise your mother not to worry. In my opinion its -post-traumatic HEMATOMA.-Treatment-l you need to consult ER Surgeon to avoid any infection in it and pus formation, which needs to be avoided.-He would treat it- by-a-Cold compresses-b-Tb Antibiotic, c-Tb NSAIDs, and would adjust the dose-of warfarin accordingly d-Watch for any increase in Size of the arm lump. This would regress in next 2-3 was time.-Hope this reliefs your worry-some query. Welcome for any more queries in time to come. Have a Good Day."}
{"_id": "000000037", "text": "Hi, Thanks for posting in Chat Doctor. What you are complaining of appears that you have a mild bacterial infection of the foreskin. Nothing much to be worried about it. This can be managed in the following way"}
{"_id": "000000038", "text": "Hello, I am so sorry. Please accept my sympathy for your loss. There can be infections, birth defects, complications of pregnancy such as high blood pressure.  Mom can be a smoker, alcohol, overweight, African-American, have diabetes.  Many times the cause of a stillbirth infant is unknown. Most women become pregnant again, have a healthy pregnancy and a healthy baby. You may wish to contact a group of other women who have also lost a baby. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000000039", "text": "Thank you for you question. Diabetes is a chronic condition and its complications predisposes people to have chronic wounds on the lower limbs which can lead to gangrene and cause lead to an amputation of the said limb. This situation is worsened when the Diabetes is poorly followed up. I would ask you to first of all check his blood glucose level with a One-stop machine and make sure it is within normal values for diabetic patients i.e. 1 - 2 g/l, secondly verify if he is taking his diabetes medications, do twice daily wound Chat Doctor.  Consult a planetologist when you can. Good luck"}
{"_id": "000000040", "text": "Hello thanks for using Chat Doctor .  I would be pleased to answer your question For the hyperpigmentation, the best option is to get your skin exfoliated by a better method like a glycolic acid peel done every 15 days. A better option for you would be to visit a Dermatologist to avail of these peels. Alternative peel treatments like trichloroacetic acid are also very useful. I would suggest you get your skin examined by the dermatologist.  For a home based treatment, Application of vitamin C based serum can be safe over long run. Thanks and take care."}
{"_id": "000000041", "text": "Hi.Thanks for your query. Noted the history of enlargement of axillary lymph nodes with strings radiating from elbow to the maxilla like a web, axillary web syn Chat Doctor. With the history you have provided, this looks to be lymphangitis causing the strings under the skin from the elbow to the maxilla which has now enlarged lymph nodes. I would advise you the following in such a case as definite cause may not always be found and hence also called as Idiopathic. Blood smears to be prepared at midnight and examined for elephantiasis that is filariasis. Blood to be tested for CBC and other routine reports like sugar, kidney and liver functions. A course of an antibiotic and Albendazole to be started asap. A 3-week course of Genocide forte that is diethylcarbamazine helps. Give rest to the affected arm. Plenty of oral fluids orally to combat deny"}
{"_id": "000000042", "text": "Dear, We understand your concerns went through your details. Let me assure you, masturbation is not unhealthy. Masturbation is normal and natural. Frequency of 4 or 5 times a week masturbation is pretty normal and not in excess. Therefore, masturbation is not the reason for your present problem. I think you are obsessing with your sexual ability and sexual organ. Unless you are actually in sexual intercourse, you cannot judge your hardness. Secondly, when you try to test your hardness, the hardness comes down, because at that moment, you are diverting from sexual thoughts. The reason for your present problem is simply psycho-logic and never organic. I suggest you to consult a psychologist for sexual counseling. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000000043", "text": "Thank you for posting query. Carrier state means that your wife is infected with Herb (Bag positive) but the replicating antigen of virus maybe negative and the viral load may NOT be high enough requiring treatment. Virus is in \\\"dormant\\\" phase. It is possible that the virus remains in dormant phase throughout and causes no harm to liver. Only one fourth of patients infected with Herb virus develop liver cirrhosis. Therefore, one cannot be sure about her status. The viral load should be monitored, and she needs to repeat test every 6 month or at least once a year. You should also inform your treating doctor if you want to plan a baby. There is NO permanent treatment for Herb virus. However, all relatives of your wife including you need to be vaccinated against Herb (if not done yet).wish her good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor."}
{"_id": "000000044", "text": "Hi Kellstarr, Thanks for writing your query. Afterreadingyour post, it seems that the pain you are experiencing can be due to muscular in origin due to excessive coughing. The inhalers you have mentioned will help in bronchodilatation and help you in asthma. For Chat Doctor.  I would suggest that you should have following investigations done"}
{"_id": "000000045", "text": "Dizziness is not likely to be due to the infection unless OT is so severe that it had reduced your BP, but that is now unlikely considering that you feel the fever had come down. Ciprofloxacin is an excellent Chat Doctor.  You can take a multivitamin preparation for whatever it is worth as well. I suggest you take plenty of fluids and eat well for the next couple of days till you complete your antibiotics course but if you are not comfortable, please stop the antibiotic and get yourself examined by a doctor."}
{"_id": "000000046", "text": "Hi, It may be a contact allergic dermatitis most probably. Consult the dermatologist for the perfect diagnosis and proper treatment. Apply mild steroid cream on the lesions. Take antihistamines like Levocetirizine. Take oral steroids like Methyl Prednisolone in a tapering dose. Avoid contact with soap, detergents, dust, grass or other suspected allergens. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000047", "text": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You must know that Adderall is a stimulant of central nervous system. It affects chemicals in the brain that contributes to hyper reactivity. Through stimulation of nervous system in a secondary way it stimulates the electrical system of the heart. This stimulation might cause fast heart beats over 100 or generate other electrical impulses in parts of the heart different from normal sinus Rhythm. This causes premature heart contraction that we call extra systolic beats. In this situation you feel your heart like running, making pauses or skipping beats. You might feel anxiety, difficulties in breathing deeply, palpitations or pulsations to your veins all over. Every kind of stimulation of nervous system might cause this rhythm issue to simple emotional stress, coffee consumption or pathologies like anemia, hyperthyroidism, this kind of medicine that act directly to the system. So, nothing serious is happening to your heart. it's a reaction to this stimulation. My opinions is to discuss this effects with your doctor and decide together what to do with and fit is possible or allowed to stop it. Hope I was helpful. Best regards."}
{"_id": "000000048", "text": "Hi, thanks for using Chat Doctor It would be best not to puncture them because they can introduce infection if the technique is not sterile. You may want to add anti-inflammatory painkillers to your current regimen. They would help with pain relief and also reduce the inflammation due to the bites. Examples are ibuprofen, naproxen should continue your other medication and can also the foot baths. It is possible that the bites may become infected so if there is no improvement you may need a course of antibiotics. I hope this helps"}
{"_id": "000000049", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out lung diseases like bronchitis or asthma. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis or asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).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."}
{"_id": "000000050", "text": "U have a query that is bizarre in its nature although thank you for your question. U have pain in multiple sites of your body on the right side as u mentioned. But even if these painful sites have occurred at the same time, it is not necessary that these are related. I would advise u a Chat Doctor.  For example pain in your sole and last two toes can be related to faulty/badly crafted footwear and so on. Take care. Some amount of rest, physio and pain relievers may help."}
{"_id": "000000051", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Leakage of fluids can be possible after a week or so. Leakage after this time is abnormal. It requires a treatment. I suggest you to do culture and sensitivity from the fluid coming out. If it is infected than appropriate antibiotics as per the report will cure you. If the fluid is non infected than it requires a correction surgery. Once these measures are taken the fluid will decrease coming out. Please maintain good hygiene locally, you can do it by frequent cleaning and Chat Doctor.  This will equally important as taking"}
{"_id": "000000052", "text": "Hello. Thanks for writing to Chat Doctor. I read and understand your question very well. I try my level best to explain you. As per your symptom you have hypersensitivity reaction or allergic condition. It may also due to over consciousness or anxiety. I suggest you some points like never think much more about it, divert your thought in some things, think about your enjoying movement, do not much more concentrate or get tense about this. If symptom persist than I suggest you to consult a good allergic specialist. I hope my answer will help you a lot. Thanks and Regards. Chat Doctor."}
{"_id": "000000053", "text": "Hi, Thanks for writing in to us. Despite great advances in organ transplantation in the last four decades, herpesvirus infections remain a major cause of morbidity and mortality for a majority of transplant recipients. Central to all herpesvirus infections is the viruses ability to establish latent, nonproductive infections which can be reactivated at later times in the hosts' life, resulting in recurrent infections and associated diseases. While improvements in immunosuppressive Chat Doctor. Hope this helps"}
{"_id": "000000054", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. I do not think food is the only reason behind his behavior. Secondly calling this behavior as depression may not be right because this could be just dissatisfaction. I suggest you talk to your son with all your love and compassion. Or else, take him to a psychological counselor and counselor should help you. The reasons behind the behavior should be analyzed and accurate treatment method to be suggested. Understanding family and its intricacies is the trick. Your son should change, but it might take some time, and he might need your assistance as well as his wife. For more psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000000055", "text": "Hello,,, at 60 yrs fatigue with loss of weight, is a point of concern. You need to have him tested for diabetes and thyroid straight away. Then a general health check for not so common problems. Also, let him stop the cholesterol tablets for a month and see how he feels. This tablet can cause muscle pains which may be interpreted as weakness. Also, consider adding It D, Vitamin B1B6B12 along with Zinc as tablets. A general health check up with an X-ray chest would be essential."}
{"_id": "000000056", "text": "Hello, Firstly, let me tell you that you have misused the emergency pill and put it into too much use. An emergency pill is meant to be used only a couple of times a year; else, it can lead to catastrophic patterns of menstruation. Since you have attained menstruation which was indeed a with Chat Doctor.  Emergency contraception can be of use only when used soon after an intercourse and not at any part of the cycle. In the current scenario, I would suggest seeing a specialist if you do not see a period in the next two weeks; get a pregnancy test and plan further management. In the future, please go for some form of regular contraception and do not use emergency pills so frequently. Hope this helps."}
{"_id": "000000057", "text": "The foul smelling stools could be due to overgrowth of certain bacteria in his intestines. A course of metronidazole thrice daily for 5 days should be helpful. Also give him plenty of curd. You may skip the glass of milk in the morning and give other nutritive food items instead. The primary manifestation of lactose intolerance would be bloating and abdominal distention which your child does not have. In case of celiac disease, failure to grow properly and frequency of stool are generally present."}
{"_id": "000000058", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart related diseases in your case because chest constriction, neck pain and high pulse rate (94). All these favor heart diseases more. So consult doctor and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. If all these are normal then no need to worry about heart diseases. Sometimes muscular spasm cannot also cause constriction feeling. So take painkiller and muscle relaxant Chat Doctor.  Don't worry, you will be alright. But better to first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000059", "text": "Hi, A follicular study shows the development of the egg in the follicle, and can indicate the size of the follicle and can identify when the follicle ruptures. It cannot say if fertilization has occurred or not. Have you taken ovulation induction as well? If you have been trying for 4 months only, I would advise you to wait for 1 year, as most couples(85%) conceive in a years time on their own. The remaining need to be evaluated for the cause and then treated. The most likely period to conceive is 36 hours after the follicle ruptures. Hope this helps. Regards."}
{"_id": "000000060", "text": "Hi! Geographical tongue is usually related to glossies, however, there are some instances that yeast overgrowth in the stomach can cause tonsils, pain in the submandibular lymph nodes/ pain and lymph adenopathy and later on will result to glossies. As we know that yeast can grow in an acidic environment and sugar-laden environment. However, there are several causes that the tongue may swell and that could be caused by allergens, nutritional deficiencies and/ or infections. If the swelling of your tongue/ glossies/ geographic tongue is caused by allergens then probably that is also the cause of your hives on the face. We need to treat the cause of your geographic tongue, if you think it is from yeast overgrowth in the stomach, then, a diet modification will do. Like avoiding acidic foods and beverages, avoiding cheese, nuts or those foods that is high in sugar and at the same time a probiotic Chat Doctor.  If you think it is caused by allergy then avoiding all the foods and allergens is the mainstay of prevention, and at the same time taking an antihistamine"}
{"_id": "000000061", "text": "Hi, gain. Noted history of elevated liver enzymes. Are you experiencing any symptoms like abdominal pain, jaundice (yellowing of your sclera and skin), fever, nausea or vomiting? Most common causes are fatty liver, chronic alcoholism, infective and obstructive (gallstones or tumor lesions) pathologies. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, bilirubin, blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Am also from the Philippines and my clinic is open for consultation anytime. Hope this helps. Good day!!~ Chat Doctor."}
{"_id": "000000062", "text": "Dear friend. Thanks for sharing your concern. The white patches could be due to many reasons like oral sub mucous fibrosis or leukoplakia.it is generally seen in habitual tobacco users and smokers. Please mention your habits if you have any?Also, please visit your dentist soon and get the tooth restored where there is cavity. Simultaneously get the current lesion examined.Meanwhile, use antiseptic mouth rinses. Hope it helps. Thanks. Take care."}
{"_id": "000000063", "text": "Hello, I can understand your concern. It seems that the swelling of tongue that you have developed has nothing to do with the DVT and pressure in chest you are having. I agree with your doctor that it seems to be an allergic reaction. I would advise you to take Antihistamine such as Levocetrizine 5 mg (Exocet) or Loratadine 10 mg (Forfeits) once a day for at least 5 days. If it was an allergic reaction, you should find immediate improvement in the swelling in 1-2 days. Otherwise, the cause is not allergic. The allergy could be due to anything that you have been exposed to through air, water or food. If the episodes are frequent, you should go for a blood test for allergy to find out what substance you are allergic to, and you can avoid exposure to that in the future. However, if the swelling does not decrease with the antihistamines or if it increases, then you should consult a dentist to examine the oral cavity and investigate further regarding the cause. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best,"}
{"_id": "000000064", "text": "Dear patient What surgery was done, and spinal fixation was done or not? Were your symptoms improved after surgery or there was no improvement?  If your mothers symptoms remained same after surgery with no improvement it suggests surgery was not done properly. If symptoms improved after surgery for few years and now there is recurrence it can be 1. Disc prolapse at adjacent level 2.  Spinal instability.  This needs to be investigated with MRI of lumbosacral spine with screening of whole spine to confirm diagnosis. You need to consult expert spine surgeon with report.  All the best."}
{"_id": "000000065", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of heart disease is less but better to rule out cardiac diseases first for your symptoms. So get done ECG and 2d echo. If both are normal than no need to worry about heart diseases. Possibility of antibiotic induced gastritis is more. You're all symptoms like burping, discomfort in stomach, chest pain etc. are seen in gastritis. And antibiotics are known to cause gastritis. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Start proton pump inhibitors and prokinetic Chat Doctor.  But first rule out cardiac diseases. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000000066", "text": "Hello, Thank you for your question here at Chat Doctor. I understand your concern and I want to inform you that the Shingles' vaccine can lead to some adverse effects and thrombocytopenia is not listed among one of them. There are some reports of Poltava vaccine leading to thrombocytopenia, but currently we need more proof and clinical studies to affirm that for sure. In other words your husbands' thrombocytopenia may be linked to the Shingles' vaccine, but we do not know for sure at the moment.Meanwhile, please do not worry as this is a transitory effect and the platelet count will rise to its normal value in around 2-4 weeks if we were talking about minor thrombocytopenia from the start. I recommend another platelet count after 1 month just for your psychological comfort. I hope my answer helped you. Do not hesitate to reply if you have further questions, Best"}
{"_id": "000000067", "text": "Hello I share your concern, I will try to help you out in the best possible way. Looking at your description this could be STI or infected ulcer may be due to trauma during masturbation or an allergic reaction. I would like further information help you better relevant medical history like metabolic disease or hormonal disorderly recent exposure to unprotected sex? You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test Blood for CBC and liver function test or urine test are advisable if it is a chronic issueNSAIDS like ibuprofen or acetaminophen will definitely help you Maintain good hygiene Wash and clean it with antiseptic solution or soapbox can apply antiseptic ointment externally. Use condom during sex if you are sexually active Hope this answers your question please feel free to ask for more clarificationThanks and regards"}
{"_id": "000000068", "text": "Hi, Welcome to Chat Doctor, Most common cause of itchy eruption or patch under the breast is Tina corporal. It starts as pa pule and soon turns into a patchy lesion with scales and pa pule + vesicles at the periphery. Tab terminating 250 mg daily at night for 15 days will help. Sertaconazole cream to be applied twice daily. Tab Cetirizine 10 mg daily at night. Keep the area clean and Chat Doctor. Thanks"}
{"_id": "000000069", "text": "Hi, dairy have gone through your question. I can understand your concern. She has thalassemia and already taken multiple blood transfusion.  She may have some unknown antibodies in her blood that react with donors blood.  Furthermore, she should be given compatible blood.  Furthermore, she should go for antibodies panel test once to search the exact type. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000070", "text": "Hello, Thanks for the query to Chat Doctor. Forum. I analyze your report as, Volume 2ml (normal 2-5 ml) at borderline level normal. Viscocity normal pH 7.1 (normal 6-8)SPERM COUNT (query) normally it is 60-120 millions total. In your semen it is 20 million / ml and your semen is 2 ml, so in aggregate it is 40 millions means below normal. Normally if semen is taken after 3-4 days abstinence than its volume increases, so in that case it may be 3 ml than count will be normal. Motility is usually 90-100 % but in your semen it is 70% so they (sperms) are less motile than normal. Immobile 10 % and this is also normal (normal 10% immobile)20% are straight, and they are dead.  Rest of analysis is non-specific so no discussion. In my opinion consult a physician and get his opinion and treatment. Nowadays good and effective medicines are available in market, so you will GE alright in short time. If further any question I will help. Good luck."}
{"_id": "000000071", "text": "The longer that you're on birth control pills the more likely it is that you will cease to have a period. It does not mean that the birth control pill is not effective. On the contrary it is working very well. The lining of the womb has become so thin that there is nothing to shed. In other words the progestin has won out over the estrogen. Many women actually like this as a side effect of taking oral contraceptives. You will have to take a stronger estrogen containing pill to avoid the side effect but I don't think there's any medical reason that you need to."}
{"_id": "000000072", "text": "HI. Thanks for your query. Read the history and understood your wives problem. The reason of lower abdominal pain with back pain for 4 months can be the following"}
{"_id": "000000073", "text": "Hello dear, I understand your concern. In my opinion there are various causes for bleeding or spotting in pregnancy like hormonal abnormalities like thyroid abnormalities, progesterone insufficiency, abnormal pregnancy,low-lying placenta, bleeding from cervix etc. I suggest you to rule out the above causes by getting done physical examination, thyroid profile to rule out thyroid abnormalities, ultrasound to know the pregnancy status. Nothing to worry. Once the cause is treated it will subside. Avoid physical strain and intercourse. Take strict bed rest. But if the bleeding has not stopped consult doctor. Hope this helps. Best regards..."}
{"_id": "000000074", "text": "Hello, I completely understand your concern about the toothache. Dental pain surely annoys you. Reading your question, I guess you have a high carries index which is why the dentist has suggested you for a root canal treatment. There would be a deep cavity in your tooth which is why you feel the pain. I do not suspect any bone or neurological damage. Get your dental x-ray done and depending upon the depth of the cavity, the doctor would suggest you to go in for a simple filling or a root canal treatment. The earlier you visit a dentist, the better it is ! Hope this helps. Take good care"}
{"_id": "000000075", "text": "Dear parent, It seems your child is suffering from respiratory infection. He is unable to eat because of mucus he is ingesting. He cannot spit. This mucus is sticky so it doesn't pass ahead in intestine, because of small human. And then child vomits out. Try feeding him after he is relieved. Give him soup, milk, fruit, rice or whit ever he is interested in eating right now. Keep nebulizing him with plain water. He may pass frequent sticky motions as well. Keep in touch with the prescribing doctor for infection part."}
{"_id": "000000076", "text": "Hello Chest tightness in your age need proper clinical evaluation, and it is important to exclude cardio-pulmonary causes. You need clinical correlation and investigations like routine hologram, random blood sugar, liver function test, renal function test, lipid profile, urine RE/ME, Chest X-ray (PA view), ultrasound of abdomen, ECG in all leads, TMT,ECHO. It may also be due to chronic asthma. You may need PFT(pulmonary function test). Proper treatment depend upon findings. You can continue slow walking and don't undergo more exertions till proper evaluation. Get well soon. Take care Chat Doctor."}
{"_id": "000000077", "text": "Hello thanks for asking from ChatDoctorI can understand your concern. A lot of individuals with dementia develop psychotic symptoms and depression. These are seen as comorbidities in dementia. Seroquel has been given to her probably to calm her and to improve her mood. Learn has been prescribed to her for depressed mood and to prevent mood swings. Donepezil is given for dementia for improvement in cognitive functions. In my opinion if she has severe dementia then she should be given Donepezil and also Seroquel and Learn. She is also taking Xanax which is a benzodiazepine Chat Doctor.  The"}
{"_id": "000000078", "text": "Hi. Thanks for your query and an elucidated history. The reason of the pain in the center of the abdomen and the back can be related to the Gastric Ulcer / Cancer or pancreatitis. Pain in the testicle may be unrelated to the pain in abdomen and may be due to orchids or so. No blood tests are suggestive of gall stones. Ask PCP the following"}
{"_id": "000000079", "text": "Hi, Welcome to Chat Doctor. Thank you for posting your query. I understand your concern. By your history and symptoms I think that, your dizziness and black-outs could be due to Low blood pressure or low blood sugars. It would have been helpful if you had mentioned your past history of diabetes / hypertension / any head injuries. Consider getting an ECG, Echo, routine blood tests to rule out other possibilities. It would also be good if you can get an MRI of your Brain done. Consult a physician with the reports who will be able to comment on them and advice you appropriately. Keep checking your blood pressure at least twice a week at different time periods. Hope this answers your query and do write back to us if you require further assistance. Wish you good health."}
{"_id": "000000080", "text": "Hello, Its better to administer amoxicillin initially, prior to root canal treatment. This will help to relieve the underlying infection. I would suggest you to take complete course of antibiotics during the initial stages of tooth infection. Depending on the severity of infection, dose as well as duration of action of antibiotics may vary. Please do visit a dentist and get an opinion regarding this. Hope this helps."}
{"_id": "000000081", "text": "Hi, Welcome to Chat Doctor, You are already taking treatment for Anemia and your Hemoglobin is also reasonable 12.8 GMT and can continue to take B12 injection on monthly basis, and you can start work out gradually. My advice would be to start cardio work out initially later on weight training may be done. There should not be any problem in Gym. If there is any intake of alcohol it must be stopped completely. Take care Good luck to you,"}
{"_id": "000000082", "text": "Hi. I understand your situation. Keeping myself in your shoes and with previous experiences with these therapies in cases of anxiety and depression with aggravation SSRI, I would suggest either NLP or sunk six I acupuncture. NLP practitioner are available all over the globe. If you do not have access to any practitioner than you can read the best books I came across this topic - unlimited power and awaken the giant within. Both by Anthony Robbins. These are life-changing books and I highly recommend them from personal as well as patient experience. Six I acupuncture is different from Chinese acupuncture. It utilises very small needles with very small insertion depth only on palms. For emotional issues six I acupuncture is one of the best techniques to change the whole Constitution of the person. If am not sure which country you belong, but there are sunk association from Moscow who can probably guide you don't practitioner in your area. Hope this helps. Good luck"}
{"_id": "000000083", "text": "Hello, Did you have a history of trauma, fall, or long walking or running lately? From the information you gave, the first diagnosis that comes in my mind is arthritis of the foot bones, could be mid-foot, forefoot or hind foot. Normally, in the x-ray that you did arthritis should have been visible. The second option is stress fracture of foot bones, but only if you had prolonged walking or running recently. This cannot be seen on x-ray, but only on bone CT scan or scenography. There is even more rare disease such as infection or tumors that need to be distinguished. Maybe the podiatrist will order these examinations and blood work for you to diagnose and treat your condition. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000084", "text": "Hello appreciate your concernRecurrent yeast infection can be related to diabetes or low immunityThis could be due to PID, fungal infection like candida or bacterial vaginosis would like further information to guide you Bettencourt age and complete medical history would advise you for few investigations like blood for hemoglobin CBC Liver function test, blood sugar, urine culture and sensitivity test and vaginal swab for culture and KOH fixation testy may require a course of antibiotics or antifungal either in the form of oral Chat Doctor."}
{"_id": "000000085", "text": "Hi, Thank you for posting your query.First, I would like to reassure you that there is no need to worry about your current symptoms. They are most likely due to over-strain of muscles and fatigue. It would improve with rest. However, if you do not get better in a few more days, then, a brain scan should be done to exclude any ischemia (lack of blood flow to the brain). Also, thyroid profile and vitamin B12 level should be checked. 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/"}
{"_id": "000000086", "text": "Hi dear thanks for the query on ChatDoctorusually one breast will be slightly larger than other. If the disparity is noticeable and if painful it needs to be ad Chat Doctor. If your age is between 20 and 40 years you need to get ultrasound breast to check for fibroadenomas. If fibroadenomas you have to take vitamin E tablets daily one and prim rose oil tablets once daily for one month these may help with the pain thank you"}
{"_id": "000000087", "text": "Greetings. Inability to control emotions allow a male to get too excited during sleep which causes nightfall & making the organ small which is a normal phenomenon until & otherwise its within the normal physiological limit of an individual. Most of the people have many wrong ideas about nightfall - that it causes ill effects on health like nervous weakness, reduced energy, etc. or sexual problems like impotence in the future all of which is NOT true and these are just myths and misconceptions provided they are within certain limit. For too much stress, i advice you to do activities(Play outdoor games you like / Read books/ get along with friends / meet your relatives/ etc., ) that relaxes mind keeping you fresh."}
{"_id": "000000088", "text": "Hi there,Bleeding or spotting in early pregnancy, may mean a threatened abortion or an ectopic pregnancy. Both these conditions require continuous monitoring and treatment, which is why they are asking you to go back to the hospital for further evaluation. Repeated blood tests and ultrasound are required to know the location and normalcy of the pregnancy. If it is a threatened abortion, there is a high chance of the pregnancy continuing normally, but the first 12 weeks will be difficult. In case of ectopic pregnancy either medical or surgical treatment is definitely required. If your wife is having dizziness then it should not be ignored, and you need to see the doctor as advised. Hope this helps. Regards."}
{"_id": "000000089", "text": "Hi, thank you for providing the brief history of you.a thorough clinical examination is advised As pain in bilateral legs is due to the pathology of the spine. As the spine releases called as the spinal nerve roots which when trapped leads to such symptoms. Also, the nerve as dual functions of sensory and motor too. Any mild compression on the nerve will lead to any of the symptoms like motor weakness or some sensory issues like pain which can be continuous in nature. Usually with physical therapy and proper vitamins supplement the symptoms can be reduced. As in my clinical practice we recommend a combination of Chat Doctor.  As there will be weakness of the muscles of the spine and core team strengthening of it is advised to stabilize the spine and release the compression from the nerve roots. Regards Jay In"}
{"_id": "000000090", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have itchy patch and swollen lip don't worry it can be due to infection in tooth there can be formation of periapical pathology sinus opening. Consult dentist and go for investigations IOPAXray if there is periapical infection then go for Root canal, restoration of tooth.  Do warm saline gargle two - three times a day. Hope this will help you."}
{"_id": "000000091", "text": "Hi, It seems that there might be having secondary bacterial infection on the part giving this problem. Clean the part and apply triple action cream. Go for one antibiotic medicine course for 3 days to cure bacterial infection. Apart from local application of antifungal cream, go for one oral antifungal medicine course as well. Keep inter digital part clean, Chat Doctor. Take care of cleaning inter digital spaces after taking shower. Ok and take care."}
{"_id": "000000092", "text": "Hello, Thanks for posting in Chat Doctor. Yes sir your suspect is right, any lump coming up during touting of rectus abdominal muscles like when doing sit-ups shows that there is some weakness in anterior abdominal wall. But however if the size is very small then it is not a matter of concern. But if you feel it is large enough or increasing in size gradually then you might need consultation of general surgeon to do a detailed clinical examination and recommend treatment after examination. Also, a USG scan of abdomen can show the exact size of defect helping to plan out further line of management. So, yes it could be hernia (umbilical or para umbilical) and it needs to be examined clinically. I hope I have answered your query well. If you have any more questions kindly directly write back to me, will be happy to help you. Thank you"}
{"_id": "000000093", "text": "Hi, I understand your concern. Ova care forte is balanced comprehensive formulation of micronutrients and vitamins. It is quite helpful to regularize period, increase quality of egg, maintain cellular oxidant-antioxidant balance. It should be started from first day of menstruation and continue to take at the end of period. Taken twice daily, one in morning and one in evening after meal. Take it for 3-6 months. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards,"}
{"_id": "000000094", "text": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely a urinary tract infection with urethritis. You can rule out the infection by doing a routine urinalysis. For urinary infection I treat my patients with antibiotics and urine alkalinizing agents like sodium citrate. You can take cranberry juice or barley water to alkalinize urine also. Hope this may help you. Let me know if you have any further query."}
{"_id": "000000095", "text": "Hello and welcome to Ask a Doctor service. I have reviewed your query and here is my advice. Please tell me the reason why it was started, if it was started for heart attack reason then you need to continue and may be dosed can be decreased gradually by 12.5 mg. If it was started for high BP then it can be stopped gradually and replaced with some other Chat Doctor.  Get back with more information. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000096", "text": "Hi, I had gone through your question and understand your concerns. First thing you need to know is dialysis is the best treatment at this stage as her creatinine levels are 7. Coming to her stomach swelling the ultrafiltration which she is taking during dialysis need to be more in my opinion to take excess fluid out. If I am her treating doctor I will definitely increase the ultrafiltration if her BP is normal and if she is not tolerating she needs to be kept on weekly thrice dialysis. Please talk to your treating doctor about this and of course the final treatment other than dialysis will be the transplantation. Please get back if you have any queries. Chat Doctor."}
{"_id": "000000097", "text": "Thanks for sharing your concern with Heath Care Magic.! Please note that, post extraction your dentist would have informed you not to disturb that area as this will impede the healing process. However, you have been disturbing this frequently the healing of the socket would have been delayed. The flabby tissue usually gets remodeled within 2-3 weeks post extraction, if still persist you can revisit your dentist for excision of the flabby tissue."}
{"_id": "000000098", "text": "Hello, Proteus may develop resistance to Chat Doctor.  But sensitivity and culture test is useful to confirm the cause. The most appropriate treatment for P. Mirabilis may be aminoglycosides, carbapenems (except Eminem), and 3rd generation cephalosporins.  Recent P. Mirabilis isolates were also mostly susceptible to augmenting, ampicillin-sulbactam, and piperacillin/tazobactam. So please get it done culture and sensitivity according to that get treated. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000000099", "text": "The conditions are called aerophobia. This is because of swallowing of air during food. This happens because of talking while eating or hastily eating the food. There is a chance of air to be swallowed. Hence, it is advised to eat slowly with good chewing of food. You may swallow air during gulping of water. Consider cutting on carbonated Chat Doctor.  Sometimes milk and milk products cause burps because of lactose intolerance, cut their consumption. If you have any other symptoms like burning pain in the stomach or food or acid regurgitation into the mouth, that could be reflux esophagitis which needs lifestyle modification and certain medications."}
{"_id": "000000100", "text": "Hello You have been feeling tired and Chat Doctor.  You have also lost your appetite and also having headache. You are not able to concentrate on thoughts, and you are remaining worried due to these symptoms. There may be different causes of these symptoms, but frequently they may occur due to some nutritional deficiencies like Vitamin B12 deficiency. Low vitamin levels may be a reason behind tiredness and weakness. I would advise you to get your It B12 level checked. Other possibility that may occur is hypothyroid states. Low thyroid level may be a reason behind such symptoms. Thyroid function tests are advised in such cases. Other possibility that may be aggravated by low It B12 and thyroid levels is Depression. In milder forms of depression such symptoms may be seen. I would advise you to please visit a Psychiatrist for detailed evaluation of symptoms. Thanks"}
{"_id": "000000101", "text": "Hello, In a person with long-standing diabetes, peripheral neuropathy does set in, particularly if glycemic control is poor. But even with good control also neuropathy does develop giving rise to burning pain in feet, tingling and even numbness. Itchy feeling is due to improper blood circulation and affection of venous return. Strict blood glucose control is a necessity.  Chat Doctor.  Strict dietary control, some amount of regular exercise along with glycemic control will help. Age is definitely a factor. Fasting blood glucose should be closer to 100 mg, PP 160 to 180 mg & HbA1c%<7.  Thanks"}
{"_id": "000000102", "text": "**1. Since the case is diagnosed, and you are under supervision and management, thus prior to any holistic approach, consult an Orthopedic surgeon for relevant examination and investigation [since condition is 10 years old] to exclude osteomyelitis of pubis bone or related structures. [nerve injury/compression]2.  Exercises for estates pubis rehabilitation concentrate on stretching and strengthening all affected areas, including the groin, lower back, hips and thighs. 3. Rehabilitation under the guidance of an experienced Physiotherapist is highly recommended. The return to normal activities/condition should be totally guided by their experience to avoid a future re-aggravation.PS. It may take the rehabilitation process in excess of 3 months.4. Some exercise recommended for estates pubis is/are"}
{"_id": "000000103", "text": "Hi, As there might be not any generalized symptoms of weakness unless there is a viral infection. You can try taking the paracetamol, for now, to see if any ease is happening. Because most times with just paracetamol there will be ease to the symptoms.  In case there are no changes in the symptoms then we need to assess you on a clinical basis and some blood tests to be done to check out any particular pathology. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000000104", "text": "Hello, There is a nerve that supplies feeling to the back inner corner of the heel called the medial calcaneal nerve. This nerve is sensory only and does not power any muscles.  It's possible that if the workouts you were doing were new, and your shoes didn't fit quite right, that you could have irritated this nerve.  This nerve isn't commonly irritated, or at least it doesn't bother people enough to come to the doctor.  Perhaps you want to make sure you have good fitting exercise shoes, but I wouldn't worry either way because it will probably go away on its own.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000000105", "text": "Hello. Thanks for writing to us. The pain that you have described seems to be due to a prolapsed disc causing a nerve root compression at the level of spinal cord. You need to get an MRI of the lower back done to detect the cause of the pain you are having. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http"}
{"_id": "000000106", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. If there is no improvement after enolization then surgery should be done. Veins and arteries can be resected and replaced with vascular grafts or venous grafts, so you should consult this with your urologist. It should not be delays because tumor may grow in this case. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good"}
{"_id": "000000107", "text": "HI. Thanks for your query and an elucidated history. You have posted the history as if you have read from the book"}
{"_id": "000000108", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, we should definitely rule out congestive heart failure (CHF) first. Your symptoms (frothy sputum, cough, chest up position) especially at night are characteristic feature of CHF.CHF causes pulmonary edema and this causes all the symptoms. So better to consult cardiologist and get done ECG, 2d echo and stress test (trade mill test). You may need diuretics and other cardiac supportive Chat Doctor. 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."}
{"_id": "000000109", "text": "Hello, These are all supportive medicines for healthy pregnancy. Basically pregnancy depends on proper timing of ovulation & unprotected sex. Ovulation occurs approx 14 days before due date. It is better to use ovulation prediction kit (OPK) to predict ovulation time and prepare for that day for unprotected sex for high chance of pregnancy. Avoid stress, take healthy diet with Vitae & Folic acid supplements, control body wt and proper sleep. Be well."}
{"_id": "000000110", "text": "Hi! Welcome to Chat Doctor! The normal total leukocyte (white blood cells) count ranges from 4000 to 11,000 per microliter in an adult. White blood cells help protect the body against diseases and fight infections. There are numerous causes for increases in neutrophils, lymphocytes etc. but the most common cause of Leukocytosis is secondary to infection (localized or generalized)or tissue necrosis due to any cause, in your case it can be due to infection in your teeth. The degree of leukocytosis depends upon several factors like its cause, severity of the infection, resistance of the body, localization of the inflammatory process (greater neutrophil leukocytosis is produced by a localized disease process rather than a generalized one) and modification by treatment. Your WBC count is only slightly raised so don't worry. A course of antibiotics will bring it down. Take care!"}
{"_id": "000000111", "text": "Hi, It may be due to some allergy... may be called purity simplex. The rash may be pruritic, papulovesicular and crusted. It is not scrub typhus. And it is also not related to keratoacanthoma. Dust, grass, soap, pollutants. etc. may cause such rash.  Consult the dermatologist for the perfect diagnosis and proper treatment. Apply mild steroid cream and take tab cetirizine 10 mg daily till the improvement. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000000112", "text": "Hello, I have studied your case. Numbness can be due to nerve dysfunction. You can take vitamin B12 for reducing symptoms. Vitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take In methylcobalamine 1500 mcg If not relieved then I will advise you to MRI ankle and EMG/CV [nerve conduction study for better diagnosis. For these symptoms neurotrophic [Pregabalin] medication can be started consulting your doctor. 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."}
{"_id": "000000113", "text": "Hello there, I understand your concern about the swelling and pain. That gland is probably because of the tick bite. You need to be examined to make sure that there is no other reason or problem in the groin leading to the lymph node swelling. Your A1c is in good control. If I were to treat you I would give you a course of Doxycycline antibiotics to cure the infection and swelling in the gland. But you need a proper examination before the medicine can be prescribed. So please visit your physician who can do the same. Till then try to take paracetamol for the pain and do some cold compresses to the swollen area if there is no pus formation so that can relieve the pain. If there is pus then there is need for Chat Doctor. Hope this helps. Take care."}
{"_id": "000000114", "text": "HelloThanks for query. You are known to pass urinary stones through urethra frequently But you had retention of urine due to impacted stone of a size of 18 mm in urethra which finally passed out giving you excruciating pain. The reasons for not feeling the pain due to such a large stone are 1)With history of passing stones repeatedly your ureters are dilated and capacious enough to accommodate this stone without pain .2) The shape of the stone may be oval like a peanut without spikes helping it to pass down through dilated ureter without any obstruction and pain . We do get patients with passing large sized stone without pain. This is very common in patients who have history of repeated and recurrence of stone disease. Chat Doctor."}
{"_id": "000000115", "text": "Hello, What I can advise after going through your complaints is to get your blood pressure and sugar level checked. There are a lot of causes for dizziness and generalized weakness and fatigue. Sometimes it can also be due to alcohol with Chat Doctor.  I would suggest you visit your general practitioner and get your blood pressure and sugar level checked. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000116", "text": "Hello. I guess your He (hemoglobin) is 11.6 and not 116. If it is so it is borderline for an Indian girl and definitely low for an Indian male. For menstruating female it is common to have low He and most of the time they are asymptomatic. There is no reason to worry about such He. If you want to maintain a good hemoglobin level i advice you to have a balanced diet containing mainly green leafy vegetables, fruits like apple, dates etc. (if you prefer nonveg food-liver, fish etc.)these will help you increase iron content of your body stores and prevent iron deficiency anemia which is common.nonveg food and milk also helps to restore your it B12 levels and prevent or B12 deficiency anemia (megaloblastic anemia).hope I have helped you."}
{"_id": "000000117", "text": "Hi, As diagnosed with PIED with radiculopathy it should be managed conservatively with regular physiotherapy (spinal extension exercises), avoiding serious work/exercise bending forward, warm compression with vitamins, analgesic, muscle relaxant (if pain) n PPI under guidance of orthopaedition. If symptoms aggravates, bladder bowel involve, neurological involvement ...... then may require decompression.  So in my opinion be in regular follow up and treatment accordingly including physiotherapy .hope it'll help Thanks n regards"}
{"_id": "000000118", "text": "Hello there, Strenious activities like tennis, involves activities of sudden acceleration and deceleration, making an individual more prone to have soft tissue injuries of thighs, knee and ankle. In your case it appears that you might have hamstring sprain along with injury to Achilles tendon and other tedious structure. I suggest you, kindly consult an orthopaedician for examination and investigative evaluation. Thank you."}
{"_id": "000000119", "text": "Thanks for your question on Chat Doctor. I can understand your problem. In my opinion, you are having HERD (gastroesophageal reflux disease) mostly. But better to rule out cardiac cause for your chest pain. So get done ECG first. If ECG is normal then no need to worry much for cardiac cause. GERD appears more in your case. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning chest pain. Try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food.2. Avoid stress and anxiety.3. Start proton pump inhibitor.4. Avoid large meals, instead take frequent small meals."}
{"_id": "000000120", "text": "Hi thanks for asking question. Noted you have asthma ... So periodic chest pain might be from bronchospasm induce by allergen... So at that time of chest pain auscultation done for rhonchi..... If pain severe enough nebulization by levosalbutamol and budesonide res pule may need...SOS when needed albuterol inhaler pump taken. Avoid contact with allergens.... Wear mask if you Chat Doctor. If still repeated chest pain occurs after consulting doc and LFT done, regular long acting forecourt like MDI inhaler may be started..... Take care. Hope your concern solved...."}
{"_id": "000000121", "text": "Hello, Blood pressure can certainly cause the headache. So it should be controlled. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.  Visit the doctor and get BP medicine prescribed like telmisartan and HY Chat Doctor.  Stomach problem mostly a gastritis and acidity problem. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole 40 mg before breakfast once a day for 2 weeks."}
{"_id": "000000122", "text": "Hi, many thanks for the query! Well, your report is not that bad to be worried so much, but the decision not to Chat Doctor. You should start some medicines for reducing fatty infiltration of your Liver with your doctors' opinion. Rest all findings in your report are normal, also it's good that your Liver function tests are normal. Do regular exercise, also yoga & meditation if possible. Wish you a good health. Take care. Regards."}
{"_id": "000000123", "text": "Hi and. I think you are suffering from fibrosis, Mitosis is the inability to retract the foreskin behind the glans in males. Physiologic fibrosis is the normal condition in which child Chat Doctor. The inability of the foreskin to retract can lead to difficulty cleaning of the area which can cause Atlantis, there can be difficulty or painful urination, painful erection, or paraphimosis. Your doctor can diagnose fibrosis based on a thorough history and physical examination. Additional tests are usually not necessary. The first choice of treatment is usually a steroid ointment that is locally applied. This treatment has shown a success rate of over 70%. The ointment softens the foreskin and is applied for 4 to 6 weeks. Once full retraction is possible the ointment is discontinued. If the steroid treatment is not successful, a circumcision might be beneficial. When penis is fully erect the fore skin should retract without any problem, but in your case you have mentioned that you cannot retract it completely which is not normal. Please consult a surgeon, and he will examine you and may suggest a small surgical correction called Circumcision. After the surgery you will be discharged on the same day. Regards"}
{"_id": "000000124", "text": "Hi I have read your question and understand your concerns. Thank you for posting in Chat Doctor. Levolin contains albuterol that is short-acting bronchodilator but has rapid mechanism of action, while Decor contains budesonide that is a steroid. Your doctor has put him on Forecourt that contains Budesonide and Forometrol (that is a long acting bronchodilator). So instead of using two inhalers, a patient can use single one that comes in combination. If Forecourt doesn't help much you can use Leveling and Decor. I suggest my patients Tablet Montelukast (chewable) 5\\u00a0mg at nighttime as well. Wish your kid good health."}
{"_id": "000000125", "text": "Hello, You have a history of low sperm count. Some food affect sperm quality like high fat dairy products (whole milk, cream, Cheese), Soy products, pesticides & BPA (present in soft Chat Doctor.  Avoid them as they cause low sperm motility, decreased sperm count or abnormal sperm shape.  Avoid alcohol, smoking, caffeine or any other addiction. Snack on walnuts, eat fish, fruits & veggies. Take fenugreek supplements, vitamin C, D, zinc, ashwagandha is effective. Your treating doctor may give you multivitamin supplements & camphene citrate for better sperm count. Ge examined by a GP & get physically examined. If any pathology is detected, get it treated. Exercise regularly, stay away from stress, stress decreases sperm count, avoid negative people, take adequate sleep. Stay away from anxiety. After doing all this religiously you should get Sperm test done, your count should improve. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000126", "text": "Hi. Welcome to Chat Doctor. I have gone through your query and can understand your concerns. As per your complaint the symptoms of high fever, headache, cold and swollen lymph nodes seems to be due to Influenza commonly known as Flu and is a viral infection. As your boyfriend had the infection, you have communicated the same from him. As the viral infection runs its course, and it will get resolved gradually on its own, so as of now you can start taking supportive treatment like antibiotics like Augmenting or Azithromycin to prevent bacterial infection secondarily. Take anti-inflammatory painkillers like Ibuprofen. Take Tylenol for reducing fever. Take decongestants like Pseudopod Chat Doctor. . Do saline nasal irrigation. Avoid chilled foods. Do steam inhalations, warm saline gargles and use a humidifier in your room. Sip on plenty of warm water. In case of no improvement in 5 days consult an Otolaryngologies and get evaluated. Hope this information helps. Thanks and regards."}
{"_id": "000000127", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pain in breast and ribs after injury. Well there can be many treatment options for broken rib. Pain associated with a broken rib usually occurs or worsens when you"}
{"_id": "000000128", "text": "Thanks for your question on Chat Doctor. There are certain tumor markers which is present in excess can suggest possibility of malignancy. Tumor markers are substances secreted by tumor cells. So can give us clue about malignancy.  They can not replace biopsy and histopathological examination. Routinely tested tumor markers are1. CA 1252. Beta ChatDoctor3. Alpha photo protein (AFP)4. PSA (Prostate Specific Antigen) etc. So if you are having testicular cancer than these markers will rise in blood."}
{"_id": "000000129", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or some malignant tumor like liposarcoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then IOUs should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000130", "text": "Hello dear, I understand your concern. In my opinion the phaeton tablet and digest are nothing but progesterone hormone preparations. Progesterone hormone is very important hormone in the maintained of pregnancy. Even if there is no bleeding if there is suspicion of any progesterone insufficiency the hormones might be supplemented. So discuss regarding that with your doctor. Nothing to worry as the medications are not associated with any harmful effects to the fetus. Avoid physical stress and take healthy nutritional diet and take good rest. Avoid intercourse during the first trimester up to 12 weeks of pregnancy. Nothing to worry as such. Hope this helps. Best regards...."}
{"_id": "000000131", "text": "Hi. Thanks for your query. It is possible that the diverticulitis have flared up, the part is in contact with the urinary bladder in the pelvis giving rise to pink urine - this may basically be cystitis giving hematuria. In such a situation where you know you had diverticulitis, the best way is to go for CT scan first to see if there is flare-up or not. Also go for the routine lab-work. Urine for routine, microscopy, culture and sensitivity. Cystourethroscopy will help to substantiate the diagnosis. Get started with the medical management in the form of antibiotics and supportive medicines. Rest of the treatment will depend upon the findings and proper diagnosis."}
{"_id": "000000132", "text": "Good day, and thank you for being with Chat Doctor !!! Semen samples should be collected in the hospital premises not due to legal concerns but because of quality and accuracy concerns. We take note of the time when the semen liquefies and how long they stay alive with effective propulsion. This is needed to properly evaluate the sample and for your urologist to be able to have the most accurate data to be interpreted. I am sorry to hear that the hospital that you went to wasn't able to properly explain why an outside sample cannot be allowed."}
{"_id": "000000133", "text": "Hi, Thanks for your query. From your symptoms, it seems that you are suffering from plantar fasciitis. It happens due to inflammation of the plantar fascia. It hurts the most with the first few steps in the morning because the plantar fascia is tight and has not stretched out yet, and throughout the day it loosens up. The best thing you can do is when you wake up in the morning, before getting out of bed and taking a step, give yourself a little foot rub. There are many things you can try to help your foot get better"}
{"_id": "000000134", "text": "Hi, Contrast enhanced CT scan can confidently comment regarding liver metastasis and enlarged peripheral lymph nodes. If on CT scan these findings are found out then probably stage IV disease can be diagnosed. Then a FNAC can confirm the tissue diagnosis. If the disease has already spread to that extent it will be better to put the patient on chemotherapy, surgery will not be very helpful. Take care."}
{"_id": "000000135", "text": "Hi. I had gone through your query. OCD and ADHD both require extensive treatment with biological medicines. Medicines that have you mentioned in query are appropriate to disorder. Proper dose and regular assessment are advisable to observe improvement. Medicines will take time to act and treatment will be a long. Fluoxamine and methylphenidate are alternative options for treatment. But it can be taken after proper detail assessment and evaluation. Medicines compliance is must. Behaviour modification and parenting or parental counselling can help. Thank you."}
{"_id": "000000136", "text": "As you were diagnosed as hypertensive and all your vestibular battery tests are normal as said by Yugo for a MRI brain this dizziness can be because of some migratory thrombus which may have occluded any minor vessel in brain...though a feeling of associated nausea and vomiting are again pointing more toward any peripheral disorder (like labyrinthine or possible deniers disease right now I would suggest you to go form brain carotid artery Doppler(look for occlusion of main artery to brain)pure tone audiometryserum vitamin B12 Levels"}
{"_id": "000000137", "text": "HelloThanks for query. During sex and ejaculation there is increased blood flow to all genital organs including testicles and epididymis. This increased blood flow results in congestion of genitals organs. The hardness of epididymis that you have observed is due to congestion of epididymis and testicles which gradually gets resolved over a period of few hours. It should be considered as normal physiological process. There is nothing to be worried about it. Chat Doctor."}
{"_id": "000000138", "text": "Child if presents with Respiratory distress soon after birth, can be due to either Congenital pneumonia, TNB, HMD in preterm, or Meconium aspiration. In your case, pneumonia in neonates is a serious condition. It requires usually 7 to 10 days of I.V. antibiotics with oxygen supplementation. If the child has been put on a ventilator machine, that suggests a very poor prognosis for the child. The child will require a good nursery care with heavy antibiotics(according to culture sensitivity if positive) in form of Injection Reopened, Vancomycin or any third generation Cephalosporin. X-ray might give us a clue on how bad the chest is."}
{"_id": "000000139", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of pleuritic chest pain is more. And it is seen commonly with lung infection and bronchitis. You are also having cough and difficulty on breathing so possibility of bronchitis and lung infection is high. You also had flu infection. And this can also cause bronchitis and lung infection. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed for the diagnosis of bronchitis. You may need inhaled bronchodilators, inhaled corticosteroid (ICS) and antibiotics. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000000140", "text": "Hi, you have not mentioned your symptoms, but for all the allergy the first step is to find out the cause of allergy, e.g. dust allergy or food allergy. If you have food allergy the best thing is to avoid the food item. When allergen is airborne e.g."}
{"_id": "000000141", "text": "Hello and thank you for using Chat Doctor for your questions! Short answer"}
{"_id": "000000142", "text": "Hi, Good Evening. Thanks for the query to Chat Doctor. I studied it in depth and I understood your health concerns.-Treatment -for sebaceous cyst in center of Chest-1- I would advise you to let the infection subside and cool down first.2-So I would treat it with proper antibiotics with Metronidazole and NSAIDs tbs.3-I would Excise the sebaceous Cyst -in a planned way-so as to avoid more scarring. I would be able to put \\\"Subcuticular Cosmetic Stitches\\\" as to avoid any disfiguring Scar-in the central chest area between the breasts.3-Dont get scared and uneasy, but be cautious and act fast. Hope this would help you a lot to relieve you. Wish you fast recovery-and healthy life. Wellcome to Chat Doctor with more queries till you are satisfied. Have a Good Day...!! Chat Doctor. N.M.S.GENL-CVTS, Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer, Asthma,etc., Rejuvenation therapy and Tissue failure -reversal therapies."}
{"_id": "000000143", "text": "Welcome to Chat Doctor I have gone through your query and understand your concern. There are both possibility of soft tissue injury and bony injury(fractures). These can be distinguished by x-ray of lumbar spine. Primary treatment of it is rest and analgesic such as ibuprofen for pain relief. Calcium and multivitamins help in healing. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"_id": "000000144", "text": "On Willie brands disease does not stop you from getting pregnant. Yes bleeding can be more during delivery or during menses because of less capability of blood to clot. But as the age increases the quality of eggs (Ovum) starts decreasing and less chance of getting pregnant. There is also hormonal lag along with body weight and other things leads to menstrual cycle and as you have irregular menses there is chance that they are disturbed. You have to lose weight. And get a consultation done with infertologist. He will guide you properly after examination and history. On a baseline you should do mammogram, Prolactin, Blood sugar level, Insulin level, Thyroid level.  And one Pelvic sonography. Some tests may require afterward. Do one semen analysis report of your husband also. It is also to be normal for getting pregnant."}
{"_id": "000000145", "text": "Hello understand your concern. What you describe is called a paresthesia, an odd sensation when a particular area of your body is touched.  There are multiple causes of paresthesia, including neurological, vitamin deficiencies and even psychological. If you have seen many physicians already, I assume you had blood tests to check thyroid, B12 level, calcium level, magnesium level, iron level, as well as kidney and liver functions.  Some liver and kidney conditions could cause paresthesia. Also, some autoimmune diseases cause similar symptoms such as lupus or polymyalgia rheumatic. Next is to get electromyelograms with nerve conducting velocities of your arms or legs.  This will help identify any problem with your nerves or muscles. Some types of naturopathies cause parasomnias.  Do you have any medical conditions or are you on any medications that could cause these symptoms? The causes as you can see are varied. You can also see a pain management specialist who can help with the paresthesia. I hope you feel better"}
{"_id": "000000146", "text": "Degree understand your concerns went through your details. I think your problem is nocturnal emission, but it is a premature ejaculation. Premature ejaculation usually happens because of anxiety. Performance anxiety rather. The liquid comes out before sexual intercourse is pre-cum and is a lubricant and helps in lubricated intercourse. Thickness of semen is not at all a concern. I think all these unnecessary sexual worries and lack of knowledge leads you to be anxious. I suggest you sexological counseling. Please consult a sexologist. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000000147", "text": "HelloThanks for query. Based on your statement it seems that you are indulged in masturbation twice a week and worried about your fertility in the future. Masturbation is one of the safest way of getting pleasure of sexual satisfaction without having intercourse with female partner, and it is natural and normal for a man to practice it at the young age.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. Do not worry if you make it a point not to get in to habitual and frequent masturbation there is no reason why you should not father a child after marriage. Chat Doctor."}
{"_id": "000000148", "text": "Hello, Welcome to Chat Doctor .from your history and description, I would like to consider the possibilities of an insect bite reaction/ bed bug bites, Scabies and a fungal infection (Tina corporal). Insect bite reaction can be treated by applying a mild steroid containing mometasone fortunate / HY Chat Doctor.  You could also take an antihistamine like chlorpheniramine male ate at bedtime for the itching. Scabies is caused by a small mite and is contagious. It causes rashes in the finger webs, wrists, around the umbilicus and in the groin areas typically. It can spread from one person to another. Furthermore, it should be treated with 5 % Permethrin cream applied overnight and washed off in the morning. A single application would be sufficient. The bed clothes need to be washed and changed as the mite can harbor there. Funagal infection like Tina could occur from fungal filaments present on the animals. It needs to be treated with an antifungal cream like 2% ketoconazole or 1% Terminating applied twice a day for 3 weeks. The exact treatment depends on the diagnosis. You could google the above diagnosis and try to narrow down the option. Hope this helps you. Take care."}
{"_id": "000000149", "text": "Hi, fever, cough and cold in a 13-month-old child suggest upper respiratory tract infection. Since you are already giving antipyretic medicine for 5 days, the child should be given antibiotic depending on the chest examination. Kindly get the child examined by doctor so that antibiotic can be started. Blood test like complete blood count, CRP level should be done to know the causes of fever. Take care."}
{"_id": "000000150", "text": "Hi and thank you so much for this query am so sorry to hear about this persistent diarrhea and the rising tumor markers. The rising tumor markers mean that the tumor was not completely removed and nothing else can be done to ad Chat Doctor.  It is rather unfortunate but a majority of persons with incompletely excised pancreatic cancer would most likely not be alive after 6\\u00a0months. There is nothing that can be done about this diarrhea as it is due to digestive secretions that flow through especially bile. About starting a juicer, talk to his treating doctor to give his accord. I hope this ad"}
{"_id": "000000151", "text": "Hello, There could be simple logical explanation for this problem is that you might have retrograde ejaculation means semen enters your bladder instead of coming out of urethra or there is some semen left in urethra after the last ejaculation. However, it's not possible to have semen in bowels, that whitish discharge could be due to mucus in stool which could be a due number of reasons like infections, fissures, bowel obstruction or Crohn's disease. I suggest you to visit your doctor for detailed checkup regarding your problems and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000152", "text": "Hi, This is likely a gastritis and acidity problem. Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole before breakfast once a day for 2 weeks. For pain, you can ask for antispasmodic like Dicyclomine. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000153", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern if this is the case of liver cirrhosis then here truth is this that alcohol has done the job and the degenerative process have been started there now if the deficiency of pseudo cholinesterase if taken into consideration then this is of no value or does not prove anything or it won't help the patient in the prognosis, hope this information helps you have nice day."}
{"_id": "000000154", "text": "Hi there, I have understood your concern and I will suggest you the best possible treatment options. Please do not panic. I will suggest you to get pregnancy test done at least 20 days after your ovulation date. It can be inconclusive before that. Please get mornings first sample of urine tested for pregnancy. In case of any doubt, blood beta Chat Doctor test and USG will be of help. Days of Phaeton tablet has no effect or relation with urine pregnancy test. May God bless you with a bundle of Joy. I hope this answer helps you. Thanks."}
{"_id": "000000155", "text": "Hi, Thanks for writing to Chat Doctor . You will conceive soon. Be stress-free. Your follicle size and endometrium thickness are good and adequate.  After taking Chat Doctor injection follicle will rupture in 6 to 36 hrs. So I advise you to have intercourse from 12 hrs after Chat Doctor injection and once/ twice in a day for next 4 days. Sperm life in uterus is 3 to 4 days. So if any time you are not able to do intercourse don't worry. Also, after intercourse don't stand up or sit for 30\\u00a0mins. Sleep in same position for 30\\u00a0mins. Hope I have been helpful. Regards Chat Doctor."}
{"_id": "000000156", "text": "HI Sharon ! From the history of a bulge in your lower right groin, the first diagnosis one can think of is a possibility of Right Inguinal Hernia in its initial stages which gives rise to pain. This will occur whenever you go for a heavy activity which increases the intro abdominal pressure. Apart from this there could be a separate intro abdominal pathology altogether. If it is a grumbling appendix, then the ultrasound may not show anything positive. A urinary tract infection or an infection of the pelvic organs can also give rise to such symptoms and your doctor may advise you for a routine urine test and a clinical pelvic examination to exclude the same. Do you frequently eat outside specially junk foods ? In that case one has to exclude intestinal infection specially amoebas. I am not sure to which region you belong to. One has to exclude chronic granulators infection of the intestines in people who live in endemic areas where such infections are common. Your family physician can investigate you to exclude this kind of infection. Wish you an early recovery."}
{"_id": "000000157", "text": "Welcome to Chat Doctor, short answer"}
{"_id": "000000158", "text": "Hi, thanks for posting your concern in Chat Doctor. From the history, it seems that you have got traumatic PIED. To rule out, you may need a X-ray LS spine-AP & Lat, and MRI of LS spine done. For pain management, you should have rest for 2 days, stat bolus dose of injectable analgesic (e.g. Diclofenac with Sanitizing) followed by oral analgesic (PCM/ Diclofenac/ PCM+Diclofenac) with some PPI to avoid peptic ulcer, some muscle relaxant (e.g. cyclobenzaprine 15 mg) and ice pack 4 times a day for 1 day. You may need a lumber brace also. All the medication dosage should be according to the age or body weight. Please consult local orthopedic consultant or write back to me with the reports of imaging. Wish you an early recovery."}
{"_id": "000000159", "text": "Hi, Nothing to worry right now. Reactive lymphadenitis is common finding. You should be on to follow up. You should search for any infective etiology at the Chat Doctor.  Exact size, shape, consistency, fixity to the underlying structures should be carefully examined. If the lymph node decrease in size no need of any investigation. Anyway, As you have family history of breast cancer it is better to go for clinical breast examination at three years interval. Take care."}
{"_id": "000000160", "text": "Hello, I have gone through your query. Thanks for using Chat Doctor. All your symptoms are due to panic attack. You should take Tab. Clonazepam 0.5 mg mouth dissolving preparation at time of your symptom. Mostly if you will be immediately relived, and it will confirm that your problem is nothing but anxiety. In case you are not relieved, you should get ECG and Echo done to rule out any heart disease. My best wishes Chat Doctor."}
{"_id": "000000161", "text": "Degree understand your concerns went through your details. I can understand. If there is no ejaculation after masturbation, it simply means that your body is not sexually aroused. Masturbation results in ejaculation only when your body is sexually aroused. Otherwise, masturbation is painful. Because of the same reason, nocturnal emission happens you. I surely think, you are anxious about sex, sexual organs and related concepts. Your knowledge is false. I suggest you to consult a psychologist for sexual counseling. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000000162", "text": "The problem during HIDE scan would have been a reaction to the Chat Doctor. Only the report can tell whether you have a functioning gall bladder or not. The cramps you are describing can also be due to IBS or so. Get a proper treatment with a course of an antibiotic and antispasmodic tablets for 7 days, your problem may be solved. You have already undergone the CT scan and an ultrasonography, which you have mentioned to be normal. It would have already picked up the other problems. I would think of IBS and other reasons. I would advise you to go for a test of barium called Enterocolitis under a fluoroscopy control to see the real time movement of the bowel, any obstruction or motility disorder."}
{"_id": "000000163", "text": "Thanks for the query from the history it is quite evident your wife had shad a very tough time but from the diagnosis of malignant Thomas I have to tell you that it means the liver has got metastasis from the Thomas that is what they mean by the dark spots in the liver, and mostly they want to resect it now I would suggest you talk to the oncologist who's in charge of the case for a clear-cut explanation take care."}
{"_id": "000000164", "text": "Hi, Since you are young the possibility of heart disease is less. The various possibilities are acidity and gastroesophageal reflux disease, do you any upper abdominal pain, bloating, nausea, sour water coming in mouth, does it increase after food, if yes it supports the diagnosis. Till the time diagnosis is confirmed, you should avoid spicy and fatty foods, avoid heavy meals, maintain regular sleep habits, have some walk after meals. You may try tab Pantoprazole. Does this pain increase on deep breath, any fever, or cough. If yes let me know, you will further investigation like chest x-ray and other test. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000165", "text": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Possible vasculitis associated with bile duct injury.2. Liver function near normal. Mild obstruction seen at level of bile ducts. Immunosuppression necessary to avoid further damage.3. Complete hologram essential to evaluate for hemolytic anemia. Need further clinical details and lab results for further opinion. Hope it helps. Any further queries, happy to help again."}
{"_id": "000000166", "text": "Hello dear, I understand your concern. In my opinion single Fallopian tube will not be a in Chat Doctor. I suggest you to undergo hysterosalphinogram(HSG), diagnostic laparoscopy to rule out any tubal block or any adhesions around the tube or any. Adhesions can also be one of the causes for infertility. There is one more option like intrauterine insemination (GUI). This GUI can be tried.GUI offers good success rates in case of tubal abnormalities. Nothing to worry. As if one tube is patent and functioning there is good scope for pregnancy. Relax and avoid stress. As stress cause hormonal imbalance and delay fertility further. Hope this helps. Best regards..."}
{"_id": "000000167", "text": "Hello welcome to. I have read your question and understand your concerns. High Uric acid levels may or may not be associated with gout and the knee pain you described. Medications are not mandatory at this blood levels. My advice to you is - 1. Strictly avoid non veg diet and alcohol intake. It will avoid rise in uric acid levels. There are other dietary modifications required like avoiding excessive citrus fruits, curd, high protein diet etc. 2. Ask your doctor that you want to stop Tab febuxosatat, you are taking right now. He will guide you how to gradually reduce the dose of medicines. DON'T ABRUPTLY STOP MEDICINES. 3. Do serum uric acid levels every 3 monthly. Next time you also do your whole kidney profile because damaged kidney may cause rise in uric acid levels. Thank you. Have a nice day."}
{"_id": "000000168", "text": "Hello, Thank you for posting on Chat Doctor. Complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. Avoid MESODERM or any similar product as it contains ingredients which can actually damage your skin. I would suggest you to get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray Chat Doctor. Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY"}
{"_id": "000000169", "text": "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-Spermatocele- which is a Cystic Swelling of the Va's difference Chat Doctor. Remedy-You should take Consults from Urologist and should take second Opinion from Surgeon, before thinking of any other path medicines. This is because, Surgical Treatment at the experts hands is the only permanent treatment for Spermatocyte. Treatment with Antibiotic cover+NSAIDs +Choral Forte-x 10- days would be needed before panning surgical Excision of the Spermatocyte. Herbal and HomeopatChatDoctoredicines may give you temporary relief in pain, but permanent regression is achieved by a Planned Surgery Only. So rethink about your confused decision and act fast for needful treatment from expert doctors. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!!"}
{"_id": "000000170", "text": "Hello, You described different symptoms and I will try to go over them one by one. If low blood pressure runs in your family, then nothing to worry about it, it is your normal blood pressure. The only issue with this is that you should be careful when standing up, as standing up abruptly can cause dizziness and blacken in front of your eyes. Just do it slowly and everything will be fine. Concerning the pain in your chest which worsens with breathing; such pain is usually muscle pain, it can come from the spine. It is not dangerous but can cause quite a discomfort. You can take Ibuprofen unless you are allergic to Ibuprofen or have stomach problems. For irregular heart rhythm; if you feel it occasionally, especially as a skipped beat, then there is nothing to worry, it can happen to a healthy adult as well without any consequences. Just limit the intake of caffeine and quit smoking and excessive Chat Doctor.  In case the palpitations are frequent and don't decrease after decreasing caffeine, avoiding cigarettes and alcohol, you will need to refer to a doctor and have ECG monitoring, to find out what type of heart rhythm disturbance you have. So your doctor can prescribe treatment. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000171", "text": "Dear patient frequent micturition even at night is early sign of diabetes Mellitus. Burning micturition with urgency is early sign of urinary tract infection. What is your age? Always mention your age while giving history. Diagnosis can very depend on age. For example if you are elderly all these symptoms points towards benign prostatic hypertrophy. This needs to be investigated with 1) urine examination for blood, sugar and crystals.2) fasting and postprandial blood sugar levels 3) ultrasound of pelvis to see prostatic volume. You need to consult your physician with all reports so that appropriate treatment can be started."}
{"_id": "000000172", "text": "Hi... Your knee numbness is due to bursae of the knee joint it could have inflamed while you kneel for a long time and out pressure over the bursae... Since it may not be that much worse you may not have much of issues from it currently... The same us responsible for your pain around patella. Nothing to worry. I suggest you to... Do lot if icing to receive pain and season ...do it frequently... Gentle massage around patella and over front thigh muscles, inner thigh muscles and calf muscles... Gentle stretching to front thigh muscle...and calf muscles... Lot of icing over painful area of the knee (in the lower area of knee cap)Hope this is helpful for you... Kindly revert in case you need any further help in this regard"}
{"_id": "000000173", "text": "Hi thanks for contacting Chat Doctor... Noted your friend having bleeding from scar of mastectomy... Here consultation to surgeon done without delay to prevent further complication. Here breast must be examined by palpation for detecting any mass... If mastectomy in past done for malignancy then there can be development of malignancy from residual tumor cell. If mass palpable FNAC done.... If palpation normal then bleed may from scar that might hypertrophy ... If scar is seeming to be infected then antibiotic needed... Brufen like anti-inflammatory Chat Doctor. . Take care."}
{"_id": "000000174", "text": "Hello, As the pain is like throbbing in nature which is not allowing the knee to be any better I will advise to first take a hot water fermentation. Use the hot water bag wrapped in towel.  This will provide deep heating effect. Continue this along with the medicines you are taking. And also keep the pillow underneath the knee. If you aren't diabetic than please use icing for the lower back region.  This will provide the anesthetic effect and reduce the sensory functions by which the pain will come down.  As pain travels by the nerve, rather using a steroid shot it's better to use icing which is non-invasive and no side effects. Wait and see if the knee is any better.  If diabetic you can use hot water bag in the lower back which will slow down the sensory system by dilation effect. Once the pain comes down kindly try doing knee bending and extending. If that is possible you can possibly do some exercises like static Qua Chat Doctor.  Kindly do on both sides the exercises, so the strength is equivalent.  In case you are able to perform extension and flexion of the knee, I think it's a ligament injury, and we ended to take up the MRI to rule out this.  Rehabilitation of ligament injury will be followed with Physiotherapist. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In"}
{"_id": "000000175", "text": "Dear Baby, The symptoms can be attributed to inadequate HY Chat Doctor.  Which help in blood formation & nerve conduction. Symptomatic relief can be obtained by intake of cervicogenic agents as well as multivitamin & multimineral supplements including iron, calcium & It D needs to be added in your diet. If you still find any difficulty, kindly get certain investigations like estimation of blood pressure & blood sugar levels, Thyroid profile & nerve conduction studies to rule out any pathological cause for the symptoms. Till then, maintain adequate HY"}
{"_id": "000000176", "text": "Hello and welcome to Chat Doctor. The symptoms that you have portrayed definitely do point towards pregnancy. Single episode of miscarriage does carry a slightly higher chance of miscarriage in subsequent pregnancies, but this risk is negligible and usually ignored in practice. My opinion is that there is minimal risk to your baby. Visit your gynecologist to confirm that you are pregnant. I would like to have few more details like-the date of the first day of your last menstrual period and after how many months of pregnancy did you undergo the miscarriage 6 months back etc. to give you a more specific answer to your question regarding the risk to your current pregnancy. Hope I have answered you question to your satisfaction. Please do get back if you need any clarification of this answer or any more queries that you have."}
{"_id": "000000177", "text": "Hello, Please don't get panic. This is called Random Blood sugar level. And its in the normal range.  Up to 140 mg/DL is considered normal RBS (random blood sugar) level.  In case of family history of diabetes. One can monitor blood sugar levels like"}
{"_id": "000000178", "text": "Hello, I went through your query. Looks like you are having a condition where the enamel portion of the tooth is not developed properly. If your teeth are already completely workout, then it's better to remove them and go for full dental implants. If they are still in position to be saved, then it is wise to retain them and place crowns over them. By this you are still maintaining your original teeth. Cost of dental implants vary widely throughout India. Approximately it will cost around Rs.20000 per implant with crown. I am sorry I am not familiar with any dentists in Udaipur. Hope your queries are answered."}
{"_id": "000000179", "text": "Welcome to Chat Doctor .1. First thing, lying on the stomach will not cause lumps in the neck, it may strain the muscles and cause pain. 2. The most possible cause is lymph nodal enlargement. (could be due to recent infection / underlying medical conditions and systemic causes)3. If you are my patient I would have examined and ask for an ultrasound neck to confirm the nature of the lump, its origin and extensions.4. Depending on the findings an FNAC - fine needle aspiration cytology will help in definitive diagnosis.5. And if any systemic causes - first treat the cause. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000000180", "text": "Hello, Did you mention in history about the knots? Is it varicose veins? Have you got your Doppler done for the veins and arteries? Once checked we can find out if it is the cause for knots in the calf. Now coming to your plantar fasciitis, I would recommend you to do hot water fermentation and some balance board exercise. Usually, people have abnormal gait due to plantar fasciitis which can lead to additional biomechanical changes in the muscular system. Doing balance board training should help improve muscle Imbalance and improve the strength of the muscles.  Most of my patients with plantar fasciitis response well to balance board training. Hope I have answered your query. Let me know if I can assist you further.  Jay In Chat Doctor."}
{"_id": "000000181", "text": "Hello, Here, you need to undergo one blood test for beta-ChatDoctor and TVS scan (around 4 weeks from LMP) to rule out implantation bleeding. Other reasons are pelvic/ vaginal infection, old endometrial tissue, hormonal imbalance (with effect of the pill), uterine pathology etc. Following initial test reports, you consult with gynecologist to proceed next line investigation after clinical examination. Take suggestive measures accordingly. Maintain genital hygiene properly. Take healthy diet with folic acid supplement. Good luck."}
{"_id": "000000182", "text": "Hello and. As a Urologist, I must advise you to consult a neurologist first. A prolapsed disc is a significant finding, and unrelated to ED(erectile dysfunction).  Vertigo is likely due to the injury, due to inner ear problem. That's easily treatable after identifying the cause for it. Linearizing and prochlorperazine are commonly used.ED(erectile dysfunction), will need to evaluated after resolution of the disc problem. If you want my expert opinion, send the report as a direct question. Chat Doctor.  Manga."}
{"_id": "000000183", "text": "Hi. Thanks for your query. Your history looks like appendicitis or Nephritis (inflammation of the cecum) or right ureteric stone or so. If the pain is coming and going the possibility is more of an impacted stone in the right ureter. The blood, urine and everything else can be normal. The proper diagnosis can be made only on a high resolution ultrasonography and / or CT scan of the abdomen. Insist for one. Get the diagnosis and get treated accordingly."}
{"_id": "000000184", "text": "Hi, Thanks for writing in. It is important to know if the injury area is developing an infection. This can only be confirmed after seeing a doctor. To avoid infection you need to take a course of antibiotics. A short course of broad spectrum antibiotics is important. Also, a tetanus toxic injection need to be taken. You can take diclofenac and serratiopeptidase tablets for faster healing and pain relief."}
{"_id": "000000185", "text": "Hello, Thanks for posting your query on Chat Doctor ...* Brief Answer"}
{"_id": "000000186", "text": "As you have not mentioned your age it is very difficult to plan the treatment because age is very important determinant as far as back pain is concerned. But from your narrative I think you are a young adult, and you are most probably suffering from disc prolapse, so you just have to take some painkiller with muscle relaxants like tab danger or tab osteopath twice daily after meals when your back pain is worse enough to disturb your work along with tab shall 500 mg once daily after meals with tab rant ac or tab carotid twice daily before taking meals. You can also use holdup gel or powergesic-plus gel for local application.  It is also quite beneficial in relieving back pain and provide you some comfort. Apart from these you can also go for physiotherapy exercises after an expert opinion of physiotherapist. Also, you have to sleep on plain surface as you are doing because it is a good practice in case of back pain which is due to disc prolapse."}
{"_id": "000000187", "text": "Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would first look into your oral hygiene, and advise you for some kind of antiseptic gargles several times a day, like provide iodine preparation. Also, you might need some antibiotics specially against anaerobic organisms for the oral cavity. This is a fast-growing condition if not treated properly, and so you should also consult your treating doctor soon. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000000188", "text": "Dear Ma'am, Sorry to hear about your problem. The symptoms which you are describing can be explained due to two conditions. One is known as duct Eurasia, and it commonly occurs around the time of menopause and can lead to the formation of abscesses (red, painful sum) close to the nipple associated with discharge. There is also a small possibility of it being cancer. My advice to you would be to visit your breast surgeon and have your condition evaluated. In addition, get a mammogram and a sonomammogram."}
{"_id": "000000189", "text": "Hi, how did you see your epiglottis?endoscopy pictures?symptoms for ca. epiglottis are voice change(most common)pain in throathemoptysisdysphagia and loss of weight(not weight gain)increased appetite and weight gain can be due to steroid use(if you have used any)confirmatory investigation for ca. epiglottis is laryngoscopy and biopsy.treatment for early cancer can be -radiation(80%cure rate) but associated with morbidity-partial laminectomy neck dissection (80-90% 5 yr survival)treatment for advanced cancer is multimodal.total laminectomy followed by chemo radiation. Overall cure rates and patient satisfaction is excellentWITH THE SYMPTOMS YOU SAID I DON'T THINK YOU HAVE A CANCER.GET EVALUATED BY ENT/HEAD AND NECK ONCE AND CLEAR YOUR DOUBT.hope my answer helped you if you have any more queries I would be happy to help you."}
{"_id": "000000190", "text": "Hi there, Thanks for asking your query, Dont panic. What was the color of the blood (bright or pale red). Blood can be found in saliva because of periodontal infection surrounding your teeth and gums. Sometimes due to Chat Doctor. If your cleared of dental related problems then visit your physician. Due to irritation in your throat, blood can be seen. Many a time due to gastrointestinal bleeding or respiratory infection, traces of blood can be seen. If the problem persists please visit a physician. Hope this helps you, regards,"}
{"_id": "000000191", "text": "Hello there. Yes dark cloudy urine can be a sign of urinary infection.  The chances of infection are more than you now even have pain in the abdomen. Any urinary infection in pregnancy should be taken care of early as it can lead to complications like abortion or premature delivery. Also, if left untreated can lead to spreading of infection to the kidneys (pyelonephritis) and sepsis. So you should get your urine microscopy and culture tests done. Antibiotics to be started according to the reports. Take care."}
{"_id": "000000192", "text": "Dear friend. Thanks for sharing your concernPlease do not get worried, lesion in your cheek could be due to oral ulcers, traumatic injury due to jagged teeth. Precancerous conditions, or oral cancer too.First it should be well examined through biopsy of the lesion. Visit your oral surgeon for clinical evaluation and biopsy. Do you have associated lymph node swelling? Local application of salt on the lesion is not recommended, But you can do warm saline rinses thrice daily especially after food.Also, it can be very well treated, whether ulcer or cancer, be stress-free. You can continue local application of colonel on the lesion for pain relief, also take vitamin B for 15 days. Visit your oral surgeon soon. Strictly quit your habit. Hope it helps. Thanks. Take care. Maintain very good oral hygiene."}
{"_id": "000000193", "text": "Asthma in childhood occurs due to antibiotics over use and paracetamol we use for fever you find out reason for allergy. All these problems are related to this food allergydefinately milk but you can get blood serum tested for milk and wheat go for elimination die the will recover from all symptompsYou just stop all milk and diary completely you problem will be solved with minimum medicine sand for cure you can go for desensitization therapy which is newer in the latest therapies"}
{"_id": "000000194", "text": "Hi, Thank you for posting your query. The two most common causes for fainting include syncope and seizures. Syncope can be caused by heart diseases too. For detailed evaluation, you need to see a cardiac electrophysiologist, who would perform a Holder test and a head up tilt test (HUNT test). In addition, you should also see a neurologist to exclude seizures, which may require MRI brain and EEG. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"}
{"_id": "000000195", "text": "Hi, Leon 500 mg helped her previously. It shows that she was suffering from a respiratory tract infection. Are you sure she is suffering from the same problem this time? It needs to be found out why is she suffering from repeated respiratory tract infections. It can also be an allergic attack and so is repeatedly occurring. I would advise you better go to a Physician who can get a complete check-up done and find out the exact cause.Also, Leon is an antibiotic so do not use it injudiciously. Use it only on prescription from a doctor. Till then, you could try taking steam inhalations and warm water to Chat Doctor.  Take care"}
{"_id": "000000196", "text": "Hi and welcome to Chat Doctor. Most common causes of blood in stool are benign and you shouldn't be concerned. I don't know your age, but usually bleeding is caused by hemorrhoids, figures, angiodysplasia or polyps. Some other more serious diseases must always be ruled out. SO I suggest visiting proctologist who can do rectal examination and decide is colonoscopy necessary.Also, you should do red cells count to see is there any sign of anemia. Try to eat easily digestible food such as fruit, green, milk products and boiled food. And take enough fluids. Nothing serious can happen in short time but visit specialist as soon as you can.Wish you good health."}
{"_id": "000000197", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have sore painful tongue, don't worry it can be due to National deficiency, or decapitation of papillae.  You do is take one capsule vitamin B complex supplement, twice daily for 5 days.  You can apply ointment McCoppin or colonel twice daily for 5\\u00a0days.  If then you won't get relief then go to dentist for examination and if necessary investigations.  Hope this will help you."}
{"_id": "000000198", "text": "HelloThanks for your query, based on the facts that you have posted it appears that you have what is called as Azoospermia. And your sperm count is fluctuating over a period of last four months. Truly speaking there are no medicines that can increase sperm count however Following measure will help you to increase sperm count .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Repeat semen analysis after three months under ideal circumstances (After abstinence for 3 days). Chat Doctor."}
{"_id": "000000199", "text": "Hello, Plaque remaining on the teeth will cause decay and tissue inflammation. Left untreated, this may turn into a possible abscess situation. An abscess can occur in tooth structure as well as an in periodontal supporting bone and gum. Oral hygiene must be maintained. The spread of infection is of great concern and should be treated. Antibiotics may need to be prescribed and recommended treatment completed to eliminate infections. Most likely the symptoms are related to a deteriorated oral condition that will require extractions or root canal therapy. Please schedule a dental visit and discuss options to be able to improve home care. There are assorted tools available to assist difficult situations and your dentist will guide you with suggestions for this difficult situation after a full evaluation. Thank you for your inquiry and I hope you will be able to have relief soon."}
{"_id": "000000200", "text": "Hello, Thanks for contacting Chat Doctor. If you had a severe allergic reaction to bee sting in the past, then you need to rush to a nearby hospital. If you are not allergic to any insect bites, you can take any antihistamine like cetirizine and see for response. If the rashes and itching subsides or not grow in intensity or area then it should take nearby itself. You can repeat the dose every 12 hours for as minimum as required. 2- 3 doses should be enough. But if inspire of taking it if you experience increase in intensity of rash and itching, you better get to hospital soon.In the meantime you can apply cold application at the site of bite and if possible to get the sting out. Hope you get relieved. Chat Doctor."}
{"_id": "000000201", "text": "Hello! I understand your concern. The troubles your girlfriend has been due to the head trauma and concussion. It is a normal for her to be in this mood. She needs rest for at least a week. I don't think masturbation will bring her any good or make her feel better. It may also cause a little physical stress. I am talking about the body autonomic response to this situation. She will feel better in a couple of weeks. By the end of the month everything will come back to normality. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes, Chat Doctor."}
{"_id": "000000202", "text": "Hi. Thanks for your query. Read your history and correlated it to two things. I have two diagnoses for you1. Pseudocyesis2. Gall bladder stone.1. Pseudocyesis"}
{"_id": "000000203", "text": "HI, Dear,Thanks for the query to Chat Doctor.1-I have studied your query in depth.2-IN my opinion, this red skinned post-injection thigh lump, is a post-injection cellulitis-a normal reaction to such vaccines.3-I would advise you to -a-Cold compress if for a day b-Show it to your doctor who would give NSAID -Syria he is a child of 15 myths. And c-antibiotic syrup -SOS, if doctor suspects-early abscess with post-injection infection.4-Hope this would solve you query to your satisfaction.5-Wellcome for more queries to me On Chat Doctor.6-Thnks once again for your inquisitive query. Have a Good Day.!!"}
{"_id": "000000204", "text": "Hi, Thank you for asking question on Chat Doctor. The red colored spots may be due to capillary fragility because of preterm delivery. You may go for next pregnancy whenever you wish. Be under supervision of an obstetrician right from conception till delivery. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics"}
{"_id": "000000205", "text": "Hi and thanks for the query, There is actually no direct relationship between the pain and the health conditions that you present. A clinical examination might be necessary. Excluding gastritis is necessary. Other accompanying signs like fever, diarrhea might be needed during the evaluation process. The past medical history, an abdominal ultrasound coupled with a complete clinical review might be very useful in determining the cause of the pain. A chest X-ray showing the lower borders of both lung fields could be required at some point. I suggest you consult your internist. Thanks and kind regards, Bain LE, MD."}
{"_id": "000000206", "text": "Thanks for asking I have gone through your question and understand your concern your 4.5 month daughter having loose motions since 1 month. You giving both dairy milk and breast milk. Passing motions 6-7 times per day may normal for 4.5-month-old child if she's growing will. Her weight should be about 1.9 times to birth weight at 4.5 month age. She should pass 6-7 times urine. Other thing I noted in your query, that you give her dairy milk.  If mother is healthy then her should is sufficient for 6 months .take balanced diet, do proper rest (2 hours daytime rest is also advisable).if you can not avoid to give extra milk, then give formula milk. Maintain proper hygiene during milk preparation and feeding. handwashing and boiling of bottle before each feed."}
{"_id": "000000207", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. First, you did not mention your age. Secondly you are worrying too much. Leave the diagnosis part to the doctors. If you have any trouble, please consult a qualified physician, and he shall do the rest. Unnecessary worrying like this shall cause anxiety and apprehension and shall result in other mental disorders. All other symptoms you are mentioning are related to anxiety. Anxiety do make people forget things. People even forget about their spectacles which is kept on their forehead, just because of anxiety. Forget it. Consult a physician and then do the worrying, if there is something really wrong. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some memory enhancing techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000000208", "text": "Thanks for your query, I have gone through your query. The whole over the gums could be a pus discharging sinus tract secondary to tooth or gum infection. Consult an oral physician and get yourself examined to rule out the tooth infection like periapical or dentoalveolar abscess and get a radiograph done. If it is infected tooth, then get it restored or removed. I hope my answer will help you, take care."}
{"_id": "000000209", "text": "Hello. Thanks for asking on Chat Doctor. Your WBC count is slightly low. Normal ranges are from 4-11 thousand per cubic mm. Now what was the reason you visited the Healthcare facility? WBC commonly lowers in transient viral infections. Viral gastrointestinal infections could be a cause. However often the count rises to normal values few days after the infection has resolved. However, other causes of neutropenia are overwhelming bacterial infections, long term use of certain Chat Doctor.  In these cases the WBC count remains low for long periods of life. Better would be to get yourself tested again after 20-30 days. Most probably your transient neutropenia might have resolved by then. If still not resolved then you'll have to consult a hematologist to look for underlying causes. Thanks."}
{"_id": "000000210", "text": "Hi, As you said your father suffers from psoriasis from last 20 years. I would like to say few things about psoriasis. Psoriasis is a chronic relapsing and autoimmune disease. You may be having scaly plaques on various parts of the body, scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunity, stress, Chat Doctor. .etc. may be responsible for precipitation and exacerbation of psoriasis. You consult dermatologist for firm diagnosis and treatment. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly...for psoriasis. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. For itching, you may take antihistamines like levocetirizine. Avoid oral steroid, as it may lead to flare up of the lesions. Tell him to apply mild steroid cream or calcitriol point on the lesions on the psoriasis lesions. He may apply moisturizer to improve the skin texture. He should avoid soap bath for few weeks. And he should be free of stress and worries as that might worsen psoriasis. He might get good result. I hope you got my answer. Thanks."}
{"_id": "000000211", "text": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. High white blood cells with itchy arms and iron overload suggests chronic inflammation.2. Regular phlebotomies, means you are possibly suffering from polycythemia Vera. Polycythemia Vera can progress into other myeloproliferative disorders.3. Bone marrow biopsy is necessary for confirmation. Better go to MD Anderson institute for further diagnosis and therapy. Hope it helps. Any further queries, happy to help again."}
{"_id": "000000212", "text": "Hi welcome to Chat Doctor forum. Probably nothing serious.it may be normal anal discharge or sign of perianal infection, fisure of polyp so I suggest doing basic physical exam to rule this out. Also, try to have site baths and do blood stool test. If there is something suspicious then endoscopic procedures should be done but i don't think this is necessary at this point. Hope I have answered your query."}
{"_id": "000000213", "text": "Hello, I have read complete details. Looking at your details it looks that most probably you may have a meniscus or ligament problem. In this case only having an X-ray will be not sufficient. You should have MRI of your knee. At present, you should do following to prevent further injury"}
{"_id": "000000214", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Melanoma is very notorious in cancer spread. And liver spread indicates end stage (stage 4) malignancy. Only palliative chemotherapy is indicated in this stage. Since you are telling that liver mass is same, this suggests failure of treatment and worsening malignancy. So your friend is not responding to the chemotherapy. Better to consult oncologist and discuss all these."}
{"_id": "000000215", "text": "HiT hank you for asking ChatDoctorI have gone through your query. You are worrying too much. But too much masturbation is not good. It may have a psychological impact. You can change that by deviating your mind to some hobbies. You can do daily exercises like swimming jogging or playing games which will deviate your energy and you won't get the feel for masturbation.The have could be due to the award posture while masturbating or excessive stroking of hand. Hope this may help you. Let me know if you have any further query."}
{"_id": "000000216", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. This is very common condition when impacted tooth presses a nerve. This is the reason for pain. You should continue giving hot packs. Such impacted tooth should be removed otherwise they keep troubling you with on and off pain episodes. It requires very skillful and experienced oral surgeon as there is involvement of nerve. I would suggest you to consult oral surgeon (as there is already an appointment) for proper evaluation of condition. Doctor may take X-ray or CT scan to access the position of the tooth and may perform surgery under local anesthesia to remove the impacted tooth. For pain ibuprofen(if not allergic) or acetaminophen and do warm saline rinses. Hope your concern has been resolved. Best Wishes,"}
{"_id": "000000217", "text": "Hi welcome to Chat Doctor... You have chest pain along with radiation of pain toward left side arm ... So it could be coronary artery stenosis like case for ex...angina ... For that investigate with ....1. Blood pressure checking 2. Stress test 3. Echocardiography If coronary stenosis present arbitrate given for relief of stenosis ... And antiplatelet Chat Doctor.  ... You have cough and mucus also, so thus could be bronchitis chest pain also ... For that chest x-ray and spirometry done with CBC . If needed antibiotic given for that ... Take care. . Consult pulmonologist for this ....."}
{"_id": "000000218", "text": "HelloWelcome to Chat Doctor You have developed frontal lobe seizures and were kept in CCU and then discharged with advise to take potassium and levetiracetam. Levetiracetam is an anti-epileptic Chat Doctor.  You must have developed low potassium for which you have been given potassium. Potassium is must for contraction of muscles of heart and is useful for cardiac function. But commonly it is usually prescribed for low potassium arising due to a number of causes. There is no risk that you have serious illness, or you will develop any serious illness just because your father had heart problems. Continue to take medicines as per your doctors prescription. Thanks"}
{"_id": "000000219", "text": "Hello dairy understand your concernMensovit tablet is not used to induce the period have to wait for the period to come. If period will delay by the 8-10 days then go for urine pregnancy test and or blood Chat Doctor to rule out the pregnancy. If you will be pregnant then intrauterine pregnancy can be terminated by the ABORTION PILL CONTAINING MIFEPROSTONE AND BISOPROLOL under the advice of the gynecologist.Meanwhile, take healthy diet, avoid stress, Chat Doctor. Hope this may help noncontact Chat Doctor for further health query Best regards"}
{"_id": "000000220", "text": "Hi. Thanks for your query. Read and understood the history about your Mother. She had undergone kidney transplant 3 years ago, has UTI that is not getting under control, the ultrasonography shows kidney is fine, but they found a fatty lump on the liver. From this report one thing is certain that there is no cancer or so, hence nothing much to worry about. Fatty lump on the liver needs no active treatment.-To confirm that this is benign, it is better to get Contrast enhanced CT scan or MRI and keep this under observation.-Get Liver function tests done, and if no need to worry if these are normal."}
{"_id": "000000221", "text": "Hi, Thanks for query, As your pregnancy test shows negative result the chances of delayed period is much more. Due to hormonal imbalance you get this type of symptoms too. Hormonal imbalance can occur due to tension, Anxiety,long working hours, shift duty, ovarian pathology etc. Previous delivery can not increase the chances of being pregnant. Wait for few more days. If you do not bleed repeat pregnancy test. Thanks."}
{"_id": "000000222", "text": "Hello, Welcome to Chat Doctor, There are different type of anti rabies vaccines like human diploid cell culture vaccine (HDCV), purified very cell rabies vaccine (PVRV) and purifies chick embryo cell vaccine (PCEC) which are available in the market. All these vaccines are equally effective, and you need to take all the five shots of vaccine with any of the above-mentioned vaccine. If you give any of this vaccine as per the WHO schedule it is going to protect against development of rabies. Thank you."}
{"_id": "000000223", "text": "HIT hanks for using Chat Doctor It is the side effect of venlafaxine at higher dose. You have taken three tablets of venlafaxine and at higher dose, it causes hypertension, anxiety symptoms and chest pain. Nothing to worry about that. Just take two tablets and try to stay at same dose for next few days. After that, try to escalate the dose. Rest, you can discuss with your doctor. In case, you need further help, you can ask. Thanks"}
{"_id": "000000224", "text": "Hi dear Thanks for choosing Chat Doctor. By low blood count do they mean low Hemoglobin?! Enlarged liver can be caused by many reasons that cant be counted here, but mainly due to Hepatitis Infection (A, B,C or E), it can also be due to Alcoholic or non-alcoholic fatty liver disease, history of medication Chat Doctor.  People with liver disease develop some sort of thing known as portal hypertension which could lead to bleeding in the Gastrointestinal system mainly esophagus or stomach.  Based on your question it seems like the Doctors are still running some other tests to confirm, so please don't overthink and try to stop worrying, until the doctors give you a final diagnosis and treatment. Wish you all the best and hope your partner gets better soon."}
{"_id": "000000225", "text": "Hellos per your description of the lump it seems to be a Neurofibroma. Need not worry, it's a benign condition, and it is mostly a cosmetic concern rather than pathological. The common sites being the fore arm wrist back etc. it causes pain only when pressed deep, otherwise it only causes mild tingling or mild pain. It may be single or multiple. Definitive treatment for this is only surgical excision of the lump. Need not worry about this too, as it is only a day care minor surgical procedure. Thaank you."}
{"_id": "000000226", "text": "Hello, If you are suffering from an acute bout of cervical pain that was not really there before recently (even though you do have the remote history of the accident) and you believe there is a lump of some sort above the collar bone then.  I would recommend you see a doctor and have that looked at to make sure it is not a mass that is impinging upon one of the cervical nerves causing the pain and electric shock-like sensation.  Ice is an acceptable intermediate therapy, but this should be looked at by a doctor with possible imaging studies to define the knot a bit more precisely.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000000227", "text": "Hi, dear. I have gone through your question. I can understand your concern.  You need to investigate properly to diagnose your problem. You should go for complete blood count and peripherals smear examination.  After that accordingly you should go for further investigation. If you have iron deficiency then you should take iron treatment and if you have it b12 deficiency then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000228", "text": "Thanks for the consultation. Small baby temperature thermostat is very sensitive. They also have high metabolic rate. Baby head and feet are very warm during feeding specially during breastfeed time, This is normal phenomenon, no need to worry at all. If the baby is active, taking feed and pink and passing urine and stool then you should not worry. Although you have performed all the basic test which are normal, there was no need of it. If the babies are sick or something wrong, then are not taking feed, and they are not active. This first thing happen to them which should be alarming to the parents."}
{"_id": "000000229", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are having changes in ECG, possibility of heart disease is more for your chest pain. So better to consult cardiologist and get done 2d echo, coronary angiography to rule out heart diseases. If all these are normal then possibility of HERD (gastroesophageal reflux disease) is more because you are also having gaseous bloating. So take proton pump inhibitors and prokinetic Chat Doctor.  Avoid hot and spicy food, junk food. Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000230", "text": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Renal failure is occurring as elevation of serum urea and creatinine values show 2. Due to using renal bag, he has suffering from recurrent urinary tract infections, which has led to bilateral renal insufficiency due to possible pyelonephritis.3. He will need dialysis to control urea and creatinine levels. Discuss with your doctor. Hope it helps. Any further queries, happy to help again."}
{"_id": "000000231", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint the topical antibiotic Medication that you are asking to give is not appropriate for giving in tooth infection. In case if she has an infection in tooth and has pain also she can take Oral antibiotics like Augmenting, anti-inflammatory painkiller like Ibuprofen and can apply numbing gel like Lidocaine. Avoid very hot or cold foods. Take soft diet. Once she visits the dentist she can get an x Ray done and in case of deep decay either Root Canal treatment or extraction can help in permanent relief. Hope this information helps. Thanks and regards. Chat Doctor."}
{"_id": "000000232", "text": "Welcome to Chat Doctor. I am Chat Doctor. My dear friend, eosinophil counts of 11 alone is not a cause for your vitreous degeneration. I think there are other cause for this vitreous degeneration like Parasite infection -Ocular larva migrant. These parasitic infection cause high eosinophilic count. You need to ask your treating consultant for complete blood count with serology test for toxocariasis (enzyme immunoassay). This will very helpful for further management. No need to worry, you will be fine soon. Thanx for query."}
{"_id": "000000233", "text": "Welcome to Chat Doctor. 1. The history and the symptoms suggest there is lump on the head which is unsatisfactory on CT scan.2. This suggests possibility of the bone involvement - bony lump with intracranial involvement. 3. This is only possibility - as you have to mention the findings in the CT scan. 4. In this case I would recommend the next step will be FNAC / BIOPSY - fine needle aspiration cytology or biopsy.5. That will help to identify the nature of the cells involved. And treatment will be accordingly. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http"}
{"_id": "000000234", "text": "Hi. Thanks for your query and an elucidated history about your 6-year-old. He has tummy pain, fever, cough, not eating, tired and also has asthma and the roads are blocked due to ice. I would suggest you"}
{"_id": "000000235", "text": "Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child but don't worry about it. Retropharyngeal abscess occurs due to infection most commonly streptococcal and staphylococcal. Once treated, this retropharyngeal abscess will resolve and chances of developing again are low. I hope this will help you. Wishing your child good. Take care."}
{"_id": "000000236", "text": "Hi. Thank you for question. Let me assure that you are fine and need not panic. Masturbation for these age group is normal and is not associated with any harm. Pain in Right side of Lower Abdomen may be caused my several reasons like injury to the Testicles, Torsion of testis, Hernia,HY Chat Doctor. I will advise you to visit your Surgeon for physical examination and necessary investigations. For relief of pain you can use Analgesics. Avoid Heavy work. Avoid Masturbating for few dashes can only be done by self-control. Avoid being alone, stop watching and thinking of porn, get yourself engaged with friends, study,etc Hope I answered your questions. Wish you a healthy life."}
{"_id": "000000237", "text": "Hi and thanks for your query, Severe abdominal pain, especially acute pain should have different diagnosis and not a cancer in the first place. Depending on the site, the intensity, irradiation of the pain and accompanying symptoms, the diagnosis differs. Blood tests like markers of inflammation and complete blood counts are important in making an appropriate diagnosis. An abdominal ultrasound might be necessary at some stage in the evaluation process. I suggest you visit a gastroenterologist for proper evaluation and management. Thanks and best regards, Luchuo, MD."}
{"_id": "000000238", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your child have symptoms of fever and sore throat which is due to upper respiratory tract infection and inflammation of tonsils. It seems to be due to infection by strep bacteria. Need not worry. I would suggest you to take throat lozenges and do warm saline gargles. You should take antibiotic Levofloxacin in combination with antiallergic medication Levocetirizine. Visit ENT specialist once and get it examined. You should get blood and throat swab test done and get it examined. Start treatment after proper prescription. Avoid oily and sharp food.  Chat Doctor.  Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000000239", "text": "Hi there, low back pain is one of the most common complain in people who work for long hours especially the on lifting heavy stuff. This could be due to excessive use of back and load being heavy, or due to bad posture while you are doing your job or due to weakness due to any bone pathology. I would advise you to get an MRI done for your back and also your serum calcium and it D levels. If you are premenopausal then osteoporosis is to be kept in mind. If everything is fine then you could visit a physiotherapist and do some back muscle strengthening exercises. He will also be able to guide you as to the proper posture to be adopted while lifting heavy stuff. You could take few painkillers to assuage the pain for the time being, taking care to take them only after a meal and never on empty stomach or with alcoholic Chat Doctor.  Take care."}
{"_id": "000000240", "text": "Hi there, I have understood your concern and I will suggest you the best possible treatment options. As you were on demo proverb injection and shifted on oral contraceptive pills, there must be no definite date of last menstrual period. As such if contraceptive pills were started well before the medicinal effect of demo injection gets over, then chance of getting pregnant is almost nil. But if it has not happened, you might have had egg release and pregnancy might have been there. I will suggest you to get USG done to know about the exact gestational age and viability of the pregnancy. As you do not want to continue with the pregnancy, you can opt for termination of pregnancy with abortion pills under medical supervision safely till 9 weeks of pregnancy. Once you are done with the pregnancy termination, you can get proper counseling done for future contraceptive use. I hope this answer helps you. Thanks. Chat Doctor."}
{"_id": "000000241", "text": "HelloUnfortunately this looks like some metastatic tumors to liver (can't be sure until a liver biopsy is done). It is very important to find the source tumor (of course it this is really metastatic tumors). Regarding the symptoms and age of your mother it could be an ovarian or a large intestine cancer, but it can be also something else (not cancer as well). The CT should tell about the localization. Thus, tumors as well as the main tumor can be treatable, but it depends on localization and a stage of disease. Hope this will help"}
{"_id": "000000242", "text": "Hi. Good that you have decided to have a baby. Let us start with the basic-Your sperm count is low- and I would suggest you to seek a Medical advice by a specialist to look into it. This is the foremost important factor. He would even advise on the other matters you are interest to know. A small penis or an early ejaculation are no in Chat Doctor.  The best position during sex is man-up, and you should not continue further after ejaculation and your wife should not get up after sex."}
{"_id": "000000243", "text": "Hello, Welcome to Chat Doctor, The history and symptoms are suggesting me that you're having some infection affecting the upper respiratory tract which is may be by a viral or of allergic conditions. As you are having clogged ears, runny nose, headaches and eyes been hurting recently is suggesting that you are having infection of the upper respiratory tract. For your condition I would suggest you to follow1. Steam inhalation with Vapocaps2. Oral antibiotics like Tab Autoclave 625 mg for 5 days3. Oral antihistamines4. ORS solution. You can take these medicines by consulting your doctor and getting the prescription from him. Thank you."}
{"_id": "000000244", "text": "Hi, dairy have gone through your question. I can understand your concern. You have high WBC count. There are many cause for high WBC count. But in routine practice most common cause is infection. Don't worry about that. You don't have any serious disease. Just go for repeat blood test. If your WBC count remains persistently high then you should go for further investigations. Right now no need to worry. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health"}
{"_id": "000000245", "text": "Hello, In a normal healthy pregnancy, the serum beta-ChatDoctor titles double every 2-3 days and this is why serial titles are done whenever the pregnancy status is in a jeopardy. It is not the absolute value of the hormone that is important, but the amount of rise. If there is an initial Chat Doctor.  A trans-vaginal sonogram should be performed at weekly intervals until clarification is obtained. This should be correlated clinically. Hope this helps."}
{"_id": "000000246", "text": "Hello, I understand your concerns. A rash is a symptom of a viral illness, of which FIFTH disease is one type. Headache, runny nose and fever are the other symptoms that accompany fifth disease. My suggestion is paracetamol if she has fever, and an antihistamine like cetirizine if she has itching. The rash will subside in a week and does not need any particular treatment. It is normal for school going child Chat Doctor.  You have to take her to the doctor if she has pus coming from her tonsils, is unable to"}
{"_id": "000000247", "text": "Hello, Thank You for trusting Chat Doctor Your doctor must have prescribed closed to help with ovulation. Closed is a very effective medication the helps with ovulation and conceiving. You don't have to worry at this point, since you have been trying only for past 8 months. Continue taking closed as prescribed, eat healthy and exercise regularly. The chances are you will conceive within next few months while on Closed. Hope I was able to help please ad Chat Doctor."}
{"_id": "000000248", "text": "Hi, Thank you for asking question on Chat Doctor .this is the time when you should wean him from breastfeeding and shift to natural foods. Cerelac is not the only solution. Give him fruit juice, boiled and smashed potatoes, smashed ripe banana, double boiled rice with curd or buttermilk. Only curd with sugar can be given. Double boiled rice with moon DAL, boiled rice with milk and sugar etc., Not only Carla you can choose alternative milk cereal mixtures from the market. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics"}
{"_id": "000000249", "text": "Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. Cholesterol levels can vary from clinic to clinic and from country to country. In our clinic, for example, it is considered to be high >220 mg/DL. Anyway, with these figures, combined with the age of 63, I would also recommend starting on a HY Chat Doctor. ). In your case, I would start her on atorvastatin 20 mg x 1 tb/d. There are no medications without side effects. This particular group of"}
{"_id": "000000250", "text": "Hello Clara, Thanks for posting, If you and your siblings did not develop any complications at birth due to mother and fetus incompatibility then you have nothing to worry about now.  Hemolytic disease of the newborn (the condition is known medically as erythroblastosis fetal is) occurs when there is an incompatibility between the blood types of the mother and the fetus/baby. There is also potential incompatibility if the mother is Rh negative and the father is positive. Now since you are lady, what you need to know now is your own blood type to be able to determine if you will require additional medical care when you are pregnant to protect the fetus (from incompatibility). The Rh factor genetic information is also inherited from our parents, but it is inherited independently of the AGO blood type alleles. There are 2 different alleles for the Rh factor known as Rh+ and Rh-. Now, if your father is Rh+ and mother Rh- it means you will likely inherit an Rh+ antigen (your genotype will be Rh+/Rh-= the two alleles but the Rh+ will be the dominant). So I do suggest, you quit being worried and know for sure that you will have no major health risk when it comes to your blood type. Do however get tested (blood groups) just to be sure. Hope this helps"}
{"_id": "000000251", "text": "Hello, thanks for using Chat Doctor It is possible you have a genital tract infection. Genital tract infections could be sexually transmitted or promoted by sexual intercourse. More so, following menses, it is very possible to have germs grow on bits of menstrual blood that are in the genital tract. The best thing to do would be to meet a doctor for detail examination and for a vaginal smear to be done and examined for an appropriate diagnosis of the causative agent. Best regards Chat Doctor."}
{"_id": "000000252", "text": "Thanks for asking. I can understand your problems. What appears to me is that you are having involuntarily repeated urge to shout out bad words which you are not able to control. Thus kind of symptoms are usually a part of OCD or obsessive and compulsive disorder. Kindly visit a psychiatrist near your locality and discuss your problems.  Don't be shy about asking as it's a very common illness and easily treated with medicines."}
{"_id": "000000253", "text": "HIT hank for asking to ChatDoctorAs long as the question of mode of action of analgesic is concern all the analgesic have a more or less same mode of action from mild moderate to potent, the best way to deal with pain is to bear it till the last moment of it plateau, then the intensity of pain start declining gradually and that is the called real and physiological analgesic affect, of course it is a bit difficult and may take longer than enough time but gives excellent and long-standing result, have nice day."}
{"_id": "000000254", "text": "Hello, Welcome to Chat Doctor, From your description and past history it could be hives (Acute urticaria) and need not be any viral infection. It is characterized by itchy red or skin colored raised wheals which is transient, that means appears in one place and soon disappears from there to appear somewhere else. The most common cause of acute urticaria is food. Seafood, meat, poultry, egg, milk, peanuts, apples, brinjal, strawberry, coloring agents etc. are commonly implicated. It is subjective, and any food can cause it. Other common causes are medicines, infections, insect bites etc. Antihistamines like Ben Chat Doctor.  Identifying the trigger and avoiding it is the best treatment. Hope this helpedTake care"}
{"_id": "000000255", "text": "HiT hanks for posting on ChatDoctorJaundice can be a symptom of liver disorders or infections. Since he is responding positively to treatment, changing the hospital may not be the best option. Since it has be established that jaundice is due to liver infection, I will suggest you discuss your financial situation with your Doctor. Depending on the number of days of hospital treatment he has had, your Doctor may send him home on oral relay treatment depending on the type of liver infection. Regular reviews may be planned, and he will be followed up from the house. I will advise he takes enough water as well. Hope my answer will help you Best regards"}
{"_id": "000000256", "text": "It is difficult to make diagnosis with the description given. Hearing voices as a symptom could be hallucination, but it needs to be clarified further. Hallucination can be a part of psychotic illness. At times hallucination could be present in anxiety disorder. Hallucinations are of different kinds. Can you describe a little more on your children behavior, mood, problems in daily activities, other associated symptoms???"}
{"_id": "000000257", "text": "Krill Oil Capsules is a good source of Omega-3 (EPA & DHA) and other antioxidants. As a dietary supplement, take 2 capsules daily before meals or as directed by a healthcare professional. As mentioned above it is only a dietary supplement and mainly used in prophylaxis. This oil alone may not be efficient in reducing inflammation associated with fractures. Combine with painkillers for reducing pain and inflammation. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor."}
{"_id": "000000258", "text": "Thank you for consulting in Chat Doctor . Dosage varies 2 to 5 g of fresh raw garlic; 0.4 to 1.2 g of Chat Doctor.  Other preparations should correspond to 4 to 12 mg of alien or approximately 2 to 5 mg of Allison, an active constituent of garlic. However, dosage is complicated by the volatility and instability of important constituents in various products (e.g., aged extracts, deodorized garlic, distilled oils). Take garlic preparations with food to minimize stomach upset. Dosage will remain a matter of personal tolerance. You start from to 2 gr 2 times with food 7 days then see effect.  Take care"}
{"_id": "000000259", "text": "Hello, Thanks for consulting ChatDoctorRead your query painful lump like swelling on left cheek this can be due to partially erupted wisdom teeth due to deposition of food debris and infection due to presence of periodontal flap condition known as Peritonitis. For this I will you to do warm saline rinses 2 - 3 times a day and consult oral surgeon for examination of teeth and curettage. Hope this will help you."}
{"_id": "000000260", "text": "Hi thanks for asking question. Mostly in early stage during first week chances of spread of virus is more. Now she is back to work so mostly after week here chances of her infectious stage is less.Meanwhile, maintain your immunity as when immunity get compromised then chances of infection is more. Chat Doctor. Take healthy diet, all which help from getting viral infection. If still she has resp problem like cough then keep your child away from coming direct contact to her. I hope you understand my concern. Wish you good health"}
{"_id": "000000261", "text": "Hellowelcome to Chat Doctor once diagnosed to have TB - the recommendations are that you take the complete course of the medications - which varies from 6 to 12 months depending on where it is and how severe it has affected the person. The swelling in the liver as you have mentioned need to be confirmed with blood tests which will test the functions of the liver A possibility of incomplete treatment - recurrence of the same medical problem which can then affect the fallopian tubes. I do understand that these are long term treatments, and you can get upset and dejected. Please feel reassured that by completing the course further damage can be prevented hope to have answered your query best wishes Chat Doctor."}
{"_id": "000000262", "text": "! You are taking Zoloft for the anxiety and depression, but I do t think it is well controlled with 50 mg and so, you have been advised to increase Klonopin. I do not feel that this will be the correct way to handle the situation as increasing Klonopin will not help the real purpose of handling the illness effectively. What should be done in such case is -- that the dosage if sertraline should be increased to 75-100 mg and then if required to 150 mg daily. This will help to handle the illness and is also not addictive like Klonopin. Once the illness is well controlled for some time, we should plan to reduce the dosage of Zoloft. Moreover, once we increase the Zoloft, then need to take Klonopin also reduces, or may even be not needed at all after some days. Do get your blood test done, and check your blood pressure. Sleeplessness can be handled by taking collided at nighttime in spite of Klonopin, as this is non-addictive in nature. Hope this helps you, Pelase feel free to ask more questions for further clarification"}
{"_id": "000000263", "text": "HI, thanks for using Chat Doctor You need to consider completing the course of antibiotics for a 7-day period. If the course is not completed, even though you may feel better, the bacteria causing the infection can become resistant to the antibiotic. The infection is not completely cleared (though your symptoms may feel as though they are gone) and you may prevent the antibiotic from working for you in the future. You should have a lab urinalysis done to determine the best antibiotic to treat the infection and take the medication for the complete recommended time to clear it. I hope this helps"}
{"_id": "000000264", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have hypotension. You should go for regular checking of your blood pressure. You may go in hypotensive shock also. You should take salt water when you feel dizziness. Your numbness is due to your low blood pressure. You may need acupressure Chat Doctor.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/"}
{"_id": "000000265", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Blazon is having beclomethasone. It is inhaled corticosteroid. It actually treatment of choice for asthma. Furthermore, it is very safe and having the least side effects. These are possible because beclomethasone is given locally (as inhaler) and not systemically. So Chat Doctor.  You just need to rinse your mouth after its use to prevent"}
{"_id": "000000266", "text": "Firstly, lumps in the male breast are common in the pubertal age of 13 to 19 years. This is called Gynecomastia. But they do not have a white head, which is suggestive of a Sebaceous cyst which you have burst. Did some secretions come when you popped it. Secondly, on popping it, the cyst cavity becomes susceptible to secondary bacterial infection which might be the case with you now specially if there is redness and pain in that area. You should take a course of antibiotics like Tab Augmenting 625\\u00a0mg thrice a day along with Tab Ibuprofen 400\\u00a0mg twice a day for five days and put warm compresses over the area, and you will feel better. Let me know if you don't feel relieved. Take care. Chat Doctor."}
{"_id": "000000267", "text": "Hello dear, I understand your concern. In my opinion the pain abdomen with bleeding with or without backache first gives a suspicion of miscarriage. But as the ultrasound is normal it doesn't go in favor of miscarriage. So need not worry because there might be some other cause for bleeding like"}
{"_id": "000000268", "text": "Hello madam, well, this type of bleeding can be sort of symptom of a biochemical pregnancy loss. Many times these can be a natural, but we tend to forget them. These are on many occasions natures process of elimination of bad concepts, so nothing to worry. Alternatively these can be disturbance in your cycle as a result of hormonal imbalance . But since you have already had heavy flow, the chances of pregnancy now is remote. So you can continue the third cycle of closed. Good luck, bye"}
{"_id": "000000269", "text": "Hello Thank you for trusting Chat Doctor Dear many causes for headache If you're suffering from repeated cold nasal congestion it may be due to sinus headache, need CT paranasal sinus to confirm diagnosis. If your getting band like feeling around the head aggravated after stress full conditions it may be due to tension headache, need relaxation yoga etc. Unilateral, periodic each episode lost 2-3days with severe headache with blurring if visioned, aura it may due to migrant. Other causes like cluster headache and temporal arthritis. Please consult your euro physician he will examine and treat you accordingly."}
{"_id": "000000270", "text": "Hi thanks for asking question. Your main problem is regarding elevated liver enzymes and elevated triglyceride. Try to avoid stress as anxiety can aggravate your condition and chances of heart ischemic attack by excess stress. As far as liver enzymes concerned mostly you can have fatty liver because of high cholesterol. If you are taking alcohol then it could be the cause for fatty liver.USG helpful. Second also do your viral markers to rule out hepatitis.USG is also helpful. For stress relief do yoga and regular exercise. For liver problem take less fatty and fried diet. Avoid trans fat like cheese, meat, burger etc.Omega-3 fatty acid containing oil useful like olive oil and sunflower oil. More water. Green leafy veg taken more. Fruits taken more. After 6 month repeat liver enzymes profile. If needed liver biopsy can take. Are you taking any Chat Doctor? Because excess"}
{"_id": "000000271", "text": "Dear Rita, Welcome IT CAN definitely BE CURED. You applied Renovate N cream which contains strong steroid, due to which you have developed steroid-induced Rosacea (Please read on net about it yourself also). This condition is treatable. Please do as follows"}
{"_id": "000000272", "text": "Welcome to Chat Doctor I have gone through your query and understand your concern. You are likely to be having coccyxdynia. Treatment of it is hot bath by seating in a tub of lukewarm water. Analgesic such as ibuprofen is given for pain relief. Vitamin B and C is helpful in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"_id": "000000273", "text": "HelloDizziness early in the morning is due to 2 main factors"}
{"_id": "000000274", "text": "Hello there, Thanks for writing your query, According to your clinical history I suspect you had a PIN RETAINED amalgam restoration over your tooth. Usually post with crown preparation is done only after the tooth is devitalized by root canal procedure. In your case as you have mentioned you have no symptoms of pain and discomfort related to the tooth, we need to check the vitality of the tooth before replacing the crown. Exact diagnosis can be made only after clinical examination and evaluation by taking radiographs.  If needed, Root canal procedure is done to disinfect the tooth by removing the infected nerve tissue and the root canals are cleaned, shaped and filled with permanent restorative material. Once the treatment is completed, the tooth can be restored by a post and core preparation with a prosthetic crown coverage. I hope this helps, take care."}
{"_id": "000000275", "text": "Dear friend, whatever you have told us about the problem of your sister it seems that she might be suffering from temporary low pressure causing her light-headed from time to time. This can be due to weakness or some undercurrent disease. Also another point you have mentioned that she is experiencing pain in the back while breathing. This also can be due to some pathological lesion in the abdomen or chest area. So you please go for a detailed clinical check up and x-ray and ultrasonogram or that region.I think this investigation will easily clinch the diagnosis of this condition of your sister.my beat wishes for your sister. Thank you."}
{"_id": "000000276", "text": "Warm welcome! Thanks for visiting world's best online health forum. I was assigned to assist you today for the health query you have. Lichen plans is self limiting usually (means it goes at its own) but sometimes the symptoms may go worse and become bothersome. In that case I usually use to prescribe Cetirizine oral, Fluocinonide And Tacrolimus topical ointments for application to affected areas of skin. For oral Lichen lesions you need to keep good oral hygiene and diet improvements to have a good power to fight against infections. You may consult a Dermatologist too for better insight. I hope this was all you needed an answer for. I am at your disposal for extended explanation and medical help if you need more. Healthiest Regards!"}
{"_id": "000000277", "text": "There are some serous problems from this problem such as paralysis, dead but It's very, very rare.(less than 1 the most common complication that may occur with you is1.dysphagia (30-40 %); and it will get better soon after your sugery2. Hoarseness(10%) ;usually form transient recurrent laryngeal nerve injury I think your doctor will do ACD operation for you, don't worry mostly its very safe and minimal invasive procedure, you can go hone 1-3 day after operation"}
{"_id": "000000278", "text": "Dear sir, this is not something to be concerned about. Your symptoms can be due to procedure because of abdominal wall tissue swelling caused by trocar placement during the surgical procedure. If you had anything it would be seen on CT and during the laparoscopy. If you feel pain, have fever or fatigue you should go to hospital but if not then wait to see is this going to persist. If you have obstipation or nausea then you should think of intestinal obstruction which is complication of appendectomy caused by adhesions but I think that there is no need for medical treatment. Wish you good health"}
{"_id": "000000279", "text": "Hi....you need not worry. This seems just like viral diarrhea. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor."}
{"_id": "000000280", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have hepatitis A or B. Or you may have some other liver problems. You should go for complete liver function test. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. Don't forget to click, thank you."}
{"_id": "000000281", "text": "In your case, insulin is definitely a possibility. The symptoms that you have described plus the low sugar levels and high insulin levels, all point towards the possibility of insulin. It is a tumor arising from the pancreas from the cells that produce insulin in the body. The only definitive treatment is removal of the tumor surgically. For this, we have to locate the tumor first. For this, you should get a contrast enhance CT scan of the abdomen done. If it is normal, then an upper GI endoscopy with endoscopic ultrasound should help locate the tumor. Meanwhile, always keep something sweet like biscuits or sugar handy and eat it as soon as you feel the sugar going down. Don't miss any meals."}
{"_id": "000000282", "text": "Hello! Welcome on Chat Doctor! I carefully reviewed all your test lab test reports and would explain that your symptoms could be related to an infection (your total while blood cell count is a little elevated). A cardiac arrhythmia can not be excluded either. I recommend performing further tests to investigate for the possible cause underlying your symptoms"}
{"_id": "000000283", "text": "Hello dear. I would like to have mire details regarding the history. Is it painful defecation?does the blood come with hard stool and It's painful to pass?if yes then its probably anal fissure due to constipation as you have told she doesn't like vegetables, so she is lacking fiber in her diet. Give her plenty of fluids and fiber containing diet like fresh fruits with skin and vegetables along with whole wheat bread. If she has fever also and blood comes with loose stools and abdominal pain then it might be infection, and she should see a pediatrician for medications. Hope it will help. Wishing your child good health"}
{"_id": "000000284", "text": "Hello! I read your question carefully and understand your concern. I am sorry for your father. Unfortunately there is no effective medication in this situation. The best treatment would be physiotherapy which helps move his paralyzed limbs and relieve the stiffness. Another treatment I would recommend is a good anti hypertension therapy, in order to obtain a normal blood pressure. This would prevent a second hemorrhage which would be devastating. A low salt diet is necessary to maintain a normal blood pressure. For the speech problems looped is very helpful. Thank you for using Chat Doctor! Best wishes!"}
{"_id": "000000285", "text": "Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. Yes, he can eat boiled eggs provided consciousness level is normal. If there is Hepatitis a person can be in hepatic encephalopathy where high protein diet is not recommended. If sensorial is fine, there is no problem in eating boiled eggs. This is my personal opinion based on details available here.  If you still have any query you may please ask me. Stay Healthy. Chat Doctor, MD"}
{"_id": "000000286", "text": "HelloFindings suggest raised ALT and GGT level. Increased ALT and GGT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need few more investigations like routine hologram, random blood sugar, lipid profile, urine RE/ME. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. You should avoid saturated fat and go for brisk walk regularly. Avoid alcohol if you take it. Get well soon. Take Care Chat Doctor."}
{"_id": "000000287", "text": "Hello, I can understand your concern. All the conditions you are suffering from, lupus, Bells Palsy and TMJ problems, affect the jaw, so it is very difficult to say what is causing you the pain right now. As you have problem with opening the mouth, I think it must be the TMJ problem that is causing the pain. You can take Ibuprofen 400 mg or Motorola 10 mg up to thrice a day to have relief in pain. In addition, you should see a pain management clinic or a neurologist for the control of pain regarding all the condition you are suffering from. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best,"}
{"_id": "000000288", "text": "Hi Dear, Welcome to Chat Doctor Team. Understanding your concern. As per your query you have symptoms of side effects of painkillers post tooth removal. Post tooth removal chances of infection are very high and combination of antibiotic and painkiller should be given. If it is causing you stomach upset, hyperacidity, loose motions which is very common occurrence then you should take proton pump inhibitor like Pantoprazole given along to prevent side effects. Do warm saline gargles and avoid intake of any hard food substances. Your symptoms will resolve in 4-5 days. If symptoms keeps on persisting visit oral physician once and get complete examination done and start treatment accordingly. You should take plenty of fluids. Hope your concern has been resolved. Get well soon. Best Wishes,"}
{"_id": "000000289", "text": "Hello! Thank you for the query. From your description it sounds like you have a sebaceous cyst which has gotten infected. Due to infection, puss appears and starts giving pain. If it lasts long enough, the lump starts to leak. I suggest you to consult a surgeon with this lump. It needs to be incised and removed. To make sure it won't recur, it needs to be removed with the capsule. Hope this will help. Regards."}
{"_id": "000000290", "text": "Hi, Thanks for the query. If you took the pill within 24 hours after missing the pill that can give protection towards the pregnancy. But if you missed the pill totally, complete protection may not be expected. The nausea can be due to high dose of pills as you said. And spotting could be with Chat Doctor. Continue the remaining pills and if you miss the expected date of bleeding, for pregnancy test once. For more details you can ask me through"}
{"_id": "000000291", "text": "HelloThanks for your query. You are trying for a baby. There is nothing abnormal on the part of your wife. Your semen analysis shows what is termed as Asthenospermia which indicates low parentage of forward motility (Grade One) of sperm which in a normal circumstances should be about 50%. Unfortunately there in no medicine that can increase the motility of sperms. Since you have tried IVF once you may try it once again and if that too fails then it is better to go for CSI which has got good results Please consult some Infertility Specialist for further treatment"}
{"_id": "000000292", "text": "Hi there ~ Stress can manifest in many ways.  The technical term for the same is anxiety.  Chest pain that is frequent in nature and not attributable to any cardiac disease, shortness of breath and other symptoms are classic of stress and anxiety.  Usually they are accompanied by difficulties with appetite as well as sleep abnormalities.  Will all the travel that you have been undergoing due to your military service, I would recommend that you see a psychiatrist as soon as you can to get help with medications.  I hope this helps. Take care and have a nice day !"}
{"_id": "000000293", "text": "Hi ! Good morning. I am Chat Doctor answering your query. Even though confirmation needs a physical examination, from your history of the tender lump at an injection site, it could be the starting of an injection abscess. I would advise you to get it assessed soon by a general surgeon before it transforms itself into a full-fledged abscess which might need an incision and Chat Doctor.  Till then, you could give him an anti-inflammatory along with a proton pump inhibitor"}
{"_id": "000000294", "text": "Hi, dear. I have gone through your question. I can understand your concern.  Your pulmonary embolism may be due to blood clotting products.  Your INR is also low. You are still at high risk. So you should take warfarin to prevent further attack.  It is prescription based medicine so consult your doctor and take treatment accordingly.  Also check your INR regularly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000295", "text": "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."}
{"_id": "000000296", "text": "Hi. Thanks for your query. Noted the history and understood your concerns. Multiple lumps on scalp with hairless can be due to the following reasons"}
{"_id": "000000297", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. It is hard to predict, but generally prognosis is 6-12 months. It all depends on chemotherapy efficiency and general health of the patient. If this was removed with surgery than prognosis is favorable and may reach 1 or even more than 1 year. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor."}
{"_id": "000000298", "text": "Howell come to ChatDoctorI really appreciate your concern, let me tell you something that pregnancy is natural phenomenon than the physiological one this depends upon certain compatibility like presence of sperm and ovum at the time of coitus, with the perfect hormone balance without this conception may not be possible, no medicine would be helpful may exert the placebo effect, take care and best luck."}
{"_id": "000000299", "text": "FROM YOUR HISTORY IT IS CLEAR THAT YOU ARE ALLERGIC TO WEEDBECAUSE IT ONLY OCCURS WHEN YOU SMOKE WEE DIF YOU WANT TO GET CONFIRMED YOU CAN GET SKIN TOUCH TESTS FOR PARTICULAR WEED YOU ARE SMOKING ANSWER WILL BE TO ELIMINATE IT AS THIS WILL CAUSE INCREASE OF SYMPTOMS WHEN YOU CONTINUE WITH THIS THE ALLERGY CAN AFFECT ANY ORGAN OR SYSTEM BUT ALL OTHERS TESTS ARE NORMAL SO AFFECTING ONLY THE NERVE SUPPLYING THE RT HAND SIDE OF THE CHEST"}
{"_id": "000000300", "text": "Hi Joseph, Welcome to Chat Doctor, and thanks for your question... I can understand how difficult and distressing it must be to going through such feelings. From the picture you have given, I think you are definitely in the midst of a depression. Feeling low, lack of motivation, social with Chat Doctor.  Are all symptoms of depression. Often, when we are depressed, our thoughts and attitudes can get clouded due to the depression and we don't feel like even seeking help, as everything seems pointless and a mere waste. It is a positive thing that you have a good insight about your feelings and are able to recognize that you may be going through depression. Now, it is very important to seek help for this, without hesitating or postponing.  I would suggest that you first talk to someone close to you... may be your parents or relatives ...and let them know what you are going through. You will also need professional help from a psychiatrist who would be able to assess you in detail and treat you appropriately. There are various options available - talking therapies, medication, etc. and you will be able to come out of this soon. Wish you all the best. -"}
{"_id": "000000301", "text": "Hi, You have several choices to make from the wide variety of oral contraceptives available and the side effects experienced vary from combination to combination and from individual to individual, but, essentially, they are hormone-related. It depends on what medication you had, and I cannot comment further on why you bled in the past. To be on the safe side, you can choose one of the micro-pills or progesterone-only pills and after a gynecologist assesses you in person for your fitness to consume them. Please do not self-medicate. Hope this helps."}
{"_id": "000000302", "text": "Hi.thanks for posting query. HepB can not be eradicated completely in patients infected with it. Your gave the details of antigens and antibody but I could not find the PCR results. You need to test for HBV DNA count via PCR. Complications can be prevented with proper care and treatment. Treatment is advised if AST and ALT are > two times the URN (upper limit normal) and HBV DNA count on PCR is very high. Liver enzymes and Bag status and HBV DNA PCR maybe done regularly every 6 to 12 months, Visit hepatologist for proper interpretation of results. Hope to answer concern regards Chat Doctor."}
{"_id": "000000303", "text": "Hello, Thanks for the query to Chat Doctor. Forum. Pain is on both side on the back over kidney area. Pain is also in stomach according to you. Seems to be a muscular pain since you are taking plenty of fluid and passing of urine is common thing. If female 41 years age than we will consider a premenopausal symptoms as, there is also complaint of palpitation (fast heart beat). Duration of pain is three months. Consult a physician and get in blood examination for sugar and lipid profile. Diabetes is the most common cause, beside heart disease in this age group. Hope I have answered your question. If further any question I will help. Good luck.  Chat Doctor."}
{"_id": "000000304", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. You definitely are suffering from schizophrenia with suicidal ideation, if the description given you is true. Your version is not acceptably because CBT is a proven way in the cure of so many mental problems. You seem to be taken things very lightly and did not pursue the treatment pattern. There are so many factors in the treatment. Determining the depth and breadth of the problem and proper diagnosis is the key. Then your psychiatrist, who know you better than anyone here, prescribes your medicines. If one medicine does not suit you, please make your psychiatrist aware, and he shall prescribe another one. Self diagnosis and medication is dangerous. We, here cannot prescribe any medications just based on the information provided by your here. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000000305", "text": "Hi, thank you so much for your question. I got that you have been suffering from painful neck gland, associated with night sweat and body and limb aches and pain. There are many reasons for neck gland enlargement, depending on your geographical residence, ethnics and dietary habits. Diagnosis also depends on the detail description about the lump, especially, accurate site, shape, painful or not, movable or fixed, and ulceration or inflammation present or not, on the underlying skin. Also, you should look for any constitutional symptoms such as fever, weight loss, fatigue, AMD so on. Let me also know your past medical, surgical and Chat Doctor. Thank you. Best of luck, and have a nice day!"}
{"_id": "000000306", "text": "Hi, I do not know your gender. You seem to have halogen effluvium. The causes may be multiple.like thyroid dysfunction, vitamin and mineral deficiencies, anemia, stress,tension, worries,Dan Chat Doctor. .kindly consult the dermatologist for the perfect diagnosis and proper treatment. I would suggest...-treatment of the disease-biotin 10 mg daily-vitamins and minerals -mild steroid lotion-almond oil-herbal shampoo I hope this would help you. Thanks."}
{"_id": "000000307", "text": "Hi. With a history of diverticulitis and pain that is relieved by passing gas, I suspect the pain originates from your bowel - it can be some obstruction with gaseous distension of the bowel, and passing wind will make it feel better. My advice is gone for a checkup and X-rays will be able to pick up distension, fecal loading or a mass in the abdomen. Your doctor will be able to manage further. Hope that helps."}
{"_id": "000000308", "text": "Hello dear, I understand your concern. In my opinion the cause of spotting in pregnancy can be due to hormonal abnormalities like thyroid, progesterone insufficiency, bleeding from cervix, any abnormal pregnancy etc. Usually intercourse is avoided in first 3 months of pregnancy to prevent bleeding from cervix as the cervix is soft and highly vascular. I suggest you to get in ultrasound done to know the pregnancy status and get hormonal evaluation done. Avoid physical strain and intercourse. Take rest.Don't worry it will subside. Best regards..."}
{"_id": "000000309", "text": "Dear friend,first thank you for your consultation.it seems that you are really suffering from acute gastroenteritis.I sincerely believe trichome is not going to do any harm your body.u can definitely take this medicine. As far as your back pain is concerned, from my day to day clinical experience, I am saying there are many causes of back pain. Most commonly people get affected by muscle spasm in the lower back region. For that you should go for a regular home regimen of physiotherapy like vertebral flexion exercise. Also take note of not bending forwards, avoid lifting heavy weight or burden. If the pain becomes unbearable you can take pain medication like Sailplane. Thank you."}
{"_id": "000000310", "text": "Hi. Thanks for your query. History of blood in urine with the history of kick in the abdomen in spite of any symptoms has to be taken seriously. You should take him to the ER or the Hospital to get a confirmed diagnosis. I would suggest you the following"}
{"_id": "000000311", "text": "Hello and welcome to ChatDoctorI have read and understood your query hope this will help you. Dengue fever is caused by DENGUE VIRUS transmitted through bite of mosquito ANDES EGYPT. July to Oct are the months in which the disease has peak incidence. The virus has got 3 subtypes. Once affected by a typical subtype of the virus causes lifelong immunity in our bodies.but infection with a second strain causes most severe form of the disease called dengue hemorrhagic fever.as you previously had the disease you will be knowing that disease accompanies high grade fever. At the moment from the history provided by you, I don't think that's the case. I think you should consult your local doctor. As any febrile illness can cause muscular pains especially viral illnesses. I don't think that you are having a second attack of dengue fever. I would advise you to have a temperature record of yourself and meanwhile consult your GP get a full blood count investigation advised and proceed accordingly.Meanwhile tab paracetamol 1 tab 3 times day will be helpful for you. I hope I answered your query can contact me any time for more questions. Thanks Chat Doctor."}
{"_id": "000000312", "text": "Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your question and would explain that your symptoms are not related to any cardiac disorder. Anxiety or high blood pressure could be the cause of this symptomatology. Have you measured your blood pressure during these episodes? I would also recommend performing a complete blood count for anemia and thyroid hormone levels for possible thyroid dysfunction which can mimic this symptomatology. If the above tests result normal, and your blood pressure is normal too, you should consider anxiety as the main cause of your symptoms. In such case, I would advise consulting with a specialist of this field, in order to help you manage better your anxiety. Psychotherapy and an antidepressant could be helpful! Hope you will find this answer helpful! Best wishes,"}
{"_id": "000000313", "text": "Hi and thank you so much for this query. I am so sorry to hear about this pain and diarrhea that you have reported. The reason why it is not advised to take these too Chat Doctor.  However, because you are having diarrhea, it will be okay to take Imodium to stop the frequent stools. What is the cause of this diarrhea? If it has not lasted more than 14\\u00a0days and the cause has been shown to be non-infectious, I will discourage any use of Imodium for it may rather be more harmful than helpful. Remember to"}
{"_id": "000000314", "text": "Hi. Thanks for your query and an elucidated history. Your history of Chat Doctor.  These are sites classically involved in pain when one gets colitis. This can be due to waterborne diseases. May not be parasite. Since all the tests are normal except the colonoscopy not yet done (last one was 5 years ago.). I would advise you to first take a course of an antibiotic, metronidazole, probiotic, activated charcoal tablets and anti-spasmodic whenever there is pain, continue Raniditidine. See the results, if you get well, nothing to be done further. If no relief you can go for colonoscopy and to see what exactly is the problem."}
{"_id": "000000315", "text": "Hi, For coronary stenosis of 20%, there is no sense to treat it with stent at all. In this case stent and native vessel will have the same percentage of re stenosis and blockage. And in case of stent you should take extra medications. I would advise you to follow healthy lifestyle, to eat diet less in animal fat, rich in fish oil, eat more fresh fruits and vegetables, exercise much. And everything will be OK. Hope I could help nourishing you good health In case of further questions don't hesitate to ask"}
{"_id": "000000316", "text": "It is never wrong to have a doctor look!  Statistics show that if a child hits her head but never loses consciousness, never throws up, cries right away or returns to play right away, and doesn't seem sleepy or unusually out of it after a head bump, then the chances of a serious injury being present are extremely low.  Most likely the nose/mouth got hit somehow on the way down or right when she hit, and that lead to the bleed.  If it stopped right away, it is usually no cause for alarm.  Again, if anything at all seems off, it is always right to have the doctor take a look."}
{"_id": "000000317", "text": "Degree understand your concerns went through your details. Penis size of 4.5 inches is more than enough to satisfy any girl across the globe and to have sexual satisfaction. The curved shape is good because it will give you more pleasure than a straight penis because of the extra friction it makes within vagina. You have to use some lubricants or soap liquid to practice movement of the foreskin for some days, or you should circumcise your penis foreskin.  Masturbation is a healthy practice and can't slow down your growth or cause problems to your health if practiced moderately. 28 teeth also is normal. Now stop worrying and get to business and your career. Unnecessary thoughts could trigger anxiety. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000000318", "text": "The condition that you describe could easily be explained by the combination of COPD and superimposed infection (commonly called pneumonia). Presence of metastatic disease in the lungs is also possible which can compound the problem. Either way, the treatment remains the same. Preferably the treatment should be in a hospital, but if you need to treat him at home, then you should start him on antibiotics (Tab Coamoxiclav 625\\u00a0mg twice daily + Tab Ninefold 600\\u00a0mg twice daily), nebulization with albuterol and decor thrice daily (nebulizer is a small easily available instrument at any pharmacist and is easy to use). He should eat anything he wants (home cooked only). Oxygen requirement depends on if he is breathless at rest, or develops bluish tongue or extremities in which case you should give him oxygen."}
{"_id": "000000319", "text": "Hi and welcome to Chat Doctor. Thanks for the query. You should find the exact cause of liver changes. This can be confirmed only by liver biopsy and then right treatment can be planned. Also you should check your hepatitis markers to rule out hepatitis infections. Till you do these tests you should avoid alcohol completely, eat hepatoprotective diet and regulate blood sugar and lipids. Wish you good health. Regards"}
{"_id": "000000320", "text": "Dear friend. Thanks for sharing your concern. It appears from your history that you have developed an abscess in the region of extraction.Also, the extended swelling could be due to abscess only. As you are already taking antibiotics and analgesics please do not worry, complete the course, it should regress. If the lesion still persists then you can go for oral surgeon s advice after taking a biopsy the exact cause can be diagnosed. So far so good, lets wait and watch. With the change of antibiotics the abscess should resolve.Meanwhile, do warm saline rinses too and maintain good hygiene as speedy recovery measures. Hope it helps. Thanks. Take care."}
{"_id": "000000321", "text": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). I will advise you to visit a Gastroenterologist who will evaluate you and manage accordingly. You should undergo some blood tests like complete mammogram, liver function tests, Kidney function tests, ultrasound abdomen. From what all information you have given I will advise you to take high protein, salt restricted and diabetic diet. Blood sugar and HT should be strictly controlled. Take tablet ursodeoxycholic acid, multivitamins and Iron and calcium supplements hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon."}
{"_id": "000000322", "text": "Hello, Thank you for consulting with Chat Doctor. It looks that you are having temporomandibular disorder means disorder of joints of jaw, it occurs because of exertion of jaw joint while chewing hard food and even because of stress. You should visit a good dentist and get an x-ray of the joint done, which will show the changes of joint. The treatment will depend on the condition of the joint, as either medicinal or surgical. Hope it will help you."}
{"_id": "000000323", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since you are lung cancer survival, ill-defined opacities can be due to 1. Relapse of lung cancer2. Malignant nodules3. Infection4. Fibrosis. So better to consult pulmonologist and get done1. CT thorax2. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis to rule out above-mentioned causes. Possibility of relapse of cancer is more. So consult pulmonologist and get done above tests to diagnose your densities."}
{"_id": "000000324", "text": "Hi, dairy have gone through your question. I can understand your concern. You have fatty liver.  It leads to increase in liver enzymes level.  You should go for regular exercise.  Avoid fatty food, alcohol and smoking.  Ad\\u00edlio like Chat Doctor.  Your ultrasound study also suggests fullness inlet kidney area.  There can be some pathology, and you should go for ct scan of kidney, ureter and bladder. Your rest of the reports like gall bladder, aorta, pancreas all are normal. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000325", "text": "Hello, hit on cheek bone, swelling of eye and face, xray normal. No pain, rues out there is no extensive injury. Weekness or fatigue could be due to some other cause like your not taking enough food due to pain, or it could be due to anemia or vitamin deficiency or something else. Kindly evaluate by doing blood tests and general and physical examination. Sometimes X-ray will not reveal heamosinus and hairline fractures, evaluate by ct pans. All d best."}
{"_id": "000000326", "text": "Hi... Thank you for consulting in Chat Doctor. I understand your concern. Your kid is definitely overweight. There could be two reasons for this.1. Endogenous obesity - due to genetic and family predisposition.2. Exogenous obesity - due to lack of exercise and over eating. I have a few questions for you - 1. What is her height now?2. What was her birth weight?3. From when did she start gaining weight like this (form what age)?4. How are her daily activities and exercising pattern?5. Are there any complaints from school about her academic performance?6. Is there any family history of obesity?7. Can you get back to be me with a chart of whatever she eats from morning till going to bed - on any average day?8. Does she eat a lot of snacks?9. How many hours does she watch TV per day? Hope my answer was helpful for you.  I am happy to help any time. You can approach me at the following link. Please find the link below.www.ChatDoctor .com/doctors/ Chat Doctor."}
{"_id": "000000327", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have lump on uvula along with fever is because of bacterial or viral infection of oral cavity. Probably you have developed Canker sores which is causing you high grade fever as well as uvula acts as a barrier to swallow food and prevents bacteria and infections from entering the throat and digestive tract. I would suggest you to Chat Doctor.  Do warm saline gargles. If the underlying cause of the condition is a viral or bacterial infection, the appropriate medication should be taken. Antibiotics will help get rid of a bacterial infection and over-the-counter painkillers or anti-inflammatory"}
{"_id": "000000328", "text": "Hi ! Good evening. I am Chat Doctor answering your query. Although a personal physical examination of the lump would be helpful in reaching a nearby diagnosis, most probably with a history of trauma, it could be an organized hematoma on the left side of your back. To confirm the diagnosis, if I were your doctor, I would go for an FNAC (fine needle aspiration cytology) followed possibly by an excision biopsy depending on the report of the FNAC.  Considering the duration of more than 4 years, clinically it might be a benign lesion not to worry about. However, for cosmetic reasons it might be required to be taken out. Therefore, I would advise you to consult a general surgeon and get your self assessed for the same. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000000329", "text": "Hi dear, I understand your concern. Soreness, yelowish cheeks suggest dermatitis. If baby would like she should since mouth with soda water and Chlorhexidine or you can wash her mouth with cotton. Then you should apply Pastoral, it is very helpful antiviral, antibacterial and antifungal medicine, use it 3-4 times a day. For healing of inner surface of cheeks you can apply vitamin E. For boosting immunity of baby I usually advice Zirconia 5 ml daily for prophylaxis of any diseases. Hope I answered your question. If you have any further questions, please. don't hesitate to contact us, I am always happy to help. Wishing your baby good health"}
{"_id": "000000330", "text": "Thanks for your question on Chat Doctor. I can understand your concern. You are having breathlessness in night (supine position). This is known as orthopnea. And it is characteristic feature of congestive heart failure (CHF). You are also having two blocked coronary arteries. So possibility of CHF is high in your case. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Stress test (trade mill test) 5. Repeat coronary angiography (if required). You will need diuretics and other cardiac supportive Chat Doctor.  So don't wait at home, consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000331", "text": "Thanks for contacting Chat Doctor. I am sorry to hear that you had genital warts as a young adult. Genital warts are by definition an HPV infection. You have been symptom free for over 16-17 years, so you have produced your own antibodies. If you no longer have warts and your husband has not had any outbreaks then the chance for him getting the is very low. I feel I can reassure you that you do not need to worry. Hope this answers your question. Please contact us again for any of your medical questions."}
{"_id": "000000332", "text": "Dear member, Thanks for writing to Chat Doctor. I am Chat Doctor.  Consultant organ specialist. I can understand your anxiety as infertility treatment requires lots of patience. If pics is mild it can be treated with weight loss and tab Ginette 35. The glycogen has to be taken regularly, and a diet has to be followed according to BMI. The husbands count of 43 millions is ok if motility is good. The treatment for you will be ovulation induction. In my clinical practice I have noticed that mild PCs can be treated easily if you have patience and show discipline in diet. Please call back with reports to"}
{"_id": "000000333", "text": "Hi welcome to Chat Doctor forum.  Thanks for choosing Chat Doctor. Forum.  Your 11 years daughter and your self got stomach bug, since 1 weak. You are all right now, your daughter still having nausea, cramps.  Your daughter is sick and suffering, and small to bear the pains. So I advise you to consult a doctor for diagnosis and treatment.  Give her like food like bread, soups, milk, coconut water etc. Wishing for a quick and complete recovery. Best regards."}
{"_id": "000000334", "text": "Hiwelcome to ChatDoctorI read your history n can understand your concern. Scarlet fever is streptococcal bacterial infection and glandular fever is a viral flue. Both the disease takes its own time to resolve, it depends on each individual immune system. And your hearing problem is not because of these two. But whenever u get cold, there will be slight decrease in hearing because of E tube blockage. Don't worry. Better meet ENT doctor. Thank you take care"}
{"_id": "000000335", "text": "Hellowelcome to ChatDoctorthe pain you are suffering from is certainly from a condition called as PIED i.e. PROLAPSE OF THE PROTECTIVE DISC FROM IN BETWEEN THE 2 VERTEBRAL BONES, these discs works as a protective cushion and their prolapse from their place causes compression of spinal nerves and spasm of the surrounding muscles which in turn lead to pain n at times numbness in that region your X-ray was normal but its common not being able to diagnose this condition from a X-ray, so you should get a much more specific investigation to diagnose your condition i.e. MRI OF LOWER SPINE n than you can consult an orthopedic with your MRI REPORT who will prescribe you the appropriate treatment for your conditionregardsChatDoctor"}
{"_id": "000000336", "text": "Hi, dairy have gone through your question. I can understand your concern. You have hypertension but with beta blockers your diastolic blood pressure becomes very low.  You need to change the Chat Doctor.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000337", "text": "Hi. Thanks for your query and faith in Chat Doctor. The commonest causes of pain in right lower abdomen in a female patient of 55 years are"}
{"_id": "000000338", "text": "HelloThanks for writing to us, I have studied your case with diligence. You may need x-ray or MRI of ankle and foot which can be advised after clinical examination consult your doctor and do require investigation. Till time take medication like analgesic and apply cr\\u00eape bandage over foot or use supportive splint. Physiotherapy will help to reduce symptoms. Some nutrients which are important for recovery after injury include vitamin C, folic acid, calcium, vitamin D, IT B12.so supplements of these nutrients will lead to early recovery. Regular physiotherapy and exercises are very important for early rehabilitation as my patients find much relief by these therapies. Hematoma will be there on lower limb due to injury which is painful. This will subside after 3 weeks. 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. If you are satisfied with the answer, please give your review at the end of the discussion. Wishing you good health. Take care"}
{"_id": "000000339", "text": "Hi and welcome to ChatDoctorPull out method or also called coitus interrupts method is a crude method, and it has high failure rate. It's usually not recommended by doctors as a method of contraception. The fluid which is secreted by male partner before ejaculation may also contain sperms which can lead to pregnancy. Take a pregnancy test once again and if it is still negative and periods are not happening then please consult a local doctor. If test is positive and you don't wish to continue pregnancy, please consult a good obstetrician to terminate safely. Some safe methods of contraception are condoms, oral contraceptive pills, copper T (if u have one child). I advise you to communicate this your partner and ask him to use condoms. All the best Chat Doctor."}
{"_id": "000000340", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint a boil over the upper eyelid can be a style or a champion. In case if it is present just at the margin of eyelid it can be a style while if it is present slightly away from eyelid it can be a champion. I would suggest you to do warm compresses over the eyelid and also put steroid eye Chat Doctor. . Do it at least for a week and in case if it still does not resolve consult an Ophthalmologist and get evaluated, and he can put steroid injections over the lump directly to shrink it. In case if it still does not resolve surgery is the only option left. Hope this information helps. Thanks and regards."}
{"_id": "000000341", "text": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that often there is comorbidity between epilepsy and pseudoseizures, because epilepsy patients tend to have psychiatric troubles (like depression or anxiety too). From the other hand the presence of abnormal EEG activity may be both in pseudoseizures and seizures. And sometimes epilepsy patients have a normal EEG. That is why the seizure description and even video registration of the patients during the seizures is necessary to distinguish between seizures and pseudoseizures. Anyway, it is true that antidepressants and anti-psychotics lower the seizures' threshold, but when psychiatric problems are present in epileptic patients, they are given concomitantly with anti-epilepsy Chat Doctor.  Hope you will find this answer helpful! Kind regards,"}
{"_id": "000000342", "text": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. It has been years since your initial problem. Your current condition may or may not be related to it. Imaging, such as CT-scan, will be requested for further evaluation of your complaint. Management (medical and surgical - repair of the laceration if needed), depending on the extent of the injury will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor."}
{"_id": "000000343", "text": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. You should have mentioned the exact value of increase in ALT levels, since if it is more than Food times normal then it may be due to acute viral hepatitis, or Chat Doctor.  If they are slightly elevated it may be due to fatty liver only. Preeclampsia is different situation in which there is high blood pressure. I hope I have answered your query and this will help you. Wish you a good health"}
{"_id": "000000344", "text": "Cellophane you for your query. Firstly, if you are anxious for conceiving, I fail to understand why you terminated your pregnancy. Kindly provide the details for me to understand better.THyroxine is given to patients with hypothyroidism, if your TSH is elevated, in order to normalize thyroid function, as hypothyroidism can lead to infertility and abortions. Nitrofurantoin is an antibiotic given for urinary tract infections. Clomid is camphene which is given to induce ovulation in case you have difficulty in ovulating. However, it cannot be started immediately, as you mention that you terminated a pregnancy yesterday. Please provide complete and detailed history. Take care"}
{"_id": "000000345", "text": "Hello! Thank you for the query. Yes, there are few more issues which can give pain in the scrotum apart from varicocele. It may be epididymis or testis inflammation, inguinal hernia (can be invisible if the ultrasound were done on the lying position) or even urinary tract infection/stones. Too tight underwear can compress the nerve in groin area and give numbness and pain in the scrotum. I suggest you to start your diagnostics from urinalysis and urologist consultation. Antibiotic might be beneficial at your case. Hope this will help. Regards."}
{"_id": "000000346", "text": "Hello misunderstand your concerns think you have erectile dysfunction. Three are various causes of it, so you have to find out the cause of it. Causes are"}
{"_id": "000000347", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Treatment of tuberculosis should not be started only on the basis of MT (manitou test). MT is not very sensitive or specific test. It is not 100% confirmatory about active tuberculosis disease. It is false positive in person with previous history of tuberculosis, taken BCG vaccine in past etc. Positive MT result must be correlated with symptoms and sign of the patient. Since your other reports are negative for tuberculosis, no need to start anti-tubercular Chat Doctor.  Consult pulmonologist before starting this"}
{"_id": "000000348", "text": "Hello! Welcome to Chat Doctor. These are most likely enlarged lymph nodes. Commonly due to some infection in oral cavity, these nodes enlarge. Inflammatory process in them causes pain. In my clinic, I look for source of infection & if found, removed. Antibiotics are prescribed and if there is no obvious source, FNAC - fine needle aspiration cytology of the lump is done. Treatment is done accordingly. Hope this helps. Wish you healthy life. Thanks. Regards."}
{"_id": "000000349", "text": "Hellos you stated in you query that your doctor advised Benzedrine penicillin or endure 12 lac unit at the age of 16 years till 40 years. Now you are only 30 years and stopped the injection. In my opinion, you should take these injections for up to 40 years age as this injection are most suitable for streptococcus infection, which is the main cause of rheumatic disease. Now about these symptoms as you mention may be due to some bronchoconstriction caused by some allergy or due to other infection . So take some montelukast+albuterol tablet, once in day. Also take some cough syrup like dextromethorphan + ammonium chloride+chlorpheniramine. Since these are prescription Chat Doctor. Once again for endure, consult your treating physician and get his opinion regarding stopping of"}
{"_id": "000000350", "text": "Hi, This condition of decreased platelets is called thrombocytopenia in medical terms. Decreased platelet count may have several causes such as Chat Doctor.  From the description that you have given your condition appears to be adult ITP (IMMUNE THROMBOCYTOPENIA). It occurs due to molecules called autoantibodies on the platelets surface which destroys the platelets. Autoantibodies in simple terms is like an army that attacks the people of its own country. I would suggest that you get a peripheral smear evaluated along with your complete blood count by a hematopathologist. You may also get a Combs test done to find out if there are other immunological problems that are getting your platelet count down. I presume that your initial work up would have also included HIV testing as HIV can also cause low platelet count. However, in your case this does not appear to be the cause. The most important advice I would give is to monitor your platelet count regularly. Repeating the bone marrow test is not necessary for ITP as the problem is not in the marrow. If the platelet count falls below 50, 000/ cu. Mm then your doctor should be notified. Platelet counts below 20,000 have a risk for causing bleeding within the brain. Adults with platelet counts >50,000/mm3 do not require treatment. Treatment is indicated for adults with counts < 50,000/mm3 with significant mucous membrane bleeding. Treatment also is indicated for those adults with risk factors for bleeding (e.g., hypertension, peptic ulcer disease, vigorous lifestyle) and in patients with a platelet count < 20,000-30,000/mm3. If your platelet count falls to a very critical range your hematologist may treat you with medication such as glucocorticoids, IVG immunoglobulin or newer"}
{"_id": "000000351", "text": "Hi, This means there are two possibilities. 1. Allergy or inflammation-induced sterile Syria where there will not be any urinary infection, but there will be plenty of pus cells in the urine.2. Urinary tract infection. If there is no fever or stomach pain with chills and rigors you can wait. But if there is fever she will require urine culture and butter to start on antibiotics, please. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000000352", "text": "Hello and thanks for the query. This is an excellent question.  It does appear that you have a significant anemia.  I am not sure that your doctors can conclude that you have actual bleeding going on.  It is possible that your body is somehow destroying the red blood cells.  This can sometimes happen through an autoimmune process.  I am, sure you're hematologist has considered this.  He may have requested some special laboratory studies to rule this out. It is important that you continue to receive your iron supplementation.  As long as the other blood cells in your body, including platelets and white blood cells are within normal limits.  It is most likely, your bone marrow is functioning normally and that some type of processes going on whether it is some type of bleeding that has yet to be discovered or whether your body is actively breaking red blood cells apart somehow through this immune process. Thanks again for sending your question.  I can appreciate, that you're dealing with a very stressful and frustrating situation.  Please let me know if you have any additional specific concerns."}
{"_id": "000000353", "text": "HelloThanks for query. Based on your statement it seems that your husband has undergone endoscopic surgery (URS) for removal of stone in left ureter and since then has not passed stools and has boated abdomen. This is mostly due to what is called as post-operative Paralytic Illus which happens once in a while after doing pelvic surgery. Please admit him in hospital and take following treatment 1) No fluids or food till he passes flatus or stools 2) I. V fluids to maintain fluid and electrolyte balance 3) Antibiotics It may take two or three days to recover completely. Chat Doctor."}
{"_id": "000000354", "text": "Hello, and I hope I can help you today. The effectiveness of the morning after pill has not been studied specifically regarding its success rates in preventing pregnancy with multiple episodes of intercourse.  However, sperm remain in the female genital tract for up to 72 hours, which is why the pill is most effective within that window of time.  The overall success rate for preventing pregnancy with the I-pill for one episode of intercourse is 90 percent, meaning 10 percent of the time the woman can conceive anyway. So I would recommend that in this situation that a second dose of the I-Pill be taken, even if the second episode of intercourse was within 72 hours, because live sperm could remain after the first pill has worn off. I hope I was able to adequately answer your question today and that this information was helpful. Best wishes,"}
{"_id": "000000355", "text": "Short answer"}
{"_id": "000000356", "text": "Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and I feel, it would have been better if you had described what knee surgery she had and what medication is she on. It seems there is infection, but you need to see the operating surgeon for confirmation, it's a thing to be concerned with, so do not waste time and consult early. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks."}
{"_id": "000000357", "text": "HelloWelcome to Chat Doctor, Your history and symptoms are suggestive of upper respiratory tract infection. As you are a frequent traveler that has made you more vulnerable for the infection. I would suggest you to follow1. Take adequate rest.2.  Chat Doctor. 3. Tab Monte LC, once daily for at least 15 days.4. A course of antibiotics like Tab Autoclave 625 mg, twice daily for 5 days.5. Multi vitamins to boost up the immunity. The aforementioned measures will help to reduce the symptoms and improve your condition. Thank you."}
{"_id": "000000358", "text": "HI, thanks for using Chat Doctor Watery eyes and persistent nasal discharge implies that you may have allergies. In your case it may be severe. You may want to consider allergy testing. If you can determine what is causing your allergic reaction then you can eliminate your exposure to it and reduce your allergies. Oral antihistamines would help both the eye and nasal symptoms. Montelukast may also be very helpful to you. There are allergy eye Chat Doctor. The use of topical steroid nasal spray would help control the nasal symptoms. I hope this helps"}
{"_id": "000000359", "text": "Hi ! Good afternoon. I am Chat Doctor answering your query. Even though it could be due to the movement or slipping of the kidney stone into the ureter, if I were your doctor, I would have advised you for a routine/microscopic and culture/sensitivity test of the urine to rule out a urinary tract infection, and treat it if positive. This kind of pain is less likely be due simply to varicose veins. Till the tests are ready, I would prescribe you with an anti-spasmodic Chat Doctor."}
{"_id": "000000360", "text": "Hi, How are you doing? I don't understand use of these medications before pregnancy or IVF. If you want to try for IVF pregnancy, All you need a 1. Folic acid tab & maybe an antioxidant like Multivitamins tab-both once a day till third month of pregnancyYour husband also needs an antioxidant tab - once a day till Infix you have any other condition like Thyroid or diabetes or any infections, have specific medications for those. Hope I have cleared your overall the best Chat Doctor."}
{"_id": "000000361", "text": "Hi and welcome to Chat Doctor thanks for the query. Urine color is darker several days after bilirubin levels stabilize so you don't have to be worried. Wait for at least 5-7 days and then repeat LFT to see is there improvement or not. Most causes of jaundice in his age is benign, and usually it is some congenital liver enzyme defect or systemic infection. He should continue with hepatic diet and rest for 2 more weeks. Wish you good health. Regards"}
{"_id": "000000362", "text": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, your symptoms suggest a compression of disc in the lumbar region of your spine and is not due to diabetes, it would be better judged if you can get an MRI of your LS spine done, second thing is that numbness in whole foot, the stocking pattern is due to neuropathy, but numbness in any anatomical distribution like sole could be due to compression of nerve in the vertebra. I hope that answers your query. If you want any more clarification, contact me back."}
{"_id": "000000363", "text": "It would be better to meet a behavioral therapist first instead of meeting a doctor right away. Personally I think he is still getting adapted to college and its different way of life. The new place and methods can disorient the best of us. There may also be other distractions that come with the life in college. I think a behavioral therapist would be better. The person can teach him how to adapt to the college life, and modify his routine to it best of luck Chat Doctor."}
{"_id": "000000364", "text": "Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Your problem could be related to PSVT, a condition in which the heart beats too fast leading to improper filling of heart which owes the BP transiently leading to fainting or near fainting episodes. I suggest you consult a doctor and get yourself evaluated for the condition. A simple ECG with two minute rhythm lead would be a good initial investigation. You may also get a 24-hour ambulatory hotter recording of you ECG that may detect any episode that may otherwise not occur at time of your visit. Once a diagnosis is confirmed then there are treatment that improve the condition. Firstly one is started on medications which are quite effective. However, if medications fail to control it then Radio frequency ablation may be planned."}
{"_id": "000000365", "text": "Welcome to Chat Doctor you please take immediate consultation with neurosurgeon and get your baby examined and other tests done he will be the best person to guide you regarding your daughters management the condition is dilation of the pelvis of kidney with its ill effects on the kidney renal functions should be evaluated and treatment procedures determined hoping your daughter gets the best treatment and be cured"}
{"_id": "000000366", "text": "Hello, I read carefully your query and understand your concern. Yes, the symptoms can be related to osteoarthritis. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest using Voltaren gel for local application and ice compresses for relieve. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor."}
{"_id": "000000367", "text": "Hi Are you having any symptoms like urine hesitancy or urine Chat Doctor.  If you donor have any complaints and it's just an ultrasound report. I would advise if you were my patient you don't need any treatment. Patients with mild symptoms or moderate-to-severe symptoms of benign prostatic hyperplasia (BPH) who are not bothered by their symptoms and are not experiencing complications of BPH should be managed with a strategy of watchful waiting. In these situations, medical therapy is not likely to improve their symptoms and/or quality of life. In addition, the risks of treatment may outweigh any benefits. Patients managed expectantly with watchful waiting are usually re-examined annually. I hope I have clarified your doubt. Wish you a good health."}
{"_id": "000000368", "text": "Welcome to Chat Doctor. I am Chat Doctor. Your doctor is right that surgery is possible, but there are risks. Oncologist in Mumbai are good usually Tata Memorial Hospital. You can believe on them for best management. In such cases surgery also depend on patient internal condition and cancer spread seen during surgery on surgery label. Go for ERCP as your doctor suggested for further planning. All the very best. Than for query."}
{"_id": "000000369", "text": "Good Day, and thank you for being with Chat Doctor ! I would suggest avoiding coffee, strong tea, colas, sardines, herring etc. You may search low oxalate diet, and you may base your diet plan. It is also important to take in 2-2.5 liters of water per day. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at"}
{"_id": "000000370", "text": "Hi! Good afternoon. I am Chat Doctor answering your query. The lump in the location stated by you could be an inguinal hernia which could go inside the abdomen on pressure and on lying down, and might come back again on increasing the intro abdominal pressure. You have to verify by your self if both your testes are in position or not. Sometimes, one of the testes might not descend normally down the scrotum, and it might be felt in the area located by you known as inguinal region. Both the above condition might give rise to pain in the abdomen on pressure. The third possibility could just be an enlarged lymph node which would also move, but might not cause pain n the abdomen/stomach. All these could be diagnosed and managed only after a personal physical examination and related investigations, and so I would advise you not to worry, but to get in touch with your family physician/ a surgeon in your area with your parents/guardian for an appropriate opinion and management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000000371", "text": "HiT hanks for posting on ChatDoctorClindamycin is a bacterium well indicated in the treatment of bacteria infections. While on treatment for sepsis, healing is a progressive process. I will advise she continues with her Chat Doctor. With a High BP, an antihypertensive may be prescribed. However, high BP could have been due to her infection. I will suggest her BP be controlled again and if still high, an antihypertensive will then be indicated. I will advise the following"}
{"_id": "000000372", "text": "Hello, Thanks for posting your query. I have gone through it and understood your concern. Persistent bleeding after settling down with the contraception should call for further evaluation by an expert. You need a proper clinical examination, a sonogram of the pelvis preferably in the trans-vaginal route, blood counts, coagulation and liver profile and urinalysis. Pregnancy should be excluded. Local causes like erosion, polyps and infections should also be excluded. Weight disturbances, stress, infections and use of certain medications create hormone disturbances and can cause such bleeding. Hope you find this information useful. Wish you good health."}
{"_id": "000000373", "text": "Hi here, welcome to Chat Doctor. Thanks for your question. The leg pain is probably unrelated to your neck pain. Since this pain, is a new development, it should be given due consideration. Pain radiating down the calf of your leg is related to pressure on the S1 nerve in your back, which can be associated with disc degeneration at L5/S1 disc level. Narrowing of blood vessels can also result In similar pain. In either scenarios, it would be prudent to be personally seen and examined by a physician. The initial management will include rest, physiotherapy(like ultrasonic massage or short wave diathermy), analgesics(painkillers) and postural modification. Early investigations like MRI would be indicated if pain is unrelenting with appropriate medicines, any weakness in your leg, foot or toes, new onset numbness or any issues related to passing urine or motions. Since you have mentioned continuous unbearable pain, I would suggest you to get yourselves seen and evaluated by your treating surgeon. Hope this answers your questions. Thank you with best regards Chat Doctor."}
{"_id": "000000374", "text": "Hello! Welcome and thank you for asking on Chat Doctor! A TMT positive tests indicates possible coronary artery disease. In such case coronary angiogram would be the golden standard test to examine the blood flow in the coronary arteries and also possibly treat coronary artery disease (with stent implantation). Anyway, if your friend does not want to take the risks of this miniinvasive procedure, he can perform a nuclear stress test or coronary Anglo CT scan, which are not as exact as coronary angiogram, but are less invasive. But, you should know that if these tests result abnormal, the next step would be coronary angiogram. Hope you will find this answer helpful! Kind regards,"}
{"_id": "000000375", "text": "Hi.I've gone through your query and I can understand your anxiety. If there is history of unprotected sex during the period of breastfeeding, there are high chances of pregnancy. To avoid it, you can safely go ahead with hormonal methods of contraception either as birth control pills or implants or IRENA. As you have taken gynaecosid pill, It's safe to use during breastfeeding & it won't cause any harm to the baby. But can expect common side effects of birth control pills like Nausea, vomiting, headache, breast tenderness, abdominal bloating, swelling of the ankles, weight gain, irregular periods etc. Hope I have answered your query. Let me know if I can assist you further. Take care."}
{"_id": "000000376", "text": "Glue ear or medically speaking"}
{"_id": "000000377", "text": "Hi there, thank you for writing. I would recommend that your sister seek immediate medical attention in an emergency room. If she is having slurred speech, confusion, and dizziness, along with persistent vomiting and an inability to walk without help, her symptoms are very concerning to me because they could be caused by an intracranial process, like a brain tumor or stroke. Since she has not gotten any better in the past month, and is not acting like her usual self, or able to participate in any of her normal activities, let alone walk, I think she needs emergent medical attention. I hope this answer has been helpful to you, wish you the best."}
{"_id": "000000378", "text": "Thanks for your question on Chat Doctor. I can understand your aunts situation and problem. Any tumor which is around major arteries is inoperable. At the same time chances of homogenous spread is also high and hence chances of metastases are also high. So prognosis in her case is poor. Five year survival rate is 40-50 %. Usual life expectancy is less than 3 years. Treatment options are palliative chemotherapy, radiotherapy, nutritional support and pain management. Hope I have solved your query. I will be happy to help you further. Wishing good health to your aunt. Thanks."}
{"_id": "000000379", "text": "Thanks for your question on Chat Doctor. In my opinion you should consult spine surgeon. Your disc bulging is causing compression of nerves, coming out from disc space. And this compression, when severe, can cause loss of power (paralysis) of lower limb and neuritic type of pain. So at present you can take painkiller but for permanent solution you need surgical procedure to reduce compression. Also start vitamin B 12 as it is helpful in nerve repair and its function. So consult spine surgeon and discuss all these."}
{"_id": "000000380", "text": "Hi dear,first why you are not adjusted in company ?it is salary issue or other issue?and you have such feelings only at your work place or at home also?sometimes due to adjust at your work place also cause such problem. Sertraline is a good molecule to overcome depression and anxiety so took it in an adequate dose. As you are having past history of similar complain so take medication regularly and also go for counselling. Consult psychiatrist face to face. Thank you"}
{"_id": "000000381", "text": "Hi, Thanks for writing in. Dizziness on one side of the body can be due to decreased blood supply reaching that part of your brain. It can be a pre stroke symptom, and you should consult your doctor and get completely examined. The blood supply to the brain from the heart is through the carotid and vertebral arteries. It is important to study the blood flow at the neck level and look for any narrowing or stenosis in the carotids and vertebral arteries on both sides. This is done by doing a Doppler study. You might also require a brain scan like CT scan or MRI scan to know if there is any condition inside the head causing your symptoms. It is important that you also tell your doctor of any heart conditions and medications you are taking for it. This is because there are many heart conditions which lead to symptoms in the brain like dizziness as a complication."}
{"_id": "000000382", "text": "Hello. I can tell you that your physical symptoms are secondary to your stress about your orientation and inability to disclose it. You need to consult a psychiatrist regarding your feeling for two reasonsFirstly, it will relieve your tension by disclosing about it in a confidential and accepting environment. Secondly he can tell you the mean of calming ourselves by therapy and if required medication. Along with that he can assess your level of conviction about your orientation. Once its become clear and you are calm you can deal it more confidently and can divulge it to others. Before disclosing about it, you should be prepared to deal with the expected consequences and to continue in the direction you feel appropriate for you."}
{"_id": "000000383", "text": "Hello, I have gone through the query and understood your concern. Home pregnancy tests read well when performed 3-7 days after the missed period with a fresh early morning sample of urine. This means that if at all you were pregnant, the result of the test would have been positive if performed properly. Your symptoms are more likely due to some hormone imbalance. Please see a specialist for a proper appraisal of the situation and plan further management. Hope this helps."}
{"_id": "000000384", "text": "Thanks for the query dear. His level of awareness at your age is really commendable. As per your description it seems you have almost decided that you are suffering from ADHD. You have not mentioned what your doctors said regarding your condition, that is before you shifted to a new place. You may be quite simply a disorganized adolescent so to speak, then you will need support of a psychologist. But again it is best to find a good doctor in your new place, take your parents in confidence and take help from the doctor. He shall be able to guide you or prescribe medication if needed, in better way.Don't suffer unnecessarily by obsessing over something that has not been diagnosed as yet (you have not mentioned that it's a confirmed diagnosis). Take professional help, and you shall be better and improve on your grades."}
{"_id": "000000385", "text": "Hi, Thanks for posting your query. Were your father was suffering from chronic kidney disease? Were there any defect in clotting time/ bleeding time/ prothrombin time? Had your father derangement of liver function test or any abdominal symptoms? Those patients who had already deranged liver and renal function may have deranged platelet function & prothrombin time with defect in coagulation. All these factors predisposes patient to bleeding with decreased clotting ability. Although heparin is given during dialysis but all these are applied by trained staff by measurement. So there is the least likely possibility of wrong medicines. You can also understand that when dialysis was not started, he got hemorrhagic episodes. So I think medicines are not the likely cause. Once bleeding is started, then a vicious cycle starts in body and if not controlled within time then It's very difficult to save life whether all medicines have been given by expert doctors. So doctors are also helpful at few places, and we have to accept the judgment of god. Thanks,"}
{"_id": "000000386", "text": "Hello, you have high chances of conceiving within 6\\u00a0months of ova mid treatment. It boosts your ovulation. Ovulation takes place using 14\\u00a0days prior to the start of next menstruation. Your menstrual cycle seems to be regular. If your try to conceive from 4\\u00a0days before to 4 days after ovulation then you have high chances of getting pregnant. Additionally ova mid words best with healthy weight. You should not be overweight or underweight. Plan healthy diet accordingly."}
{"_id": "000000387", "text": "Hi, Thanks for your query. Neck pain and severe muscle spasm that you are having are suggestive of degenerative -spondylitic changes of the cervical spine. X-ray of neck in lateral view or MRI will help in the diagnosis. Treatment includes 1. Use of cervical collar helps in immobilization and brings relief. 2. Medical Chat Doctor. 3. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 4. Hot fomentation helps in relieving acute symptoms.5. You can avoid using a pillow. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000000388", "text": "Hi, The problem may be endometriosis and the best way to decide is to have a diagnostic laparoscopy where the inside of abdomen is visualized it shows the extent of endometriosis and any involvement of the surrounding tissues. There are good medications available to treat endometriosis once diagnosed. It is definitely possible to conceive with this problem, but it is better to conceive earlier rather than delaying the pregnancy. Wishing you a good health."}
{"_id": "000000389", "text": "Hello! This is Chat Doctor.  Thank you for posting your concern to Chat Doctor. From the symptoms you are describing looks like you have a urinary tract infection, and you may need antibiotics to prevent it from getting worse. If I was your caring doctor I would suggest the following"}
{"_id": "000000390", "text": "Hiii, Welcome to Chat Doctor. Your last period was on 1st August and took pill up to the 10th august after that you got another period on 14th August. It was with Chat Doctor. You did unprotected sex at the end of August & beginning of Sept and started Depot Shot on 8th Sept after getting negative pregnancy test. Depot shot contains MPA and is very effective birth control method. Effectiveness is up to 3 months. Chance of pregnancy is very low more likely less than 1% per year. You may confirm your pregnancy by doing blood test for Chat Doctor after 7 days of your missed period date.Also, you have to concern about several side effects like irregular vaginal bleeding for first 6 to 12 months, sore breasts, change in appetite or wt gain etc. Always consult with your doctor if serious problem persists. Be well."}
{"_id": "000000391", "text": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be a cyst (a sebaceous or a gelatinous type). These lesions can occur anywhere in the body and have the tendency to recur. The one near your groin area might be lymphadenopathies secondary to an infection or other pathology.  Management (medical and surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor."}
{"_id": "000000392", "text": "Hi, Sometimes screening blood work for thyroid disease is not entirely accurate since most primary doctors will only check a TSH to detect an abnormal state.  In your case, since it appears as if low metabolic function may be to blame for your symptoms I would recommend expanding the blood work a bit to include several other thyroid tests such as a FREE T4, Total T3 and Free T3.  I might even check a random cortisol and also look at your vitamin D, B12, and folate levels due to the very mild anemia which may or may not be relevant to the rest of your symptoms. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000393", "text": "Hi, Thanks for your question at ChatDoctorI understood your problem and from the ways symptoms are described there are two things that bothers you1. Back pain2. Pain below the rib cage in the front. Firstly, I think you are having gastritis which can cause nausea and also pain when you press below your rib cage in the front. Secondly, back pain on the left side can be caused by either wrong position while sleeping or sitting or could be a cause of any problem in your neck bones. To know exactly what is the reason for the back pain better show to orthopedic surgeon. For your gastritis you could take Pastoral 40 mg tab, 1 tab 1 hr before food on empty stomach and avoid taking spicy foods. Hope this answers your question"}
{"_id": "000000394", "text": "Hi, happy to help you on your health concern on part of Chat Doctor! In the present case of needle prick injury I would say that yes, you have to take this injury as any other contaminated wound! As per your description, it is more contaminated by the specific fluid you mentioned; there must be some Chat Doctor. .but the amount is negligible therefore not to worry about that. Now you have to think of possible infection and tetanus! Therefore, take antiseptic wash, a toxic and local adhesive for 2/3 days and if this looks unhealthy to you take antibiotics also for 5 - 7 days! Take caution not to get injured again there by rubbing it! Hope you got your answer. Please feel free to write to us if any more queries. Wishing you the best health!"}
{"_id": "000000395", "text": "Your symptoms suggest that you have soft tissue injury over right side of chest may be due to an unnoticed trauma. These injury takes at least 15-20 days to heal. Rest, icing, local application of non-irritant analgesic gel and anti-inflammatory analgesics such as ibuprofen will decrease pain and swelling. Deep breathing exercise will also be helpful. Hope this helps. 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."}
{"_id": "000000396", "text": "Howell come to ChatDoctorI really appreciate your concern, looking to the history given here, underlying cause of the cirrhosis is important here, because this could be due to viral infection, or could be due to alcoholic cirrhosis, here serum creatinine is high and this need to be taken in consideration, (Renal function might be affecting) such case of curse need intensive medical care, some time may need some surgical minor procedures, better to have words with medical team, hope this information helps, take care."}
{"_id": "000000397", "text": "Hi, Thanks for writing in. It is important to know if you are having multiple lipomas or neurofibromas. Lipomas are pure fat containing tumors and are soft to touch. On clinical examination they slip under the skin. Neurofibromas are nerve related tumors and appear at many placers all over the body. Since they are related to nerves, these tumors can get painful. It will help to do ultrasound scan on the swellings which have now become painful and to know their nature. Please consult a surgeon and get clinically examined to make diagnosis. A needle testing called FNAC might be required to study the cells in the swelling. Some neurofibromas trap the nerves and then this causes pain. Severe pain requires the neurofibroma to be removed and the pressure over the nerve released by doing a surgery. Please do not worry."}
{"_id": "000000398", "text": "Hello and welcome to Chat Doctor, Ultrasound of the left buttock is required to know the type of lesion and its extent to surrounding structures. A growth in the left buttock region can involve the surrounding structures and thus have deleterious effect on surrounding structures. A fine needle aspiration cytology and/ or biopsy of the lesion may be required to know exact nature of the lesion. If the lesion turns out to be neoplastic, surgical excision of the mass may be done. Thanks and take care Chat Doctor."}
{"_id": "000000399", "text": "Hi. Thanks for your query and an elucidated history. Pale skin indicated that you have severe anemia and be due to a serious problem in the abdomen. Loss of appetite with abdominal pain and excessive sleep yet feeling fatigues indicates that you need a proper clinical examination and investigations. I would suggest in such a patient the following"}
{"_id": "000000400", "text": "Hello, Thank you for posting on Chat Doctor. Chemical peeling is a simple procedure which causes controlled burning of skin leading to exfoliation superficial skin layers, decreases acne and pigmentation and gives you a rejuvenated skin. Usually post peel, redness and crusting is common and usually moisturizer and sunscreen is enough to take care the post procedure sequela. Sometimes, chemical peels may cause excessive redness/crusting due to deeper penetration of peel, but It's difficult to rule out without proper clinical examination or pictures. Anyway, start applying a cream containing demonize (Disown cream) twice a day gently over red/irritated skin followed by good quality moisturizer like Detail DAM. Always make sure you use your sunscreen before going out in sun and repeat application after every 3 hours and use proper clothing to cover face. Avoid pricking/scratching/peeling of skin. Use gentle cleanser like Detail cleanser for sensitive skin for regular face wash. Take some antihistamines like Exocet if excessive itching is there. Hope this will take care of your query, Thank you Chat Doctor."}
{"_id": "000000401", "text": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to tendonitis which is an inflammation of the tendon in the finger. I suggest using anti-inflammatory medications such as Ibuprofen to relieve the symptoms. I also suggest using cold compresses for local application. I recommend using a splint to maintain the finger immobilized. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor."}
{"_id": "000000402", "text": "H\\u2088, follicular study is not painful. It is done by ultrasound.  You have to go through repeated ultrasound.  It will tell you if your follicles are growing or not. When follicles reach a size more than 17 to 18 mm, injection will be given to rupture the follicles, or it may rupture on its own. It can be confirmed on ultrasound.  So, if rupture is happening it means you can try naturally. Be in contact with your husband every 2 to 3 days after your periods stop.  Hope I have answered your question. Regards Chat Doctor."}
{"_id": "000000403", "text": "Hello! Thank you for the query. According to your description, you probably suffer from heart arrhythmia. This is a condition when heart spontaneously beats irregularly. This is a very common heart condition. In most cases hearts gives an extra beat from time to time and after that beat, there is while for the heart to come back to normal rhythm. This is what you find a lack of pulse for a while. Such condition in most cases is harmless however it should be diagnosed, and it is necessary to find what kind of arrhythmia it is. Moreover, pregnancy is very often associated with heart arrhythmia, and so is anxiety. So we can find pregnancy, anxiety, and ions shortage (especially magnesium and calcium) as an often reasons of such condition. Short ECG can not find it, you should have Holders 24 hours ECG, it should tell if and what type of arrhythmia you suffer from. To ease your symptoms it is advisable to have magnesium supplementation and visit psychiatrist if you can not deal with your anxiety. Hope this will helpRegards"}
{"_id": "000000404", "text": "Hi, omeprazole doesn't cause dizziness.don't worry about that.continue the medication. H.pylori after a negative test is less likely to cause these symptoms.yes viral infection causes fevers, malaise , body aches headaches etc it is generally self limiting.you can take paracetamol for the symptoms to reduce.if there is severe body aches associated with weakness and change of urine color.you need to approach a doctor immediately. Hope my answer helps you if you have any more queries I would be happy to help you."}
{"_id": "000000405", "text": "Hi welcome to Chat Doctor, and thanks for your query. Ultrasound measurement of stones is not the best method. If you are worried, it is better to get a CT SCAN done to check the location of the stones. If it is confirmed as kidney stones, the sizes you have mentioned, then plenty of oral fluids is sufficient. It is better ti take reduced red meat and alcohol if you happen to do so. Wishing you good healthRegards Chat Doctor."}
{"_id": "000000406", "text": "Hi, At a young age, hypertension is usually secondary hypertension-commonest endovascular cause renal artery stenosis due to neuromuscular dysplasia. You might also be having gastrointestinal vascular malformations (VM) or vascular ecstasies, hemangiolymphangiomas (HLA) or small-bowel varices which are some common causes of obscure GIB (gastrointestinal bleeding). VMs were more frequently associated with gastrointestinal bleeding-could be related to surge of high BP. Hope I have answered your query. Let me know if I can assist you further. Thank you."}
{"_id": "000000407", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult your doctor and get done ECG, 2d echo and stress test to rule out heart diseases. You are taking alcohol and have positive family history of heart disease, so we should first rule out heart diseases. If all these are normal then no need to worry about heart diseases. Possibility of HERD is also there. Alcohol ingestion can cause laxity in lower esophageal sphincter. And this causes reflux and Chest tightness. So better to quit alcohol and take proton pump inhibitors and prokinetic Chat Doctor.  Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000408", "text": "Dear Think, Since you are under ultrasonography ovulation monitoring, it is very easy and simple for you to plan sexual relations. The egg is usually released when the follicle is between 18 mm to 21 mm size. In fact this sized follicles release the best quality eggs. Probably, your follicle has reached that size, hence your doctor has given you injection Ova max which will bring about ovulation and also help the pregnancy to stabilize if conception takes place. Attention should be paid to thickness of the uterine lining (endometrium). Endometrial thickness between 9 mm to 13 mm is most conducive for implantation of fertilized ovum. When you are given injection for ovulation, you will release egg(s) within 24 hours. So utilize this and next two days at the best for sexual relations which may help fertilization of the egg. I hope this helps you."}
{"_id": "000000409", "text": "Hello thanks for asking from ChatDoctorA lot of patients with head injury develop seizures. Injury to brain structures, hematoma in brain, scarring in brain etc. are common reasons for seizures. She has developed seizures after head injury and in such case she should be evaluated thoroughly. A CT scan will find out any injury to brain and any hematoma. For seizures developing post head trauma anti seizures Chat Doctor.  Sodium Valproate, Phenytoin are commonly used"}
{"_id": "000000410", "text": "Hello dear, thanks for your question on Chat Doctor. In my opinion you are having allergic bronchitis at related symptoms. Your history of seasonal variation with improvement after Monte LC suggest more of allergic bronchitis. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x-ray. 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is needed for the diagnosis of allergic bronchitis. It will also tell you about severity of the disease. You may need inhaled bronchodilators."}
{"_id": "000000411", "text": "Hallow Dear, Implant is a birth control devise which contains Progesterone preparation as an active ingredient. Progesterone gets mainly metabolized in the liver and gets excreted through urine and feces. However, some part also does get excreted through the sweat. Offensive odor to the sweat due to Implant is not a commonly reported problem. In the armpit, the amount of sweat is rather excessive. It gets stagnated there due to hair. You may try keeping the armpit cleanly shaved and apply good fragrance talcum powder. Still if the odor persists, you have the following options"}
{"_id": "000000412", "text": "Hi, dearI have gone through your question. I can understand your concern. You have chronic microcytic anemia. It can be due to iron deficiency, thalassemia minor or some chronic infection or inflammation. You should check your ferritin level to rule out iron deficiency. Go for GB chromatography to rule out thalassemia minor. If both are normal then it can be due to chronic disease. Then we need to plan accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000413", "text": "Hello and thank you for using Chat Doctor. I carefully read your question and I will try to explain you something. As you explain, your symptoms has to do with a rhythm issue that we call extra systolic beats. These is electrical impulses that generates from different parts of the heart different from normal sinus rhythm. They cause a premature heart contraction that it is followed by a pause and then a normal heart contraction. In these cases you experience a palpitation, a skipped beat, anxiety, difficulties in breathing deeply. They might have different causes to simple emotional stress, coffee and alcohol consumption.  Also, pathologies like anemia, hyperthyroidism or ischemic heart disease might be other causes. If this extrasistoles are frequent they are treated with medications like beta blocker. Metoprolol is one of them. They help to reduce the frequency of extra systolic beats. Along with your medications you should avoid caffeine products, energy Chat Doctor. Hope I was helpful. Wish you good healthiest regards."}
{"_id": "000000414", "text": "Hello! Welcome on Chat Doctor ! Your symptoms could be related to different possible causes"}
{"_id": "000000415", "text": "Your child is 14 months old and can only express pain and discomfort by crying.Moreover, she does have allergic status severe enough to cause nose bleeds. My suggestion is to continue elevate, stop apples, even if not directly related, supplement with good multivitamins and a hypoallergenic plain rice cereals, instead fruits for the time being. Go slow and steady one, at a time and stop with the slights expression of pain or discomfort"}
{"_id": "000000416", "text": "Hello, Thanks for your query on Chat Doctor\\\"As\\\"per your clinical history is concerned please follow like this -1)If confirmed clinically then discuss with your Doctor about [Capsaicin cream, codeine, lidocaine spray]for relief of pain.2)Do complete your course of antiviral [val acyclovir]as prescribed by your Doctor with oral [corticosteroids]. For prevention discuss with your Doctor about shingles vaccine and in future it will protect against complications. Hope that helps"}
{"_id": "000000417", "text": "Hi, Thanks for posting your query. High cholesterol can cause fatty liver. Fatty liver is the most common cause of raised ALT.  An ultrasound scan of the abdomen may be done to look for fatty liver. Lipitor which is used to treat high cholesterol can also damage liver and cause elevated ALT. High GGT alone may indicate alcohol intake. Along with other raised liver enzymes, it may indicate obstruction to bile flow which is not a feature of high cholesterol. I hope that answers your question. Regards."}
{"_id": "000000418", "text": "Hi if you are having severe pain with a due act, it is due to the pressure exerted by the pus formed, which should be immediately treated upon because it has a direct risk of spreading towards your bony underlying tissues if not treated soon. It shouldn't be delayed for the time you have mentioned. Antibiotics and painkillers are taken for a while but even their usage cannot be extended for a prolonged period of time. Besides they have their own side effects. I ADVICE YOU TO GET THE ACT DONE AS SOON AS POSSIBLE and not to wait for so long for the dental insurance. Remember health is wealth !!take care."}
{"_id": "000000419", "text": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups"}
{"_id": "000000420", "text": "Hello, Scoliosis is a spine condition where one part of the spine is curved to the other side of the body because of the spine deformity. Hips take care of the alterations in gait and hence the prominence of hips while walking with increasing age the angle of scoliosis increases. If the angle is more than a certain extent, it needs surgical correction. If it is below a certain extent, braces can be used to correct the deformity to some extent. You need to be evaluated with the help of X-rays and Cobb's angle measured over X-rays. Kindly consult an orthopedic for further evaluation. Hope I have answered your query. Let me know if I can assist you further. I wish you the best. Thank you."}
{"_id": "000000421", "text": "Thank you for contacting Chat Doctor. First thing which I Think in this scenario is a condition called Bells palsy where facial nerve is involved. Mostly this is result of some kind of viral infections. We have 12 pairs of cranial nerves. Facial nerve is one of them which carries taste sensation from the tongue. Each Half of the tongue is carried by one facial nerve. This nerve travels from the brain and supplies the face. When it is involved close to the face we see something like this. Please watch for eye closing issues, Chat Doctor.  I would suggest you to see a doctor and in case if they can't come up with the diagnosis please remind them of this. Take care"}
{"_id": "000000422", "text": "Hey Wichita, you are very true when you say that. Left atrial enlargement is of no relevance in isolation on the ECG.  Also, it must be the self interpreting machine which many rather most of the time misinterpret.  Also, an athlete massive physiological left atrial enlarged and left ventricular hypertrophic.  It's to accommodate more blood for endurance exercise.  Its healthy heart.  Tell your friend to continue his good life and not to worry. Regards Chat Doctor."}
{"_id": "000000423", "text": "Hi.what is the generic name of Apri21, and is it FDA approved? Personally, I am not against but I do not recommend taking in of supplements/medications if they are not FDA approved or hasn't passed the clinical trials recommended for approval. Majority of the medications/supplements we are taking in, whether with medical indications or none, will pass through our liver for metabolism, and kidneys for clearance. This may cause problems, maybe not now, but in the future. It is best if you consult with a doctor for physical examination and clinical evaluation first. Diagnostics and management (medical and surgical) will be directed accordingly. For gallstones, definitive treatment is cholecystectomy or surgical removal of the gallbladder. It could be done laparoscopically (gold standard) or through open technique. Low fat diet is also recommended. Hope this helps. Good day!!~ Chat Doctor."}
{"_id": "000000424", "text": "Hi. That is true partially. If you continue masturbation more than once a day or more than 4 to 5 times a week it may affect your energy levels as well as affect your sexual potency and libido in the future. My advice would be to reduce it to every alternate day, and you will feel better and more full of energy. Also, you will be preserving yourself for your life partner of future. Take care.  Chat Doctor."}
{"_id": "000000425", "text": "Hello, Welcome to Chat Doctor, Lyme disease is a bacterial infection transmitted by a tick, and it is caused by a bacteria Cordelia burgdorferiLyme disease can be effectively treated with antibiotics. Antibiotics, such as doxycycline or amoxicillin should be taken orally for 14 to 21 day. Intravenous (IV) antibiotics may be used for more serious cases and for someone whose nervous system has been affected. The IV antibiotics should be taken for 2- 3 weeks. Thank you."}
{"_id": "000000426", "text": "HI, thanks for using Chat Doctor It is possible that it is an allergic reaction but an ENT specialist is not needed at this stage unless you have additional symptoms, or you have been previously treated by your GP with no improvement. You can be assessed by your general doctor. Avoiding any known allergens would be important. The use of oral antihistamines if an allergic reaction occurs, would be important. I hope this helps"}
{"_id": "000000427", "text": "Hi, if u have diagnosed correctly that asthmatic bronchitis and you're suffering severe symptoms then one should not wait for that doctor who will come after few days, see It's not big deal to treat asthmatic bronchitis as many good medicines available in market in different formulations, u go to another pulmonary physician and get prescribed, take it on an urgent basis but don't bother.u will be alright."}
{"_id": "000000428", "text": "Hello !  I went through your question carefully. I understand your concern. There are many points in your situation that need to pay attention. The lost weight and frequent diarrheas can cause nutritional deficiency, causing your memory problems. There are some main disorders that may be the cause of your problems. A hyperthyroidism can cause this clinical situation, so I would strongly recommend thyroid hormones' analysis to rule this out. This would explain also the hot flashes. A rare disorder, called pheocromocytoma, which is a tumor of the renal gland can cause similar troubles. I would like to know if you have measured your blood pressure during your troubles. If these episodes are associated with high blood pressure and tachycardia I would recommend the analysis of metanephrines in your urine, to exclude this disorder. Another point would be a food intolerance like gluten intolerance, so you should also be checked for anti-gliadine antibody. But this would be exceptional at this age, as it begins since childhood. If all the above tests result normal, a neurological evaluation and a head MRI would be necessary. Hope to have been of help! Thank you for using Chat Doctor! Greetings,"}
{"_id": "000000429", "text": "Hi, I understand your concern. Backache on right side of lower back could be associated with kidney problems. Urinalysis, kidney function test and abdominal ultrasound are further recommended to determine the right diagnosis. Stomach hyperacidity issues like gastritis should be further investigated. Craving dill pickles and the juice could be related to both stomach and kidney issues at your age (73). So, better check first. All the best."}
{"_id": "000000430", "text": "Hi Dear This is not fair to yourself leaving at the peril of luck at this age. I need to know what type of epilepsy you have, but it is dangerous to roam around without fixing it (you may be Chat Doctor. ). In general up to 80% of epilepsy can be treated with the medicine alone. When you start any of this medicine you may feel a bit dopey to start with but over a period of a couple of weeks you will become alright. Best wishes"}
{"_id": "000000431", "text": "His would suggest you to take an x-ray chest to rule out any rib fractures. Broken rib can be present even without a bruise or swelling. Painkillers should be taken to reduce the discomfort. You can also apply an ice pack to the area to reduce pain and decrease swelling. Just make sure you wrap it in a thin towel first. Hope that was helpful. Let me know if I can assist you further. Regards Chat Doctor."}
{"_id": "000000432", "text": "Dear friend, I have gone through your case history very carefully.it seems that you have not yet recovered fully from flu. So if fever comes then just take Paracetamol 500 mg .and now all other symptoms like numbness of leg, dizziness are because of weakness that you have now because of side effects of Flu. So take rest, eat nutritious food and if the condition does not improve in another week then please see a doctor for a clinical check-up. Thank you."}
{"_id": "000000433", "text": "Hello, Coumadin is given if there is already a blood clot, or you have high probability of blood clot formation due to slow circulation, poor heart function or change in heart rhythm. As for your answer. NO by no means does your risk for heart attack increases with Coumadin, rather there will be benefit in preventing future heart related issues in your case. The only increased incidence is of bleeding. But than also the risk benefit ratio is towards benefit. Regards"}
{"_id": "000000434", "text": "Hi! It's important to know the indication for GUI and ovarian stimulation before deciding if its required or not. In cases of unexplained infertility, for instance, even with regular ovulation, ovarian stimulation with Humor can be indicated to cause super ovulation i.e. development of 2-3 follicles to increase chances of success per cycle. A small risk of over stimulation would always be there, the exact risk differs on a case to case basis."}
{"_id": "000000435", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor and I will try to help you as much as I can.  This is possible Bakers cyst or some other dilatation of tedious sheath or ligaments. It is not likely to be associated with meniscus. I suggest doing ultrasound and needle biopsy if necessary and then treatment can be planned.  I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health."}
{"_id": "000000436", "text": "HI, Dear,Thanks for the query to Chat Doctor.1-I have studied your query in depth.2-DEar,IN my opinion, this left septal nose-lump which doesn't hurt on touching but runs down when touched, could be hypertrophied inferior nasal turbinate/or Concha.3-history of sinusitis since childhood, confirms this diagnosis of the nasal lump with sensitive nostril.4-Consult Surgeon who would fix the diagnosis as above or other cause.5-Hope this would solve your query to your satisfaction.6-Wellcome for more queries to me On Chat Doctor.7-Thnks once again for your inquisitive query. Have a Good Day.!!"}
{"_id": "000000437", "text": "Thank you for query.it is not clear about age, sex, exact morphology, symptoms of rash. It may be due to bacterial infection. Clean the area with warm water twice daily. You can apply topical antibiotics like Funding or Tract, and take analgesic like broken. You wear loose cotton clothes. See that there is no friction or irritation. Do not cut the hairs too short. If it does not subside consult dermatologist else you can send the photo directly to me with the details I will be able to help you. Chat Doctor. Brief Answer"}
{"_id": "000000438", "text": "Hi thanks for contacting Chat Doctor... You have wide range of symptoms ... So here your physical examination is necessary.... Sometime chronic constipation can lead referred chest pain and abdominal pain which seems most likely here... But as you have dyspnea also I would suggest doing chest x-ray for rule out respiratory causes.... If you are taking stress then anxiety induce panic attack can lead to dyspnea. . For constipation take more fiber foods, more fruits and more water with regular exercise. If needed stool softener can be taken... If needed USG done .... For sore throat pharynx examined for rule out pharyngitis ... For which salt water gargles done, and spicy food restricted....antibiotic if needed. Consult physician for examination with keeping this in mind.... Take care"}
{"_id": "000000439", "text": "Hi YOUR KID BASED ON YOUR REPORTS AND SYMPTOMS HAD A STRONG ALLERGIC TENDENCY RESULTING IN PERENNIAL COUGH. As being preterm also is a risk factor. Please continue the medication advised to relieve the symptoms. Avoid and prevent the exposure of allergens to decrease the episodes. Usually, as he grows up, this problem will decrease, but time being been patient and can try swimming for him. Hope I answered your query and ready to help you further"}
{"_id": "000000440", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. These could be signs of meth addiction, rather substance abuse. Another angle is of paranoid type of schizophrenia. Correct diagnosis and perfect treatment should cure him. But you should advise him to visit a psychiatrist for better diagnosis as well as differential diagnosis and proper treatment. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000000441", "text": "Hi Dear, The lump or swelling could be a mucocoele that is a cystic lesion arising from minor salivary glands...nothing to panic. As per your complaint the lump over the lower lip can be due to inflammation as well as HEMATOMA formation because of some minor injury. The hematoma is formed due to injury to the small blood vessels leading to spillage of blood into soft tissues as well as there is release of inflammatory exudate and overgrowth of fibrous tissue and appearance of inflammatory cells at the site of injury. You should do alternate hot and cold packs over the lump. Apply Thrombophob gel from outside as it helps in faster dissolution of clot. You can once consult an oral pathologist for evaluated to rule out the nature of lesion as in a few conditions surgical removal can be done. Avoid any cosmetic product for now, because lump can also form due to allergy to cosmetic products. Hope your concern has been resolved."}
{"_id": "000000442", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, hormonal imbalance can cause chest pain and arm pain. So in my opinion, your right arm pain is also due to hormonal imbalance. So better to consult doctor and get done hormone levels. If imbalance is there then you will need hormone replacement therapy (HRT). Hormonal changes changes can also cause calcium and vitamin B12 deficiency and these can cause similar kind of chest and arm pain. So calcium and vitamin D3 supplements are also needed. 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."}
{"_id": "000000443", "text": "Hi From the complaints you had described and elaborated I suspect it could be one of the problems1. It could be radiating pain sore muscles and ligaments of the lower back on the left side.2.secondly it could be related to kidney stones, but I suggest you to get an ultrasound and urologist opinion. I suggest you to visit first local orthopedic doctor who could further guide you for a X-ray and ultrasound of abdomen if necessary. I hope it could have helped to sort the query. If any doubt you are free to post follow-up queries. Wishing you a good health."}
{"_id": "000000444", "text": "Dear patient Back pain after fall must be investigated first to confirm diagnosis which can be muscle spasm or minor fracture or even disc prolapse with X-ray of involved spine region anteroposterior and lateral views. MRI of involved spine region is also required as X-ray gives information on bones only but MRI gives detail information about disc and nerves. So visit radiology center nearby you and get it done.  If both reports are normal its muscle spasm. Take rest for 3 days at least.  Start tab diclofenac plus thiocolchicoside combination twice a day with tab attract one at bedtime for 7 days. You we be fine in week. If reports are abnormal you need to take visit to expert spine surgeon."}
{"_id": "000000445", "text": "Neonatal seizures occur most commonly due to Hypoxic insult to brain(during delivery or post delivery if child does not immediately cry), or due to metabolic causes like low glucose, low calcium or low magnesium. Seizures can be due to infections acquired during or after delivery. Small blood in Subarachnoid space signifies trauma to head during delivery which can be normal. Periventricular involvement in the brain is serious. Seizures can be controlled as of now with AED like Phenobarbital but the effect of the condition on the neonatal brain can't be judged at present. What symptoms the child might develop in the future cant be judged right now."}
{"_id": "000000446", "text": "Thanks for consulting us at the best healthcare portal. I am glad to assist you as your consultant today. It is all ambitious situation, and it sometimes happens with the home self testing kits. Added to this is the time elapsed for conception. My suggestion to you is to go for a Laboratory Pregnancy test. With that lab report go to your ORGAN for complete evaluation for further assistance. She will definitely go for an ultrasound to confirm the age of fetus (if any). I am hopeful that it will be helpful guide for you to proceed and come out of frustration. Let me know if you have any doubts. Healthiest Regards!"}
{"_id": "000000447", "text": "Hi there, Its possible his symptoms could be due to his gallbladder, especially if he has pain after eating.  Sometimes CT scan doesn't pick up on stones in the gallbladder. I'd recommend he have an ultrasound to look at his gallbladder, which is a quick and non-invasive test.  Other rare causes of abdominal pain and how to diagnose them - median arcuate ligament syn Chat Doctor.  MRI is the most accurate way to diagnose this. Hiatal hernia is usually seen on endoscopy, but not always. This is when the lower esophageal sphincter is in the wrong position, and causes food to reflux from the stomach to the esophagus. Usually people will complain of heartburn, but this sometimes can cause pain as well. I'd recommend he start taking an acid reducing medication like Prilosec (can be bought over the counter) and see if this helps. A good test to start looking for this is called an upper GI, which is a test where the patient"}
{"_id": "000000448", "text": "Hello, As you have a foot injury and now difficulty in making any kind of normal movements like - plantar flexion, dorsiflexion, version and inversion I would advise you to take up an x-ray first or an MRI.  MRI is far better than x-ray to rule out any ligament injury. Usually, ankle ligament injuries are common in sports and get unnoticed at times which may, later on, shows its reaction. Take up and MRI and following the ankle rehabilitation program - like balance board training should correct the muscle imbalance and improve the overall functions of the ankle joint.  Balance board training have an effective outcome score for most sports injury of the ankle. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor."}
{"_id": "000000449", "text": "Hi, Thanks for writing in. Sorry to hear about the severe head injury you have had and hope you are recovering fast. The headache can be due to the injury, but your blurred vision requires an immediate consultation with the ophthalmologist. The eyes are vital organs and have many connections in the brain. Eyes are made up of sensitive layers of tissues which help in image formation. An injury to the layers in the eye can cause blurred vision. It can also be caused by injury to nerves and muscles related to the eyes. I suggest you please take an opinion from an ophthalmologist immediately, if not taken earlier. Please explain your symptoms in detail and get your eyes examined and visual filed tests done."}
{"_id": "000000450", "text": "Hello, Welcome to this forum. You have pain following a sex in which your boyfriend ejaculated inside you. You may have a chance of getting pregnant through this act but as such there is no such scope of having pain or any other pregnancy symptoms so early. So, the pain may be due to other reasons. If at all pregnant, you may have symptoms which you could start feeling just before or after your missed cycle. Sincerely Chat Doctor."}
{"_id": "000000451", "text": "Hello, You may be having a sprained knee or a knee joint tendinitis. I would suggest you to apply a local pain relieving balm or gel and give hot fomentation for a few days. This will relieve the pain. Also avoid squatting and climbing stairs for a few days. If these symptoms recur then consult a physiotherapist for knee muscle strengthening exercises. Wishing you a speedy recovery. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000452", "text": "Hi there ~I am sorry that you had a fall and have been having dizziness and vomiting since then.  I also believe that the blood and urine work were normal, and it is the least of your concern.  I also think that the symptoms you are having are a result of the concussion your brain suffered with the fall.  If you did not have loss of consciousness, you probably do not need a CT scan to rule out bleeding inside your head.  I hope you visit with a doctor however if there is any other history that you should let them know.  I hope this helps. Take care and have a lovely day!"}
{"_id": "000000453", "text": "Hi, Actually it is very common and happens with many patient researches may show that Radioactive Iodine-131 is used in patients with papillary or follicular thyroid cancer for ablation of residual thyroid tissue after surgery and for the treatment of thyroid cancer. Patients with medullary, anaplastic, and most Hurtle cell cancers do not benefit from this therapy. External irradiation may be used when the cancer is unresectable, when it recurs after resection, or to relieve pain from bone metastasis. Sorafenib and uniting, approved for other indications show promise for thyroid cancer and are being used for some patients who do not qualify for clinical trials. Numerous agents are in phase II clinical trials and XL184 has started a phase III trial. Please consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask."}
{"_id": "000000454", "text": "Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done chest x-ray and PFT (Pulmonary Function Test) to rule out bronchitis. And no need to take oral steroids as in bronchitis only few indications need oral steroids. So avoid oral prednisolone. Start inhaler having long acting beta 2 agonists (LAB) and corticosteroids. It is having action for 12 hours so only twice daily given. And inhaled corticosteroids are far, far better and safe than oral steroids. You may also require anti-allergic, anti histamine and anti-inflammatory Chat Doctor. So consult pulmonologist and diagnose first."}
{"_id": "000000455", "text": "Hi, dairy have gone through your question. I can understand your concern. She is in last stage of cancer. Morphine is the painkiller of choice in terminal stage cancer. Oxycodone is also a morphine derivative.  No need to worry about side effects.  Everything is fair in terminal stage illness.  If she is better without oxycodone and pain is tolerable then you can stop it. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000456", "text": "Hi I understand your concern. Your case is indicating that you might be suffering from unexplained infertility. I agree HSG is a bit painful test. Ya it can be tried in short sedation which is a kind of anesthesia, you would be able to tolerate it better. From your history tubal block is unlikely. I just wanna to confirm how many times you have taken ovulation induction. Have you tried timed intercourse. I do not think you should straight away jump to IVF.if you are not comfortable with HSG you can go for diagnostic laparoscopy and hysteroscopy with chromopertubation this is a day care procedure where your tubes can be very well checked for their patency. I hope I am able to solve your query, you can revert to me with the confirmations of history I asked from you."}
{"_id": "000000457", "text": "Hello, Alpha is an antibiotic and stopping it without completing 5th day dose is not a good idea.  I would suggest you complete all the Alpha tablets prescribed by your dentist. Stopping it would put you vulnerable to infections which could quickly spread.  It might also lead to future resistant infection which might warrant more strong antibiotic to clear your infection.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000000458", "text": "HelloSimple liver cysts are generally asymptomatic in nature, and usually it only requires follow-up ultrasound. You may need clinical evaluation. Cyst may cause pain if there is infection in cyst or rapid increase in size. You may need evaluation by a gastroenterologist. Upper abdominal pain may be due to reflux/acidity. You may need clinical correlation and upper GI endoscopy. You may need proton pump inhibitors. Get well soon. Take Care Chat Doctor."}
{"_id": "000000459", "text": "Hello! Welcome and thank you for asking on Chat Doctor! Your symptoms seem to be related to chronic anemia, probably caused from an iron deficiency, considering your iron levels. You should know that chronic anemia is well tolerated and can lead to such levels of Hemoglobin, without any Chat Doctor.  Anyway, I would like to directly review your complete blood count report for a more professional opinion. Hope you will find this answer helpful! Kind regards,"}
{"_id": "000000460", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand. As per your complaint it seems that you have got an allergic reaction to the bee sting leading to swelling and itching at the sting site. The first thing that you should do is to take a close look at the sting site and in case if the stinger is still embedded under the skin you can get it removed. The medications that are Ben Chat Doctor. . You should also do cool compresses over the sting site and can also apply calamine lotion to soothe the area. In case if there is pain you can take Tylenol. Hope this information helps. Thanks and regards."}
{"_id": "000000461", "text": "Hi Saran, Thanks for asking. Based on your query, my opinion is as follows.1. High MCV and MCH is usually due to It B12 and folate deficiency. Your hemoglobin will also be mildly reduced.2. Vitamin deficiencies can cause low levels of antibodies, like low IGA levels. Associated protein deficiency can also be contributory.3. Improve your nutrition with protein rich diet and also take It B12 and folate supplements. Your diet can be enriched with fish, red meat, pulses to improve both. You can notice changes within two weeks. Hope it helps. Any further queries, happy to help again."}
{"_id": "000000462", "text": "HelloI may suggest having serum prothrombin time (PT), bleeding time clotting time and platelets counts done for any abnormality there which could point to some other reasons or pathologies. Petichae in sensory loss areas may not be due to nerve sensation deficit, yes long duration sensory loss does make skin vulnerable to bruises and may make it brittle and easy petechial formation may occur secondarily. It is best if sensory loss is suspected as a cause, to massage skin daily with Clemens oil and limb exercises for improving or maintaining vascularity and skin tone to prevent bruising. Take multivitamins, calcium and vitamin D supplements, vitamin A etc. You may consult a physician for your symptoms. Physical therapy is the mainstay for lumbosacral issues, for cervical reasons too, using collar and isometric cervical exercises, unless your surgeon decides for discectomy and fusion surgery best wishes"}
{"_id": "000000463", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult doctor for this episode. Possibility of heart related event is more in your case. So consult doctor and get done 1. Blood pressure monitoring. 2. ECG 3. 2d echo If all these are normal then no need to worry about heart diseases. Sometimes acute gastritis can also cause similar symptoms. So avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Start proton pump inhibitors. Avoid stress and tension if you are having these. Don't worry, you will be alright. But better to first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000464", "text": "Hi, Dear,This sore hard lump is not leading to your death. This lump seems to be boiled with infection and needs to be reviewed and consulted by your ER Surgeon. So consultation with ER Surgeon would fix solution to your intriguing lump problem at the site. This would resolve your query. Write excellent review if you feel that this reply has helped you a lot. Welcome for any further query in this regard to Chat Doctor and to ME. Have a good Day. Chat Doctor. N."}
{"_id": "000000465", "text": "Hi, Your symptoms could be due to the contraceptive. Though you had intercourse during your fertile period, since you were regular with your contraception, the chances of conception are minimal. Yet, you should exclude/confirm pregnancy. If you wish for an early confirmation, please get the serum beta-ChatDoctor test. Else, you can wait for your next cycle and if you miss it, test for pregnancy with a fresh early morning sample of urine 3-7 days later. Hope you find this information helpful. Good luck."}
{"_id": "000000466", "text": "Hi, dairy have gone through your question. I can understand your concern. These minerals will not help you. Sjogrens syn Chat Doctor.  Treatment of choice is steroids. You should take steroids according to your doctors' advice. For colon cancer treatment of choice is surgery and chemotherapy. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000467", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of irritant cough is more. And it can be due to all the things you have mentioned like cutting and working blackberry bushes, inhaling pollen etc. These things are highly irritant in nature. When they inhaled, they cause inflammation in the trachea (center of chest-sternal area). And this gives you tingle or ticket sensations at the top of sternum. So better to avoid such things or wear face mask while doing those activities. At present take combination of antihistamine and anti-inflammatory Chat Doctor.  Do warm water gargles 5-6 times a."}
{"_id": "000000468", "text": "Degree understand your concerns went through your details. In your description You said your daughter is hearing voices and imagining things others tell about her. Those are clear symptoms of after depression and anxiety, delusions and paranoia. I think she is having delusional disorder. In that scenario, she cannot be treated for ADD, and therefore ADD medications are strictly a no no. Flexor is also NO. You should work with your psychiatrist for a better prescription for the diagnosis. Please donor indulge in self treatment. Also consult a psychologist for psychotherapy treatment. If you still need my assistance in this regard, please use this link. http"}
{"_id": "000000469", "text": "Yes it can be related to her heart PDA cause left to right shunt IIN initial stages but if remain uncorrected for a long time this left to right shunt converts into right to left shunt due to severe enlargement hypertrophy of muscles of right ventricle. 2 d echo of your sister should be done asap its a possibility that duct became open , or operation was a partial success .all answers to your question lies in 2D echo report"}
{"_id": "000000470", "text": "Hi there. It could be a pinched nerve due to a slipped disc in the neck or degenerative cervical spine. Avoid bending neck forwards, lifting weight on the back. Apply hot water bottle to areas that hurt. Consume painkiller, muscle relaxant combination like Tablet Diclofenac + Thiocolchicoside to give relief. Even taking Tablet Pregabalin + Methylcobalamine will help in radiating pain. Get your MRI and EMG reports read by an Orthopedic surgeon pr Spine surgeon and then treatment will be decided accordingly."}
{"_id": "000000471", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged cervical lymph node.  It can be due to tuberculosis or abscess formation or some inflammatory cyst.  You should go for fine needle aspiration cytology or biopsy of that lump.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000472", "text": "OK, lets start with PTT"}
{"_id": "000000473", "text": "Helloi have gone through your query.How's his oral hygiene?  Brush twice a day, flossing once a day?  Mouthwash?  How's his diet?  Any brown stuff during the day as well?  Smoking?  Alcohol?  Relevant medical history?  Last time he had a checkup or dental cleaning?There's alot of factors to consider.  Sometimes it can occur due to gingivitis.it can cause gums to swell and bleed and if mixed with your saliva at night the brown discoloration could stick to your teeth. It can be due to the salivas' viscosity also. Some people have thicker and discolored saliva which will stick to the teeth better. You may want to go to a dentist and get it checked out. Hope this ans helpsRegards"}
{"_id": "000000474", "text": "Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. F.  Most probably you are suffering with pelvic inflammatory disease, because it is followed by an abortion.  You must be having leucorrhoea, brown and smelling discharge, or dysmenorrhoea(pain during periods).  After 5 years also you didn't have pregnancy, and you had an abortion, so you must be having P.O.C.D. and after abortion you must have developed infection. You never had appendicitis because the in that case the pain will be only on right lower side and the pain is acute, a requirements an immediate medical help.  I advise you to consult a gynecologist for diagnosis and treatment.  Wishing you an immediate and complete recovery.  Best regards."}
{"_id": "000000475", "text": "Welcome to Chat Doctor .1. The symptoms / history suggest a benign lesion in between the breasts at sternum - possible cause could be lipoma - fat containing lesion.2. If It's not obviously visible and no significant pain or disturbance then just followup - no action required other than followup.3. If any concern and want to get rid of the lesion - get an ultrasound scan to confirm the nature of the lump, where it is existing from and where all its spread.4. A FNAC - fine needle aspiration cytology will help to histological diagnosis of the lesion.5. In benign lesion if causing any discomfort - it can be excised. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000000476", "text": "Hello and welcome to ChatDoctorYour image will not be visible on this forum. Regarding your query, Collinear is a supplement with necessary vitamins, minerals,etc. for hair growth. There are no side effects as such. Capsules and hair oil can be started to reduce hair fall and help new hair growth. But the cause of your hair fall must be treated first. Be sure to re check with a doctor regarding the improvement in few weeks, to advise regarding further treatment. Apply Tress Go hair serum at night to scalp. Use a good shampoo like Anaphase or Renoir. Oiling the hair may be done only before bath for about 30 mins and wash off. Eat a nutritious diet and get rest. Avoid stress. Change of climate, water, pollution may be a cause. Any other illnesses, medication, low iron, thyroid disorders etc. can also cause hair fall so check if necessary. So do try to find the cause of your hairball so that the right changes can give you best results. Do keep in mind that family history of hair loss can increase your chance of hair loss and balding. Hope this helps you."}
{"_id": "000000477", "text": "Hi. I can understand your concern. Chest pain is commonly seen in bronchitis and lung infection. Get a chest x-ray done if it is normal, no need to worry about lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000000478", "text": "Hi, Susan. Dear, Good Afternoon. I am Chat Doctor. -I studied your query in-depth and Understood your health concerns.-To Start with-I would advise you NOT to worry about what you are suffering from. For every problem there is a solution with Me.-Treatment and Cause of lump close to wrist- -The painful lump you have is due to the Contused Wrist bones-with Wrist joint Contusion and painful lateral side way movements.-In my opinion-the inside bone lump of the arm above the wrist -is contused Ulna-with painful side-way movements.-This is because you could clench your fist.-Restricted sideways movements and restricted painful flexion of fingers-points to ?fracture without displacement or with little displacement.-I would hence advise Xray-Wrist joint with wrist bones-and to consult ER-Ortho-Surgeon if your ER-Surgeon advises. Treatment Advised--A bruise would be relieved - in 2-3 days time-with treatment by-Tb-NSAIDs/ice compresses and / Wrist Support bandages.-If no relief-Xray wrist and ER Ortho-surgeon consultation is advised to your.-Hope this elaborate advise on your most complex issue would help you to recover fast. Wish you recovery ASAP. Wellcome and ThanksWith Best of Regards"}
{"_id": "000000479", "text": "Hello there, Based on your symptoms you seem to be having fever with chills. You need to get an MPFT done at a nearby lab. Also, a blood test called CBC with platelet count. The time for doing these tests ideally should be when you actually have fever as this will lead to the test being more accurate. Once the test is done you can have tabbed Cronin 500 m.g thrice a day after food. When you get the test reports please get back to me, and we can discuss further treatment options, Hope this helps, Please feel free to ad Chat Doctor."}
{"_id": "000000480", "text": "Hi, I guess your concern about for painful menses plus conceiving for the next baby. Treatment information given by you seems correct. Endometriosis is a health problem in which pt will have painful menses and difficultly in conceiving. The surgery and medicines (Rolodex, Prolific as told by you) is usually given for endometriosis treatment. But, when the surgery was done and when the medicines were started, this information is not shared by you. The dosing of medicines is also not told by u.so I can't comment on the medicines. Don't worry, once the problem of endometriosis is solved you can conceive for next baby. My suggestions"}
{"_id": "000000481", "text": "Hi Amy, Sensitivity of teeth after crown preparation is a common occurrence but as you have mentioned that even after the placement of the new crowns (assuming that the margins are proper) it persists and is severe then the only option you have is a root canal. If there is an exposed area around the teeth not covered by the crown causing sensitivity and its not severe then placing a desensitizing agent may help. Pls consult your dentist on that. Regards"}
{"_id": "000000482", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of mucus and blood in stools which seems to be due to acute dysentery. It could be due to electrolyte imbalance in body. Need not worry. I would suggest you to take proper rest. You should have plenty of fluids to rely Chat Doctor.  You should take diet rich in multivitamins. Furthermore, you should do tepid sponging as well. Furthermore, you should give child Ondansetron 0.15\\u00a0mg/kg. Avoid intake of outside hot and spicy food substances. Visit pediatrician once and get it examined. You should get blood tests done to find out underlying cause of your condition whether bacterial or viral and start treatment accordingly. Your symptoms will resolve in 3-5 days. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000000483", "text": "Hii am sorry about your long course of illnessfirstlet me clear this out kidney infections do not cause hemorrhoids they are two different conditions that probably were noticed at the same time got the impression that the bumps you are developing are perianal they could be hemorrhoids causing the trouble and so I would suggest you get yourself some stool softnerstake high fiber diet and plenty of fluids you could use site bath too don't think the trouble is because of the wearing of thongs however it would be a good idea to avoid it while your hemorrhoids settle once your hemorrhoids settle I suppose you can continue hope you find this information pertinent and helpful best of luck get well soon"}
{"_id": "000000484", "text": "It is important that you consult a psychiatrist for your complaints and tell her about these symptoms of hearing threatening voices of people and that you fear that they may harm you. You may need a different set of medications than paroxetine or sertraline. You may need antipsychotics such as risperidone, haloperidol etc. in appropriate doses. Smoking pot is a double-edged sword. You may feel less anxious and relieved when you use pot. However, the pot can make these voices appear with even more intensity, and you will find yourself trapped in a vicious circle. Do discuss this issue with your psychiatrist too. Hope it helps."}
{"_id": "000000485", "text": "Hello Kusama! Welcome on Chat Doctor! Regarding your concern, I would explain that smart pills sometimes can exacerbate the situation, especially in ADHD patients. So, I would not agree in starting these pills without a medical consult. For this reason, I would recommend consulting with a psychiatrist for a careful mental examination, in order to find the right diagnosis and discuss the best treatment options. Hope to have been helpful! Best wishes,"}
{"_id": "000000486", "text": "I think you should get checked with an or tho specialist and take a X-ray if any possible hairline fracture if any present. You should always keep a hand onto the affected area while sneezing and coughing. Try doing costal breathing exercises and deep breathing exercises by placing a hand over the top of the painful area. Once your muscles become strong I think you should be fine with the relief of pain."}
{"_id": "000000487", "text": "Hi Kristina, Thanks for writing your query. Heart burn is due to increased secretion of acid in the stomach. You should follow some precautions like"}
{"_id": "000000488", "text": "Hello, It is due to minor contusions after heavy physical exertion. Its quite common after strenuous activities and will settle with conservative measures. You can apply warm compresses and take analgesics like Ibuprofen or Diclofenac for symptomatic relief. If symptoms persist, you have to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000489", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Oral cancer can present as ulcer, rough, insensitive area, whitish plaque, bleeding necrotic mass, polyp etc. And for conformation, biopsy from the lesion is necessary. So for clearing your worries about cancer, better to get done biopsy and histopathological examination to rule out cancer. If this is nonmalignant lesion than no need to worry about oral cancer. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000490", "text": "Hi and thanks for the query, Itchy rashes and lymph nodes around the neck region might most of the time be due to viral infections. It could be necessary to actually trace what is causing the rash. A history of a recent change in the environment, diet, sleeping room, job site should worth considering. Other accompanying symptoms like fever, wheezing, rhinitis are important to consider knowing if it's an allergic reaction or not. An initial response to anti biotherapy could indicate an infectious cause. Persistence of symptoms should warrant an appointment with the dermatologist for a proper evaluation. Thanks and best regards, Luchuo, MD."}
{"_id": "000000491", "text": "Hello, I do not know much from what you are writing, but leaky valves can progress by adding the amount of blood that goes backward in the heart, And that can cause those symptoms that you have and especially the shortness of breath. You may need to add more diuretics.  The operation depends on the heart function first, and what are the valves that have the problem and what grade they are and what have to cause the problem. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000000492", "text": "Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. This might be a Mastitis or Realities. I would suggest you to get an examination done to see what it is and get treated properly.Also, you should get evaluation for Fibroadenoma and Breast Lump. This is my personal opinion based on details available here.  If you want to discuss your issues further, you may please ask stay Healthy. Chat Doctor, MD"}
{"_id": "000000493", "text": "HelloThanks for usingChatDoctor for your health problems. I read careful your question and understood your concern. You doesn't explained clearly why your dad was prescribed the antibiotic and antimicrobial therapy anyway I presume that it has an infection when he was discharged. The infectious disease and maybe the psychologic stress that is caused by the infection can raise the blood glucose in a diabetic person. His blood glucose is high and nausea can be a symptom of diabetic ketoacidosis. Diabetic ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones. For this reason my advice is to check his ketone level in the blood and in the urine. If the result is positive you need to take him in an Emergency Room as soon as possible because it can be dangerous if it is not treated. In most cases, people with diabetic ketoacidosis need to be treated in hospital. If the test of ketones in his blood and urine is negative, i suggest consulting an endocrinologist in your area because in my opinion the metformin monotherapy is not effective, and it is necessary to add another antidiabetic Chat Doctor. I want to remember that the diabetic diet and more physical activities(if not contraindicated)are other important elements for the control of your dads' diabetes. I recommend to not be negligent. Hope I have answered to your question. If you have further queries, feel free and ask. For treatment recommendations, and individual therapy, you can ask me at Chat Doctor at my private link"}
{"_id": "000000494", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you are mostly having HERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of gaseous feeling in stomach, burning pain with stomach pain. So better to start following steps for symptomatic relief. 1.  Avoid stress and tension. 2. Avoid hot and spicy food. 3. Avoid large meals, instead take frequent small meals. 4. Start proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2-3 pillows under head in the bed to prevent reflux. 7. Avoid smoking and alcohol, if you are having these habits. 8. Lose weight if you are obese. Don't worry, you will be alright."}
{"_id": "000000495", "text": "HI. This is most probably a condition called Gynecomastia and the best way is to get this operated, removed and subjected to histopathological examination. Although this is usually a bilateral phenomenon, it is not rare to see like this.  Cancer has to be ruled out by doing histopathology of the removed specimen and X-ray has not much role to play in the diagnosis. Radiography in the form of CT scan of the lesion, chest and maxillae is of help."}
{"_id": "000000496", "text": "Hi, welcome to Chat Doctor forum. Pain and burning in the upper abdomen, with altered motion is usually caused by acid peptic disease. It can be initially controlled by antacids and Chat Doctor. Later, recurrences can be prevented by the following precautions.1)make you eat habits regular(keep correct time)2)avoid in between snacks.3)avoid much oily/spicy/fried items.4)reduce non veg items(especially beef and pork) to minimum.5)avoid smoking and alcohol-the most important measure.6)take enough fruits and veges with high fiber content. I hope you will find this information useful. Thank you."}
{"_id": "000000497", "text": "HI, thanks for using Chat Doctor MRSA (methicillin resistant star aureus) refers to the presence of a bacterium that is resistant to standard antibiotics. It occurs mainly in persons with a history of frequent antibiotic use though it can also be spread from one person to the other. There are some persons who have these resistant bacteria and are not aware of it. As her doctors mentioned, it may be spread by contact with the infected area. I hope this helps"}
{"_id": "000000498", "text": "Hi, Thank you for posting your query. White spots on MRI (also called as hyperintense lesions) are not specific for multiple sclerosis (MS). These lesions can occur in other neurological conditions including migraine, infections, stroke, etc. Doing an MRI of spine would help, as if lesions are found in the spine, it would favor a diagnosis of MS. Spinal tap would also help, as presence of oligoclonal bands in the CSF would also favor a diagnosis of MS. However, with just two lesions, and normal spinal tap, MS is unlikely. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"}
{"_id": "000000499", "text": "Hello. Thanks for writing to us at Chat Doctor Your description of the rash and associated pain does seem to suggest a possibility of Shingles; more so if the rash is arranged in a stripe like pattern across one half of the body, with a sharp mid-line cut off. Shingles may initially start either as rash or as raised patches and subsequently may develop fluid filled lesions. Therefore, absence of fluid filled lesions from the start doesn't rule out shingles. Pain is more of a feature of herpes Zoster; irritation to the muscle rub would have been associated with a burning sensation rather than pain. I would suggest that you visit a dermatologist for a confirmatory diagnosis. A dermatologist would be better able to confirm it or rule it out. There is usually associated pain which may be shooting or stabbing in quality. If Shingles is confirmed to be shingles on visual inspection, treatment would be with an oral antiviral e.g. acyclovir or val acyclovir. Associated pain also need to be managed appropriately with NSAIDsFirst step would be to visit a dermatologist for a confirmatory diagnosisRegards"}
{"_id": "000000500", "text": "Hi...greetings from Chennai. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor."}
{"_id": "000000501", "text": "Hi Michelle, Yes, severe abdominal pain may be due to kidney stones. Region of pain depends on Location of stone in urinary tract.- Uncomplicated kidney stones located in kidney may be asymptomatic or give mild dull aching pain over right or left upper abdomen depending on site of stone.- Stones in ureter which is a tube connection kidneys to urinary bladder (urine bag) give severe pain in back radiating anteriorly to abdomen. It causes more severe pain. Region of pain varies vertically depending on position of stone in ureter (upper, middle, lower)- Lower abdominal pain may be due to stones in lower ureter or urinary bladder. Usually stones in urinary tract may be associated with infection (UTI) or blood in urine.(Though UTI in the absence of structural abnormalities in urinary tract ASE more common in female.) In your case I want to know -1) Depending on what basis your doctor told you the presence of stone.2) Any associated symptoms like nausea, vomiting, loose motions.3) Any menstrual complaints (considering you as a female). Following investigations may help in locating the site of stone in urinary tract if present-1) X-ray PUB.2) Ultrasonography of abdomen and pelvis.3) Intravenous paleography it helps in establishing site of stone as well as kidney function. Green color stools in your case may be due to-1) Antibiotic use for UTI.2) Intestinal infection (it may usually be associated with multiple episodes of loose motions, vomiting, central abdominal pain."}
{"_id": "000000502", "text": "Hello, You have excruciating, unbearable pain in left side of your abdomen along with radiating in your back and also had vomiting, and you slightly relived on lying down and again having such a sever pain, in this regard in my opinion you might be having left Ureteric colic pain, which might be due to a stone in your left ureter. So it's my opinion and suggestion to you that you must consult your nearby urologist or get emergency treatment by undergoing first taking analgesic Injection and followed by Ultrasonography of your abdomen and X-Ray of your PUB region with continuing urologist treatment at your nearby hospital or medical facilities. Hoping you will get relieved by my guidance. Good Luck and take care."}
{"_id": "000000503", "text": "Hi. Thanks for your query. Your symptoms complex of treated H-Pylori infection of the stomach yet the presence of rumbling in the abdomen, flatulence, passing of gases per anus, pain in upper abdomen and so on can be related to the single most cause of such symptoms called Irritable Bowel Syn Chat Doctor. But before we label you as suffering from IBS, you need to undergo some tests which should be normal."}
{"_id": "000000504", "text": "Hi, dairy have gone through your question. I can understand your concern. Stomach gurgling is not suggestive of cancer.  It's just an air sound.  So don't worry about that. You have complex atypical so high risk of urine cancer.  You should go for prophylactic hysterectomy.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000505", "text": "Yes TB can reoccur.However, both the doctor who prescribed tuberculosis treatment without doing a sputum test and the health unit who ended up doing test of saliva are wrong. What your dad needs to do is to give a proper sputum sample and not saliva for the test. If he is bringing out some amount of sputum, then a better test to do will be INEXPERT/RIF test for tuberculosis. If he is not bringing any sputum then u need a HRCT to confirm the lesions seen on X-ray chest are new or old"}
{"_id": "000000506", "text": "Hi, Kidney donation in India is illegal if done for money. It can be done only as a life-saving procedure for any known relative or friend after getting clearance from transplantation ethical committee. Legally, organ donation can take place from living, genetically-related individuals; from living, unrelated individuals in special circumstances where no unauthorized payment is made to the donor. Organ transplant law does not allow exchange of money between the donor and the recipient. According to the Act, the unrelated donor has to file an affidavit in the court of a magistrate stating that the organ is being donated out of affection. After which the donor has to undergo number of tests before the actual transplant takes place. The Authorization Committee set up for the purpose ensures that all the documents required under the act have been supplied. If it is found that the money has been exchanged in the process then both the recipient and the donor are considered as prime offenders under the law."}
{"_id": "000000507", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of Urinary tract infection and vaginal infection is more in your case. But better to rule out tuberculosis because you have contact with active patient. So get done sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis) and chest x-ray. If both are normal then no need to worry about tuberculosis.  Chat Doctor.  Continue treatment you have prescribed. Keep proper hygiene of private parts. Avoid unprotected sex if you are sexually active. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000508", "text": "HelloThanks for query. You have been diagnosed to have stage 4 cancer of the Prostate suggesting that the cancer has spread beyond capsule of the prostate to distant locations like bones or other organs . Cancer of the prostate is hormonal dependent cancer depending upon the Testosterone levels . Though Orchidectomy is done there is increase secretion of PSA from the cancer cells spread over to distant locations. Casodex is anti an Chat Doctor."}
{"_id": "000000509", "text": "Hello, I read carefully your query and understand your concern. Joint soreness can be related to rheumatoid arthritis. It should be excluded through examination such as rheumatoid factor. Meanwhile, I suggest continuing using antihistamines to relieve the itching such as Zyrtec. I also recommend using anti-inflammatory medications such as Acetaminophen to relieve the join inflammation. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor."}
{"_id": "000000510", "text": "Hi, dairy have gone through your question. I can understand your concern. Your Chat Doctor level goes up due to pregnancy, but you have miscarriage, so level is down.  But there may be some tissue left, and it leafs to high Chat Doctor.  You should go for dilatation and evacuation. Clear your uterus completely. Consult your gynecologist and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000511", "text": "Hi, Thanks for your question. After going through your question, I can understand your concern. There is most likely a boil / folliculitis over perianal region, which is an infection of hair follicles. It may be due to excessive sweating. If there is family history of Diabetes or you are obese, better to check your blood sugar levels. Use some anti-inflammatory medicine, if swelling increases in size or there is fever there may be need for antibiotic. Hope this helps you, if so do vote as helpful."}
{"_id": "000000512", "text": "Hello, and I hope I can help you today. Many women have headaches during pregnancy, because as your blood volume increases to prepare for the birth, the amount of blood flowing to your head increases in intensity, whicChatDoctormonly can cause severe pounding headaches. Caffeine is a vasoconstriction, which means that it makes the blood vessels slightly smaller and as a consequence it actually is a very effective treatment for headaches. It is actually used as an ingredient in prescription migraine medications. The warning against not using caffeine during pregnancy actually has no real scientific basis. There never been any studies in humans that actually shows an increase risk of any pregnancy-related complication. So, if caffeinated Chat Doctor.  Furthermore, Vicodin is safe to use during pregnancy for pain as well. I would advise you to try to find the least amount of caffeinated beverage you need to"}
{"_id": "000000513", "text": "Hello, In most probability you had any of your heart valve replaced with a metallic one. What you are hearing is the click of that valve. Generally a patient gets used to such sound. You just need to know that's it's a normal phenomenon and there is nothing wrong with your heart or you. If its very disturbing you may try a small dose of tranquilizer only after consulting your doctor. Hoping I could help. Regards Chat Doctor."}
{"_id": "000000514", "text": "Thanks for your question on Chat Doctor. In my opinion no need to give oxygen if saturation on room air is 97%. As too much oxygen may cause side effects too. You should get done chest x-ray to rule out lung infection as cause of chest pain. Get done ECG to rule out cardiac cause for chest pain. If bronchospasm is present than start inhaled bronchodilators. So try to search cause for chest pain and treat accordingly.  No need to give oxygen."}
{"_id": "000000515", "text": "If the epilepsy center has done a complete assessment for you and determined that you don't have epilepsy then, what you need is a cardiovascular workup. If you have a primary doctor then, I would expect this referral should be made soon. If not then, you should find a primary doctor who can help you get directed to the right specialists now to continue the workup.  Spells can also be due to many other problems such as medication side effects, low blood sugar, psychological stress, very low blood pressure from deny Chat Doctor.  That is why you need a primary medical doctor who can look at all these things and help direct you."}
{"_id": "000000516", "text": "Hi, I have gone through your query and understood the concern. If you did not have any side effects like vomiting soon after the pill intake, then you can expect with Chat Doctor.  This usually lasts for a couple of days. Your next natural period may get delayed by a week or two. Chances of pregnancy are very remote and if you were in the safe or non-ovulation period during the sexual encounter, you are naturally protected, in addition. Restrict the use of emergency pills to once or twice a year and prefer regular contraception. Please see your health care provider for further management if you become overdue by ten days for your next period. Hope this helps."}
{"_id": "000000517", "text": "You have posed an excellent question. With only a few words, a textbook is opened. Truthfully, this is a discussion that should be personal with not one but many professionals whose job is nothing but transplantation. For overview, societies such as the American Organ Transplant Association and American Society of Transplant Surgeons are good resources. For heart specifically, the American Heart Association is the best resource. For a more personalized and detailed history of heart transplantation from an individual, you may wish to contact"}
{"_id": "000000518", "text": "Hi Thereafter going through your query I understand your concern. I would like to tell you the symptoms you are telling, pounding heart and breathlessness can happen in both conditions heart diseases and stress. If you feel breathless during exertion and feel better after resting then it can be due to underlying heart disease and It's advisable to get a Treadmill test and echocardiography done for proper evaluation. And It's advisable to cease smoking for better health. Hopefully this will answer your querying you Good Luck Chat Doctor."}
{"_id": "000000519", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that if this is degenerative disc disease then the over all case management is depends upon the severity of the disease most of the cases well responds to conservative line of treatment in my opinion you better discus this with the orthopedic doctor, hope this information helps you, take care and have a nice day."}
{"_id": "000000520", "text": "Hi and welcome to ChatDoctorFrom your history and description it does seem to be an allergy, esp based on the areas affected. Summer/spring allergies are fairly common due to more dust, pollen in the air, as well as sun. Since you are unable to narrow down the cause, I would advise you to take precautions during this season. Wear comfortable cotton clothing, covering as much skin as possible. Avoid midday sun exposure. Always use a sunscreen. Wash hands, face when you come back from outdoor activity. Shower with warm water and apply a good moisturizer immediately after like Detail DAM or an intensive moisturiser. Avoid fragrances and strong chemicals in soap, lotions. When you have active rashes try to avoid commonly allergy causing items like nuts, seafood etc.Also, during rashes take an antihistamine tablet once daily like fexofenadine and apply calamine lotion over the area when irritation occurs. In case of severe redness or actively spreading rash in the summer, use a fluticasone cream for about a week over the rashes and stop. Continue the other tips advised. You can consult a dermatologist regarding certain skin allergy tests and blood tests which can point out the substances you are allergic to. Hope this helps."}
{"_id": "000000521", "text": "HiP ain and swelling in the operated site of hernia can be recurrence of hernia. If the content like momentum or intestine is blocked in hernial sac, you may experience pain. If your doctor has confirmed hernia again, then there is no alternative to surgery. Medicines have no role to play in hernia. Though you are heart patient and diabetic, surgery can be done. Nothing to worry. Please consult a surgeon and get operated as early as possible and get prevented from life-threatening complications like strangulation. Wish you good healthRegards"}
{"_id": "000000522", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that your son has bitten his tongue due to anesthetic effect, don't worry You Apply Ointment McCoppin two times a day on painful area on his tongue, Give One Tablet Evil twice daily for one week, if after taking medication He won't get relief then consult your Dentist Hope it will help you.  Wishing him good health Regards"}
{"_id": "000000523", "text": "Hi I am Chat Doctor.  It can follow folliculitis and could be recurrent because of inadequate or inappropriate treatment. Still some rare conditions like primary immune deficiency should be ruled out. Most of the labs offer a panel to rule out primary immune deficiency.It's important to rule out more common entities like IGA deficiency, Britons Asama globulinemia and granunomatous disorders where recurrent staphylococcus infection is common. These condition scan be effectively treated when diagnosed earlier. Early diagnosis also helps in preventing serious infectionsThank you for using Chat Doctor"}
{"_id": "000000524", "text": "Hi, Thanks for your query. From the description that you have provided, it seems that you have suffered a muscle sprain. You need to provide rest to the neck-preferably use a cervical collar. Avoid massaging the area. Doing a hot fomentation will be helpful. Avoid all overhead activities and do not use a pillow. In case the pain is persistent even after taking a mild painkiller, then you might need stronger prescription medicines like muscle relaxants after consulting your orthopedic. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000000525", "text": "Hi thanks for asking question. Let me know you if you will continue with smoking and alcohol then you are at high risk for liver disease. As far as abscess concerned you have taken antibiotic for one month. Now repeat the USG or x-ray to see whether it has resolved or not. If it is still there and looks like bacterial then it has to be Chat Doctor. If it is resolved then it will not lead much problem letter on life. But for that alcohol and smoke stopped. Rule out diabetes also as it can be related to abscess. Take low fat diet for few days. Maintain your BMI ideally. Fruits taken more. I hope your concern solved."}
{"_id": "000000526", "text": "Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Anorxia Nervosa due to discolored sore 2 lumps on your right leg. These lumps mostly are due to the Varicose Vein in right leg with thrombophlebitis -as its sore to touch also. Treatment-Get the Color Doppler to assess the cause of these lumps. Tab Motrin-400 mg / 1 x 2 times a day. Rest /Elevation /Venous Stockings x during daytime. Tab Alnilam .25 mg x 2 times a day -to reduce anxiety. Reassurance and counselling from clinical Counselors.EVLT-Endo-Venou-Laser-Treatment for resolving these leg lumps would help you to recover soon. Evaluation and treatment by Surgeon and Vascular Surgeon would be needed for your case. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist"}
{"_id": "000000527", "text": "Hello, I have gone through your query and I can understand your concerns. As per your description it seems that your finger is infected, and I strongly recommend you to consult your physician because you need prompt antibiotic therapy which should prescribed by a doctor.Moreover, you might require minor procedure like incision and Chat Doctor. Consult your physician and get the following things done"}
{"_id": "000000528", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of anemia or vitamin B 12 deficiencies is more. In both these conditions, discomfort in chest (palpitations, thumping, twitching) on exertion is seen. And at your age heart diseases are extremely uncommon. So better to get done hemoglobin estimation and vitamin B 12 level. If deficiency then you need supplements. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000529", "text": "Hi, It seems that probably you may be having fungal infection. Tina corporal. Consult the dermatologist for the perfect diagnosis and proper treatment. It does not seem to be Chat Doctor.  Apply antifungal cream like Fluconazole cream and take antihistamines and antifungal tablets after consulting the doctor. Avoid soap bath. Take bath with diluted Detail. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000530", "text": "Hi welcome to Chat Doctor. I understand your query and concern. Your symptoms are suggestive of with Chat Doctor. Atrial fibrillation is known to cause Rapid heart rate and fluctuations in blood pressure. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a daily is useful. Avoid taking caffeine."}
{"_id": "000000531", "text": "Hello and welcome to Chat Doctor. Thanks for your query. Your symptoms such as fluttering of the Nelly button and twitching of the eye could be anxiety-related. Anxiety can manifest itself with not only psychological symptoms, but with physical symptoms also. If you are having recurrent such symptoms or having difficulty managing your stress, then I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. -"}
{"_id": "000000532", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection or urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health."}
{"_id": "000000533", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, hormonal pills can have side effects of palpitations. Actually these pills can cause stress and anxiety and these can cause tachycardia, palpitations etc. Not all women tolerate hormone pills. So in my opinion, you should stop hormonal contraceptive pills because they are causing side effects in you. Better to use barrier contraceptive like female condom or male condom. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000534", "text": "HI. Thanks for your query and history properly This is self-explanatory. While you strained for the delivery the normal protective mechanism without numbing got disturbed. We have seen cases where similar problems - classical symptoms as you have explained. These are usually due to slipped discs at thoracic level. Get an evaluation done by a Neurologist / Neurosurgeon. Get an MRI of the thoracolumbar region, and you will get a diagnosis. According to your symptoms, I have a feeling that you will require surgery, be prepared."}
{"_id": "000000535", "text": "Hi, as you mentioned the C5 & C6 disc degeneration disc disease, the muscles supplied by them usually gets involved. Also, due to continuously stress applied onto the muscles of the neck, the muscles of the neck are always in a state of tension which leads to the disturbed blood flow to the brain and there by leads to headache and other symptoms. Getting treated for the pain and spam in the neck region will help you ease of the symptoms like headache, earaches and toothaches. Also getting checked by a dentist for the toothache will clear any doubt about the pathology of the oral cavity. For the disc degeneration in the C & C6 region I advise to take therapeutic ultrasound therapy and TENS therapy which will alter the pain and spasm. Also performing regular strengthening exercises for the neck, upper limb and shoulder will help you ease of symptoms. Usually along with the medicine, physical therapy plays a good benefits. I have personal experience of cases with such symptoms and 99% of patients recover. I am hoping the same with you. As surgery is the last consideration made by the surgeon. Physical therapy is a slow process but keeping patience and undergoing physical therapy will definitely give you ease of the current symptoms. With the grace of God I wish you a speedy recovery."}
{"_id": "000000536", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No direct connection between head injury and hemoptysis (blood in sputum). But unknowingly, you might have injured chest (blunt chest trauma) while falling from stairs. And this might have injured lungs and cause bleeding. So better to get done chest x-ray to rule out lung injury as a cause for your hemoptysis. Your headache is mostly due to head injury. So consult doctor and get done chest x-ray. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000537", "text": "Hello, your sores-seems to be ruptured vesicular lesion. Most common are viral herpes infection. These kinds of ulcers are common on lips and corner of mouth. It is also associated with fever prior to vesicle eruption. If your fever persists you can use paracetamol tablets to manage it. Your dietary intake of multi-site and minerals is also reduced due to problem in swallowing. So you can use anesthetic gel/mouthwash to get relieve from pain during swallowing. Have ample of fruit and green leafy vegetable diet. Or nutritional supplements. . Use antiseptic mouthwashes after meals.avoid spicy food completely. These lesions resolve within 7 days mostly by proper diet in healthy individual. And if they persist more than that consult oral medicine specialist as he may give you antiviral creams/tablets as required. To confirm the diagnosis they may take biopsy for pathological examination.other causes of such sores are autoimmune disorders- Memphis, lichen plans, etc. They are rare.and a biopsy or immunofluorescence test is done to diagnose them."}
{"_id": "000000538", "text": "Hello You are taking three Chat Doctor.  You are a known case of epilepsy and are currently seeing figures like ghosts. There could be following cause for the visual disturbances or hallucinations you are having-- First possibility is epilepsy itself. Certain kind of seizure can present with hallucinations. Temporal lobe epilepsy can present with visual hallucinations.- Zonisamide is a good adjuvant"}
{"_id": "000000539", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. I can see the problem you are in. But positive phrases and statements do good to only those who keep a positive way of life. You must learn life before saying positive phrases. There must be a basic cause of these negative thinking and anger. Some sort of disappointment in life. Such a disappointment or the cause of that disappointment should be ad Chat Doctor.  This can be successfully done with the help of a psychologist. Consult a psychologist. Even online consultation should suffice. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000000540", "text": "Hi, Thank you for posting your query. I have noted your symptoms. Your symptoms could be related to anxiety or lack of sleep. In addition, we need to exclude lack of blood flow to brain ischemia), vitamin B12 deficiency or thyroid deficiency. You need to get a complete neurological examination done by a neurologist. After that, you may require MRI brain, vitamin B12 level, and thyroid profile tests in order to make a definite diagnosis. There are good treatments available to treat all the above disorders. So, you need not worry. I hope it helps. Best wishes, Chat Doctor."}
{"_id": "000000541", "text": "From what you have told, your son may have two enlarged lymph nodes. Lymph nodes are small pea shaped lumps present all over body. It gets enlarged and painful when infection is there. Many a times chicken pox will not cause any lymph node enlargement. But Since his immunity is weak now, a bacterial infection may set in and may have caused the lymph node enlargement.It's better to wait and watch. If the Lymph node does not subside on its own, a course of antibiotic may be given.In the meantime give plenty of water and paracetamol tablets to reduce fever."}
{"_id": "000000542", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out HERD (gastroesophageal reflux disease) and asthma in your case. Both, HERD and asthma commonly present together. Your chest pain and gaseous feeling are due to HERD. And your breathing problem in AC and at night are mostly due to asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). For HERD symptoms, take antacid like pantoprazole on empty stomach. Avoid stress and tension, be relaxed and calm. Avoid hot and spicy food. Don't worry, you will be alright with all these. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000543", "text": "Thanks for your query, I have gone through your query. The decay involving multiple teeth can be a rampant caries secondary to improper maintained of the oral hygiene and improper diet. The running nose and eyesight is not related to the teeth. Consult a pediatric dental surgeon and get the teeth filled. For the nose and eyes consult a ENT and ophthalmologist and take opinion. I hope my answer will help you, take care."}
{"_id": "000000544", "text": "Hi, I have gone through your query. You had 2 episodes of bloody semen and you haven't mentioned if there is any other symptoms like fever or pain. It is difficult to comment on actual cause. As there can be infection (like prostatitis, epididymitis, urethritis), obstruction, tumor or systemic disease. I suggest you to wait for next time if again blood comes out with or without other symptoms, investigations like prostate examination, semen and urine test will be needed. Depending on the cause, it may or may not affect your married life and treatment will be done. Usually these problems are cured. 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"}
{"_id": "000000545", "text": "Hi, It seems that you might be having reducible direct inguinal hernia giving this problem. Hernia comes out through lax inguinal ring and while lying down it goes inside when it is difficult to have any idea about hernia. If this is the position, nothing to worry wait till it comes out. If it is strangulated then it can create the problem. Afterwards consult surgeon and get examined. Avoid constipation and lifting heavy weight. Ok and take care."}
{"_id": "000000546", "text": "Hi, thanks for providing the brief history of yours you mentioned feeling tightness in the back. Then you should look for some spinal muscles strengthening along with hamstring stretching as well. Also, on later stage you should strengthen the core and spinal muscles. As you mentioned your age as 52 there will be some small wear and tear of the soft tissue and aging of The spine as it is a normal process of human physiology. With stretching exercises and strengthening exercises you should be fine. One thing over to ask is, are you addicted too high / moderate heels for your footwear. Why am I asking this question is the change in the anatomy at one level can lead to change in all the levels. Well, if the symptoms become more you can visit a physician and get checked. Or else a physical therapist will be fine to help you out. Regards"}
{"_id": "000000547", "text": "Hello, Intermittent pain in the right arm may be due to arthritis of the shoulder joint or rotator cuff injury or muscle spasm or fibromyalgia etc. Until examination is done, it is difficult to say what it is. Please get an X-ray of the shoulder joint, clinical examination of blood sugar and neck X-ray. Use cold and warm compression, use tablet Pantoprazole before breakfast for one week. Use tablet Zanaflex once a day for five days. If symptoms not improved, please consult your doctor, he will examine and treat you accordingly. Hope I have answered your query."}
{"_id": "000000548", "text": "Welcome to Chat Doctor I have gone through your query and understand your concern. As you are having pain in left and right arm. You are likely to be having numbness due to cervical spondylosis. You can get your x-ray done to see degenerative changes in the spine. Furthermore, you can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"_id": "000000549", "text": "hi Hope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have strained some sort of soft tissues in that region that might be causing pain and inflammation. If it's not warm and hot.give ice packs and rest. If it worsens get a X-ray done to find out what's wrong. Start analgesic and anti-inflammatory tablets. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime.  Thanks Take care god bless"}
{"_id": "000000550", "text": "Hello, Stains due to gut chewing can be removed by scaling of teeth. Please discontinue tobacco or gut chewing thereafter. Maintain oral hygiene well. Regarding the dentist and treatment charges in Bangalore, please do consult with your dentist nearby your hometown. You can discuss with your dentist regarding this. Use fluoridated toothpaste as well as chlorhexidine mouth rinses to gargle. Take care."}
{"_id": "000000551", "text": "Hello Resp. Greta, I have gone through your query. Thanks for using Chat Doctor. I would like to know what were your symptoms bypass which lead to diagnosis of heart disease? If you have similar symptom then it is quite likely that you have developed new blockages in graft or at another site in native vessel. In any case, you should get ECG done and depending upon its report you may need stress test or direct angiography. In short, I suggest you to go to your physician for early evaluation. My best wishes Chat Doctor."}
{"_id": "000000552", "text": "Hello dear, The symptoms as mentioned in your post suggest that you might be having Allergic tracheo-bronchitis. Examination of the throat using a laryngoscope and X-ray of the chest will be helpful in clinching the diagnosis. Management includes"}
{"_id": "000000553", "text": "Hi, Welcome to Chat Doctor forum.  As you describe, you are a patient of hepatitis B, weight loss, abdominal pain, frequent loose bowels.  I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to have liver function tests, and M.R.I. for diagnosis.  You had jaundice 8 years back, probably cured.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have good health and resistance against infections.  Wishing for a quick and complete recovery. Thank you."}
{"_id": "000000554", "text": "Hi, Are your menstrual cycles regular? If you have regular cycles of 26-30days, then the first week and the last 10 days of your menstrual cycle are safe. If you have had unprotected sex during this period it does not result in pregnancy. So there is no need to take emergency contraception. Please note that the fluid released before ejaculation also contains sperms and can cause pregnancy. So even though your boyfriend did not ejaculate in you there is a possibility of pregnancy if you have had sex on days other than safe period. Therefore, you need to take emergency contraception. Loestrin24Fe cannot be used as emergency contraception. Discuss with your family physician and take emergency contraception. There are specific emergency contraceptive pills available like Plan B, I Pill, next choice etc. If these are not available in your country, your doctor will advise based on the contraceptive pills available. It is important to take the pills at the earliest after unprotected sex. The earlier the pill is taken, more effective they are (95% effective if taken within 24 hours). After taking the emergency contraception, if your period is delayed by more than a week you must get a pregnancy test done. It is good that you have realized it is dumb not to use contraception. Discuss with your doctor and start regular effective contraception like hormonal contraception or get an intrauterine devise inserted. I also advise you to use in addition barrier contraception like condom to protect yourself from sexually transmitted diseases. I hope I have answered to your satisfaction."}
{"_id": "000000555", "text": "Hello I have gone through history provided by you. Good, surgery for meningioma was successful. Change in smell or its loss is due to damage to olfactory nerve which lies in vicinity. This could be prior to surgery or can be during surgical process. It is inevitable consequence of surgery. You should learn to live with this minor deficit. There is no specific treatment. Trial of acupuncture can be taken and hope for good results Regards Protein"}
{"_id": "000000556", "text": "Dear parent, Many thanks for your question with Chat Doctor .com.  There are many causes for frequent urination in a child.  The most common cause is behavioral.  She may have just got used to going to the bathroom regularly, and you may have to gradually encourage her to increase the time between visits until she increases her ability to hold her urine. However, before you can label it as a behavioral problem, you have to rule out the other, more serious causes of frequent urination.  For this she will need a few tests at your family doctor.1) You need to rule out a urine infection - for this she will need a urine test. 2) You need to check for diabetes - the symptoms of this are usually frequent urination, thirst and weight loss.  For this she would need a urine and blood sugar test.3) You need to check that her bladder and kidneys are all structurally normal.  For this she would need an ultrasound scan.  If the results of the above are all fine, you can then be reassured that it is nothing to worry about, and just work on her gradually increasing the amount of time she can hold her urine. I hope this helps you, good luck with the tests.  If you have any further questions, do not hesitate to contact me and if you found this helpful, please leave a rating!"}
{"_id": "000000557", "text": "Hello dairy understand your concern Chance of the pregnancy is nil because1. You have not did penetrative sexual intercourse2. Your partner is already on the pilot become pregnant penetrative sexual intercourse in the unsafe period of the cycle is required. Fingering to vagina does not cause pregnancy you are completely safe and no need to worry. Avoid stress, take healthy diet, Chat Doctor. Hope this may help noncontact Chat Doctor for further health query Best regards"}
{"_id": "000000558", "text": "helloThanks for queryBased on the facts that you have posted your grandfather has Enlarged Prostate and a self indwelling per urethral catheter has been passed to Chat Doctor. He has developed symptoms of prostatitis. It is very common to get catheter induced infection in bladder and prostate giving rise to causing burning urination and refractory UTI. In such a situation it is always advisable to"}
{"_id": "000000559", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of lower respiratory tract infection (LETI) is more in your case. LETI is common after flu (viral upper respiratory tract infection). And your symptoms like cough, greenish sputum, chest pain on coughing and sneezing (pleuritic pain) are suggestive of LETI - pneumonia more. So better to consult doctor and get done 1. Clinical examination of respiratory system 2. Chest x-ray to rule out LETI. You may need antibiotics and antihistamines Chat Doctor.  So first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000000560", "text": "Brief Answer"}
{"_id": "000000561", "text": "Hello, welcome to Chat Doctor, I am Chat Doctor Firstly, the abnormality of red blood cells which you have mentioned indicates normocytic normochromic anemia.  This can occur from many conditions of which most common is hemorrhage. In your case, hematuria is the causative agent. Normal WBC and platelet exclude any malignant condition of blood. But you did not give us any bone marrow report.  Hematuria can occur from many conditions but in you case it is the neoplastic condition present in bladder.  So, my diagnosis is the urinary bladder problem.  Regards."}
{"_id": "000000562", "text": "Hello, If your cycle span is 28-30 days, ovulation can happen mid-cycle, two weeks prior to the onset of the next period. Since you had the intercourse in a mingled fashion, it is difficult to predict the biological father now based on the dates of intercourse unless your exact date of ovulation is known. A DNA test performed after the delivery can be done to identify the paternity. This is the only way out in the current scenario. Hope you find this information useful. Wish you safe motherhood."}
{"_id": "000000563", "text": "Hello, Your problem is a common one faced while treating someone who is either head of the family or high earning member of family or well settled in society. It is almost impossible to convince them for treatment, and mostly they are males. This not only spoils their family life but slowly even their health and social status is affected.there can be a few way out to help them take medicine- 1. As he is a doctor, you can contact some psychiatrist and discuss his case and may be asked him to meet the patient without his knowledge and let him start the treatment which can be added to his food. With passage of time Chat Doctor. 2.  You can ask someone whom he still trusts and listen to and that person can take him to a psychiatrist and get his treatment moving.3. Last option is taking help from police. They can take him forcefully to a govt. Setup and get him evaluated, and then his meds can be started. This has certain disadvantages that it might just spoil his carrier and difficult to go with. Wish you good luck."}
{"_id": "000000564", "text": "Welcome to the ChatDoctorI understand your concerns but don't worry. Your son seems to be suffering from allergic tendency. I would recommend you to start him on montelukast once daily for 2-3 months. This will improve his allergic tendency. Hold the calcium, iron and magnolia syrups if your child is not having deficiency. A healthy diet and lifestyle is the best long-term health secret. Hopefully it will be of help. Take care"}
{"_id": "000000565", "text": "Hello dear, The symptoms as mentioned in your post can be attributed to muscle spasm secondary to the fall. Symptomatic relief can be obtained by taking analgesics like Diclofenac with serratiopeptidase (to be taken after food), application of analgesic+muscle relaxant ointment, ice compression & adequate rest. Physiotherapy therapy exercise will also be helpful. If symptoms still persist, kindly get an X-ray of lower back done to rule out any pathological cause for your symptoms. Take care."}
{"_id": "000000566", "text": "Degree understand your concernsAnxiety and stress and restlessness are everyday affair for almost everyone in this new changed world. You should not feel much about those conditions because worrying again can increase anxiety level. Two coffees per day is permitted. You should exercise rigorously, Chat Doctor.  If needed to consult a psychologist for further advice. I can help you if you desire so."}
{"_id": "000000567", "text": "Hi, Since you have not mentioned your age, I assume the above findings are of degenerative nature and there are degenerative vertebral and disc changes in L4-L5 and L5-S1 disc levels. There is pressure on the spinal nerves in the above levels and this is causing you pain and discomfort. The findings are likely mild and most likely medicines and physiotherapy can help in decreasing your pain. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000568", "text": "Hello and welcome to Chat Doctor. Its very normal to experience change in babies bowel habits after weaning the baby to solid food. In infants absent bowel movements is normal for as long as 14 days provided that their abdomen is soft, and they are otherwise well. As your baby is restless, Glycerine suppoisatray can be given via anus to make the bowels empty. After that I would suggest following to make his bowel habits healthy> Give him prune juice.>Add more fluids.>Don't stop the solids completely but make them softer. Hope this answer is helpful. Good luck"}
{"_id": "000000569", "text": "Thank you for writing to Chat Doctor. I understand your problem of early ejaculations. I suggest you to reduce frequency of masturbation because very frequent masturbation leads to conditioning of mind to ejaculate early and this happens in faster ejaculation with partner too. When clients with similar problem approach me, I advise them one or more of the following methods which often help them.1. Stop-start technique of behavior therapy.2. Female on top with active role.3. Double condom4. Medicines like Fluoxetine 20 mg day or Paroxetine CR 25 mg per day. (To be taken under medical supervision only)5. Keel exercise also helps in some cases. You can learn the same from internet. (As if try to hold urine intermittently during voiding)6. Penile squeeze technique applied at the point of ejaculatory inevitability.7. Applying a local anesthetic ointment to glans penis prior to penetration.8. Leading partner to orgasm by exploring and stimulating other erogenous zones. (Other than vaginal containment movements only)One can gain ejaculatory control over a period of time by practicing behavior methods mentioned above REGULARLY. Practice makes a man perfect. You can consult psychiatrist for this. Hope, I ad Chat Doctor. Wishing you good health"}
{"_id": "000000570", "text": "Hello, I have studied your case with diligence. As per query you have fibromyalgia and pain in TMJ and headache. Well in condition like fibromyalgia, it amplifies painful sensations by affecting the way your brain processes pain signals. But this pain start with physical trauma, surgery, infection or significant psychological stress. So it seems to me that TMJ pain is due to bruise that is clenching of teeth at night. I would suggest you to consult the dentist and get mouth guard so that TMJ problem can be minimized. Doctor may also prescribe muscle relaxant. Also do physical therapy of facial muscles. In the meanwhile consult doctor and take treatment for fibromyalgia like antidepressants, anti-seizure Chat Doctor. Wishing you good health. Take care"}
{"_id": "000000571", "text": "HelloPainful urination may be due to many reasons like urinary tract infection(UTI), calculus in genitourinary region etc. Pain doesn't necessarily indicate kidney stones. You need proper clinical examination and routine investigations. Investigations include routine hologram, random blood sugar, renal function test, ultrasound of abdomen, urine RE/ME and culture/sensitivity. Nitrite test and leukocyte esterase test can also be done to confirm UTI. You may need CT scan of PUB region. Proper treatment depend upon findings. You should consult urologist. Get well soon. Take Care Chat Doctor."}
{"_id": "000000572", "text": "Hi, It does not have any side effects involving the fractures. Gemcal nasal spray (Calcitonin) is commonly prescribed to treat osteoporosis in postmenopausal women and also in elderly men to make the bones stronger and lower the risk of fractures. Its common side effects include nasal congestion, rhinitis, diarrhea, and flushing. It is not known to have any harmful effects on the fractured bones. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000573", "text": "Hi, You might be suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. For this condition you have to do stretching & strengthening exercises in which you have to stretch tight muscle & strengthen weakened ones which will alleviate stress on facet joint and disc. I would suggest getting this evaluated by an orthopedic for an accurate diagnosis and appropriate management. Meanwhile, for pain control take anti-inflammatory Chat Doctor."}
{"_id": "000000574", "text": "Hello! I read your question and understand your concern. I don't think that your seizures are related to a high level of Emilia. A viral infection and fevers can cause seizure aggravation. Epilim can cause seizure exacerbation in high levels, but it is also associated with other symptoms like nausea, headache, dizziness, confusion. A lower dose is more often associated with seizure aggravation. Although I would recommend you to have a full blood work and a plasma tic level of Emilia, and to adjust the dosage if needed. I don't think that there are any serious interactions between Emilia and the other Chat Doctor. Hope to have been of help! Greetings!"}
{"_id": "000000575", "text": "Hello Lalit and. As a Urologist, I can fully understand your concern.1. A semen culture reported normal, means, there's no infection in it.2. A minimum sperm density of 20 million/ml, is enough for pregnancy.3. Other parameters of semen test, like motility, morphology, aren't available.4. So, repeat the semen test, at a reputed lab, and send the report.5 An ultrasound scan (Doppler) of scrotum, is advisable.6.FSH, LH,testosterone, and sugar also needed. Get examined by a Urologist. You may send the reports to me, as a direct question, for an expert opinion. Chat Doctor.  Manga."}
{"_id": "000000576", "text": "Hi, Life expectancy in a cardiac patient is less than the same age population. It depends on the current status, the surgery she has undergone. If she already had an open-heart surgery, opening the chest again for redo surgery will be definitely risky and will be more difficult as compared with the previous surgery. But it is not impossible and is being routinely done. It depends on the probability of life expectancy with disease and after surgery. If there is not much difference, we keep the patient on medical management. AF has a risk of clot formation which requires blood thinners to prevent clot formation. It is not essential to convert it into sinus rhythm as rate controlled AF is equivalent to sinus rhythm. So don't worry about that. Finally, be cheerful as nobody knows how long he or she will live. It is our attitude towards life that make our life long. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000577", "text": "Hello, Thanks for writing in.First let me inform you that oral hygiene maintenance is very important. If left carelessly, it can affect your systemic health too. Brownish teeth can be corrected with bleaching/veneering/porcelain crowns. Bleeding gums are due to-Gingivitis. Poor oral hygiene maintenance. Vitamin deficiencies. Plaque and calculus deposits. I would suggest you to get deep scaling done. Maintain good oral hygiene. Vitamin supplements can be administered. Hope this helps."}
{"_id": "000000578", "text": "Hi, There is no harm in taking aspirin before conceiving. But there is no proven benefit also. Starting aspirin may not solve your problem. You need some investigations to find out cause for repeated miscarriages. Though these investigations are costly, if abnormal some factors can be corrected to avoid miscarriage. You can ask your doctor about those investigations. Some basic cheap investigations are blood sugar level, V Chat Doctor.  Costly investigations like karyotype can be done or deferred according to your doctors' advice. Wish you good health."}
{"_id": "000000579", "text": "Hi, Thank you for posting your query. The most likely cause of the swelling over the spine could be a cyst. Other causes could be lipoma or neurofibroma. These are benign conditions and there is no need to worry about them. The diagnosis can be further clarified by clinical examination. If it is possible, please upload a clinical photograph. It would help in clinical diagnosis. For confirmation, a biopsy of the lump may be required. There is no need to worry about it now. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/"}
{"_id": "000000580", "text": "Hi, dairy have gone through your question. I can understand your concern.  Your father may have chronic kidney disease.  He should go for blood urea and serum creatinine level as well as ultrasound kidney to search exact cause as well as amount of damage already done.  Then he should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000581", "text": "HelloThanks for your query, based on the facts that you have posted it appears that you have V Chat Doctor. This is most likely to be due to incomplete treatment with penicillin. One needs to take Long acting Penicillin (Endure LA) twice a week for 3-4 months to eradicate infection completely. Please get swab tests of fluid from ulcer done to rule out any other form of STD like Chlamydia, Herpes etc."}
{"_id": "000000582", "text": "HI, thanks for using Chat Doctor The worsening of your allergies implies that you have likely been re exposed to the allergen. Treatment would involve (1) avoiding further contact with the allergen- if you are unsure what you are allergic to, you may want to consider allergy testing(2) oral antihistamines(3)topical steroids to the area, since it is severe, you may need strong steroid creams which would require a prescription(4)a short course of oral steroids may be needed hope this helps"}
{"_id": "000000583", "text": "Hi thanks for contacting Chat Doctor. Your mother having history of chest pain with radiation to arm. So yes it is suggestive ischemic heart disease. ECG is not always confirmatory for that.It's better to do 2D echocardiography to diagnose ischemic heart disease like angina and myocardial infarction. If needed then angiography can be done which is diagnostic as well as therapeutic. But after 6 to 8 hour benefit less. She might have given antiplatelet Chat Doctor. ... Sorbitrate kept in pocket. Taken SOS when needed if chest pain occurs severely.... So without delay consult physician or cardio physician for that. Take care"}
{"_id": "000000584", "text": "Dear Lisa, your concern is appropriate. The anxiety and panic attacks need proper, long term treatment and counseling. You need to keep your cool i such a situation. Stay calm and be with the child. Try to find and eliminate source of attacks. Growth may or may not be hampered in such cases. Depending on how much psychological trauma the child has sustained and if this has affected his diet. Good nutrition is necessary for normal growth. Try to involve them in various activities, games etc."}
{"_id": "000000585", "text": "Hi dear, Treatment of mental disorder is depended on how long illness, type of mental illness, treatment response, episode of illness, continuation of treatment etc...some mental illness treatment with short term treatment and some required long term treatment. For mental illness treatment consult psychiatrist and give him a detail history and mental status examination from that he can tell you how long she required treatment. What ever you described about her symptoms suggest she has kleptomania in which irresistible urge to still, and might other problem also but for that detail history required. There are many mental asylums, but you need to ask your doctor in your area. Thank you."}
{"_id": "000000586", "text": "Hello, You must visit the dentist if the gum has detached itself and is attached at some point above the teeth as the dentist can excise that part of the loose tissue. But if a considerable part of the gum tissue is still attached and not hanging loose, then there is a possibility that it will heal. Because excising a part of gingival can sometimes cause contraction the healing tissue and result in shortening of the gums and since it is the front teeth it doesn't look aesthetic. I suppose that's the reason the doctor must have waited to heal on its own. I would also like you to take soft food and not to traumatize the area while brushing. Fingers can be used for massaging the gums in that area or soft toothbrush can be used for brushing the teeth. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000587", "text": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you are suffering from PIED which simply means that, you have disc problem impinging on your cord, please do not repeat it again and again, as repeated episodes, will cause you to keep the disc herniated and would prevent it's going back to space, Take some rest and then under guidance of a good physio start spinal muscle building exercises, so that this does not reoccur. Avoid lifting heavy wights, and stop your gym at present and only result after your doctors advise. I hope that answers your query. If you want any more clarification, contact me back."}
{"_id": "000000588", "text": "Hi there, Vomiting black liquid seems most likely as altered blood though bile may be brownish sometimes as well. It looks like he is in final stage of cancer. Morphine is a painkiller and if he is not in pain he is unlikely to be started on it. The perception that morphine is given to put someone out of misery, is rather for pain really. Many patients' morphine is given short time and is stopped when pain is relieved. Do speak to your hospice nurse and get a clear picture, and usually they explain the situation on day-to-day basis. Regards"}
{"_id": "000000589", "text": "Hi You have not mentioned the genotype of HCV infection u have. Treatment guidelines of hepatitis C have been changed recently. Most important thing in HCV treatment is sustained biologic response [SVR], which is persistent absence of HCV RNA in serum 6 months or more after completing antiviral treatment. As you taken course for 6 months, you must have infection with HCV genotype of 2 or 3. According to the latest guidelines, the recommendations for patients with prior PEG Interferon/Riboviria treatment failure"}
{"_id": "000000590", "text": "Hi, It is not safe to use it for long term. Melanorm MS which acts as a skin-bleaching agent and is commonly prescribed to treat hyperpigmentation of the skin associated with acne and other conditions. It contains a potent steroid (mometasone) use of which may cause thinning of the skin, telengiactasias (prominent blood vessels in the skin), infection and abnormal facial hair growth on long term. It also contains retinoid use of which may be harmful during pregnancy. I suggest you to use comic acid or glycolic acid containing creams for the effective treatment of skin hyperpigmentation. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000000591", "text": "Thanks for writing to us, I have studied your case with diligence. As per your history and injury pattern there can be persistent tear if ankle ligament leading to pain and swelling along with minor fracture. Instability may increase due to laxity of ligament. I will advise repeating MRI ankle for soft tissue involvement and any fracture line. Till time, you can continue use supportive splint or brace. Physiotherapy like ultrasound and TENS will help in early healing. Persistent pain after ankle injury is common and may take 6 weeks to heal. 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."}
{"_id": "000000592", "text": "Hi welcome to Chat Doctor... Noted you have persistent cough since 1 year.... So here it needs to be investigated. Tooth extraction not directly lead cough. But if chronic bronchitis is present then cough can be persistent.... Here as it is since one year, causes like malignancy, chronic bronchitis, chronic obstructive lung disease etc.ruled out... Do sputum examinationChest x-ray Pulmonary function test for further work up. According cause treatment done.... Take care. Chat Doctor."}
{"_id": "000000593", "text": "You seem to have developed infection of the umbilical and surrounding area. You should stop using a topical steroid cream over the affected area. Avoid using any oils or moisturizers over it.Instead, you need to apply a topical antibiotics cream over it. Clean it twice a day with a topical antiseptic solution or with warm saline water.  Chat Doctor. You might in addition need a short course of oral antibiotic"}
{"_id": "000000594", "text": "Hello, As these feelings are common of tingling and numbness post the closure of the incision and there is no nerve damage done while doing the procedure. Stay relaxed and get the implant removed by the next visit. After implant removal, do simple exercise for regaining the muscle strength to normal levels. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000000595", "text": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor.  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose (max ceiling dose 500\\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal"}
{"_id": "000000596", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of pleurisy is more. Pleurisy is inflammation of pleura. And it is seen mostly with lung infection. So we need to first rule out lung infection in your case. So get done clinical examination of respiratory system and chest x-ray. You may need antibiotics, antihistamines and anti-inflammatory Chat Doctor.  Application of warm water pad on affected areas is also helpful. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000597", "text": "His understand from your description that you are experiencing palpitations on and off for the last three months. Palpitations could arise because of certain electrical disturbances in the heart which are termed as arrhythmiaWhen you visited the hospital did they take an ECG? Was it normal? Sometimes certain arrhythmias cannot be detected on an ECG and you might then require a Holder Monitor. As far as your cholesterol is concerned it is well within the normal range. Even your hematocrit is in the normal range and I would not be concerned about it. I do not think you should worry too much at the moment about your calcium score if you are not currently diabetic, hypertensive and doing regular exercise as you do. Your calcium score will not be having any bearing on the fluttering that you are complaining of. If you really are getting disturbed by these palpitations, get yourselves examined by a cardiologist for cardiac arrhythmia so that the exact cause can be identified and treated accordingly. Usually Holder and a physical examination may reveal clues besides ECG. Hope I answered your question"}
{"_id": "000000598", "text": "Good morning. Your father seems to be suffering from cancer of unknown primary, and he has already taken two lines of chemotherapy.  As the disease grows the chances of further chemotherapy working on the tumor become less. As your doctor rightly said, best for your father would be to put him on some experimental therapy. You should go ahead with this trial form of therapy as only this can lead to best results. Regards"}
{"_id": "000000599", "text": "When was your last period? There are many choices for pill initiation. What the pharmacist at pharmacy has told is one such method. It is called quick start method. You can start taking pills on any day of the cycle as long as you are sure that there are no chances for pregnancy. But with this method you should use back up contraception like condom for diaphragm for the first seven days. Please note that with this method your census will be delayed until you complete active pills in the pack. Starting contraceptive pills on the first day of cycle is another choice of starting the pill. First day of cycle means first day of normal menstrual flow. When you start taking contraceptive pill on the first or second day of cycle there is no need to use back up contraception. I hope I have answered to your satisfaction."}
{"_id": "000000600", "text": "Hi, dairy have gone through your question. I can understand your concern. She may have leakage from shunt tube or some benign cystic lesion or some other mass. She should go for examination and if needed go for ultrasound study. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000601", "text": "Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy.  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. I suggest you use calamine lotion as its giving results along with oral antiallergic like HY Chat Doctor.  If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000000602", "text": "Hi, Siphene is primarily used to treat female infertility. It works by stimulating an increase in the amount of hormones that support the growth and release of a mature egg (ovulation). Its common side effects include stomach upset, bloating, abdominal / pelvic fullness, flushing, breast tenderness, and headache. Austen is a form of female hormone progesterone commonly prescribed to regularize the menstrual periods, support and maintain an early pregnancy. Generally it is well tolerated however it may cause headache, breast tenderness, and abdominal pain. Continue to take them as prescribed. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000000603", "text": "Hello Anti, Hope, it is your name. My advice as a Homeopath is not to go for any surgery. There is no guarantee that you will be more comfortable after the surgery on our spine. At least take some time to think very seriously before undergoing surgery. It is a wrong notion that your problem is because of the mechanical alterations in your spine and spinal cord. It can be the other way. You had some problems earlier and that is why your disc material protruded and made compression on nerves. Your two times diffusion was only a mechanical correction. As a Homeopath, I would suggest you to approach an expert Homeopath and get his treatment. Most probably you had a very shocking conflict before the attack of backache and this was repeated in subsequent episodes. They are not resolved. Physical expression is only a subsequent manifestation following the mental problem. Resolve the problems in the mental level by a good counselling and take homeopathic treatment from a good Homeopath. From my experience of 35 years of Homeopathic treatment in a classical manner, I can assure you that it is the mental causes that produce this sort of disc problems, and they can be corrected through Homeopathic treatment after taking into consideration, the mental, physical and general make-ups of the patient. With best wishes for a speedy recovery through Homeopathy and of course without a surgery, Chat Doctor.  C. J. VargheseHomoeopath"}
{"_id": "000000604", "text": "Dear friend, thank you for your consultation.it seems that you are in severe pain after colonoscopy. From my day to day clinical practice I know a pain is common after a colonoscopy. But this kind of uncommon severe back pain makes me think that some non-judicious use of investigation procedure that is either it was done by some less skilled person. Also there is a chance that after the procedure some infection has occurred in your colon because the procedure was not done aseptically. Now you should contact your surgeon for an investigation if there is any infection or any tear of colonic tissue has happened due to procedure. I hope with proper investigation and taking antibiotic for infection will help you to get cured of this pain.my best wishes for you. Thank you."}
{"_id": "000000605", "text": "Wear and tear means age related changes in the spine. It usually results into disc degeneration with facet joint arthritis. Back muscle stretching and exercise helps to improve the back muscle tone and subsequently gives more support to spine. Lumbar roll is to give support to lower back. If you are in severe pain then I would suggest trying anti-inflammatory with muscle relaxants and physiotherapy such as interferrential therapy (IT) to relieve the pain. Once pain subsided and more tolerable than start the exercise. Thanks."}
{"_id": "000000606", "text": "Hai, i will add Chat Doctor.  Liquefaction time high indicates infection and high pH will destroy the sperm. Semen culture will rule out infection. To do semen culture take opinion from lab personnel regarding the collection of semen procedure because culture is more sensitive investigation to rule out any microbial origin or growth in the sample without influencing any contamination from external source. If your semen culture is negative. Follow my below-mentioned food advise. Follow healthy diet plan includes nuts (almond, cashew,peanuts, pumpkin seeds etc.)milk and milk products dates, wheatsesamejaggery, .pomegranate, arrowroot,cucumber seed, fig etc. add millet type of food (reign, bajra) in daily food intake. Avoid junk, fried,caffeinated foods and stress(highly influential), tobacco,alcohol.be HY"}
{"_id": "000000607", "text": "Expired medicines lose their potency and will not be efficacious when used. Otherwise, they do not cause any side effects. Certain preservatives used may cause any allergic reactions or vomiting. In case of such symptoms, the child requires medical examination. You should also use new ibuprofen since fever may not be reduced with an expired Chat Doctor. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000000608", "text": "HI...vomiting after a head injury in a 5-year-old is concerning but as he is not doing it consistently and otherwise active, you can wait. I will suggest you the other danger sings you need to look for - 1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. Regards -"}
{"_id": "000000609", "text": "Hi, Nose bleeding generally could be due to simple causes like injury due to nose-picking, common cold, allergy etc. or Rarely, it may be due to some blood disorders, Chat Doctor. If your nose bleeds again, pinch the nose tight for 5 to 10 minutes and to breathe from the mouth during that time. You may also put an ice pack and sit with your head leaning backwards. Do not bend forwards. You can also use a decongestant nasal spray. This will help to stop the bleeding. I would suggest you to approach the ER if the bleeding is not stopping, it will require nasal packing to control the bleeding or"}
{"_id": "000000610", "text": "Hi, As per your query you have symptoms of male pattern baldness which is due to the sensitivity of hair follicles to an Chat Doctor.  It could be due to genetic factors and poor nutritional hygiene as well.  Need not worry. I would suggest you do the application of 2% Maintop lotion and massage it properly. I would suggest you consult a Trichologist and get a complete examination done and start treatment after proper examination. Increased masturbation is also due to hormonal influences. Keep yourself indulged. You should take Biotin and Multivitamin supplements and take Finasteride orally. Massage your scalp with warm coconut oil. Maintain proper hygiene. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000611", "text": "Hi, Dear,Thanks for your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You seem to suffer from-Varicose Veins with Incompetent perforator vein just above ankle, with slight burning sensation due to Rural Neuropathy from Cellulitis of the leg tissue around the long saphenous tract, along which the rural nerve passes down the leg. Color Doppler Study of the Deep and Superficial Long and Short Saphenous Vein would confirm the accompanied DVT with incompetent perforator vessel causing the soft sore lump in the leg above.Thus, the cause of this lump could be due to DVT of the Deep Popliteal Vein with Varsity of the perforator vein. Pain throughout the leg on standing, indicates the Short Saphenous Varsity. Hope this reply would satisfy you and would help you to plan further treatment with your doctor there. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS"}
{"_id": "000000612", "text": "Hi, Dear,Thanks for the query to My Chat Doctor Clinic. I studied your query in depth. I feel concerned about the worry you expressed about your daughter. In my opinion-its an insect bite, mostly tick bite -which has hallowed around the bump / or could be spider bite. Treatment with doxycycline /doxycycline would fix its infection and spread of Lyme. I would advise consulting ER Doctor, who could treat it with proper medications. Hope this would help your query. Wellcome for more queries to Chat Doctor. Have a good day."}
{"_id": "000000613", "text": "Hi, I understand your concern about your child.  Before proceeding for Hypoglossal cyst surgery, you need to confirm the position and function of normal thyroid tissues.  It is not an emergency surgery unless it get infected. Age of surgery varies with individual child Chat Doctor.  Other than surgery, chemotherapy (injecting medicine into the cyst) can be done.  I would advise you to get pediatric surgeon opinion for further management and follow up. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000000614", "text": "Hello, thanks for using Chat Doctor A GGT test is non-specific and is seen in a variety of medical conditions. Most often it is used to confirm suspected problems with the biliary tract. However, it could be elevated in the case of diabetes and alcohol intake, and you are diabetic and a chronic alcohol consumer.  Alcohol causes deny Chat Doctor.  However, at 51 your albumin level is okay and bad abnormalities of albumin is generally when the value is low indicating malnutrition. Where you could have problem is base on the issue of chronic and excessive alcohol intake but then, each nation has its own immigration policies laid down by law and it's not the immigration doctor who will decide if you will be granted visa or not. He simply makes a conclusion based on your results. Hope this helps you Best regards"}
{"_id": "000000615", "text": "Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. It is the species of the Mycobacterium genus. It requires same general principle of the treatment as for tuberculosis. Clarithromycin, Ethambutol, Hifalutin, and perhaps an Aminoglycoside with 12\\u00a0months of negative cultures can be treatment of choice. Take this treatment under your doctors' guidance.These bacilli are of low virulence and complete schedule treatment can completely cure the infection. Please maintain the hygiene by frequent cleaning and Chat Doctor.  It will help clear up the infection rapidly. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/"}
{"_id": "000000616", "text": "Hi. It is possible that he has stasis of blood in that area since he's not moving around. Chronic wounds/lesions which later on become ulceration usually start from this. Is there any associated sign and symptom such as pain or bleeding? Other lesion types must also be ruled-out such as lipoma, fibromyalgia or malignancy. It is best if you consult with a doctor for clinical evaluation. Management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!! ~ Chat Doctor."}
{"_id": "000000617", "text": "Hi thanks for asking question in Chat Doctor. You have chest pain while breathing mainly. First auscultation done for whether any rhonchi or crepitation heard or not... Chest x-ray done to rule out bronchitis or asthma or pneumonic consolidation.... For interstitial lung disease or fibrosis disease spirometry also useful. This is to be ruled out if smoking habit.... If no respiratory cause present then only muscle tear or strain might be the cause. Rest done. Analgesic taken.... If ribs tender to touch then Costco Chat Doctor. .... Take care....."}
{"_id": "000000618", "text": "HIT hanks for using Chat Doctor Learn consists of Escitalopram, and it takes two weeks to show response, so wait for few days. With antidepressant, his mood and interaction would improve. Dose would be gradually escalated according to need, so better consult psychiatrist when you feel. You can follow slight lifestyle modification in form of morning or evening walk, any meditation or yoga. This would help him. Thanks"}
{"_id": "000000619", "text": "Dear, thanks for taking the time to ask your questions to us. First, a patient with congestive heart pressure needs to have a low blood pressure to avoid that the heart will work more. Another situation is that when a patient is in dialysis, he/she lose a lot of volume of water and that can create low blood pressure. It is very important to check if he has any symptoms, as dizziness and weakness. It this is not the case, just keep monitoring his BP and keep record of any changes"}
{"_id": "000000620", "text": "HiT hanks for using Chat Doctor In ADHD, retain is treatment of choice. Normally, in ADHD, symptoms decrease with age. There is nothing to worry about it. You have to just consult his psychiatrist for the severity of the symptoms and whenever, he will have mild symptoms, you can try to stop it. Rest, depends upon him, how he manages without medicine. In case, you need further help, you can ask. Thanks"}
{"_id": "000000621", "text": "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-IBS with Peritonitis of Sigmoid Colon. Remedy-Consult Physician and assess the cause of the IBS.-BE on Spinach Soup 1 helping x 2 times a day-Butter Milk -x 1 helping x 2 times a day x 2 weeks-Cap Sporran x 1 x 2 times a day x 2 weeks-Tab Metal Spas x 1 x 2 times a day x 10 days-Stool/ ova /cyst to rule out the cause of the IBS-Proctoscopy from Surgeon to rule out any anorectal reasons. This would help the large bowels to set right in 2-3 weeks time. Hope this would lead to the exact diagnosis and proper treatment with your doctor there. Hope this reply would help you to plan further treatment with your doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS"}
{"_id": "000000622", "text": "HI. This is called a ganglion and is caused by inflammation / reaction to the joint-lining. By your history this is connected to the wrist. Many times this may subside on its own. You can give rest to the wrist for some weeks by cr\\u00eape bandage or wristband - not to allow movements at all. This will help to heal it internally. You can also try anti-inflammatory medicines simultaneously. You may please consult an Orthopedic Surgeon if these measures fail to heal."}
{"_id": "000000623", "text": "Hi... Thank you for consulting in Chat Doctor. I understand your concern. First be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. For pain, you can give oral Paracetamol in the dose of 15\\u00a0mg/kg/dose(max ceiling dose 500\\u00a0mg) every 4-6th hourly. But as he is preferring to sleep, I suggest you get him checked at the nearest emergency room, first thing in the morning. Regards -"}
{"_id": "000000624", "text": "HI. As your son is only 6 lumps on the bone is not likely to be due to cancer. I hope you have done at least X-ray of the affected part. X-ray may show this as an exocytosis- a benign condition. As for the sores at the corners of the mouth-this is called angular dermatitis and the cause is vitamins and folic acid deficiency. The root cause may be bad eating habits/ enterocolitis of some sort. This deficiency also causes the reduced resistance of the body giving easy infections and loss of weight. I would suggest such a patient to be first clinically evaluated by a Pediatrician and / or Pediatric gastroenterologist- HE would suggest further tests on examination and would advise multivitamins and folic acid in proper doses as also an antibiotic and metronidazole. I would advise you to give him It A one cap daily for 6 days and Clairol sachet one every week for 3 weeks. (if your Pediatrician does not write separately). This is going to help in a long run for a healthy baby. Give a shot of tablet for worms. Follow Orthopedic Surgeon for the growth at bone. I hope this helps you and your son to get a cure. Give a long term treatment and diet training is also a must (I know how 6-year-old are)"}
{"_id": "000000625", "text": "Dear Concerned., Thanks for writing to us. The condition you are describing is a simple mood disorder termed as \\\"Phobic Neurosis\\\". The treatment involves finding out the root cause of Phobia by Psychoanalysis and treating the same by constantly speaking to you or involving you in Psychotherapy by a qualified Psycho therapist/Psychiatrist. It is a long term treatment. In addition, Oral Anxiolytic or Tablets are also prescribed for this as adjuvant therapy. Consult a Psychiatrist pls. Thanks, Regards., Chat Doctor."}
{"_id": "000000626", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern... As per your complaint it is good that you are managing pain caused due to Trigeminal Neuralgia by taking Amitriptyline which is a tricyclic antidepressant and codeine which is an opioid pain medicine, although both are not first line Chat Doctor. . But in case if you are being managed well by taking these medicines you can continue with the same. In case if the pain does not improve by taking them then you should consult a NEUROPHYSICIN and get evaluated and he/she can advise you to take Carbamazipine that is the first line"}
{"_id": "000000627", "text": "Hi, There is proportionate relationship between your Chat Doctor. .there is highly possibility that your underlying depression is still untreated and so u requires more packs of beer.(which is like self-medication for your depression) So here solution is not to wean off from medication but consult your Psychiatrist, take proper advise and SOS change of medicine so then u will be able to gain control on your"}
{"_id": "000000628", "text": "Hi, I have read your medical history and feel sorry for the situation you are in. I am also happy to know that you do not have any problems with your heart or lung. That is great news. At this point, to my judgement the problems of breathing you are having could be related to"}
{"_id": "000000629", "text": "Hi, dairy have gone through your question. I can understand your concern. You have IGA deficiency.  So you may have anti IGA antibodies in your blood. It hives reaction with IGA. When you take washed RBC there is no reaction, because washed RBC doesn't contain IGA. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000630", "text": "HelloThanks for your query, based on the facts that you have posted it appears that your 14 years old son has swelling and pain of the Rt testicle since a couple of days. This is most likely to be due to infection of Testis(Orchids)Please consult qualified General surgeon or Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Mammogram 2) Routine urine test.3(Ultrasound scanning of the scrotum. He needs to take broad spectrum antibiotic like \\u010ceferin along with anti-inflammatory Chat Doctor."}
{"_id": "000000631", "text": "Hi and thank you so much for this query. I am so sorry to hear about this recurrent belly pain and discharge. From the information you have provided, you probably have an infection that is never really treated completely(Abscess). Recurring infections often have favoring factors and one of the is a foreign body. So long as this predisposing factor is not ad Chat Doctor.  I will suggest that you consult with your doctor and get this condition ad"}
{"_id": "000000632", "text": "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. You have thyroid issue and also PCs so both causes chances for low fertility but the is nothing wrong like both r treatable condition like you are taking medications and it will be fine you just need to keep faith and be calm and street free and have healthy diet also you husbands low count kinda makes it double trouble to cocaine but if he is on regular medications he will be fine and hope fullybyou will have a baby soon just keep faith and hang in there you will have good news soon I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegards."}
{"_id": "000000633", "text": "Hi and welcome to Chat Doctor. It usually very difficult to determine is ovarian cyst malignant or benign. These cysts are most commonly benign, and it is recommended to do frequent check-ups and evaluate dynamics of growing. Malignancies grow much faster and infiltrate surrounding tissues. There is really no better approach then it was recommended in your case. There is a possibility of laparoscopic biopsy, but it is invasive. I suggest doing these ultrasounds and if something suspicious is founds then it can be easily removed. CA125 is confusing many women. This is a tumor marker, but is also found in endometriosis, benign cysts, PID and some other intra-abdominal tumors and disorders. Wish you good health."}
{"_id": "000000634", "text": "Hello, Well the first thing to do is stop the icing and use heat. A heating pad or soaks in a bathtub 2-4 times a day. Ice can actually delay the healing. It really depends upon what sort of injury you had. If you had a tendon tear it can take months to heal. If it is a joint injury and is just sore from the swelling then it should clear up in 4-6 weeks. If you think it is not healing properly then see your doctor. Regards"}
{"_id": "000000635", "text": "Hi, Hope you are doing great. Meet a dermatologist and discuss the possibility of rosacea along with acne. The two conditions may coexist. Use a broad spectrum sunscreen with an SPF of 30. Apply every 3 hours. Wash your face with lukewarm water. Do not use scrubs. Always pat Chat Doctor.  Use a mild cleanser like detail. Use a cream containing Darlene/clindamycin/ atelier acid/glycolic acid. Any of these creams can cause irritation, use a moisturizer like detail to prevent it. Hope this helps you. For more personal advice I need to see your pictures."}
{"_id": "000000636", "text": "Hello and welcome to Chat Doctor, The damaged tooth in between the sinus has to be extracted based on the involvement and severity of sinus condition. You can visit an oral and maxillofacial surgeon regarding this. Also get the other treatments done. Maintain good oral hygiene too. Use soft-bristled toothbrush and desensitizing toothpaste to brush your teeth.get your teeth cleaned since chance of gingivitis is high in your case. Include vitamin-c rich food into your diet. Take care."}
{"_id": "000000637", "text": "Hi, I can understand your concern regarding your symptoms. From what you have mentioned, you seem to have developed symptoms suggestive of post-traumatic stress disorder (PTSD). It is a condition in which a person becomes anxious in presence of anything that reminds him of the trauma and avoids it. He also has nightmares or flashbacks of the incident. I would suggest that you talk to your parents regarding your symptoms and then seek a psychiatric consultation. Adequate treatment with selective serotonin reuptake inhibitors will help control your PTSD symptoms. I do hope that I was able to answer your query. Wishing you a speedy recovery."}
{"_id": "000000638", "text": "Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would advise you not to eat from outside to avoid any kind of intestinal infection creeping in. After a clinical assessment, I would go for a stool test for ova and cyst, a urine routine/microscopic and culture sensitivity test to rule out a UTI, and treat it if found positive which should relieve you of your problem. In addition, an ultrasound of abdomen would help us in ruling out a gall stone disease which not infrequently would give rise to pains and bloating feeling after meals specially a fatty meal. Till these reports are available, I would advise you for a proton pump inhibitor, a probiotic and an anti-spasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000000639", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, it seems pleurisy more. Pleurisy is inflammation of pleura. And chest pain on coughing is characteristic feature of pleurisy. Bronchitis will give wheezing, shortness of breath more, along with cough. So I advise you to consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). Chest x-ray is needed to rule out possible causes for pleurisy (pneumonia, tuberculosis etc.).PFT is needed to rule out bronchitis. So better to first diagnose yourself and then start appropriate treatment."}
{"_id": "000000640", "text": "Hello! Thank you for asking on Chat Doctor ! Your symptoms could be related to chronic degeneration of the vertebral column. Regarding the metallic smell, it could be caused by anesthetic adverse effects. Anyway, I would recommend consulting with a neurologist for a physical check up. Performing a complete blood count and iron levels for iron deficiency is also necessary. If the problem persist, I would advise trying an antidepressant. Hope you will find this answer helpful! Best wishes,"}
{"_id": "000000641", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In your case, we need to rule out aspiration of foreign body (piece of cliff bar) into the lungs. This can cause chest congestion and aspiration pneumonitis. You are having right sided chest pain, so possibility of pneumonia is high. So consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and Bronchoscopy. Bronchoscopy is not only diagnostic, but it will also take out the aspirated material (therapeutic) if present. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000642", "text": "Hello he read your query.please specify your age and do you he any short of tobacco intake habit. If it is so den go to a dentist and get it checked. And for the whitish tongue it may due to poor oral hygiene. Clean your tongue properly and use a God mouthwash.sum times it can be due some fungal infection .in that case u he take sum medicines. Hope this ans ll be helpful. Take disregards Chat Doctor."}
{"_id": "000000643", "text": "Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you mentioned your dad is sweating a lot he needs a thorough neuromuscular assessment. Since he is losing a lot of sodium and water from the body, due to fluid and sodium imbalance he is having dizziness and fatigue. Also, the sweating can be related to other systemic issues for which a thorough assessment is advice. Also, he is 67 years old with low Blood pressure medicine and cholesterol medicine the concerned systems needs assessment. Based on the assessment the treatment will be planned. RegardsJay In Chat Doctor."}
{"_id": "000000644", "text": "Hi. The cyst does indicate a possibility for or has led to a hormonal imbalance. Please understand that such issues cannot be treated with over the counter medication. Pregnancy and conception is no joke and so although your problem is minor, with proper guidance and treatment you will surely be able to conceive soon. A thorough work up followed by control of cycles along with the initiation of medication like camphene can help your conceive soon. Best wishes."}
{"_id": "000000645", "text": "You have got the wright medication Penicillin is the treatment of choice for all stages of syphilis, with the type of penicillin and dosing based on clinical staging of the disease. Latent syphilis (i.e., without symptoms) is detected by serological testing and is divided into early latent syphilis (acquired within the preceding year) and late latent syphilis or latent syphilis of unknown origin. Nontreponemal (RPR/V Chat Doctor.  Successful treatment is associated with a 4-fold or two-tube decline in tier (i.e., from 1"}
{"_id": "000000646", "text": "Hi I hope you are very well The alteration that you present in your liver chemistry according to ALT levels is a moderate elevation, with a hepatocellular pattern. Your diagnosis may actually be a fatty liver, however, this is a very broad spectrum that includes hepatic stenosis and steatohepatitis. You have metabolic risk factors for fatty liver such as your overweight / obesity and dyslipidemia. You should have a checkup for suspected diabetes mellitus and systemic arterial hypertension. There are several non-invasive studies to evaluate the degree of fibrosis or even cirrhosis, the one with the highest diagnostic yield is the transient cartography (Protest), however, to differentiate between stenosis and stenosis hepatic biopsy should be performed. The importance of detecting a steatohepatitis is for prognostic purposes, since the progression to cirrhosis is greater. The treatment indicated in these cases is mainly non-pharmacological, the loss of weight is fundamental as well as a modification in the lifestyle, a balanced diet, increase in the physical activity. An approximate loss of 5-10% of weight is suggested in a period of 6 to 12 months, this is associated with an analytical and histological improvement. There are very few Chat Doctor.  One of them is vitamin E in doses of 400,000 to 800,000 U / day especially in people who do not have diabetes mellitus. Other medications currently being used are statins like simvastatin that you consume, as it has antibiotic properties."}
{"_id": "000000647", "text": "Hi!, Welcome To Chat Doctor forum, Big red spots on thigh, seems to be a fungal infection. And it is also associated with itching. The second possibility I would say would be an allergic reaction (less likely). You can first start with using antifungal creams and tablets for first 2 weeks and then decide whether to continue it or not. The usual course is of 4 weeks. If you don't respond in first 2 weeks then switch over to a steroid cream. Along with this you can take any anti-histaminic tablet like cetirizine to relieve itching. But as these medicines are prescription based, so you should consult a dermatologist and should not try it yourself. I'll be available to guide your further if needed. Regards, Chat Doctor."}
{"_id": "000000648", "text": "Hi there. Pain over the upper shoulder and back region most commonly is myofascial in nature. That is there are these certain areas of the upper back that are known to act as trigger points. It feels like a dull aching, sometimes cramping pain. Low levels of vitamin D, Improper posture while sitting at work, sleeping on a hard pillow can cramp these muscles of the neck and upper back and can lead to this. So I suggest you get an appointment from a physiotherapist and ask for a trigger point release which is quite effective. Also get guidance for proper sitting posture and get your vitamin D levels checked. If the level is low you might need to take some supplementation for the same. Local analgesic ointments and sprays can alleviate your pain to some extent. Do look out for any numbness, tingling sensations or weakness in your hands for which you might need to see doctor and get yourself evaluated for a possible spine related problem. Thank you."}
{"_id": "000000649", "text": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Stem cells from umbilical cord could be helpful, if the baby is not suffering. HLA incompatibility will be low. 2. Beta-thalassemia is a hemolytic anemia and not an autoimmune disease. Regular blood transfusion along with plasma apheresis to remove iron could to be helpful.3. Yes, it is true. You can give a try in relation to stem cells. This is still under research. Do get fetal DNA analysis to confirm the baby is not suffering from Beta thalassemia - it's an inherited disorder. Hope it helps. Any further queries, happy to help again"}
{"_id": "000000650", "text": "HiT hanks and welcome to Chat Doctor. If you give whole cell pertussis shot it will be painfulAcellular pertussis vaccine is painless. But IAP recommend whole cell pertussis vaccine even though painful as it offers better protection. Tripacel (Tap) vaccine by Events Pasteur contains 5 purified pertussis antigens combined with diphtheria (>30 I.U.) and tetanus (>40 i.u.) toxic. It is safer and painless and fewer side effects. Single dose vaccine cost is variable around 500 to 600 rupees. Hope this answer serves your purpose. Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam."}
{"_id": "000000651", "text": "Thanks for your query, I have gone through your query. The white stuff on the area where the stitches have been put is nothing but a soft tissue slough. Nothing to be panic, it is common after surgery. The other possible cause can be food debris over the stitches. Do saline gargling and keep the area clean. Rinse your mouth thoroughly soon after eating anything. Regarding the swelling, it will be there for another one day, because the damaged lymphatics will take 24-48hrs of time to recover so nothing to worry. You can take analgesic with anti-inflammatory Chat Doctor."}
{"_id": "000000652", "text": "Hello dairy understand your concerning positive pregnancy could be due to1. Done very early in the pregnancy2. Done with diluted urine and Failure to follow instructions properly while doing test3. Chemical pregnancy/miscarriage4. Positive pregnancy test as some time pregnancy test will give false negative testPregnancy test will give positive result 8-10 days after the missed period. I would suggest going for blood Chat Doctor test after consulting the gynecologist for final confirmation of the pregnancy. Blood Chat Doctor is more accurate test and give positive result only 10 days after the unprotected sex.Meanwhile, avoid stress, take healthy diet, Chat Doctor."}
{"_id": "000000653", "text": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In some patient collagen deposition is extra abnormally. I suspect same in you. The only problem to your problem is applied steroid cream over the wound area. Whenever you have even slight injury you should start applying the steroid cream under your doctors' guidance. The extra collagen you have can only be treated is surgical excision. I advise you to visit nearby surgeon which will guide you regarding excision procedure. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor.  Thank you. ChatDoctorInfectious diseases specialist."}
{"_id": "000000654", "text": "Hi. I can understand your concern. Yes possibility that it is due to your lungs.Don't worry, you will be alright. It would be advisable for you to get a chest x-ray done. If it is normal then get a PFT done which will tell us how much your lungs are functioning and what is the effect of smoking on them. Consult a pulmonologist for the same. STOP SMOKING before it causes more harm to you. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000000655", "text": "Hi, Thanks for asking the query, Pain in the filled tooth can be because of two reasons, There could be dental caries left beneath the restored tooth, when it reaches the pulp tissue causes inflammation of pulp known as pulpits. Or there could be presence of high points if you feel pain at the time of chewing or other tooth movements. I would suggest you to visit a dentist and get an x-ray done, accordingly replace the filling with the Root canal treatment. Take tab Coquitlam 500\\u00a0mg twice for pain relief. Hope this helps out. Regards."}
{"_id": "000000656", "text": "Get your ECG done and consult some cardiologist for palpitations. You also need to work out for the cause of diarrhea,maybe you need to take some antibiotics....and change your food habits for few days. Find it out if recently any new medication you have started....that can also cause diarrhea. Few antidepressants can also cause diarrhea....try to take antidepressants with food. Rapif heart rate/palpitations can also be due to depression or anxiety state. Consult you psychiatrist also in this regard"}
{"_id": "000000657", "text": "Cellophane you for your query. As you have conceived before, chances of repeat pregnancy are good for you. I wonder how you were told that you aborted because egg formation was not proper, probably there was some genetic defect in the fetus, which could be due to chromosomal abnormality in the egg. However, your size of egg for day 10 is quite good, and you have good chances at ovulation. Please have a couple karyotype for genetic evaluation. Also, take adequate folic acid supplements. Rule out uterine anomalies, hormone imbalance, infections and autoimmune conditions as cause of missed abortionTake care."}
{"_id": "000000658", "text": "Hello, Thank you for your query. The prognosis of the surgery varies with the location and severity of the rupture. There are other factors which needs to be considered like the age and weight.  The knee swelling of the right knee might be due to the acute injury caused due to the workout, may be a meniscus tear or ligament sprain. If the pain is too severe and swelling not subsiding it is advisable to take an x-ray of knee. Physical therapy helps in return of the natural strength and stability of the knee after the surgery.  You can follow basic instructions like 1- Avoid rigorous work-outs till total recovery 2- Have cold and hot water application of the knee to relieve the pain and discomfort 3- Can do simple knee exercises Building muscle strength takes time. As you get stronger, gradually increase the number of exercise repetitions or add weight to an exercise."}
{"_id": "000000659", "text": "Hello, The itching that you are suffering from could be related to the previous infection, a condition known as infection-related urticaria. However, if your skin appears completely normal, then you will need several tests in order to ensure there is no specific organ related pathology.Some tests include liver function tests with gamma GT, liver autoantibodies with ANA if Lots including ALK for very abnormal (and raised bilirubin); thyroid function tests. Typhoid and a viral hepatitis can very rarely co-exist or happen, so it is important that viral entities are excluded. The treatment will then depend on the results."}
{"_id": "000000660", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of vitamin B12, calcium and vitamin D3 deficiency is more. Chest and back soreness is commonly seen with calcium and vitamin D3 deficiency. Numbness in lower limbs is commonly seen with vitamin B12 deficiency. So get done blood levels of vitamin B12, calcium and vitamin D3 and if deficiency then you will need supplements. Also avoid movements causing pain. Avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas of chest and back. 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."}
{"_id": "000000661", "text": "Hi, Thanks for writing in. A kidney stone measuring 4 mm can hurt and cause pain. If such a stone is seen on CT scan which is causing obstruction, and you are feeling pain around the location then a pain due to the stone cannot be ruled out. The CT scan images are to be seen to discuss in detail. Rarely, such a pain can also be caused by another problem in the same area. The presence of the stone causing any obstruction is the most definite sign of pain due to the kidney stone. It is also possible that rarely stones less than 2 mm can be missed on CT scan and such a stone or any other recently passed out stone before taking CT stone can cause such a pain. Please discuss this matter in detail and continue to Chat Doctor."}
{"_id": "000000662", "text": "Hi, I think you can try naturally for 6 months to one year because mastectomy doesn't affect conception. But if it doesn't work in 6 months, get yourself evaluated.  Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries.  Also do a HSG to see the tubal patency.  A semen analysis of your husband should be done.  If everything is fine, you can try for 6 more months.  Be in contact with your husband every 2 to 3 days after your periods stop.  IT will increase chances of your pregnancy.  Hope I have answered your question. Regards Chat Doctor."}
{"_id": "000000663", "text": "Dear patient Considering your symptoms you are mostly having disc prolapse with nerve root compression.  This needs to be investigated with 1. X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities 2. MRI of lumbosacral spine with screening of whole spine.  MRI gives detail information of discs and nerves so helps in confirming diagnosis and exact level of pathology which is helpful in planning treatment.  Visit radiology center nearby you and get it done. You need to consult expert spine surgeon with report."}
{"_id": "000000664", "text": "Hi, as per your history, Kikuchi-Fujimotos disease is the best possibility in your case and biopsy is the confirmatory test in such cases! Sorry that sometimes all symptoms might not fit due to partial therapy! There is no other specific tests available; However, it could be some acute lympadenitis or toxoplasmosis also! Kikuchis disease just needs NSAIDs group of Chat Doctor. Wish you good health!"}
{"_id": "000000665", "text": "Hi welcome to Chat Doctor forum.  Thanks for choosing Chat Doctor. Forum.  You had abdominal hysterectomy on 4-1-2013. And in 2 days after discharge got readmitted for illus. It must be a secondary to obstruction. So it may be a side effect of the surgery. Of course if it is illus it must be there since long before.  I advise you to consult a gastroenterologist for diagnosis and treatment. For illus long term and continuous treatment may be recommended. If it is secondary to the surgery if the problem is corrected, there is a possibility of complete correction.  Wishing for a quick and complete recovery.  Best regards."}
{"_id": "000000666", "text": "Hi....by what you quote I feel that the kid might be having a bleeding disorder, either congenital or acquired... Mostly congenital, considering the age of presentation. The bluish discoloration you are noticing is a subcutaneous bleed or bruise and the small lump you are able to palpate is a subcutaneous blood clot. Your grandchild needs evaluation and I suggest you take her to the nearest emergency room as soon as possible. This I am suggesting because - if the kid has a spontaneous bleeding like this internally, as she might require emergency blood products. Regards -"}
{"_id": "000000667", "text": "Hello, Welcome to Chat Doctor, Your history and the symptoms suggests me that you are having cellulitis following puppy bite. The bacteria like staphylococcus and streptococcus will survive on the surface of the skin whenever there is a break in the skin these organisms will gain entry into body and release there toxins and produce symptoms like cellulitis. If the wound is infected you may require injectable antibiotics to cover staph and strep to. The antibiotics like In CAVAM or In Piperacillin + Tazobactam combination is very effective in controlling this type of infection. As part of the post exposure prophylaxis, continue and complete the course of antirabies vaccine. Thank you."}
{"_id": "000000668", "text": "Hi, dairy have gone through your question. I can understand your concern. She may have some vascular tumor like hematoma or myogenic granuloma.  She should go for complete excision of lump.  Then go for histopathological examination. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000669", "text": "Hello, It seems she has stroke leading to one-sided (right) facial weakness and limb paralysis (Ischemic stroke). Calcified plaque in carotids indicates advanced atherosclerosis. LV diastolic dysfunction is age-related. Mild pericardial effusion needs exclusion of Hypothyroidism. Go for serum Free T3, Free T4 & TSH and serum lipid profile, Blood sugar fasting and postprandial, BUN, serum creatinine, serum electrolytes, complete blood count, urinalysis as work-up for stroke. MRI brain(plain) needs to be done to delineate infarct. Treatment follows after workup is complete. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000000670", "text": "Degree understand your concerns went through your details. I can understand your emotions. I assume that you are the mother and your child abused you. In any case, mother and girl child relationship are always thorny during the girl children teen and young adult age period. You have not mentioned the children and the mothers age. So I assume that too. There are many occasions where the child uses foul language and the mother retracts and the same happens in the reverse too. Both mother and child could fight each other using words and using hands sometime. All the above behavior are normal up to an extent. Limits should not be crossed. For that either of one should adjust. Don't worry. Everything will be alright. Keep your faith. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000000671", "text": "Welcome to Chat Doctor .1. The history suggest spin IFID - it's a congenital defect (with birth) generally detected before birth antenatal.2. Frequent pains are due to the involvement of the nerve - possibility of compression can not be ruled out.3. In this case MRI spine would give good anatomical delineation of the lesion and extortion can be assessed.4. I think you need to see the neurosurgeon or a pediatric neurologist for better evaluation. Is involvement of nervous system is there. 5. Cn not b ignored or dallied, and it may progress and complicate, the defect has to be closed. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000000672", "text": "As per your complain .it is very much suggestive of bleeding piles.... at hone u can try some measures like hot water fomenting by sitting into tub filled with mild hot water with 10-15ml settle or salon poured in it... Change your diet more towards green leafy vegetable.... U can use laxatives if u feel constipated or having hard stool... Simple painkiller if u having pain... Local ointments for piles available in market containing calcium and lidocaine... applications would be very useful..."}
{"_id": "000000673", "text": "Hello, Actually, if you were truly orthostatic your condition would likely get WORSE as you continued to stand and walk not better.  However, it is possible that you are NOT orthostatic but have another problem which could be what is referred to as VERTEBROBASILAR INSUFFICIENCY which is a transient loss of blood to a portion of the brain stem and cerebellum that involves the function of balance and gait steadiness which explains the veering and feelings of dizziness.  Z-packs are felt to be overused these days for simple infections and are recommended not to be prescribed for simple infections.  If you've no real sign of infection then, even less reason to use the antibiotic.  I would definitely recommend getting your blood pressures checked for orthostatic Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000000674", "text": "Hello, It is very unfortunate that you had to go through 3 unsuccessful pregnancies. Yet, you can still be positive and hope for a successful outcome this time since all your reports are normal, and you are being given required prenatal medication. Please wait for 6 months before you go for assistance in conception. Have regular intercourse during the fertile period of the cycle. Rest flat for 30 minutes after the intercourse. Do not douche or use strong soap solution to clean the genital region. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000675", "text": "Hello Band, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows"}
{"_id": "000000676", "text": "Hi, Thanks and welcome to Chat Doctor. Severe cough throughout the night may be whooping cough, allergic cough and even asthma. Ebastine syrup controls allergy. Moteleucast will prevent asthma attacks. Deflazacort syrup 2-3times daily gives relief from spasmodic cough. Better consult pediatrician to arrive at a conclusion and for proper treatment. Hope this answer serves your purpose. Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam."}
{"_id": "000000677", "text": "Hi I did review your concern. Both iron sulfate and bisglycinate have different amounts of elemental iron and that relates with toxicity and abdominal side effects as well as amount of response that occurs. Higher the elemental iron, higher the toxicity but higher the response. So a balance is required. Iron bisglycinate 50 mg bid is a right dose to start with and the best way to measure response is to get a reticulocyte count at 1\\u00a0week after response. It should rise in response to iron therapy. Also iron bisglycinate has 20% w/w elemental iron in it just like ferrous sulfate. It has more bioavailability and known to cause less Gastrointestinal disturbances as compared to ferrous sulfate. I hope this yellowish you all the best Thank you for choosing Chat Doctor"}
{"_id": "000000678", "text": "Thanks for your question on Chat Doctor. I can understand your fathers situation and problem. He is taking optimum bronchodilators for COPD. But still he is not controlled. The most common cause for this infection. He is also having micro aspiration. So possibility of aspiration pneumonia is more in his case. So get done chest x-ray to rule out pneumonia. And if present, he needs appropriate antibiotic treatment for pneumonia. Once his pneumonia is clear, his COPD symptoms will mostly control. So consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks."}
{"_id": "000000679", "text": "2012?  You are 5 years beyond those dates.  PCS is said to generally resolve over a period of several weeks to several months.  In rare instances patients can suffer from some symptoms up to a year and in extremely rare instances up to several years.  You are MORE than cleared to travel in the year 2017 if your injury was in 2012.  Please rate this as a 5-STAR ENCOUNTER and write me at"}
{"_id": "000000680", "text": "Hi, Welcome to Chat Doctor, The rashes can be due to allergy as she used the shampoo that she should not have used. Child Chat Doctor.  Antihistamine Syrup and mild medicated lotion/cream can be of help. Do not let her scratch. It is important to rule out any fungal infection, viral infection. Get her examined clinically by a doc. Diagnosis should be made early to start the treatment, she will need antibiotics and ointment surfeit to be applied locally if ring worm infection is detected. If it is measles, symptomatic treatment should get started as it is a highly contagious disease. Maintain hygiene, get her treated, take care."}
{"_id": "000000681", "text": "Hi, dairy have gone through your question. I can understand your concern. He may have some enlarged lymph node due to reactive hyperplasia or some soft tissue tumor like lipoma. He should go for examination and if needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000682", "text": "Hi, I think you can get pregnant naturally becaus4 occasional ovulation occurs in PRO.  But there is no surety of that. So, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days after injection.  Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor."}
{"_id": "000000683", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No need to urgently visit emergency room because possibility of stress related symptoms is more. At your age of 28 years, heart diseases are less likely. You are having financial stress, and you are improved with antianxiety pill, so possibility of stress and anxiety related symptoms is more. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Along with"}
{"_id": "000000684", "text": "Thanks for your question on Chat Doctor. Hoarseness of voice with chest pain can be seen in many conditions, but the common causes are1. Lung malignancy2. Endobronchial tuberculosis3. Lung abscess4. Phoenix nerve palsy with recurrent laryngeal nerve palsy (vocal cord paralysis)So better to consult pulmonologist and get done1. Chest x ray2. CT thorax3. Bronchoscopic evaluation of vocal cords and trachea to rule out above-mentioned causes. Examination of vocal cords is very important in hoarseness of voice. Its movement, nodules on surface, ulcers etc. can be very informative to reach the diagnosis. So consult pulmonologist and discuss all these."}
{"_id": "000000685", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It is a premature ejaculation. Because you are not performing regular hand job. Regular masturbation can free you from such a disaster. In my advice you should do it once daily. This has many advantages. You can control your act of ejaculation. Once you ejaculate all your problem will go. Masturbation relieves your thirst of desire and stress. You can also enjoy good life. This is the natural way of act. This regular act relieves all your problem. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."}
{"_id": "000000686", "text": "Hi, Your irregular period could be due to hormonal imbalance, ovarian dysfunction/POD and thyroid dysfunction. I would suggest taking proper treatment under advise of gynecologist. You have small follicle. Following Chat Doctor.  It causes induction in ovulation. Metformin along with Compete can be useful. After taking it, go for follicle study. If ovarian follicle will still be smaller than Chat Doctor injection will help you to induce ovulation. Avoid stress, take healthy diet, reduce 10 to 12% body weight by regular exercise, and avoid excessive diet. Hope this may help you. Let me know if I can assist you further. Best regards,"}
{"_id": "000000687", "text": "To know exactly whether its Thomas or germ cell tumor, a biopsy and histopathological examination will be required. In germ cell tumor, tumor markers including serum AFP, serum beta Chat Doctor and serum LDH are sometimes also raised and will aid in diagnosis. Germ cell tumor is a cancer and Thomas has subtypes ranging from benign lesion to thy mic carcinoma which is malignant. Biopsy will give the exact diagnosis. I hope it helps. Please discuss with your doctor."}
{"_id": "000000688", "text": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a fall. I recommend doing gentle stretching exercises. I also recommend using anti-inflammatory medications such as Acetaminophen to relieve the pain. If the symptoms continue, you should consult a neurologist and get evaluated. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor."}
{"_id": "000000689", "text": "Hi, It seems that you might be having allergic asthmatic bronchitis giving rise this problem. Try to identify the allergen causing this problem and avoid them. Pollen bodies, scent, spray, cosmetics and atmosphere can cause this problem. Take respiratory antihistamine like Monte LC tablet for 2-3 weeks. Do deep breathing exercise daily. When you get attack, take nebulizer or Stalin inhaler. Ok and take care."}
{"_id": "000000690", "text": "Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor.  I have read your question completely, I understand your concern and will try to help you in the best way possible. The post Exposure Prophylaxis of rabies depend upon the degree of exposure, and the prophylactic measures may vary from simple antirabies vaccines to the use of passive immunity, in the form of anti-rabies serum or immunoglobulins, but since rabies is a potentially fatal disease and its post exposure vaccination have shown to be having almost 99.9% efficacy, so normally doctors don't recommend taking chances, so even for trivial scratches the vaccinations are suggested quite often. But in your case, since dog is well vaccinated, and since you know the vaccination status of the dog, then it must be, a pet dog likely. So it would be still encouraging if you reconfirm the exact booster dosages and whether the vaccines schedule was followed, as per protocol. If dog is available, it can be examined by a vet to reconfirm whether it has any signs and symptoms of rabies? Also, the history that, whether it was a provoked bite or spontaneously unprovoked incidence is very important, in case of stray dogs mostly. The kind of wound you inflicted is a category 2 wound, which needs rabies vaccination normally, without any need of antirabies serum. But since dog is well vaccinated as you have described\\u2019t hen need of vaccination declines. I would still suggest you, that even if there is a little of ambiguity, regarding the dogs' status, you can start anti rabies vaccination according to regular schedule of day 0,3,7 and 21. And meanwhile god can be kept under monitoring. If the dog doesn't show any kind of symptoms in 10 days, then the vaccination can be stopped. I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegrads."}
{"_id": "000000691", "text": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. As you have mentioned that you were quite regularly taking the birth control pills, you need not worry about the pregnancy. Your concern about consumption of antibiotics is also right. But taking antibiotics for 5 days should not interfere with the action of oral contraceptive pills. So please wait for the expected date of the cycle.  I hope this answer helps you. Thanks Chat Doctor."}
{"_id": "000000692", "text": "Hi...by what you quote I feel that your kid might be having a vertigo which is related to a middle ear problem. I don't think this is related to the pain abdomen or constipation she had. If it is vertigo her head will feel dizzy, and she feels like spinning every time she changes her position like standing from sitting position or turning her head sideways etc. If this is so - I suggest you seek the consultation of an ENT surgeon with pediatric experience. Regards -"}
{"_id": "000000693", "text": "Hello, Welcome to Chat Doctor forum, surgery is last option for disease when it is not possible to treat by any means. Bulky uterus is not like that. It may be due to any cause, it can well be treated with homeopathic treatment. Uterus is not only to produce child that after having child remove it. After removal of uterus there are many hormonal disturbances happen in later life. So avoid surgery for better future. Homeopathy is very good for these type of problems. But be sure that, HomeopatChatDoctoredicine must be selected after taking detail history of your physical as well as mental makeup. Then n then you will get satisfactory result. So consult good classical homeopath. You will surely get benefit with homeopathy."}
{"_id": "000000694", "text": "Thanks for posting you query to Chat Doctor. Staphylococcus are normally present over our skin so any break in skin increases chances of skin infection. Use of bad or any kind of sharp to remove hair should be avoided as it causes minor cut .send me yr culture report so I can suggest you right remedy as proper dose and duration is important .hope you would be satisfied with my answer.  Feel free to communicate if any query.regards, Chat Doctor."}
{"_id": "000000695", "text": "Hi. Thanks for your query and an elucidated history and reporting. You have been diagnosed for (i) Cervical & lumber Spondylosis (ii) RA (iii)crack in right platelet-pain and swelling, now have pain in the right abdomen and less appetite. You have been under the following medicines"}
{"_id": "000000696", "text": "Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. High BP is major risk factor for major diseases like HD, stroke,.HTN can be due to many reason but most time it is due to idiopathic THT there is no cause n called essential hypertension.some causes can be renal, metabolic,endocrine etc....ideally in high BP pt need BP caring twice daily for ate last 5 days n then consider that it is high BP.in high BP 1st need to do lifestyle modification include take low fatty diet n low salt diet with DEC wait n inc exercise n monitor BP for up to 6 months n still inc BP then need to be put on med n then need monitor bps til to adjust dose...it is done for pt who are recently DX...as your mother is already known pt of HTN n having high BP need to optimize dose n still have high readings then add on TX need to be considered n if there underlying factor that increasing BP may need to eliminate too...in old pt vessel become thick n hard n lead to inc BP while in young it dilates/constrict Sacco"}
{"_id": "000000697", "text": "Hello! Welcome on Ask a Doctor! I understand your concern and would explain that your symptoms could be related to a cardiac arrhythmia. For this reason, I recommend consulting with your GP for a physical exam and some tests"}
{"_id": "000000698", "text": "Hi welcome to Chat Doctor Rashes after fever and cough are mostly due to viral illness itself. Usually they appear after subsiding of fever and resolve in 3-5 days. Mostly create doubt of Chat Doctor. Usually child is active and playful. They are to be taken seriously is baby is dull, there is pain abdomen, vomiting, cold extremities, bleeding from any part of body, baby is passing less urine. Hope I answered your question revert back if any other querythankd"}
{"_id": "000000699", "text": "Hi there,Since you have irregular periods its possible that you must have ovulated late and that's why the pregnancy is 6-7 weeks at present. So do not worry about the dating of the pregnancy. More importantly since the fetal pole has appeared when compared to the previous report it would mean that there is some progress in the pregnancy. I would advise you to wait and get another scan done to check for fetal heart after 10 days of this one. This will tell for sure if the pregnancy is viable or not. Also since you have a seizure disorder and taking medications for the same, you need to consult your neurologist and see if the seizure disorder is under control. It is very important that your medical condition is under control, do not stop taking the medication as seizures during pregnancy can have an adverse effect on the baby. You are also more likely to have a child with birth defect a slightly more chances about 35 more. So it is very important that you get regular scans and tests done to check for neural tube defects, heart defects. This risk can be decreased to a certain extent by taking high dose 5 mg folic acid. I would advise you to visit a neurologist and repeat the scan after 10 days before deciding on discontinuing the pregnancy. Hope this helps. Regards."}
{"_id": "000000700", "text": "Hi The legs have two sets of veins, deep veins and superficial veins (close under the skin), blood goes from the superficial to the deep veins. Clots usually form in the deep veins though they can occur in the superficial veins as well. Whereas the arteries in our bodies have thin muscle our veins do not, and they rely on the contractions of the surrounding muscles to return the blood to the heart. Some persons with a history of DVT can have a complication called post thrombotic syn Chat Doctor. Some symptoms of this include"}
{"_id": "000000701", "text": "Lifestyle modifications help to improve risk factors for heart disease. However, cardiac arrhythmia like Atrial Fibrillation needs to be evaluated and find the reason for it. The electrical channels in the heart can not be changed with lifestyle modification, but it helps specially if you lose weight that will help the heart to work less. The heart muscle repairs when you have a good aerobic exercise."}
{"_id": "000000702", "text": "Hi, dairy have gone through your question. I can understand your concern. You have ANA positive for immunofluorescence test. It is screening test. It can be seen lupus, but sometimes it is positive in many healthy individuals also. Please send me your ANA profile line immunoassay reports. So that I can help you to give exact diagnosis. Then you should plan accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000703", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, this can be due to allergic disease like asthma or allergic bronchitis because you are improving with Zyrtec (cetirizine). Cetirizine is antihistamine and used widely for allergy. In my opinion, you should consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT is must for the diagnosis of asthma and allergic bronchitis. It will also tell you about severity of the disease and treatment is based on severity only. Combination of anti histamine and anti-allergic (montelukast) is more beneficial than antihistamine alone. Inhaled bronchodilator and inhaled corticosteroids (ICS) are the mainstay of treatment for breathlessness. Don't worry, you will be alright. No need to worry about low circulation. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000704", "text": "Hi, Thank you for posting your query. A calcified lesion is most often due to a healed tape worm infection, called as neurocysticercosis. Since the worm is already dead, as suggested by calcification, albendazole is not necessary. The visual symptoms could be a sign of seizure, and it may be due to the location of lesion in the occipital lobe. So, Extol may have to be restarted and continued for long. Tingling in knee is an unrelated problem. Best wishes, Chat Doctor."}
{"_id": "000000705", "text": "Hi Dear, Understanding your concern. As per your query swelling under chin along with pain in it. The symptoms you mention in query are pointing towards a condition known as dental abscess. Sometimes infection travel down the tooth and cause pus formation at the tip of the root and surrounding tissues. I would suggest you to consult Dentist for proper checkup. Doctor may order x-ray, CT scan or other test to confirm the diagnosis and rule out condition like muscle, swollen lymph node or a cyst. Doctor may perform complete oral prophylaxis, perform root canal procedure and may refer you to ENT specialist. For now give warm compresses to swelled area and do not panic. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000000706", "text": "Hi, One thing I want to ask you that are any bluish coloration or joint inability or credits there? So that we can suggest proper treatment about this but accordingly your description it seems to me muscle strain or ligament sprain or may be back nerve compression due to fall which radiating the pain down to the thigh so take some precaution as don't put the weight on that injured leg. Take rest. Do not walk for 2-3 days because the strain on injured area may increase the swelling and pain. Take ice therapy for 20 mins which should be applied during the first 48 to 72 hours after injury. Don't apply the ice directly on the injured area and don't use warm therapy until 72 hrs of injury. Use compression bandage or stockings for the swelling reduction. Keep your affected leg raise from the heart for the swelling reduction. If you don't get the relief consult your doctor and get X-ray or MRI scan to rule out the exact cause. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000707", "text": "Hi I can understand your concern.... Let me know you your both child diagnosed pneumonitis means inflammation of lung tissue .... If consolidation and exudation present then it could be pneumonia .... But here consolidation not present ... Cause has to be searched like ...../Viral infection which seems most likely here /Passive smoking exposure /Hypersensitivity pneumonitis means allergy to certain substance like animal gender/Bacterial infections etc...... Your child should be examined and treated accordingly with steroid or antibiotic usage .... Consult pulmonologist for this.... Hope your concern solved .... Take care... Happy to help you further...."}
{"_id": "000000708", "text": "Hi. This is for sure that she has been seen many specialists and the conventional investigations must have been normal. There is a saying if the normal course you do not find the common reasons, it is possible to think of uncommon"}
{"_id": "000000709", "text": "Dear User, Thanks for using Chat Doctor. Generally Alzheimer's do not present with white matter disease. The most common cause of white matter disease is ischemic injury. It is quite possible to have multiple small strokes if you are having ischemic disease risk factors like family history, hypertension, diabetes, smoking, factor V laden mutation. If you are having any risk factors you need to post again or contact your PCP for assessment of vascular risk factors and to find out the cause for white matter changes. Thanks"}
{"_id": "000000710", "text": "Hello, From the available description it appears that you are dealing with primary premature ejaculation, which is treatable disorder. You need to visit a doctor as a prescription of medication can not be made without examining the patient.  I must assure you that there is good hope for you, but its results can not be achieved without consulting an expert. If you happen to stay in western Rajasthan you can visit me at Jodhpur on any day. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000000711", "text": "Hi and welcome to Chat Doctor!  Thanks for your question. Your doctor would've diagnosed you with diabetic nephropathy (complication of uncontrolled diabetes) more common in type 1 diabetes. In this condition along with good blood glucose control, medications for reducing protein leakage is very essential to decrease the progression of kidney damage. These medicines are generally prescribed for blood pressure but even if your blood pressure is normal you need to take it regularly. Any medication has its known side effects and adverse effects shouldn't get confused with information on Google or on the medicines. Discuss with a concerned specialist and clarify your doubt. Hope this helps. Take care"}
{"_id": "000000712", "text": "Hi, Thank you for posting your query. The mass or tumor in the cervical spine can be best visualized on MRI. So, please get a cervical spine MRI with contrast. Regarding the best neurosurgeon, you can visit the websites of local university hospitals, and then, find out the best neurosurgeon. It may be better to get it done in larger market such as Dallas or Phoenix. This is because they would have more experience in dealing with these surgeries. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/"}
{"_id": "000000713", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern... As per your complaint and presentation of symptoms if you are suffering from recurring infection of the parotid gland and the antibiotics that you are taking is not providing you relief that means the infectious organisms are resistant to the antibiotics or the infection is not bacterial in nature and the antibiotics can only treat bacterial infections. The enlarged cervical lump nodes are due to infection itself, and you need to consult an ENT expert and get evaluated, and he can advise you to get a blood investigation as well as saliva investigation done to rule out the causative organisms. Culture and sensitivity testing will also be advised to rule out the exact stain of bacteria or virus causing the infection and treatment can be done targeting the same. Biopsy is commonly advised to rule out the exact cause of swollen lymph nodes which can be benign or malignant in nature. Hope this information helps. Thanks and regards. Chat Doctor."}
{"_id": "000000714", "text": "Hello thanks for asking from ChatDoctorTingling sensation in fingers, feelings of disorientation (or brain fog), dizziness etc. symptoms can occur due to a number of reasons in a healthy male-- First possibility is some nutritional deficiency. Low hemoglobin levels or anemia is one of common reason for such symptoms along with tiredness. Low vitamin B12 levels can cause dizziness and tingling in fingers and nerves. I would advise you to get your He, Vitamin B12 levels checked to rule out these possibilities.- Hyperthyroid state can also cause such symptoms. You have to get your thyroid levels checked to rule out these symptoms.- Other possible cause can be due to anxiety or depression. In severe anxiety symptoms like dizziness, stress, tingling in fingers and lips can be seen. I would advise you to consult a good neuropsychiatric for proper evaluation and treatment. Thanks"}
{"_id": "000000715", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, in my opinion you are having HERD (gastroesophageal reflux disease) mostly, because your symptoms like vomiting, burning pain and mild breathlessness after eating is seen in HERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. So try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals.4. Start Proton pump inhibitors. 5. Go for walk after meals.6. Keep 2-3pillows under had in bad to prevent reflux.7. Lose weight if obese.8. Avoid smoking and alcohol if you are having these habits."}
{"_id": "000000716", "text": "Thanks for your question on Chat Doctor. I can understand your concern. At your age, stress and anxiety are more likely causes for your symptoms (central chest tightness, pain, breathing difficulty). But better to get done ECG, 2d echo and PFT (Pulmonary Function Test) to rule out heart and lung diseases. If all these are normal then no need to worry much. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000717", "text": "Welcome to Chat Doctor. I read your question carefully, and I understand your concern. From the signs and symptoms you prescribe it is a possibility that you have a Pyelonephritis. That was also the suspicion in the ER. I would like to know if you did any lab or imaging studies or did in the ER prescribe medication for further treatment? I also would like to know your age and if you have any chronic disorders that would complicate the treatment like diabetes, chronic lung or heart diseases). This is important because if your diagnosis is confirmed, in some cases there is a necessity for hospital admission.  I recommend to you to do the following workup"}
{"_id": "000000718", "text": "Dear I can understand your concern. I would like to inform you that the incubation period that is interval between exposure and the onset of clinical disease for rabies is usually 20 to 90 days. This disease is almost uniformly fatal but is almost always preventable with appropriate post exposure therapy by vaccine and RIG during early incubation period. As you have mentioned dear about 2 months has passed we can't say for sure how effective this therapy will be.but we have still a large hope as he has not developed any features suggestive of rabies this means he is in incubation period.  So continue with full vaccination and RIG schedule. Hope for the best dear. Hope this will help you. If you have any other concerns please feel free to message me.  Thanks for contacting Chat Doctor."}
{"_id": "000000719", "text": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. I DON'T THINK YOU NEED TO USE AZITHROMYCIN AN ANTIBIOTIC. YOU CAN STOP CLARIFIED. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose (max ceiling dose 500\\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal"}
{"_id": "000000720", "text": "Hi, Thanks for the query. Hormonal pills can present with side effects like intermenstrual spotting, irregular bleeding etc. Usually they will subside soon without need of medication. So, possibly in next months you may not have the problem. If the problem persists, you once consult gynecologist and take symptomatic treatment with anti-fibrinolytic Chat Doctor.  And along with them, you can continue with pills. If the spotting persists or increases, better to go for higher dose hormonal pills with your doctors' advice. Take care."}
{"_id": "000000721", "text": "Hello, In my opinion, it is necessary to continue medications; try splitting issues into parts also try scheduling stuff. It is also important to do some letter cancellation techniques say for example. If you choose letter A, try cancelling that letter at the end of time, check how many A and how any other letters are cancelled this will lead improve attention. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000722", "text": "Hi, Thank for asking to Chat Doctor. As per clinical history it appears as your son are having allergic rhinitis. If I were your son treating doctor, I would advise him Antiseptic Mouth Wash, Steam Inhalation & Steroid nasal spray with antihistamine. Your son will get relief. Certainly above treatment will give you much relief but if relief is not up to satisfaction level then consultation with your ENT doctor will become essential. Hope above information helpful to you, take care. Regards - Chat Doctor."}
{"_id": "000000723", "text": "Hi, dairy have gone through your question. I can understand your concern. Your small lumps are enlarged lymph node.  Mostly it is due to reactive hyperplasia of lymph node as a result of some infection in Chat Doctor.  You should take a course of antibiotics.  If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000724", "text": "Hello, This medicine is used for allergy purposes mainly. Doctors usually weigh the risk and benefit ratio and then prescribe the medicine.  If he recommended this to you complete your due course and revisit him after 3 months. Common side effects are Stomach upset, diarrhea, earache and upper respiratory tract infections.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000000725", "text": "Hi, thank you for providing the brief history of you. As you feel that there is no motor control that it could be a nerve trapping in its course. As the nerve has the dual functions of motor control and sensory. So any entrapment of the nerve will lead to such Buckling of the knee while gait cycle. Also, performing exercises under physical therapy should provide you better control of legs. Working out behind the core and the lower limbs should provide maximum control. Also, in my clinical practice such patients are common and with physical therapy they respond well. RegardsJay In Chat Doctor."}
{"_id": "000000726", "text": "Thanks for the question. It is possible that some individuals get these side effects, you may have a complete blood count and kidney and liver function tests for evaluating status for any effects of medicines there.Meanwhile, consult your doctor for change to tramadol for short course during acute or severe pain only. I may suggest, backache should be evaluated by an orthopedic doctor and for chronic pains, physical therapy and application of heat or short wave diathermy and followed by local application of muscle relaxant cream or gel, back muscle strengthening exercises, wearing daytime brace would be more helpful instead of medicines alone thanks"}
{"_id": "000000727", "text": "HelloIncreased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need few more investigations like routine hologram, random blood sugar, lipid profile, urine RE/ME, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. You should avoid saturated fat and go for brisk walk regularly. Get well soon. Take Care Chat Doctor."}
{"_id": "000000728", "text": "Hallo dear friend, thanks for writing to ChatDoctori have studied your case do you had any injury to back what is your age ?there might be lumbar disc prolapse leading to articular pain you need some neurotrophic like methylcobalamine take rest, take some analgesic, hot or cold fomentation avoid lifting weights sit with taking support to your back continue spine extension exercises physiotherapy - SD, IF TWILL HELP you need MRI SPINE for further query contact Chat Doctor. Com"}
{"_id": "000000729", "text": "Greetings. Just relax and don't panic. Better take your son to any nearby doctor, who determine the reason behind the fever by examination and necessary blood tests etc., Sincere advise for betterment of your son(or in general anybody) is that do not give any medicine prior to doctor visit(self-medication), as it alter/ delay/ become over or low dosage/ all of which affect not only outcome of treatment but also dangerous effect to various organs inside the body if not taken without proper prescription by doctor. In this situation tablet MOTRIN shouldn't be taken(given) more viz., 2 or 3 or more, as you wish, since you don't know at 1.  What dosage you are giving it to your son?2. How much/how long it should be given? Can it be given to your child Chat Doctor. , all are decided only by your doctor after personally seeing him.Meanwhile, at home give him cold(not ice-cold) compress all over body with help of 5-6 towels for 10-15 minutes. If towels become hot take out, dip it again in cold water and repeat within that 15 minutes. Wait for 2hrs and repeat for 15 minutes till you go to a doctor. Note"}
{"_id": "000000730", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion you should get done PFT (Pulmonary Function Test) first. Because PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So get done PFT first. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000731", "text": "Hi, thanks for using Chat Doctor. With history of unprotected intercourse pregnancy can't be ruled out.  You can wait till your due date, any delay in periods need to get your urine pregnancy test to rule out or confirm pregnancy. The I pill(emergency contraceptive pill) can be taken within 72 hours of intercourse, and it will give protection. But failure rate is seen in 1% of women using this pill. 1 or 2 I pill in a cycle are effective in providing contraception, Regular use of this pill is not recommended. Hope this helps you. Regards"}
{"_id": "000000732", "text": "Welcome to ChatDoctorRead your prob, the choice of treatment of fibroid is surgical removal of uterus but if you want to conceive then you should take medicine which can reduce the size of fibroid, not subside it. Its medical treatment is hormonal replacement therapy. It helps you in getting pregnant. Complication of fibroid in pregnancy is abortion n premature delivery, so consult with your doc n start treatment as per advise of your doc."}
{"_id": "000000733", "text": "Hello, thank you for consulting with Chat Doctor. This type of immobility is generally caused in bells palsy. But as you are mentioning that it is since childhood, then the possibility is less. To see the condition of the nerve of the lower lip a full mouth x-ray should be done which will show the problem. Better once you should visit an oral medicine specialist as he will help you. Hope it will help you."}
{"_id": "000000734", "text": "Hellowelcome to ChatDoctorit seems your son has developed PIED i.e. PROLAPSE INTER VERTEBRAL DISC in the lumbosacral region i.e. lower back....first you should get an MRI OF LUMBOSACRAL REGION and then consult an orthopedic to evaluate n prescribe medicines.till then you can give following treatment for relief from pain(1) INJECTION THIOCHOLCHICOSIDE intramuscularly twice daily for 3 days(2) TABLET IBUPROFEN 3 times a day(3) TABLET CHLORZOXAZONE 3 times a day(4) HOT FOMENTATION in the painful region 3 times a day(5) wear a LUMBAR BELT regards Chat Doctor."}
{"_id": "000000735", "text": "Hiinjury or resection of the vocal cords, these are the problems more commonly encountered, please take him to a speech therapist, who make them get adapted to several self accommodating exercises for phonation & speech. He should be careful also during swallowing due to the risk of micro-aspiration, because of the inadequate closure of the vocal cords. Please go for repeat direct laryngoscope test, with an ENT specialist to find out for any newer problems on the vocal cords. All the best take care"}
{"_id": "000000736", "text": "Hi thanks for your question. The lump next to your anus most probably could be a pile mass. The pain could be due to inflammation of the pile mass. Defecation aggregates the pain. Spontanous regression of inflammation is possible due to which your pain has decreased, but for blood in your testis you need examination by a physician as it could be a separate issue. It could be a hematoma(blood under skin or muscle)I would suggest you to get yourself examined by a physician to rule out testicular hematoma, which is present needs investigation and Chat Doctor. Hope this answers your question."}
{"_id": "000000737", "text": "Hi, Instead of giving ODEM syrup for vomiting we should find out the reason for vomiting. Please see that there is no over feeding which might result in vomiting. With milk a child sucks air in feeding which also can give rise vomiting. So after feeding keep child in standing position for some time. Which will allow passing of air ingested. If problem persisted then consult podiatrist and get examined. Ok and take care."}
{"_id": "000000738", "text": "Hello! Thank you for the query. This lump can be a cyst indeed. However, it may be also a skin lesion which has gotten infected. For sure, it has nothing to do with bowels movements. I suggest you to consult a surgeon with this lump. IN case of doubts ultrasound is enough to diagnose it. Narrowed stools should be diagnosed as it may be a symptom of colon cancer. It is more possible if you are over the age of 50. If so, colonoscopy is necessary. Hope this will help. Regards."}
{"_id": "000000739", "text": "Hi, Few more points I would like to know- 1. Whether this started following introduction of any particular food item in their diet?2. Approximate frequency of stools in a day?3. Whether stools are bloody or mucus containing?4. Are the having fever? Possibilities are gastroenteritis or milk protein allergy. In some babies, this may even be a normal transient phenomenon. If no fever and bloody stools, in such cases I used to give a course of zinc supplementation and probiotics to see the response and further workup accordingly. Meanwhile, to reduce the rash, keep the area as Chat Doctor."}
{"_id": "000000740", "text": "Hi, I am Chat Doctor.  I have read your question with care and understand your concerns. Let me try to help you Question"}
{"_id": "000000741", "text": "Hello, If you have spaces between your teeth food may occasionally get stuck. If the frequency has changed, and you notice larger spacing, a visit to the orthodontist could be considered to close the spaces and improve your bite with braces. Another concern is your periodontal condition which involves your gums and bone.  Increased spacing can indicate tooth movement due to loss of bone. You would need to consult a periodontist. If you associate this with recent dental work, ask your dentist to check the contacts between your teeth. Broken or decayed teeth can catch food as well. Make sure you are up-to-date on your routine exam and cleaning to properly diagnose your condition and best treatment recommendation. Maintain good day dental care including flossing. Thsnk you for your inquiry.?I hope my suggestions are helpful."}
{"_id": "000000742", "text": "Hi. Can understand your concern. As per your complaint a small piece of skin hanging on the underside of the tongue can be Pica Imbricate which is a small mucosal fold, and it is a normal structure and not an abnormality.... Although it can get inflamed due to some trauma caused by some hard food or any chemical or thermal burn and can become painful. You need not worry as it will be fine soon, and you can apply lidocaine gel or travel for relief. You can suck on ice pops and gargle with cold water. Salt water rinses can be relieving. In case of pain you can take anti-inflammatory painkiller like Advil. Avoid any hot or spicy food till it heals. Hope this information helps. Thanks and regards. Chat Doctor. ."}
{"_id": "000000743", "text": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. Strict adherence to the treatment and diet is essential. As you undergone surgery most of the tuberculosis burden has gone. It's now essential to maintain good treatment adherence. Please take good diet which is rich in protein. Please start exercise early in the morning daily. It helps in reducing disease burden. Hygiene is important. It helps you cure of the disease and also prevent transmission to others. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor.  Thank you. ChatDoctorInfectious diseases specialist."}
{"_id": "000000744", "text": "Hi, Thanks for the query. Yes there are other generic birth control pills also those can possibly useful to you. You can choose low dose pills with your doctor advice that can help in contraception and with less side effects. Generally in our clinic we prescribe crimson 35, letter etc. as low dose pills. The usually prescribed pills with low cost are like intimacy plus 2, 3 etc. With your doctor advice you can choose one of them."}
{"_id": "000000745", "text": "Hello Welcome to Chat Doctor I would like to tell you that wisdom teeth extraction is not a simple extraction. Its somewhat complicated surgical procedure & there are many post extraction effects that are seen like"}
{"_id": "000000746", "text": "Thanks for consulting in Healthcare. You have hypersensitivity to bugs bite, because you have allergy from childhood. It seems as allergic reaction from the bite of insect, that's why I prescribe you antiallergic medicine-allegra, its modern and good helper in your situation. Don't apply cortisone ointment, because you don't have effect. Chat Doctor.  Eat hypoallergenic food-potato, cauliflower, cucumber, Dali, panir,don't eat chocolate, honey,tomato soup and tomato subdue, nuts,sushi, strawberries, flavor food, juice from market, chips"}
{"_id": "000000747", "text": "Hello, I understand your concern and would explain that Ben Chat Doctor.  Anyway, you should also know that fever and the pain can also raise blood pressure values.  For this reason, I recommend performing a sinus X-ray study and complete blood count for infection and take antibiotics in case of a sinus infection or bacterial infection.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000748", "text": "Hi dear, what ever you described is suggestive of that you are suffering from obsessive compulsive disorder. There are two methods by which OCD improved.1. Medication like SSRI (selective serotonin re uptake inhibitor) and benzodiazepine to relieve anxiety features appear due to obsession.2. Psychotherapy in the form of behavior modification and exposure and response therapy helps you a lot. Combination of both gives you best result. Consult psychiatrist for best counselling and medication. Thank you"}
{"_id": "000000749", "text": "Hi welcome to Chat Doctor forum.  Don't worry, sometimes it will happen like this, It appears that you had gastric bleeding due to some or other reason, due to that you started feeling like dizzy, vomiting feeling, heart rate is high, all these things are due to this blood in the stomach only.  Reason might be bleeding peptic ulcer. Your period, hot water shower etc. have nothing to do with. It is important to exclude hypertension, I advise you to consult a gastroenterologist for diagnosis and treatment.  You may have to get gastrostomy, besides other routine tests for confirmation.  Wishing for a quick recovery, and thanks for calling.  Best regards."}
{"_id": "000000750", "text": "Hi ! Good evening. I am Chat Doctor answering your query. One of the common cause of the swelling you have described is a swelling from the parotid gland and the commonest cause is a viral parotitis. If this is it, you do not have to worry - it will subside of its own may be with some anti-inflammatory Chat Doctor.  However, if it persists, you might have to show it to an ENT specialist/general surgeon who after a clinical examination, might go for a FNAC of the swelling to have a diagnosis and further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000000751", "text": "Hello are a middle-aged male, and you are having symptoms like low concentration, multiple complaints related to stomach. You feel tensed throughout the day, and you have negative feeling towards life. See from your summary it appears that either you are having some form of anxiety disorder or depressive disorder. The problem in stomach may be the part of depression with somatic symptoms, or it may be due to irritable bowel syn Chat Doctor.  Low desire further aggravates it. Consider consulting a psychiatrist for expert opinion. Medicines like anti-depressants and psychological treatment in from of cognitive therapy can help to improve the condition. Thanks, hope this helps you"}
{"_id": "000000752", "text": "Hello, Welcome to Chat Doctor, and thanks for your query. Your symptoms are not suggestive of a staph or E.cold infection. Though all the symptoms are not explainable on a single causative organism, the bad breath, heavy salivation, fatigue and sore throat may be due to an acid peptic disease for which H. Pylori can be a cause. If you have further queries, I shall be happy to answer. Take Care, Chat Doctor."}
{"_id": "000000753", "text": "Hello!!! Thanks for posting your query with us. I wish you had described the tests a bit more clearly. I'm guessing the doctor did an X-ray plus some blood tests and all came clean.  The pain in the middle back - Is it right under the shoulder bone (wing like scapula bone) at the back?? If yes then the pain could be due to an alteration of the scapula bone. This happens because of weakness in the scapula thoracic muscles. You can probably go to a physical therapist and get a few sessions of ultrasonic therapy and icing to take care of the swelling.  Also, how old is she?? Does she have any chest infection as then she needs a physician right away?  You can help her strengthen the scapulothoracic muscles by finding the following exercises online.1. Scapular Retraction2. Shoulder Bracing3. Shoulder push-ups standing (push on wall)4. Shoulder External Rotation (actively) As far as the rib cage is concerned if there is nothing wrong with the blood tests and x-rays then make her do some breathing exercises and stretching for the pectoral (chest) muscles. Also make her inflate a balloon 5-10 times a day to strengthen her chest and breathing muscles. Hope this helps her. Give my best wishes!!!"}
{"_id": "000000754", "text": "HelloThanks for query. Based on the facts that you have posted your urinalysis has revealed presence of protein and blood in urine. It is not related to endometriosis that you had in 2008. Presence of blood and urine signifies disease of Glomeruli (Urine filtering unit in kidney) and needs to be investigated Consult qualified Nephrologist for clinical assessment and get following basic tests done to establish diagnosis 1) Urine culture 2)Estimation of total proteins excreted in 24 sample of urine 3)Renal function tests 4)Blood coagulation profile 5) Estimation of C reactive protein 6) Microscopic examination of urine to detect presence of Dysmorphic RBCs7) Ultrasound scanning of abdomen. Further treatment will depend upon result of these tests and final diagnosis. Chat Doctor."}
{"_id": "000000755", "text": "HelloShoulder pain with irregular heart beat may indicate angina. Cardiopulmonary causes of pain should be excluded. You may need proper clinical examination and investigations. Investigations include routine hologram, random blood sugar, lipid profile, chest X-ray(PA view), ECG in all leads, ECHO,TMT, thyroid profile etc. Further treatment requirement depend upon these basic investigations. You may need angiography etc. after evaluation. Get well soon. Take Care Chat Doctor."}
{"_id": "000000756", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done1. Clinical examination of respiratory system.2. PUT (pulmonary function test)To rule out bronchitis. You may require inhaled bronchodilators too. Inhaled treatment is gold standard for bronchitis. And you have not improved with antibiotics and oral steroids, so possibility of bronchitis is high. So consult pulmonologist and first diagnose yourself and then start appropriate treatment."}
{"_id": "000000757", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Sudden Sweating of palms and feet, chest congestion etc. are characteristic symptoms of heart diseases. So better to first rule out heart related diseases in her case. So consult cardiologist and get done ECG, 2d echo and stress test (trade mill test). If all these reports are normal then no need to worry about heart diseases. She is 41 years old. So she is approaching menopause. During this period, women tend to develop hormonal imbalance and this can also cause similar symptoms. So get done hormone levels to rule out hormonal imbalance. She may need hormone replacement therapy (HRT). Don't worry, she will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks."}
{"_id": "000000758", "text": "Hello, I have gone through your query and I can understand your concerns. As per your description it seems that you have a lipoma over your thigh. It is a benign (non-cancerous) condition and can be cured easily. But we have to rule other condition by physical examination and investigations. You have to consult a general surgeon and get evaluated. Surgeon will perform a clinical examination to make a diagnosis. If it is diagnosed as a lipoma simple excision of the lump is performed. If there is any diagnostic confusion. A biopsy may be needed. In which a portion of the swelling is taken and examined under the microscope to make a diagnosis. As of now you can take simple analgesics like ibuprofen for pain. Hope I have answered your query. Wishing you good health. Regards. Chat Doctor."}
{"_id": "000000759", "text": "Hello, You can probably have hemochromatosis induced liver cirrhosis.  It is an irreversible condition and cannot revert.  So liver transplantation or TIPS is the only option left.  Kindly attach your reports so that I can check it.  The side effects don't develop in every patient and some patients can cope well liver transplantation.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000760", "text": "I read your question carefully, and I understand your concern. Crestor is a lipid lowering Chat Doctor.  So it was not the cause. If you have Aphid (atrial fibrillation) then it certainly does explain the heart skips, it is a type of heart rhythm abnormality. The beta blocker aims to control the rate of the heart but still may feel some palpitations. As for the stroke prevention, you have every right to be concerned, Aphid is one of the main causes of stroke. For that matter taking a blood thinner to prevent it is essential. As for comments on the choice of the blood thinner (there are different types) and the dosage it is hard to make any suggestion since you do not say which blood thinner have you started and the dosage. I would be happy to approve or make suggestions if you provide more information. I hope to have been of help."}
{"_id": "000000761", "text": "Do not panic. Simply opt for getting the safest on earth - Ayurveda anti-allergic treatment for your immunity to enhance and correcting the current problem. Asthma is also not curable by allopatry. In Ayurveda, it may cure, it may not cure fully but constant herbal medicine which are simple ones, will raise immunity against side effects and ailment both. In my clinical career of three decades, many complicated cases have been solved using alternative approach. If you agree pl ask direct question with all the advice you need to know. Hope it helps. Pl write direct question."}
{"_id": "000000762", "text": "Hi welcome to Chat Doctor forum.  Thanks for asking a question to Chat Doctor. Forum.  Dermatographism is itchy bulges on the skin due to pressure on the skin of cloths scratches etc. due to allergy. Of course the problem in the throat is also can be due to allergy, or infection. The difficulty in swallowing could be due to G.E.R.D. due to gastric irritation.  I advise you to consult a gastroenterologist for diagnosis and treatment of G.E.R.D. wishing for a quick and complete recovery.  Best regards."}
{"_id": "000000763", "text": "Hi, Thank you for using Chat Doctor. I can understand your concern about your mood swings. Many people have tendency for mood swings. As long as your judgment, your behavior remain intact your life will remain mostly unaffected. Is there any family member (in blood relation) have similar mood swings? If yes then better you consult psychiatrist. If not then not much to worry, remain aware of your thought, behavior, let your near ones know about the symptoms of bipolar mood disorder. I hope this will help you. Thanks and regards."}
{"_id": "000000764", "text": "HIT hank for asking to ChatDoctorI can understand this you are taking too many medicines some of them have no specific role, If I would be your doctor the would treat you with the following medicines,1) Tab Acetaminophen one tab three times in day 2) Tab Amitriptyline one tab three times in day this regime of two tabs would be enough to manage the condition, hope this information helps you have nice day."}
{"_id": "000000765", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart attack as your ECG and blood reports are normal. And you are too young (32 years) for heart diseases. Sometimes, simple musculoskeletal pain is the cause for such chest pain. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Apply warm water pad on affected areas. 5. Take painkiller like ibuprofen. You will mostly improve with all these. Get done calcium and vitamin D3 levels as deficiency of these can cause similar kind of pain. If deficiency then you will need supplements. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000766", "text": "Thanks for your query, I have gone through your query. The ulcers on the gums could be because of herpetic dermatitis from herpes virus infection that occurs most often secondary to stress. The other possible cause could be secondary to trauma like tooth brush injury or from food particles. If it is a traumatic ulcer or herpetic ulcer, you can take topical anesthetic and analgesics like Anabel gel. Apply 3-4 times daily before food. It can also be an authors ulcer since you are giving a long term ulcer. If it is authors ulcer you can take topical anesthetic and analgesics like Anabel gel. Apply 3-4 times daily before food and topical steroid like triamcinolone acetone 0.1% 4-5times daily after food. Do saline gargling. If the lesion does not heal in 5-7 days then consult an oral physician and get it examined. I hope my answer will help you, take care."}
{"_id": "000000767", "text": "Hello, How old is your child? And how is his routine feeding pattern? Is he trained to eating on his own? Does he eat meals when he is hungry? Does he eat food more than he needs?  Sometimes parents force-feed child Chat Doctor.  Have at least one meal with the kid as a family time.  In case of persistent problems better think of altering the food pattern then think of other problems. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000000768", "text": "Hi I do care for your concern. The Chat Doctor.  Some antibiotics cause rashes and itching as its side effect. Taking a course of steroids like DEXA or preen will help to resolve the symptom as of now. However, I would advise consulting your skin specialist and know about different treatment options available, most of the time desensitization procedure will help you on long run. Hope I have answered your question, if you have more feel free to ask. Thank you."}
{"_id": "000000769", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have wounds in knee. Well the white fluid you are talking about is probably a serum. I would suggest you to clean the wound with Betadine as you did earlier and Chat Doctor.  If it gets reddish or start paining, then consult doctor for proper examination. Doctor will examine physically for infection or for any foreign body. Doctor may prescribe antibiotics at least for 5 days along with anti-inflammatory. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000000770", "text": "Lomela cream contains a mid potent steroid mometasone, HY Chat Doctor.  It should be prescribed by a dermatologist who knows which condition to start it for and when to stop. We do not recommend it daily for more than a month following which we taper it and stop and add on a non-steroidal lightening cream. Moreover, it is used in commentary disorders like plasma and not for improving skin tone. Long term use can cause steroid induced Rosacea, Acne, Thinning of skin, Redness and increased sensitivity to sunlight. Use a sunscreen with SPF 30 or more every 2-3 hrs during the day even if you are indoors. Avoid sun exposure as much as possible. Apply non-steroidal lightening cream containing comic acid at night. Hope this helped Take care"}
{"_id": "000000771", "text": "Degree understand your concerns went through your details. Circumcision is the surgical removal of the foreskin, the tissue covering the head(glans) of the penis. Sometimes there's a medical need for circumcision, such as when the foreskin is too tight to be pulled back (retracted) over the glans. Circumcision might have various health benefits, including Decreased risk of urinary tract infections, hygiene, Decreased risk of sexually transmitted infections, prevention of penile problems and Decreased risk of penile cancer. Please consult a surgeon to get yourself circumcised. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000000772", "text": "Hi, since your child has fever for 4 days with sweating episodes and paleness, it appears to be malarial infection. In my opinion some investigations are needed to be done like malarial antigen test, CBC, NS1 Antigen test. You should continue to give adequate liquid diet to the child. These investigations should be done immediately. I hope this has helped you. Wishing your child good health. Take care."}
{"_id": "000000773", "text": "HelloDiffuse hyperintense signals in periventricular region generally suggests ischemic changes. It may be related to perinatal hypoxia. It is important to know birth history.However, other causes may be declination etc. She may need to follow up MRI. It is important to see progression of lesions. She may need conservative treatment for above findings. Lateral and third ventricle are also mildly prominent. Get well soon. Take Care Chat Doctor."}
{"_id": "000000774", "text": "Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that your symptoms are not typical of any cardiac disorders. But, it is necessary to investigate for the possible causes. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests"}
{"_id": "000000775", "text": "Hello, and I hope I can help you today. Implantable contraceptives like the Implant and Explain, even though they have expiration dates, are effective for even a few months beyond that date. This is because the manufacturer is required to post an expiration date that is actually earlier than when the device truly becomes ineffective. When switching birth control methods, hormonal symptoms are very common. Many of the symptoms that we commonly associate with pregnancy including bloating, breast tenderness, moodiness, weight gain, nausea, headaches and others are common side effects of progesterone based contraceptives (like the Explain) and cannot be distinguished from pregnancy. The only way to know absolutely for sure that you are not pregnant is by performing a urine pregnancy test. Modern pregnancy tests are extremely accurate, and will become positive within 10 days to two weeks after conception. However, the reason your healthcare provider did not require pregnancy test before giving you your new Explain is that, because of the reason I explained earlier, you really were not at risk for pregnancy. So the likelihood of your getting pregnant in between switching from Implant to Explain is close to zero.  The symptoms that you are experiencing are likely side effects of your bodies adjustment to the new medication, which will likely subside over time. I hope I was able to adequately answer your question today, and that this information was helpful. Best wishes,"}
{"_id": "000000776", "text": "Hi, welcome to Chat Doctor, In case or renal cell carcinoma, metastasis in bone specially in the spine is most common.  So, the back pain you told is particularly a bone pain.  Spasmoproxyvone is a Chat Doctor.  It does not have any effect on pain causing due to disease in bone.  Now, in this condition consult with your treating doctor for adding a centrally acting pain inhibitor like tramadol group of"}
{"_id": "000000777", "text": "Hi welcome to Chat Doctor I am a pulmonologist I will try to answer your questions you said both leveling and Dublin could be used for acute attack leveling is Levi salbutomola NAD is a reliever and Dublin is levosalbutomol and ipratropium bromide if your r not getting relieved after taking leveling you can go for Dublin and if it is necessary to use leveling or Dublin > 2 times /day it requires Chang EO treatment, and you need to consult your doctor for addition of controller"}
{"_id": "000000778", "text": "Hi, Dear,Good Morning. Thanks for the query to my Chat Doctor Clinic. I studied your query in depth. I am concerned about the worries you have. In my opinion, you have-Resolved-Traumatic Foot-Hematoma-with subcuticular petechial hemorrhages. . I would advise you to consult an ER Surgeon-who would treat as follows-Tbr-NSAIDs, Comprssion Baggage, Rest and Elevation of Foot at Night. This would resolve in 1 was time. If not-X-ray Foot, Clotting profile, CBC, with Surgeons Review would fix your problem. This is the remedy for your lump. Hope with this you would be relieved of your worrisome query. Wellcome again to Chat Doctor. Have a good Day."}
{"_id": "000000779", "text": "Hello! Thank you for asking on Chat Doctor! I carefully read your question and would explain that your symptoms could be related to sinus infection. Your blood pressure values are above the normal ranges too, but they don't seem to be the cause of your symptoms. I recommend consulting with your GP for a careful physical examination, a sinus X-ray study and some blood lab tests (complete blood count, PCR, sedimentation rate, blood electrolytes). Antibiotics may be needed. Hope to have been helpful! Greetings!"}
{"_id": "000000780", "text": "Hi, First, a headache is a symptom and the causes of the headache can cause leg numbness. For example atherosclerosis, smoking, Chat Doctor.  Second, he should measure his blood pressure and if it were high, he should receive a medical treatment and stop eating too much fat and salt. Third, the women who take oral contraceptive pills or a hormonal replacement therapy can suffer from vascular problems, so they should ask a gynecologist to adjust the dose. Finally, the deficiency of vitamin B complex due to unhealthy lifestyle can cause headache and numbness. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000781", "text": "Hello and I hope I can help you today. You do not need to take an additional birth control pill because of diarrhea.  Diarrhea may make you lose water, but it does not wash out medication you have taken.  The only situation where you need to replace a pill is if you vomited within a few hours of taking it. So you can go about your routine as usual and start the next pack at the normal time.  I would advise you also to Chat Doctor."}
{"_id": "000000782", "text": "Hi, dear. I have gone through your question. I can understand your concern.  You should search for the cause of back pain. You may have some disc prolapse or some vertebral problem.  Furthermore, you should go for MRI spine.  This will give some idea regarding your cause.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000783", "text": "Hi, thank you for providing the brief history of your father. A thorough neuromuscular assessment is advised. As you mentioned your father had surgery of the cervical spine, and he is diabetic borderline with age of 74 years, there is nothing to worry with the swelling. As your father is 74 and not mobile, there will be a reduced venous return which leads to swelling in the lower limbs (Ankle). Also, for this you can keep the leg elevated on the pillow above the level of the heart and the swelling will come down. You can take suggestion from your euro about undergoing physical therapy, as with physical therapy the metabolism will improve and normal muscle property will be maintained. Also, the venous return and hemodynamics will improve. RegardsJay In Chat Doctor."}
{"_id": "000000784", "text": "Hello and welcome to Chat Doctor, High levels of alpha photo protein occur in malignancies of liver, germ cell tumors and liver cirrhosis. The CT scan report is showing presence of a liver growth along with background changes of cirrhosis. Thus, these two are potential causes of alpha photo protein. Surgical excision of the primary liver tumor will help to reduce the levels of alpha photo proteins. Consult your treating doctor for further management. Thanks and take care Chat Doctor."}
{"_id": "000000785", "text": "Dialysis itself is a lot of stress and further twice a week dialysis is an additional negative factor being an inadequate dialysis dose. Now it is being well proven that patients on dialysis have sleep disorders and need to be a Chat Doctor.  He may need a sleep study and further management depending on the report. Discuss with a nephrologists bout dialysis frequency as inadequate dialysis may add to the problems."}
{"_id": "000000786", "text": "Hello, Welcome to Chat Doctor, I am Chat Doctor Look, your symptoms are quite suggestive of polycystic ovarian syn Chat Doctor.  What you have to do are 1. Do an ultrasound scan of whole abdomen to find out any abnormality.  2. Do a hormonal study comprising estrogen, progesterone, LH, FSH, etc. 3. DO a thyroid profile test to rule out any possibility of hypothyroidism.  Lastly, consult with a gynecologist for the above-mentioned points.  Regards."}
{"_id": "000000787", "text": "Hi... by what you say I feel that you are child is recovering from acute watery diarrhea which is usually viral in origin. Please do not worry about her appetite because it may take even one or two weeks after the diarrhea settles, for the appetite o return to normal. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards -"}
{"_id": "000000788", "text": "Hi, Thanks for asking the query, As per your symptoms , you probably have an infection from the upper teeth or wisdom tooth , this infection is causing pressure and swelling on the roof of mouth. It can also be an allergic reaction to something that come in contact with the lining of your mouth, can also be a salivary gland infection. Visit to Dentist and gt a checkup done . Take an x-ray. At home maintain a good oral hygiene. Use saline water gargles3-4 times a day. Use chlorhexidine gargles twice daily. Hope this helps out. Regards."}
{"_id": "000000789", "text": "HelloThanks for your query, based on the facts that you have posted it appears that you have developed infection of the glans penis (Atlantis) resulting into excessive secretion of urethral glands and producing Sega. You need to take broad spectrum antibiotic like \\u010ceferin along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice daily."}
{"_id": "000000790", "text": "Hello dear, The symptoms as mentioned in your post can be due to"}
{"_id": "000000791", "text": "Thanks for your query, I have gone through your query. The pain, swelling could be because of the gum infection over the wisdom tooth (periodontal infection leading to space infection). Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. If I am your treating doctor, I would have suggested you to take a course of antibiotics like amoxicillin 500\\u00a0mg and metronidazole 400\\u00a0mg TID for 5 days (if you are not allergic). Do saline gargling. I hope my answer will help you, take care."}
{"_id": "000000792", "text": "Degree understand your concerns went through your details. Please understand you are already 60. I sincerely suggest you to reduce your masturbation frequency from twice daily to twice-weekly. Though masturbation do not have any negative health effect, it does consume a lot of energy. At your age your body may not be able to manage such loss of energy which is resulting into muscular cramps. Please do consult your physician for second opinion. If you still need my assistance in this regard, please use this link. http"}
{"_id": "000000793", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. Researchers and researches confirmed several times that medicines alone cannot cure any mental disorders. Therefore, every mental health treatment should include psychotherapy and meditation. Psychotherapy helps you to streamline your lifestyle and behavior. Meditation streamlines your metabolism and thinking process. You should get Cognitive Behavior Therapy under the expert supervision of a psychotherapist / psychologist. Meditation can also b taught by them. Please do not ignore this advice. Recovery is for sure. If you require more of my services in this regard, please post a direct query and I shall be happy to provide you psychotherapy tips. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000000794", "text": "Hello dear, I understand your concern. In my opinion the increased liquor might be due to number of reasons like fetal anomalies, placental anomalies, diabetes in mother etc. All the above causes should be ruled out by ultrasound, blood tests to rule out diabetes in mother. Iam happy that ultrasound is normal and the fetal and placental anomalies are ruled out. And the diabetes should be ruled out by glucose tolerance test (GTT). The common complication of policy Chat Doctor. Nothing to worry. Avoid stress all the above said reasons are ruled out then the policy"}
{"_id": "000000795", "text": "Hi welcome to Chat Doctor I understand your concern, for fever you can do tepid sponging to bring it down. For vomiting, if he vomited immediately in 15-20 minutes you can try another dose, and do not give anything after that for 30 minutes or anti-emetic injection can be taken after consulting treating doctor. Also, important to note activity of baby, is baby active when fever is down, is he accepts feeds after vomiting is controlled, is he passing urine 4-6 hourly, if not he might need urgent consultation to rule out any serious illness and if required admission. Hope I answered your query revert if any other query thanks"}
{"_id": "000000796", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Eczema in diabetic patient which is increasing is suspicious of infection. Eczema causes inflammation of the superficial layer of the skin. Because of the inflammation there is loss of protective layer of the skin. Loss of protective layer makes the skin more vulnerable to various infection. If the condition is not favored to host infection by bacteria becomes very easy. This is the type of infection we are suspecting in you. I advise you should maintain good hygiene, good cleanliness. Please make it clear two to three times a day with diluted detail and other. Please wear cotton garments above the eczema site. It has some protective value in infection control and prevention. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."}
{"_id": "000000797", "text": "Hi, I had gone through your question and understand your concerns. I think the hypo density found in CT scan can be cerebral infarction probably from heart thrombotic embolic due to your mechanical valve. I suggest you to consult a local Cardiologist and to discuss the possibility of transesophageal ethnography. If there is evidence of thrombus in your heart, you need treatment with anti arrogant Chat Doctor.  If the infarction on CT scan is located in the corresponding arm area on brain, that is the cause of your arm problems, if not then you have to check other causes like cervical disc herniation etc. So I suggest you to consult a Neurologist as well. 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."}
{"_id": "000000798", "text": "Thanks for your question on Chat Doctor. In my opinion you are having worsening of heart disease only. MVP with moderate mitral valve regurgitation can lead to pulmonary edema due to back pressure in lungs. And this gives feeling of chest tightness and difficulty in taking breath. So I advise you to consult cardiologist first and get done repeat 2D Echo to know the status of valve potency. If worsening than mitral valve replacement should be done. Start diuretics to relive pulmonary edema."}
{"_id": "000000799", "text": "Hello, Abnormal rhythms almost never lead to open surgery. More than nine out of ten problems causing palpitation are benign and need nothing at all. Medicines are sometimes used but usually just to reduce symptoms. Very rarely, a rhythm will occur that causes severe symptoms and fails to respond to watchful waiting or medicine. When that is the case, it can usually be ad Chat Doctor. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000800", "text": "Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would advise you for repeat urine culture and sensitivity test to know the suitability of the antibiotic for the particular infection, and also an ultrasound of abdomen to rule out any other pelvic pathology considering the long duration of your symptoms. Till the reports are ready, you could continue the same medications which might have to be changed later. For the pain and discomfort, you could add an anti-spasmodic Chat Doctor.  In case of female gender, a gynecological review might be useful. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000000801", "text": "Hello Paris, The optimal treatment for severe house dust mite allergy is long acting antihistamines like Allegra 180\\u00a0mg once daily plus Flonase or alone nasal spray 1-2 sprays/nostril twice daily. Montelukast 10\\u00a0mg can be added at night if there is asthma such as in your case.  Montage LC is a combination of montelukast and Levocetirizine that can be given in severe dust allergy. Montelukast has side effects though nothing very serious (such as nausea, vomiting, occasionally dizziness hence taken at night, Chat Doctor."}
{"_id": "000000802", "text": "Hi, Thanks for posting your query. With the available described symptoms, there appears to be possibility of left Iliad fossa pathology i.e. colonic growth or ulcer. Presence of pain along with bleeding per rectum signify the diagnosis. Bleeding from anywhere in body is an alarming sign and should be evaluated. You should consult with internal medicine specialist/ general surgeon and should go for thorough check up. You should also go for complete blood count, ultrasound imaging, colonoscopy and x-ray abdomen for better clarification. Treatment depends on exact diagnosis. Meanwhile, you should take hemostatic medication along with tramadol. Take care,"}
{"_id": "000000803", "text": "Hello there, As you have mentioned you got your wisdom tooth extracted 2 years back, so we cannot expect any infection arising from the wisdom tooth removal.  The problem of pain in the ears, neck and other areas may arise if any residual piece of tooth or one of the roots of the wisdom tooth is left extracted in the socket, this residual piece may undergo infection and spread to adjacent structures. This can only be confirmed by clinical examination and x-ray evaluation. I would suggest you to get an OPG radiograph done which will sow the picture of entire jaw, accordingly treatment can be planned. I hope this helps, take care."}
{"_id": "000000804", "text": "Hello, High D dimer with chest pain and breathlessness is more suggestive of pulmonary embolism (PE). But PE is unlikely in a 13-year-old young girl. So better to get done repeat D dimer test. If it is normal then no need to worry about PE or other heart diseases. But if it is high, then she will need CT pulmonary angiography. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000805", "text": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. This can be due to Hypoglycemia. Please have your HbA1C Checked 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. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http"}
{"_id": "000000806", "text": "Hi...thanks for the query...I can understand you condition... you please go for warm saline rinses 6-7 times a day...visit your dentist again for irrigation and request him to make the inflamed area out of occlusion by slightly grinding the tooth in opposite arch...also take anti-inflammatory Chat Doctor. . They are safe in pregnancy...all these things will definitely make you feel better... go for extraction after your pregnancy...take care..."}
{"_id": "000000807", "text": "Degree understand your concerns went through your details. I suggest you not to worry much.  From the description, it is clear that you do suffer from Bi-polar disorder. But there is another possibility that you are trying to lead me into the diagnosis. For a teen aged person highs and lows are normal. This happens due to disappointment. Because teenager needs to identify his/her role in family, school, society, career, future etc., disappointments are common. To diagnose your mental health disorder, please undergo a psychometric test administered by a trained clinical psychologist / psychiatrist.  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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000000808", "text": "Good Day, and thank you for being with Chat Doctor ! Surgery for varicocele should be done as soon as diagnosed since we are preventing damage to the testicles brought about by the varicocele. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at"}
{"_id": "000000809", "text": "Hello, and I hope I can help you today. Swelling is a normal part of pregnancy. Almost every woman has some swelling during the third trimester, and swelling in the joint capsule of your wrist, especially on your dominant hand, can cause symptoms of the condition called carpal tunnel syn Chat Doctor. However, being abnormally swollen can sometimes be associated with the pregnancy complication called preeclampsia. Preeclampsia is a combination of edema, high blood pressure, and protein being released into the urine. Developing preeclampsia as early as 24 weeks is a rare complication but can be very serious if not diagnose promptly. It can put a mother at risk for seizures and strokes, and also cause growth problems for the baby. So I strongly suggest you see your prenatal care provider urgently for evaluation. In the meantime I suggest you monitor yourself for symptoms like headaches, blurry vision, spots in front of your eyes. A right-sided upper abdominal pain. If you experience any of these symptoms you should go to a hospital emergency room for evaluation. I hope that everything turns out to be all right with your pregnancy after evaluation. In the meantime try to stay off your feet,"}
{"_id": "000000810", "text": "Hello Mam, I just read your query.* See normally ovulation occurs around 14th day of cycle. But it may vary, so women are advice to conceive between 12-14 days of cycle. But the ovulation period may vary in every woman according to her hormones and cycle.* As you have mentioned fertility monitor, and you are keeping an eye on ovulation. But let me clear you one thing that along with ovulation, size of egg and rupture of egg is also important. Sometimes size is mildly lesser than the normal size and sometimes egg is normal and ovulation occurs, but egg did not rupture as a result one will be failed in conceiving.* So I advise you to start taking Tab. Folic acid(5\\u00a0mg) one tablet once a day. As it will help in proper growth of egg.*If you still want to give some more try without help of doctor then take this tablet daily for three months and keep on trying. * Other way is taken this tablet and go for ovulation study in a nearby scan center as it will provide you the exact knowledge about your follicle and if somehow follicle does not rupture, and you will come to know about this, then you can consult your gynecologist. She will recommend you one injection which help in rupturing, and it would be easier for you to get conceived * Eat healthy and fresh food. Do exercise and walk daily as exercise and walk will help in increased pelvic blood flow as a result better uterus health.* I know that you are completely concerned about your problem, but still go for general check up of your husband as well as for his semen analysis too. * All these factors will help you in solving your problem.* I hope you are satisfied with my answer.  Thank you."}
{"_id": "000000811", "text": "Hi and thank you so much for this query. I understand the right you have to do just anything you want with your body. There are two sides to the equation, you're opting for it and the doctor accepting to. No doctor would feel accomplished doing a hysterectomy as a method of contraception. He is right to decline but does not mean he is dictating what you can do and not do with your body, but he is simply making it clear that he would not do that procedure for such a reason. There are better and less risky methods to accomplish that goal than hysterectomy. I hope this helps. I will advise you strongly think over that decision again. I wish you well."}
{"_id": "000000812", "text": "Hello dear, The symptoms as mentioned in your post can be attributed to acute exacerbation of asthma, secondary to a respiratory tract infection. Management involves"}
{"_id": "000000813", "text": "Hi I am Chat Doctor. .  In my opinion it means increased the activity of bone forming cells called osteoblasts and that's is the opposite of degenerative where bone resorption cells called osteoclasts transform bone to calcium.  Both formation and degeneration cause joint pain and arthritis so I think your acromioclavicular joint mobility is reduced and causes pain when overstretching your muscle origins while your vertebrae may show mild cervical disc herniation so I think you may visit your neurologist for proper evaluation and management. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask."}
{"_id": "000000814", "text": "Hi, Thanks for writing in. Antibiotics intake will not cause any side effect such as spotting. It is mainly due to stress associated with urinary and kidney infection which is causing the spotting. Please do not worry if it is for few days. Any heavy long duration flow must be discussed with your doctors. Any infection is a stressful event and can cause imbalance in female hormones. This further can cause mild spotting or inter cycle vaginal bleeding. This spotting or bleeding is usually less than normal bleeding occurring during cycles. Please take adequate rest and good amount of healthy nutritious foods and water in adequate quantities to flush the kidneys."}
{"_id": "000000815", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Sorry to say, but terminal stage malignancy has no cure. Not even by alternative medicine s. So better not to follow these things. Since you are saying that your aunt is barely conscious for only 1-2 minutes and remains unconscious throughout the remaining time, I think her life expectancy is very, very low. May be less than a week. So better not to give her anything especially alternative medicine s."}
{"_id": "000000816", "text": "Hi dear ! I have read your question carefully and understand your concern. If you delay periods and have both positive and negative results of pregnancy tests than you should make a blood BChatDoctor test to confirm /rule out pregnancy. If it will be positiver than you should contact with your gynecologist. If it will be negative than there are other many reasons than can cause delay periods. Hope I have been helpful"}
{"_id": "000000817", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have fever, tiredness with lack of appetite which is due to viral infection which is lowering down your immunity and making you prone for infection. I would suggest you to apply wet cold sheets on your head to lower down body temperature. Avoid hot, spicy and sharp food substances. You should take combination of antiviral Chat Doctor."}
{"_id": "000000818", "text": "Thanks for your question on Chat Doctor. By your history, I think you were having Tubercular pleural effusion. . It is accumulation of fluid in pleural cavity (between two layers of pleura) which is lying outside lung. So when patient complete the full six months of treatment, the fluid is absorbed and the pleura is healed. Do to the healing pleural layers are thickened. So this thick pleural layers rub with each other during coughing, sneezing and deep breathing and produce pain. And these thickened layers also restrict the lung expansion during deep breathing and gives feeling of chest tightness. So get done ultrasound examination of chest to diagnose this. No need to worry much for this. Do regular deep breathing exercise."}
{"_id": "000000819", "text": "Hi. Thanks for your query. The reasons of your symptoms of bloating, tiredness and no energy to exercise can be due to the following factors"}
{"_id": "000000820", "text": "Thanks for your question on Chat Doctor. Yes, you are right. Continuous irritation of any skin part can lead to skin malignancy.  But chances are very rare. Belly button is common site for this. As a lot of perspiration accumulate in that area. And you told that your hygiene for this part was not good. Which again is a risk factor. And constant rubbing, friction, blackening, irritation lead to skin infection mostly and rarely malignancy. So I advise you to check1. Sugar level as diabetes can cause similar skin condition.2. Wear cotton clothes. Avoid tight clothing.3. Maintain proper hygiene of this part.4. Consult dermatologist for proper clinical examination."}
{"_id": "000000821", "text": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. There are two possibilities in your case.1. Worsening of anxiety and panic disorder. 2. Cardiac cause (this is less likely at your age of 24 years). So first get done ECG to rule out cardiac cause. If ECG is normal then no need to worry much for cardiac cause. Your anxiety and panic disorder is not properly controlled. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Don't stop Chat Doctor.  Discuss all your problems with psychiatrist. Avoid stress and tension. Be relax and calm. Don't worry, you will be alright."}
{"_id": "000000822", "text": "Hello, What I see with the history you mentioned is you have chronic lymphedema. As your other lab reports are turned to be normal, along with No High BP or Diabetic than you should check for any signs of varicose veins.  You can get a Doppler done for checking out if there is any kind of obstruction in the lower limb lymph nodes. Also, using stocking should be of great help and doing some exercises to improve venous return would be helpful. As you are 54 and 130/KGS you need to shed down weight and do regular exercise. Hope I have answered your query. Let me know if I can assist you further.  Jay In Chat Doctor."}
{"_id": "000000823", "text": "Hello, thank you for consulting with Chat Doctor. It looks that you are having a disorder of Temporomandibular joint (joint of jaws). The medications which has been prescribed to you is a muscle relaxant, which is a good Chat Doctor.  But along with this you have to start with a pan-40 capsule, as it reduces the acidity caused by it, even you should give hot fermentation to the joints and apply retail gel on it. Hope it will help you."}
{"_id": "000000824", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion you are mostly having HERD (gastroesophageal reflux disease) related bronchitis and productive cough. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause acidity, chest pain, reflux in wind pipe and trachea. This reflux causes chronic inflammation in airways. This causes bronchitis, cough and expectoration. So we should first treat your HERD to control bronchitis. So avoid stress and tension. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors and prokinetic Chat Doctor.  For bronchitis, take inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright with above-mentioned things. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000825", "text": "Thanks for your query, I have gone through your query. The soreness in the mouth particularly in the bottom teeth could be because of the gum infection secondary to deposits. It is not related to sinus infection. Consult an oral physician and get it diagnosed and treated by getting your teeth cleaned. You can take a course of antibiotics like amoxicillin 500\\u00a0mg and metronidazole 400\\u00a0mg TID for 5 days (if you are not allergic). Do saline gargling. I hope my answer will help you, take care."}
{"_id": "000000826", "text": "Hi, if there is staph infection then it can be proved by blood culture. Have you done any blood culture? Long term iv access can lead to staph colonization. What are the medications used for neuropathic pain? Though it is difficult to control still some options like tricyclic antidepressant, some anticonvulsant like carbamazepine etc. can be tried. Morphine is also an option. Please consult your doctor. I am sure you will get relieved from your distress."}
{"_id": "000000827", "text": "Hello, I have studied your case and reports MRI shows mild to moderate disc bulge with canal stenosis. Due to compression of this nerve root there can be leg pain associated with it. 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. My patients get good relief with holistic approach like Panama, yoga, and darshan Oriya. You can also start them. Epidural steroid may help. If there is no relief with all conservative measures then decompression with fusion or disc replacement can be done. 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."}
{"_id": "000000828", "text": "Hi, thank-you for providing the brief history of your husband. As he is having pain in the wrist and below towards the finger, a thorough clinical examination is advised. As the neuropathic pain is articular in symptoms this can be either related to the pinched nerve in the cervical spine or may be the carpal tunnel syn Chat Doctor.  Now for coming closer to Diagnosis a thorough examination is advised post which may be an MRI of cervical spine or the NCV study for the upper limb will perform and then treatment will be advised.Also, Physical therapy is a non-invasive treatment which helps reduce the pain and also helps regain the hand function. RegardsJay In"}
{"_id": "000000829", "text": "DEAR FRIEND, I UNDERSTAND YOUR CONCERNS ABOUT YOUR PAIN. SEE THIS IS MAY BE DUE TO MUSCLE STRAIN OR NERVE COMPRESSION, SO WE NEED TO TAKE CARE OF BACK... SEE IN THIS TYPE OF CASE PAIN IS THE MAIN FACTOR WHICH TROUBLES HIM DUE TO IRRITATION OF NERVE ROOTS. NO NEED TO WORRY, YOU NEED TO TAKE IT AND TRACTION THERAPY FOR HIS BACK IN PHYSIOTHERAPY CLINIC... IF ANY LOCALIZE PAIN IS PRESENT THEN TAKE ULTRASONIC THERAPY.... YOU NEED 15 days TO THIS THERAPY!! THEN ONLY START WITH VARIOUS EXERCISE... TILL THAT TIME WAIT FOR PAIN TO REDUCE...."}
{"_id": "000000830", "text": "Hi, dairy have gone through your question. I can understand your concern. If you have multiple cancer then there is high chance that is it metastatic cancer. You may have lung cancer with brain metastasis. Treatment is very difficult. Surgery is not possible. So chemotherapy and radiotherapy is the treatment of choice. It is palliative treatment and can not cure the disease. So chance of survival is very low. It has poor prognosis. Life expectancy is not good. Sorry to say but it is the fact. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000831", "text": "Hi, Yes definitely there is an internal fracture. Black eye means an internal bleeding. This needs to be treated immediately. You need a CT to be done. Also visit a neurologist for the proper assessment and treatment till then apply cold and ice packs alternatively to reduce the pressure on eye, also if there is a swelling on the skull you can apply ice pack over that area to reduce the swelling. Hope this helps you and you recover soon. Let me know if I can assist you further. Jenis Bhagavan"}
{"_id": "000000832", "text": "Hello, Welcome to Chat Doctor, Bacterial vaginosis is not caused by a single bacteria there will be overgrowth of various bacteria in the vagina. Normally, there are different types of harmless bacteria in the vagina. These bacteria help in the defense against harmful germs, whenever there is a change in the balance of the normal bacteria in the vagina, certain bacteria multiply produce the symptoms of bacterial vaginosis. Metronidazole vaginal cream placed inside the vagina can be used, and it has the same ability of oral metronidazole to clear Bacterial vaginosis. It should be used for 5-7 days for effective treatment. Thank you."}
{"_id": "000000833", "text": "Hello, welcome to Chat Doctor. It is common to have disturbed sleep during stress of study. Sleep problem decreases concentration, which further exacerbate stress related to study. Following steps will help you"}
{"_id": "000000834", "text": "Thanks for your query, I have gone through your query. The fever and vomiting could be because of the viral infection or food poisoning. Take your son to the physician and get the infection cleared. After that we can treat the red and swollen gums. The redness and swelling of gums can also occur along with viral infection(herpes). Or it can be because of the deposits. Get your sons teeth cleaned. Let him do saline gargling. I hope my answer will help you. Take care."}
{"_id": "000000835", "text": "Welcome to Chat Doctor. I think I have understood your concern. I will suggest you to get pregnant only after your TSChatDoctores to less than 2.0. This will also have effects on reducing hair fall. High TSH - hypothyroidism can lead to physical and mental development problems in the child. To get control on weight you need to focus on certain things. I will suggest adopting a healthy diet and regular exercise regime. Include a lot of fruits, salads, vegetables in diet. Avoid deep-fried foods, bakery products and refined sugars. Avoid substance abuse, if any. I hope this answer helps you. Thanks Chat Doctor."}
{"_id": "000000836", "text": "Greetings Madam. Feel glad that I am able to help you overcome your discomfort viz., soreness in ear lobes. My opinion after reading your query is that it is infection usually by bacteria of the tissue that surrounds and nourishes the cartilage(A tough, elastic, fibrous tissue) which makes up the outer ear. Common reason are injury to the tissue viz.,ear-piercing, etc., which may sometime leads to deformation of the ear structure (in severe cases). Other possibility could be Ear Keloid(overgrowth of scar tissue that follow skin injuries) & many more possibility. Cant explain more. Best advise not only for your betterment but also to avoid further complication is that fix an appointment with a Family Doctor/General Physician/ENT surgeon/General Surgeon, who examine the ear & decide the treatment depending on severity viz., antibiotics/surgery followed by antibiotics. Sometime plastic surgery may be needed to restore the ear to its normal shape. Well, it all depends on severity. I am telling most possible reason as i haven't seen you personally.Instead, guided you. For future prevention AVOID ear-piercing.note"}
{"_id": "000000837", "text": "Hi welcome to Chat Doctor forum.  Thanks for asking a question to Chat Doctor. F.  You had stomach bug for nearly 10 days. You are treated for anti sickness, and for cramps and put on a Chat Doctor.  Furthermore, you are told it is a nanotorus bug.  Viral infection is a self limiting disease, and to be treated for weakness, and symptoms, it will be cured by its own, in a few days. I advise you to have fruits, juices, and easily digestible foods.  I wish you will be fine soon.  Best regards."}
{"_id": "000000838", "text": "Hi, I had gone through your question and understand your concerns. It depends on from the force that hit your head. According to your symptoms, I would say yes you may have concussion. Rest, OTC Chat Doctor.  If you experience nausea, vomits, worsening headaches you should consult your primary care Doctor. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions."}
{"_id": "000000839", "text": "Hi I have read your description of injury, and now it is causing pain OTP elbow and tingling sensation. Your x-rays are normal. It is quite possible that you have soft tissue injury at the wrist causing swelling inside the wrist joint. In my clinic I would advise, splint age (Immobilization of wrist) to reduce further damage to soft tissues due to movement, prescribe painkillers and rest (For The affected hand) for 2-3 weeks."}
{"_id": "000000840", "text": "Hi and welcome to Chat Doctor. First I would like to assure you that you need not panic. Yes, you need to seek medical attention, but it can be easily managed once diagnosed properly. Numbness can be caused due to a lot of factors, primarily, due to bulging of discs in the spinal column, causing pressure on the nerve roots that supply to your foot and hands. Secondly, deficiency of vitamin D, can cause muscular and neuronal weakness. You may be more prone to this if you are obese or have a lifestyle which requires you to do long hours of sitting or prolonged stay indoors, without enough sunlight. So its highly recommended that you get a BT (blood test) done to find out It. D level and calcium levels and also X-ray of Cervical as well as Lumbar spine are recommended to rule out any disc bulges. Once the cause is diagnosed, the treatment will be effective, comprising dietary management, and It. D supplements for a couple of weeks and an exercise regime. Although, you can always start walking to tone up your muscles and strengthen them, which will also help control your weight. I hope this information is helpful to you. Take care and have a nice day"}
{"_id": "000000841", "text": "Hi, How are you? My name is Chat Doctor.  I am a Liver and Pancreas specialist and I hope to answer your question today. I am sorry to hear about your diagnosis. A choledochal cyst is an abnormal dilatation of the bile duct and could very well explain all the symptoms you have been having. A choledochal cyst can be complicated by recurrent infections, stone formation, jaundice and is also a risk factor for development of cancer. So we usually surgically resect the chole-dochal cyst. Please do consult a surgeon who can guide you regarding the same. Please do let me know your geographical location, so I can guide you towards specialists available in your area. Hope this helps and hope you start to feel better. Please do not hesitate to contact me for further details required. rxsuresh@gmail.comhave a great day"}
{"_id": "000000842", "text": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. The raised BP can cause such headaches and this will require good control of blood pressure. 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"}
{"_id": "000000843", "text": "Hi. Thanks for your query and an elucidated history. Gall stones and many other diseases are easily ruled out by ultrasonography. Peptic ulcer is ruled out by typical history and upper GI endoscopy. Chills can be due to flu but also by a closed cavity infection like urinary tract, liver, large intestine and so on... This will be easily by clinical examination, relevant investigations and response to antibiotics. Blood and urine culture before start of antibiotic can help in some cases to get a proper diagnosis."}
{"_id": "000000844", "text": "Since the reports are normal, as you mention, probably the cause is a viral infection. Viral infections in child Chat Doctor.  Antibiotics are ineffective but since you have started it, I would insist you to complete the course. No alternative antibiotics required. Just continue fearing which contains paracetamol which will help in bringing down the temperature. Steam inhalation would be helpful. Give plenty of curd. In 5-7 days things generally return to normal. If not, get blood tests done to rule out typhoid."}
{"_id": "000000845", "text": "Hi, If I were your treating Doctor for this case, I would come up with following interpretations"}
{"_id": "000000846", "text": "Hello and thank you for asking Chat Doctor, I understand your concern. Regarding your symptoms it seems like you are having contusion. My suggestion is to visit your GP to make proper examination to exclude bleeding in your brain. Until then avoid any kind of exercise. And avoid your gym for to weeks. If your symptoms progress than visit ER as soon as possible. I hope this answer was helpful to you."}
{"_id": "000000847", "text": "Hi dear user, thanks for asking your query. If your pill is not late by more than 12 hrs then it does not lose its effect. Your history is suggestive of either some breakthrough bleeding(which is commonly seen with lower dose pills containing levonorgesterol) or some local infection. I will advise you to take 2 tablets of microgynon a day for 2 days to stop breakthrough bleeding. If your chlamydia test comes out to be positive, then you should take azithromycin 1g(both partners). Hope this helps."}
{"_id": "000000848", "text": "Thanks for your question on Chat Doctor. I can understand your concern. You are having pleuritic pain (pain on deep breathing) and difficulty in breathing. These are seen in bronchitis and pneumonia (lung infection). So better to get done chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out pneumonia. PFT is needed to rule out bronchitis. If both are normal then no need to worry about any major illness. Stress and anxiety can cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000000849", "text": "Hi, thanks for the query and the concerns shown for the chest-lump on Lt of your body. Dear In my opinion-it may be because of the -work-trauma-in crouching position but as that history is not there from you, I would label it to -Hepatitis-which you have to check up with your doctor in ER. Another possibility could be inspiratory catch-of myogenic or pleuritic origin, which needs to be ruled out after checks with the ER doctor. Thanks and Welcome again. Hope this resolved your query. Take Care."}
{"_id": "000000850", "text": "Hello, thank you for consulting with Chat Doctor. As you are mentioning that your daughter molar teeth are infected, and even there is pus discharge, then you should get them removed as these are milk teeth not permanent and if you will leave them they will infect the erupting permanent tooth also. These capping which the dentist has mentioned will maintain the space for permanent teeth, so they are necessary. It will take only 1 to 2 days in recovery from pain otherwise she will be ok after surgery only. So please do not take tension and believe on the dentist. Hope it will help you."}
{"_id": "000000851", "text": "Hello! Thank you for the query. Upper abdominal pain and left chest pain radiating to your shoulder blade can be caused by heart problem. And this should be ruled out at first. To do that, heart ECG and heart enzymes should be checked. It is also possible that there is a stone in your bile ducts, and it is causing your pain. Usually gallstones are invisible in the CT, that is why abdominal ultrasound should be done. Do not know what blood tests were performed, but you should have GGTP and AP checked (usually elevated with bile ducts stones). Upper GI endoscopy should be also done to rule out peptic ulcer. If no findings in ultrasound and blood tests, ERCP procedure should be also considered (to contrast pancreas ducts and bile ducts). Hope this will help. Regards."}
{"_id": "000000852", "text": "There is no way to hide the virus. You can be treated for hepatitis B, which might remove the virus from your body, so you are no longer a carrier. Talk to a doctor who specializes in treating liver disease and chronic hepatitis. This could be an infectious disease specialist or a gastroenterologist or hepatologist. They should be able to help you see about treatment so you no longer have the virus and can then get a job visa. Hope this helps."}
{"_id": "000000853", "text": "Hello, It looks from your details that most probably you may have stretched a nerve supplying to your foot on inner side of your ankle. At present, you should do following to have relief in this"}
{"_id": "000000854", "text": "Hi, Thanks for writing.GUI increases the chance of pregnancy by 20%. Except on the day of GUI have regular intercourse around the date of ovulation to enhance fertilization of ovum. Avoid stress. Have healthy food and practice yoga as stress can affect fertility. Continue with phaeton for 10 days. Around day 21 get a Chat Doctor blood test to detect pregnancy. Hope I have answered your query. Good day"}
{"_id": "000000855", "text": "Hello, I can understand your concern and feel sorry for the agony you have been through. Clindamycin is commonly given antibiotic for tooth and oral cavity infections. It does cause joint pain as a side effect. However, developing joint pain after 2 weeks of starting the Chat Doctor. As your blood tests are also coming normal, infection and other blood related disorder can be ruled out. However, if you consult an orthopedic surgeon or pain management clinic, some light can be shed on what you are suffering from, and it can be treated. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best,"}
{"_id": "000000856", "text": "Hi, your father had colonoscopy, became nauseous, vomited, and feeling weak. He is diabetic with slightly elevated RBS.  It appears to be due to the premedication, or result of the anxiety of the procedure. First of all his sugar level must be brought too normal to prevent the infection at the site of procedure.  So I advise consulting his doctor to adjust the dose of the diabetes Chat Doctor.  Thank you."}
{"_id": "000000857", "text": "Hi. As per your complaint rashes with severe itching seems to be most probably due to allergic reaction and in case if you have not changed any shampoo, soap or laundry etc. then it seems to be most probably due to any food or medication. I would suggest you to consult an Allergist and get evaluated and a thorough clinical evaluation and investigations like allergic tests like Patch test, LAST test, food challenge test etc. can help in diagnosis and treatment can be done accordingly. The tests will help in ruling out the exact cause of the allergen and once you know the cause of the allergic reaction you can avoid exposure to it to prevent allergy attack. The allergist can advise to oral anti allergic as well as injectable steroids for relief. As of now you can take anti-allergics like Levocetrizine, Allegra to control the itching and swelling. Do cool compresses. Application of calamine lotion can help in soothing the skin. You can also be instilled an Immunotherapy that will help in reducing the severity and frequency of allergic attack. Hope I have answered your query. Please let me know if I can assist you further Regards."}
{"_id": "000000858", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Air around heart is known as pneumomediastinum. And this can cause similar symptoms like she is having. This is serious condition. Patient needs CT thorax for confirmation of this. Treatment lies in 1. Continuous oxygen inhalation. 2. Oral bronchodilator. 3. Inhaled bronchodilators and inhaled corticosteroid. 4. Antibiotic to prevent infection. 5. Bed rest with minimal mobilization. So In my opinion, you should consult another doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks."}
{"_id": "000000859", "text": "Thanks for your question on Chat Doctor. I can understand your concern. The main problem in sickle cell disease is obstruction of minor vessels due to pickling of RBC's (red blood cells). These RBC's clumped together and obstruct the blood supply to that part of organ. This is common in lung and brain vessels. So chances of small Pulmonary infarction and brain infarction are more in sickle cell disease. And these cause similar kind of sharp chest pain and headache. So better to get done CT Pulmonary Angiography and MRI brain for the diagnosis of these complications. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000860", "text": "Hi, Thanks for writing in. Sorry to hear about stage 4 prostate cancer in your brother. Since his PSA is 1200 and doctors have found an aggressive tumor in the back therefore all attempts must be made to extend his survival and keep him comfortable by reducing pain as much possible. Please discuss with the oncologist if he can take radiation therapy to control the disease progression and whether he is getting adequate pain relief. Additional pain relief medicines like opioids can be added when he develops bouts of sudden pain. In stage 4 disease patients can survive for 2 years with good treatment and supportive care. Therefore, if he is able to maintain his general condition then he will be able to survive longer. Please give attention to his nutrition and give more proteins. He should also Chat Doctor."}
{"_id": "000000861", "text": "Hi. Thanks for the query. As per your complaint a tender lump under the chin can be due to inflamed and swollen lymph nodes due to the infected tooth. As you explained that your daughter has a broken baby tooth with lump over the gums of same tooth clearly shows that she has abscess formation below the root apex of tooth and the tender swelling can be due to pus accumulation below the chin if the tooth is also a front tooth. One more reason can be infection in the sub lingual salivary gland leading to inflammation in the gland and swelling. I would suggest you to consult a Pediatric Dentist and get a checkup and x-ray done to rule out the cause of swelling and tenderness... In case if it is due to tooth infection root canal treatment or extraction along with antibiotics can relieve. In case of infection in gland antibiotic therapy can provide relief. Hope this helps. Regards."}
{"_id": "000000862", "text": "Thanks for sharing your concern with Chat Doctor .! Please note as per your details, we assume that one tooth of your has been grossly decayed as result of the decay the infection will generally reach the dental pulp and causes pain during night. Please consult any dentist, and you would be generally referred for RCT(Root Canal Treatment) of the infected tooth / it would be advised for extraction, if the decay has significantly damaged your tooth structure. Kind regards Chat Doctor."}
{"_id": "000000863", "text": "Hi, From your history it seems that you are suffering from disc slip which now is pressing any nerve due to which you are getting pain at your legs also. And in medical terminology it is diagnosed as sciatica. In this condition, physiotherapy stood a good chance to relieve you from your pain. Do consult any physiotherapy clinic. Your physiotherapist will help you out. In the meanwhile use hard bed for rest and put a pillow under your knees to relieve the stretch at your nerve, and it will decrease your pain also. Use lumbar corset while traveling to prevent any travel shocks, Chat Doctor.  Take vitamin B 12 supplements (vitamin b12 is considered as nerve tonic). In physiotherapy there are various pain relief and machines which stimulates the nerve like tens and it. Along with patient centered exercise program can work wonders in relieving the pain and discomfort. Hope you find the answer useful. Let me know if I can assist you further."}
{"_id": "000000864", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out brain pathology for your symptoms. So get done blood pressure monitoring and MRI brain. If both these are normal then no need to worry about stroke or other brain pathology. In teenage, undiagnosed stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000865", "text": "Hello appreciate your concernLooking at history this could be an infected sebaceous cyst or folliculitis due to infection in hair follicles if you can upload me a photograph I will be able to help you bettering my opinion he should consult a general surgeon for examination and a battery of tests like CBC blood sugar he may require a course of antibiotics under supervision of doctor tell him to clean it with an antiseptic solution and maintain good hygiene hope this helps him best wishes"}
{"_id": "000000866", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you feel like bad taste in mouth, feeling blisters on tongue, feeling like hot, for these symptoms are like of Lichen Plans, or it can be due to poor Oral hygiene also For this you should visit Dentist and go for local examination if needed go for cytology, You go for Oral prophylaxis also, Hope this will help you.  Wishing you good health Regards"}
{"_id": "000000867", "text": "Degree understand your concerns went through your details. There is nothing to worry. Production of sperm and semen is an automatic process within body. Semen is produced whenever you are sexually aroused. Produced semen is stored inside your body. Now that semen is a waste product. Body needs to throw it out. The stored semen goes out when you masturbate or engage in sexual intercourse. Otherwise, body finds its own ways to throw the waste semen out. The most common ways are through urine or through nocturnal emission. The process is normal, natural and involuntary. You cannot control it and there is no health issue due to that. Don't worry or be anxious. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000000868", "text": "Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY Chat Doctor.  This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. Regards -"}
{"_id": "000000869", "text": "Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, after a clinical assessment of your abdomen, I would advise you for a routine stool test for ova and cyst and occult blood, a urine test both routine and microscopic, a routine blood test like a CBC, and possibly an ultrasound of abdomen if need be. I would also advise you to avoid any outside food, and also avoid smoking and alcohol completely if you do. On the dietary front, you should go for a high roughage diet with enough liquids. Further management would depend on the reports of investigations and clinical assessment of your abdomen. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000000870", "text": "Hello, Vertigo is a problem that is related with problems related to inner ear. Kidney stones are calcified materials present in the kidney, ureter (tube that transports urine from kidney to urinary bladder) or urinary bladder. These two conditions are totally different, and they do not relate with each other. However, when the stone moves from one part of urinary tract to another and pinches in the ureter or flesh of the organ, you might get intense pain and may feel nauseated and dizzy, which could be misinterpreted as vertigo. If the ultrasound suggests that the stone is larger, you may have to go for lithography procedure to break the stone down in smaller parts by ultrasonic waves. Smaller stones can be removed through urine by Chat Doctor. I wish this information helps. Thank you for choosing Chat Doctor. Best,"}
{"_id": "000000871", "text": "Hi, Thanks for your question. As the lump is painless, skin color it is most likely a lipoma. Lipoma is an abnormal over growth of fatty tissues, it ha no particular reason. Usually lipomas are harmless. There is no medical treatment for it. It required surgical removal in following cases-1) Cosmetic reason -Some may look odd.2) Painful - rarely become painful.3) In some cases lipomas near joint may restrict joint movement. You can wait and watch it. But you should consult surgeon in case-1) Rapidly increasing size.2) Change in overlying skin color.3) Become fixed i.e. can not move.4) Development of pus point. Hope I have answered your question. Please do vote."}
{"_id": "000000872", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. This is caused by bacterial infection, usually staphylococcus aureus which may be resistant in your case, and you need more powerful antibiotics and so-called flow Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health."}
{"_id": "000000873", "text": "Hi, I think you should continue doing ultrasound at intervals of 2 to 3 days.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles and GUI will be done the next day. Take progesterone for next 2 weeks.  Chances of pregnancy in one cycle of GUI is 10 to 15 percent only. So, try at least 3 to 6 months of GUI. Hope I have answered your question. Regards Chat Doctor."}
{"_id": "000000874", "text": "Hi, Weight gain is a common side effect of all hormonal contraceptives. Fluid retention and hormonal changes caused by the pill is responsible for the weight gain. I would suggest you to switch to other contraceptive methods and stop taking Trieste / trefoil pill. You can also try the loop contraception after discussing with your gynecologist and ruling out any contra-indication. I would also suggest you to do physical exercise every day at least half an hour to reduce the extra weight. Adequate HY Chat Doctor. Take care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000000875", "text": "Hi.I've gone through your query and I can understand your anxiety. Cortisone injections have side effects like - skin thinning, loss of color, facial flushing-insomnia, moodiness-high blood sugar. - Damaged tendon, cartilage & bone-Infection & painful joints. Also, higher doses & chronic usage of steroids can reduce the conversion of T4 to T3. Hence, hyperthyroidism will be converted to hypothyroidism. So it is useful in the treatment purpose. Then, liver enzymes like ALT, AST, ALP and GGT are also increased after steroid injection. I advise you to reschedule or repeat the test once again after few days to get rid of the effects of injection & also to avoid biased reports. Hope I have answered your query. Let me know if I can assist you further. Take care."}
{"_id": "000000876", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. There is no natural remedy to improve your thrombocyte pounds. You can have vitamins and healthy diet of course which will improve your immune system and general health, and it may slow down liver failure progression and on this way it will improve your blood count. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor."}
{"_id": "000000877", "text": "Hi...by what you say this looks like a viral illness to me. It is usual for kids to have fever along with chest congestion and blocked nose. Cough and cold are viral 95% of the times in child Chat Doctor.  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. For fever - Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose (max ceiling dose 500\\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal"}
{"_id": "000000878", "text": "Dear friend,First, accept my condolences on the loss of your first daughter. Coming to your current question, nothing in her symptoms or investigations seems to point to ALL as of now. If your concern is with 71% lymphocytes, this can be normal in a year-old infant. Her other cell counts and biochemistry tests are normal. Whether she could be having a musculoskeletal disorder, I am not currently knowledgeable enough to comment on what it might be, but I would suggest that if they want to get this diagnosis out of contention, they should consider a KITCHEN Chat Doctor.  I say this because both your child"}
{"_id": "000000879", "text": "Hi there, I have understood your concern. Please do not panic. You have ovulated within last 6 to 8 hours. And your GUI is done in the correct time frame. Secondly, as per research chance of getting pregnant is almost 16%. Which is considered as a very good result. Thirdly, please get husbands semen analysis done later on with 4 days gap of sexual activity.  His counts are ok but 15 % motility needs attention.  Please seek opinion of your treating doctor for the same.  I hope this answer helps you. Thanks."}
{"_id": "000000880", "text": "HelloThanks for query. You have severe pain in left loin with blood in urine (Hematuria). Though C. T Scan has not revealed positive evidence of stone either in kidney or ureter the pain that you have with dilatation of pelvicalyceal system suggests obstruction to flow of urine from kidney in to bladder via ureter and needs to be investigated further. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis 3) Radiological test called Retrograde Paleography. Further treatment will depend upon result of these tests and final diagnosis.  Chat Doctor."}
{"_id": "000000881", "text": "Hi there let me try to clear some points regarding acne and pregnancy. Acne can be cleared or get worse in pregnancy, so there is a mixed approach. Secondly, generally as I can see in practice that acne get worse in the first few months of pregnancy but as the pregnancy proceeds it get better may be due to hormonal changes. Now if your cream has got Clindamycin then I would say you can apply. But I would also recommend the following1"}
{"_id": "000000882", "text": "Hello, Causes of muscle pain are"}
{"_id": "000000883", "text": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that both Chat Doctor.  Tesla is an angiotensin receptor blocker, while Beta cap ID a beta-blocker. Facing your young age and possible implication of therapy to physical performance, I would recommend Temple, which offers a better hemodynamic profile, if no contraindications exist.  Nevertheless, there are many several options for high BP treatment. You need to discuss with your doctor about your past medical history implications in deciding the most safety profile treatment. Hope to have been helpful to you. Greetings!"}
{"_id": "000000884", "text": "HI, Thanks for the query to Chat Doctor. Causes for an abscess between nose and lip-is due to the boil/ fur uncle. Allergy and chronic sinusitis has increased the sensitivity to infections in you. Treatment -would be Antibiotics / Anti-inflammatory from ER ENT doctor. Tab-Zevit C-mutliviamin to boost the energy levels and immunity levels would recoup the body fast. Hope this would help you to plan treatment with ER doctor. Welcome for any further query to Chat Doctor. Hit thanks and write good review if this reply helps your health concerns, for the benefit of new and old patients at my virtual clinic at Chat Doctor. Good Day. Chat Doctor. N."}
{"_id": "000000885", "text": "Thanks for your query, I have gone through your query. The MAL aligned teeth can be corrected by putting braces. Consult an orthodontist and take one more opinion regarding extraction of teeth. If more space is required to align the teeth then you might have to go for extraction of teeth. You have to take radiographs like OPG and lateral cephalogram to decide about extraction. Lingual orthodontics might cost around 60,000 to 1lakh. Do not go for veneers or capping. When it is possible to correct it through orthodontic treatment better get it corrected. I hope my answer will help you, take care."}
{"_id": "000000886", "text": "Hi, The rash could be a hypersensitivity reaction to a Chat Doctor.  You could empirically apply an antifungal cream and take an antihistamine tablet for a week. If your symptoms do not improve in a week or if your rash worsens, I request you to consult your dermatologist for confirming the diagnosis and to initiate the apt treatment. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000887", "text": "Hi, Thanks for posting your query. Are you getting bowel movements daily? Abdominal bloating, distension and still persisting pain at operative site should be taken seriously. With the available described symptoms, there could be possibility of intestinal adhesions at operative site. You should consult with your treating doctor/ general surgeon and should go for thorough check up. You should also go for complete blood count, ultrasound imaging, renal function test, blood sugar both fasting and postprandial, thyroid profile, and serum electrolytes. Furthermore, you should take small quantity frequent soft meals. Avoid oily spicy and heavy meals. You should take prokinetics along with proton pump inhibitors. If needed, then you should also go for diagnostic laparoscopy. Take care,"}
{"_id": "000000888", "text": "Hi, thank-you for providing the brief history of you As you have a pulling pain it can be related to a pinched nerve. Getting a clinical examination and an MRI of cervical spine should help father. Treatment"}
{"_id": "000000889", "text": "Hi, I had gone through your question and understand your concerns. Osteoarthritis of right hip is your diagnosis, it is evidenced by your history of excess physical activity and age. In this condition there will be loss of cartilage between two bones which is a protective from both bone ends to get rubbed. So loss of cartilage leads to exposure of actual bone, and they get rubbed each other and there will be loss of bone contour. Bone spurs are indicative of osteoporosis in which bone mineral density decreased and as a compensation there will be excess calcium deposition. To prevent further damage.-have good rest.-take calcium supplements-avoid excess hip movements and decrease weight on hip by using a cane if you impermanent treatment will be done by surgical procedure, like total hip replacement or by refining the surfaces. Use painkillers like ibuprofen. About the front ligaments, once the hip pathology decreases it will automatically come down. Stiffness is due inflammation around the joint due to friction of the bone ends. Consult an orthopedic or sports medicine specialist. 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."}
{"_id": "000000890", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern without the clinical examination it is becoming very difficult some time to come on any conclusion with the help of brief history given here, if you do have history of esophagus disease then this complains need to be ruled out, as far as your doubts are concerns for, Hernia, ulcer, these all needs investigation without proper investigation such big diagnosis can not be made, if the pain is severe then in my opinion clinical examination would be urgent, hope this information helps you, have good day."}
{"_id": "000000891", "text": "Hi, I think your doctor wants to be in the safe side by sending you for coronary angiography. Patients with chronic kidney disease are at higher risk for developing ischemic heart disease, you have two episodes of syncope, so your doctor may be afraid not to miss coronary artery blockage. But if you are concerned much about the procedure, you may discuss with your doctor the possibility of stress test instead of coronary angiography. If there are still doubts after the stress test, then you can go for the angiography. Take care"}
{"_id": "000000892", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should get done thyroid function test to rule out high thyroid hormone levels because this can cause similar kind of symptoms. Sometimes, Chat Doctor.  If these levels are high then you will need reduction in the dose of thyroid tablets. Also get done blood pressure monitoring to rule out hypertension. If all these are normal then stress and anxiety are the likely cause. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000893", "text": "Hello,First I would like to tell that the streak you explained is unlikely to be a melanoma. Melanomas to explain in general terms would be a mole growing without no control. You might monitor closely for growing size of the lesion progressively and irregular margins. If the lesion is constant then the chances of melanoma are low.Moreover, you mentioned that the streak goes away when you use vinegar, a melanoma doesn't go away. Secondly, if you are prone to fungal infections then there are chances the lesion a result of that. I would advise you to start with oral antifungals alongside topical. Maintain feet hygiene. If your nails appear broken then it can be a sign of iron deficiency as well. Follow up with your doctor if the lesion grows or if additional signs like fever develops."}
{"_id": "000000894", "text": "Hello. Thanks for asking from Chat Doctor. I can understand your concern. It is good that after CO poisoning, your consciousness is intact. It means that your brain is almost spared. Your numbness can be due to nerve or spinal cord damage. To find out the cause, the doctor is advising you some investigations like nerve conduction study. Nerve conduction study helps in evaluating nerve damage. In case of nerve damage, conduction velocity decreases. Spinal cord damage can be found out by MRI of spine. At home, you can follow few tips like"}
{"_id": "000000895", "text": "Hi, Welcome to Chat Doctor, I am Chat Doctor.  So, you have elevated WBC of which lymphocytes and neutrophils are increased.  Now without any comment on the morphology of the lymphocytes, whether they are blasts or not. And clinical profile is also very important.  So, first do a Complete blood count from referral laboratory, and upload the report and I will definitely give you satisfactory answer. Please mention the values of all the parameters clearly.  Regards."}
{"_id": "000000896", "text": "Dear patient thanks for the question.Judging by your symptoms it seems to be a kidney disease. A build-up of wastes in the blood (called uremia) can make food taste like metal and cause bad breath. You may also notice that you stop liking to eat meat, or that you are losing weight because you just don't feel like eating. All you have to do is get your renal profile checked along with serum electrolytes and a diagnosis can be made hope this helped"}
{"_id": "000000897", "text": "I read your question carefully, and I understand your concern. Regarding the concern of a connection between Cushing and Parkinson's disease the answer is no, there is no known relation between the two conditions, the presence of both in your sister is a coincidence. She has developed Parkinson sat a pretty young age (usually after 65) and in these young onset cases there is thought to be a genetic predisposition, so the predisposition may be higher than in the common population. As for the remaining issues, the larger hands and feet, anger issues, even if not related to Parkinson's she should see a doctor for the possibility of a pituitary adenoid. I hope to have been of help."}
{"_id": "000000898", "text": "Hello, Regarding your concern, I would explain that this Chat Doctor.  For this reason, I would recommend performing further tests in order to investigate other possible causes that may trigger this clinical situation"}
{"_id": "000000899", "text": "Hi, As per your history, your stone size is small, so there is no need for surgery. You can take 12 glasses of water daily, take lemon tea, pomegranate juice, Basil juice. This can help dissolve stones and also lower acidity in urine which prevents further formation of stones. You are also advised to avoid junk foods, fatty foods and foods which contain a high content of fats. These will definitely reduce future chances of stone formation. Reduce consumption of oils in food. You can also see a physician for a general examination. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000900", "text": "According to the situation you have described it looks more like the partially erupted wisdom molar on your lower jaw. Which forms a pocket with the gums over it. This can get infected repeatedly as there can be food lodgment in this pocket. And this infection can lead to spasm in your muscles that help in chewing. You need to get an x-ray done to confirm the diagnoses. And if this diagnoses turns true you need to get your wisdom molar from lower jaw extracted which mostly will b done surgically. And also add a regime of antibiotics and muscle relaxants and painkillers."}
{"_id": "000000901", "text": "Hello, In case if the pain is severe and not tolerable, then you can take her to the emergency room so that they can give her injectable painkillers to relieve pain for a longer duration and also faster. In case if she is allergic to Ibuprofen, you can also give other painkillers like Motorola, Diclofenac etcetera, but only if you know she is not allergic to those. Also, do cool compresses over the cheek. Apply Lidocaine gel over the extraction site as it will help in relieving pain. If the pain still continues to get worse, consult her dentist and get checked. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000902", "text": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I think that your symptoms may be related to a hormonal imbalance or an infection. An inflammation of the cervix uteri could also cause similar symptoms. I recommend consulting with your gynecologist for a careful physical examination, a routine blood test, urinalysis, and an abdominal ultrasound. A colonoscopy may be needed. Hope to have been of help! Best regards,"}
{"_id": "000000903", "text": "Hi, What you have been a work induced muscle strain of your wrist. Since you are involved in lifting heavy weights continuously your muscles around the wrist joint have undergone a protective spasm. Taking hot packs for around 3/4 times a day with adequate rest will help you to relieve pain. Also doing strengthening exercises of your elbow and arm muscle will reduce the load on wrist. Besides following lifting ergonomic will help you out n an easy and efficient work. To subside pain you can take over the counter Diclofenac. Hope this helps you in relieving the pain. Let me know if I can assist you further."}
{"_id": "000000904", "text": "Hi, Thanks for writing in. Cancer is a delicate situation when detected at stage 4 disease involving the gall bladder and which is advanced. It means that the disease has spread locally and also to distant organs with a large tumor and lymph nodes. In this situation surgery is not possible and even if surgery is attempted then the patient survival will not improve. In stage 4 cancer the survival is given as 6 months to 2 years from the day of detection of disease. In some cancers there can be rapid progress and in some the disease can take two years. Gall bladder is located in a strategic location and this permits a gall bladder tumors to proliferate Ann involve adjacent structures. It can also cause biliary obstruction within the liver and gall bladder and this will also reduce the general condition of the patient. Patient is kept on pain relief medicine to provide comfort. Chemotherapy and radiotherapy can also b given to prevent rapid progression to end stage disease and control the cancer as much the can. Positive thinking and support might help in extending her survival. Please do not worry."}
{"_id": "000000905", "text": "Hi I am Chat Doctor. .  In my opinion i don't think your inner ear or your agitated esophagus are correlated to your lungs nor your cervical spines.  For my patients I would suggest X-rays, CT, MRI on your cervical spine to exclude any kind of disc herniation which may cause such chronic neuropathic pain.  Painkillers like advice tab when needed, hot massages with topical gels, muscle relaxants, physiotherapy, B12 vitamin supplementation will be effective for such cases. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask."}
{"_id": "000000906", "text": "Thanks for your question on Chat Doctor. As a rule, left sided chest discomfort should be evaluated for cardiac cause first. So get done ECG to rule out this. If ECG is normal than get done chest x-ray to rule out pulmonary cause if present. If chest x-ray is also normal, then it seems muscular pain mostly. So try to follow these.1. Avoid heavyweight lifting and strenuous exercise.2. Avoid movements causing pain.3. Take good painkiller and muscle relaxant.4. Apply warm water pad on affected site.5. Avoid stress and anxiety."}
{"_id": "000000907", "text": "Hi, I would suggest that you have an ultrasound scan of the soft tissues of penis without and with a pharmacologically induced erection. This would be able to tell you if there is a plaque along the corpora caverns in which case you probably have an entity known as Parodied disease which is associated with induration of the penis with mild to moderate discomfort in its initial stages. This test will also be able to quantify the blood flow to the phallus and indicate if there is a likelihood of erectile dysfunction which often coexists with Parodies disease. The treatment would eventually depend on what is detected on the scan. Hope I have been able to help you. Regards."}
{"_id": "000000908", "text": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you to take broad spectrum antibiotic like azithromycin for a week. Thereafter, if the condition won't improve you should think of FNAC of the lymph nodes and take the treatment accordingly. If not treated I'm that time tuberculosis should be suspected. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor."}
{"_id": "000000909", "text": "Hello Adela ;welcome to Chat Doctor You need to get examined the swelling on your lower back to find the reason as to what it is. Asyou said the swelling is painless till you exert but on exertion it causes severe pain and numbness in muscles thereby suggesting that there is some relation to your spine as there is numbness which is due to nerve compression. Waiting long can complicate your problem and may require more money. So please get examined and treated by an Orthopaedician. Thanks"}
{"_id": "000000910", "text": "Welcome to Chat Doctor .1. The history suggests - lymph nodal enlargement, incomplete healing and recurrence in different location.2. Bascically lymph nodal enlargement is seen in the presence of localized or systemic infection / inflammation.3. First you have to treat the possible reasons for the nodal enlargement then the nodal pathology itself.4. An FNAC - fine needle aspiration cytology will be very helpful to evaluate the cause. I would recommend an ultrasound scan of the lumps for detail evaluation.5. After that one can think of the treatment. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000000911", "text": "Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  You are 33 years, female, You have shifted to DENVER area which is a place of high moisture. You had pain in right lower abdomen, and they are limited and superficial.  Most probably it looks like APPENDICITIS, I advise you to immediately consult a surgeon for diagnosis and treatment. Other possibilities are urinary tract infection, stone in the urinary tract, or a subcutaneous boil, in that area. You may need to have M.R.I, besides other routine tests for confirmation.  Appendicitis requires surgery, immediately, boil needs incision after some time if not subsided by medicines, others can be cured with medical treatment only.  Wishing for a quick and complete recovery.  Best regards."}
{"_id": "000000912", "text": "Dear patient You have got twisting injury to knee which may lead to fracture or more commonly meniscus injury. This needs to be investigated with MRI of knee to confirm diagnosis. MRI gives detail of ligaments and meniscus injury and is helpful for planning treatment. Visit radiology center nearby you and get it done. Till the time wear long knee extension brace on involved leg and avoid knee bending. Once report arrives consult expert arthroscopic surgeon nearby you and get yourself examined.  All the best."}
{"_id": "000000913", "text": "Hello and welcome to Chat Doctor forum, i would like to inform you that it is condition which has a hereditary as well as dietary cause, you have not mentioned anything about your medical history, I assume it's fine, i would suggest you to visit your dentist and get the oral cavity checked thoroughly, there is a treatment for this problem. Your dentist will prescribe you oral as well as topical medication which will close the cracks over your tongue as well as treat the burning sensation associated with it. Also keep a few points in mind;do not smoke, do not consume alcohol, Chat Doctor. I wish you good health."}
{"_id": "000000914", "text": "Thanks for using Chat Doctor. Read your query. Tooth pain associated with postural variation suggests deep caries involving the pulp, which is left untreated will lead to an abscess (periapical abscess). I would advise you to ask him to have an ibuprofen or a painkiller (if he is not allergic to any medicine). Antibiotics like amoxicillin will be required on prescription. Please revisit the dentist and have the tooth treated with root canal treatment. Cleaning of the teeth can be followed. Do not apply hot bag externally. Hope this was useful. Thanks and regards."}
{"_id": "000000915", "text": "Hi, Thanks for writing in. Radiation therapy is one of the promising methods of cancer treatment in conjunction with chemotherapy and surgery. Some cancers respond best to radiation. I am not sure if you are affected by lymphoma or any white blood cell malignancy. Usually radiation treatment works well in them.It's not just the size of lymph nodes coming down, the meiotic or cell divisions going on also must be controlled. This happens with radiation. Your doctor has taken a calculated decision after weighing benefits and risks involved. Hope it helps."}
{"_id": "000000916", "text": "Hi, dairy have gone through your question. I can understand your concern. Treatment of testicular cancer depends on type and stage of cancer. Whether it is limited to testis or spread in other part. Surgical removal is the initial treatment of choice. It is followed by chemotherapy and radiotherapy according to need. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000917", "text": "Hi, Welcome to Chat Doctor forum.  It appears to be the cyst in the scrotum. It is benign in nature, so usually don't grow and cause the pain. sometimes due to some or other reasons it may grow big, or may cause pain, in that case it may become necessary to excise it and do the biopsy.  If scared to go for surgery, treatment with medicines for cure may be tried, if it subsides it is well and good.  I usually advise to my patient with such symptoms' erythromycin 500\\u00a0mg, and diclofenac sodium and serratiopeptidase.  Wishing for a quick and complete recovery. Thank you."}
{"_id": "000000918", "text": "Hi, Steroids are generally not advisable for pulmonary embolism as a primary Chat Doctor.  Tachycardia and hypotension seems to be caused by pulmonary embolism that to is massive. Get your CT chest done along with pulmonary CT ANGLO to check for infarct size thrombus burden. You need to thrombocyte. I would suggest you go for the test if they are normal then only you should increase the steroid dose. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000919", "text": "Cellophane you for your query. Please consult an infertility specialist at the earliest. Gynaecosid will not help in pregnancy.She needs complete evaluation for irregular cycles. Stress, anxiety, weight gain, ingestion of hormonal medications, change in sleep or diet - these need to be ruled out first. After that, she would need to be examined for polycystic ovarian disease, hypothyroidism, endometrial hyperplasia etc. She needs total internal examination (per magnum and per spectrum) along with a pelvic ultrasound. Tests like FSH, LH, TSH, Prolactin, OG TT, RHEAS, free testosterone, Lipid profile, fasting serum insulin should be done.FOllicular monitoring to track ovulation and semen analysis are required. As a last step, laparoscopy to check patency of fallopian tubes is a must. Take care."}
{"_id": "000000920", "text": "Hi, Thanks for using Chat Doctor. I have gone through your available history. Tiredness and lack of concentration might be due to - Thyroid dysfunction- Vitamin B12 or vitamin D deficiency-Depression- Menopausal syn Chat Doctor. You should rule out thyroid dysfunction and vitamin Deficiency by doing blood investigations. You may get prescription by your doctor. Treatment would be directed as per cause. Sometimes excessive sleep may also make you fatigue. In that case you may need to reduce sleeping hours. Thanks."}
{"_id": "000000921", "text": "Hi, Thanks for writing to Chat Doctor. I would suggest you to discuss with your doctor because routinely closed is given for 6 months and still not convinced then alternative Chat Doctor.  I suggest you to go for GUI for next cycle.  It is intrauterine ingestion of sperms. Here sperms are washed and processed and placed in uterus. This will increase your chances of conception.  You can try GUI for 3 to 4 cycles. I would suggest you to get your tubal patency done and tubes should be normal before GUI is done. Hope I have been helpful . Regards"}
{"_id": "000000922", "text": "Hi...by what you quote I feel that your suspicions might be right. But it is too early for an 18-month-old to identify all colors correctly. It is very simple to test for this. There are charts called iShares charts. There will be a number imprinted and a normal person and a color-blind will read different numbers. But for an 18-month-old kid it is difficult to identify the number. I suggest you get in touch with an ophthalmologist. Regards -"}
{"_id": "000000923", "text": "Hi. The pain what your wife suffers us due to lack of stability in glute muscle resulting in loading more on hamstring muscle... Sometimes irritation in the back.facet joint or neural irritation can give rise to similar symptoms... If I were your treating doctor then I would like to be sure with certain things.... Nature of pain whether the pain is getting increased slowly of all of a sudden it started...24 hr pattern of the malefactors that increases the malefactors that reduce her pain was there any investigation done before... I would like to suggest you to-Do lot of icing on your back as well as over the painfully area frequently... Gently knead her painful area at the end of the day...follow that up with icing... Take frequent breaks from standing... Do regular physical exercises like walking.swimming etc.core stability exercises like...lying on your back air cycling.Golding table-top position... and lying on stomach and do back extension.glute stability exercises like Bridging...clamshell.single leg raise while lying sideways...leg kick backs.etc. 15 times each.3 sets...stretching low back. Hamstrings...gluteus and calf regularly... Hope this is helpful for you... Kindly revert in case you need further clarification....wishing you a speedy recovery..."}
{"_id": "000000924", "text": "I absolutely recommend further testing, with a definitive consultation with a Neurologist to do the specialized testing and recommended treatment. I also recommend immediate treatment with occupational, physical and speech therapist as to maintain if not improve the deficits you describe early. Your Primary Care Physician and or Neurologist will be able to refer you to these forms of therapy, and such may indeed be covered by insurance or your carrier based on what you described to me; but I would look into it nonetheless. In summary, the symptoms you are experiencing can be temporary, and can indeed possibly return to normalcy with no intervention; depending on the particulars of the situation, which sitting here responding to your case I cannot access at the moment. Nevertheless, I personally would not risk patiently waiting, and would want to get such symptoms checked out and dealt with early as to not ensure permanent issues. Therefore, my recommendation is to stay healthy, keep practicing your speech, and challenge your cognition with mental tests as self therapy (the more you challenge your brain the quicker it heals), and at earliest convenience schedule an appointment with a Neurologist."}
{"_id": "000000925", "text": "Hi, Your doctor is right. Thyroid issue and contraceptive pill both are predisposing factors for gall stone.  Thyroid problem can cause high cholesterol level and so the stone can develop.  Moreover, you are obese as well. Obesity is also one of the risk factors for gall stone.  So you need to correct all these factors by reducing weight and stop taking pills. If thyroid issue present than treatment needed for that according to reports.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000000926", "text": "Hi, Thanks for writing in. Hope you are feeling better and continuing in your fight against your cancer. The spleen is an organ which is part of the immune system. It is located under the diaphragm on the left side. The pain you describe in the left upper abdomen might be due to an enlarged spleen. You should get an ultrasound scan done to see for the spleen size. The spleen grows from the left upper abdomen to the right lower abdomen and appears like a firm lump or mass. The pain might be due to spleen enlargement if present. However, the diarrhea is unlikely to be due to the spleen. Commonest cause of diarrhea in patients taking treatment for leukemia is common stomach infections. Please consult your doctor and take a short course of antibiotics and eat healthy home cooked food. Please do not worry."}
{"_id": "000000927", "text": "Hi, You may have a laparoscopic chromotubation to check for tubal patency and if the consultant is experienced enough may perform any operative interventions needed to relieve tubal block. Considering your age, it would be better if you do not waste precious time trying for natural conception. Tubal patency as well as tubal motility together have an impact on the tubal function. For endometriosis to affect the tubes, it would be rare. The impact of any pelvic inflammation varies with the severity of the infection and the individual predisposition. You should try ART under the guidance of an expert. Wish you success."}
{"_id": "000000928", "text": "Hi...what you are quoting is exactly called encopresis. This occurs when the kid has hard stools, almost similar to constipation. But what happens here is the liquid stools will seep out on the sides of the hard stools and leak out. But, the main treatment of this is relieving of constipation. Suggestions"}
{"_id": "000000929", "text": "Thank you for sharing your complaint, dear friend don't worry. This type of motion sickness is common to many people. After studying your case I think homeopathic treatment will be much helpful to you. Homeopathy treats person as a whole, not a single disease that means all details of your lifestyle will be asked by homeopath doctor and according to that medicine will be given which will be most suitable to you. If you are interested in homeopathy consult a good homeopath nearer to you or in your city. In case if you can't consult a homeopath at present, take following homeopatChatDoctoredicine.-calculus indices 6, 5-6 Chat Doctor. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon."}
{"_id": "000000930", "text": "Hi, dairy have gone through your question. I can understand your concern. You have renal parenchymal disease.  You should go for complete kidney function test to search the exact cause, if needed go for kidney biopsy then you should take treatment accordingly. Consult your nephrologist and take treatment accordingly.  Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000931", "text": "Hi... It could be a simple viral pharyngitis to streptococcal infection. I suggest you get the streptococcal rapid antigen testing done...the results will be available in 10 minutes. If it is negative you can wait. Otherwise, he needs antibiotic therapy. Cough and cold are viral 95% of the times in child Chat Doctor.  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal"}
{"_id": "000000932", "text": "Hi, How are you doing ?That's not at all a stupid question !! To be frank there is a small chance for pregnancy. Sperms can stay alive for quite sometime outside the body. So it can be alive on the seat-cover. Sperms reach the egg by chemical attraction & not by physical means, so even if sperms come in contact with the thighs or the genitals, they will find their way in !!. So to be on a safer side she can have an emergency contraceptive pill. Hope I have clarified your query, do write back if anymore queries the best Chat Doctor."}
{"_id": "000000933", "text": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are very upset and disturbed due to your daughters decisions. But I would also like to let you know that the role of a psychiatrist is not to influence or change anybody's individual decision. If your daughter is a major and has made an independent, thoughtful and strong decision, (which may be against you), then it not the role and not ethically right for any doctor to influence the person according to your decisions or preferences. But a psychiatrist can do a psychological assessment to see if she is making any rash or misinformed decision without a clarity of thought and accordingly help her have a clear and patient thinking before making the decision. The decision is ultimately still hers.  If you would like to consult me, I come for visiting consultation at V.K. Hospital Purasawakkam, Chennai (Phone"}
{"_id": "000000934", "text": "Dear patient Your father has got rapidly spreading cellulitis possibly with abscess formation. He needs urgent attention as swelling is rapidly increasing. Take him urgently to hospital and get him admitted.  He needs course of intravenous antibiotics and ultrasound of local part to rule out abscess formation. If abscess is seen under ultrasound incision and Chat Doctor.  Do not take more time and shift him to hospital. All the best."}
{"_id": "000000935", "text": "Hello, I have gone through the query and understood your concern. If this is your first pregnancy, it is likely that the morning sickness could be continuing well into the second trimester also. Yet, you should also get regular assessment of your blood pressure, blood glucose levels and renal function. To manage the nausea, you may continue with the Dopamine prescription usually given early in the pregnancy. Make your meals easily digestible, small and frequent. Avoid spices, deep-fries and fast foods.  Chat Doctor.  If you cannot"}
{"_id": "000000936", "text": "Hi there, Thanks for writing in. I would suggest you apply a pain relief gel like voting gel/ diclofenac gel on the affected back region. 15 minutes later apply hot fomentation to the affected back region. If this doesn't help, you could take a naproxen tab after food. In the meantime, do not lift heavy objects. Once the injury has completely healed, you might want to do some back strengthening exercises to prevent it from happening again. Hope this helps."}
{"_id": "000000937", "text": "Hello, Well, this must be totally the PICK case and the important measures were taken to make the baby healthier. Now you complain is about the baby now able to lift her right hand, I think you need to get it checked once if it is Verbs palsy? In some cases, it might happen, and may be for the small duration or maybe longer, based on the clinical examination we can comment much better. You even told they have given saline to the baby, so how was this given? Any idea you have? Or any other Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further. Jay In"}
{"_id": "000000938", "text": "Thanks for asking your query completely understand your problem first of all u should consult a chest physician or a pulmonologist who can evaluate and treat your condition. Secondly yes most of the respiratory tract infections are contagious and can be transmitted to others. As per your situation u feel breathless just by walking a short distance so u better first go to a doctor and take some medications. If you feel relieved you can go easily and there will be no danger to the kids also. Thanks god bless u with good health can ask more questions"}
{"_id": "000000939", "text": "Hi, dairy have gone through your question. I can understand your concern. She has high ESR.  There are many causes of high ESR. Tuberculosis, infection, anemia, autoimmune disease, paraprotienemia, malignancies all can lead to high ESR. You should investigate further to know the cause. Then you should take treatment according to cause. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000940", "text": "Thanks for using Chat Doctor. Read your query. The symptoms described suggests an abscess in relation to the erupting third molar. I would advise you to continue the Motrin and warm saline gargling. Visit your local dentist and get it a radiograph done for its position and get removed if necessary. You will also need antibiotic including amoxicillin and metro lag (if you are not allergic to any medicine.) Antibiotics can be started with the prescription from your dentist. Keep the area clean with proper brushing. Hope this was useful. Thanks and regards."}
{"_id": "000000941", "text": "Hello, The chief symptoms you have are pain and coldness of the leg. Along with swelling. Now the very first diagnosis that I would think of in case of these features is a thrombosis of the blood vessels. That would explain the symptoms best. I think the bypass vessel graft was taken from the same leg. So it's likely that the area supplied by the blood vessel is involved and affecting you. This usually doesn't happen because the remaining vessels pick up the function of the vessel removed. Maybe that has not happened in your case. Another possibility is that the previously normal vessels are getting thrombosed. I would recommend testing with the Doppler study. That will be able to detect the thrombus. If found, you will need anticoagulation medicine like Warfarin. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000942", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some muscular pain due to strain or spasm. You should take muscle relaxant and analgesic. If your pain is not relieved then you should go for examination. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000000943", "text": "Hi, If you have tried all the non-operative treatment options then you need to consider treating it surgically. First It's important to localize pain generator, that is done by giving various pain blocks. If your disc painful then it can be removed and either disc replacement surgery or spinal fusion surgery can be performed. If you need more details about the diagnosis then I need to see your MRI images. Thanks."}
{"_id": "000000944", "text": "Hi, Hopefully there will be no major issue if you have no pain or fever or blood in urine, but I suggest that you get your urine for analysis and culture, as internal echoes usually suggest infection, and a mild untreated infection high in the kidneys can become a full-blown hydronephrosis where the kidney turns into a sac of pus. You can start antibiotics if the culture grows bacteria and can give a sensitivity pattern which is optimal for you."}
{"_id": "000000945", "text": "Hi thanks for asking question. Here your scar might be infected according to history given. Proper examination of that area is necessary to give further comment. It is better to do x-ray of that area also to rule out underlying bruise like lesion or any other cause. Sometime after injury, on long duration there might be reactive metaplasia. For getting pain relief take simple analgesic. If it is infected then antibiotic needed. I hope my suggestion will help you. Thanks"}
{"_id": "000000946", "text": "Hello, Removal of a single tooth or wisdom tooth, in particular, will not cause any caving of face. It commonly occurs due to loss of multiple teeth causing sagging and caving of face. So my suggestion is to consult an oral physician and get evaluated. If the wisdom tooth is causing problems, you can get it removed, and it is generally not needed replacement. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000947", "text": "Hi welcome to Chat Doctor. Forum.  Thanks for choosing Chat Doctor forum.  It appears that you had a viral fever, and the symptoms. Hence, you had weak less, light-headed less etc. The bruising on the right lower back could be an urticaria due to the fever. As the time passes it has gone.  If at all you get any of the symptoms recurred you consult a physician for diagnosis and treatment.  At present there is nothing to worry about.  Best regards."}
{"_id": "000000948", "text": "HI, thanks for using Chat Doctor Depression is a very serious illness that can require both medication and therapy. It can take 2 to 3 weeks to respond to most antidepressants. The Risperdal is an antis psychotic, this is used in depression when there is co-existing psychotic symptoms along with the depression. Medications are associated with potential side effects, if the effects he is noticing are intolerable, it would be best for him to speak to his doctor to see what can be done. It would be best for you not to alter his medication in any way before consulting his doctor because of the risk of complications. I hope this helps"}
{"_id": "000000949", "text": "Hello, welcome to Chat Doctor, from the description of your symptoms, the swelling you might be having at the belly button could be -abscess-hernia- mass would suggest you need to get an ultrasound done as you have other abnormalities present, to know what is exactly wrong. Would suggest get reviewed by a specialist for appropriate investigation and treatment. Wish you a quick recovery and all the best. Take care."}
{"_id": "000000950", "text": "Hi, Thank you for asking question on Chat Doctor. Bluish black discoloration in the center of the upper lip that too at times you are noticing. Most probably it is staining from foods or other articles she is biting as these babies are in the habit of putting everything in their mouth. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics"}
{"_id": "000000951", "text": "HI, Thanks for the query. I understand your concern. Oral contraceptive pills are to be taken regularly at same time of a day, without missing a single pill.  You took the pill later than usual on the day of unprotected sex. That would have helped. Provided you had taken pills on following days regularly. You have missed the pills for few days following the sex.  This has increased chances of conception because- - Gap in pills induces ovulation - Sperms can survive in female genital tract for 3 days.  * So you should wait for your normal periods & go for home pregnancy test after 8 days delay in menses In case the test is +ve, & you are not prepared for a child, you should think of MTP.  Thanks.  Thanks."}
{"_id": "000000952", "text": "Hello and welcome to Chat Doctor, Orthostatic hypotension or postural fall in blood pressure is often related to other medical problems as you have stated like diabetes, autoimmune disorders, endocrinological disorder, and it is even a side effect of antidepressant Chat Doctor. Your physician can better relate these two. Fall in the blood pressure cannot be related to placement of dental bone grafts or removal of wisdom tooth. Though I suggest you get an OPG radiograph done which will show if there is any infection near the placement of graft or other vital structures.I suggest you to consult a physician and evaluate the symptoms. Take care."}
{"_id": "000000953", "text": "Hello anjalinarwal, Vitiligo is a skin condition in which there a pigmented male of variable size and shape in the skin on any body part, with apparently no change in the skin, and it is due to lack of melanin formation by the melanocytes. Your doctor can usually make the diagnosis of vitiligo during a physical exam. There is no known way to prevent or cure vitiligo. However, several methods, including cosmetics, re-pigmentation using UV light therapy, corticosteroid creams, pigmentation of unaffected skin areas, and skin grafting, can be used to improve the appearance of skin severely affected by vitiligo. And this is an eruptive stage in your child where newer patches are coming really fast, later there comes a cycle of patches which become stable and newer patches reduce in number but increase in size. This is not to dishearten you dear, but if u continue with homeopathic treatment u may not find quick response as it is the nature of the disease but surely u may get fewer parches and with time they also can fade away in the long run. It is advisable to visit your homeopath once again to confirm with regarding the treatment through the constitutional medicine. Also u can ask him for Ammo Visage tincture, if u apply the medicine on those spots and make your son sit under sun rays for 10-15 minutes daily it will give you good result. Good Luck,"}
{"_id": "000000954", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, this can be the acute allergic reaction due to cigarette smoke. Cigarette smoke carries many harmful chemicals. When inhaled, in some people, it can cause allergic reaction. Allergic reaction causes laryngospasm, bronchospasm and coughing. All these give symptoms of choking, breathing difficulty etc. Your symptoms relieved by its own once the exposure has been cut. So all these suggest acute allergic reaction two cigarette smoke. So better to avoid such exposure in the future. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000000955", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you should immediately consult doctor and get done ECG and 2d echo to rule out cardiac diseases. Your symptoms like left sided chest pain, loosening of balance, black out spells etc. are commonly seen with hypotension and heart diseases. So get done blood pressure monitoring, ECG and 2d echo. You also need Holder monitoring (24 hour continuous monitoring of ECG) because you are having irregular heart beats. So consult doctor and discuss all these. Better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks"}
{"_id": "000000956", "text": "Hello, These MRI findings indicate chronic changes in the small vessels of the brain, which have lead to small strokes, causing troubles with memory. It is a progressive disorder, and can not be treated properly. The main therapy is daily baby aspirin and maintaining under control her blood pressure values, her blood lipid profile and diabetes (if she suffers from these disorders). Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000957", "text": "Hello, Thanks for writing to us. Cervical spondylosis is a common degenerative condition of the cervical spine and most likely caused by age-related changes in the intervertebral disks. Vertigo (dizziness) with this type of origin usually happen when the head is turned or tilted causing compression of the blood vessels that supply the part of the brain involved in balance. I advise you to wear a soft neck collar during the day to help limit neck motion and reduce nerve irritation. You can take non-steroidal anti-inflammatory Chat Doctor.  For pain relief and muscle relaxants, particularly if neck muscle spasms occur after discussing with your doctor. Do exercises under guidance of a physical therapist to strengthen neck muscles and stretch the neck and shoulders. When you have episodes of dizziness (vertigo)-Do not lie flat on your back. Prop yourself up slightly to relieve the spinning sensation. Move slowly to avoid the risk of falling. Take rest. Resting will help prevent attacks of light-headedness. Do not"}
{"_id": "000000958", "text": "Hi Welcome to Chat Doctor After going through your query I concluded that your daughter may be having some infection as she is having fever. She is also having backache. Your doctor suspected urine infection. But you are worried that can this be other than this. I think it can also be viral fever as you are having fever along with backache. You are advised to visit physician for it. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"_id": "000000959", "text": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. It is normal to have higher blood pressure values after a physical or an emotional stress, so it is important to judge on mean day and night values. As you explain, you are diagnosed with ischemic heart disease, and you have done angioplasty. For this reason your blood pressures should be maintained under 140/90 mmHg. You mention that your mean values are over 140/90 mmHg, so my opinion as a cardiologist is that you should do changes in your medications. We have two strategies"}
{"_id": "000000960", "text": "Thanks for posting your question on Chat Doctor! I can understand your problem. Decreased function of thyroid gland (hypothyroidism) is associated with elevated liver enzymes. Most common causes for the elevation of liver enzymes are chronic alcohol intake, liver disease like fatty liver, hepatitis, cirrhosis, etc., gall bladder disease like cholecystitis. Other causes are heart failure, obesity, muscle diseases. Hair fall could be due to hypothyroidism. You are advised to consult your doctor for the treatment of elevated liver enzymes and hair. Wishing you a good health."}
{"_id": "000000961", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you mom is diabetic, and she has vomiting and diarrhea which seems to be due to acute gastroenteritis and electrolyte imbalance in body. I would suggest you not to panic at all. You should start treatment witChatDoctorbination of fluroquinolones and ornidazole. Give her banana on daily basis and light food.  Chat Doctor."}
{"_id": "000000962", "text": "Hi.noted history of recurrent lump containing smelly pus. Based from your description, it may be a case of a recurrent cyst formation (sebaceous or gelatinous type). It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Definitive management is surgical excision of the lesion (complete cystic excision, including the wall, to decrease the risk of recurrence). Antibiotic treatment will be prescribed accordingly along with daily wound care after operation. Hope this helps. Good day!!~ Chat Doctor."}
{"_id": "000000963", "text": "Hi thanks for asking question. Noted your wife has hepatitis b while pregnant.... Now Bag negativity has to be confirmed by ELISA test.... If it is negative after six months then she has fully recovered.Meanwhile, to avoid infection you have to use barrier method while sex... To protect liver low fat diet taken. Avoidence of alcohol. Refined food avoided. Fruits more... Hope your concern solved. Until she is fully recovered try to avoid contact with her secretions... Chat Doctor."}
{"_id": "000000964", "text": "Hi, It seems that she requires to know some technique of breastfeeding. While breastfeeding keep her two fingers supporting nipple and put in children mouth. While feeding see that her breast should not cause babies nose, obstructing her air way. Initially baby will not do but by practicing she will start sucking her breast. Once she will be on top feeding, she won't go for breastfeeding. Ok and take care."}
{"_id": "000000965", "text": "Hello, I have gone through your query and understand your concern. As he has Crohn's disease, this may the cause for Erythema nodes. Please continue the Tylenol as prescribed by your treating physician. Bed rest will help in relieving pain. It can go away on its own in three to six weeks. After its gone, it may leave only a temporary bruised appearance or a chronic indentation in the skin where the fatty layer has been injured.Thus, nothing to be concerned about this. But it may return at any time. As you have already diagnosed him Crohn's disease, no more investigation needed. If he has symptoms like abdominal pain, diarrhea or constipation, he needs treatment. Otherwise, no treatment is needed. Thus better continue Tylenol and review with your pediatrician after 3 weeks. This is enough and nothing to be more concerned about this. Hope this helps. Please write back for further queries. Wishing you good health."}
{"_id": "000000966", "text": "Hello! Thank you for the query. Such lump can be a cyst, hemorrhoid or an abscess. Cyst is usually soft and painless. Hemorrhoid should be attached to anus verge. Blood in the stool can be present as well as itching. Abscess is usually hard and painful. Swelling can be present. I suggest your husband to consult general surgeon. In case of doubts an ultrasound and colonoscopy should be done. Hope this will help. Regards."}
{"_id": "000000967", "text": "Hi, Thanks for writing in. Cancer is a condition that happens due to the uncontrolled proliferation of abnormal cells within the body. It does not get transmitted from one person to another in any way. Please do not worry if you are having a pregnancy. Staying with your mother-in-law, sharing the same kitchen and eating together will never spread the cancer. Your mother-in-law requires your supportive care, and please help her to stay in peace and without pain. Try and spend as much time with her and do not worry about cancer spreading from her to you. She has few days to live and will be happy to see her grandchild when your baby is born. After birth also there is no risk to your baby and your mother-in-law can touch the child without any fear of the child getting affected. Please do not worry."}
{"_id": "000000968", "text": "Hi! With history of trauma, It's possible to have secondary osteoarthritis development in low spine and edema may be causing pressure of nerve roots there...cysts are a finding with OA spine, nothing to worry...conservative treatment like lumbar sacral brace, physical therapy, anti-inflammatory medicines maybe required to abate symptoms. There are medicines to reduce edema also and back rest with physical therapy shall control the disease process. Consult a spine/orthopedics doctor for it Best wishesThank you Chat Doctor."}
{"_id": "000000969", "text": "Hi, Cannot say in your particular case, but generally, there is something wrong with the nasal passages. Most common is an overgrowth of the sinus lining producing lumps that get in the way. \\\"Polyps\\\". There can be an abscess, other growths, other deformities that block one of the sinuses and the block causes further inflammation. Frankly an MRI would perhaps be needed to see the blocks, many of which are not bone and do not show on X-rays. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000000970", "text": "Hello, Thank you for contact us, While in periods many of girls/women facing this issue or some else. You may tell that it's a side effect because some are facing problem like stomachs, pimples and so on. Normally For back Pain you should follow instructions described below -Best medicine for Lower back pain is Rest. Resting for some days will heal the muscles which could be damage because of jerk. Muscles need some time to heal so give them time for the same. Another way is to take message with hot or cold water, Some people take cold water and some takes hot for massage. Hope it will work for your back pain. Good luck, Take care. Thanks & regards,"}
{"_id": "000000971", "text": "Hello Sometimes antibiotics produces loose motion with greenish color. So get in blood for serum bilirubin level. While your son is having viral fever. Cal pol is the best Chat Doctor.  Only cal pol (paracetamol) 10 mg / kg body weight 3-4 times is sufficient. If high fever present, ice massage will suffix. ORS is another useful therapy. Usually viral fever remains for 7-10 days, so don't take tension. If fever persist >7 days then consult a pediatrician and get his opinion."}
{"_id": "000000972", "text": "HAI, as you are in teenage group, pimples usually occur. Boils occurring in face named as pimple or acne. It can occur in other parts of the body also whatever sweat and sebaceous gland present. Follow the below advise to reduce the pimple stake 4- 5 liters of water every day wash your face twice or thrice day. Depends on outside work. Use aloe vera face wash.apply olive oil once in a week.don't take junk foods. Take more leaf vegetables and fruits. For a normal skin it will take 21 days to go off. So when you get a pimple the surrounding skin area will get dark. Around two weeks it will take to get a fresh skin. You can use aloe vera and saffron oil to decrease to darken area created by pimples. Keep your self HY Chat Doctor. Avoid junk foods and add more fruits and vegetables to be free from pimples. Thank you hope I answered your query"}
{"_id": "000000973", "text": "Hello....... Thanks for your query. Difficulty in control of anger is a common issue that significantly hampers our life. I would suggest that you meet a clinical psychologist to learn anger management exercises like counting of numbers, breathing techniques etc. Yoga, meditation and breathing relaxation exercises might also benefit you.  If the above measures fail, you would require a psychiatric evaluation to rule out depression and personality issues. Wish you good health. Regards Chat Doctor."}
{"_id": "000000974", "text": "HI, Dear,Good Morning From INDIA. I studied your query with all its details and understood your health concerns. Causes of pressure discomfort in left chest-a-any thing on the left chest should be taken seriously.done neglect and show to your ER primary doctor-c-Causes in your case are-i-work pressure and the late evening stress effect -with ? High bpii-Your lifestyle -smoking / tea/ tobacco / untimely dietsiii-I would advise EEG and Stress test-and Physicians consultation forts treatments. So consult your doctor and wish you fast recovery. Hope this will help you to recover your urgency. Wishing your fast recovery. Wellcome for any further query in this regard. IF you get relief-write a good review and recommend my Chat Doctor clinic to your foes and friends. Have a good Day. With Regards"}
{"_id": "000000975", "text": "Welcome to Chat Doctor. I understand your concerns. The symptoms are due to IUD only. You did not mention what type of IUD you had. Usually Medina IUD contains progesterone which May causes some changes in the granularity of breast. Do not worry, slowly all symptoms will come down. Just have a check for any palpable lump. Take vitamin E tablets and food rich in vitamin E like Seafood. Hope this will help you. Thank you."}
{"_id": "000000976", "text": "Dear, Thanks for the query to Chat Doctor. I studied your query and understood your health concerns. Remedy and cause-of your problem-In my opinion are-you have recovering Carr at the operated site and so Don't worry. Treatment advised -a-Consult Er doctorb-Tab-Antibiotics if it does not subside in 10 days timec-Tab-Nsaids x 1 non-contact the operated Surgeon, who would guide accordinglyRevert to your doctor on this advise-who would help you. This would help you to resolve your query. Welcome for any further query in this regard. Write review ASAP, with strong recommendations for Me and Chat Doctor to benefit old and new patients. Have a good day. With Chat Doctor. N."}
{"_id": "000000977", "text": "Hi, It may be allergic contact dermatitis. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to avoid the contact with suspected allergens like soap, detergents,grass, wool, dust.etc. Take antihistamines like cetirizine 10 mg daily. Also take oral steroids in tapering dose. If needed, a course of antibiotic may be considered. Apply mild steroid with antibiotic cream on the affected areas. Apply same in perianal areas which is perianal dermatitis due to loose motion. Take anti-diarrhoeal treatment after consulting the physician. Hope this helps. Thanks. Chat Doctor."}
{"_id": "000000978", "text": "Bump near the knuckles that is painless3 factors1)knuckles is near a joint it's called MCP joint2)its painless3) and you have a history of strenuous activity points out to a ganglion cystitis a non-cancerous fluid filled mass occurring near joints after trauma or strenuous activity if its not painful treatment is just plain observation it usually resolves on its own aspiration of the cyst can be an option but there's a 50% chance till go back"}
{"_id": "000000979", "text": "Hi! Good evening. I am Chat Doctor answering your query. This needs a proper clinical examination before providing you with any solution, and so you would need to get a consultation from a dermatologist. Till then, you could go for an anti histamine, and some kind of OTC available skin antiseptic cream for local application.] I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000000980", "text": "Hi dear. I understand your concern. Tiredness/weaknesses/headache/sleep problem all are indicative of depression. Low or sad mood with loss of interest in activities are the principal features of depression. So need to evaluate in detail and need to evaluate your mental status with thought processes. Depression can be treated with medicine like combination of SSRI and benzodiazepine. Choice among all depends upon symptoms and clinical presentation. Consult psychiatrist and get help. Early treatment will bring fast and early recovery. Still if you have a query then feel free to ask. Happy to help you further. Thank you."}
{"_id": "000000981", "text": "Hi. Thanks for your query. Yes, understood your problems. The pains and feeling of the small lump in the left testicle is suggestive of epididymitis or a cyst which got twisted. These causes referred pain to the lower abdomen. I would advise you the following. -First get an ultrasonography and Color Doppler examination to get a possible diagnosis. Secondly, consult a Urologist. The further treatment will depend upon the results."}
{"_id": "000000982", "text": "Hi thanks for contacting Chat Doctor... Noted you are having allergic rhinitis Here source of allergy that is allergen has to be searched for.... Allergy test is useful.... This Chat Doctor. So not affect pregnancy. Long term use of this mediation avoided. While having rhinitis steam inhalation useful for soothing effect.... More water taken as it has antioxidant property... While having rhinitis fried food less. Deviated nasal septum if present corrected. Oregano decrease histamine response and is good remedy .... For allergy fexofenedine and montelukast can be taken prophylactically.... Take care."}
{"_id": "000000983", "text": "Hi dairy understand your concern. Sore throat indicate infection. It can be treated with antibiotic and decongestants. Azithromycin/levofloxacine/CEA Chat Doctor. But consult ENT specialist for further assistance. Depression requires psychological evaluation. It can BBE treated with medicine like combination of the SSRI and benzodiazepine. Consult psychiatrist and get help. . Happy to help you further. Get well soon. Take care."}
{"_id": "000000984", "text": "Hi. Thanks for your query. Noted your history of a lump in the low back on the left side and there is pain down your leg when you walk, sit down and lay down. There is pain in the hip too. Your Doctor says X-ray is normal. I would advise you in such a condition the following"}
{"_id": "000000985", "text": "Hi, I can understand your concern for uneven skin tone. If I were your dermatologist then I would have suggested you to use atelier acid cream or Comic acid cream or glycolic acid cream or licorice extract or routine creams at nighttime in guidance of dermatologist. The most important part is to use a sunscreen regularly in open environment and on exposure to sun. Take a proper guidance and follow up with a good dermatologist so that all the problem can be dealt best for future time. Take care"}
{"_id": "000000986", "text": "HIT hanks for posting your query to Chat Doctor.  Back Pain radiating to neck means there is some problem either in the Vertebra (Bones of the spine) , Intervertebral discs or there could be Compression of nerves between the bones of Spine.  You need evaluation to find out the cause of your back pain. For this you require an MRI scan of your Cervical and Thoracic Spine. Kindly get this scan done and revert to me.  Till then ask your doctor for prescription of Muscle relaxant and also get a back Physiotherapy for yourself. Hope you find this information useful. Any clarifications or Queries feel free to ask."}
{"_id": "000000987", "text": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000000988", "text": "Hello and welcome to Chat Doctor, Kindly consult a specialist (pulmonologist) for review of the anti-tubercular treatment (ATT). No ATT regime is as long as 14 months. Prolonged ATT is given only in case of bone tuberculosis. The ATT has be reviewed at regular intervals to assess the effectiveness of treatment. In case of pleural thickness, pleural decorticating can be done. However, it is important to consult a specialist for clinical assessment and further management. Thanks and take care Chat Doctor."}
{"_id": "000000989", "text": "Hello, I have studied your case. Due to indentation on theta there can be central cord compression leading to diffuse pain. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. 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. Take care."}
{"_id": "000000990", "text": "Hello welcome to Chat Doctor Madam freely mobile lump may be a lipoma.it does not transform into cancerous doubt that it would be a lymphoma, but it is not mobile. If it is lymphoma then in routine blood test you may see the abnormality in the total number of White blood cells.you may feel fever also. Consult pathologist and have FNAC(fine needle aspiration cytology) of the lump present in the arm pit.it will clearly tell the diagnosis.and based on that consult surgeon, and he will guide you how to remove the lump. Hope you got answer from methane you Chat Doctor."}
{"_id": "000000991", "text": "Hello! Thank you for the query. The symptoms like difficulty in swallowing, lump behind the ear and tongue sore are probably due to a condition in which immune system become week, which further occur due various reasons. Due to weakness of immune system lymph nodes behind the tongue and tonsils inside throat get infected very easily. The same is the reason for tongue sores. I would suggest you to consult ENT specialist for proper examination. Doctor may order blood test, throat swab test along with other test. Doctor may prescribe antibiotics (amoxicillin and penicillin) at least for 10 days along with vitamin supplements to boost the immunity. Also consult neurologist for migraine. For now do warm saline gargles several times a day, Chat Doctor.  Hope this will help. Regards."}
{"_id": "000000992", "text": "Hi, I understand your concerns and I will explain at you the difference between liv-52 DS and Udilive-300. Your LFT correlate with the fatty liver, and are slightly higher than normal range, (6-47 UI) Liv. 52 DS support the hepatic cells to efficiently burn fats and to treat fatty liver conditions that have arisen due to alcohol consumption or high-fat diet (one of the best options in your case). Udilive -300 (Ursodeoxycholic acid) works by decreasing the production of cholesterol and by dissolving the cholesterol in bile so that it cannot form stones. (your bile is not causing this symptom, the fatty liver). So Utilize will not help with your fatty liver, at least not so effective as Liv 52 DS. At this point, I suggest you keep up with the same medicine that your doctor prescribed, liv-52 DS and you need to make some changes in your diet to help your liver and your body to heal faster.-have plenty of water-eat fresh vegetables and fresh fruits-have a low fat diet-small amount of exercise each day, yoga, walking a few miles-no alcohol at allays with this diet, even your intestine will work better, your kidneys, heart, and your whole body. And you minimize the probability to have gallstones in the future. Hope I have answered your query. If you have any other question, feel free to ask me."}
{"_id": "000000993", "text": "Garlic has been said to decrease blood pressure, its one of the food fad.  Most of the big studies to prove its effect have found it to be clinically u non-significant, even the smaller trial garlic supplement could decrease the upper systolic Max to 3-4 mm Hg and lower diastolic to 2-3 mm Hg.  So don't stop lisinopril and shift to garlic, you may take it as supplement as there is no harm but as a qualified doctor I cannot recommend the same.  Regards Chat Doctor."}
{"_id": "000000994", "text": "Hi...by what you quote I feel that they could be hematomas (multiple). But... Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000000995", "text": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. The following symptoms following Head injury require evaluation by a Neurosurgeon1. Loss of Consciousness2. Fits 3. Headache 4. Vomiting 5. Dizziness6. Giddiness7. Double Vision 8. Blurring of Vision 9. Numbness10. Weakness 11. Bleeding from Nose 12. Bleeding from Ears13. Bleeding from throating you are having dizzy spells, you need to go to the Neurosurgeon. Don't worry. Unless your condition is severe, you won't lose your"}
{"_id": "000000996", "text": "Hi Stephanie, vomiting could be because of high BP along with headache. In today's world high BP is common in both young and old people due to lifestyle changes. You should get your BP checked consecutively for 3 to 4 days and if its high then you surely are hypertensive. Its imp to lower down your BP and you should take antihypertensive. Obesity and lifestyle changes are few reasons for high BP. As for your UTI please complete your antibiotic course...get well soon"}
{"_id": "000000997", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely concern for his symptoms. Swollen ankle, Redness, breathing difficulty etc. are more suggestive of congestive heart failure (CHF). So better to take him to cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). He may need coronary angiography if any of the above is showing abnormality. He may need diuretics and other cardiac supportive Chat Doctor.  Hope I have solved your query. I will be happy to help you further. Wishing good health to your uncle. Thanks."}
{"_id": "000000998", "text": "Hi Welcome to Chat Doctor I have gone through your query and understand your concern. This seems to be muscular pain with trigger spot as pain is on same spot. But you are required to get MRI of the region to exclude local pathology. Treatment of this is rest and analgesic such as ibuprofen. I apply injection triamcinolone locally to such persons coming to me with good results. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"_id": "000000999", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have leg tremors and arm weakness. Well there can be many reasons for symptoms you mention in query like essential tremor is the most common type of movement disorder, Parkinsonism tremor, dystonia tremor, cerebellar tremor, psychogenic tremor or orthostatic tremor. There are other reasons also like arthritis, compressed fracture, pinched nerve or lack of sufficient blood supply. I would suggest you to consult neurologist for proper examination. Doctor may order CT scan, MRI of brain and spine, nerve conduction test along with taking history. Doctor may prescribe muscle relaxant along with anticonvulsant or antiepileptic Chat Doctor.  For now do light stretching exercises and do mind relaxing exercises like yoga and meditation. Doctor may also refer you to orthopedic surgeon for other reasons. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000001000", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have swollen and painful ankle and foot. Well there can be many reasons for symptoms you mention in query like peripheral neuropathy, hypertension, gout, kidney disease, DVT or venous insufficiency. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan or x-ray along with blood test and urine test. Doctor may also refer you to cardiologist for cardiac problem or nephrologist for kidney problem, who may prescribe diuretic along with beta blockers. For now keep your legs in hot water tub with Epsom salt for 15 minutes daily and keep your legs elevated while lying down. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000001001", "text": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. The cramps could be a manifestation of urinary tract infection. Many times the bladder infection can lead to this kind of problem. You can get a fresh urine test done to identify the same. 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, or want any further details about this same issue you can use the below-mentioned link"}
{"_id": "000001002", "text": "Hello and welcome to Chat Doctor, Thalassemia (that) is a blood related disorder. It is of two types- that beta and that alpha. Depending on the severity of the disease, it is trait, minor or major. Heamoglobin molecule is made up of two pairs protein chain called - alpha and beta. A decrease or absence of any one of these two pairs causes alpha or beta chains. So, in your case there is involvement of beta chain. If the beta chain is completely absent, it is called that beta major. If the chain is present but in lower quantity it is called that trait or that minor. The trait is first detected at the age of 34 years in your case. It was not symptomatic during your childhood and adolescence, so there is nothing to worry. Hemoglobin level is also marginally low, so nothing practically needs to be done. Thanks and take care Chat Doctor."}
{"_id": "000001003", "text": "Hello, For cirrhosis, you have been prescribed the correct Chat Doctor.  Continue prescribed medication. Take a low salt diet. As such cirrhotic patient if you have within limit liver profile reports and clinically stable than no contraindication for air traveling. But take care that if you feel any unusual symptoms or vomit blood consults immediately to the doctor. Consult gastroenterologist for examination. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001004", "text": "Hi Tracey ! Do you have any discomfort in swallowing ? The chronic cough could be due to regurgitation of food/liquids while you lie down. What is the reason of your not eating properly ? Is it due to loss of appetite or due to the fear of pain in stomach on eating ? Do you get any fever specially during evening hours, and have you marked any loss in your weight ? In case you are experiencing difficulty in swallowing, loss in weight, and also low grade fever, you should consult your doctor earlier instead of waiting for surgery. At the same time there is no harm going for a serum gastrin evaluation because of your loose motions.In the meantime, you can elevate the head end of your bed so that the regurgitation becomes less, and go for Chat Doctor."}
{"_id": "000001005", "text": "Hello and welcome to Chat Doctor. Thanks for your query. Psychological problems in child Chat Doctor.  Often multiple sessions and history from different caregivers is necessary. Many of your children symptoms could be indicative of a childhood obsessive compulsive disorder. But like I said before this can be confirmed only after a detailed history and psychological assessment. If this is the diagnosis, then she may need to be started on medication. I think her psychiatrist is doing the right thing by assessing her properly before making any decisions regarding starting medication. So, please discuss the plan of treatment with her psychiatrist. Wish you all the best."}
{"_id": "000001006", "text": "Hi! Good evening. I am Chat Doctor answering your query. Yes, you are right. The lump under skin near the surgery wound could be a hematoma, but it could also indicate an incisional hernia depending on the site of surgery regarding which you did not give any indication. I would rather advise you to take appointment with a general surgeon preferably the surgeon who operated upon you, and get it assessed by him for further investigation and management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000001007", "text": "Hi welcome to him understand your query and concern. Incapability of SA node indicates abnormality in the spread of impulse in the heart. I advise you to go for an ECG,2D Echo, lipid profile immediately to confirm the diagnosis. You may need Chat Doctor. You may need a pacemaker insertion once diagnosis is confirmed. Regular monitoring of heart is mandate in your case. Also get your blood pressure and heart rate monitored. Get electron physiological study and radio frequency ablation by discussing with your doctor. Consult your cardiologist for expert management. Post your further queries if any, Thank you"}
{"_id": "000001008", "text": "Hello! Welcome and thank you for asking on Chat Doctor! I read carefully your question and would explain that a lot of physical activity would be very helpful in lowering your blood pressure. Besides, it would also help you lose some pounds, which would also contribute in a better management of your blood pressure. So I would encourage you to continue this exercise program. Regarding your diet modifications, I would recommend to maximally reduce salt and caffeine intake. Your blood pressure is just stage I hypertension, and with these lifestyle modifications, there you have still chances to have a normal blood pressure without medication. Hope to have been helpful! Greetings!"}
{"_id": "000001009", "text": "Hi, dairy have gone through your question. I can understand your concern. You have MRSA infection with multiple antibiotics trials.  You should go for culture and sensitivity test.  It will give you exact diagnosis and give the best antibiotic choice.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001010", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion you are mostly having allergic bronchitis. The atmosphere in the room (dust, smell) must be allergic for you, so on exposure you are getting allergic reaction in the form of bronchitis. This bronchitis is the reason for your burning sensation in chest. So to prevent this you need to wear face mask before entering the room and keep it until you leave the room. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000001011", "text": "Degree understand your concerns went through your details. Being slob and irresponsible never means a person has some mental disorder. That shows negative attitude. He is slob because he has not come across anything which teases his responsibility. He needs to have responsibility. Furthermore, he should learn from circumstances. Furthermore, he will get those lessons and one day he will be a responsible person. Wait for that to happen. Meanwhile, you may talk to a psychological counselor for help. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000001012", "text": "Thanks for asking in Chat Doctor forum In Short"}
{"_id": "000001013", "text": "Hello, Hairline fracture of the elbow may get displaced if not protected in slab or cast. I would like to see X-ray.  We recommend protection in above elbow cast for one month at least. Reason for pain is due to improper immobilization and rest. I would recommend a visit to another orthopedic surgeon for an expert opinion. Meanwhile, tab Diclofenac twice a day should be taken for pain relief. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000001014", "text": "Hello there. Noted the contents. Spy Luiz which is lactulose can increase the blood glucose levels. It has to be used with caution. You may use it for your mother but just monitor her blood glucose levels. Other good alternatives would be spatula husk. Its safe, effective and has no adverse effects on blood glucose levels. Let her have a diet high in fiber and Chat Doctor.  Hope this helps. Wishing her good health. Take care."}
{"_id": "000001015", "text": "If you are still running a fever then the doctor will definitely postpone the operation and wait till your vitals are stable. By the symptoms you describe, it seems you have a viral fever. Normally a blood panel is done along with NS1 antigen test to rule out dengue and an anti-malarial antigen test to rule out malaria. If however you are from a developed country the above-mentioned conditions are rare. I suggest you discuss the possibility of a kidney issue with our doctor. In the meantime take paracetamol 500\\u00a0mg 6th hourly for the fever and if the back pain does not subside take a tramadol (Ultra) 50\\u00a0mg twice a day"}
{"_id": "000001016", "text": "Hello dear, I understand your concern. In my opinion it might be just an irregular or delayed period. But if the bleeding is less like just spotting then a urine pregnancy test might be needed. But if the period is normal flow then it is mostly a period. The cause of irregular periods like thyroid abnormalities, PCOD, overweight or obesity, stress need to be evaluated. Avoid stress if any. Weight reduction in case of overweight or obesity is helpful. Best regards..."}
{"_id": "000001017", "text": "Hello there, a past surgery of hernia in no way can cause impotency. Secondly I would like to differentiate between impotency and infertility. Impotency means when your boyfriend cannot have an erection while infertility means that your boyfriend can have erection, but you cannot get pregnant due to some problem in the guys' sperm. Both of them are not complications of a regular hernia surgery. Hope this ad Chat Doctor."}
{"_id": "000001018", "text": "Hello, First cause for this should be treated like angiography followed by Stenting or bypass. Secondly, regular medicine and follow up, which you must be doing.  You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, and avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Thirdly the patient if less than 30 are advised for ICD or CRT device which is life-saving in multiple patients, so you should discuss these issues with your cardiologist. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001019", "text": "Hello, I have gone through your query. Thanks for using Chat Doctor. I would like to know your exact report of echo and ECG. This term extra muscle around heart is uncommon term and I need to know what exactly it is! I can presume that there may be thickening of walls of heart due to long-standing untreated Hypertension what we call as LVH. If it is the same then what you need is good control of BP with regular medicines. I would be glad to guide you if you send me the exact reports best wishes Chat Doctor."}
{"_id": "000001020", "text": "Hi, Purpose and duration of taking omnacortil not mentioned. Omnacortil (prednisolone) is a corticosteroid commonly prescribed to treat a wide range of health problems including allergies, blood disorders, bronchial asthma, skin diseases, infections, certain cancers and to prevent organ rejection after a transplant. It can increase the risk of cataracts, osteoporosis, diabetes mellitus, and delirium, which are more common and more dangerous in the elderly population.  It may also cause a variety of psychiatric symptoms, including dementia, that are reversible on Chat Doctor.  In view of the above if the benefits of using omnacotil are more than the risks of above-mentioned side effects, it may be continued in low doses preferably on every alternate days and for a short period of time to minimize the risk of those side effects. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000001021", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. Sex is a divine act and meditation. We forget ourselves throughout the sexual act and that makes it proper meditation. Sex should not be performed when you or your partner is tired, stressed. Sex should not be performed during unworldly timing, and you should not hurry while doing sex. Erection is happening when blood is pumped into the penis and kept there in a certain pressure. The pressure is not sustained due to the above-mentioned reasons. Anxiety about is sex is also another factor. Don't come to a pretext. Yesterday happened never means it will happen tomorrow. Concentrate on career and not on sex. Keep it divine and do meditate, don't hurry and get stressed. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000001022", "text": "Hello, and I hope I can help you today. Anyone with a history of an ectopic pregnancy has about a 20 percent chance of developing another one, even if the tube was removed.  So I strongly recommend if you develop any pain, especially if it is on one side, that you go to an emergency room for an ultrasound and a Chat Doctor hormone level.  Spotting in early pregnancy is very common and normal, but please do not hesitate to seek medical care if you have any abnormal symptoms. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes for the rest of the pregnancy,"}
{"_id": "000001023", "text": "Hi welcome to Chat Doctor. I have gone through your question. Semen can not be judged with gross appearance. To analyze semen I would advise doing semen analysis. Generally quantity of semen varies on abstinence, if you avoid masturbation for 3/4 days then volume will be good enough.Otherwise, just go to nearby laboratory and do semen analysis. Hope I answered your question. Would be happy to help you further. Take care."}
{"_id": "000001024", "text": "Dear Sir, greetings from Chat Doctor ... I understand your problems ... You told that your blood glucose is well in control ... That's great . Any way to be on the safer side get your HbA1c done ...along with lipid profile and fasting glucose levels ... The sore tongue could be due to vitamin deficiency . Please take good nutritious food and for a month better take any vitamin and mineral supplements . Riboflavin / even zinc deficiency could also lead to this kind of problems ... U will be alright in a week after starting supplements but regularly take green leafy vegetables and fruits which will give these supplements naturally . Take care and all the best . Do contact us for more queries."}
{"_id": "000001025", "text": "Thanks for your query, based on the facts that you have posted it appears that you have been indulged in frequent masturbation since many years and facing problem of loss of memory.First there is myth in a mind of common man that excessive masturbation is the reason of all 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 facing now are mind related and due to anxiety. Guidance and help of qualified Psychiatrist will be of much help to resolve your problem. Chat Doctor."}
{"_id": "000001026", "text": "Good day, and thank you for being with Chat Doctor !! I am very sorry to hear that your husband is suffering from acute kidney stone attack. If he has fever, intractable pain and intractable vomiting then it is time to rush him to the emergency room. Spontaneous passage of stones depends on stone size and as a general rule if it is smaller than 0.5 mm it has an 80-90% chance of passage. Let him Chat Doctor.  Pain medications will surely help (any NSAIDs) during this very painful episodes."}
{"_id": "000001027", "text": "Hi there, Well, fever is usually a common symptom when there is an infectious process, whether of viral origin, bacterial, among others. But also it is usually accompanied by other symptoms that help to know its origin, for example, chills, cough, gonorrhea, among others. It is difficult for me to give you a complete answer since I do not know any other symptoms besides the fever and because I am not doing a physical examination. I would like to know more in order to help you clarify your doubts. At the moment if the only symptoms have been fever, my recommendation is that you perform a blood test to determine its etiology in order to obtain an accurate diagnosis and appropriate treatment. I hope I have been helpful, if you have any other doubts, feel free to ask me, ill be glad to help you."}
{"_id": "000001028", "text": "Hi, Skizoril (clozapine) is a very effective medicine but is usually prescribed only when other antipsychotics have failed, because of the serious side effects and need for regular blood monitoring. If he was missing the doses of Respond plus intermittently, then it is possible that the appearance of new symptoms was due to non-compliance and not because the Chat Doctor.  If this is so, then he may not need to be given Skijoring. Use of depot injections of antipsychotics can solve your problem as he will just need to take one injection every two to three weeks. Please discuss this option with your doctor. Do not push him to get a job at present as he is not mentally fit now and is unlikely to be able to hold on to the job if he joins one. Hope this helps you. Best wishes."}
{"_id": "000001029", "text": "Hello, Welcome to Chat Doctor ! Active ingredient of Fact ointment is policresulen. It helps stop bleeding, itching and burning accompanying hemorrhoids and other ailments in the area of anus. Fact ointment may also decrease itching and burning. However, it is not indicated for anal fissures. I will advise you to kindly refer to a specialist (a surgeon) for timely diagnosis & treatment. Wishing you best of health!  Chat Doctor.  20, Patchouli. kansalnaveen@gmail.com"}
{"_id": "000001030", "text": "Dear Anil Goer, On your angiography in 2011, there were significant narrowing of two coronary arteries and some non-significant narrowing which couldn't cause any ischemia and complaints. One significant narrowing was treated with stent, but the other one remained. I think they didn't perform stenting of the other artery as the stress test results were good in 2011, but of you have positive stress test results in a year, then there is a need to repeat coronary angiography to evaluate arteries again, there may be two possibilities, either the other narrowing became more and are significant now or it is the D2 from the first angiography causing the problems. In both cases angioplasty (stenting) may be needed. Take fearsome back if you have any further questions"}
{"_id": "000001031", "text": "Hello, Thanks for consulting Chat Doctor, Read your query, as you feel of small circle on your gum don't worry this is not mouth cancer it can be inflammation in gum due to localized enlargement of gingival, infection in tooth due to caries secondary to Periapical abscess, or localized inflammation of periodontal ligament secondary to Periodontal Abscess. I will suggest you to consult your dentist for examination and evaluation of gums and rule out the cause of circle in gum, in meanwhile do warm saline rinses, maintain proper oral hygiene, use regularly mouthwash. Hope this will help you"}
{"_id": "000001032", "text": "Hi.... high heart rates are expected in high fever. But in a 5-year-old even with high fever heart rate nearing 120 beats per minute is quite high and that too keeping in mind the structural heart disease which your child is having. Any child with structural heart disease with high fever should be evaluated for infective endocarditis and I suggest you take her to the nearest Emergency Room and get her evaluated. Regards -"}
{"_id": "000001033", "text": "Hi, thank you for providing the brief history of your mother. A thorough musculoskeletal assessment is advised. As your mother is 82, this bruise will be related to pressure sore. Which is common in most patients. Also, the pain is the protective mechanism to indicate that the bruise is present and pressure on that area should be avoided. Also, the muscles will be weak. I recommend undergoing a simple physical therapy like ultrasound therapy to reduce the pain. Also, if your mother is not diabetic than quick icing should help reduce the bruising. Physical therapy will help get strength and functional ability of your mother. Post which she might not develop such things as in. In my Clinical practice I see geriatrics a lot and by the help of physical therapy they respond well in strength and functional ability as well.regards Jay In Chat Doctor."}
{"_id": "000001034", "text": "Hi, Low back pain is sometimes very painful and may interfere with your daily activities. Rest with hot compresses on your back and the avoidance of lifting heavy objects is the first line you may do. Taking some NSAIDs, muscle relaxants, whether topical or in tab forms are very helpful, topical gels with yoga is highly recommended at your stage. Sometimes you may need intramuscular injections of steroids to decrease the inflammation around your nerve root, pregabalin and B12 supplements are effective with the neuropathic pain. If all these fail you may ask your specialist for more investigations or even minor endoscopic interventions or even spinal surgeries are needed in some late cases, so I insist you go to your specialist for better management of your case. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001035", "text": "Thanks for query on Chat Doctor. You have low sperm count and also poor motility and morphology. Go for USG abdomen and testis, urine test to rule out any local abnormality. Maintain local temperature by avoid tight undergarment, exposure to heat, excessive cycling. You have to start certain medicines which contains b12,folic acid, vit.e, vit.c and minerals like copper, zinc,selenium. Complete course of intro muscular b12,folic acid will be helpful. Start treatment for any local condition if is there. Avoid stress, anxiety. You will definitely get normal count within 2 to 3 months treatment. Keep in touch with your doctor."}
{"_id": "000001036", "text": "Hi and welcome to Chat Doctor, thank you for your query. It is hard to say, but lung cancer is the last thing to think since it is not so common disease and there would be some other symptoms. It more likely indicates heart disease or some other benign lung disease. Perimenopause symptoms may be similar as well but I suggest seeing cardiologist and vascular internist first to rule out heart diseases. Wish you good health. Regards."}
{"_id": "000001037", "text": "Thanks for asking in Chat Doctor forum In short"}
{"_id": "000001038", "text": "Hi, Cough and cold are viral 95% of the times in child Chat Doctor.  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do.  Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose (max ceiling dose 500\\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F.  I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\\u00a0mg/kg/dose every 12 hourly for 3 days. For the nasal block, plain saline nasal"}
{"_id": "000001039", "text": "Thanks for asking in Chat Doctor forum IN Short"}
{"_id": "000001040", "text": "Hi. I understand your concerns. If the mitral prolapse is accompanied by moderate to severe mitral regurgitation, then further treatment is recommended. I would suggest performing an echocardiogram to assess it. The shortness of breath does not seem sever, as you describe it. My opinion is that she should be restricted to everyday activity and not performing heavy duties or activities. I hope I was helpful. Good day"}
{"_id": "000001041", "text": "HelloSign microvascular disease may be indicated as ischemic changes(due to compromised blood supply). These are generally due to involvement of small blood vessels. It is generally due to conditions like hypertension, diabetes mellitus, altered lipid profile etc. So, you may need clinical correlation and screening for these conditions. This is not a very serious finding, and it only needs treatment of underlying cause. It is seen more with aging. Get well soon. Take Care Chat Doctor."}
{"_id": "000001042", "text": "Hi thanks for asking question here. Ya infectious mononucleosis can spread through saliva. You are prone for infection with history suggested. But it is not always surely that you will get infection. Chances of getting infection is depended on your immunity. Avoid stress. During this incubation stage of disease try to keep your immunity high. Take nutritional diet with more fruit and protein. We are happy to help you for further query if you have. Thanks."}
{"_id": "000001043", "text": "Dear, she has very fast heart rate. It should be immediate concern. As you have not written her age so I have to take few possibilities. Fast heart rate with breathing discomfort could be to some infection in body or lungs infection (fever is usually present), Heart diseases (dizziness is also seen) or some metabolic diseases (thyroid hormone imbalance). Weight gain is also seen in metabolic diseases or when your activity has been reduced due to some disease or fluid retention in heart diseases. She needs immediate attention by internal medicine or good GP."}
{"_id": "000001044", "text": "HI, thanks for using Chat Doctor Allergic rhinitis is inflammation of the nasal passages and allergic sinusitis is inflammation of the sinuses. Some persons may have both. The medications that you are using are appropriate however once are still exposed to the allergen, the symptoms would continue. If you can determine the source of your response and avoid it, it would help. Allergies can be due to dust, different foods, pollen, animal dander. An allergy test may be able to help determine the source. I hope this helps"}
{"_id": "000001045", "text": "Hello! Thank you for the query. Spleen cyst is a very common disease and can give no symptoms. Only if large enough to squeeze surrounding tissues can cause unspecific symptoms. Symptomatic cyst can be treated with laparoscopy. However, your symptoms can be caused by some other diseases like peptic ulcer. That is why before any decisions you should have upper GI endoscopy to rule peptic ulcer out. Hope this will help. Regards."}
{"_id": "000001046", "text": "Hi thanks for your question. Do not worry based on my experience, after endoscopy most of my patients have similar feelings. Just take over the counter nausea medication, and you will be key. Endoscope tube causes minor trauma to lining of the gastrointestinal tract and that is why you have foam and blood.this nausea should stop in 2 to 3 days, if it continues then see surgeon for review. Hope I answered your question."}
{"_id": "000001047", "text": "Hi There I understand your concern and would like to tell you that as you High Blood pressure for a couple of years, you should take the medication (April 5 as advised) along with lifestyle modification for better hypertension control. April is very good medicine as it reduces risk of myocardial Infarction, stroke and death rate because of cardiovascular diseases. Cough and hypotension can be the only side effect of April if it happens then you can ask your treating doctor for alternative. I wish you Good Health"}
{"_id": "000001048", "text": "Hi... The pain in your legs could be due to weakness or lack of strength in your lower body muscles and may be due to some micronutrient deficiency. If I were your treating doctor I would like you to... Advise isometric and endurance training for the whole body... Advise blood work especially for calcium. D3 and B12...if levels are less than correct it through proper medications. Advise you to have good nutritious diet... Advise walking regularly.... Advise good recovery exercises.like stretching...swimming... yoga etc... Hope this is helpful for you.... Kindly revert in case you need any further help in this regard"}
{"_id": "000001049", "text": "Hi. Thanks for your query. Noted the history about your friend who has got big sore lumps on his face and taking Flucloxacillin 500 and now wants to know whether Chat Doctor. . As per the history you have given about your friend, alcohol surely will increase the already existing lumps on the face and can worsen the problem. Also, alcohol can interact with many other things including Flucloxacillin, hence should not be given. If you had provided the photos I would have been in a position to give him further advise."}
{"_id": "000001050", "text": "Hello, Chat Doctor.  I do not have the names of the other medications that your mom is having together with Open ER so that I can say specifically which are the possible interactions and risks. Kindly reply and let us know of all the medications that she is using, so we can further assist you. I hope I have answered your query. I remain at your disposal in case further medical assistance is needed."}
{"_id": "000001051", "text": "Hi hepatitis c virus (CV) disease occur during blood transfusion using unsterile needle prick. Follow1, rich protein diet avoid alcohols, avoid oil fry food items. Investigation PCR count I 131 IMAGING scans.  Diet 1, protein rich diet, egg white has to use, protein powder, Bavaria tablets use 2 times daily, lactulose solution c, treatment liver transplant, avoid viral load by Bavaria tab.  Precaution avoids unsterile syringe contact, no vaccine for hepatitis c"}
{"_id": "000001052", "text": "Since your wife is suffering from membranous nephropathy(MN) and her PC ratio is very high, she might also have hypoalbuminemia, a condition which can predispose to cause blood closing in her veins, especially in her renal veins. And also she is predisposed to various infections secondary to lose of immune factors in urine and also due to the immunosuppressive nature if the Chat Doctor.  The pain could be due to either of the above cause. So please consider this as an emergency she requires an ultrasound abdomen with renal vessel Doppler a complete blood count, blood culture and serum albumin and fibrinogen Asia. Also make sure that she has not skipped any"}
{"_id": "000001053", "text": "Hi, dairy have gone through your question. I can understand your concern. You have bleeding piles.  It causes pain and bleeding.  You should avoid constipation.  Take plenty of water and green leafy vegetables, for pain relief UPU can use local anesthetic gel like lignin gel. Permanent treatment options is surgery.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001054", "text": "Hi, Welcome to Chat Doctor Side effect of birth control pills can be pain abdomen, nausea, vomiting, tiredness, weakness, headache, loss of libido, menstrual irregularities, etc. 1. Get your GF clinically assessed by a doc. She is getting blurry vision, it can be dizziness that she is unable to define, it can be due to weakness, headache can be due to eye-sight problem, she may need an eye check-up.2. It is important to get her hemoglobin (HBO) level checked, get her blood tests done to confirm fitness. Low blood pressure often results in headache.3. She should take vitamin or mineral supplements.4. She can take some other substitute for the birth control pill that suits her better after consultation with a gone.5. Abdominal pain can be due to gastritis. Antacids will give relief. Abdominal pain can also be due to some infection, pelvic inflammatory disease, cysts, fibroid, etc. A USG will help to confirm diagnosis.6. She should avoid smoking, alcohol or addiction of any kind, avoid oily spicy food. Healthy nutritious, rich in minerals and proteins is what she needs, she should keep bowels clean and properly HY Chat Doctor.  Take care."}
{"_id": "000001055", "text": "The picture that you have portrayed shows that the cancer has involved the bone marrow where all the blood cells including platelets are produced. Hence, the low platelet counts. Also, since the platelets are necessary for blood clotting, that is the reason for bleeding from all these sites. The reason for doing an MRI/CAT scan is dual. One to know whether the disease has spread to the brain (its is possible) and two to rule out any bleeding within the brain"}
{"_id": "000001056", "text": "Hi dear, I have gone through your question and understand your concerns. If no cause is found for the infertility, then it is categorized as unexplained infertility. Treatment of unexplained infertility should be done stepwise, with the next step to be done when the previous step fails"}
{"_id": "000001057", "text": "Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that newsprint is effective in the treating it until the infection is limited. If the infection enlarges it is necessary to start with oral antibiotics like definite. Also, necessary to maintain the local hygiene by Chat Doctor. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease."}
{"_id": "000001058", "text": "Hi, dairy have gone through your question. I can understand your concern. Your swelling in toes has no relation with your mouth ulcers. You should go for examination. You can take folic acid table or gel with or without steroids for rapid healing of ulcer. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001059", "text": "Hi, Thanks for writing to Chat Doctor, I am Chat Doctor. BP is approx normal just DBP is slightly lower n this mostly do not cause fatigue n dizziness, but many things can lead to like methodical derangement scan be due to DM or cardiac issues or brain etc. If u were my patient I would like to do detail history n exam n then test relative to rule out cause like ECG, holder to rule out arrhythmia that can cause this dizziness, s.e, lots etc. R/U metabolic derangement SB the. Treat u accordingly I hope this answered your question, if you have more feel free to ask. Regards."}
{"_id": "000001060", "text": "Hi, thank you for providing me an opportunity to answer your query. Based on the history what you provided it doesn't seem that something is connected to the viral conjunctivitis. It will be related to your spine as you have mentioned you had sciatica symptoms twice. I don't think these symptoms will stay for long duration. A little care taken will get you away from the symptoms. Kindly do some neck and back strengthening exercises and avoid using big pillows and soft surface to sleep, i wish you recover with this and do best in future with your health. Thank you."}
{"_id": "000001061", "text": "Hi. Gone through your history carefully. You should consult a Doctor. The reasons being"}
{"_id": "000001062", "text": "Hi IPA, Welcome and thanks for posting your query to Chat Doctor. It seems you are quite stressed with your dark complexion. There are many methods of lightening of dark complexion up to a certain stage but you along with your dermatologist has to see the safety issues with short term or long term usage of these things. Now it is totally Up to you to what extent you want to go, even you may find some fascinating advertisements regarding fairness but again comes the side effects and actual usage. Now coming to your point directly, you can use glycolic acid and Arabic acid creams under dermatological guidance. Both glycolic acid and Arabic acid creams are present in low and high strengths, so try using low strength first and then gradually can shift over to higher strength. These are able to give results in 3- 4 months continuous and judicious use and are safe for long term use also. The next thing to tell you behind beauty is that it is not the color but the glow on the skin which actually counts. This can be achieved with good sun protection by physical barrier as umbrella and sunscreen usage 2-3 times a day half an hour before moving out. Eat a lot of fruits (all yellow and red) containing a lot of carotenoids and vitamins which can act as best sunscreen. Include green leafy vegetables and salads which will act as natural sunscreen (best for you) and Chat Doctor.  Lastly love your skin and love yourself there must be certain things which nobody can match up. Keep glowing!!!"}
{"_id": "000001063", "text": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows"}
{"_id": "000001064", "text": "Hello, It is not advisable to take a medicine before investigation or without consulting a doctor. Numeral 80 mg which contains lumefantrine is used to cure certain types of malaria and the irregular fever that your wife is having, may be malaria, but it should be confirmed with proper test.  You should also investigate your daughter for malaria. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000001065", "text": "Hello, I have studied your case. According to your symptoms and findings there is osteoarthritis of your knee. You can start cartilage protecting medication like Chen Chat Doctor. I will advise doing X-ray knee and if required MRI knee can be done. Physiotherapy like ultrasound and tens will help, along with knee exercises.Lifestyle changes will help in reducing pain which include, LOAD REDUCTION"}
{"_id": "000001066", "text": "Hi welcome to Chat Doctor ... I really appreciate your knowledge... Here chest tightness and pain suggestive there might be lung infection involved... Following causes has to be ruled out.... 1. Pneumonia2.bronchitis 3. Pleurisy etc.... According to cause further treatment given. But you mostly will need antibiotic in form of definite or amoxyclav... If needed hospitalization done and I. V. Antibiotic given.... If needed bronchodilator given if rhonchi present... Take Paradise"}
{"_id": "000001067", "text": "HelloFindings suggests borderline increased SGPT, and it may indicate mild liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be related to alcohol intake in your case. You need few other investigations like random blood sugar, liver function test, lipid profile. You may need to take some medicines after proper evaluation. It may take 4-6 months to get SGPT to normal level, but you should avoid alcohol completely.AST in non-specific, and it increases in many conditions. Get well soon. Take Care Chat Doctor."}
{"_id": "000001068", "text": "Hi, I had gone through your question and understand your concerns. You should be worried but not too much. You may get back him to normal range. I see similar cases amongst young people who visit my clinic. In the first meeting, I advise my patients to go on lifestyle modifications for three months"}
{"_id": "000001069", "text": "Hi....as his daily activities are normal, you need not worry. But one most important suggestion - Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000001070", "text": "Your age please? This is possibly due to limb length discrepancy. Use 1.75\\\"extra heel on left side. This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Hypertension, Diabetes or any other metabolic disorder. Any way you may try---.  Looking Plus (Mankind) [Diclofenac 100\\u00a0mg +Paracetamol 350\\u00a0mg] 1 tab.  OD & SOS. X 5days.--. Calcified plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water.--. Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.--. Do mild exercises for Back, Knee & Legs. Foot & ankle.  --.(Take help of a physiotherapist or visit WWW. Chat Doctor. Com). Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again. (phone.xxxix)Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed). For emergency treatment visit the nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the answer.-Wish you a quick recovery & good Health."}
{"_id": "000001071", "text": "Causes of enlarged spleen in 8 months baby can be hemolytic disease like Thalassemia, G6PD deficiency, malarial infection, leukemia. It depends on how much the size of spleen is enlarged. In leukemia and Thalassemia the size of spleen is quite big. In malaria infection and G6PD deficiency the size of spleen is not so much. Spleen size can also be increased in intrauterine infection like torch infection. You should do blood test like complete blood count with peripheral smear, iron studies, hemoglobin electrophoresis, torch test. This test will help in confirming the diagnosis. For the management will depend on the cause of disease. Take care."}
{"_id": "000001072", "text": "HAI, as you are a diabetic and you are very much vulnerable to infections. As your complaint of white discharge seems to some infection in your penis. You need medical attention like antibiotics. White pus and blister on penis indicates uncontrolled diabetes. First ensure whether your blood sugar is within control. however I advise you apply numeric powder in the affected area. Because turmeric is a good antiseptic. Thank you hope I answered your query"}
{"_id": "000001073", "text": "Hi, dairy have gone through your question. I can understand your concern. You have urinary tract infection. You should go for urine routine and microscopic examination, culture and sensitivity test and ultrasound kidney, ureter and bladder. Then you should take antibiotic treatment according to sensitivity test.  Chat Doctor.  It is prescription based medicine so consult your doctor and take treatment accordingly. You should also check your blood sugar level because diabetes is the most common cause or recurrent urinary tract infection. Your gall bladder has no relation with urine infection. Consult your doctor and take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001074", "text": "Hi, dairy have gone through your question. I can understand your concern. Your SGPT and GOT levels are high. Their levels are increased in liver damage. It can be due to viral hepatitis, alcohol, Chat Doctor.  You have fatty liver which also leads to high GOT and SGPT levels. You should go for ultrasound abdomen to search the cause. Take low fat diet with high protein. Avoid alcohols and smoking. Consult your doctor and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/"}
{"_id": "000001075", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done CT thorax with contrast to know about right lower lobe mass. Possible causes for these are1. Benign cyst2. Old fibrotic scar3. Rounded pneumonia4. Pleural thickening or fibrosis5. Infected cyst.6. Malignant mass etc. So to rule out all these and to reach final diagnosis, CT thorax with contrast is needed. If mass is there than biopsy is also needed for confirmation of diagnosis."}
{"_id": "000001076", "text": "Hello, Thanks for your query. According to the clinical history provided the back pain could be part of a mechanical back pain complex of symptoms. I suggest you to try back strengthening exercises by extension of the back muscles which can be taught by your Orthopedic or Physiotherapist. This will help to relieve the possible muscle spasm which causes the pain. One must also rule out inflammatory disorders, for which I recommend you to get an X-ray of your spine after consulting with an Orthopedic. MRI can be taken in case you have any nerve compression symptoms or as deemed necessary by your Orthopedic. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000001077", "text": "Thanks for your question on Chat Doctor. I can understand your concern. You are having chronic chest pain for 3 years. Your chest pain is associated with breathing, so possibility of pleuritic chest pain is more. Pleuritic chest pain is common with bronchitis and lung infection. So consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. If all these are then no need to worry about lung diseases. Sometimes musculoskeletal pain can also cause similar symptoms. So avoid movements causing pain. Avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas. Take painkiller like ibuprofen. 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."}
{"_id": "000001078", "text": "Your symptoms are most probably due to a spasm in para spinal muscles. These are muscles that lie on the other side of your spine. They must have become spasmodic when you were dusting the rugs. I would suggest you to take complete bed rest for a period of 1-2 days until the pain subsides. However, you can attend to your daily needs and keep it to minimum essential activity. You can also afford some relief using hot water compresses over that area for a period of 20 minutes every 3 hours. Since the pain relievers aren't helping, you should get prescription medications for a period of two weeks, for which you will need to see your physician."}
{"_id": "000001079", "text": "Hi, Fertyl contain camphene. It causes following side effects"}
{"_id": "000001080", "text": "Thanks for your question on Chat Doctor. Sarcoidosis is multi system disorder. And affect all most all organs of the body. The most commonly involved organs are1. Lungs. Hilary and lower zone nodules.2. Skin. Sarcoma tubercle.3. Brain. Meningitis and sarcoma nodules in brain.4. Eyes. Conjunctivitis and British.5. Kidneys. Glomerulonephritis. Etc. So your friends symptoms may be due to acidosis. But he should first get done serum ACE level. If this is high then possibility of acidosis is there. So consult pulmonologist and discuss all these."}
{"_id": "000001081", "text": "Hi, thanks for using Chat Doctor If the shortness of breath is severe or there are associated symptoms such as chest pain, palpitations, then you should consider seeing your doctor as soon as possible. In the absence of the above then you may consider waiting till your appointment. It is possible that it is related to your history of asthma, but the doctor may want to rule out other causes as well e.g. heart related problems hope this helps"}
{"_id": "000001082", "text": "Hi, If performs rupture as such doesn't warrant surgery. Treatment of rupture depends on symptoms and difficulty you have. If you are suspecting performs rupture, diagnosis can be confirmed by MRI of the MRI of the involved hip. Detailed clinical Examination can also aid in diagnosis. If pain is severe you can take tab Attract P twice a day for pain relief. Visit to orthopedic surgeon is recommended.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001083", "text": "Hello! I read carefully your question and understand your concern. I think that this may be a primary stabbing headache, if it lasts for seconds. It is a benign headache without a known cause. It may also be related to the muscles. Furthermore, it may also be caused by inflammation like a temporal arthritis, but it is also associated with vision problems which you don't refer. The fact that it has occurred in both sides makes is a good indicator excluding an aneurysm. I recommend you to consult with your neurologist, have a neurological examination and a full blood work for inflammation. Hope to have been of help! Greetings!"}
{"_id": "000001084", "text": "Hi I have gone through your complaints. You are 9 months pregnant. Now having high BP and proteinuria indicates preeclampsia. Its good as you are having no complaints and sonogram normal. Nothing to worry regarding proteinuria. Have exercises life walking. Avoid salty foods. Monitor your blood pressure. Have sonogram once in a week .if everything in normal range plan delivery accordingly. If blood pressure is unstable and symptoms && signs are there consult the Chat Doctor. Thank youRegardsVasundhara"}
{"_id": "000001085", "text": "Hi, dairy have gone through your question. I can understand your concern. Ovarian cancer runs in family. So you have increased risk of ovarian cancer.  Right now your symptoms doesn't look like ovarian cancer.  Still you should go for ultrasound abdomen and ca 125 level once to rule out any chance of ovarian cancer. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001086", "text": "Good day to you. Thanks for your query. Check your grandmother blood sugar also, although she is not diabetic. Also check her Blood pressure while sitting and again while standing to see if there is Chat Doctor.  Is she taking any blood pressure medication? Ask her to take some rest and again check her blood pressure after half hour. If still she is having same complaints, consult some doctor to get her examined."}
{"_id": "000001087", "text": "Thanks for contacting Chat Doctor with your medical questions am sorry to hear that you are having problems with sexual Chat Doctor.  These symptoms do sound like low testosterone level. I would recommend that you have your doctor repeat your testosterone level as a fasting lab. The testosterone levels are highly dependent on the time of day. After waking is the time that is the best time to obtain a blood sample. If the level is still normal then I might suggest using a medication like Viagra or Levitt to help with sexual performance. If these measures are not satisfactory then I recommend you seek medical attention by a urologist or a specialist in male endocrinology. Hope I answered your question. Please feel free to contact us again for you medical concerns and questions"}
{"_id": "000001088", "text": "Hai this is bring 27 old.blood gr b+ i am not joking. I am serially sale my kidney. I am phasing of so many financial problems. So please anybody wanted my kidney please call me immediately. I am red to now. I am already checking my kidney function testing report. It is good condition. See my reports."}
{"_id": "000001089", "text": "Penis pimples, or more specifically, penile acne pustules, are entirely harmless. It is normal sometimes areas such as these may become infected. Pimples on penis are pretty much the same as pimples on your face, depends on what causes them, bacteria or infection. That could only cause irritation, makes them larger or some other problems. STD is not likely applicable to your sons age. Remember just it is important to see your doctor if the pimples change color or gives more pain which you did not mention. Regardless of the severity of your penile pimples you want them gone, cleared up completely, never to come back. Treatment"}
{"_id": "000001090", "text": "Thanks for your question on Chat Doctor. I can understand your daughter s situation and problem. Yes, Mast cell instability is curable if treated early. If left untreated it can give rise to life-threatening allergies (anaphylaxis) and blood cancer (leukemia or lymphoma). And her severe food allergy is also due to Mast cell instability. So better to consult immunologist and allergist for appropriate treatment. Early treatment is having good outcomes. Hope I have solved your query. Wishing good health to your daughter. Thanks."}
{"_id": "000001091", "text": "HI, thanks for using Chat Doctor You may want to consider allergy testing to determine if there is a specific allergen that is causing your reaction. If this can be determined and your exposure reduced or eliminated then this would help reduce your symptoms. Allergy testing can be in the form of skin tests or blood tests. There are other cause of generalized itching such as infection (scabies), liver disease, thyroid disease, renal disease. Assessment would determine if any of these are present. I hope this helps"}
{"_id": "000001092", "text": "Hi. Thanks for your query. Abdominal pain - fatigue - yellow eyes - foul smelling urine in your daughter along with emotional upsets and Elders Heinous the Teaching X factor type. The EDS to a certain extent can cause these symptoms. The possibilities are"}
{"_id": "000001093", "text": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Low Platelet count would not cause burning chest pain.2. Possibility of internal bleeding secondary to gastritis/ HERD or angina pain are usual suspects.3. During internal bleeding, thrombocytes is commonly seen. If the nuclear stress test is abnormal, further angiography is necessary to evaluate for any blockage. You can start on proton pump inhibitors like pantoprazole for a week and see if the pain reduces. Hope it helps. Any further queries, happy to help again."}
{"_id": "000001094", "text": "Hi! Semen is nothing but a protein-rich secretion that must generate immunity in your body if somehow inoculated; actually it is not against semen as a whole but against some protein components of it! The sperms die soon and only digested/residual proteins will initiate some allergic/immunities in your body!there is no communication of blood with semen due to blood-testes barrier and not to worry! 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. All the best!"}
{"_id": "000001095", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have said that you have lock jaw problem it can be due to if you undergone any dental treatment, Lock Jaw is known as Erasmus which is due to Master muscle spasm, It can be due to many cause like Tetanus, or due to stress also or may be due to Temporomandibular disorder also, so don't take so much stress do proper exercises, Hope this will help you, Wish you good health"}
{"_id": "000001096", "text": "Hello Thanks for writing to bleeding to not related to liver. Your doctor has rightly referred her to a gynecologist. Her problem may be related to pathology in cervix, uterus,local cause etc. She needs proper gynecological examination and investigations. Investigations include routine hologram, RBS,Pap smear, ultrasound of abdomen. Further investigation scan be done if needed. Proper treatment depend upon findings. Get well soon. Take Care"}
{"_id": "000001097", "text": "Hello, I have studied your case. First possibility could be of lumbar disc compressing nerve root leading to pins and needle with pain in foot. I will advise you to do MRI spineAnother possibility of arthritis and associated plantar fasciitis.X-ray will rule out arthritis. 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."}
{"_id": "000001098", "text": "Thank you for consulting with Chat Doctor.I'm sorry to hear about the pain you suffer during your menstrual cycles. Endometriosis is a disease which could happen anywhere in your body. The tissue responds to the hormones from your ovaries and bleeds once in a month like it happens in a menstrual cycle. If you are having blood in urine on monthly intervals it could very well be an endometriosis occurring in your urinary tract. And if it is endometriosis removing the ovary is an option. If the site of endometriosis is removable surgically its removal also may cure your condition. Blood in urine can also result from other causes like stones, or any ulcerative growths. A physical examination and imaging studies are mandatory to rule out the conditions. You also have to check the cytology of the urine. Consult with your urologist, and he will do the necessary investigations. Please revert with further details."}
{"_id": "000001099", "text": "Hi. Thanks for your query and an elucidated history. Read your history again and again. I would suggest you to go for High Resolution CT scan to see the exact position of the appendix/ bowel/ presence of any abscess or foreign body like dead momentum and all. This really helps. Another is to go for colonoscopy as this can help to get a diagnosis of any associated colonic pathology like tuberculosis or so. The information so gathered can give idea whether you need another surgery for correction of remaining pathology or medicines would help. Be on the liquid diet. Take rest- it helps in early healing. Avoid all foods and beverages which you know increase your symptoms. Do not worry about hernia. It can be treated at a later date or during the next surgery. (Mesh should not be put at the moment as there are more chances of infection)"}
{"_id": "000001100", "text": "Hi, Online doctors breaking federal law by giving out narcotics without an exam. I don't think this site is going to offer that. Being in a lot of pain often causes people to make unrealistic thoughts and do things that are increasingly risky.  Methadone is both effective as long-lasting pain medication and also keeps people out of harm. Cannot say in your particular case, but we can say what the site and all legal ones will not allow. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001101", "text": "Hello, thanks for writing in. A high prolactin level can cause ovulation problems, hence It's essential to do a workup for the cause and treat it- usually medicines suffice.Additionally, it maybe linked to an under functioning thyroid as well as the Chat Doctor. Hence, please consult a gynecologist or endocrinologist who can diagnose, correct and monitor the hormonal imbalances. Your periods also need to be regularized. A healthy lifestyle, exercise, with a nutritious diet devoid of processed & preservative rich food will help you to feel healthy, achieve a hormonal balance naturally and increase chances of pregnancy. Please do write in if you have any more queries. Bye."}
{"_id": "000001102", "text": "Welcome to the ChatDoctorI completely understand your concerns. I see such cases in my clinical practice.  Alkaline phosphate levels in your daughter are quite high and needs to be immediately investigated. In view of her recurrent illness history you may go for following investigations"}
{"_id": "000001103", "text": "Hi greetings You are absolutely normal. There is no harm in night emissions or masturbation. It is a sign of virility and proves that you are perfect. One important factor is about any infections in your genital organs like STD. If any history of STD then you need to treat that completely. After that it could be the secretions from your Penis making you feel as semen. Even if semen nothing to worry. Now anything in excess is bad, so you should be restricting watching porn.limit to 5 to 10 min only. Masterbation can be done weekly twice or thrice so that you can enjoy better. You can start some sort of exercises daily to improve your physique and try to learn meditation. You can also concentrate on your studies or professional to divert your mind. Hope my answer helps you. Regards"}
{"_id": "000001104", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. I think, this is due to obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000001105", "text": "Hi, Thanks for posting your query. Your liver function test is normal (as figures mentioned by you) except slightly raised GOT/ SEPT. Are you an obese person? Fatty liver is a common ultrasound finding and deranged GOT/ SGPT may be due to fatty liver. Your pricking pain doesn't appear to be due to liver pathology. What was your gall bladder status? You should also go for endoscopy. You should consult with internal medicine specialist / gastroenterologist. Take care,"}
{"_id": "000001106", "text": "Hi, I am Chat Doctor.  I have read your question and understand your concerns. Let me try to help you Question"}
{"_id": "000001107", "text": "HiT hank you for your question to Chat Doctor. Leg pain and weakness can stem from pressure or intrinsic pathology of the nerve. To find out the cause and location of your problem I would recommend getting Electromyography and Nerve Conduction testing (EMG/NCV) of left leg. For my patients I would also get MRI of the lumbar spine because lumbar disc herniation is a common pathology that causes leg pain and weakness. Rarely thoracic disc herniation (midback) can lead to such symptoms and MRI of the thoracic spine would be the next step if no correlating picture is found in lumbar spine. Hope this is helpful. I will be happy to answer any questions you may have."}
{"_id": "000001108", "text": "Hii would like to start answering your query by telling you that thankfully you don't have any form of oral cancer. The white discharge oozing out of your gums is just pus from the periodontal pockets due to gum disease. You can wait to get back to your country for the treatment which would include OPG x-ray to see the condition of alveolar bone some other dental examinations. Meanwhile you can go to any local dentist and ask him to do scaling that is dental cleaning. If periodontitis is not severe then scaling can even fix your problem. Take care"}
{"_id": "000001109", "text": "Hi...by what you quote I feel that the kid is having pro Chat Doctor.  If there is vomiting you can use Syrup Ondansetron as prescribed by your pediatrician. If diarrhea starts - it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D"}
{"_id": "000001110", "text": "Hi, Thanks for coming to ChatDoctorI can feel the pain you are going through since 2011Exhaustion and heart sore can be symptoms of uncontrolled hypothyroidism and complicated / unresolved griffins thing to do is to do a thyroid hormone level (T3, T4, TSH) checked, if they are not normal, then the symptoms for which you are worried about are because of hypothyroidism. Then consult an endocrinologistHypothyoridism is a risk factor for having such symptoms in response to stress (emotional crisis you are referring to)In addition, being in regular with a psychotherapist or interacting within people of your age etc. will help recovery"}
{"_id": "000001111", "text": "Thanks for using Chat Doctor. I understand your concern.1) You can apply fluocinonide generic solution 0.05% over the affected area in small amount, twice a day, maximum up to two weeks.2) You can use clobetasol propionate shampoo 0.05% once daily or clobetasol scalp solution(Cor max)0.05% apply over the affected area in small amount, twice daily, maximum up to two weeks.3)You can use topical calcipotriene solution or foam 0.005%(though little expensive)are also equally effective in treating scalp psoriasis. I would advise you to discuss this with your doctor preferably a dermatologist to consider any of the above prescription if it is appropriate for you. Hope this information helps you. If any further questions, happy to help you. Take care."}
{"_id": "000001112", "text": "Hi, I can understand your concern for itching on body while suffering from diarrhea. It is difficult to make an exact diagnosis of your condition with your current history. For what exact condition you were prescribed loratadine and in what exact dose you are taking it. In general loratadine is a very safe tablet. If I were your dermatologist then would have you to increase the dose of loratadine. It can be increased from 1 tablet to 2 tablets and up to 4 tablets if the itching is not controlled. The only precaution you must follow is not to touch, pinch pop or squeeze any of them otherwise it can get infected and can cause complications. Take care."}
{"_id": "000001113", "text": "Hi.dear Vijay., Thanks for choosing Chat Doctor., Retino-A... Retino-A (Retinoid) has several uses. Retina (Retinoid) is widely and popularly used for the treatment of acne, and can also diminish the visible signs of aging removing lines and fades sun spots. It is also used in conjunction with topical hair loss medications. Retinas main active ingredient, Retinoid works by increasing the turnover of skin cells and speeds up the shedding of dead cells........it has the following side effects like.... Chat Doctor. , Burning., StingingSkin redness., Itching..., Rash., Temporary changes in skin., pigmentation..., Sensitivity of the skin to light., Skin blistering..., Eye irritation..., OedemaFor best results...use this.,3\\u00a0months period., PROEMOL......it is moisturizing cream and used to prevent"}
{"_id": "000001114", "text": "Dear Ma'am, Sorry to hear about your husbands' problem. He is feeling better because of the chemotherapy (that is the reason why his symptoms have subsided) but it does not imply that the cancer has been completely treated. He would still require surgery because radiotherapy cannot be given to him. You can discuss the other options with your oncologist, but they might not be curative, and they include TURBO (transurethral resection of bladder tumor)."}
{"_id": "000001115", "text": "Hello! Welcome and thank you for asking on Chat Doctor! Hiccups is a normal physiological reflex, related to the diaphragm movements. An elevation of the diaphragm or abdominal distension could cause this clinical scenario. From the other hand the heart lies over the diaphragm. That is why diaphragm elevations can cause palpitations. I recommend consulting with your attending physician for a careful physical exam and performing some tests"}
{"_id": "000001116", "text": "Hi, Welcome to Chat Doctor. Bleeding gums can be due to bad oral hygiene, and due to inflammation of gums called as gingivitis. Coughing up blood in saliva is definitely worrisome. Itching could be due to many reasons, but most common is allergies to food. I suggest you get a detailed examination done by a GP near you to rule out causes of these symptoms. I would also suggest you get a complete lab workup to rule out bleeding disorders, and any kind of malignancy. Thanks."}
{"_id": "000001117", "text": "HelloThanks for your query. Based on the facts that you have posted it appears that you have undergone surgery for kidney stone. You have not mentioned the nature of surgery whether it was an endoscopic surgery like (PCNL OR URS). The pain that you are getting now is not related to previous surgery and can be due to recurrence of stone or due to spots in the kidney that you have mentioned in your query. Please consult qualified Urologist for clinical assessment and further treatment. Chat Doctor."}
{"_id": "000001118", "text": "Hi, I had gone through your question and understand your concerns. Oligocene Chat Doctor. (WHO grade 2). There are other possibilities of diagnosis with that MR result (high grade gliomas, metastasis). The treatment is surgical followed by chemotherapy and radiation therapy after the BIOS response. The treatment needs to be done on a specialized Neurosurgical Center. 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."}
{"_id": "000001119", "text": "Thanks for your query, I have gone through your query. The swollen papilla could be because of the inflammation secondary to deposits or any irritation, or it can be a fibrous arising from the interdental papilla. Consult an oral physician and get it evaluated. If it is a gingival enlargement or inflammatory origin then take a course of antibiotics and observe for 1 week, if it does not subside then get it surgically excised. If it is a fibrous then get it surgically excised. I hope my answer will help you, take care."}
{"_id": "000001120", "text": "Hi, Thanks for your query. Neck pain that you are having are suggestive of degenerative -spondylitic changes of the cervical spine. X-ray of neck in lateral view or MRI will help in the diagnosis. Treatment includes 1. Use of cervical collar helps in immobilization and brings relief. 2. Medical Chat Doctor. 3. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 4. Hot fomentation helps in relieving acute symptoms.5. You can avoid using a pillow. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000001121", "text": "Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. Mild degree of soreness and chest pain is common after choking spell. So at present, no need to worry much and hence no need to visit emergency room. But if he develops worsening of chest pain, coughing, breathlessness etc. than immediately consult emergency room and get done broncos copy to rule out aspiration into the lungs. So watch for these alarming symptoms. At present no need to worry. Hope I have solved your query. Wishing good health to your husband. Thanks."}
{"_id": "000001122", "text": "Hello you are on 4 moods stabilizers-Divalproex ER, Lithium and Neurontin and Seroquel, Wellbutrin as antidepressant. Incredible it is. Now mirtazapine as antidepressant and Asian for sleep. If I were to treat you, first thing I would do is stop Neurontin and lithium slowly, raise Divalproex to 1000 mg, keep Seroquel 150 mg and add nortriptyline. Each of my proposed change has a sound scientific basis. Lesser number of medicines with careful appraisal of the symptoms and appropriate to the relevant circuits in brain carries the best prognosis with minimum side effects Chat Doctor."}
{"_id": "000001123", "text": "Hello dear, I understand your concern. In my opinion it might be the due to hormonal imbalance created by demo. Anyways the pregnancy should be ruled out by doing a urine pregnancy test. I suggest you to consider doing the test. If the test is negative then the spotting might be due to hormonal imbalance.Don't worry. The irregular spotting, bleeding , absence of periods are the side effects of demo. Even after stopping the demo it will take some time for the hormones to come to normal level. Best regards..."}
{"_id": "000001124", "text": "Thanks for your query, I have gone through your query. The canker sore is not related to the chipped wisdom tooth. Usually it occurs secondary to stress or nutritional deficiency. Nothing to be panic, you can take a topical anesthetic like lidocaine and topical analgesic like choline salicylate. Do saline gargling and lead a stress-free life. Regarding your wisdom tooth, you need to get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. I hope my answer will help you, take care."}
{"_id": "000001125", "text": "Most fevers in child Chat Doctor.  Although febrile convulsions can occur in case of high rise of temperature, going by your description it rather seems to be benign sleep myoclonus which is not harmful, and you need not be concerned. It is normal and can occur in sleep. But I would strongly insist you to visit a pediatrician and to get the child assessed about the cause of fever so that it can be managed accordingly."}
{"_id": "000001126", "text": "Hi, Welcome to Chat Doctor, I understand your concern. Hair seen like that is not common in child Chat Doctor.  If it's coming from inside that could mean he has swallowed some hair which is tying to get expelled undigested and getting entangled inside. If I were your pediatrician, I would refer you to a pediatric surgeon who can examine his rectum and try to take it out safely. Don't worry, the problem can be completely cleared. Take care."}
{"_id": "000001127", "text": "Hi and thank you so much for this query. I am so sorry to hear about these elevated numbers on your liver function tests They are not an indication for E/MRCP right now. More evaluation is needed to pinpoint the cause before making the decision whether these advanced endoscopic measures are need for diagnostic and therapeutic purposes. Cause like viral infections, autoimmune disorders, Chat Doctor.  Also, an ultrasound would guide the decision-making process. I hope this ad"}
{"_id": "000001128", "text": "Hi, Thanks for your query. I have read your query & I understand your concerns. Following is my reply"}
{"_id": "000001129", "text": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done1. PUT (pulmonary function test)2. Bronchoscopic evaluation. Post intubation following are the possible complications that can cause annoying cough.1. Bronchitis2. Tracheal injury and stenosis. So get done PFT to rule out bronchitis. Bronchoscopic examination is needed to rule out tracheal injury. So better to consult pulmonologist and discuss all these."}
{"_id": "000001130", "text": "HI, thanks for using Chat Doctor Severe acid reflux symptoms can be associated with ulcer formation. If your symptoms do not improve with the use of your medication then you can see your doctor for an assessment. To diagnose an ulcer, you would need imaging tests to be done. It is possible to have severe HERD that is not responding to medication. You may need to alter your diet to reduce your use of spicy/acidic/fatty or fried foods. I hope this helps"}
{"_id": "000001131", "text": "Hello, With the past menstrual history and having missed your pills, pregnancy should be suspected. This is because you were no longer protected in this cycle. Please go ahead with home pregnancy test with a fresh early morning sample of urine 3-7 days after the missed period. If positive, you can go for a trans-vaginal sonogram to see the status of the pregnancy. If you wish for an earlier and better confirmation/exclusion, please go for the estimation of the serum beta-ChatDoctor titles. Hope this helps."}
{"_id": "000001132", "text": "Hello there!  I read your query and I want you to know that Misdiagnosed ulcers lead to perforations and pain under right Hyperion Chat Doctor. As you already have sepsis and a lot of surgical procedures, so there area lot of adhesions and post surgical unavoidable complications making your bowel very sensitive and explains all the symptoms you are facing. Rectal bleeding needs work up. Colonoscopy would be a good start witChatDoctorplete blood panel. Endoscopy for gastric mass is to rule out any gastric malignancy odds as they increase in cases like yours. If God forbid there is some malignant mass it would be better to intervene early. So that's what all this plan is about. Hope for the least try for the best and get prepared for the worst. I am sure you will be intake some special care of yourself regards"}
{"_id": "000001133", "text": "Hello, Thanks for your query. From your symptoms, it seems that you are suffering from plantar fasciitis. It happens due to inflammation of the plantar fascia. It hurts the most with the first few steps in the morning because the plantar fascia is tight and has not stretched out yet, and throughout the day it loosens up. The best thing you can do is when you wake up in the morning, before getting out of bed and taking a step, give yourself a little foot rub. There are many things you can try to help your foot get better"}
{"_id": "000001134", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Such types of defects usually closes after some tines. But in your case it has not close d. If such things happens it requires surgical intervention to close it. Because open space has communication with the spinal area. Because of this it frequently gets infected, as you mentioned now it is infected with the fungus. I advixevyou to get close it surgically. This is the final permanent solution for this condition. Till you visit the doctor you can make the area clean with frequent washing and Chat Doctor.  You can use Betadine and polypoid powder. Please avoid injury to that portion. Wearing a cotton undergarments can help you more than synthetic garments. I will be happy to answer your further concern on bit.ly/"}
{"_id": "000001135", "text": "Thank you for posting your question. Fever cough especially when associated with cold in a 11\\u00a0month old child is most likely to be viral. Some points that would favor it being viral is normal behavior in between fever spikes, presence of running nose or associated diarrhea etc. In such cases an antibiotic like azithromycin is usually not indicated. However, for the treatment of such conditions proper control of fever and symptomatic relief is all that is needed along with patience and monitoring of symptoms. In case you have started the course of azithromycin, completion of at least 3 days of the Chat Doctor.  As the cough is relieved by leveling, I suggest you continue that along with other homemade remedies like honey, ginger or warm water or milk with turmeric to sooth the throat. For the cold you could use any antihistamines"}
{"_id": "000001136", "text": "Dear sir/ madam based on your description I would examine your knee for local bony tenderness. Most likely it could besot tissue injury to knee for which I would recommend rest, immobilization in a knee immobilizer, some analgesics, ice fomentation for 1 week. Then when the pain and swelling subsides examine your knee ligaments and then decide on further management. Numbness might be due to direct injury to cutaneous nerves or edema in that area, so after giving rest for 1 week further examination is recommended."}
{"_id": "000001137", "text": "Hello, Welcome to Chat Doctor, You seem to be suffering from Acute urticaria. It is characterized by itchy red or skin colored raised wheals which is transient. The most common cause of acute urticaria is food. Seafood, meat, poultry, egg, milk, apples, brinjal, strawberry, coloring agents etc. are commonly implicated. It is subjective, and any food can cause it. Other common causes are medicines, infections, insect bites etc. In your case Cake is number one on the suspected trigger list. Avoid eating it. You may take antihistamine like Ben Chat Doctor. Hope this helped, Take care."}
{"_id": "000001138", "text": "Hi, dear. I have gone through your reports. I can understand your concern.  You have report of your complete blood count. Your he is slightly low.  Rest all parameters are completely normal. No need to worry. Just be relaxed. If you have any symptoms then consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001139", "text": "Hi, I appreciate your concerns. The risk factors for CKD in your case are diabetes and blood pressure of long duration. If the GFR remains below 60 for a duration of 3 months we label it as CKD stage 2. If you have significant amount of protein in the urine most likely you have kidney dysfunction secondary to diabetes. But there is nothing to worry as we have diagnosed it early and if taken precautions the EFR can be maintained for a long time. The key to prevent further progression at this point is a good control of blood sugar and blood pressure, weight reduction and regular follow up. The anemia is most likely secondary to nutritional deficiency as you are already taking vitamin supplements. I will e pleased to take any queries from you. Tx"}
{"_id": "000001140", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Best treatment of chest infection is identification of causative organism and giving appropriate antibiotic according to the organism. For this we need culture and sensitivity report. So send sputum culture and sensitivity report. If sputum is not available, get done bronchoscopic evaluation and BAD (bronchoalveolar lavage) culture and sensitivity report. This will guide you about effective antibiotic treatment. By this way, we can reduce the overuse of antibiotics and so resistance and side effects can be reduced. This will also speed up the recovery. So consult your doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001141", "text": "The repair of brachial plexus injury depends on the amount of disability your brother is having as well as the duration and severity of injury. If the nerve had been injured at multiple places, nerve interposition grafting may have to be done, i.e., another nerve from the leg may need to be connected in between.  In Kerala, for this you can go to Amrita institute. Otherwise, you can choose SIMIANS, Bengaluru."}
{"_id": "000001142", "text": "Hi, Welcome to Chat Doctor. After going through your query I think your You are suffering from chronic backache. Treatment of back pain is exercises and analgesics (diclofenac SR). Sometimes strong analgesic(such as attract three times a day after meals) is required. Consulting with treating doctor is advised.  Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation(weekly with milk) can be taken. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You need to do MRI TO RULE OUT other causes. I think your query answered."}
{"_id": "000001143", "text": "Hi sir/madam, I am concerned that your son is suffering from HERD and vomiting. Gastric juice, bile juice can give a yellow tint to vomiting. One or two episodes of yellow colored vomiting is not a cause of concern but if yellow to green colored vomits persists, it may suggest intestinal obstruction and should be evaluated without ignoring. Regarding HERD, as long as your child is gaining weight adequately regurgitation is not a big issue. But if he doesn't gain weight he needs to be evaluated further. So just keep a watch for persistence of yellow vomits and weight gain. Take care.  Chat Doctor. Balaji"}
{"_id": "000001144", "text": "Dear madam, Although blurred vision is not described well in literature as symptom of anemia, I have seen many patients who have this symptom, which gets better after correction of anemia. I send patients to ophthalmologist in any case just to rule out associated eye problems. You may also do the same thing. Transfusion of blood is not the solution for anemia. It is just a temporary measure to bring up the hemoglobin level. We need to evaluate your husband to know the cause of anemia and treat the cause. This would actually solve the problem. Hope I have answered your question. If you have any further questions I will be happy to help. With regards,"}
{"_id": "000001145", "text": "Hello, Depressive disorder is a type of mood disorder and this occurs in episodes and show recurrences. But that doesn't mean that you have to take medicines regularly for life. As per guidelines, if a person remain symptoms free and function normally socially and in personal life for around 2 years on treatment then the treating doctor can think of gradually reducing the doses. Since, you have mentioned that you are doing well on medicines you can discuss with your doctor and ask for reduction of the doses. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001146", "text": "Hi, Both Caver ta 50 mg and Nan oleo are only helpful for Erection problem, both did not have any role in Sperm production. If you do not have any Erection problem please avoid those tablets. Your semen count is (0.05 million/ml) is very low. You need detailed Fertility work up. Please do repeat semen analysis with minimum 3 days to max 5 days Sexual abstinence. Check your early morning fasting Serum Testosterone, Serum FSH, Serum Prolactin, Serum LH, Check for Varicocele (Scrotal Doppler scan). If any correctable problem u have correct the problem first then take the following Chat Doctor.  If Everything normal take Tab. Caring (Twice daily for 3 months) and Tab. CCQ 50 mg (Daily night for 25 days in a month for 3 months)."}
{"_id": "000001147", "text": "Hello, Cold could be due to allergic condition, and it may not cause high blood pressure, if this is the high blood pressure noted even if this is taken with cheap kind of machine but still it created the doubt in high blood pressure, and it has to be ruled and for that it is better to see the physician, blood pressure reading you have taken can not be taken as final reading, but it can not be neglected until and unless proved either right or wrong. Hope I have answered your query, let me know for further assistance."}
{"_id": "000001148", "text": "Hi, You shouldn't worry, just encourage your friend. The doctor will prescribe medication for blood clots. If your friend takes the medication regularly and follows healthy lifestyle, everything will be OK. In mild strokes the most important goal is to prevent further strokes, which is done with blood thinners and lifestyle changes. Hope I could help nourishing a good health to your friending case of further questions don't hesitate to ask"}
{"_id": "000001149", "text": "Hi there, Thanks for using Chat Doctor. Your husband needs immediate medical attention. He has developed hepatic encephalopathy probably precipitated by alcohol binge. This is a complication or cirrhosis of liver. The brain function is affected due to building up of toxins which are not eliminated by the damaged liver. He needs in patient treatment. He may require treatment with lactulose bowel wash, Rifaximin, Header. Get medical attention immediately. Is this answer helpful?"}
{"_id": "000001150", "text": "Hi Thereafter going through the details provided by you your symptoms looks like of cardiac ischemia. Its advisable that you should consult a cardiologist personally as early possible. Till that time I would like to suggest you to take complete bed rest as if you exert your cardiac ischemia can worsen up. Also, I would like to suggest you to keep sublingual arbitrate with you so that if at any time if your condition worsen you can use it on time. I wish you good health"}
{"_id": "000001151", "text": "HelloThanks for asking query on Chat Doctor. As I understand you are suffering from enteric fever (typhoid) and mild jaundice, which could be related to enteric fever itself. You have not given complete details of your Liver function test. I assume you would be on antibiotics. Diet for you would be soft diet with less of spice and lots of liquids. I would some rest especially if you feel fatigued, having fever or pain in abdomen. Usually it takes about 10-14 days for recovery. Take care."}
{"_id": "000001152", "text": "Hello,TIDAL test is not a diagnostic test in typhoid but during the 2nd week of fever raising title of antigen from 1"}
{"_id": "000001153", "text": "Hi. Very sorry to hear about your mothers' illness. I am sure a CT scan of chest must have been done before proceeding onto biopsy. If not, it should be done. From the description you have given index of suspicion for malignancy (cancer) should remain very high in this case. Since she has a previous history of breast cancer I suspect that it's a breast cancer relapse in lungs producing multiple metastasis. Other possibilities are primary lung cancer with metastasis or primary cancer elsewhere with lung metastasis. The exact primary disease will be confirmed by histopathology report of biopsy. Immunohistochemistry IOC will also help in narrowing down on the diagnosis. Once diagnosis of cancer is confirmed, metastasis in other body parts should be ruled out with an ultrasound scan of abdomen & pelvis and a bone scan. I hope your query has been answered. You can discuss it with the treating oncologist as well. Thank you for choosing Chat Doctor."}
{"_id": "000001154", "text": "Hello Thanks for posting at Chat Doctor. Symptoms of heart blockages are chest pain, tightness in the chest, chest discomfort, breathlessness and pain in the hand. Crawling sensation in the chest is atypical pain and does not seem from coming from the heart. However, it's always wise to get evaluated. So please go ahead with the stress test which you are scheduled next week. As of now I don't think there is anything to worry about. In the meanwhile you can start taking antacids as such feelings can be caused by hyperacidity and gas problems. Wishing you good healthRegards"}
{"_id": "000001155", "text": "Hello, I have studied your case. Most probable reason for your symptoms could be postural problem. When such patient comes to my hospital we usually take x-ray spine to see for any nerve compression. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. Some exercises which can be done after pain has reduced include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. Hope this helps. Wish you speedy recovery.  Take care."}
{"_id": "000001156", "text": "Hi, Thanks for posting your question here, I will try to answer it to the best of my abilities. If contraceptive pills don't work for you, why not just calculate the days when you ovulate? These are the danger days when you can get pregnant. This is how you calculate it - count 14 days from your last period, the next 4 days after that are the danger day, i.e. the days you are ovulating. So just to be on the safe side, for 7 days instead of the 4 I mentioned avoid intercourse, and you should be okay. I hope this answered your question."}
{"_id": "000001157", "text": "Hi, Thank you for posting your query.First, I would like to reassure you that the itchy rash and skin lesions in the lumbar region are not related to the lumbar canal stenosis. They are two separate problems. The skin rash needs to be evaluated by a dermatologist. The most likely cause could be urticaria, and may be related to an allergy. Use of antihistamines agent such as levocertizine or cetirizine tablets would be helpful. I hope my answer helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/"}
{"_id": "000001158", "text": "Hi and thank you for choosing Chat Doctor to post your concern. I read carefully your question and in my opinion your chest pain is a noncardiac chest pain since your cardiac examinations turned out good. Do you have any other complain about example cough, difficulty breathing? I am supposing no since you don't mention in your question. This make me think that is less possible a chest pain associated with the respiratory systems your pain influenced by eating or does it worse while supine, or increase in intensity with movements of the body? It would help me to have this information to narrow the differential diagnosis of your chest pain. Now my conclusion is that the most possible causes of your chest pain are as follows"}
{"_id": "000001159", "text": "Hi, From history it seems that she might be having acute infection in her external ear giving pain and swelling behind the ear. Due to acute infection she might be having symptoms like malaise, body ache, pain in limbs, knees etc. Give her one course of antibiotic and anti-inflammatory medicine course for 3-5 days. Put antibiotic ear Chat Doctor. Within a day or two she will start improving. Ok and take care."}
{"_id": "000001160", "text": "Dear friend. Thanks for sharing your concern. Your history suggests that you had a traumatic extraction, and post extraction it became a case of Chat Doctor. Do not worry, white spots that you are seeing is due to local application of medicament there. Gum soreness will slowly subside as it takes time in complete wound healing. Please maintain good oral hygiene and do warm saline rinses. I would suggest you to revisit your dentist for clinical evaluation. Of a course Based upon that starting a course of antibiotic is recommended. Hope it helps. Take care."}
{"_id": "000001161", "text": "Hi. Thanks for your query and an elucidated history. The causes of pain on the right side - the feeling of sharp needles beings pricked and like a little bag bust inside you can be due to"}
{"_id": "000001162", "text": "Hello, I have gone through history of your son. I can understand your concern as mother.first let me tell you that metoprolol 25 mg is not high dose.secondly slow heart rate usually does not produce sudden death. I would like to know what exactly was defect in heart and what surgery was performed ?many a times congenital defects though surgically corrected may have residual problem which may trigger arrhythmias and sudden cardiac death. I would like to know what was report of autopsy? I certainly respect your emotions as a mother, but it's my duty explain what may be truth. I would be surely interested to know autopsy report. My condolence to family."}
{"_id": "000001163", "text": "A child dying of heart murmur suggests that he had a congenital heart disease, and he must have gone into Congestive heart failure and succumbed(commonly seen in these conditions). If ECHO was done, that could have explained the type of heart defect in the child. If the child has Chaotic CHD, in that condition a Hypoxic event can lead to seizures. Child Chat Doctor.  Apart from these conditions, brain abscess in CCHD or any structural malformation in the brain(Syn"}
{"_id": "000001164", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should immediately consult cardiologist. T inversion on ECG is suggestive of ischemia. Your symptoms are also suggestive of ischemic heart disease. Most common cause for this is coronary artery blockage. You are having pre-diabetes and strong family history of coronary artery disease. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. 2d echo 3. Stress test (trade mill test) 4. Coronary angiography. You may require coronary stenting and other cardiac supportive Chat Doctor.  Don't wait at home, consult cardiologist and start treatment immediately. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001165", "text": "Hi I had gone through your query and understand your concerns. I would come up with the possibility of DIVERTICULITIS may be the cause for your sufferings.-inflammation of balloon-like protuberance due to excess Gas pressure in intestines. Often caused by additives in food, or low blood sugar. Diet to follow;-high fiber diet which produces large volume of feces requiring wider diameter of colon, and gas. -refined food lead to hard stool. Softer stools do not strain the gut. X-ray with barium enema may confirm the diagnosis.  I hope this is helpful for you, thank you"}
{"_id": "000001166", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No, you should not discontinue tamsulosin. Tamsulosin is good to prevent urinary symptoms like Chat Doctor. So continue with tamsulosin. Your erectile dysfunction is mostly due to lack of testosterone. Old age plus prostatectomy cause testosterone deficiency. No treatment is required because of your age (87 years). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001167", "text": "Cellophane you for your query. Please stop googling and consult an Infertility specialist at the earliest. First get yourself investigated for the 2 miscarriages. Causes could be genetic, uterine abnormalities, hormonal disturbances, infections, autoimmune conditions etc. Next, have a complete PCs investigation panel done. Assess your tubal patency by HSG or laparoscopy. Have your partners' semen analysis done. Maintain a healthy BMI and take folic acid tablets. Also, with PCs, you might need help of ovulation inducing agents to conceive, as PCs patients have irregular ovulation and irregular cycles.Please consult an expert at the earliest. Take care."}
{"_id": "000001168", "text": "Hello, Continue the medicine till week. Post which starts exercise for knee muscles. Like static hamstring and static qua Chat Doctor.  Post which resistance training should give excellent results. Most cases I see in my clinical experience of 12 years at your age have early signs of osteoarthritis of the knee. With exercise, they are better. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In"}
{"_id": "000001169", "text": "Hi, This looks like the baby is not liking the food. He might be choosy I guess! I would like to suggest you try different varieties of foods and present the food before him in some attractive ways"}
{"_id": "000001170", "text": "Thanks for your question on Chat Doctor. Seasonal cough is very common problem. It is mostly due to viral infection. Viruses are more cultivating in winter and humid season. So Viral upper respiratory tract infection is commonly causing seasonal cough. So my advice to you is to take annual influenza vaccine. It will give protection for 1 year. So very year you should take this vaccine. Another Chat Doctor.  This should be taken throughout the season. So consult your doctor and discuss all these. Because all these are prescribed medicines and prescription is needed for this."}
{"_id": "000001171", "text": "Hi.I had gone through your query. In old age these type of emotional problems are common after stroke or vascular events. Depression or anxiety is associated with stroke in 40 to 50 cases. Hallucination is symptoms of psychosis, and it is associated 10% in patient of stroke. Mood variability or catastrophic reaction is common. Require psychological evaluation and treatment. Low dose antidepressant with anti-psychotic will help. But require detail evaluation before taking any medicines. Caution is required for Chat Doctor."}
{"_id": "000001172", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. There are many causes for lower limb edema in patients taking chemotherapy and radiotherapy. The common causes are1. Deep vein thrombosis (DVT)2. Hypoprotienemia and anemia3. Lymphatic obstruction of lower limb either by direct cancer spread or due to radiotherapy.4. Cardiac failure5. Renal failure.6. Rarely hepatic failure. So better to consult oncologist and discuss all these possible causes, and start treatment accordingly."}
{"_id": "000001173", "text": "Hi, Dear,Good Evening, and Thanks for your query to Chat Doctor. I went through your query details in depth.-In my opinion, in relation to the facts told by you, its infected Boil post-Ring Worm infection(Jock itch/ or Tina Courts) with Boils with groin lymphadenitis with access.-LGA, soft chancre needs to be ruled out.-Remedy-Consult ER-Skin doctor would treat it with-a-Tb griesolfulvin / or Tb terminating for 2 was orally b-or, ketoconazole cream or itraconazole would fix the dieseasec-Tb-NSAIDs, for 5 days time. Hope this would resolve your worries about the lump. Wellcome again for many more queries to Chat Doctor online Clinic-from you and your friends"}
{"_id": "000001174", "text": "Hello Matt and welcome to Chat Doctor. As a Urologist and kidney transplant surgeon, i can understand your anxiety. First, i must congratulate you for taking this noble decision. Before a kidney transplant surgery, there are 3 tests, which must be matching"}
{"_id": "000001175", "text": "HiT hanks for your queryBased on your query, my opinion is1. Dizziness could be due to hypotension, as you have increased the dose of antihypertensives.2. It could be due to hypoglycemia. Skipping meals/ eating less/ loss of appetite may be some reasons.3. Ear problems can also cause dizziness. If you have ringing sensation in ears/ hearing loss consult your doctor for further measures.4. Besides taking the prescribed medications, be regular with your diet. Hope this helpsRegards"}
{"_id": "000001176", "text": "Thanks for contacting Chat Doctor with your health care concerns are worries about an epididymis cyst on your testicle. These cysts are very common and are not truly a concern for you. These are benign and do not cause any health care problems. If they do hurt a doctor may recommend removal but not usually. I think you can wait until your appointment in January to discuss this with your doctor. I hope this answers your question. Please contact Chat Doctor again with any of your health care concerns"}
{"_id": "000001177", "text": "Hello, I have studied your case. I think it is most probably collection of blood inside ankle. It is called hematoma. This is going to dissolve soon. I would recommend you to start hot water fomentation, antibiotic and NSAID.  I would also recommend you to apply compression bandage. Furthermore, I hope this answer will be helpful for you. Let me know if there is any other followup questions. Thanks"}
{"_id": "000001178", "text": "If your pain is due to muscle spasm at your back and loss of lumbar curve. Then I suggest doing exercise like spinal twisting, knee to chest one -one leg at a time keeping another leg on ground without lifting upper limb and with the help of your hands., pelvic bridging, and spinal extension, Lowe limb stretching in lying position. But do not do forward bending exercise. You can also visit a good physio who can understand the biomechanic of your problem and suggest you some good exercises. Here another thing is you can also take physiotherapy treatment like ultrasound to relax your soft tissue. As well, I must suggest to use hot pack regularly and frequently to have more of healing soothing and relaxing effect on soft tissues. Just follow this, and I am sure you will feel much better and will recover fast if you take some rest for next few days along with this. Take care."}
{"_id": "000001179", "text": "HIT hank for asking to ChatDoctorI can understand this, you are having some kind of different and weird thinking about the problem that you have but in fact this is not at as you are thinking, like spleen enlarge, diaphragm does not expand, these are just your ideas, stop thinking in that way these could create panic, the pain that you are experiencing could be functional and would come around soon, nothing to worry about this, hope this information helps you, have nice day."}
{"_id": "000001180", "text": "Raised potassium levels may have many reasons. One of them could be medications such as potassium sparing diuretics such as spironolactone, chloride etc. The others are kidney problems, endocrine problems etc. High potassium levels are dangerous to the heart, and it is important to find out the cause of the raised level. I suggest the following tests"}
{"_id": "000001181", "text": "Hi, Thanks for asking the query, According to your symptoms I suppose that you have developed infection at the site of extraction this could be due to food lodgment or there could be presence of any broken root piece an x-ray of the region is required. At home take lukewarm saline and antiseptic mouthwash rinses. Take a course of antibiotics and analgesics. Avoid consumption of hot and spicy foodstuffs. Hope you find this as helpful, Regards."}
{"_id": "000001182", "text": "Degree understand your concerns went through your description. I suggest you not to worry much. Your periods are normal. Blood during periods do change colors often. You can have it confirmed from your friends or gynecologist. I don't think you are pregnant as all the four tests were negative. You should be confirmed about the results, not the false thinking or understand of yours. You can always talk to your gynecologist for confirmation. Don't take self decisions. Hope this answers your query. Available for further clarifications. Good luck. Merry Christmas.,"}
{"_id": "000001183", "text": "Hello Mr Mishra, How are you?  Stones in the gall bladder are a fairly common finding during USG of the abdomen. You do not need any additional tests to confirm the presence of gall stones.  Gall stones can cause pain in the abdomen and vomiting, but it does not cause swelling of the feet. So I hope you have gotten that complaint diagnosed and treated before considering surgical treatment of the gall stones. In 99% of the cases, the treatment is accomplished by \\\"Laparoscopic Cholecystectomy\\\" (removal of gall bladder by making 3 small cuts on the abdomen guiding the surgery through a small camera inserted). This is a fairly routine surgery and could be done within a cost of 30 thousand rupees at most hospitals. Hope this helps, and please do not hesitate to contact me for more details."}
{"_id": "000001184", "text": "Hi There In some people after a while of sitting when they stand up back they feel their heart beating fast. This happens because when we sit some amount of blood get accumulated in the legs and when we stand back up that blood returns to heart making it beat faster. I would like to suggest you to stretch your feet and legs for a couple of times before standing up. This will help to avoid palpitations. Wish you good luck"}
{"_id": "000001185", "text": "Hi, I can understand that you are distressed by your anger outbursts. Your problems regarding high sex Chat Doctor.  Much more information would be needed to come to a definitive conclusion. However, you definitely would benefit from a psychiatric consultation. Evaluation will be done to determine whether your problems are due to underlying mood disorder or due to personality traits and accordingly treatment with medications or psychotherapy may be offered. Hope you found the information useful. Best wishes."}
{"_id": "000001186", "text": "Dear Kuldeep, you have to be vigilant which food causes the allergy. If you identify any stay away from it. Count of 4 in eosinophil count is not alarming. You should also rule out any contact allergy. Cough is because you are inhaling some allergens. You have to rule them out one by one. in the meantime you can use long acting anti-allergic tablet available on the counter to relieve your symptoms."}
{"_id": "000001187", "text": "Dear patient Shoulder manipulation is indicated for shoulder stiffness to regain range of motion. It is done under general anesthesia, and we call it MEGA (manipulation under general anesthesia) mainly done for frozen shoulder but is helpful in shoulder stiffness from any condition. Here patient is given general anesthesia and under IIT guidance shoulder is manipulated with abduction, external and internal rotations and flexion extension movements. There is risk of fracture of bone is osteoporosis. Better way of getting range of motion is arthroscopic release of inferior glenohumeral ligament.  All the best."}
{"_id": "000001188", "text": "Hi ! Good evening. I am Chat Doctor answering your query. Although it requires a clinical examination of your abdomen, from your history it seems that possibly the pain could be due to a calculus in the common bile duct or there could be some kind of pancreatic inflammation. IBS would be the last diagnosis I would consider for this kind of pain. If I were your doctor, after a physical examination of your abdomen I would advise you for an ultrasound of whole abdomen with special attention to the biliary tract and the pancreas. In addition, I would also get done a few of the blood tests like a CBC, a serum amylase and lipase, an LFT and KFT to aid in the diagnosis and management. Till then, I would advise you for an anti-spasmodic and a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000001189", "text": "Hello, Spasm is not due to disc but due to lack of salt and calcium. You need to take vitamin D 60000 unit on weekly basis. For disc, it does not dissolve, but pain may decrease. If you can manage that then there is no need of surgery. In case you want complete pain relief then surgery is only option. In that we remove disc from that are with the help of endoscope. It is very small surgery and there is no bed rest. You can walk from second day of surgery,"}
{"_id": "000001190", "text": "HelloThanks for your query, based on the facts that you have posted it appears that your mother has been detected to have a cyst in her kidney. The kidney cysts are from birth and benign in nature and do not need any active treatment and are left alone. Please do not worry as far as cyst is concerned. Please go ahead and get her Cystoscope examination done to find out the nature of the lesion in her bladder. Chat Doctor."}
{"_id": "000001191", "text": "Hello, I have studied your case and can assure you that it is nothing to be worried about. This is a small wound which is not healed completely. To get better of this I would suggest you to apply antibiotic cream over the wound and make sure it is not wet or dusty. Soon it will heal completely. You may have removed the skin over it, but it is not a serious thing as it will going to come again.  Let me know if there is any other followup questions."}
{"_id": "000001192", "text": "Thanks for your question on Chat Doctor. I can understand your daughters situation and problem. No need to worry about heart related diseases because her ECG is normal. Possibility of musculoskeletal pain is more. But better to get done chest x-ray to rule out pleurisy. She is having chest pain on deep breathing. This is seen in pleurisy (inflammation of pleura). So get done chest x-ray. I'd this is normal than no need to worry about pleurisy. Musculoskeletal pain is more likely in her case. So ask her to avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Give her painkiller and muscle relaxant Chat Doctor.  Apply warm water pad on affected areas. Don't worry, she will be alright. Hope I have solved your query. Wishing good health to your daughter. Thanks."}
{"_id": "000001193", "text": "Hi, I am Chat Doctor.  I have read your question and understand your concerns. Let me try to help you 1The Topic of the question is \\\"Suggest treatment for brain metastases\\\" But you have asked about Pain medication 2. Question 2"}
{"_id": "000001194", "text": "DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERN BUT YOU HAVE EVEN INCOMPLETE DATAENLARGED HEART COULD BE EITHER DILATION OF HEART OR HYPERTROPHY OR BOTH.  I WOULD SUGGEST YOU TO CONSULT A CARDIOLOGIST AND GO FOR A ECHOCARDIOGRAPHY YOU COULD MESSAGE THE ECHO REPORTS AND IF YOU COULD MESSAGE THE TABLETS YOU ARE TAKING FOR HYPERTENSION AND THE LATEST BP I COULD HELP U HOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS"}
{"_id": "000001195", "text": "Hi.... It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use probiotics like enterogermina. Home-made food options will be - 1. Deal and rice well cooked and made into a oatmeal along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal oatmeal preparation with additional ghee added. Regards -"}
{"_id": "000001196", "text": ".mam your ultrasound report says that there is no pregnancy (years ).there is no retained products .as in some abortions some products remain in uterus .no myometrial mass means there is no fibroid so just relax cycle sometimes get delayed wait for next month if the cycle is not regular by then please get accessed for he . Tlc . Dlc .ESR... Thyroid status as your ovaries and uterus are normal if you have any further query then please come back to Chat Doctor site .I will be happy to help you with regards Chat Doctor."}
{"_id": "000001197", "text": "Hi there thanks for asking this on Chat Doctor, no need to worry you don't need a tetanus injection for parrot scratch. Its usually given wounds where you are exposed dirt or soil because the bacteria causing tetanus is found there. On the other hand since you are saying a parrot scratched you there may a chance of you getting a disease called psittacosis. If you develop symptoms like fever, joint pain, difficulty in breathing, diarrhoea you consult with a nearby physician. The treatment is a course of antibiotic like doxycycline or chloramphenicol."}
{"_id": "000001198", "text": "Hi there, she can affect kidney the best way to detect is RBC in urine examination> 4, urine spot protein creatinine ratio > 0.2 and high DSNA and low c3 levels. Then we call it lupus nephritis.  In your case stone is also present. So RBC can be because of stone also. It is important to rule out SHE nephritis as it is more dangerous. X-ray may not be helpful.  If you wantvimaging study to document stone size and number than ct pub plain should be done. It has no effect on future pregnancy.  If the stone is a single stone of 3 to 5 mm as in the ultrasound.  There is no need of anyvtreatment before pregnancy.  If a problem arises it can be tackled as such chances are very less as it is a very small stone. Chancellor cancer are only there if your age is greater than 50 yrs in that case also ct should be done before cystoscopy. And most likely cystoscopy will not be needed. Best wishes."}
{"_id": "000001199", "text": "Hello and thanks for your question. If you have Helicobacter pylori as the stomach infection causing your ulcers then it may take several weeks for the medications to work and give you some relief. This infection is treated with a combination of proton pump inhibitors like omeprazole and antibiotics. If you are not feeling better soon then I think you should ask for a referral to a gastroenterologist. Regards"}
{"_id": "000001200", "text": "Hi, And large pieces of information are missing that are needed to make good advice. First, no, Fish oil, more commonly known as cod liver oil, is usually safe in most people and is not known to cause the brain effects that you mentioned. Now, I think there is some lesion found in your brain MRI, and I would like to know the exact report or see the scan before I can comment on it. But yes, that lesion can be a cause of not only your symptom of the arm, but also the heaviness of the head and imbalance when you walk. Since the exact report is not mentioned, I will not be able to conclude what may be the cause of your symptoms. It could be anything ranging from stroke and TIA, to declination such as MS, to infections like NCC. So without the report or the scan I cannot comment on the treatment.  I have tried to make it as simple as possible. Let me know the report/scan, and I will try to help you further. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001201", "text": "Hypothyroid patient use to have side effects like fatigue, weakness and pain in muscles, stiffness in muscles, increase body weight due to water retention, and increased heart rate etc. Here you have explained you have mild back pain which is radiating to the chest. There could be few possible causes for this. 1. It may be because of muscle weakness and stiffness in back muscle as a side effect of hypothyroidism or mechanical back pain too.2. Chest pain could be because of increase water retention in body and increase heart rate putting more pressure on heart. Here for both above cases I suggest doing thyroid test and if it's not in control do proper treatment. Even after that if you have mild back pain I suggest getting examine your back with physio or or tho and take treatment. As well follow postural correction and spinal exercises as per physiotherapist guideline. For chest pain check if it is increasing walking up hill or while exerting yourself with breathing difficulty. If it is increasing then do ECG and treadmill test and based on result consult a cardiologist for proper examination and evaluation. As well, he will also help for treatment. I am sure you will be fine if you just follow above steps. Take care"}
{"_id": "000001202", "text": "Hi Welcome to ChatDoctorI have gone through your query, I found you have trouble in your throat and had recovered from 4 nose bleeds. If you are taking aspirin or other blood-thinning medication, these can also contribute to frequent nosebleeds.  If I were your physician, before your nosebleeds get worse or more frequent, I would have referred you to an ear, nose and throat specialist to look inside your nose for any growths or masses to find out the cause. It is my suggestion, don't worry about anything. Get your self thorough check up from a specialist.  This is the first step, you have to take. He is the right person to guide you to, what to do.  God willing all can be ok , But if there is anything you are suspecting, can be cured, these days. You just take care of your lifestyle. Diet should be simple, nourishing and regular containing all nutrients - fibers, minerals, vitamins salts and water. Avoid fried , fast foods bakery products Take lemon juice twice, before meals. Take coconut water . Its great coolant & antioxidantInclude buttermilk in lunchConstipation should not be allowed Exercise, Yoga, Panama ,Anglo Film will strengthen your mind and body and make your immune system stronger to fight the disease, if you have any Rest also is very important for your well-being. Wish you all the best. Hope this helps you solve your query Don't hesitate to get BAC if you have any further query."}
{"_id": "000001203", "text": "Hello, I have studied your case and MRI report. Physiotherapy like ultrasound and inferential therapy will give quick relief. For these symptoms analgesic and neurotrophic medication like pregabalin and methylcobalamine can be started consulting your doctor. Till time, avoid lifting weights. I will advise checking your it B12 and it D3 level. Your lumbar scan also shows some disc bulge but not compressing nerve root. So continue physiotherapy for lumbar spine also. Epidural injection shot may help if no relief. Avoid lifting weights. Avoid bending forwards. 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."}
{"_id": "000001204", "text": "Hello, Well, it is really strange as the titanium plates are strong enough and do not get broken so easily. But an exception has to be always ad Chat Doctor.  If the plate is now changed, I do not think that there will be a problem again or the plate will get broken, so you need not worry about it. Also, if the scar is unaesthetic, you can consult a plastic surgeon and get her examined and can discuss scar revision surgery. She should also prefer softer meals and avoid stress. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001205", "text": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Blood pressure variation is common during start of any new medications and periods of stress. If the blood pressure goes above 180/110, you need to meet your doctor soon.2. You need to distress yourself. Stress also increases gastritis which is causing you plenty of gas formation.3. Take medications regularly and try to maintain blood pressure within the normal range. Take low sodium diet, along with normal fiber rich nutritional diet. Do moderate exercises along with weight reduction, it will all be very helpful. Not to worry. Hope it helps. Any further queries, happy to help again."}
{"_id": "000001206", "text": "Thanks for contacting Chat Doctor.  Dear Ahumada Namath as all your sons tests are normal you should ask your doctor to evaluate for Juvenile Rheumatoid arthritis and if that is also ruled out then it is probably not a physical problem. Child Chat Doctor.  It would be good idea to en-quire at school and meet his class teacher and classmates to get to the root of problem. Also shower him with love and affection and get him talking about his problems, he may trust you and tell you. Regards"}
{"_id": "000001207", "text": "Hi, As with the history it appears this should be just a boil which usually comes up to some people due to excessive body heat. Nothing to worry about it.  If it has gone flat and no other reaction than I don't think anything is major to worry about. As medicine is all about being going with clinical symptoms and since nothing present now then it should be ignored. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000001208", "text": "Hi sweet, Thanks for writing in.  You seem to have postinflammatory hyperpigmentation and scar formation. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements.  You can apply Vania cream at nighttime over the affected area.  You need to consult a dermatologist as dermatology being a visual field, the cause for scar and the treatment required can only be suggested after proper skin examination.  Take care.  Chat Doctor."}
{"_id": "000001209", "text": "Hi, Thank you for asking question on Chat Doctor.Five-year-old babies eat candies as well as other snacks in between meals and usually do not wash the mouth. They sometimes neglect brushing teeth also and hence they develop bad breath. Attend to their oral hygiene carefully and make them gargle with Listerine mouth gargling solution 2 times daily and if possible avoid candies and snacks frequently. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics"}
{"_id": "000001210", "text": "Hi, dear. I have gone through your question. I can understand your concern.  Sore throat, mild fever, headache all symptoms are suggestive of some viral infection. Low blood count is common in viral infection.  So you should take treatment of viral infection. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001211", "text": "Thanks for your question in my opinion you should visit a Pulmonologist and get yourself evaluated as chemicals cause pneumonitis in early and delayed formPulmonologist may request for a chest X-ray to see if there is any urgent intervention required or motif these symptoms persist and chest X-ray has changes your Pulmonologist may prescribe you low dose of corticosteroids for a short period to counter the inflammatory process, or he may add leukotreine inhibitors for the samethanksfeel free to ask more questions"}
{"_id": "000001212", "text": "Hi, Thank you for providing the brief history of you. As the pain is radiating in nature, a thorough neuromuscular assessment is advised. This kind of pain occurs due to pinch of the nerve root in the lumbar spine and radiates down the leg depending upon the dermatome and motor regions. Also, with simple physical therapy, you should get maximum benefits. As per the research, majority of cases recover with physical therapy and have a better functional ability. RegardsJay In Chat Doctor."}
{"_id": "000001213", "text": "Thank you for the question. Fifteen days of infection are definitely of concern. But at times infections doesn't get controlled immediately. Consult your pediatrician regarding further investigations and change of medicine as per need. Is stools frothy too? Then respiratory infection should also be looked for. This is weaning period you can try top feed with consultation with your doctor. You may ask to add some probiotic /prebiotics, which will help replenish intestinal bacterial flora."}
{"_id": "000001214", "text": "Thanks for your query, I have gone through your query. The smoking increases the incidence of infection, or it can aggravate the infection. The reason for this could be the amount of heat and negative pressure during smoking. For the tooth infection you can take a course of antibiotics like amoxicillin 500\\u00a0mg and metronidazole 400\\u00a0mg TID for 5 days (if you are not allergic). I hope my answer will help you, take care."}
{"_id": "000001215", "text": "Hi welcome to Chat Doctor... Noted you have diagnosed with asthma ... It is allergic condition in which patient having hypersensitivity to certain allergen... For confirmation pulmonary function test done... If repeated asthma attack occurs then Metered dose inhaler like long acting palmetto or foretell with steroid needed.... As asthma allergic condition itching can occur by histamine when exposed to allergen... Try to identify allergen or do allergy test ad keep exposure to it minimum... Your child also overweight ... Reduce his weight ... As obesity create problem in breathing... Passive smoking exposure avoided... Onion having anti-inflammatory action. So take cooked onion ... Take care."}
{"_id": "000001216", "text": "Ultrasounds at 29 weeks are not as accurate as we would hope them to be. Once babies reach approximately 18 weeks, they start growing at different rates. It's difficult to know if your baby is actually 28 weeks and is big, or is 30 weeks and is small, or is 29 weeks and right on. Ultrasounds at 29 weeks can be up to 2-3 weeks off, actually. The estimation of 29 weeks is just that, an estimation. In short, no, it is not entirely possible to know the exact date you conceived 27 weeks previously."}
{"_id": "000001217", "text": "Hi, Let me inform you that low blood pressure cannot be itself happening, and it is the medical emergency if ever happens due to loss of fluid from the body even blood that may cause the hypotension (Law blood pressure). Second, it can be due to starvation, low water intake. Third, it can be due to vasovagal shock (most common condition is seeing the bleeding condition). All the mentioned conditions are medical emergencies that demand immediate medical attention. You have not mentioned any symptoms here, as long as the given symptoms that you described here may demand cardiac evaluation and other vascular condition. Till then Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000001218", "text": "Thanks for your query, I have gone through your query. The space in between teeth can be secondary to the loss of supporting bone because of the gum infection. The other possible cause can be a fractured or broken filling or decay in between two teeth. Consult an oral physician and get it evaluated. You need to take a radiograph to rule out any bone loss and tooth infection. If there is a gum infection, you need to get the teeth cleaned(scaling and root planing with graft placement). If there is tooth infection, it has to be treated with RCT and crown. I hope my answer will help you, take care."}
{"_id": "000001219", "text": "thanks for your query can feel your concerns cause of lower hemoglobin should be sorted out and treated accordingly. Mostly it is deficiency anemia. You can start with iron supplements after consulting your doctorImprove your diet. Add fresh fruits and vegetables to and avoid junk food and soft Chat Doctor. So I advise you to contact your doctor for complete clinical examination and certain tests to rule out occult blood loss wishing you good health regards"}
{"_id": "000001220", "text": "Hi. Thanks for asking in Chat Doctor. Mirena IUD contains progesterone. It releases progesterone slowly for a period of 5 years. Amenorrhea (absence of period), bloating, breast tenderness and abdominal cramps are all due to the progesterone released from IRENA. Absence of periods indicate that the progesterone level in your body is high and that may be the reason for the side effects. Though IRENA releases progesterone, it does not suppress the regular synthesis of progesterone from ovaries and that may be the reason for the elevated level of progesterone. With Chat Doctor.  Progesterone will prevent the implantation of fertilized ovum in the uterus. Also, an IUD serves as a foreign body in uterus and prevents pregnancy and so the chances of pregnancy are minimal with IRENA. You are anxious about conception because of absence of periods. Although the failure rate of IRENA is only 0.1 to 0.4%, it is better to rule out pregnancy through blood test as you have decided because that will relieve your anxiety. I hope this is useful to you."}
{"_id": "000001221", "text": "HI, Dear,Thanks for the query to Chat Doctor. I understood your concerns about the painful lump in your wives back. Cough and chest pain is co-incidental illness as the lump in itself is not painful as told in your query facts. So you need 2 treatment for these 2 ailments.Treatment -a-Chest pain and cough-is due mostly to Bronchitis and could be treated by -NSAID and antibiotics with script from your family doctor.b-For the lump -it appears to be-Sebaceous Cyst from your tests findings.c-This needs Excision Biopsy to rule out any other possibility ? As Lipoma ? Dermatofibroma?etc.-Hope this would help you to plan the treatment with Your family doctor. Wishing you early recovery. You are always Welcome for further query to Chat Doctor in this regard. Have a Good Day...!!"}
{"_id": "000001222", "text": "Hi and welcome to Chat Doctor, thank you for your query.it does OT matte if she has elevated these findings if she doesn't have any symptoms related to liver or pancreas. Score may because of liver and pancreatic duct obstruction, but it should be verified by specific tests. Red is very rare, and it is not the first thing to think of. Treatment is very demanding, but the exact diagnosis should be established first, before it starfish you good health. Regards"}
{"_id": "000001223", "text": "Hi, The typhoid attack might have been severe in your case, and it will take more than 15 days to recover. If you have taken 15 days treatment then you should take nutritious home cooked food for about a month and half or 6 weeks. The food should preferably be home cooked and not spicy. What happens is that typhoid causes depletion of energy and this can take a bit longer course in some. Few people report weakness for 3 months after typhoid. It will also help if you can repeat tidal test to make sure that you do not have any chronic infection."}
{"_id": "000001224", "text": "Hi, In most cases, this is a sign of reinfection or kidneys stones. This is mainly self limiting and doesn't require any specific treatment, and you should just be patient and have fluids to promote urination.  Less likely it may indicate possible bleeding in urethra, bladder or kidneys from popped vessel or some other cause.  If this continues you should do urinalysis, monoculture and kidneys ultrasound to rule these main causes out. You should Chat Doctor.  Also, avoid sexual intercourse and have keep good hygiene. You should reduce salt in your diet as well since this could lead to increased risk of urinary stone formation.  Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000001225", "text": "HiT hank you for asking ChatDoctorI have gone through your query. Your back pain can be due to nerve impingement syn Chat Doctor.  Narcotics only give temporary pain reliefs.X-ray of lumbosacral spine followed by MRI will be needed to rule out your condition for proper management. But better to consult an orthopedic and start the proper therapy. I usually give NSAIDs like diclofenac muscle relaxants like thiocolchicoside neurotrophic"}
{"_id": "000001226", "text": "First you are saying that you a cancer affected and had been treated twice. Your complaint of frequent headache with difficulty in recognizing known people suggests that you may probably have mass lesion on the left side of your brain. May know your age and for what cancer you are treated previously and do you have history of smoking?these are all known complications of brain tumor or may be metastasis from previous cancer site. Any vomiting, blurring of vision and any weakness in the limbs kindly consult any neurosurgeon as early as possible. He may advise you to CT/MRI brain."}
{"_id": "000001227", "text": "Hi, dairy have gone through your question. I can understand your concern.  Chemotherapy has many side effects like nausea, vomiting, acidity, hair loss, weight loss, immunosuppressive actions etc. He should take Proton pump inhibitors like pantoprazole or omeprazole and ondansetron to avoid gastrointestinal side effects. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001228", "text": "Hi, It is unlikely to get pregnant during the first month after coming off the deposit as return to ovulation usually takes a couple of months at least. Your symptoms are not specific to pregnancy, they could be pre-menstrual as well. Yet, if you wish to exclude/confirm pregnancy, you can get blood test for pregnancy done as urine tests may not be helpful. You can get a trans-vaginal sonogram done after the pregnancy test and see a gynecologist for further management. Hope you find this information useful. Wish you good health."}
{"_id": "000001229", "text": "Hi, dairy have gone through your question. I can understand your concern. PSA is prostate specific antigen. Normal level is below 4.  Level between 4 and 10 is suspicious of prostate cancer.  And level of more than 10 is highly suspicious for prostate cancer.  So you should not weight for one month to consult urologist.  You need urgent biopsy and if it is cancer then start treatment as early as possible. Consult your doctor urgently and start treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001230", "text": "HelloThanks for query. The report of your semen analysis that you have posted is well within normal range of WHO standards as far as sperm count, motility of sperms and morphology of the sperm is concerned.However, the presence of 2-4 pus cells suggests infection of either prostate or Seminal Vesicle which can be cured by taking antibiotics like Doxycycline for one month. Repeat your semen analysis after completion of course of antibiotics to be rest assured about that infection is controlled completely. Chat Doctor."}
{"_id": "000001231", "text": "Hello, There is an only minor disc bulge and there is no compression or stenosis of nerve roots. Nothing much to worry and exercise, and symptomatic management will be enough for your case. Posturing exercises and physiotherapy can be helpful to reduce pain intensity. Pregabalin is required only in case of severe pain.  Exercises like standing extension and Half cobra stretches (which can easily learn from the internet) will be effective.  Sit-ups and squats must be avoided. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000001232", "text": "Hi tachycardia is a condition in which the heart beats faster than the normal rate, it can be because of anxiety, anemia, medicines and a number of causes, infection can also be a cause of tachycardia. Mild tachycardia is not a problem but if heart rate is more than 120 in that case low dose propranolol should be taken with ENT medicines. Exercise daily for 45 miutes, walk for 30 minutes, avoid too much stress, dont eat heavy food thank you"}
{"_id": "000001233", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is high in your case. So better to get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilators, inhaled corticosteroid and antihistamine Chat Doctor.  So first diagnose yourself and then start appropriate treatment. Wish you good health. Thanks."}
{"_id": "000001234", "text": "Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned in history about the tingling sensation, it is very uncommon until the cast is applied too tight. If the cast is applied too tight then the nerve is getting compressed and the symptoms of tingling is arose which needs an attention. In case if the cast is not tight, I will advise to undergo an MRI of the lumbar spine as, any soft tissue injury in that area will lead to pinching of nerve root and produce symptoms. Also, a vascular assessment is needed to cross confirm is any DVT is present for which a Doppler is advised. As, until a thorough neuromuscular assessment is performed the diagnostic tests are an optional. Based on the assessment the diagnostic tests will be planned. RegardsJay In Chat Doctor."}
{"_id": "000001235", "text": "Mam left ventricular configuration, means the border if formed by left ventricle which may be normal or mildly enlarged and unfolding of aorta is old term suggesting the mediastinum is mildly enlarged, as I am not a radiologist, I will stick to clinical relevance which will be helpful to you.  As you suggested your BP was on a high side It's likely there will be some thickening of your heart muscle, which we call concentric LVH. I will assure you its normal and you shouldn't worry about the same.  However, if available just to confirm what I suspect based on short history you have mentioned, do get a 2d echocardiography if available.  Regards Chat Doctor."}
{"_id": "000001236", "text": "Hi. Thanks for your query and an elucidated history. Noted the history of pain in the groin, biceps and calf after flu. Also noted history of Hernia surgery. After infection with flu, which is a viral infection, it and the inflammation thereupon affects the old injured area, scars and so on, hence you have got the pain in particular areas only. The pain in the testicle must be a referred one, or a neurological. I would advise you the following"}
{"_id": "000001237", "text": "Hi Sarala, The blood clot could have been removed surgically at the time when the incidence occurred in 2010. If the surgical intervention was not done, then it should have been managed medically. Prompt and immediate medical attention is necessary in this kind of Hemorrhagic stroke. Early intervention prevents motor and sensory disability. I am sorry, you have not mentioned his treatment that he underwent in 2010. In the later periods, regular physiotherapy can help in bringing back the motor ability of a person. In your fathers case, his walking ability can be regained though not to 100%. The blood clot will dissolve in due time. Speech therapy can help him get back his normal speech, but the percentage of recovery cannot be commented on, and it is individualized.  I hope to have answered your query."}
{"_id": "000001238", "text": "It would be better if you send pictures of your inflamed joints too. But as you say that you have been told that you are suffering from Psoriasis Arthritis, you need to control your pain and inflammation in joints. What medication you are using?Once you should use NSAID (Tab. Diclofen 50\\u00a0mg three times a day) that you have to use for reducing pain and as you have to use it for a long time you should take Cap. OMEPRAZOLE to reduce acidity in stomach. It. D supplement, you should take, but of some good company. Second is that you have to use Disease modifying anti-rheumatic Chat Doctor.  You should not suffer, because with proper care and management this disease can be well controlled, otherwise it can cause permanent joint disability and that will not be curable. However, you should start doing following things immediately and on regular basis"}
{"_id": "000001239", "text": "Thanks for your question on Chat Doctor. Breast cancer can spread by three ways. 1. Local spread 2. Lymphatic spread 3. Homogenous spread. Through homogenous spread, breast cancer involve distal organs like lung, liver, bones, brain etc. These are known as metastasis. So bone metastases are common in breast cancer patients. So your relative might be having metastatic bone cancer from primary breast cancer."}
{"_id": "000001240", "text": "Hello, Usually penis is in curved position when get erected. But if curvature excessive as you have mentioned than it might lead trouble in sexual intercourse. Hence, it needs to be corrected as surgical treatment might be needed. But without physical examination decision cannot be taken. Consult urologist for examination and discuss your case. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001241", "text": "Hello There After going through your medical query I understand your concern and I would like to tell you that heart beat is ever-changing phenomenon depending upon your activity level, stress and physiological changes. Most likely you are facing anxiety which is why rhinitis (ringing in ears) is also there.It's recommended for you to take some anxiolytic for few days to relieve your symptomsHopefully this information will answer your query. Kind Regards Chat Doctor."}
{"_id": "000001242", "text": "Hi, Both Chat Doctor.  M2 tone is herbal product"}
{"_id": "000001243", "text": "Hi, Thanks for writing in. The commonest cause of increased urination a age is from severe urinary infection. The urinary tract is occupied by many bacteria and this leads to the increased frequency and urge to pass urine. Other causes like diabetes is less likely at your age. Anxiety itself might cause increased urine formation leading to getting up frequently at night to visit the washroom. Please Chat Doctor.  Doing a urine culture and sensitivity test is also important. It will tell the severe it of infection and if you require a short course of antibiotics to be taken for 5 to 7 days. A urine alkalizer is also good to take. Please do not worry."}
{"_id": "000001244", "text": "Hi, Thanks for writing in. Low blood sugar means the amount of sugar level in your blood is below normal. The brain and other organs in the body require sugar for metabolism and proper functioning. If the sugar levels go below normal then there is compromise in the functioning of the organs. The brain consumes a good amount of sugars in blood as its requirement. If it does not get this nutrient then there will be delay or sluggish functioning in the brain. This is known as hypoglycemia. When the brain function is below normal at that time a person starts getting warning signals in the form of dizziness and vertigo."}
{"_id": "000001245", "text": "Hello, Fever of a 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 a viral illness and it doesn't require antibiotics at all.  Once the viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose (maximum ceiling dose of 500\\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000001246", "text": "Hi, Thanks for your query. From description, it seems to be soft tissue injury. Large swelling might be due to haematomaformation(collection of blood). I suggest you to consult an orthopaedician nearby for a detailed examination. Beside icing and elevating it, you can take anti-inflammatory Chat Doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000001247", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have lump inside your ear. Well there can be many reasons for lump in ear like infection also known as Otis external, cyst, swollen lymph node or hematoma from minor injury. I would suggest you to consult ENT specialist. Doctor will examine with horoscope and order test like CT scan, MRI or x-ray to confirm diagnosis and rule out other causes. Doctor may prescribe antibiotics (amoxicillin) for at least 10 days, remove with the help of suction device or remove it surgically. For now keep your ear Chat Doctor."}
{"_id": "000001248", "text": "Hello, Fever of a 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 at all. Once viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001249", "text": "HI! Welcome to Chat Doctor .com. The symptoms of brain tumors depend on tumor size, type, and location. Symptoms may be caused when a tumor presses on a nerve or damages a certain area of the brain. They also may be caused when the brain swells or fluid builds up within the skull. These are the most common symptoms of brain tumors"}
{"_id": "000001250", "text": "Hi, Welcome to Chat Doctor, I am Chat Doctor It is confirmed that you both are not primarily infertile as you have a child.  Have you tried for child by doing regular intercourse for one year?  If not, then wait. First go for natural method by doing intercourse during 10-18 days in a menstrual cycle counting the day of first bleeding as day one.  If the natural method fails then there may be secondary infertility which needs a thorough work up.  So, it is better to wait for some month and keep trying."}
{"_id": "000001251", "text": "Hi, welcome to Chat Doctor. First, don't be panic as cancers have tendency to grow rapidly. If it shows red, black, blue colors, it may be a vascular malformation. Sometimes, similar features are also seen in a nevus which is present since birth. You can get an ultrasound done to understand the underlying disease. If, it comes to be vascular malformation, it can be managed with excision or chemotherapy. In case it is a lipoma or other solid tumor, it can also be excised simply. So, once the ultrasound of the lesion is done, you can see a general surgeon for sorting out the correct management of the problem on the basis of the ultrasound report. Hope, you get well soon."}
{"_id": "000001252", "text": "Hi, thanks for writing in Chat Doctor. High enzyme levels is suggestive of liver dysfunction. Performing biliary surgery in such a patient could cause further liver damage to the extent of failure as well as a very high chance of bleeding during surgery. Your mother needs to be put on supportive liver treatment till the enzymes normalize and thereafter to be considered for surgical intervention. Regards"}
{"_id": "000001253", "text": "Hi, Thank you for posting your query. I have noted your symptoms. I agree with your GP, that your symptoms are not suggestive of something serious and are most likely due to benign articulation syn Chat Doctor. Furthermore, I think you are worried about MND (motor neuron disease), also called as amyotrophic lateral sclerosis (ALS), which is unlikely in your case. In ALS, there would be thinning of muscles, as well as weakness of hands & arms. However, if in doubt, please consult a neurologist and get electromyography (EMG) done. 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,"}
{"_id": "000001254", "text": "Unexplained shoulder and arm discomfort with no apparent reason in a diabetic should be investigated. After you're sure the symptoms aren't the heart trying to sneak up on you, another possibility is nerve origin symptoms. Nerves in the neck or in the group of nerves that lie beneath the collar bone can be irritated. When they are, the shoulder and arm bother you as described. The person who can help prove this is a neurologist, either by examining the arm and reflexes or sometimes studying nerve function. Start with your primary doctor and make sure that it's not heart first."}
{"_id": "000001255", "text": "Congested nose and cough are signs of viral respiratory tract infection, its usually is a self limited disease but if the cough is very disturbing you can give him any cough syrup which will not remove the cough, but it will decrease its intensity, you can give him sine cod syrup 4 times a day. If your child has fever, difficulty in breathing, or rapid breathing watch out, because these are signs of pneumonia and physical exam is needed by his pediatrician. I hope this helps"}
{"_id": "000001256", "text": "Hello! Thank you for asking on Chat Doctor! I understand your concern, and would like to explain that it is normal to feel a throbbing heart beat during this examination. It is not related to any nerve damage, and all the healthy persons experience this feeling. It may be related to anxiety and to the abdominal pressure during the examination. As far as you didn't feel any tingling in your legs, it means that your nerves are not affected by any disorder (or compressed). So there is nothing to worry about! Hope to have been helpful! Feel free to ask any other questions, whenever you need! Greetings!"}
{"_id": "000001257", "text": "Hello and welcome. Thanks for sharing your concern. The broken tooth/teeth should be ad Chat Doctor. It should be rounded with the help of aerator(dental instrument). After that if required a smooth and merging filling should be done on the affected teeth as per the requirement. After that please apply Denote as a local applicant at the affected area 3 to 4 times daily. Simultaneously take capsules B complex for around 15 days, and it should heal. Hope it helps. Thanks. Take care."}
{"_id": "000001258", "text": "Hi, Thanks for writing in. It will help to know the entire disease and treatment history in details. It is possible that there is a new tumor that has developed in the shoulder or there effects of radiation or chemotherapy which is giving her the pain. Cancer is a difficult disease to treat, and the manifestations might be different in every patient. It is possible that in your mother-in-law, there is a tumor that is infiltrating the nerve supply to the arm or the nerves are getting pinched due to the chemotherapy and radiation effects. The main cancer and any spread to nearby areas is important when we discuss the condition of the patient. If she is not having any recurrent cancer in the operated area, opposite breast or the arm and shoulder then her condition can be called stable. Pain varies with every patient and appearance of pain can also be due to a benign cause in the absence of any cancer activity after treatment. Please do not worry."}
{"_id": "000001259", "text": "Hi. The squeezing type of pain as you have described, which increases gradually, gets a relief only on medication followed by a feeling of being kicked and bruised on the right side can be due to the following"}
{"_id": "000001260", "text": "Hello, If I could have a look at your ECG then I would give you a definite answer. However, if your echo and nuclear stress test results came back normal, then absolutely nothing to worry. Also, you should know that the increase in blood pressure during the stress test is normal, and the top number sometimes can go as high as 200. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000001261", "text": "Hi, dear friend, thanks for sharing your problems you detailed here, you may have infected sebaceous cyst or developing access, but it needs more detail from you. Abcess at developing stage causes inflammation and pain and after few days pus may form. So first you consult your family physician and start primary treatment. Thank you for sharing queries. Please share for any other queries. Get well soon dear friend."}
{"_id": "000001262", "text": "Hello, Welcome to Chat Doctor, As you are having fungal infection, which is causing all these symptoms like fishy odor and the white discharge. The fungus is the normal comedians of the genitals, which are kept under control by the helpful organisms present in the normal vaginal flora. Whenever there is change in environment in the genitals the helpful organisms are not able to maintain acidic PH in the vagina, and it may lead to its symptoms. As you are having these symptoms I would suggest you to follow1. Keep the good hygiene of the genitals2. Oral Antifungal Chat Doctor. 3. Topical antifungal creams.4. Course of antibiotics to prevent secondary bacterial infection. These measures will help to control the symptoms, and then you can think about the management of fibroid. Thank you."}
{"_id": "000001263", "text": "Hi, No, this is not anything to be worried about. The stretch marks are a result of damage occurring to the deeper layers of your skin as you rapidly gain weight during pregnancy. After pregnancy the layers of skin will heal, but there will be some scarring of these deeper layers. This will be felt as lumpiness. Now that you are pregnant again, the changes to your skin will start again, and it will feel the previous scarring. About 8 in 10 women develop stretch marks and there is no totally effective cure for them, unfortunately. I hope this has helped you.  Chat Doctor."}
{"_id": "000001264", "text": "Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. F.  It appears that he had a fever of intestinal origin, probably enteric fever. That is why he had stomach pain followed by fever. It also will have sneezing and cough as well, which in turn will have upper respiratory tract like symptoms and nose bleed etc. I advise you to consult a pediatrician for diagnosis and treatment. He may have to undergo series of blood Tests for confirmation.  Wishing for a quick recovery.  Best regards."}
{"_id": "000001265", "text": "thanks for your query can feel your concerned, these are symptoms of anemia. Latent iron deficiency manifest like this. Your hemoglobin level is maintained in normal range, but your stores are depleting slowly.I advise getting your iron profile and if it is low then take iron supplements after consulting your doctor. Calcium supplements and milk is useful for leg cramps. Improve your diet. Add fresh vegetables, fruit and meat to your diet avoid soft and cold Chat Doctor. Take a consultation of ENT doctor regarding your tonsils Hope I have answered your query am available for your help regards"}
{"_id": "000001266", "text": "Hi, thank you for providing the brief history of you. Since your symptoms looks closer to the nerve getting trap into the cervical spine it is giving you all the symptoms like - pain, numbness, tingling, weakness, etc. I will recommend you to take an MRI, so the extent of injury can be pr\\u00e9cised.Also, most cases with such symptoms gets better with physical therapy. Like therapeutic ultrasound therapy and TENS therapy. Also post that, simple neck exercises and then slowly strengthening the muscles of the upper limb will help to reduce the pain numbness also.90% of patients recover by physical therapy and then doing the same at home on a longer run will help you find a permanent relief. Also, acupressure will not stand for a long time since it's only a symptomatic time being relief. The pain you are facing is directly due to muscle weakness, once the muscle is stronger the problems are at 1%. Your full contribution is more important to get a permanent cure. I wish to see you soon without pain and aches. With the grace of God I wish you a speedy recovery regards"}
{"_id": "000001267", "text": "Hi thanks for asking question. Noted your father-in-law has done liver transplantation... Now enzymes' elevation. So should be investigated. Here it could be chance of hepatitis b or c infection. Viral marker study done for it... And yes if history of hepatitis b or c and transplantation Done because of it then probably this infection should be sought... There are also chances of transplant rejection ... So should be searched for... If needed for correct diagnosis biopsy can be done.... Take care... Chat Doctor."}
{"_id": "000001268", "text": "Hello thanks for asking from ChatDoctorThe symptoms you have mentioned like biting callus on skin of body could be occurring due to some impulse control disorder. These symptoms are related to compulsive nail-biting or odynophagia. As you have mentioned already that the problem get aggravated by anxiety provoking stimuli. I would advise you to consult a Psychiatrist for treatment. The complaints are causing significant distress to your social and personal life and also causing your body to look ugly so consulting a psychiatrist is need of hour. Medicines like Fluoxetine have very good results in decreasing these compulsive undesired behavior. Attend behavior therapy sessions for relaxation. Thanks, hope this helps you."}
{"_id": "000001269", "text": "Hi, dairy have gone through your question. I can understand your concern. Her lymphocytes count is low. It means she has high neutrophil count. It suggests infection. You should not worry about cancer. It's not a cancer.Don't worry. Just be relaxed. Just consult your doctor and start treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health"}
{"_id": "000001270", "text": "Helloi have gone through your query. You have not mentioned your age. What medications you are having now. Severe cold can show these type of symptoms like jaw pain.it may be due to an infection of sinus also called sinusitis. As you are not having the pain related to tooth. If I were your treating doctor i would keep you on a course of antibiotic like amoxicillin plus Slavonic acid and painkiller like diclofenac plus paracetamol first.i tank the problem would subside. If it doesn't then i would suggest you to visit a dentist. As some other medical conditions also causes pain in jaw like"}
{"_id": "000001271", "text": "Hi, Thank you for posting your query. It is unfortunate that you have problems for so long after the head injuries, and moreover, no proper diagnosis has been made. Your symptoms are suggestive of concussion and all the symptoms can be explained on its basis. Normal MRI rules out any major problem or injury in the brain. Abnormal sense of smell is related to partial damage to olfactory nerves or its central connections. We expect gradual recovery in your symptoms, however, it may not be complete. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"}
{"_id": "000001272", "text": "Hi, Thanks for posting your query. Let me know the reports of your endoscopy also. With described symptoms, there is high chances of peptic ulcer disease. Peptic ulcer disease may be in form of chronic gastritis, fungal gastritis, nodular gastritis, follicular gastritis and gastric & duodenal ulcer and adenocarcinoma of stomach. Helicobacter pylori bacteria is responsible for peptic ulcer treatment and eradication is essential for complete relief. You should take frequent small amount meals. Your liver function test is also deranged, and it appears to be due to fatty liver. You should take proton pump inhibitors along with prokinetics for relief of your symptoms. Take care,"}
{"_id": "000001273", "text": "For itching all over the body you have to use Alabama or calamine lotion after an expert opinion of dermatologist with tab evil or tab cetirizine after meals to reduce the severity of your itching with tab rant ac or tab carotid empty stomach. If pain and inflammation is also disturbing you than you can take tab Coquitlam or tab broken after meals every 8-12 hours. Take bath with warm water as it will also help you to get relief from whole body itching."}
{"_id": "000001274", "text": "Degree understand your concerns went through your details. I suggest you not to worry much because your problem is not that peculiar. So many young people do suffer from this type of thinking and apprehension and anxiety. Masturbation is not a sin, and it cannot reduce the length of penis and masturbation cannot make you tired. In fact, size of penis cannot determine sex life satisfaction. Even a two-inch penis can satisfy any lady. Your current trouble of premature ejaculation is mainly due to psychological disorder, here negative thinking. Tiredness and other weakness are all in your thoughts. Divert your energy and thoughts to more productive or creative things such as education and career or sports. You might need psychotherapy and other cognitive behavioral therapies. I can help you through telephone. Please do contact me through customer care of www.ChatDoctor .com for a telephonic consultation session. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000001275", "text": "Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. Heart attack is a condition in which there is no blood supply to heart myocardium n lead to dying of heart muscles.risk factor for heart attack are age, gender(male >female), family history, DM,Smoking, HTN etc. ,but pneumonia do not case heart attack.but if patient already had heart disease than infection ca cause acute failure which may lead to death.if u can attach x-ray I can comment that what he saw on X-ray ....it can possible patient have heart attack n didn't note n his heart start facing like in patient old age, female,DM pain is not present called silent heart attack n this result patent don't know that he/she having condition n result heart functions goes down n if patent have infection this result in acute failure that can lead to death, n x-ray might showed enlarged heart sign of heart failure. I hope this answered your question, if you have more feel free to ask. Regards."}
{"_id": "000001276", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, hormonal imbalance and such chest discomfort can be connected. Actually, hormonal imbalance can cause stress, anxiety and mood swings. This stress and anxiety can cause chest pressure, tightness, pain etc. So first treat hormonal imbalance. So consult gynecologist and start hormone replacement therapy (HRT). Also consult psychiatrist and get done counselling sessions. You may also need anxiolytic Chat Doctor.  Don't worry, with proper treatment, your chest symptoms will also improve. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001277", "text": "Hi.... by what you Quote I feel that your kid is having a viral fever. This does not require antibiotics. Usually when viral fever starts it will be there for 4 or 5 days. Unless the kid is having fast breathing or fits or seizures or bleeding manifestations or Rash over the body you need not worry about fever. What is more important is the activity of the kid when the fever comes down. If the kid is active and playing around when there is no fever it is Viral illness. You need not use antibiotics for this. Regards -"}
{"_id": "000001278", "text": "Thanks for your question on Chat Doctor. I can understand your concern. First we should first rule out heart diseases because you are obese and nowadays heart problems do occur in young age. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. For healthy and active lifestyle, avoid stress and tension. Be relax and calm. Avoid large meals, instead take frequent small meals.  Chat Doctor."}
{"_id": "000001279", "text": "Hi, Thanks for writing in. Cancer is an important condition and chemotherapy should be given only after confirmation. Please tell your father to visit a cancer hospital and then get examined in detail. If there is doubt then please have imaging investigation and biopsy done. It is best to clarify even the smallest doubt of cancer before taking chemotherapy. Without confirmation no one should take chemotherapy as it can cause serious side effects and damage. First he should get a CT scan or MRI scan done and then a biopsy. In this way the cells from cheeks will be studied under microscope and any abnormal cancer cells picked up. There is usually no doubt in finding a cancer on biopsy. If not conclusive then a repeat biopsy is to be done. Doing a PET scan is advised if doubt persists and this tells a cancer in most cases. Please do not worry."}
{"_id": "000001280", "text": "Hi. Welcome to Chat Doctor. Phaeton tablets contain Dy Chat Doctor.  It is used to treat endometriosis (growth of endometrial tissue outside the uterus causing pain and bleeding), infertility and spontaneous abortion (miscarriage) as in your case its prescribed because u had abortions. It is very much recommended in your condition. This has nothing to do with the present cancer that she is having. So don't relate these two and worry unnecessarily. Many pregnant women are prescribed with this"}
{"_id": "000001281", "text": "Hi, The recurrent stabbing pain in the abdomen that last for 15 seconds and comes every 20 minutes indicates that this is a spasmodic pain.  The associated bloating indicates a possibility of sub-acute intestinal obstruction.  I would advise you the following in such a situation"}
{"_id": "000001282", "text": "Hello, Well, since the recent news of how poorly efficacious most multivitamin/multi-mineral preparations do their jobs has become publicized it grounds my feelings that I've had for many years which is anything of a MULTI-anything is likely, not worth the capsule covering it comes in. And Durkin Gold is no exception in my opinion.  If your right middle finger is numb early morning only then, I wouldn't necessarily be suspicious of a nutritional deficiency so much as I might be concerned about a VASCULAR deficiency or a compression phenomenon going on at least over part of the MEDIAN NERVE that sub-serves sensory function of that finger.  I would also recommend measuring serum levels of whichever B vitamin your doctor is apparently concerned about that would cause such an ISOLATED presentation of 1 single middle finger on 1 hand (not a likely presence of a B12, B6, folate, or niacin deficiency in my opinion).  Then, based on those lab results I would prescribe the direct and single entity to the patient as necessary.  Otherwise, I might consider doing vascular Doppler studies and possibly an EMG/NCV study and maybe even an Ultrasound of the carpal tunnel which could avoid having to stick needles into the arm/hand. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000001283", "text": "Hi there, you seem to be very anxious to get pregnant, which you should not be. Within 6 days It's highly unlikely for the body to respond that way if you are pregnant. These could be just autosuggestion by your mind which is making you feel like that. Headache can be incidental. Anyway you can wait for three days after your missed period and confirm your pregnancy with a card test. It is as simple. In the meanwhile you can calm down and take healthy diet and lots of rest which will take care of your gurgling stomach and headache. Let nature take its course. Take care"}
{"_id": "000001284", "text": "Good Day, and thank you for being with Chat Doctor ! Yes there are studies that camphene citrate helps with sperm count and quality, and we use this if there is no correctable causes of low sperm count like varicocele and testicular atrophy and hormonal evaluation is normal also. Any brand will do as long as the active ingredient is there. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at"}
{"_id": "000001285", "text": "Hi.dear motive., Thanks for choosing Chat Doctor., Red rash around the waist in the child Chat Doctor. .,usually due to IRRITANT DERMATITIS., This irritation is due to silver waist thread., or Elastic thread in the underwear suit., So evaluate it and try to remove or avoid.,,1) Topical application of ... Calamine lotion in morning times., Dexamethasone and gentamicin cream nighttimes.,2) Syrup...levocetrizine 2 spoonful 3 times daily.,3) Syrup. Ofloxacin 2 Spoonful 2 times daily., ok...than"}
{"_id": "000001286", "text": "Hi thanks for asking question. Noted consolidation seen in x-ray.with b dyspnea. Suggestive of pneumonia.... Here it us chances of spread of organism through blood into various organ like kidney and over. So could be septicemia According to blood culture and sensitivity proper Antibiotic need. Second common cause of consolidation is tuberculosis .so has to be ruled out by sputum examination...Meanwhile, eat more fruits and healthy food. Hope your concern solved. Take care."}
{"_id": "000001287", "text": "Hi, itching at anal region could be due to worms infestation at perianal region, anal tear, infection at perianal region. You should do stool for routine microscopy and stool for ova/cyst test. Deworming should be done by giving Albendazole. If there is no improvement then and examination by surgery specialist doctor should be done to rule out perianal tear, infection. Also, history of loose stools should be taken, because loose stools if acidic in nature can also cause itching. Have a good day."}
{"_id": "000001288", "text": "Hallow Dear,1. You had fingered her vagina. Fingers never ejaculate semen. So there is no possibility of pregnancy due to fingering. 2. She had handled your penis which had some pre-cum on it. However, she had washed her hands after that. So there is no possibility of pregnancy due to that also. 3. You had wiped off your fingers which had some amount of pre-cum on it. Then after about half an hour you fingered her. Again, there is no possibility of pregnancy due to this act. So rest assured. She will not be pregnant due to any of these acts. I hope this gives you peace of mind."}
{"_id": "000001289", "text": "Hi, I had gone through your question and understand your concerns. To my opinion you experienced a sudden decrease of blood pressure or decrease in cerebral blood flow, which is affected by hot water. The reason is quite simple. While most of the blood is directed to the skin to make the thermoregulation in front of the change of temperature due to the hot water, there remains less blood to supply the brain, thus experiencing a faint like episode. If you had a meal before the bath, some blood goes to the digestive system, extracting from the necessary amount to supply the brain. So don't worry. Don't eat before the bath. Consume enough liquids and take the bath to a lower temperature. 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."}
{"_id": "000001290", "text": "Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. ACL damage definitely can be cured. All you need to do is get a good quality MRI done to see exact amount of tear. If tear is incomplete it will heal with rest spontaneously. If It's complete, it can be surgically repaired. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless."}
{"_id": "000001291", "text": "Hello, young man! I have gone through your case history.First let me explain to you that majority of viral infections are self limiting.,so also myocarditis. Sometimes it leaves behind sequel and may result in weakened pumping ability of heart. But in your case your echo report is normal which suggests that your heart has no residual dysfunction. So as rightly advised ...you may resume sports. Since you have recovered, no role or need of any medicine including cannabis. My best wishes for your sports Chat Doctor."}
{"_id": "000001292", "text": "Hello, Yes fever with chills, pressure in pelvic area before an urge to urinate definitely goes in favor of urinary tract infection more significantly cystitis (bladder infection). It is more seen in association with conditions like high blood pressure (for which you are taking the medicines), diabetes or spinal injury or urinary stones. Fever indicates bacterial infection for this you need urinalysis report along with other investigations advised by an expert. Antibiotic like Norfloxacin along with alkaline syrup with a lot of water usually relieves the symptoms in few days. But as the condition is likely to become recurrent and chronic, full course of medicines are needed to cure it. Please consult your family physician.  Chat Doctor. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001293", "text": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* Many narrations have been given about the pain in depth, thanks for that details, but vital information about lump of 3 inches long is not there If it is externally seen, you are advised to upload its high resolution photograph (if no objection) and if possible reports till date as scanned copies of attachment.* At this juncture, I would tell this is not absolutely normal at all. MRI is strongly recommended for the same . Hope to clarify your query. Welcome for further assistance. Thanks for using Chat Doctor .com & giving opportunity to assistWishing fine recovery. Regards dear take care."}
{"_id": "000001294", "text": "Hi thanks for asking question. You are suffering from Proteus infection that is common cause of UTI. Over boil, you apply local antibiotic cream. To get over this infection first try single dose ceftriaxone and then definite or levofloxacin taken orally for 10 days. If still no benefit then from affected tissue or fluid ex. Urine culture done for choosing antibiotic. If you are infected with multi Chat Doctor."}
{"_id": "000001295", "text": "Hi,First, you should get evaluated for secondary infertility. There are various possible reasons like tubal block, ovulatory cycles secondary to post delivery weight gain and subsequent hormonal imbalance, pelvic inflammation, male factor and so on. If everything is fine, then you have to wait for a few months with continuation of treatment. Polite contains folic acid and if you are naturally ovulating, Camphene is not needed, and it could lead to hyper-stimulation of the ovary. Please consult your doctor for further advice. Good luck."}
{"_id": "000001296", "text": "Hello, Thanks for sharing your health concern with us. In the current scenario, it is more likely that you are experiencing some hormone imbalance. If the intercourse occurred during the fertile period, however, pregnancy has to be excluded through a home pregnancy test done 3-7 days after the expected period with a fresh early morning sample of urine or the blood test. The chances of failure are very low with the IUD. A sonogram of the pelvis, preferably in the trans-vaginal route will help to clarify further. Hope this helps."}
{"_id": "000001297", "text": "Hi, I understand your concern.  Though delayed periods, nausea & sore breasts are symptoms of possible pregnancy, confirmation is by pregnancy test & USG pelvis in 5 weeks pregnancy.  Such symptoms are also seen in thyroid, ovarian or pottery problems / POD. So in case conception is excluded, your friend should go through examinations/ investigations for these conditions-this will pinpoint the cause & can be followed by specific treatment & cure.  Thanks."}
{"_id": "000001298", "text": "Hi...the medicines - Stalin inhaler and Position and Decor inhaler 100 and Dense A are safe for the kid. Nothing to worry about them. They have to be used like this for 1-2 months and then the patient will be reviewed again. But I suggest you stop Stalin Syrup. You need not use it when you are already using Stalin inhaler. Stalin inhaler is far more effective with lesser complications than syrup. I also suggest stop Maximo antibiotic as it is not going to be useful for respiratory infections. Regards -"}
{"_id": "000001299", "text": "Hi, From what you have mentioned, you seem to be manifesting symptoms of anxiety. An anxious state leads to increased heart rate, dizziness, increased sweating, tremors, tightness in chest. Often such symptoms can suddenly exacerbate leading to a heightened state of anxiety which results in panic attacks. I would suggest that you discuss your symptoms with your parents and consult a psychiatrist for initiating treatment. Medications like paroxetine would be beneficial in your condition and will help control your anxiety. In addition, you should start exercising daily. It will help you relax and feel better. I do hope that I was able to answer your query. Best wishes."}
{"_id": "000001300", "text": "Hi... I have just red through your question - I think these are the possibilities -1. Stranger - due to concentrated urine. Give him a glass of sugar water followed by 2 glasses of normal water and this will settle the issue if he passes large amount of urine.2. Balanoposthitis - please consult a pediatrician as this might require antibiotic therapy.3. Urinary tract infection - Unlikely as there is no high grade fever or vomiting. But better to get a urine routine analysis done if the symptoms are not better by suggestion number one.4. Posterior urethral valves - get an ultrasound abdomen and pelvis done. Regards -"}
{"_id": "000001301", "text": "helloThanks for query. Based on the report of your semen analysis that to have posted I would state that your sperm count is very low compared to WHO standards (Oligospermia)and your semen is acidic in nature. It is vital important for semen pH to be alkaline so as for sperms to survive in acidic environment in vagina and to move forwards in to uterine cavity to fertilize female egg to result in to pregnancy. The Chat Doctor."}
{"_id": "000001302", "text": "Hello, In the current situation, the best choice of contraception for you would be the IUD and the IRENA would perhaps suit better. You can as well go for permanent contraception through vasectomy or tubal ligation if you do not want any more child Chat Doctor.  To decide on the method best suited for your wife, she needs to see a specialist for a proper evaluation and after preliminary investigations, the appropriate device is given. If an IUD is inserted, regular follow up is mandatory. Hope your query has been answered. Take care."}
{"_id": "000001303", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, it is possible to have breathlessness even if you are not a smoker. Not only cigarette smoke, pollution, dust, chemical Fumes etc. can also cause bronchitis. When they inhaled in lungs, they cause irritation and inflammation (bronchitis). And this bronchitis causes breathlessness. Inhaled treatment is the best treatment for bronchitis. You are not improving because you are not taking inhaled treatment. So better to consult pulmonologist and get done PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). 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."}
{"_id": "000001304", "text": "Thank you for choosing Chat Doctor I have looked through the question and can understand the stress that you must be facing. Based on the question, nephritic or nephrotic kidney disease. There is a chance that there is a chronic renal failure in which the body is not able to excrete the waste substances in the body. This will be most evident with a high level of creatinine in the blood. There are a few modalities of treatment for this. You can start on conservative treatment initially and if your son is stable, then he can control his diet and lifestyle habits so that he can avoid dialysis. Dialysis eventually will start as the kidney function worsens. After some time, itching of the skin and rashes will become prevalent. At this point, I would recommend him to get treated with dialysis. You can also start dialysis early to help him not develop any symptoms. Do talk to a kidney specialist, and you can confirm the Doctors opinions with me. All the best for your son.  Chat Doctor."}
{"_id": "000001305", "text": "Hi! Thanks for writing to us describing your boyfriends' health problem;Well, the kind of calf lump could not be cancerous anyway; however, I would like to suggest following possibilities in his case"}
{"_id": "000001306", "text": "Dear Patient, the relation of pain of the meniscus to the foot cannot be direct, but indirect cause cannot be ruled out, it can so happen that you can walk in unnatural way to avert the pain of the torn meniscus, to regularly strain your ankle, and this can cause it to start paining. I feel you should see your doctor and get examined to see if the cause is the same of different. Hope that helps understand your problemThanks you"}
{"_id": "000001307", "text": "Hi, It Could be because of bronchitis(allergic or infective) or pertussis or seasonal asthma etc. You may undergo routine blood count, ESR with X-ray chest and pulmonary function test. You might require antibiotics (quinolones or accolades or amoxicillin with clavulanic acid) with cough suppressants (antiallergic antihistamines or mast cell stabilizers) and anti-inflammatories or analgesics on as and when required basis. You must consult your pulmonologist to get diagnosed first and then seek for treatment. Thanks and Regards,"}
{"_id": "000001308", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Anti TB treatment is a long therapy. You have to take the treatment until you can completely cure with it. In many cases there is resistant in the tuberculosis bacteria. Thus, can cause treatment difficult to treat. I advixebuou should test for the Inexpert test. This test will detect the resistant to the tuberculosis bacteria and can give us idea regarding the cure. Please do not discontinue the treatment until you are fully cured. Surgical instruments are usually sterilized before they are used so, there is no chance of tuberculosis by this way. You can keep good local hygiene as this can be helpful for the treatment. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."}
{"_id": "000001309", "text": "Hi, I am so sorry to hear about these not very stellar kidney function tests numbers and all the inconveniences that this has caused you. I have taken a look at these numbers. They are not ideal but somewhat just over the bar for the normal upper limit.  The good news is that these numbers have been stable over the months and implies that it is not an ongoing disease process. For now, these numbers are not alarming and undergoing further aggressive testing to explore even further may not be the wisest of decisions.  It is already good enough that this subtle increase has been picked up and would be monitored to see when more testing and intervention would be needed. There is no reason to be too concerned about this right now. As for water, Chat Doctor.  A benchmark of 1.5Litres daily would be a good start and adjusted accordingly based on daily activities and requirements. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000001310", "text": "Hello, Thanks for writing to us, I have studied your case with diligence. This may take 4 to 6 weeks for recovery. Physiotherapy like ultrasound and TENS will help in early healing. Exercises advised to you will help in early healing and reducing swelling. You can continue use supportive splint or brace. If still swelling remains persistent and numbness increases then we may need to further investigate like CT scan. 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."}
{"_id": "000001311", "text": "I would recommend waiting to see the doctor if the package insert and/or the pharmacist has verified that what you were given was not for use in the nasal mucosa.  They will have the medication in the hospital in all likelihood and should be able to get that applied prior to surgery.  Please rate this as a 5-STAR response if I've provided useful information and write me at"}
{"_id": "000001312", "text": "Hello and welcome to Chat Doctor, HCT stands for hematocrit. Hematocrit is the measurement of packed red blood cells. The upper limit of packed cell volume in females is less than. Value of 56.3 is a high value. Thus, this high value of packed cell volume has to be investigated and managed accordingly. High packed cell volume is usually due to polycythemia which may be primary or secondary. You will need to consult a hematologist as suggested by your treating doctor. Thanks and take care Chat Doctor."}
{"_id": "000001313", "text": "Hello, I understand your frustration. Use the words \\\"medical necessity\\\" when discussing your dental treatment. You must treat your abscesses in your moutChatDoctoring from your teeth. You have dental problems as a result of a medical problem. Your medical coverage probably excludes dental treatment except for certain surgeries. Try consulting with an oral surgeon or root canal specialist, an endodontist, to see if there are some codes that overlap between dental and medical conditions that can be utilized. In some instances, a refusal of coverage under a dental code allows submission to medical coverage. Keep open your discussion. Do not give up. This is a difficult area to ad Chat Doctor."}
{"_id": "000001314", "text": "Hi, I understand your health concern. The cause of this is a fungal infection or Tina in medical terms. You have had a past infection in your younger ages, and it has continued to the present state. The mere dark complexion suggests it is a fungal infection. Follow these measures"}
{"_id": "000001315", "text": "SYN DOPA PLUS cause orthostatic hypotension and dizziness in some person. This is dose related side effect. sometimes it disappears after some time. If he has more problem than reduced dose of syn dopa plus. After consulting your doctor you can add amantadine or entacapone to syn dopa. My advice I'd take syn dopa plus smaller dose more frequently means if to are using one tab syn dopa three times than now use half tablet in lime water six times. This regimen will resolve your problem"}
{"_id": "000001316", "text": "Hi there Matt. I hear you & it does seem you have an issue with an iatrogenic infection caused by overzealous use of the wives"}
{"_id": "000001317", "text": "Hi there, After going through your query, I am of the opinion that"}
{"_id": "000001318", "text": "Thanks to Chat Doctor I can understand your concerns you said those symptoms like cramps and headache are due to periods now she is suffering with fever, pain abdomen and ,she needs to undergo once ultrasonography as early as possible .it may be due to gall bladder disease or renal disease .please let her take antispasmodics like busiest tab .and PPIlike pan 40 once. Added to this chest x-ray is also advisable .she will recover .don't worry based on ultrasound report your family doctor can treat this . don't worry ."}
{"_id": "000001319", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your extensive cardiac work up is normal, no need to worry about heart related diseases for your chest pain. You have been prescribed beta blocker for anxiety and stress. Since you are in tension, possibility of stress and anxiety related chest pain is more in your case. Along with Chat Doctor.  So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000001320", "text": "Hi, thank you for providing the brief history of you. As you have a sprained wrist these symptoms are common post the injury. Also, using a wrist brace should be helpful for stabilizing the joint and then some simple Forearm muscle Strengthening exercises. As this will improve your joint stability and muscle endurance. After performing exercises for 2-3 weeks of time you should have good recovery. There is nothing much to worry as these are all common symptoms post injuries. RegardsJay In Chat Doctor."}
{"_id": "000001321", "text": "Hi! Good evening. I am Chat Doctor answering your query. As the trauma described by you was 3 weeks old, I would not consider an intestinal injury or an internal organ injury on my priority list of diagnoses. Most likely diagnosis would be a soft tissue injury of the abdominal musculature and sub-cutaneous tissue resulting in a hematoma formation coming up as a bruise which would take at least 3-4 weeks to get absorbed. However, this needs a clinical assessment to be very certain about it, and if I were your doctor, I would also recommend an ultrasound of the whole abdomen to rule out any kind of internal injury. In addition, I would prescribe an anti-inflammatory along with a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000001322", "text": "Hello, Which viral infection have you been diagnosed with after getting your kidney stone removed? You can take the below treatment"}
{"_id": "000001323", "text": "Hello Fauna.hasn ain, Welcome to Chat Doctor forum, It seems you have taken the dark patches on your skin quite easy. It is increasing in number because you have been neglecting it since a year. You have sensitive skin. Skin discolorations and patches take time to return to normal. They took almost a year to seek your attention so just have a little patience they will go away gradually. You should firstly take heed to what you eat. You should increase your dietary intake of vitamin B and E. You can even take nutritional supplements containing vitamins and minerals. Keep yourself well HY Chat Doctor.  Take 1-2 liters of water each day, plenty of fruits, juice and soups. Add cereals, legumes and dairy products in your diet. You do have the option to consult a dermatologist. The patches and discoloration can be because of some allergy. You need to investigate and see what are the things around you like pollen, pet animals, allergy causing plants and foods to which your skin is sensitive and reacts adversely. Just stay away from them.  It can also be due to sun burn, reaction to some type of jewelry, fur or leather. It can also be due to some bugs in your room or war"}
{"_id": "000001324", "text": "Hi, Thanks for your query, There may be many problems faced by patients after IRENA removal. The symptoms you have listed are one of them. If they are not very severe, then you don't have to worry much. These problems are usually benign and subside by itself. However, if they are very severe consult a OBI at earliest. You can be pregnant soon after IRENA removal, so take precaution if you don't want to be pregnant right now. You may take some multivitamins and iron to restore your health. Furthermore, you can also use analgesics if needed. Take care. Hope it helps you."}
{"_id": "000001325", "text": "Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* There is underlying hematological issue lowering the bone marrow function which has to be evaluated with series of other investigations as bone marrow biopsy and else before deciding for the spleen removal.* Needs consultation with expert hematologist for further management.  Series of investigations Hope this will help to clear your doubt . Wishing you fine recovery. Always welcome for any further assistance anytime. Regards ."}
{"_id": "000001326", "text": "Hello, If he fainted at night and is complaining of dizziness then, at this point I still believe he needs a cardiac workup which should include a 12 lead ELECTROCARDIOGRAM (EKG) along with a HOLDER OR EVENT monitor which will monitor his heart rates and rhythms since he may be suffering from a cardiac arrhythmia causing him to feel this way or pass out.  Another specialist who may be able to help is a neurologist in order to make sure that he is not suffering from severely decreased blood flow to the brain through either the carotid artery system or the posterior vertebrobasilar system which also cause dizziness and fainting if not enough blood is reaching the brain.  Yet another thing that the neurologist may consider would be a SEIZURE DISORDER that can both cause dizziness during an attack and fainting (referred to as the POSTICTAL STATE if it is a seizure event). Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000001327", "text": "HiT hank you for asking Chat Doctor. I have gone through your query. Your problems can be due to high cholesterol or hyperthyroidism. Check your lipid profile and thyroid profile. Also go for routine blood count and ESR to rule out any possibility of infectious process running in the body. Getting proper exercises like jogging will be helpful. Hope this may help you. Let me know if anything is not clear. Thanks."}
{"_id": "000001328", "text": "Hello, I will suggest you to get a Laparoscopy and Hysteroscopy done. This will help to know about the normalcy of the uterine cavity and patency of Fallopian tubes and to ovarian relationship. If your Fallopian tubes are patent then only ovulation induction medications can be started. Exact day of egg formation can be determined by ovulation study. GUI- Intrauterine insemination or unprotected sexual activity on the day of ovulation can be planned. If Fallopian tubes are not patent, or are damages then you can opt for Test tube pregnancy- IVF. Please start on Folic acid and vitamin B 12 supplements regularly. This helps to prevent various complications during conception, pregnancy and childbirth. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001329", "text": "HI, I understand your concern.  - Leaking out of semen after sex is a natural thing. Retain for few minutes suffices for getting conceived. As even a Chat Doctor.  If you are worried of the leaking after sex.Don't get up immediately, try to sleep with a pillow under your back for half an hour after sex.  - You should try for checking semen analysis. To confirm it to be normal.& take treatment if there is less number of sperms/ with poor motility. Also get your self checked for normality of ovulation.  Thanks,"}
{"_id": "000001330", "text": "Thanks for your question on Chat Doctor. Radiation therapy for brain can cause damage to surrounding vital structures and can produce brain edema (inflammatory). This edema also compress surrounding brain structures and can produce defects. So in my opinion your wife is having edema, that is why shriven Dean. Dean is steroid and reduces inflammatory edema. So if she is not improving in 1-2 week better to get done repeat CT or MRI to see for edema. If worsening edema than craniectomy is required to release the pressure."}
{"_id": "000001331", "text": "Hi, Thanks for using Chat Doctor. I have gone through your available history. Peep Cr contains paroxetine which is anti-depressant medicine with antianxiety property. Does your dad have any symptoms of depression like sadness of mood or decreased interest in surrounding pleasurable activities or somatic unexplained complains??? You should consult qualified psychiatrist for detailed evaluation and treatment.  He may have early dementia. So your doctor may rule out that. Doctor may also advise going for blood investigations like vitamin B12 deficiency, thyroid dysfunction or diabetes etc. Treatment will be directed as per cause. Thanks"}
{"_id": "000001332", "text": "Hello, You have to repeat your semen analysis after three days of abstinence. The pus cells elevation is mild and not raised to a significant level. So it doesn't seem to be due to a prostate problem as urine test also normal.  I suggest you investigate with semen culture as well to exclude infection.  You need to be given multivitamin and hey Forte like a tablet for improving sperm motility. Smoking also can be responsible, so avoid it if having a habit. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001333", "text": "No spinal stenosis does not cause FM.  FM is a diffuse process of hypersensitivity in cutaneous nerves or free nerve endings which is poorly understood in terms of how it starts, what the risk factors are or even how to treat it.  Spinal stenosis would be expected to cause many different symptoms than FM and be highly localized to the spinal segment or dermatome segment involving the spinal roots that are being affected.  FM is throughout the whole body....not spinal stenosis.  Please rate this a 5-STAR ENCOUNTER and write to me at www.bit.ly/ Chat Doctor."}
{"_id": "000001334", "text": "Hi, Thanks for writing in. Gallbladder sludge refers to a thick material that is not absorbed by bile in the gallbladder and allowing this to accumulate over time can cause stone formation which will then obstruct flow of bile and can cause further pain and discomfort. Surgery is a standard form of treatment in gall bladder sludge formation. However, you might request your doctors for a trial of non-surgical treatment with Chat Doctor.  This does not work in every patient, but you can try taking it for a while and adhering to dietary restrictions. Should the medications fail to respond then a surgery is the only form of definitive treatment."}
{"_id": "000001335", "text": "HelloThanks for query. Sever pain lower back, high grade fever off colored urine are strongly suggestive of UTI secondary to stone impacted in Ureter. Please consult qualified Urologist for clinical assessment and get following basic tests done to confirm the diagnosis 1) Urine Routine and Urine culture 2) Ultrasound Scanning of abdomen 3) Renal function tests. Neglecting to see doctor may result in permanent damage to the kidney. Further treatment will depend upon the results of these tests as regards degree of obstruction due to stone, back pressure changes in kidney and final diagnosis, Chat Doctor."}
{"_id": "000001336", "text": "Hi, 1. Has your son stopped bed-wetting at a certain age and again started having it2. If so at what age he stopped and when did it started he had never stopped bed-wetting form birth...you can try some behavioral changes which I can elaborate after proper history and interaction with you, but the effect will not be immediate, but it will be permanent. If it's a recurrence after attaining nighttime control, I suggest you see your pediatrician to rule out pathological causes like urinary infections or Voiding dysfunction. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001337", "text": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. You should know that chronicity is the hallmark of Hepatitis C Virus. So you need to get treatment in any case. I would advise you're following"}
{"_id": "000001338", "text": "Hi. Thanks for your query and an elucidated history.The symptoms of appendicitis are"}
{"_id": "000001339", "text": "Hello, Thank you for consulting with Chat Doctor. Actually at the back of the tongue there are some taste buds, which are known as circumvallate papillae, and they are slightly elevated from the normal tongue, so they are slightly uncomfortable and noticeable. So there is nothing to worry about it. But if the symptoms persist for a long time then you have to visit a good dentist for complete diagnosis. Hope it will help you."}
{"_id": "000001340", "text": "Hi, thanks for the brief history. Since you mentioned your spine issues and head injury I feel its more of a nerve related issue. It won't be MS. as for MS there are different sorts of symptoms and much more to into for. Also, you will be under medication by the physician which are doing their job. What I need from your side is to think about the physical therapy. Many cases with what you mentioned spine issue I have seen with the similar symptoms. With a regular physical therapy, medication, meditation, etc. they are helped. Getting strength in the muscles during the pain and little control muscles is tough but not impossible. Kindly discuss with the Neurologist, how about doing physical therapy, and I am sure he will guide you for one, and you will be helped along with the medication as well. With the grace of God I wish you a speedy recovery."}
{"_id": "000001341", "text": "Hello, though want you ask deserves a vast discussion with detailed history, examination and all your latest reports.  As you have been to so many specialists, and you talk of all the 4 classes of Chat Doctor.  I would suggest new newer alternative.  Only is clonidine.  A calcium channel blocker like amlodipine with additional effect of decreasing proteinuria and has less pedal edema.  My experience with the"}
{"_id": "000001342", "text": "Hi. Thanks for your query and an elucidated history. This is called Dyspareunia meaning painful sex or pain during sex. The causes are as follows"}
{"_id": "000001343", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should immediately consult cardiologist and get done1. ECG2. 2d photo rule out cardiac cause. If both are negative then no need to worry much for cardiac cause. You may have anxiety and related symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Avoid stress and tension. Be relax and calm. Don't worry, you will be alright."}
{"_id": "000001344", "text": "Hello, Thank you for asking at Chat Doctor. I went through your history and would like to know more about you like"}
{"_id": "000001345", "text": "Hi, Yes,inhalers are comparatively safer than any other form of asthma treatment like oral. The medicine inside an inhaler goes straight into the airways when you breathe in. This means that you need a much smaller dose than if you were to take the medicine as a tablet or liquid by mouth. The airways and lungs are treated, but little of the medicine gets into the rest of the body leading to lesser and lesser side effects. The advantage of inhalers over other forms are that they are causing instant relief (bronchodilatation) by relaxing the muscle in the airways. Thanks."}
{"_id": "000001346", "text": "Hello, I can understand your concern. Glossopharyngeal neuralgia is a nerve problem that has to be controlled with painkillers as that is the only effective management of pain instead of invasive treatment. As you do not want to go for the medicines, you can go to a neurologist or pain management clinic. They can give you an injection of alcohol in nerve that will keep you free of pain for few months. They can also suggest you other options that can be effective to you for long-term pain free episodes. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best,"}
{"_id": "000001347", "text": "Thanks for your query, I have gone through your query. The swelling over the jaw can be secondary to a tooth or gum infection leading to cellulitis. The other possible cause can be an allergic reaction leading to angioneurotic edema. Nothing to be panic, consult an oral physician and get it evaluated. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole(if you are not allergic). You need to get a radiograph done to confirm the diagnosis. I hope I have answered your query, take care."}
{"_id": "000001348", "text": "HelloThanks for your query, based on the facts that you have posted it appears that you are facing problem of night emission since last 7 tears. Night emission is natural and common phenomenon at the age of adolescence and does not need any treatment. It gets resolved itself over a period of 2 years. Please note that it is not a psychological problem hence do not attempt to take hypnotherapy. Chat Doctor."}
{"_id": "000001349", "text": "I welcome to Chat Doctor. The prognosis of hepatitis c virus infection is difficult to guess without investigations like viral load and genotypic. However, as her liver enzymes are not grossly elevated and she doesn't appear to have features of cirrhosis, she's probably having a dormant infection. Diabetes complicates the issue by promoting fatty liver. Prognosis can only be estimated by keeping in constant follow up with a gastroenterologist as hepatitis can flare up at any time and condition may complicate. Hope I am clear"}
{"_id": "000001350", "text": "Hi and welcome to Chat Doctor. Its elevation is commonly found in many disorders must most usually is alcoholic, viral, autoimmune or toxic liver damage.Also, it can be due to excessive exercise.  The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor.  Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed. The are moderately elevated enzymes and some doctors prescribe"}
{"_id": "000001351", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have lymph node enlargement. It may be due to reactive hyperplasia most likely. It may be due to tuberculosis. Chances of cancer are very low. You should go for fine needle aspiration cytology or biopsy. It will give you exact cause. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001352", "text": "Hi I am Chat Doctor. .  In my opinion that could be a ligamentous injury where the origin of your muscle which may take time to heel according to your injury. From your given history I do not think you have a ligament tear or maybe partial so i don't want you to worry.  You may use painkillers like Advil when needed, hot massages with topical gels and use a knee support will be helpful. If pain persists or swelling increases I recommend X-ray and MRI to exclude any fissures, muscular or ligament tear, meniscus or cartilage injuries for proper evaluation and management. Please click and consider a 5-star rating with some positive if the information was helpful. Wish you good health, Any further clarifications feel free to ask."}
{"_id": "000001353", "text": "Hi dear, The symptoms you mention in query are pointing towards condition like allergic reaction. Sometimes body react to some foreign particle. Such kind of reaction sometimes get worse and develop into anaphylactic shock. Although your symptoms get relieved but still you should consult doctor or allergy specialist for proper examination. Doctor may take history to find out which factor is responsible for such reaction, which is very important for its further prevention. Doctor may prescribe immunosuppressants. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000001354", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should get done chest x-ray and PFT (pulmonary function test). Possibility of either lung infection or bronchitis is more because both these can cause cough with chest congestion. So chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. You may need antibiotic, inhaled bronchodilator and inhaled corticosteroids (ICS) on the basis of these reports. Don't worry, you will be alright. For speedy recovery, better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001355", "text": "Howell come to ChatDoctorOnce the child is hospitalized then it is nothing to worry, fever of unknown origin is difficult to diagnose some time it is not being diagnosed and patient recovered and such case called \\\"God only knows\\\" you need to be very patience, several factors are there which plays the role right from resistance to antibiotic to multiple organ infection, sometimes this could be viral infection, later or sooner it would be fine soon take care."}
{"_id": "000001356", "text": "Hello ! I read your question and understand your concern. In my opinion the symptoms you describe may be related to several problems. The main cause may be a stroke, causing loss of sensibility in half of the body, causing unsteady gait and inability to control the hand properly. Another problem would be a polyneuropathy, typical in diabetes, but it is associated with pain and tinglings in both feet and hands. Diabetic patients can also have seizures from high blood glucose, causing numbness in half of the body, but these are episodic, non-permanent. So to conclude I would recommend a good neurological examination, a full blood work, HbA1c and a brain CT scan. If these tests result normal, an Electroneurography for polineuropathy and a EEG would be necessary. Hope to have been helpful! Thank you for using Chat Doctor! Greetings,"}
{"_id": "000001357", "text": "Hi... Thank you for consulting in Chat Doctor. I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Regards -"}
{"_id": "000001358", "text": "Hi, Thanks for the query. Better to take folic acid from one month before the pregnancy. Usually 400 to 800 micrograms of folic acid is needed during pregnancy. But as you had previous history of microcephaly (possibly), you have to take 4000 micrograms of folic acid per day. This high dose can prevent birth defects in the baby. Ideally two years break should be there as you had cesarean section but with proper followup one year gap is enough. Take care."}
{"_id": "000001359", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son have symptoms of cough and stuffed nose which is due to severe upper respiratory tract infection. The infection is probably a strep throat. Need not worry. I would suggest you to start with course of antibiotics and anti-inflammatory Chat Doctor.  I would suggest you to consult pediatrician once without any delay. Doctor may order blood test and throat swab test. You should get an x-ray of the chest. Doctor may prescribe antibiotics amoxicillin at least for 10 days along with bucolic agents. Go for complete blood count. You should avoid hot, sharp and spicy foods. For now do warm saline rinses, take rest. Avoid giving cold beverages. You should take mast cell stabilizers to prevent from infection. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000001360", "text": "Hi, From the available description the possibility of sexually transmitted infection cannot be ruled out provided you are sexually active.  The presence of cheesy discharge along with redness of skin lasting for three weeks is due to either Atlantis or urethritis. Both the conditions are often the result of sexually transmitted infections.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001361", "text": "hi Hope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have strained some sort of ligament in your ankle that might be causing pain and inflammation. doesn't seem to b a bony injury though. Take rest ice packs analgesics and anti-inflammatory tablets.  Crepe bandage if it worsens then get a X-ray done to find out what's wrong. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime thanks Take care god bless."}
{"_id": "000001362", "text": "HI and thanks for the query, It might be of importance to ascertain that you do not have pulsation after consuming other foods or juice. It is but normal that after an eating exercise, the heart rate increases and could be perceived as pulses. The only serious cause of abdominal pulsations is a dissection of the aorta, which is associated with serious pain, not seen with you. An aneurysm of the abdominal aorta should be checked out for."}
{"_id": "000001363", "text": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your query in depth. I am feel concerned about the worry and fear expressed by You. Dear please don't worry as things would resolve with my answer herewith. I would advise you not to self-medicate and hence stop it in future as I am there to help at my Chat Doctor online clinic. I would advise-Sputum-micro study, x-ray chest and CBC along with the check with your ER doctor. I think its due to the-Brochitis-URTI-. Prima facie- I would advise you today Chat Doctor.  I would have advised-Antibiotics and expectorant than the chetussin syrup /so stop chetussin syrup for now-as your cough is not.responding for 1 wk now. Please take"}
{"_id": "000001364", "text": "Hello user, I understand your concern. Tablet propranolol is used for prophylaxis of migraine attacks, it is not useful for acute attacks. So if your sister is having occasional headaches only (less than 4-5/month) - and if she would be my patient I would have advised taking medicines like 1 tablet headset(sumatriptan+naproxen) SOS basis only - however if attacks are more frequent and troubling than propranolol can be given in the dose she was earlier maintained on (but if psychiatrist stopped it, there could be some rationale behind it so better to discuss with him/her rather than taking medicine on own) propranolol can cause hypotension, can worsen preexisting respiratory difficulties, can worsen depression, and glycemic control among other side effects- but they do not occur in all patients-hope I answered your query, any followup queries are welcome - if satisfied please rate the answer"}
{"_id": "000001365", "text": "Hello! Thank you for the query. Abdminal pain and itching seems to be caused by jaundice due to bile ducts problems, liver problems or even pancreas cancer. This is more possible if your urine is also dark, you have lost some weight recently, have nausea and vomiting. Please do not wait with your symptoms and visit your doctor as soon as possible. Blood work, liver tests, pancreas tests, urinalysis and abdominal ultrasound should be done at first. Hope this will help. Regards."}
{"_id": "000001366", "text": "HelloThanks for your query. After going through your query I came to know that your husband is probably suffering from lumbar disc prolapse. It can be confirmed by MRI scan. There are two treatment options. First option is rest in position of relief(generally lateral position with both hip and knee bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeprazole before meals prevent acidity caused by analgesics. Second option is go for surgical operation(Discectomy).  You can discuss with your treating Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link"}
{"_id": "000001367", "text": "Hi registration ! Yes ! It is your uterus and its follicles that give you pain. Take diclofenac and dicyclomine when feel pain. Now after doing ultrasound consult with surgeon about removing of follicle or complete uterus, but discuss that you don't have babies. Your condition sure need attention. If governmental don't listen try the private hospital and do ask about all the benefit and loss. Be healthy .bye."}
{"_id": "000001368", "text": "Hi, Thanks for using Chat Doctor. I have gone through your available history. Visual hallucination and delusions are part of psychotic symptoms associated with dementia. You should consult psychiatrist for detailed evaluation and management. After confirming diagnosis and ruling out other causes, doctor may advise him to take risperidone or aripiprazole like anti-psychotic agents in addition to cognitive enhancers. Doctor may advise Vitamin B12 blood test to rule out its deficiency as a cause. I hope It may help. Thanks."}
{"_id": "000001369", "text": "Hi, Thanks for asking the query, For successful placement of Dental implants the periodontics and the supporting structures like gums, alveolar bone should be healthy. Pain after implant placement is due to gingivitis, periodontitis, gingival recession, alveolar bone loss. I would suggest you to visit to Dentist and get a checkup done. If there is bone loss flap surgery has to be performed. You maintain a good oral hygiene. Avoid eating hot and spicy foodstuffs. Use chlorhexidine mouthwash gargles twice daily. Hope this helps out. Regards..."}
{"_id": "000001370", "text": "Hi, Thanks for writing to Chat Doctor. If the discharge is not associated with foul smell then don't worry. It is due to hormonal support you take like estradiol and progesterone after embryo transfer. These will increase local blood supply which helps in implantation and maintain of pregnancy and also increase discharge. If the discharge is associated with foul smell and itching then it could be due to infection from embryo transfer. So consult your doctor. You can take a course of antibiotic for 5 days under guidance of your doctor. Hope I have been helpful. Regards Chat Doctor."}
{"_id": "000001371", "text": "Hi, Thanks for posting your query. Do you have acidic belching/ retrosternal burning pain/ difficulty in swallowing? Do you have constipation/ watery diarrhea and spasmodic abdominal pain? With the available described details, there appears to be possibility of gastritis. Presence of pain in defined region suggests the diagnosis. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should go for complete blood count, serum amylase, liver function test, renal function test, ultrasound imaging and endoscopy for better clarification. You should also go for chest x-ray. You should also go for urea breathe test for H. Pylori. Treatment depends on exact diagnosis. Meanwhile, you should take proton pump inhibitors along with probiotics and antispasmodics. Take care,"}
{"_id": "000001372", "text": "DearWelcome to ChatDoctorWe understand your concerns went through your details. From the provided information, your child sleeps only 3 to 4 hours in a day. Two hours at night and two afternoon. That is not a healthy practice. You are pointing this happens since one year. I suggest you to consult a child specialist for advise. There could not be anything physically wrong. She must have become habituated with the sleep pattern. You may have to provide her with some positive training. After consulting a child specialist to clear physiological angle, you should get advise from a psychologist for sleep pattern training. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000001373", "text": "Hi, How are you? My name is Chat Doctor.  I am a liver and pancreas specialist and I hope to answer your question today. I am sorry to hear about your aunts condition. By the sound of it, your aunt seems to be suffering from a bile leak which is a rare complication following a laparoscopic cholecystectomy, but very common if the surgery was a difficult one due to adhesions. What ever the cause, the exact cause of the leak needs to be determined. Most commonly it is due to a slippage of suture from the duct"}
{"_id": "000001374", "text": "Hello thanks for asking from Chat Doctor for your health related queries can understand your concern. Loss of parent and then loss of job has probably built the significant stress which has precipitated these symptoms. The repeated panic attacks, feelings as if you had heart attack, anxiety episodes, lightheadedness, fear of sleep etc. could denote a panic disorder or anxiety disorder. As per my opinion you should consider consulting a psychiatrist for these symptoms. In most cases Behavior therapy coupled with relaxation exercises like Progressive Muscle Relaxation Exercise, Breathing Exercise help to reduce these symptoms and also reduce the intensity of attacks. If these methods don't result in improvement then medicines like SSRIs along with benzodiazepines can help. Benzodiazepines in low doses can be utilized to reduce the symptoms of severe panic, and you will be able to function normally. Thanks, hope this helps you. Take care"}
{"_id": "000001375", "text": "Hello, Normally couples married for one year have intercourse 2-3 times a week. But having less frequency does not point out towards any specific disorder especially when it is not associated with any problem with sexual performance (Erectile Dysfunction/ Premature Ejaculation) or other depressive/anxiety features (decreased interest in pleasurable activities/sadness of mood, hopelessness, death wishes).It's a possibility that he may be stressed out and not yet ready for kids therefore not going for intercourse. You need to talk to him and be open about your desires of sexual gratification so as you two can sort this out to resume your healthy sexual life. You may have to let him see the woman in you so as he should be attracted to you sexually more frequently. The reason for his lack of sexual desire if persists despite that may be depression, low testosterone (male sex hormone) levels, or other medical conditions such as diabetes or thyroid problem which decreases the libido. Since the reason for your depression is lack of sexual gratification by your husband, that is the treatment for you. If your depression persists, see a psychiatrist and get couple counseling. Hope the answer is helpful. Take care and feel free to ask queries. Regards."}
{"_id": "000001376", "text": "A patient with your symptoms visiting my clinic then I would like to have some more details like age, gender, duration of illness and other things. You probably are suffering from parkinsonism with symptoms mentioned by you. You asthma would also suggest that it is not under control. Furthermore, you will require a lung function test and based on which you will require a controller inhaler for regular use to control your asthma symptoms."}
{"_id": "000001377", "text": "Hello ! Thank you for your question. In my opinion you have nothing to worry about it. The headache you have is caused by the contracted muscles of the scalp due to hair traction by the band in this case. It may be also aggravated by a wrong position of your head (during staying or writing, working at the computer), from psychological stress, etc. Dizziness is another feature of this kind of headache (Tension type Headache). Nothing is going to happen to your brain if you continue holding the band. Your brain is well protected! We have seen in patient who underwent brain surgery, that the bands very straight to the head can cause damage to skin in the pressure point, but it is not your case. Your band is not so tight, also you don't have it on during night. You may just make pauses (remove it) remove it during the day, so your muscles get a little relaxed. You will get pain relief. Hope to have been helpful to you.  Thank you for using Chat Doctor! Best wishes,"}
{"_id": "000001378", "text": "Hello, After going through your medical query I understand your concern and I would like to tell you that treatment for brain stroke depends on the factor Infarct or hemorrhage and line of treatment is different for both.  Kindly consult a neurologist personally with reports for proper evaluation and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000001379", "text": "Hello, You are mistaken, kids play with their genitalia. But it is not masturbation. And adult masturbation gives discharge from seminal vesicles and testes as these are fully matured in adults. Child Chat Doctor.  Even small girls play with their vagina. It is just phallic stage of development, it has nothing to do with sexual feelings. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000001380", "text": "Hi, I understand your concern. The body ache, headache and diarrhea are all the symptoms of toxicity that your body is still suffering through. After the treatment of any infectious disease, even when all the disease causing elements are killed, the dead germs are still there, and they give you these symptoms. Apart from germs, the medicines also take a heavy toll on your body. It can take at least one week for body to completely flush out these toxins. Then you will feel better. As far as Diarrhea is concerned, it must be due to antibiotics that you have taken. You should take some multivitamins, fresh fruits, lots of water and proteins diet to recover sooner. You can also take Curd, it should help resolve diarrhea. Hope this helps. Regards."}
{"_id": "000001381", "text": "Hi welcome to Chat Doctor forum.  Thanks for asking a question to Chat Doctor. F.  You are 19 years, have chronic back pain, on right-hand side, travelled down right arm, and elbow, burning pain in lower neck.  It appears to be the cervical spondylosis, A bony change in between the vertebrae, due to pressure on the nerves coming out through the intervertebral space.  Other causes are renal pain, stone in the urinary tract, I advise you to consult an orthopedic surgeon, for diagnosis and treatment.  Wishing for a quick and complete recovery.  Best regards."}
{"_id": "000001382", "text": "Hi, I had gone through your query and understood your concerns. The fever might be due to excess of thyroxine hormone produced due to thyroiditis due to excess of thyroxine you are having problem of palpitations.in my opinion suggest you to increase the dose of insulin and need to be made it twice daily. Kindly see your doc and discuss with him Hope I was able to help you. If you have any further question feel free to write me back. I will be happy to help. Take care. Best Regards. Chat Doctor."}
{"_id": "000001383", "text": "Hello, Thanks for consulting ChatDoctorRead your query as you have pain in tooth after root canal treatment this pain can be due to periapical infection is present still apex of tooth or due to infection in periodontal ligament for this you should consult oral surgeon and go for Iowa X-ray of tooth. In meantime you can take medicine like Eugenic plus or petrol DT for pain, do warm saline rinses 2 - 3 times a day. Hope this will help you."}
{"_id": "000001384", "text": "HI. The diagnosis is obvious. This is due to muscle strain or a sprain and the first thing to follow is to avoid lifting such things which cause you this. Get an examination done by the Orthopedic surgeon to ascertain that there are no other causes like problem with the spine or unequal muscle imbalance in the back. Take anti-inflammatory and muscle relaxant medicines and rubrafacient liniments to sooth the muscles."}
{"_id": "000001385", "text": "Hello you need not worry I can understand your problem and try to guide you in the best possible way this could be due to kidney stones or UTI/STIR would like to know about the lump. On testis is it on the scrotum or inside it on testis is it fixed or movable Any History of pain this could be a sebaceous cyst or varicocoeleyou should see a general surgeon for examination and investigations if indicated any you may require a course of antibiotics depending upon the urine culture and sensitivity report have plenty of fluids maintain good hygiene wishing you good health"}
{"_id": "000001386", "text": "Hi, Aliment or olanzapine is an antipsychotic medication indicated in many psychiatric conditions. The feeling of being chased, is a part of what is called a delusion, where in one harbors false beliefs. It can be present in many psychiatric disorders. The prognosis of her condition would depend on the diagnosis. Most psychiatric conditions are chronic and need medications for few years after the symptoms have been controlled to prevent a relapse. It may take longer in some patients. The treating psychiatrist will be best able to tell you. Hope this helps, Chat Doctor."}
{"_id": "000001387", "text": "Chest pain may occur due to a lot of health related disorders comprising heart, lungs, gastrointestinal and psychiatric disorder.in case of heart and lungs related disorder chest pain is usually associated with shortness of breath and fatigue. If these symptoms are present along with chest pain you should go for following test. Chest x-rayECGonce these conditions are ruled out, it may be because of gastrointestinal tract disorder which usually includes HERD syn Chat Doctor. Your doctor will suggest upper GI endoscopy to find out the cause .as of now I would suggest you following .get checked your blood pressure take tab pan40 once daily before breakfast for 7 days.  Thankyou and take care."}
{"_id": "000001388", "text": "Hello, I had gone through the case and report and found that this is good medicine for strengthening of nerve. But you need to take calcium also. You must go for one blood test Vitamin D3 and Vitamin B12. If it is low then take Vitamin D3. If pain persist then take some session of physiotherapy and learn some particular yoga for pain relieving. Follow all the instruction and feel better in pain. Hope my answer will be effective for you. Thanks"}
{"_id": "000001389", "text": "Hi, Moseley (pizotifen) is an antihistamine and serotonin receptor antagonist commonly prescribed to treat migraine and other types of headaches. It is not proved to increase the sexual power. Based on the history you seem to be suffering from erectile dysfunction for which you need to consult your doctor for sildenafil or falafel for better erections and satisfactory intercourse. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000001390", "text": "HI.your father is a known hypertensive having difficulty in speaking clearly. Considering his age and hypertension history rather than thinking of allergy I consider it to be dysarthria or neuroglial difficulty in speech. The problem can be from cerebrum, cerebellam, small part of brain called basal ganglia or the spinal cord. Kindly get him investigated and take up neurologist opinion and proceed. Take care."}
{"_id": "000001391", "text": "Back pain which is going in groin can be due to hip or spine. You have to find out which thing is causing this pain. What is your recent report says. Is there still some nerve compression at back or is there any fluid collection I hip joint or something wrong with your groin muscles. According to that we can plan our management. Chances are high that still there is nerve compression due to DISC. Please post your MRI report also in this forum."}
{"_id": "000001392", "text": "Dear Sir/Madam, I thank you for having faith in Chat Doctor and for seeking help on your issue; I have gone through your symptoms, if a patient witChatDoctorplains similar to you come to my clinic I would advise, first that 2 weeks is not chronic backache. You need good physio and care of spine till then take tab Paracetamol 500 mg three times daily and consult a good physio hope I have been able to provide you with a satisfactory solution, if you want to clear any doubts about my opinion, feel free to contact. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. Thanks"}
{"_id": "000001393", "text": "HI, I understand your concern.  I would suggest-1) Get your allergy testing done. Avoid allergens & get a desensitization treatment.  2)Adopt a healthy lifestyle.containing-moderate exercise in form of walking, yoga exercises, respiratory exercises.  - Diet with high proteins, vitamins, minerals carboy Chat Doctor.  - hobby work -apart from your duty hours, keeping you in positive (put half face mask to avoid fumes of vehicles/road dust.  - A sound sleep for 8 hours with help of Logan"}
{"_id": "000001394", "text": "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. Well, I am not sure, but the symptoms that you have stated suggest that your husband could be having a manic episode. This is accompanied by increased irritability, reduced need for sleep, doing excess work etc. So these fit into your description. He will require treatment with olanzapine and valproate. This will improve the symptoms in 2-3 weeks. 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"}
{"_id": "000001395", "text": "Hi, I am so sorry to hear about your moms symptoms. But based on the symptoms you have listed and the physical signs you are describing, she seems to be suffering from Acute cholecystitis (Inflammation of the gall bladder) most probably due to gall stones. I would suggest you to get an ultrasound scan of the abdomen as soon as possible and also do blood tests to confirm the same. If the diagnosis is confirmed, then the current recommendation is to proceed immediately with a laparoscopic cholecystectomy. This operation is routinely done in a number of surgical centers. If it has been more than 48 hours since the symptoms began, then I would suggest some painkillers and rest and plan for a cholecystectomy six weeks later once the inflammation subsides. Hope this helped and hope your mom starts feeling well soon. Please do not hesitate to contact me for further details if necessary - rxsuresh@gmail.com"}
{"_id": "000001396", "text": "Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. To my knowledge, its a private hospital. You can always ask at reception. Has he seen an older scan, to notice it doubling in size.? Doubling seen on CT scan, may be due to tumor. Ask him what he suspects ? If there's a full-fledged operation theater, then only major surgery is done. Kidney surgery is done by laparoscopy routinely. Open surgery isn't done. In govt. Hospitals, therere no charges for services. In private hospitals, it varies in each. All doubts may be cleared, by sending a direct question to me. Chat Doctor.  Manga."}
{"_id": "000001397", "text": "Hello there! Thank you for asking. Regarding your concern of jaw pain and the history of dental intervention and clear investigations, there is the possibility of salivary gland stone, but nothing can be said unless an otorhinolaryngologist sees it. If they suspect why didn't they have a kilogram arranged every thing would have come clear about the stone. I think its related to the procedure which has somehow infected the nearby divinities. Keep using antibiotics, avoid using citrus fruits and saliva Chat Doctor."}
{"_id": "000001398", "text": "Hello, Thanks for the query to Chat Doctor. Forum. Since you mentioned that blood in urine were present, and you got in C T SCAN without dye. Main question is report normal without dye? It depends upon the nature of disease in kidney, e.g. If tumor present in kidney than it is very difficult to visualize without dye (contrast media). In the case only option I'd there please get in M R I for urinary tract system. However, according to my experience urine may contain blood due to many reasons. But in your case as serum creatinine level is normal, G F R is also normal so need not worry. If blood reoccurs in urine then consult a nephrologist and get his opinion. Good luck."}
{"_id": "000001399", "text": "HelloThanks for the queryFollowing trauma you have developed hematoma (collection of blood in tissues). X-ray has been done and it is normal. This hematoma has no relation with your artificial knee, venous insufficiency or plantar fasciitis. Hematoma usually takes one to two weeks to resolve. All you need is bed rest, some anti-inflammatory Chat Doctor. I will suggest you to consult a doctor for proper clinical examination and treatment. Regards"}
{"_id": "000001400", "text": "Hi Mr. Paolo, Welcome to Chat Doctor. Fungal infection of skin and nails are commonly caused by dermatophytes which affect skin, hair and nails. Based on the details mentioned in your query, I am suspecting Tania FEDIS infection whicChatDoctormonly affects feet and skin between toes. This is common in people who wear tight shoes and in athletes. I suggest you get a fungal culture done of the sample from your foot and get antifungal therapy based on that result. Keep your feet clean and Chat Doctor. Avoid tight shoes. Antifungal therapy has to be taken for at least 6 months to prevent recurrence. Thanks."}
{"_id": "000001401", "text": "Hi ! Good morning. I am Chat Doctor answering your query. From the description by you about the lump, it seems more like a Bartholdi cyst (a benign cyst) which got inflamed initially causing the pain, and now it is just persisting as a cyst after the inflammation subsided. However, the exact situation could be known after a physical examination of the lesion by a general surgeon/gynecologist. With your family history which can not be ignored, I would suggest you take an appointment with the doctor, or show yourself in a government hospital as the case may be. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000001402", "text": "DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERN. BUT YOUR COMPLAINS CAN BE SEEN IN VARIOUS DISEASE MANAGING FROM ANXIETY, PSV TO CERTAIN ARRHYTHMIAS ETC SUGGEST YOU TO CONSULT A CARDIOLOGIST AND GO FOR A 24\\u00a0HOUR ECG (HOLDER MONITORING)SO THAT THE UNDERLYING CONDITION CAN BE DIAGNOSED AND BE TREATED ACCORDINGLY... HOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS"}
{"_id": "000001403", "text": "Hi! Good evening. I am Chat Doctor answering your query. From your history, it seems that you have got some kind of infection in your abdomen which is causing you pain and might be fever due to which you are feeling week and your muscle aches. However, it would not be possible without a clinical examination of your abdomen along with the ultrasound report to diagnose the problem. Therefore, I would advise you to see a general surgeon along with your ultrasound report for further management. Till then, you might go for a proton pump inhibitor and an anti-inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000001404", "text": "Hi, I have gone through your question and understand your concerns. Hair loss is not a side effect of oral contraceptive pills. Hair loss occurs due to hypothyroidism, anemia, autoimmune diseases, or poor nutrition. I would suggest you to consult a dermatologist to get examined and investigated properly so that appropriate treatment can be done. Hope you found the answer helpful. Wishing you good health. Chat Doctor."}
{"_id": "000001405", "text": "Hello, Thanks for consulting ChatDoctorRead your query as you have toothache this toothache can be due to carious tooth, decayed tooth, periodontal problem or gingival problem like gingivitis, periodontitis. Don't be worried so much I will suggest you to do warm saline rinses two - three times a day.  You can take analgesic like Paracetamol or Diclofenac sodium by consulting with your local doctor. Consult dentist for oral examination and its treatment. Hope this will help you."}
{"_id": "000001406", "text": "Strep is a common type of bacteria that often causes skin and wound infections. There are different strains of strep, one type of which causes strep throat. You could have that strain or a different strain. Skin and wound infections with strep may cause redness, swelling, pus, pain and heat in the area. There could be a lot of Chat Doctor.  Antibiotics are used to treat strep. When a culture is done, they usually test how sensitive the strep is to different antibiotics. They can then identify the correct antibiotic to use and switch you to it. I am not sure about the dates you give. If the surgery indeed was back in 2011, it is indeed way too long. (It is awfully long if it was just 2013.) If the infection has gotten into the bone, this could be the reason. These type of infections are difficult to cure and require extended treatment with antibiotics. Hope this answers your query. If you have more questions, I would be happy to answer them."}
{"_id": "000001407", "text": "Hello, Acid reflux or exercise can increase heart rate slightly, but 155 persisting for 7 hours is less likely. This can be a cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up. Blood pressure may fall during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring or get ECG done during high heart rate. Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated.  Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day.  If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope this helps you and get back if you have any doubts."}
{"_id": "000001408", "text": "Hi thanks for asking question. If you have chronic or very severe liver disease then liver is affected, and it is unable to function properly. Liver cannot produce albumin which is necessary to maintain osmotic pressure in blood. So defective albumin production lead to decreased osmotic pressure and patient suffer edema. The effective blood volume decreased in cirrhosis, so compensatory increased ADH also lead to sodium and water retention to produce edema. In systemic vein pressure also increased. If edema increasing with ascites diuretic can be given. For pancreatitis symptomatic management done. Rest your Gastrointestinal tract with not taking solid food for few days. So yes this swelling can be because of liver problem. I hope I have solved your query."}
{"_id": "000001409", "text": "Hi. Thanks for your query and an elucidated history. The commonest causes of sharp stomach pains in the morning on waking up can be due to Gastric ulcer or HERD and / or colitis. The loss of appetite is secondary to the original problems. I would advise you the following"}
{"_id": "000001410", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of puss filled bumps on stomach and buttocks which is because of folliculitis and increased skin sensitivity of getting infected. It could be erythematous lesions with pus in center of the lesions and bacterial infection of hair follicle. Need not worry. You should take antibacterial cream/ointment 2% mupirocin can be applied twice daily. I would suggest you to consult dermatologist once and get it examined. Start treatment after proper prescription. You should take Amoxicillin in combination with clavulanic acid thrice daily. You should take anti-inflammatory Chat Doctor.  Take diet rich in multivitamins and"}
{"_id": "000001411", "text": "Hi I have gone through your question. Thanks for writing us in Chat Doctor. As you are suffering from pod, in that insulin resistance develops which cause increase sugar in blood and produce diabetic picture. So weight reduction is your first priority, and also help in reducing diabetic medications. If medicines don't work then injection can be started for ovulation. Lossing weight also help in getting free from depression also. So my advice that weight reduction will be a better option. Have a good health."}
{"_id": "000001412", "text": "Hi, You have taken treatment for allergic breathing problem, and later developed fever. But fever can not be due to side effect of any tablet usually given for allergic breathing problems. I would suggest you to record temperature pattern and then consult doctor. There are many conditions like TB/Malaria where particular temperature rise pattern will be present. Get lung function test [PUT] and imaging too, to rule out infective loci. As fever is there means, there are infective foci in body. So consult doctor for thorough clinical examination. Take care. Best regards,"}
{"_id": "000001413", "text": "Hi!welcome to Chat Doctor! It is important to note that, even though, the platelet numbers are decreased in thrombocytopenia, their function usually remains completely intact. The treatment of thrombocytopenia is largely dependent upon the cause and the severity of the condition. In general, platelet transfusion is not necessary, unless an individual with low platelets (less than 50,000) has an active bleeding or hemorrhage, Sometimes, transfusion may be recommended without any bleeding if the platelet count is less than 10,000. If a Chat Doctor.  In autoimmune thrombocytopenia or ITP, steroids can be used to weaken the immune system in order to impair the attack on platelets. Take healthy well-balanced diet with plenty of fluids and wait for the B. M result. Hope this helps you! Take care!"}
{"_id": "000001414", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. I advise you should do semen analysis. Which include microscopic examination and chemical examination. If you receive report stating that abnormal malignant cells are seen than its malignancy. I think color of your semen becomes normal after some times. Till that time you can take Doxycycline 100 mg two times a day. Please take it under your doctors' guidance. Please Chat Doctor. Cancer van be associated with variety of symptoms like cathexis, loss of weight etc. I will be happy to answer your further concern on bit.ly/"}
{"_id": "000001415", "text": "Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test) Since you are taking antibiotic (3rd generation cephalosporin) and not improving even after 7 days, so we need to rule out lung infection and bronchitis. So chest x-ray is needed to rule out infection.PFT is needed to rule out bronchitis. So better to consult pulmonologist and first diagnose yourself and then start treatment accordingly. You will be alright. No need to worry much."}
{"_id": "000001416", "text": "Thank you for your contact to Chat Doctor. You know our tongue is mirror of stomach. It seems you have gastritis. I suggest--Give blood for IGA, G to Helicobacter pylori-Follow Partners diet 1-grinded,steam, stew food, avoid onion, garlic,spicy, sour food.-Phytotherapy-Flax seeds and Fennel(1 tablespoon of each boil with 2 glass of water-take 1/2 glass 3 times before meal during 1-2 month).-Bismuth substrate 20\\u00a0mg 1 tablet 2 times before meal for 1 month for quick cure of your stomach.-Pantoprazole 1tablet in the morning for 14 days-For reflux you can use Comparison 1 tablet thrice a day after 15 min before meal for 1 month-For white tongue resolve Fluconazole 1 tablet 1 time for 5 days and wash it with bandage, moisturised by soda water, rinse mouth with Listerine You will get better, dont worry, just take following up remedies"}
{"_id": "000001417", "text": "Hi welcome to Chat Doctor Forsythe persisting pain on back portion after delivery is due to stress putted over the back muscles during the pregnancy period and that persist long after the delivery if you are not maintaining a right posture. It's important to watch your posture and sit up straight when feeding your baby. Daily morning walk for 30 minutes is advisable. There are some homeopathy remedies that helps a lot in treating postpartum backache. For detail, you can contact at multicare.homeo@yahoo.comThank you"}
{"_id": "000001418", "text": "Hi, dear. I have gone through your question. I can understand your concern. Your cholesterol levels are not much higher. Still if you want to reduce it then you should take low fat diet with high amount of polyunsaturated fatty acids. You can take Chat Doctor.  But it is prescription medicine, so you should consult your physician and take it according to his advice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001419", "text": "HI, thanks for using Chat Doctor The fact that the cough worsens on lying down may imply that there is pooling of secretions. You may need to consider a decongestant, antihistamine and bucolic. The decongestant would help relieve your nasal symptoms and by reducing the Chat Doctor. Bucolic would help to break up any mucus so that it can be easily expelled, and the anti histamine would also help with the mucus and congestion. These should be available over the counter and may be combination. Examples of oral decongestants are pseudocode"}
{"_id": "000001420", "text": "Welcome to Chat Doctor The mother needs to stop taking this medication and request Doctor for alternative medication while trying to get pregnant. For what reason are you both taking this, you haven't specified. You probably have developed Chat Doctor.  Do get your blood sugar tested to rue out Diabetes as sometimes it can present with dark thick patches in the armpits. Kindly ask the Doctor to change the medication as tetracycline can arrest bone growth in child"}
{"_id": "000001421", "text": "Hello there I have read through your question and would like to tell you that pain swelling are features of a fracture. Also, if you have pain on weight-bearing you may be having a fracture. Sometimes when there is a hairline fracture there may be no swelling. I would advise you to get an X-ray of the ankle joint just to be sure. Meanwhile, you can take an anti-inflammatory like diclofenac to reduce pain. Avoid weight-bearing on the affected ankle. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing Chat Doctor."}
{"_id": "000001422", "text": "Hi, It seems that probably your father is having photosensitive dermatitis. Consult the dermatologist for the perfect diagnosis and proper treatment. Tell him to avoid sun exposure. Tell him to cover the body while going under the sun. Apply sunscreen lotion on exposed parts to protect the skin.  Continue Levocetirizine if itching is there. Tab. HY Chat Doctor.  Apply mild steroid cream on affected areas.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001423", "text": "Hi.thank you for posting query at Chat Doctor. Gallstones are small stones that form inside the gallbladder. Gallstones pain (Biliary colic) usually is experienced when the gallbladder contracts in response to a fatty meal. This compresses the stones, blocking the opening. As the gallbladder relaxes several hours after the meal, the pain subsides.1. Medical therapy is an option for gallstones, though a vast number of surgeons around the globe prefer removal of gall bladder-surgical intervention. Medical therapy includes intake of ursodeoxyholic acid (UCA) for a period of 12 to 24 months. UCA has been shown to inhibit biliary secretion of cholesterol, reduce intestinal absorption of cholesterol, increase hepatic bile secretion, and improve gallbladder emptying. Medical therapy is useful if mild symptoms, stones are smaller (weight reduction and low-fat diet is also a part of medical therapy.2. Surgery lasts for less than one hour (usually half an hour). Laparoscopic surgery has greatly reduced surgery time duration and surgical complications. You may travel 7 to 10 days after surgery, though the surgeon may indicate precise time. I would also like to mention that gall bladder is removed completely in surgical intervention which may impair fat digestion. You maybe asked to cut fat completely from your diet (or keep to minimum) after gall bladder surgery. Hope to answer your concern. Wish you good and sound health. Regards Chat Doctor."}
{"_id": "000001424", "text": "Your situation is very difficult, and I am deeply disturbed and sorry to hear about your suffering. It's all the more painful because you are not the one with the problem, it's your husband. My first piece of advice to you is to protect yourself and your child from this men outbursts. If you can, you should take your child and leave the house each time these outbursts occur. Notifying family members (and perhaps friends) of the situation will help to protect and support you to some extent. Your husband may indeed have bipolar disorder as you suspect, but more importantly he has a horrible lack of insight into his problem thereby making it impossible for him to understand his need for treatment. Because of this, his prognosis for improvement is very poor indeed. You cannot force him into treatment if he refuses it; however, a nicely written lawyers' letter on your behalf may help you. You may have to leave this man if he does not seek treatment for this intense problem. Best wishes and I hope things improve for you!"}
{"_id": "000001425", "text": "Hello, It is quite possible. If taken for two days it may cause abortion. This medication is used to bring about an abortion in women who have been pregnant for about seven weeks or 50 days. It is used in combination with bisoprolol. This medication is also known as RU-486, and it is a synthetic steroid. It functions by interfering with the hormone that helps pregnancy to continue. Before taking this tablet you should have a discussion with your doctor and tell him about the previous rundown of meds. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000001426", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. The color of the skin and internal sensitive area is not all uniform. The sun tan color hue is normal and nothing to worry. You are supposed to be able to pull the foreskin back and clean the area twice daily. Otherwise, remnants of urine, dust, microorganism etc. can contaminate that part, and it may lead to itch and burning. You can use some olive oil or some other mild oil to apply and exercise the foreskin back and forth slowly and steadily. After some days pulling back of the foreskin should become much easier. The area beneath the foreskin is sensitive, and it should irritate when you touch and this would also be cared for with practice. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000001427", "text": "Hi Spam, I am sorry for the situation your father is in. Normal creatinine levels are up to 1.2 mg/DL. In older adults (as in case of your father) the creatine might be higher than normal (acceptable level up to 2 mg/DL). In case of your father, the creatinine level is 4.5 which is considered high and is indicating possible kidney problems. I highly recommend consulting with his doctor to determine what is causing such impairment and the best treatment. Possible factors might include"}
{"_id": "000001428", "text": "Thanks for your question on Chat Doctor. I can understand your concern. COPD can cause psychosomatic complications like depression, anxiety, panic disorder etc. Only Chat Doctor. You need counseling sessions by psychotherapist also. Complete rehabilitation in the form of counseling, chest physiotherapy, deep breathing exercises, assisted walking etc. are needed. So enroll in Pulmonary rehabilitation center and start your rehab.Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001429", "text": "Hello, I would like to know the exact location of tumor in your MRI brain. This will give me an idea about nature of your symptoms and I will be able to correlate them to your MRI brain. Jump to eye, loss of balance, and vertigo is suggestive of a problem in cerebellum or its connecting tracts. But the twitching in left thumb and the lip may be due to a lesion in right cerebral hemisphere. You can get symptomatic treatment for these symptoms from your doctor after a careful review of your detailed history, physical examination and MRI brain. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001430", "text": "Howell come to ChatDoctorAbdominal pain that you are having could be nonspecific if all the test turned unremarkable, sometimes emotional stress could be the reason for this, if I would be your treating physician then I would treat this case with the following medicines, if this fails to respond then this can be further investigated and MRI Gastrostomy would be advisable,1) Tab Clinician with Chlordiazepoxide three times in day take care and have a nice day."}
{"_id": "000001431", "text": "If you indirect bilirubin is high I wouldn't worry much. You might be having a benign condition called Gilbert's syn Chat Doctor.  What is more concerning is the fatty liver. You need to do the following to prevent further worsening of the fatty liver 1. Loose weight2. Stop alcohol3. Does diabetes run in your family ?  - if yes have your sugars checked. Vitamin E has shown to reduce inflammation in a fatty liver however benefit is not conclusively proven. A good healthy alcohol-free lifestyle would reverse the fatty liver in due time..."}
{"_id": "000001432", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Heart diseases can cause similar symptoms like left sided chest pain and dizziness. So better to consult card and get done1. Clinical examination of heart. 2. Blood pressure monitoring. 3. ECG 4. 2d echo. 5. Stress test. If all these are normal then no need to worry about heart diseases. Sometimes stress and anxiety can cause similar symptoms. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright. But first rule out cardiac diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001433", "text": "Hi, It means that there is possible obstruction of cystic duct, and you should do ct scan to verify is this stone or there is other type of blockage which include tumors as well, so it should be ruled out. If this is stone then cholecystectomy is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health. Kindly regards,"}
{"_id": "000001434", "text": "Hello, Thanks for the query to Chat Doctor. Forum. As you mentioned in your query all these symptoms may be due to. 1 Contact dermatitis with poisonous material as you mentioned in your query. Diagnosis can be confirmed with the help of biopsy of the blistering rashes by a dermatologist. 2 Memphis vulgarism may be due to antidermal antibodies inducing blistering skin disease. Get in blood for c b c & e s r (if very high may be the cause). Consult a dermatologist and get his opinion. 3 Scabies this also causes rash (mild) with itching and pus formation. Diagnosis can be confirmed by dermatologist with physical examination as well as clinical history. In my opinion consult a dermatologist and get his help. Good luck."}
{"_id": "000001435", "text": "Dear patient you have got 2 separate problems which needs attention. 1. shoulder dislocation 2. Lower back pain with herniated disc. first shoulder dislocation needs reduction by closed or open reduction on urgent basis. If dislocated shoulder remain non-reduced it may lead to many complications like nerve palsy and muscle atrophy. Please consult orthopedic surgeon nearby you as soon as possible. For back problem I would like to know how you came to diagnosis. Is it by MRI report of lower spine? If yes detailed MRI report to check for severity of nerve compression is needed to guide proper treatment. Please upload your report.Meanwhile, continue your. Medications."}
{"_id": "000001436", "text": "Thanks for posting you query to Chat Doctor .it is high grade fever you need to take care of it. First you should bring it to down by doing cold sponging of body with tap water (don't use ice or icy water) and give Syrup Paracetamol 150 mg.simultaneously baby should be investigated for"}
{"_id": "000001437", "text": "Hi ! It is good that all tests related to your heart were normal. Erosive gastritis m gives rise to esophageal spasm which may mimic a cardiac problem. CT scan is not the ideal investigation to show erosive gastritis. It can be diagnosed with the help of your history, followed by the endoscopy. You can go for a proton pump inhibitor, a prokinetic agent, and an antacid after consulting your doctor, and at the same time you should go more for bland diet, fresh vegetable and fruits, and avoid fast fried food from outside. Biopsy is a routine procedure whenever an endoscopy is done to exclude many other pathological processes associated with chronic esophagitis. So you do not have to worry about it till the report is ready. Wishing you an early recovery."}
{"_id": "000001438", "text": "Hello dear, thanks for your question on Chat Doctor. Chronic Chat Doctor.  Chronic lung infection like tuberculosis and fungal infection. 2. Bronchitis3.  Vocal cord pathology. So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x-ray. 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. If all are normal then consult ENT doctor to rule out vocal cord pathology. Since you are singer, vocal cord damage can be there. So rule out this."}
{"_id": "000001439", "text": "Hello dear... Laryngopharyngeal reflux is caused by the reflux of acid from stomach to esophagus and upper aero-digestive tract(throat & voice box) due to relaxation of the sphincter at the upper & lower part of esophagus. It can be associated with the sense of something stuck in the throat. Management consists of"}
{"_id": "000001440", "text": "HIT hanks for posting your query to Chat Doctor.  Gallstones can explain back and right side pain but not shortness of breath, dizziness. There is something else which is causing the problem. I need more information like, does the shortness of breath occurs even at rest or only on exertion ? Is there any chest pain ? Is there any cough ?  It could be Infection of the lungs, Anemia (low hemoglobin) , Allergy (Bronchitis) or problem in the heart. I advise you to get certain test done to know the cause of your problems. These tests are"}
{"_id": "000001441", "text": "You have rightly taken break in dance. Vertebral column and spinal cord are affected due to extreme postures or shocks and the portion of V.column say lumbar, sacral, cervical etc. which is affected, give rise to nerve pain of those regions which radiates along supply area of the nerve. Tailbone is in Coccyges region. There may be multiple spots affected. Relax the muscles. Get checked for any intervertebral disc space reductions or other problems for vertebra. For the time being bath with warm water. Try to Chat Doctor.  Avoid cold"}
{"_id": "000001442", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of pneumonia (lung infection) is more likely. In pneumonia, symptoms appear first then appears infiltration on chest x-ray. Similarly, when we start antibiotics, symptoms disappear first then x-ray infiltrates. Since your symptoms are gone, no need to worry about x-ray infiltrates. It will take time (2-3) weeks for complete resolution of infiltrates. So get done repeat chest x-ray after 3 weeks. It will mostly become normal. If infiltrates are seen even after 3 weeks then get done CT thorax. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001443", "text": "Hi Na dash, It is usual for very fair persons to have pink color over face, Ear lobes, palms, feet etc. when exposed to hot weather as the blood vessels tend to dilate resulting in rushing of blood to all above-mentioned locations giving a pink appearance. This happens to everybody but is more noticeable in very fair skinned persons. As long as there is no itching you do not have to worry about it. As for feeling breathless after reaching home, you should get your blood hemoglobin level checked. There are many other causes for breathlessness which warrant a thorough checkup by a Physician."}
{"_id": "000001444", "text": "Hi. Thanks for your query. Read and understood the history about your wife. You mentioning since who long is she suffering and any other associate medical problems does she have would have helped me a bot. All the symptoms of nausea, gas. Flatulence and chills, pain between the shoulder blades can be related to the diagnosed gall stone disease. But not the lower abdominal pain. Gall stones cause pain in the upper right side of the abdomen. I would advise her the following"}
{"_id": "000001445", "text": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment of shin bump-I don't find any reason to associate current painful lump to 2 yrs back trauma, as it would heal by now. For the lump below shin 4 was ago-I would advise you to Use anti-inflammatory Chat Doctor. This advice is based on the facts from the history you give and needs further clinical check. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day."}
{"_id": "000001446", "text": "Hello, THX to contact us. If I am your treating doctor I would like to advice you that injection given three years before was not working right now in your dog that it been I feel. The dog is I think your pet dog, and it is in front of you. So there are no question of worry. Because after a bite of 10 days or so if dog ran away than you think of rabies virus in the dog. But even for safety purpose I advise you to take rabies shots under your treating doctors consultation. If you have anything else to ask please contact me. Than. Chat Doctor"}
{"_id": "000001447", "text": "Welcome to Chat Doctor GOT and SGPT are not elevated significantly and can be taken as normal. Bilirubin is slightly raised, you can wait for it to come down. He needs to stay away from smoking and most importantly alcohol otherwise he can develop cirrhosis and vomit blood and a lot of severe problems. Get his other levels tested as well as ALP, Serum albumin, Prothrombin time for better picture. Encourage plenty of fresh fruits and vegetables in his diet, avoid junk food. Let him Chat Doctor.  Exercise by brisk walking for 40 minutes a day to keep fit and prevent unnecessary illnesses."}
{"_id": "000001448", "text": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a herniated disk. I suggest to use anti-inflammatory medications such as Ibuprofen to relieve the pain. I also suggest physical therapy and gentle stretching exercises. If the pain continues, you should consult a neurologist for further evaluation. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor."}
{"_id": "000001449", "text": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment for the painful lump on the leg-In my opinion your-treatment for hump on the leg with the PCP, has induced the nausea and weakness-which are the side effects of the NSAIDs used for painkilling. So you should not be concerned much as it would resolve by treatment with ER -Physician, who would pinpoint the cause for the weakness and nausea as above. He would also rule out the labile high blood pressure-which could be increasing and causing noticeable-nausea and weakness, which you have lately.Hence, you should investigate it with your ER Physician and Ortho-Surgeon, who would treat it according to its cause. From your facts of the query-In my opinion-above is the plan of treatment which I would advise you. So take treatment from your ER Physician- and Ortho-Surgeon, who would treat it after due investigations and treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Physician and Or tho- Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N."}
{"_id": "000001450", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion you should consult pulmonologist and get done clinical examination of respiratory system, PUT (Pulmonary Function Test). Bronchitis can cause similar symptoms. And PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). If PFT is normal then no need to worry much for this. Sometimes stress and anxiety can cause similar symptoms. So avoid stress and tension, if you have these. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000001451", "text": "Hi... I do not suggest using 2 antibiotics at the same time without proper evaluation what is happening. It could as well be only a Iraq illness which does not require antibiotics at all. 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 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\\u00a0mg/kg/dose (maximum ceiling dose of 500\\u00a0mg) 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 -"}
{"_id": "000001452", "text": "HelloThanks for your query, based on report of your semen analysis that you have posted it appears that your semen analysis report is well within normal range as per WHO standards as for as morphology, sperm count and motility is concerned except the fact that presence of 2-4 pus cells and 2-4 RBC is suggestive of infection of either seminal vesicle or Prostate. You need to take antibiotics like combination of Trimethoprim and Sulphamethoxaxole (Bactrim) for 4 weeks to control infection Repeat your semen analysis after 4 weeks. Chat Doctor."}
{"_id": "000001453", "text": "HiT hank you for asking Chat Doctor. I have gone through your query. Back pain and sciatica associated with disc herniation can last for 1 month to 6 months. With muscle relaxants like cyclobenzaprine and pain medications like tramadol I usually use in my patients to control the symptoms. Physiotherapy and muscle strengthening exercises will speed up your recovery. So you can wait for a 6 months duration before considering surgery if there is no serious neurological deficits. Hope this may help you. Let me know if you have any further queries."}
{"_id": "000001454", "text": "Hi ! Good afternoon. I am Chat Doctor answering your query. From your history, it seems that the IUD IRENA is the culprit in your pain in lower abdomen. As you are already due to remove it soon, you might be relieved completely after its removal. If I were your treating doctor, I would have removed it along with a vaginal swab culture sensitivity test, and would prescribe a broad spectrum antibiotic covering both aerobic and anaerobic organisms. This would relieve your symptoms. As presently you do not have any gastrointestinal symptoms, I would defer referral to any gastroenterologist the time being. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000001455", "text": "Hi, Thanks for writing in. In any patient with kidney disease there is potassium, phosphorus and sodium level abnormalities and this requires to be controlled. There are medicines which might be given to Chat Doctor.  Please give him foods which have less potassium content and avoid those which are rich in potassium. High potassium foods from natural food sources like beans, dark leafy greens, potatoes, squash, yogurt, fish, avocados, mushrooms, and bananas. Please give these in smaller amounts. Please do not worry."}
{"_id": "000001456", "text": "Hi and thank you so much for this query. I am so sorry to hear about this excessive fluid that you have in your stomach. This would need to be followed up with a more detailed exam to establish the origin of this fluid. It could be caused by infections or elevated procedures in the system that cause fluid to be forced into the abdomen. I will suggest that you follow up with your primary doctor to get this looked into. You would most likely require an ultrasound to measure the pressure in the blood vessels and investigations into possible liver and kidney infections. I hope this ad Chat Doctor.  Thank you so much for patronizing our services, and please do feel free to ask for follow-up clarifications and information if need be. I wish you the best of health."}
{"_id": "000001457", "text": "Thanks for posting your query to Chat Doctor. Off course raised WBC count is due to infection, but you should be concerned about this count if remain persistently high .thee may be possibility of some infection inside body. You should undergone 1. Blood culture to microbiology lab to find out if any bacterial pathogen is present in blood .2. Send me the report of your blood count to know which cells are increasing in your blood .as in different kind of infection different cells are increased .3. Peripheral blood film examination to know morphology of blood cell.review me after investigation report .take care."}
{"_id": "000001458", "text": "Degree understand your concerns went through your details. I suggest you not to worry much.  From the given description, it is very difficult to get to a perfect diagnosis about your mental condition. Suicidal tendency is always available after extreme stress and anxiety. Also, possible is that you disappointed due to some hard life events. This cyberbullying episode could be the cause of all the problems. Avoiding / correcting cyberbullying trouble may clear you. Take on the basic problem rather than the symptoms. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000001459", "text": "Hello dear. Understand your concerns. You are secured from pregnancy because you have sex in safe period, there is no chance of being a pregnant. During safe period, ovum is not released, so no fertilization has been occurred. But if you had sexual intercourse in unsafe period earlier without ejaculation, then pregnancy is possible. As pre-cum before ejaculation contain sufficient sperm, and it enters into vagina unknowingly, so cause pregnancy. Gastrointestinal problem does not cause delay in period. Your period could be delayed by the hormonal imbalance, excessive stress, change in lifestyle and dietary habit, ovarian cyst. Reproductive hormone analysis, USG scan, ovarian follicle study will help in the diagnosisPeriod can be induced by the progesterone pill under the advice of the gynecologist. I hope this will help you. Thanks Chat Doctor."}
{"_id": "000001460", "text": "Hi. Thanks for your query. The lump you have described can be a collection of fluid under the skin, a condition called angio-neurotic edema. The treatment is antihistamines and steroids. You may get such swellings at other parts of the body; why do they appear is not known. Those appearing in the mouth, tongue can be dangerous; can cause problem with respiration, and you may need an urgent injection of a Chat Doctor.  Ideally once the diagnosis of the angioneurotic edema is confirmed you should carry a note and an emergency small kit containing injection of antihistamine, steroid and a"}
{"_id": "000001461", "text": "Hi, Thank you for posting your query. I have noted your symptoms and diagnosis. Parkinsons disease (PD) is not curable and one needs to be on medications lifelong. However, one need not lose hope, as with proper medications and physiotherapy, one can maintain a fairly good lifestyle and carry on with normal life. 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/"}
{"_id": "000001462", "text": "Hi, Welcome to Chat Doctor. There are chances of ringworm infection spreading to the perianal area vulva but can be confirmed by a testing of vaginal swab for fungal culture, I suggest you keep the area clean and Chat Doctor.  Based on the test results, you can get a prescription for an appropriate antifungal by consulting a skin doctor. This treatment has to be taken for at least 6 weeks to avoid recurrence. Thanks."}
{"_id": "000001463", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have benign prostatic hyperplasia. It is prone to infection. So genitourinary tract infection is common in this. It causes pain in bladder and testis. You should take a course of antibiotics like levofloxacin. Consult your doctor and take treatment accordingly.  Chat Doctor. Hope I have answered your question, if you have any doubts then contact me at bit.ly/"}
{"_id": "000001464", "text": "Hi, Thanks for writing in to us. With a delayed or missed cycle and weight gain, the possibility of polycystic ovarian syn Chat Doctor.  It may also be that you are perfectly normal and are really pregnant. Let us consider both situations and what needs to be done.1. If you are possibly pregnant"}
{"_id": "000001465", "text": "Hi, I have gone through your question and understand your concerns about fatigue and sexual dysfunction. Stress does affect the sexual activity. It is good to listen healthy lifestyle and diet from your side. When patients with similar symptoms approach me, I suggest them Tab Mirtazapine with Clonazepam. I also suggest tablet KU TUB 30 before sex. These are prescription medicines to be taken under medical supervision and may be harmful otherwise. Go for treatment with a psychiatrist nearby you. Wish you good health. You will surely improve. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001466", "text": "Hello Diffusely coarsened and mildly heterogeneous echo texture of liver may be due to liver parenchymal disease. Normal echo texture of liver is homogeneous. Besides clinical correlation, you need investigations like routine hologram, random blood sugar, complete liver function test, urine RE/ME, lipid profile. It is good that there is no focal parenchymal abnormality, it could be a grave sign in transplanted liver. Get well soon. Take Care Chat Doctor."}
{"_id": "000001467", "text": "Hello and welcome to Chat Doctor, Adenomatosis is the colon is a pre-neoplastic condition. The type of adenomyosis has to be confirmed by histopathology. Recurrence is a common feature of polyp thus regular assessment of the large intestine has to be coned timely. In case features of malignancy develop on any of the polyps, appropriate measures have to be taken which consists of resection of the appropriate section of 40 rupee.e"}
{"_id": "000001468", "text": "Hello,First, did you see a cardiologist? Also, I want to ask you do you have some edemas anywhere on the body? Have you checked your urine or your kidneys? My suggestion is to see a cardiologist for echocardiography, Holder test (24\\u00a0hour recording of heart activity) and maybe nephrologists in order to exclude kidney reason for hypertension. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001469", "text": "It looks like that you may have hurt your back very badly. Sometimes even muscular injury can cause pain up to 3 weeks. Are you feeling like worsening than I would recommend you to get an X-ray of your spine? Sometime even such trivial fall can cause vertebral fracture, so ho harm in getting an x-ray. I would also recommend you to take muscle relaxant such as moral, apply local diclofenac gel and take warm shower."}
{"_id": "000001470", "text": "Hi, Please do not worry. Just check if the pregnancy tests were done after the missed period or before it, as those done before missed periods will be most likely negative. If the test was negative after 7 days or more from the missed period, you are not likely to be pregnant. In that case the absence of period is due to I pill and injection that sometimes delays periods. Just wait for your periods after this. If you have not taken a test 7 days after the missed period, get it done using the first morning sample of urine for best results and rule out pregnancy. Also stress delays periods so relax, you have done everything possible and so are most likely safe. Hope this helped. Feel free to ask any more questions that you may have. Chat Doctor BagdeConsultant Obstetrician and Gynecologist"}
{"_id": "000001471", "text": "Hi! Good evening. I am Chat Doctor answering your query. Even though it needs a thorough physical examination of your oral cavity and neck on the way to have a clinical diagnosis of these lumps, I would advise you to go for a FNAC (fine needle aspiration cytology) of these lumps after getting it clinically assessed by a general surgeon/ENT surgeon/maxillofacial surgeon. I would also advise you not to delay on this to get the best possible outcome from the treatment. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000001472", "text": "Thanks for your question on Chat Doctor. If you have Bronchoscopy proven acidosis than no need to worry about the diagnosis.  The best way to diagnose acidosis is by bronchoscopic biopsy. So your diagnosis of acidosis is confirmed. Acidosis is chronic lung disease which is having on-off course. So long term treatment is required to control the disease activity. And low dose steroids are needed for this. You need to get done regular follow up with PFT (Pulmonary Function Test) and CT THORAX 6 monthly."}
{"_id": "000001473", "text": "Hello,Your symptoms like restlessness and pain in legs, fear in chest and disturbed sleep point towards some disorders. First is generalized anxiety disorder. In this there is restlessness, sleeplessness, muscle pain, sweating, tremors etc. There is anxious feeling whole day. As you have normal b.p. and thyroid, I would also advise you to get an ECG done. This will rule out common medical causes for anxiety disorder. The Chat Doctor. Second is restless leg syn"}
{"_id": "000001474", "text": "Hi, Your query regarding diet control could be best answered if you provide the results of your kidney function tests i.e, urea and creatinine. If the disturbance is profound, then you should restrict intake of salt, protein and phosphate containing foods like foods from animal origin and potassium containing foods like banana and citrus. Having said that, the dietary restriction is only advisable with advanced degree of kidney dysfunction which can be assessed by your creatinine levels. Best regards"}
{"_id": "000001475", "text": "Hi, dairy have gone through your question. I can understand your concern. Lump in lung can be pneumonia, tuberculosis or lung cancer.  Don't worry much about results.  Just wait for your biopsy results. It will give you exact diagnosis. Then you should take treatment accordingly.  Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001476", "text": "Degree understand your concerns went through your details. There are no side effects for masturbation. Masturbation is natural, normal and is not unhealthy. But, as masturbation is tiresome, consumes energy, frequent masturbation can deteriorate your health. Inadequate knowledge (like you have now) about masturbation can manifest anxiety disorder and obsession with the person. You are 20. You can masturbate three times in a week. Regarding your penis, don't unnecessarily worry about its length. It is not because of masturbation. Also understand, even a 2-inch erect penis can satisfy any woman across the world. Be happy. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000001477", "text": "Hi thanks for contacting Chat Doctor... Noted here you are having both jaundice and typhoid.... Apart from lime other home remedy also there. First what is the cause for jaundice???? Gall stone ??? Hepatitis ???? So I can guide on detail... Here heavy fatty and fried food totally cut off from diet.... Soft and bland diet taken... Fruit juice more. Mashed potato, boiled vegetables etc. useful.... In lunch take green leafy salad... In evening sugar Caine juice or grinned carrot and spinach juice taken.... Vegetable soup good one.... One tsp cumin seed with milk can be taken... Small meal taken with frequent interval.... Take care. Chat Doctor."}
{"_id": "000001478", "text": "Hello, As per your query, you have symptoms of cheek bite which seems to be due to improper dentition, increased stress levels and odd chewing habits. This occurs very commonly. Need not worry about it. I would suggest you to visit oral and maxillofacial surgeon once and get it examined and start treatment as per cause. When dentition have excess gaps or very less gap than it causes flap of cheek to come in between the teeth, so dentition needs to be corrected in that case. Chat Doctor.  Chew on sugar-free gums. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001479", "text": "Hi, Your daughter would have purity lesions and the lesions may be infected. That is why they are painful. Purity may be due to some cause.irritants or allergens. Even insect sensitivity may be responsible. Your doctor would guide you after thorough history taking and examination. He might give her. Antihistamines, antibiotics and steroids in tampering dose along with mild steroid with antibiotic cream to apply on the lesions. Soap bath and suspected triggering factors should be avoided to prevent the relapse. I hope this would help you to manage your daughters' problem. Thanks."}
{"_id": "000001480", "text": "Hi, Right Bundle branch block (RBBB) may occur in subjects without structural heart disease and is most often benign. Right bundle branch block also occurs with heart disease, both congenital (e.g., atrial septal defect) and acquired (e.g., valvular, ischemic). As you are symptomatic (chest pain & palpitation), 2D-echocardiography is indicated to determine the cause.RBBB cannot be corrected with any medication. Bundle branch blocks, however, may be intermittent. A bundle branch block may be rate-related; for example, it often occurs when the heart rate exceeds some critical value-hence self-limiting. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001481", "text": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are distressed by you memory problems. There can be a variety of causes for memory problems like dementia, other amnesic syn Chat Doctor.  And so, it is important that you have a proper assessment to determine the correct cause. I would suggest that you consult a psychiatrist for a detailed evaluation, which would include formal memory tests. Further management would depend on the diagnosis. Wish you all the best."}
{"_id": "000001482", "text": "Thanks for choosing Chat Doctor. I understand that you are having intact means normal uterus, and you want to become pregnant. Yes you can become pregnancy if your periods and ovulation is normal you have got all the chances of getting pregnant. Keep trying and have relation with your partner after 4-6 days of period for next 4-5 days during which ovulation occurs and chances of pregnancy are more. For any other assistance please see a gynecologist."}
{"_id": "000001483", "text": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Moslty you have Fur uncle from the history you give.Hence, I would advise you to check with ER ENT Surgeon. And he would resolve your issues with your nostril Fur uncle. So don't have wrong concepts and create more psychic complications in you. Hope this would relieve your problem. Wellcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N."}
{"_id": "000001484", "text": "Hello, Thanks for consulting Chat Doctor, Read your query, as your dad has headache, running nose this can be due to toothache, maybe there is carious tooth, painful and swollen gums, or pain can be due to sinusitis also. For this I will suggest you to consult oral medicine specialist and go for proper diagnosis of oral cavity, if this pain is due to tooth related then go for its treatment and if pain is not related to tooth then consult ENT specialist that pain might be related to sinus. Hope it will help you.  Wishing you good health. Regards,"}
{"_id": "000001485", "text": "Welcome to Chat Doctor .1. This kind of pain is seen in the nerve irritation, but for your age i don't think there is much to worry about.2. There might be some trauma which you have not noticed.3. Get an appointment with your GP and get a Lumbar spine AP/LAT x-ray, to see if there is any gross pathology (bone pathology - alignment)4. Make sure that there is no underlying systemic diseases. 5. Do simple back exercise on daily basis, and flat bed to lie. Which should help you. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000001486", "text": "There is no need of face cream which contains oil base or oily substances as your skin is already oily. But you should use ayurvedic team. 1. Chandon(Pteropus Tantalizes) = 50gm2. Vacha churn(Acorns Calais Powder) = 5 gm3. Dhaniya seed (Coriander seeds) = 50 gm4. Manisha (Rubin Cordiofolia) = 25 Muse 5 gm mixed powder with rose water and apply on face and after 30 min. wash with warm water. Ayurvedic Medicine for internal use"}
{"_id": "000001487", "text": "Firstly all the blood pressure reading mentioned are in the normal range and so you need not worry about the same.  You are true in saying that statin does cause new onset diabetes, but the risk is rare. To be frank its 1 in 250 patients treated with statin over 5 years may have diabetes. And so the benefit for heart condition is far more than the risk of diabetes due to statin, so do continue the same and keep 6 monthly monitoring of the blood pressure. Regards Chat Doctor."}
{"_id": "000001488", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Your infection arises because of the weak immune system.First you should diagnose yourself by ELISA testing. If its showing positive reaction for the pox than you can start the appropriate antiviral Chat Doctor. This will cure the infection at earliest. As the organ has received we can't do of the"}
{"_id": "000001489", "text": "Hi! Thanks for choosing Chat Doctor .com. A sex change procedure from male to female or vice versa involves changing the genitalia as well as other physical attributes like breasts or body hair. It is a fairly expensive process and costs upwards of Rs 1.5 lakh for male to female, and about Rs 4 lakh for female to male operations. It involves hormone therapy and multiple operations, done in stages. But before that, the patient has to be counselled about the physical and social fallout of sex change and a psychiatrist has to give his approval that he or she is indeed ready to undergo the procedure.Also, familial support can go a long way to help such people. Please ask your friend to go to counselling session, get the pros and cons of such a procedure and then only proceed further. Take care."}
{"_id": "000001490", "text": "Hello, I would suggest you visit a cardiologist and do all the examinations, including a heart stress test, and probably an Anglo CT of your coronary vessels.  I recommend taking a rest until the doctors visit and the use of aspirin 100\\u00a0mg once a day, Atorvastatin 20 mg once a day in the evening, bisoprolol 2.5 mg, once a day depending on your heart rate if you do not have any contraindications. These are until you see the doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000001491", "text": "Hi, Regarding your concern, I would explain that these bumps can be lymph nodes or inflammation. Another possible cause to consider is skull modifications related to calcium deficiency. I would recommend consulting with your doctor for a physical exam. Further tests may be needed like"}
{"_id": "000001492", "text": "Hi. Thanks for your query. Read your history and understood your problem. From the history you have provided, this looks to be a problem of Gastroenteritis, may be something like typhoid. Pain in abdomen can be due to infection, which in turn gives rise to headache and stiff muscles as the toxins of the infection from the intestines spreads through the blood to other areas. I would advise you the following"}
{"_id": "000001493", "text": "Hi, dairy have gone through your question. I can understand your concern. Symptoms of cancer are weight loss, weaknesses, fever, lymphadenopathy, liver and spleen enlargement etc. His hemoglobin and WBC level is low.  He may have pancytopenia. There are many causes of that.  He needs bone marrow examination once to search the cause. Then he should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001494", "text": "Hello, Thank you for trusting ChatDoctorSince you have been having symptoms for almost a week now, there is the possibility of bacterial gastroenteritis caused by Ecol (especially with recent travel). Stool analysis and culture is recommended at this point. Treatment is with antibiotics like Bactrim. Please be advised to follow up with your primary care provider for necessary managementMeanwhile, follow a liquid diet like soup, Chat Doctor."}
{"_id": "000001495", "text": "Hi welcome to Chat Doctor, I understand your query and concern. Your symptoms are suggestive of hypersensitivity reaction secondary to itch of insect bite. I advise you to get skin hypersensitivity test. I also advise you to start taking Chat Doctor. Levocet, Tab. Fexofenadine and tab.flucon for 5 days. If symptoms do not relieve within 3 days, you need to go to an Emergency room and monitor your vitalsConsult your physician and dermatologist for expert management. Hope I have answered your query at the moment. Post your further queries if any, Thank you."}
{"_id": "000001496", "text": "Hi. Thanks for your query. First Stop Genocide forte as the dose is for 3 weeks only. Doxycycline can be taken up to 3 months. The chronicity and not getting well in epididymitis indicates for further investigations. I would suggest you the following"}
{"_id": "000001497", "text": "Hello, History noted. Kindly don't worry. The POD with which you have already been diagnosed is having no role with this current issue. The kidney stones is the problem which has caused the bleeding in urine and reason for the severe left sided abdominal pain. The extreme intense pain has caused you the vomiting due to stimulation of the center responsible for vomiting in brain. You have been treated with antibiotic to prevent infection and antispasmodic to control pain. Urinary infections at times will cause blood in urine but the pain will not be so severe. If once diagnosed with kidney stones, there is high chance for that pain to reoccur. Hence, get consult with a Urologist and start treatment as early as possible. Blood in urine and left sided abdominal pain may be due to kidney stones, but those symptoms does not confirm the existence of kidney stones without the imagination study. Similar symptoms may occur with other problems too. Example colitis with urinary tract infection may present with these symptoms. If you have not undergone a scan, kindly get it done for confirmation. Get well soon. Good day."}
{"_id": "000001498", "text": "Thanks for asking question. Gone through your question and I understand your concern. You said that you are child is not feeling good, and he is touching his ear with cold and cough.  Sometime the infection from cold and cough can go ears, which needs some more specific treatment like antibiotic.  I suggest that you should consult emergency for full check up specially ear.  Thanks wish you healthy family life"}
{"_id": "000001499", "text": "Hi, I think the OCP has been given to treat the endometriosis. But one can't conceive on OCP medicine as it is also a contraceptive. As you told she had blocked tunes. I just wanted to know if you came to know about the blockage by HSG or laparoscopy. If block was seen on HSG, she should undergo a laparoscopy to confirm it. If it was found on laparoscopy then she has to undergo IVF to conceive. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001500", "text": "I would have liked to know your age and the age at which your relatives developed ovarian cancer. Anyway, what you should do is get a blood test done called CA-125. If it is elevated then the chances of you having ovarian cancer are high (the higher the level, the more the risk). In that case you will have to undergo surgery for ovarian cancer by a cancer surgeon. If it is normal, then the chances of you having ovarian cancer are much less (though not zero)., in which case you should repeat the CT scan after 2-3 months. If the cysts persist or increase in size, then also you should undergo surgery. If they decrease or disappear, forget them. Meanwhile, take adequate painkillers for the pain."}
{"_id": "000001501", "text": "HelloThanks for your query, You have not mentioned nature of surgery of bladder that has been carried out, The pain in tip of the penis could be due to infection of the terminal part of urethra (Urethritis)Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like \\u010ceferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria."}
{"_id": "000001502", "text": "Hello madam, Loss of sensation over fingers, weakness in grip strength if it there ;are of neurological injury. This could be due to tight plaster or bandage or direct injury to nerve. It has to be evaluated to look which nerve is involved and at what level so examination and several investigations is needed. Kindly consult an orthopaedician for the same. I hope your husband will get well soon. Thank you"}
{"_id": "000001503", "text": "Hello Increased ALT indicates liver injury. Increased ALT may be related to alcohol intake. Most probably reason for taking lipanthyl is hypertriglyceridemia. You need further investigations like viral markers, ultrasound of abdomen. In such conditions, I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. You should continue hyperlipidemia Chat Doctor. Try to avoid alcohol completely. You should also avoid red meat and high fat milk products. You should avoid fried and junk food. Increase your physical activity also. Take Care"}
{"_id": "000001504", "text": "Hello, Thank you for your question. The common side effects of metformin are gastrointestinal, including a metallic tests in the mouth, mild anorexia, nausea, abdominal discomfort, and soft bowel movements or diarrhea. These symptoms are usually mild, transient, and reversible after dose reduction or discontinuation of the Chat Doctor.  Although metformin is generally well tolerated, patients taking metformin may develop gastrointestinal side effects even after many years of use. If gastrointestinal symptoms develop while taking metformin, we institute a metformin holiday, which may lead to resolution of symptoms. After a period of non use, metformin may be successfully resumed at the same or a lower dose with slow titration of the immediate-release or extended release formulation. You can let him stop taking metformin. And go to see his doctor why he prescribes metformin for him. Hope I have answered your query. Let me know if I can assist you further. Best regards,"}
{"_id": "000001505", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have fever with shivering since 30 days which is something you should be worried about. Possible causes for this fever are urinary tract infection, tuberculosis and viral infection. I would suggest you to visit general physician once and get complete urine culture examination done and apart from that get CBC, ESR, chest x-ray and sputum examination, tuberculin test done. Till then take antibiotic along with Ibuprofen and anti-inflammatory Chat Doctor."}
{"_id": "000001506", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. Anxiety is a disorder and not a disease. You must understand that disease needs medicinal intervention and disorders not. Panic disorder always follows anxiety. Extreme panic disorder might also cause vomiting. Anxiety is subjective. Anxiety is apprehension about a future event which we apprehend as embarrassing or fearful and fear the incident today itself, whereas there is no surety that such thing may happen in the future. We all know that it is foolishness (don't misunderstand me). You are doing that foolishness again and again. Please understand. Becoming aware of the foolishness is the first step of cure. Relaxation is the key. Now you need to do as per the advice of the physician who is treating you. If you do not have insurance, you should find other means. Sitting and lamenting about your fate shall become more dangerous than the panic attack. Please understand. 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 in short term. Hope this answers your query.  Available for further clarifications. Good luck."}
{"_id": "000001507", "text": "Hi, I have studied your cafetiere can be bony contusion. As x-ray may be essential to rule out fracture. If swelling is there, you need to take rest and use splint or compressive cr\\u00eape bandage to reduce swelling. Watch for increase in redness, infection. Take precaution to avoid infection around hematoma. Do not use hot fomentation or massage. If required you may need to do blood investigation for prognosis and recovery.X-ray may be required after clinical examination. 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."}
{"_id": "000001508", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe pain on jaw. Well there can be many reasons for symptoms you mention in query like bruise, TML problem like ankyloses and TML disc problem, heart problem like angina, malocclusion and cervical spondylosis. I would suggest you to consult oral surgeon for proper examination. Doctor may order CT scan or MRI OT TMJ to confirm the diagnosis. Doctor may also check the occlusion. Doctor may give night guard, refer you to orthodontics for correction of occlusion or recommend surgery for TMJ problem. Doctor may also recommend physical therapy along with stretching exercises . For now eat soft food, apply warm compresses to TMJ and take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000001509", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, I think you are having bronchitis. The most common cause for this is lung infection. So I advise you to consult pulmonologist and get done 1. Clinical examination of respiratory system 2.  Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So get done PFT. You may need inhaled bronchodilators, antihistamines and antibiotic Chat Doctor.  So better to consult pulmonologist and first diagnose yourself and then start appropriate treatment."}
{"_id": "000001510", "text": "Greetings. Welcome to Chat Doctor, and thank you for your question. I understand your concern. If it was something heart-related, at your age there are rare conditions that can be inherited disorders, that would have palpitations for symptoms. However, these disorders are almost always caught in the EKG, and each one of them has specific EKG signs. Therefore, we ruled that out. You mentioned that the \\\"jump-starting\\\" of the heart happened in the gym. It is normal for the heart rate to go up while being physically active. In your case, it is tolerated up to 200 beats per minute (220 - age, is the formula). The anxiety or panic attacks are almost always triggered by some event, such that, the person experiencing them, knows which places or venues will trigger their attack, such as public speaking or performance, crowded places, narrow pathways etc. It works in that way that a certain phenomenon causes the panic attack. From that moment on, every single symptom you experience, comes from anxiety"}
{"_id": "000001511", "text": "Hello! Thank you for the query. Finding enlarged appendix with 19k WBC and fever and sending you home is more that risky for you and for the doctor who did this. You obviously may be suffering from appendicitis and the only way to diagnose it is to rule all other possible reasons of such conditions. The lump in your belly button can be an umbilical hernia (if it has gotten stuck, may be causing such symptoms as well, and should be treated right away) or persisted Uranus (this is a connection between urinary bladder and umbilical cord which should disappear). Persisted Uranus gives umbilicus discharge and urinary tract infections. It is advisable for you to go again to the doctor and have abdominal ultrasound with abdominal wall view, full blood work (CRP and WBC will tell either infection is rising or not), abdominal X-ray (stuck hernia can cause intestines obstruction), urinalysis. Hope this will help. Regards."}
{"_id": "000001512", "text": "This all is suggested that you an infection of the urinary system as well as intestinal system. I would advise you to go for tests"}
{"_id": "000001513", "text": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. In case of Chronic Tonsillitis, if we talk about conservative management, I would advise you to follow"}
{"_id": "000001514", "text": "Welcome to the ChatDoctorI have gone through your question. Most likely your child is suffering from an allergic reaction as it has progressed with in hours. It might be also, granuloma annular or annular lichen plans. Anything definite can be said only after proper dermatological examination. I would recommend you to give your son a dose of antihistamine like Spy. Ben Chat Doctor.  If the lesion subside, it will suggest an allergic reaction which might be due to some allergen in surrounding. Try to avoid allergen in future if possible. In case the child do not respond or the condition deteriorates, then immediately consult a dermatologist for definite diagnosis and management. Hopefully this will be of help. Take care"}
{"_id": "000001515", "text": "It looks like that after tooth extraction you have developed hematoma. This is a common problem after the wisdom teeth extraction. This hematoma will dissolve itself with time as the healing of extraction sockets take place. Maintain very good oral hygiene and make sure that this hematoma is not irritated. It is better to get an appointment with dentist and get his opinion also as it is difficult for me to give the advice with clinical examination"}
{"_id": "000001516", "text": "Hello, Your mother is suffering from psychotic disorder. It is a well treatable illness when given proper meds for sufficient time. She should be given newer generation antipsychotics- risperidone or olanzapine, or amisulpride etc. along with sedatives for initial period. These meds have less problematic side effects. She must have been given old antipsychotics which produce many side effects, especially sedation and EPS (movement problems). Without knowing what she is currently on, it is difficult to suggest how to shift on new Chat Doctor. Please ask the doctor to give her new"}
{"_id": "000001517", "text": "Thanks for choosing Chat Doctor. See you are contact with your doctor so that he will definitely take care of your problem. You should be investigated for cause of abortion. Whether it was due to some infection or otherwise and should be treated for the same first. Your doctor will do your ovulation study and necessary investigation to ascertain the cause of infertility. If investigations are normal, and then you have to keep patience and do as advised. Do not lose hope in this era of stress, infertility has really become a problem. All the best and do not worry."}
{"_id": "000001518", "text": "Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Question"}
{"_id": "000001519", "text": "Hellos you stated that your daughter is having typhoid fever (assumed that Tidal or other serology test are positive for typhoid). This is (typhoid fever) not life-threatening and treatment is very simple. The Chat Doctor. If fever present take Tylenol 10 mg whenever require. Also give her plenty of juice and fluid without ice. Within 14 days she will get complete relief. But this is a prescription"}
{"_id": "000001520", "text": "Hi, The changes described are degenerative (related to aging and lifestyle). A disc osteophyte complex occurs when the intervertebral disc moves backwards (slip disc) and the adjacent bone enlarges to try and keep the disc in place. This leads to compression of the spinal cord and adjacent nerve roots which cause symptoms. Uncovertebral arthrosis and facet join hypertrophy simply represent degenerative arthritis of some joints in your cervical spine which may cause pain by itself or cause compression of your nerve roots. Foraminal stenosis means that there is narrowing if the neural foramen which is the pathway through which your nerve roots pass. Treatment usually depends on your symptoms. If you have severe symptoms of nerve root compression (tingling or shooting pain along an arm, weakness of one hand, etc.) you may need operative intervention. However, if pain is your only symptom, you may improve only with medication and physiotherapy. You need to meet an orthopedic surgeon to evaluate your problems and discuss various options.  Sincerely, Vamshi"}
{"_id": "000001521", "text": "Hello, Your Description sounds like it may be in your joint called the TMJ. Some anti-inflammatory medicine is recommended. Try a soft diet as well. Do you hear any clicking or feel your jaw shift to one side when you open? There is a disc that can be not moving correctly or damaged in this joint. Stress on this joint can occur from trauma, grinding one's teeth or an unusual use.  If it persists or gets worse, consult an oral surgeon for a Andrew X-ray which will show the jaw. This is my suggestion to start unless you can provide additional details and symptoms. I would be glad to help you further. I hope you find some relief."}
{"_id": "000001522", "text": "Hi, dairy have gone through your question. I can understand your concern. High hemoglobin level may be due to polycythemia Vera. It is a chronic myeloproliferative disorder. Simple deny Chat Doctor.  Many viral infection can lead to high hemoglobin. You should go for peripheral smear examination and complete blood count. Then take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/"}
{"_id": "000001523", "text": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. ESR is high suggesting sever inflammation. 2. However, possible osteoarthritis of knee won't cause such high level. Get a urine or serum examination of gamma globulin levels to rule out multiple myeloma.3. Also need to rule out any autoimmune disorders, if multiple myeloma is negative. Get serum anti-nuclear antibody evaluation. Hope it helps. Any further queries, happy to help again."}
{"_id": "000001524", "text": "Hi...putting tongue in-between lips while sleeping is not related to head injury. I understand your concern. First be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about her trivial head injury. Regards -"}
{"_id": "000001525", "text": "Hello, If stent is not patent then new stent can be put in, and she can undergo surgery as well called as carotid endarterectomy, after seeing the feasibility on reports. Also, blood pressure should be controlled.  She should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then she should be on medicines for it. Regular exercises like brisk walking, jogging according her capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat."}
{"_id": "000001526", "text": "Hello and Welcome to Chat Doctor, Thanks for writing to us. Extraction of wisdom teeth is often associated with post complications like fever, nausea and vomitingAfter extraction, the healing process starts and there is increased salivation due to which you may feel nausea and vomiting. Due to reduced appetite and low intake of diet you may feel hyperacidity and vomiting. Fever can be reactionary symptoms or sometimes infection of the extraction socket may lead to pain and fever. Continue with the course of antibiotic and analgesics prescribed to you along with paracetamol. If the symptoms do not subside in 3 to 5 days you need to consult your dentist Hope this helps you. Wishing you good health... Regards."}
{"_id": "000001527", "text": "Hello thanks for asking from Chat Doctor for your health related queries can understand your concern. You have persisting headache and problem in getting tensed quickly. The headache is present chiefly on top of head and is associated with chest and epigastric discomfort. The location of headache and association of headache with tension suggest more towards tension headache. But your ESR is in higher range and shouldn't be ignored. Raised ESR and severe throbbing pulsatile headache chiefly in temples can be the presenting feature of temporal arthritis, though your symptoms are different. Still I'd advise you to visit a doctor for evaluation and to rule out this. In tension headache low dose Amitriptyline, Nortriptyline etc. Chat Doctor.  These"}
{"_id": "000001528", "text": "Hi welcome to Chat Doctor. I have gone through your question. As you had done ultrasound color Doppler scan of scrotum of your husband, if not then do this first to rule out varicocele and see vascularity of testes. Then consult urologist for him. Do ovulation profile, thyroid profile, histosalpingography HSG of you to rule out any abnormality. Then I would suggest that if anything found abnormal with you then consult gynecologist and can be treated with medicines. No need to jump on IVF intro fertilization directly. Hope I answered your question. Would be happy to help you further. Take care."}
{"_id": "000001529", "text": "Hi, dairy have gone through your question. I can understand your concern. Sorry to hear about your mother. She had breast cancer.  It was just stage 1 cancer without lymph node or distant metastasis.  Her surgical margin and base are free from tumor.  So chances of death due to cancer itself is very rare.  But she may have some complications after surgery.  Pulmonary embolism or some other complications can lead to sudden death.  Sorry for her but this can happen sometimes.  Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001530", "text": "Hi dearWelcome to the board of Chat Doctor. Dear friend you had a surgery in head and neck area this area is full of nerves and blood vessels. And even your skull bone was also operated. Usually some minute nerves are damaged during surgery, which is quite common, leading to all these symptoms. All the damages areas are inflamed for some weeks which are in course of healing causing a lot of hurt/pain/tenderness to the area. With due course of time there will be healing of these disturbed nerves and other tissues and then gradually your symptoms will wash off. Hope your query is answered. Thanks"}
{"_id": "000001531", "text": "Hi, In Hodgkin lymphoma no role of surgery is there. Probably you wanted to mention surgical biopsy. Now, stage II Hodgkin lymphoma is managed by chemo radiotherapy. As already 5 years have been elapsed chance of recurrence is lower but at this stage main concern will be chance of developing second cancer due to previous treatment and late toxicities due to chemotherapy and radiotherapy. If radiation to neck and/or mediastinum (chest) was given previously, annual chest imaging (high resolution CT scan) is an option to identify any early thoracic cancer. Testicular swelling seems to be unrelated to the disease entity. It may be due to epididymo-orchitis. Ultrasound should be done for proper diagnosis. Take care of your son."}
{"_id": "000001532", "text": "Hi I do care for your concern.  You are suffering from varicose vein, the venous blood gets stagnated in the lower leg as cause venous pooling of blood. This cause edema to develop. Due to edema and pressure caused by it boil develops and the edema fluid escape out. The is nothing related to sting or insect bite. It is advisable to Consult a surgeon and get examined of varicose vein and to know about different treatment options available.  In most of the cases simple surgery will relive all the symptoms. For time being avoid standing for longer duration, elevation of limbs by using pillow at night will add to help. Hope I have answered your question, If you have more feel free to ask. Thank you."}
{"_id": "000001533", "text": "Hello! Welcome to Chat Doctor ! Clarify whether lymph nodes swelling after hair dye or before that was present. First need to do investigation completely including FNAC and CXR etc., after that only we can tell you it was due to reaction or not. Based on your symptoms, I will advise you to take Ayurvedic medicine like tab Kandahar juggle, 2 tablets thrice a day. It will cure your lymph nodes swelling and inflammation. Thank you for contacting us. Hope this clarifies your concerns. Take care"}
{"_id": "000001534", "text": "Hello and thanks for the query, well considering your history and your LMP date you have missed your periods since your urine pregnancy test has come back positive which is due to raised beta Chat Doctor levels, and it would be better if you got a repeat USG after a few days and the brown discharge could be due to an ectopic pregnancy, so I would advise you to get a blood levels of Beta Chat Doctor also. Your gynecology would guide you regarding the management of the situation .take care."}
{"_id": "000001535", "text": "Held, This looks like a panic attack but one should always try to rule. Out a cardiac cause in. First go. Getting an ECG will rule out any related heart disease and if it is normal then it is panic attack for sure. Now, panic attack can occur in association with anxiety or alone. If with anxiety then paroxetine helps a lot. If they come alone and frequency is less-there is no need to start a regular medicine but take clonazepam 0.25-0.5\\u00a0mg in attacks. If they become regular occurrence then one must start a regular Chat Doctor. Donor worry please, you will be fine. It is manageable and do get an ECG first. Hope this reply is useful for nourish you good health!"}
{"_id": "000001536", "text": "Hello, I have gone through your query and understood the concern. From the description you have given, it appears as though you are passing concentrated urine and hence the smell and color. To clarify, you can get a simple urinalysis. This presentation cannot be related to the insertion of the IRENA. The intake of several foods and also mineral and vitamin supplements can give specific color and smell to the urine. You have to increase the intake of water per day to at least 2 liters. If you notice improvement, the cause is obvious. If not, you should check with a specialist for further management. Hope this helps."}
{"_id": "000001537", "text": "Hi. Thanks for your query and an elucidated history. From the history provided by you, I would think of a right sided ureteric colic. The stone in the ureter causes severe pain, sufficient to roll over, and can be referred to the upper thigh region. Another least possible reason can be ovarian, appendicular problem. Ultrasonography and relevant blood and urine test may help. I think she needs injectable form of antispasmodic like Tuscan or so."}
{"_id": "000001538", "text": "Thanks to ChatDoctorHERE I CAN UNDERSTAND YOUR PROBLEMSwollen glands below the jaw are lymph node enlargement due to either infection in mouth or in blood.allergies are rare case s of swollen glands swelling over the shoulder region also may be gland engagement don't worry, please undergo for CBP, ESR , ULTRASOUND OVER THE NECK Region allergies you can bale levocetrigin 5 mg once daily take antibiotic metronidazole 400\\u00a0mg thrice, along with Latin 200\\u00a0mg twice daily take some anti-inflammatory Chat Doctor.  Ok"}
{"_id": "000001539", "text": "Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  You had pain in the upper abdomen, bloated, exhausted, previously also you had such pain.  The pain in the upper abdomen is suggestive of the gastric pain due to peptic ulcer, or gastric irritation due to irritant foods. Gall bladder pain, or pancreas pain, or stones in the pelvis of the kidney.  I advise you to consult a surgeon for diagnosis and treatment, as it may become severe as the time passes.  I advise you to avoid spices, junk foods, and oily foods.  Wishing for a quick and complete recovery.  Best regards."}
{"_id": "000001540", "text": "HelloThanks for the query. Since pain is from one year and still persistent. May be due to .1 Right renal stone, sometimes transparent stone don't visible in scan and only history will find out .2 The next possibility may be right ovarian cyst or fallopian tube infection. Diagnosis can be confirmed by ultrasound of right ovary with clinical and physical examination. 3 Right side bone tuberculosis, diagnosis can be confirmed by blood for E S R examination with clinical and history of illness. In my opinion consult a physician and get his opinion. If you are a female patient then consult gynecologist and get his opinion. Sometimes first opinion don't find any disease but in 2nd opinion we can find out the exact reason of illness, so 2nd opinion is necessary. Good luck."}
{"_id": "000001541", "text": "Hi, Thanks for writing in. Sorry to hear about the cancer your mother is having. Cancer is a difficult condition, but she must fight till the end. Unfortunately survival for more than 2 years is rare, but please do not give up hope and continue treatment. Stage 4 stomach cancer is a difficult condition to treat, but she should be maintained on treatment to make the disease stable and prevent disease progression. It is difficult to do surgery in a patient having stage 4 cancer stomach. Chemotherapy and radiation therapy are the choices available to extend her survival and slow the disease process. With limited choices, radiation therapy might help. Please continue to give her nutritious food and also give her plenty of water and fresh juices. Giving her soft diet will be beneficial for her digestion and help her to put on weight and feel stronger. Please do not worry."}
{"_id": "000001542", "text": "Hi, Lets start from the surgery. Your doctor may have explained to you that in hypertrophic cardiomyopathy the heart muscle gets very thickened. Such thickened muscle may produce life-threatening arrhythmias, that's why defibrillator was implanted, which is the most efficient way to prolong the life of patients with hypertrophic cardiomyopathy. Also, in some cases, the thickened muscle obstructs a part of the heart from where blood flows from the heart to the aorta. Two types of surgeries, who mentioned are done in this case. They are meant to reduce the thickness of the muscle in the heart septum, thus, give a chance to blood flow to the aorta. Heart failure in patients with hypertrophic cardiomyopathy have two causes 1. The obstruction I have mentioned above 2. When heart thickened heart muscle starts work weak, and heart can't pump enough blood to the body. You can talk to your doctor to find out which one is the case of your husband. In the first case, the surgery may help. In the second case, only medications are indicated. The life expectancy of heart failure patients depends on many factors, one of them is how weak is heart muscle. But usually if you can achieve good results with medications, his 5-year life expectancy may be quite high, especially if he has a defibrillator. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001543", "text": "Hello, This would have to be done by a physician of course. The blocker in Suboxone is short-acting and 2 days at the very most (and more likely 12 hrs) would be enough to get the blocker out of the system.  The Suboxone is still there. It is a strong narcotic. It often helps the pain.  The first thing which you may have already done is to go with a heavy dose of anti-inflammatories since this does not interact with the Suboxone and is a strong pain reliever for dental pain. The Suboxone could be stopped BUT anyone on Suboxone is a high risk of having addiction problems when not on it. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000001544", "text": "This condition is called hyperglycemia it is because the protein in the body should be metabolize so uric acid is the by product of this metabolism. The uric acid is excreted out by kidney normally uric acid is increased in the body. Take a diet with lesser protein intake.  It can be caused because of less enzyme in your body which under excretes the uric acid. So you go to maintain strict diet principles go to a dietician and get the right diet you have a normal life if you follow the dietary restrictions as of pains. You are given painkillers and a medicine for long term called colchicine which you have to use long term and keep checking the levels of uric acid."}
{"_id": "000001545", "text": "Hi, welcome to Chat Doctor . I do understand your depression.you should elaborate a little about duration and regularity of your menstrual cycles. And do you mean D&E by surgery?? As of now according to your history there may be hormonal disturbance or just lack of timing of intercourse.you can try timed intercourse(during most fertile period) calculated according to the cycle or get investigated for your condition from your gynecologist."}
{"_id": "000001546", "text": "Hi. Welcome to Chat Doctor. I read your query. In case of spacing or irregular teeth, they are not treated individually but as entire dentition. I suggest you get an OPG and Lateral cephalogram done and visit an Orthodontist. If rest of your dentition is fine and the gap is the only thing and if it can be closed by their movement only, then your treatmentvwont require permanent braces. But usually this is not feasible as moving a tooth ultimately require whole dentition adjustment. You can go for capping or veneers for only gap closure. Or there are transparent braces these days which are less visible. Treatment with fixed braces can last from 6 months up to a year varying from case to CAS. And you may need to have a retention wire on inner side of your teeth to prevent relapse. This all needs to be decided after proper case study only. Hope the answer helps you. Thank you!"}
{"_id": "000001547", "text": "Hello can understand your problem, and I am sorry about your husbands' death. You feel guilty that you couldn't save him due to panic. You missed the important hours. See just ask yourself who is most affected due to death of your husband. Your intentions were to save him. This is just because he died you have started blaming your self. You loved him very much, and could have done everything to save him from death if it was possible. There are a lot of things in world which are not under control of anyone. Death is one of them, what happened was bound to happen. Don't blame yourself as you have to look after yourself. The more you blame yourself more you will feel depressed. Please don't think about this thing again and again. Try to relax yourself with yoga or meditation. Thanks, wish you a good health."}
{"_id": "000001548", "text": "Hi ! Good evening. I am Chat Doctor answering your query. Usually this kind of metacarpal fractures heal well with splint ages. However, in case you are getting pain along with a swelling, it could be a major displaced fracture, and might need an expert opinion and management by an orthopedic surgeon with whom you should take an appointment to get it fixed. Till then, you could go for an anti-inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000001549", "text": "Hello, Thanks for using Chat Doctor. I read your query and understand your concerns. The presence of recurrent leg pain and chest pain clearly indicates that the deep vein thrombosis is still going on despite the use of medications. Although there are multiple causes for it but blood disorders and interrupted flow of blood in venous system is most important. In addition, it is possible that prescribed dose of income is inadequate. I will request you to get PT and INR from nearby laboratory to know the commutability of blood. This will help you in deciding the optimum dose of Income. I hope this answers you. Thanks again."}
{"_id": "000001550", "text": "Hi...a swelling in a 2-year-old up to the point of making the kid limp and going on for 2 months should definitely be evaluated. Hemoglobin count of 9.5 and positive CRP doesn't signify that it is Juvenile Rheumatoid arthritis. At the same time it is possibility. I have few questions for you - 1. Does she have any chronic or recurrent fever?2. Is there any other joint involvement?3. Is there any family history of rheumatoid arthritis or other chronic illnesses?4. Is there any rash over the body?5. Is there any jaundice or lass of appetite? You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ Chat Doctor."}
{"_id": "000001551", "text": "Any child who is having high fever, and on medication may present bleeding from gums/throat as inflammation of these can cause mild blood come out from mouth , but if heavy blood, non-stop, continuous, then examination of throat/mouth by physician is necessary, maybe he will request complete blood test CBC to see platelets count is not fallen, a cause of bleeding, so follow up with doctor is needed in case bleeding is non-stop"}
{"_id": "000001552", "text": "Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. Ectopic or abnormally located kidneys, are congenital or a birth anomaly.There's nothing to worry, unless it causes complications, like high B.P. If the renal artery is compressed, called renal artery stenosis, its a cause. This is easily diagnosed after doing a renal angiogram. A DMS scan may be done before it. The B.P.medicines must be taken daily. If you've any doubts, send the reports to me, as a direct question. Chat Doctor.  Manga."}
{"_id": "000001553", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Breathlessness and tachycardia (rapid heart rate) are commonly seen in bronchitis and lung infection. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray to rule out lung infection. 3. PUT (Pulmonary Function Test) to rule out bronchitis. If all these investigations are normal than probably anxiety is the cause. Stress, tension and anxiety can also cause similar symptoms. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. First rule out Pulmonary causes. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000001554", "text": "Hi there. Thanks for your question. It is not uncommon to have radiating sciatica kind of pain at rest. Pain which is present on sitting and lying down, relieved on movements, suggest an extrapyramidal kind of disc herniation, which is particularly common in people above 50 years of age. It is quite distressing since rest exaggerates the pain. I would suggest you to get an MRI and re confirmation the finding. Aonce its confirmed injection shots give considerable relief. If no pain relief with injection, the next step would include surgery. But surgery would surely be the last step in the ladder. Hope this helps. All the best. Regards. Chat Doctor."}
{"_id": "000001555", "text": "Hello, Considering the fact that your period was delayed by five days with uterine contraction and bleeding to Chaotic. You had bleeding for two to three days and, then the bleeding stopped. There is no uterine contraction, the bleeding has stopped completely. It indicates that a possible pregnancy is completely ruled out. The confirmation would be after an ultrasound of the pelvis. Please consult your gynecologist. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001556", "text": "Thanks for posting on Chat Doctor. Child Chat Doctor.  Antibiotics are ineffective, and the condition spontaneously resolves in 5-7 days without antibiotics. However, in an apprehension of secondary bacterial infection, somebody may add antibiotics. Unless there are chest findings, you can skip antibiotics. You may add some antiallergic like levocetirizine as there is generally an allergic component. Also use nasal saline"}
{"_id": "000001557", "text": "Which aggravates after walking or straightening of spine (such as during lying on bed and turn over my stomach) and relieved with bending forward, sitting or taking rest suggests lumbar canal stenosis .it's a dynamic phenomenon in that neural canal diameter decreased due degenerative spine disease. Obesity aggravates the problem. In initial stages analgesics such as ibuprofen, weight reduction and flexion regime exercises (series of exercises in which abdominal muscles strengthens) gives some relief. For this you need experts guidance by rehab specialist and physical therapist. 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."}
{"_id": "000001558", "text": "Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, after a physical examination of your abdomen, I would advise you for a stool test for ova and cyst, a urine test to rule our a UTI, a complete blood count, and an ultrasound of the abdomen if need be. Till the reports come, I would advise you for an anti-spasmodic and a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000001559", "text": "Better to see a GP as you are a known patient of the diagnosis you have mentioned. A clinical examination is always one that can clinch the diagnosis and complications. CT scan of the abdomen is better to be done as it will help to find out the reason for pain in upper right abdomen. The probable causes are"}
{"_id": "000001560", "text": "Hi and welcome to Chat Doctor.  I understand your concerns and I will try to help you as much as I can. This is probably a fibroadenoma which is a benign breast growth and usually there is a slow size progression over the years. I think that at this point you should do breast ultrasound and have a biopsy to be sure that this is not something more serious. Then it can be removed under local anesthesia by a general or plastic surgeon. In every case it doesn't sound serious to me if this lasts for more than 5 years. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health."}
{"_id": "000001561", "text": "Thanks for using Chat Doctor. Read your query. Pain in the last molar will be due to acute peritonitis usually caused due to the impaction and infection in the gums around the erupting tooth. I would advise you to visit your oral surgeon and have it evaluated. A radiograph will provide a picture of the position of the erupting tooth. If impaction, get it extracted. If not wait for the complete eruption of the tooth. For pain ibuprofen will provide relief (if you are not allergic to any medicine). Amoxicillin 500\\u00a0mg and Metro lag 400 will help in infection reduction on prescription. Do salt water gargling. Hope this was helpful. Thanks and regards."}
{"_id": "000001562", "text": "Degree understand your concerns went through your details. I can understand. Your lower left back pain cannot be associated with your masturbation practice directly. Masturbation in moderation is considered normal and healthy. You are 24, and should try to reduce your masturbation habit to thrice or four times in a week, though the pain cannot be attributed directly to masturbation. If you are anxious about the wrong knowledge linking masturbation and bad health, then you need psychological counseling. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000001563", "text": "Hello! Welcome to Chat Doctor. Yes, from description this seems to be an inguinal hernia. Nausea, diarrhea & fever suggest infection.Also, bowel can be the content of hernia sac. Local examination is necessary whether swelling is reducible or not, local temperature & tenderness, redness etc. Yes, it is an emergency if swelling is irreducible with rise in local temperature & tenderness, redness. Operative procedure with examination of contents & appropriate action for it and mesh.repair is necessary. Hope this helps. Wish you speedy recovery. Thanks. Regards."}
{"_id": "000001564", "text": "Hello & thanks for your Sorry to hear re recent mishaps. I hope you are better from accident nowFertisure F is vitamin supplement with folic acid which is given as preconception boost. Other tablet must be closed/ clomped which is ideally taken from D2/3 of cycle for 5 days - this helps to stimulate ovulation. I can reassure that treatment given is correct. It may take few(usually 2/3) cycles before conception happens with closed. Hope this helps"}
{"_id": "000001565", "text": "Dear friend, welcome and thanks for entrusting your query here at Chat Doctor ! It is not worrisome. There is no cure for it. Most are benign cysts (fluid filled cavities) and are harmless. Ocassional one may grow and harbor cancerous growth. Hence, monitoring for increasing size is needed. Uncommonly it may get infected.  So you have nothing to do except following it regularly and seek early attention if any abdominal pain, fever which has no other origin. I hope you are fully satisfied with the guidance I gave. I would be glad to answer any further queries. Thank you and Good luck !"}
{"_id": "000001566", "text": "Hello, I understand your concern. I am Chat Doctor, Infectious diseases specialists, responding to you. Ferritin is the storage of the iron in our body. As iron is not stored in the body. It leads to anemia. This results in weakness and other symptoms of your body. I advise starting iron therapy as per your body iron status, under your Chat Doctor. I will be glad to answer your further query. Thank you for your contact to Chat Doctor. Wish you the best health. Thank you, ChatDoctor."}
{"_id": "000001567", "text": "Hi, Thank you for the query. I understand your concern.  If you had fully satisfying sex... it must have ended in ejaculation more chances of condom having sperms the seminal fluid too...few sperms might have been spilled out while your daily movements... but if this was after 3 days of ejaculation... the seems had gone perished without any chance to conceive.  Still you should be careful to get HTP done if periods are delayed by 8 days.  Also use oral monthly contraceptives /IUD Take help of a gynecologist for choice & prescription/insertion of IUD, Thanks."}
{"_id": "000001568", "text": "Hello dear, I understand your concern. In my opinion as the condom broke there might be risk of pregnancy. My aim is not to make you tense but just giving you explanation.Don't worry. The risk might be there if it was your ovulation period otherwise the chances are rare. Anyways wait and check for the period. If at all the period is delayed consider doing a urine pregnancy test. Avoid stress. And check for the period. Best regards..."}
{"_id": "000001569", "text": "Welcome to Chat Doctor. This is most likely some allergic reaction. You have to find out any allergy your self. It might be due to photo sensitivity after sun exposure, or it usually occurs after quinolone group antibiotic. Ask your doctor about your medication and explain your complaint. You can apply calamine lotion. Take short course of steroid with levocetrizine. Avoid unnecessary sun exposure or cover your face during exposure. Keep in touch with your doctor."}
{"_id": "000001570", "text": "HelloThanks for query. Based on the report of your semen analysis that you have posted I would summarize your report as under The sperm count of 28 million /ml is lower than normal range PH and viscosity of semen is normal Motility of sperms is 0% called as Asthenospermia. Morphology is also abnormal So you have what is called as Asthenoterratozoospermia. Unfortunately there is no treatment for Asthenoterratozoospermia. Chat Doctor."}
{"_id": "000001571", "text": "Welcome to Chat Doctor .1. This kind of the symptoms are seen in UTI - urinary tract infection / sexually transmitted infections and genital fungal infections. 2. Yes in cases the skin symptoms can be related to the other symptoms.3. You need to get an appointment and see your doctor and get examined, and a swab from the discharge need to be taken and sent for analysis.4. Once labs comes up, a course of antibiotics would help.5. Hop its helpful. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000001572", "text": "HiS potting can occur while starting hormonal pills. Progestin may thin the endometrial lining, which can cause some bleeding initially. A thinner lining helps prevent pregnancy as a fertilized egg cannot implant as effectively. Other potential causes of spotting while on the pill include"}
{"_id": "000001573", "text": "Hi there Dowser, To my mind, there is no real appreciable difference between 2%, 5% & 10% as regards hair growth especially in women. As a dermatologist I generally avoid giving women more than 2% topical minoxidil to limit the side effects that most women face on minoxidil. It is true that in some cases when one stops minoxidil, the hair that is grown tends to fall. I would suggest you pay your dermatologist a visit. Xxxx."}
{"_id": "000001574", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of neuromuscular weakness is more likely in her case. It is very common complication after thymectomize surgery. She might need increasing dose of my stein, omnacortil and Azorean tablets. If she does not improve after this then Intravenous bolus steroid injection should be started. Also get done chest x-ray and PFT (Pulmonary Function Test) to rule out atelectasis (partial collapse of part of lung) due to diaphragm weakness. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks."}
{"_id": "000001575", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Since you have already tested negative for asthma, anemia, we should definitely rule out stress and anxiety for your symptoms. Undiagnosed stress and anxiety can cause similar breathing difficulty. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001576", "text": "Hi ! Good morning. I am Chat Doctor answering your query. The condition you have just described seems like a perianal abscess which has burst now due to neglecting treatment. This could also form a fistula in ANO. Therefore, I would advise you to report to a general surgeon in your area for proper management as it might not be possible to advise you properly on net without clinically examining it. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000001577", "text": "Hi, dairy have gone through your question. I can understand your concern. She has proliferative endometrium. It may be due to hormone therapy. Wait for her can 125 and ultrasound. If her can 125 is high or ultrasound suggest any major abnormality then she should go for hysterectomy. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health"}
{"_id": "000001578", "text": "Hi, thanks for using Chat Doctor Since the symptoms are acute, it is more likely an infection. Lymph nodes increase in size as a result of any inflammation in the area in which they Chat Doctor.  The lymph nodes themselves can also become inflamed or infected. The use of the antibiotics and aspirin should help. There are some other anti-inflammatory painkillers available that may be helpful if the aspirin is not enough to help with the pain. EG Celebrex, naproxen, arcoxiaIf an abscess (collection of pus) is present then incision and"}
{"_id": "000001579", "text": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that nothing to worry in your case. Swelling is normal reaction after injury. Get your stitches clear regularly and Chat Doctor.  Take antibiotics regularly as prescribed by your doctor. Check for any purulent discharge from the stitch. Contact immediately to doctor if you find any purulent discharge. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you."}
{"_id": "000001580", "text": "Hi, I am Chat Doctor. The symptoms you describe are more likely due to irritation of Trigeminal Nerve by a loop of blood vessel. Chances of aneurysm are quite low based on what you have written It is better to consult a neurosurgeon at once and get proper evaluation 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."}
{"_id": "000001581", "text": "Hi It is very slang to say mild or moderate attack, the pathological heart condition of your husband itself is responsible for whatever laboratory and USG reports are there, but nothing to worry until and unless some obvious clinical symptoms are there, certain non-specific changes are there or happens inside the body which does not harm to body, and person can live normal life with such changes, in your husbands' case some haphazard discussion taken away, Have nice time"}
{"_id": "000001582", "text": "Hello Thanks for writing to us Small hypodense area may be due to idiotic changes. This condition doesn't need any treatment. It is important to know your age, clinical features, history of trauma etc. Infective etiology is unlikely sine edema is not mentioned in the report. You are rightly suggested for MRI scan. It is important to exclude other conditions like brain cyst etc. Get well soon. Take Care"}
{"_id": "000001583", "text": "Hi, Thanks for the query.  I understand your concern.  Early months abortions can be due to abnormal formation of fetus (blighted ovum, abnormal ovum or sperm), /certain infections (mumps, rubella, other viral infections, stds)./ hormonal deficiency/ history of fall.  You should get investigated to exclude these before you plan. Get needful treatment. Then try. (Your treating gynecologist must have done it.  Tab. Folic acid helps in preventing certain malformations of fetus.  *for fast conception-After being treated for possible cause of abortion & being in good health (both of the couple). Ovulation should be tested for, by LH surge test. Have unprotected sex from the date the test is +ve . For 6 days.  Test for pregnancy with hit after 8 days delay in periods.  Thanks."}
{"_id": "000001584", "text": "Thanks for asking to Chat Doctor. I understand your concern. Brief Answer"}
{"_id": "000001585", "text": "HelloThanks for your query, based on the facts that you have posted it appears that you pain in testicles and noticed blackish strands in semen This is mostly due to Prostatitis. Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Routine urine tests and culture2) Ultrasound scanning of abdomen and pelvis and Trans Rectal Ultrasound Scanning. Taking broad spectrum antibiotics for 3-4 weeks help to resolve his problem. Chat Doctor."}
{"_id": "000001586", "text": "Hi, I have read your query & understood your concern.  After embryo transfer. There will be some bodily reaction. You are already on Chat Doctor. Mild cramps are also seen in natural pregnancy.  Vaginal discharge increases with pregnancy / pregnancy hormones you are given. The get you are applying daily would naturally come out in form of discharge.  * So don't be anxious/ stressful. Try to follow instructions by your doctor, be positive, go for test when advised confidently... that will help you.  Thanks.  Thanks."}
{"_id": "000001587", "text": "Hello, This can be due to problem in your kidney like stones or cysts. Pain from the kidney stones can refer or radiate to back side or to thigh and groin region. Your tests show abnormality and high glucose level in blood can definitely be due to some disorder there. Let me tell you whether you have any other history like diabetes mellitus, gall stones etc. You may need an ultrasound. You are therefore suggested to see a physician and get properly examined so that proper treatment can be initiated. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001588", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have undergone extraction now you feel like skin hanging from socket don't worry it is Periodontal flap of tooth extracted. Do warm saline gargle two - three times a day.  Take proper antibiotic course prescribed by your dentist.  Consult your dentist again for Follow up after one week. Hope this will help you."}
{"_id": "000001589", "text": "Hello, Welcome to Chat Doctor Heaviness or bruised feelings in breastbone area can occur due to anxiety. You have normal ECG and you are a known case of panic disorder so most likely the reason of epigastric distress is anxiety. Zoloft is a good Antianxiety Chat Doctor.  For acute symptoms like you are having medicines like low dose benzodiazepines as Mizoram, Diazepam can be used. Consult your psychiatrist for the medicines. I would advise you to reduce caffeine intake. Caffeine and tea increase the risk of anxiety and symptoms like epigastric distress. Thanks."}
{"_id": "000001590", "text": "Hi, How are you doing ? I don't agree with this management. Closed is Camphene is hormone which causes increase in hormone which makes the follicular growth better. But its main side effect is it will reduce the inner lining of the uterus. If this is reduced, the pregnancy chances is reduced, as this lining is needed for the embryo/ baby to get good attachment to uterus. So the better option is to have dose of hormone injections to increase the follicular size.  It will be safe to increase dose of Closed in next cycle. But by just increasing dose of tablet, problem will not be solved. Better to take hormone injection from the beginning & you will get a much better follicular response. Hope I have clarified your queries All the best Chat Doctor."}
{"_id": "000001591", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. Please do not overreact. I don't think that the thing pain has to do something with your masturbation of nerve problem. But to have a proper diagnosis of your condition you should consult a physician immediately if you are that much troubled by that pain. Consider anxiety and other contusion that might be reason. If anxiety is the cause, then I shall be of help. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some Sexology related psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000001592", "text": "Dairy am glad you shared with us your problem. Those symptoms (especially tingling)can have a lot of causes, all of them are benign and curable. The first cause to be excluded is cervical problem, which is seen on cervical MRI! You should undertake blood laboratory tests to exclude anemia or diabetes. A neurological exam is needed because the examination give a lot of information about the cause. So the first thing you need to do is contacting a neurologists I had helped you Best regard Chat Doctor."}
{"_id": "000001593", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Your ECG is suggestive of either early heart diseases or old age related changes, but you should get done tests to rule out risk factors for heart diseases. So get done blood pressure monitoring, sugar estimation, lipid profile, renal function tests. If you are smoker or alcoholic then quit these habits as soon as possible. If you found to have any of the above risk factor then you should definitely get done detailed reports to rule out heart diseases like 2d echo, stress tests and coronary angiography if required. So get done above-mentioned tests to decide further line of treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001594", "text": "Hi, Thanks for posting your query. I am Chat Doctor. K and I am pleased to assist you. The fatty liver you have is nonalcoholic fatty liver.Some common causes of nonalcoholic fatty liver are obesity, diabetes and high cholesterol. Just check which of these risk factors you have and treat it. Also get a liver function test done to see whether it is a simple fatty liver or if there is any damage to the liver. I hope that answers your question."}
{"_id": "000001595", "text": "Hello, Thank you for asking at Chat Doctor. I went through your sons history and would like to make suggestions for him as follows"}
{"_id": "000001596", "text": "Hi, You are right. Your daughter has cradle cap.seborrhea dermatitis of the scalp which is responsible for the hair fall. So do not worry. Excessive hair fall may be prevented after curing the scalp disease. Apply mild steroid lotion ...like mometasone and shampoo with clotrimazole and selenium containing shampoo. Multivitamin syrup may be given. Still, you consult dermatologist personally for perfect treatment. I hope you got my answer. Thanks."}
{"_id": "000001597", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Best treatment for bronchitis is antibiotic and inhaled treatment. Since you are not taking these Chat Doctor.  Better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment is based on severity only. You will need antibiotic, inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (budesonide or fluticasone). Don't worry, you will be alright with appropriate"}
{"_id": "000001598", "text": "Good evening. Subcutaneous lupus is a benign condition. It normally limits itself to the skin and may cause joint pains occasionally. You blood work is negative because it may not be involving any of your organs. Which is a good thing. For SCALE to turn into SHE, one needs to have ANA positive or some other antibodies in ENA profile. I am not too sure if you have those results. Also supplement your self with vitamin D treatment, as lupus patients are to avoid exposure to sun. Vitamin D Deficiency can cause the arthralgias which you are experiencing. . Hope the information was useful"}
{"_id": "000001599", "text": "Hello! Welcome on Chat Doctor! I read carefully your question and understand your concern. You should know that your symptoms are not typical of Parkinson's Disease. Depression or PTSD could explain your symptoms. Anyway, it is true that a careful physical exam from a neurologist would help exclude other possible disorders like Parkinson or any brain injury. A brain MRI would also be necessary considering the fact that you have gone through a head trauma. For this reason, I agree with you on the fact that consulting with a neurologist would help exclude other possible causes of your symptoms. But if the neurological exam and brain MRI are normal, you should continue to follow up with your attending physician. Hope to have been helpful! Kind regards,"}
{"_id": "000001600", "text": "HelloThanks for query Absence of burning or pain while urination with only urgency for urination is mostly due to what is called as Over Active Bladder (OAB). Normally one gets sensation of urge to pass urine after bladder gets filled up with 200-250 ml of urine, however in OAB there are involuntary contraction of bladder even when it is filled with just 30 -40 ml of urine resulting into Urgency and passing a small quantity of urine. Please take anti muscuranic Chat Doctor. It will conroll the involuntary contractions pf bladder and thereby help to reduce urgency."}
{"_id": "000001601", "text": "Good day, and thank you for being with Chat Doctor !!! I am sorry to hear about your condition. To rule out stricture disease of the urethra I suggest having a cystoscopy to visually inspect the urethra and that will be the only way for sure if obstruction is present. Do you have pain in the penis during erection only, or you have pain during urination? I hope I have satisfactorily answered your query."}
{"_id": "000001602", "text": "Hi, thanks for asking from Chat Doctor. I can understand your concern. Such type of spine pain and bruises must not be ignored. This could be due to pathology of- Spinous process or bony disease - Infection (osteomyelitis), bony tumor like Osceola. - Para spinal muscle disease - Myositis, Para spinal abscess-Pressure sore due to prolonged lying on bed- Localized cellulitis or skin inflectional these conditions are painful and can cause localized redness at the involved area. You must consult spine surgeon for evaluation of red or bruised region. He will examine you for - Localized tenderness-Swelling- Any deformity of spine He might advise you few investigations like- NCCT of spine-MRI of spine- Coagulation profile if suspecting coagulopathy Final treatment can be given after confirmation. Generally, tutors require surgical resection. While abscess requires surgical Chat Doctor.  The infection can be treated by intravenous antibiotics like ceftriaxone, niacin. Till final diagnosis, you can follow few tips-Avoid lying supine. Lie on lateral side or prone.- You can take painkiller like tablet diclofenac after proper prescription.- You can apply painkiller gel like Diclofenac gel after proper prescription. Hope it will help you. If any doubt, do let me know. Thanks. Take care."}
{"_id": "000001603", "text": "Hi, The rash could be most probably an acne vulgarism or seborrhea dermatitis. Treatment differs greatly for both the conditions. But other probable diagnoses are there too. The other diagnoses include folliculitis, topical steroid dependent face etc. I request you to visit your Dermatologist for confirming the diagnosis and for initiating the proper treatment. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001604", "text": "Hi, dairy have gone through your question. I can understand your concern.  You have breast lump with inward pulling of nipple and soreness. You may have fibroadenoma, fibrotic disease or breast cancer.  Mammography and biopsy is diagnostic.  Please send me your reports of mammography and biopsy.  It gives you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001605", "text": "Hello dear, Thank you for your contact to Chat Doctor. Folliculitis is purulent disease of the skin, which related to Strep to- and Staphylodermia. It is usually mixed infection, can cause by our normal flora(Streptococcus epidermis, Staphylococcus aureus, STR.virions etc), usually occur in summer season due sweating and heat wave. When you pulled it out pus has gone outside. You can apply 1% Chloramphenicol to affected area 3 times a day for 5 days.  Kind regards Chat Doctor."}
{"_id": "000001606", "text": "Hello probably your cheek is ulcerated because of biting. Generally it should heal within 2-3 days. Since it has not healed even after 4\\u00a0days, you should consult dentist. May be the ulcer is too big to heal on its own or there might be some sharp tooth surface which is not letting ulcer heal. Dentist will round off sharp tooth surface and will prescribe some gel so that ulcer heals faster. Take care Chat Doctor."}
{"_id": "000001607", "text": "Helloheart disease is a multifactorial disease. That means it is influenced by genetic as well as environmental factors. In addition, risk factors also play an important role. Risk factors are improper diet, smoking, high cholesterol, diabetes, high blood pressure, age, male sex etc. alcohol directly doesn't cause a coronary artery disease, but it may cause other heart diseases like weakening of muscles of the heart, heart failure. So alcohol in addition to other risk factors plans a role.  Chat Doctor.  He is also at the risk of affecting his liver, pancreas with alcohol. Thank you"}
{"_id": "000001608", "text": "Very good question. This seems to be a common issue among toddlers due to their picky diet. My main concern is that it was 2 weeks since a bowel movement. At this point, you ruled out her diet. The next step is to try a laxative such as OTC MiraLax. You can start by giving 1 tablespoon twice daily. It will take about 12 hours to see any results. If hat doesn't work, I would try a glycerin suppository. For kids, they come as liquid glycerin that you insert rectally. If it doesn't produce a stool within an hour, I would have her evaluated in the ER for a possible blockage. There they will have to possibly do a fleet enema or give some very strong medication to break it.Let's cross our fingers and hope that the MiraLax will work! Good luck!"}
{"_id": "000001609", "text": "Hello dear, warm welcome to Chat Doctor.come have evaluated your query thoroughly.* This is in relation with allergic bronchitis.* Guidelines for better recovery-Continue gargles.- Medications of allergy (as fexofenadine) , bronchi spasm (as deriphyllin or others) , cough suppressants require prescription with your doctor.- Avoid smoking. - Avoid exposure to dust, pollen ; if required use triple layered face mask Hope this clears your query. Regards."}
{"_id": "000001610", "text": "Thanks for your question on Chat Doctor. I can understand your concern. You are having chronic cough (cough for more than 2 weeks). Lung infection (pneumonia, tuberculosis) and bronchitis are common causes for chronic cough. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Yoi may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS) on the basis of reports. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001611", "text": "Hi, Its better to take injections to make more than one follicle per cycle & do GUI which will increase the chance of pregnancy by more than 6-10fold. Regarding increasing follicular count naturally, the medicines required for that have more side effects than benefits, so better to not go for it. It's better to follow your doctors advise for faster conception because wasting time may harm in long term. Wish you good health."}
{"_id": "000001612", "text": "Hello are taking clonazepam, fluoxetine, oxcarbamazepine, risperidone and lithium carbonate. You have mood swings, fear at work place, loss of hair, weight gain, negative thoughts and fear to get out of home. Such symptoms can occur due to a number of reasons and depression, bipolar disorder are common possibilities. I would like to know a little more about your symptoms to exactly differentiate your diagnosis. The medicines like lithium, risperidone, oxcabamazepine etc. are usually used to control mood swings and any manic excitement. Hope I cleared your doubt, thanks"}
{"_id": "000001613", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of diarrhea and heartburn which seems to be due to acute gastroenteritis and electrolyte imbalance in body. It is due to gastroesophageal reflux disease as well which leads to excessive acid production in body. It could be due to poor immunity and increased susceptibility of getting infected. Need not to worry. Avoid hot, sharp and spicy food. You should take banana on daily basis and light food.  Chat Doctor."}
{"_id": "000001614", "text": "Hi, This elbow pain is most likely inflammation of the attachment of the muscle to the elbow on the side. It is related to long hours of computer work. It would help to take frequent breaks and stretch the elbow and wrist and also stretch the neck muscles. The pain could be relieved by icing,anti-inflammatory medications. A tennis elbow strap applied on the forearm is helpful. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000001615", "text": "Hello ! Its pleasure to answer your query. As per the MRI report, he has an acute stroke episode. There are many risk factors for stroke including hypertension, atherosclerosis,vasculitic disorders, central nervous system infections, embolic phenomenon and many more.  As ECHO Cardiogram is normal for your patient hence it seems to be acute thrombotic episode involving right middle cerebral artery. For treatment, he needs urgent admission in specialized hospital or stroke unit. Along with nursing care, physiotherapy he needs oral antiplatelet Chat Doctor.  If he could have presented within 3 hrs from symptom onset there could have been an option of thrombosis depending upon size of infarct, age of patient, blood pressure at the time of presentation and other major medical illness or past history of major surgery. This decision of thrombosis is physician dependent as there is a major risk of bleeding during thrombosis. As carotids are normal on MRA and Carotid Doppler is normal there is no need of any interventions for this. Adequate control of blood pressure, blood sugar, lipids could help to prevent further episodes of stroke.  Improvement in this episode depends upon the level of consciousness of your patient, degree of weakness in limbs and size of the infarct on MRI. NHS scale can help in assessment of prognosis and management of your patient. You can take help of treating physician regarding this. Healthy lifestyle, exercise,diet monitoring of blood pressure and sugar, physiotherapy long term antiplatelet agents and statins can definitely help in improvement. It may take one to two months for maximum improvement. Hope you have satisfied with the answer. If you need any further information I am always happy to help. Thank you and wish you a better health."}
{"_id": "000001616", "text": "Dear sir uric acid level 6 or 7 is just on the higher side and cannot say that it is increased, your symptoms of knee pain and locking of knee might be due to other reasons. Get your complete check-up done including MRI of knee, X-rays of knee, thyroid profile and other investigations for joint pain like CRP, RA factor, ANTICCP.however regarding your query the uric acid level of 7 come down within a month after taking tablet debut for one month and avoiding the food products which increases the uric acid. Thanks and regards."}
{"_id": "000001617", "text": "Hello, As I see this could be deep bony hurt and will take some time to heal. For a safety case its always good to take an x-ray and avoid any worries. As x-ray can give a clear picture and clear our doubts completely. For now. You can do hot water fermentation and allow some rest to happen. If x-ray revealed no hair lime fracture then rest assured you should be fine over 2-3 weeks of time altogether. In my clinical practice of 12 years, most cases give post injury complains and this is most common. But we do rule out with x-ray as we don't want to take a chance of the fracture. Once x-ray is cleared with conservative management things go fine. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000001618", "text": "Thanks for your question on Chat Doctor. I can understand your concern. White spots on lungs on CAT scan are commonly seen with 1. Benign cyst 2. Fresh infection like pneumonia, tuberculosis 3. Lung abscess 4. Lung cancer5. Old fibrotic, healed lesions. So better to consult pulmonologist and get done 1. Bronchoscopy and BAD (bronchoalveolar lavage) analysis for the diagnosis of infection. 2. Biopsy from the nodule for the diagnosis of cancer. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001619", "text": "HI. Thanks for an elucidated history and your understanding. You have to undergo a proper clinical examination to be done by a Doctor who can catch many of the problems on your proper history and physical examination and can then guide for further investigations and treatment. Continue your medicines, take full bed rest for quietening the system which gives vertigo. Start with vermin 8 mg thrice daily."}
{"_id": "000001620", "text": "Welcome to Chat Doctor .1. The history suggest me that it's an inguinal hernia - on and off swelling in the scrotal sac which disappears after some time.2. And clothing do effect the swelling which means pressure effect also favors in terms of hernia.3. Possibilities of cyst can not be there, because if there is cyst there will be for all time not fluctuation in size.4. In this case I would recommend getting an ultrasound scrotum done when you have the swelling.5. It will exactly help to find out and differentiate actual pathology - weather mass, cyst, hernia - where it's existing from and where it's extending to - it's a good tool for scrotum and testis.6. You should worry until you find out cause - but nothing is scary in your history. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000001621", "text": "In my opinion you should stop worrying. For immediate relief have some painkiller along with a muscle relaxant and have proper bed rest for few days. Do not lie down on soft mattress use hard one instead. Sometimes with growing age muscles tend to get week. Do not strain your self or over exert. U can also apply some good anti-inflammatory painkiller gel on your back. If the pain increases do some hot fermentation locally"}
{"_id": "000001622", "text": "Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to a stress fracture. I suggest doing a X-ray for further evaluation. Meanwhile, I suggest to use anti-inflammatory medications such as Acetaminophen to relieve the pain. I also recommend using cold compresses for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor."}
{"_id": "000001623", "text": "Hi thanks for asking question.... Vaccine are not much effective in hepatitis... Let me know you as compare to hepatitis b chances of getting chronic hepatitis after infection with hepatitis c is more....that is up to 80 to 90 % also.... So if you're suspecting that viral marker study done for hepatitis c by ELISA serological test.....Meanwhile, to avoid complications take fruits more. Green leafy veg more. Regular follow up Avoidance alcohol .... Take care. Hope your concern solved. Chat Doctor."}
{"_id": "000001624", "text": "Hi, Thanks for writing your query. After reading your post, it seems that you are having some allergic reaction in your body, which needs immediate medical attention to limit its progress. I would suggest that you should immediately contact the Emergency Department and get yourself examined and record your vitals like blood pressure, pulse rate, etc. and if needed get injected to stop this allergic reaction. Also try to determine the cause of your allergy or insect bite and try to remove it. I hope this is helpful to you. Thanks."}
{"_id": "000001625", "text": "Hi I did review your concern. Your condition requires expert care in form of specific investigations for finding cause of small nerve neuropathy including a skin biopsy, work up for diabetes, vitamin deficiency or other multitudes of diseases. Also concomitant petechial need to be seen differently right now as in by doing a complete coagulation profile. In a young female, I would suspect autoimmune disorder like systemic lupus erythematous which such different system findings and do ANA and DSNA as well as anti smith antigen assay. I hope this helped me know if you have any more questions or concerns and I will try to help you with best of my abilities. Wish you all the best sincerely, Chat Doctor."}
{"_id": "000001626", "text": "Hello......... Thanks for your query. I can understand your concern for your daughter. The symptoms of mood instability, threatening gestures for many years point towards an abnormal personality profile-what we call as cluster \\\"B\\\" personalities. Hence, she requires a through psychiatric evaluation focusing on her personality. Following this appropriate medication to stabilize her mood swings and psychotherapy can be initiated. Hope you found the information useful. Regards Chat Doctor."}
{"_id": "000001627", "text": "Hello, Thanks for posting this question in ChatDoctorI don't know if there are clinical signs of any nerve poor compression or not. I also don't know your age. If you have pain related to nerve root compression may improve with medicines like Gabapentin, pregabalin, Duloxetine etc. You basically need a detailed clinical evaluation by a neurologist who will determine if you have any deficits or not. If there are deficits and symptoms are still persisting, surgical treatment will be another option. If there are no complaints and MRI was done on routine basis, these findings are not of serious concern. Please get examined by a local neurologist and in the meantime you can discuss with him regarding the medicines that I have suggested Hope this helps"}
{"_id": "000001628", "text": "Hello dear, The symptoms as mentioned in your post can be attributed to"}
{"_id": "000001629", "text": "Hello, For UTI (Urinary tract infection), you can take tablet Of lox Oz, tablet Unkind, syrup Near 10 ml, and tablet Broken 400 plus. Also, apply diclofenac gel or cream with ice locally. Do x-ray and MRI of back and hip region. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with physician. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001630", "text": "Hi, dairy have gone through your question. I can understand your concern. Your hemoglobin is normal.  No need to worry and no any treatment is required for that. Your WBC count is slightly high.  You may have mild infection.  If you have any symptoms then take antibiotics accordingly.  Your rest all reports are normal. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001631", "text": "HiT hanks for posting on ChatDoctorI will say you need to trust your Doctor to get over your problem. Changing Doctors is not the best attitude. You may have to see a Doctor and again for reevaluation to be well diagnosed and also to evaluate evolution on treatment. Abdominal pain could be caused by bacteria infection and in this case, antibiotics will be indicated with netilmicin being one of the Chat Doctor. However, this"}
{"_id": "000001632", "text": "HelloThanks for your query, based on the facts that you have posted it appears that you have either mild infection of epididymis, cord structures or Varicocele.However, this can be confirmed only on clinical examination by a qualified General Surgeon or Urologist and following basic tests.1) Urine Routine Test.2) Ultrasound scanning of Scrotum3) Color Doppler study of scrotum.In the meanwhile start taking broad spectrum antibiotic like \\u010ceferin along with anti-inflammatory Chat Doctor."}
{"_id": "000001633", "text": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are concerned about your husbands problems and the recent CT findings. Since you have mentioned that the recent CT shows mild cerebral atrophy and since he also has risk factors such as Diabetes, Hypertension and Dyslipidemia, it would be advisable to have a consultation with a Neurologist. However, since he is already on psychiatric medication, it would not be a good idea to discontinue treatment and follow up with his psychiatrist. I would suggest that you continue the medication for the time being till you get an opinion from the Neurologist. Wish you all the best."}
{"_id": "000001634", "text": "Hello, Thanks for posting your query. The lump overlying inflamed periodontal flap is due to the inflammation surrounding erupting wisdom teeth. Frequent warm saline and Betadine gargle will relieve pain and infection. Clinical and x-ray examination of the inflamed area will help to decide the treatment. Tooth has to be either extracted or flap overlying tooth has to be removed to enhance tooth eruption, depending on the space available for tooth eruption. Take complete course of antibiotics-analgesics as per dentists prescription. Hope this helps."}
{"_id": "000001635", "text": "Hi, I had gone through your question and understand your concerns. Some brain atrophy is to be expected for people above 60 yrs old. While dilated ventricles is a direct consequence of this atrophy. While dementia is a clinical diagnosis, it is quite always associated with some brain atrophy. The only reason why you should seek for a specialist consult is first because you are 57 yrs old, but the most important concern, is your memory problems. In my opinion you should do some memory testing, beginning with a MUSE, and annual follow-ups. There is no specific prognosis on brain atrophy, but you can do some estimation on your memory examination follow-ups. 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."}
{"_id": "000001636", "text": "Hi, If I were your treating Doctor for this case of arm pain with high cholesterol level, I would come up with two possibilities, these include"}
{"_id": "000001637", "text": "Dear patient thank you for your question. I am sorry you are in so much pain. What I am interested in knowing is why the doctor told you not to take Advil. Also, it seems strange that he/she has not indicated what condition you might be suffering within any case I feel you may have a condition called fibromyalgiaFibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It is believed that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals. Symptoms of fibromyalgia"}
{"_id": "000001638", "text": "Hello, Welcome to Chat Doctor, Human Papillomavirus (HPV) affects only the skin, and it will be localized to the wart. Once the wart is cleared by topical application of cream you will become free from infection. It is transmitted to your partner, if you indulge in unprotected sexual activity during the presence of lesion. Once the wart is cleared by the topical medicines you can have normal sexual activity, and you will be non-infectious.5% McQuade cream should be applied over the wart on alternate days for 4 months. Before application of this cream you need to apply Vaseline over the wart, and then you have to apply the McQuade cream.Meanwhile you have to boost up your immunity which helps to clear your wart. To boost the immunity you need to take orally capsule Lincoln, daily for 30 days. Thank you."}
{"_id": "000001639", "text": "Hi there ~I understand your concerns.  It is not unusual to have Tori on both sides of your mandible.  There are no adverse effects, however if they are hurting you need to use local or systemic analgesics.  I believe your dentist was right when you were told that the pain usually goes away and the Tori do not need treatment.  I also think that you need not be worried about the wound.  It may help to know that time is the greatest healer in your case.  I hope this reliefs your anxiety.  Take care and have a lovely day!"}
{"_id": "000001640", "text": "Hi, Thank you for posting your query. The first and foremost condition to exclude in your case is vertiginous epilepsy, where one can get short and sudden episodes of dizziness, often due to abnormalities in the temporal lobes. The other condition that can cause these symptoms is peripheral vertigo. Please consult a neurologist for evaluation. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"}
{"_id": "000001641", "text": "Hi, It seems your concern is valid. But the option if choking is there, is present in most of the methods. You can discuss with your doctor to change to other methods. It is more important to identify any triggering factors for seizures. Hopefully, he Is on regular treatment. Control of sleep apnea is important as it can be serious and life-threatening and can lead to high blood pressure, stroke, and heart problems. Hope I have answered your query. Any further queries, happy to help"}
{"_id": "000001642", "text": "Hi, Thanks for your query.  I have read your query & I understand your concerns. It is fine if you have taken those tablets bit late. Not to worry. These tablets help you to get pregnant, but chances are around 20 %. Please see an infertility specialist and get follicular growth scan done while you are on tablets. It helps in deciding the best time to have intercourse (during ovulation). I hope I answered your query. I will be available for any followup queries you have.  Chat Doctor."}
{"_id": "000001643", "text": "Cellophane you for trusting ChatDoctordear how old are you?? Male or female??are you smoker??dear from your history possible causes are peripheral neuropathy, sciatica,compartmental syn Chat Doctor. .above I mentioned possible causes from your history. Is it muscular, neuronal, vascular, joint problem is come to know after examination. Please consult your neurophysician he will examine and treat you accordingly. I think I answered to your question if you have more questions feel free to ask. Take care"}
{"_id": "000001644", "text": "Hello, Yes higher blood pressure can cause nose bleeds, because these are thin vessels and poorly support.  Particularly the diastolic BP reading of 104 is significant.  Also, when you close the nostrils, do remember that there are similar two opening of nose in the inside where it communicates with the Oral cavity, hence the tricked and blood clot while coughing.  Control of blood pressure with antihypertensive medication is the key and definitive treatment.  However, as such It's important to rule out local cause in the nose cavity, and some investigation like platelets / coagulation profile so we don't miss on anything.  Tide over treatment till the blood pressure is controlled, is as you have done stuffing of nose and tab trade 500 mg may be given (may or may not benefit) Regards Chat Doctor."}
{"_id": "000001645", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. But better to rule out heart diseases first because persistent chest pain is common symptom in heart diseases. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Musculoskeletal pain can cause similar symptom due to Intermittent muscle spasm. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Take painkiller and muscle relaxant Chat Doctor.  Apply warm water pad on affected areas. Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001646", "text": "Hi, Welcome to Chat Doctor. I have read your query and understand your concern. Its gastritis only, and at your age we usually don't think of cancer. The color of stool depends to a great extent on what you have eaten in the past 2-3 days. And if you have not eaten anything like that, then your stool might be suggestive of a mild upper GI tract bleeding, though it is not classical of it with this color. So, I would suggest, that you take a course of a PPI tablet like pantoprazole or omeprazole for a month to allow all the ulcers in your stomach to heal completely. Also, you need to avoid tea, coffee, soda Chat Doctor. Hope I have been helpful."}
{"_id": "000001647", "text": "Hello Khanpur, It is most likely secondary to procedure, and you must ensure you get a patch test to exclude chemical sensitivities. I presume the allergy was also on the legs. If you had a similar reaction to waxing before, then it is even more important to exclude the chemical sensitivities before you go through another waxing procedure. Allergies to steroid creams are possible and this can also be checked when you have the patch test. For the time being, antihistamine tablets such as cetirizine 10\\u00a0mg twice daily or Allegra 180\\u00a0mg once daily with Calamine lotion on arms and legs should be enough to control the reaction. I hope this was useful."}
{"_id": "000001648", "text": "There are many causes of hemolytic anemia. Some causes are due to problems in the genes such as THALASSEMIA, G6PD deficiency, sickle cell anemia etc. Other causes are acquired such as due to certain Chat Doctor.  The term HEMOLYTIC means red cells are being destroyed at an increasing rate. Normally our red cells live for 120 days after that they are destroyed. To put it in a simple way when they are destroyed, their waste products are bilirubin (yellow in color)which in normal people doesn't accumulate. However, in hemolytic anemia the life span of the red cell is reduced, and the red cells get destroyed faster so the bilirubin that is produced accumulates causing jaundice. As you have not included your complete blood report I cannot offer you an explanation of the type of hemolytic anemia that you are suffering from. If the hemolytic anemia occurred suddenly after say taking a medicine then one of the possibilities is hemolytic anemia due to G6PD deficiency which is an enzyme within the red cells. There are many causes of hemolytic anemia. Different treatments for different causes, so I can give you a detailed explanation only if I have more information on the blood tests that have been done for you. Warmest regards"}
{"_id": "000001649", "text": "Hives or urticaria is some kind of allergy if I understood you correctly, I can not see your daughter, but you should know if it was viral rash, which appeared when temperature fell down, and it was small sports then it can be herpes virus of 6 type. But if it was big blisters on the skin it means urticaria and we should discuss this. I need more details about rash. Also, please tell me how much leukocytes and red blood cells in urine, if its small amount 10-15 it means your daughter can suffer from metabolic nephropathy, you should do ultrasound of kidneys and give to her some diuretic plants for excretion of salts. You should also give analysis of 24 hours urine for salts, or write what your daughter eats every day/ If she likes chocolate, juices from markets, or you give to her often peas, Rama, chicken soup she can suffer from sodium oxalate, in any case give to her more water 1-1,5 l every day, I will wait more details"}
{"_id": "000001650", "text": "HI, thanks for using Chat Doctor Asthma can present in different ways including chest pain, shortness of breath, wheezing, coughing. It is a possible cause of shortness of breath, but there are others, and normally it would be diagnosed if there are additional signs or symptoms present. If you are unsure, then it may be best to have appropriate testing done to determine if this is the case. This would include chest examination and lung function testing. Since you are not experiencing any relief, it may be best to be reviewed. I hope this helps"}
{"_id": "000001651", "text": "Hi, From the history of previous injury I don't think there is any relation between past and present pain. As of now I would advise you to take hot pack. To relax your leg muscles especially the calf muscles you can give them a hot water bath with Epsom salt in it. Doing gentle knee press, ankle toe movements, knee flexion and extension will help you in maintaining the flexibility of the joint if there is no swelling, no pain, no problem with walking other than stiffness I believe there is nothing to worry much about it this will help you with pain relief. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001652", "text": "Heloo pt-If Bleeding several days after Tooth ExtractionBleeding which occurs several days after tooth extraction is known as secondary bleeding. It is due to infection of the wound which causes loss of clot and erosion of vessels in the granulation tissue. Before suturing or packing the socket in case of secondary hemorrhage, the extraction socket wound is examined carefully for any foreign body. Antibiotics may be given to the patient when the socket is packed."}
{"_id": "000001653", "text": "Hi, Welcome to ChatDoctorYour nurse has given you right advise. Initially when we start Implant, it may give irregular bleeding, but with continuous use, you may not see your bleeding.  In certain situation we have to give oral contraceptive pills. Do not repeat your birth control pills now, if in case you see any bleeding, before consulting doctor.  You may not see bleeding after stopping birth control pills, as you are getting constant release of progesterone from Explain. Actually you should have been properly counseled before starting implant. Women can see different types of bleeding pattern as a result of this. Hope you got your answer. Chat Doctor."}
{"_id": "000001654", "text": "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 think you should have an MRI of the back as soon as possible. There may be a severe disc displacement in your case that may be causing the pain and the nerve symptoms like the tingling and the numbness that you are developing. If it is too severe, surgery may be recommended, and if it is less severe, a physiotherapy with mild muscle relaxants and milder painkillers may help you. As for the small lump, I would suggest an ultrasound of the area to know more 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. Please do understand that some details could be extracted from a detailed history and examination. 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."}
{"_id": "000001655", "text": "Hello and welcome to Chat Doctor. Your concern is understandable. Hope you're referring to the lower back portion of chest as kidney area. Many people refer to the scrotal area as kidney area, which is wrong. If there's pain in the kidney area, its safest to see your doctor /Urologist, who will examine the kidney area, and then suggest a urine routine test and an ultrasound scan of the abdomen and pelvis. This will help to decide further treatment according to reports. Hope you have no more doubts."}
{"_id": "000001656", "text": "Hi, dairy have gone through your question. I can understand your concern. You have slightly high bilirubin.  You may have some liver disease or hemolysis.  Furthermore, you should go for complete blood count, peripheral smear examination and complete liver function test to search the cause of high bilirubin.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001657", "text": "Hi, It is Chat Doctor. The symptoms you are telling are typical of gastritis(acidity). Still you should do an ECG & 2D Echo to rule out cardiac causes. For gastritis I recommend for tab Pantoprazole 40\\u00a0mg twice before breakfast & dinner. You should also do an ultrasound of abdomen which will help in diagnosing the same. If you have any further query you can contact me. Wishing you a good health. Regards"}
{"_id": "000001658", "text": "Hi, Thanks for writing in. If your pain is from only inserting your penis, you may want to try using a lubricant, which will make your intimacy more comfortable and pleasurable for the both of you. A lack of lubrication can pull the skin of the penis in uncomfortable ways during sexual activity during inserting and cause pain. Also indulge in good amount of foreplay to allow adequate arousal and emotional connectivity with your partner. The fact that the pain occurs during a second attempt at having sex might be due to decreased lubrication and more friction between penis and vagina."}
{"_id": "000001659", "text": "Hi. I can understand your concern.  Chronic cough is commonly seen in bronchitis and lung infection. Get a chest x-ray done if it is normal, no need to worry about lung infection. Possibility of bronchitis is more. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. He may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, he will be alright. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000001660", "text": "Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. You should see a nephrologist and have the following tests done"}
{"_id": "000001661", "text": "Welcome to Chat Doctor .1. Bearing in mind your age, you can try with the back pain exercises which will help to get rid of pain.2. Comming to urinary frequency it can be due to cystitis (bladder infection) take excess of water, if not working then you have to go for a course of antibiotic treatment.3. Get rid of any stressful events in the life if you have any. That to help. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000001662", "text": "Dear Friend, Yes I think you have skin infection caused by bacteria, hence you should maintain proper hygiene in the areas were you sweat a lot. I would suggest you to consult a qualified homeopathic doctor in your area and take internal medicine, avoid any external application as it can cause suppression and delay in complete recovery. HomeopatChatDoctoredicine like Hear self, sulfur, silica will help in this condition and will prevent reoccurrence. Thank you"}
{"_id": "000001663", "text": "Hello welcome to ChatDoctoryou must have developed LOWER BACK MUSCLE SPASM as pregnancy exerts extra weight n pressure on lower back muscles.kindly take following treatment (1) TABLET DICLOFENAC twice daily (2) TABLET CHLORZOXAZONE three times a day(3) HOT FOMENTATION twice daily in the region of pain(4) avoid lifting heavy objects(5) sleep on a hard mattress and avoid lying down on back or abdomen rather sleep in a lateral position i.e. on sides(6) use a LUMBAR BELT but don't tie it too tight as you are pregnant(7) avoid Chat Doctor."}
{"_id": "000001664", "text": "Hello, I can understand your concern. As you got hit on the temple, you may have injured the temporal bone or zygotic arch in the area. If either of these bones gets injured, it is usual to feel the numbness in the area due to injury to the branches of the facial nerve in the area. The eye may feel the impact too. I advise you to visit an oral and maxillofacial surgeon for examination of the injured area and x-ray of the area to locate any bony injury present. If any injury is present, based on the extent and exact location of the injury, treatment can be advised. Do not worry about brain damage as it is not possible to damage hurt by having tennis ball injury to temple area. If you are in too much pain, you can take Ibuprofen 400 mg up to thrice a day till you see the expert. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best,"}
{"_id": "000001665", "text": "Hello, Welcome to Chat Doctor, As your doctor has diagnosed that you are suffering from sinus infection, because of which you are suffering from all these symptoms. There are many organisms that are causing sinus infection. For your symptoms I would suggest you to follow1. Take saline steam inhalation2. Spy Pricier A, three times a day.3. Oral Tab Autoclave, 625 mg, two times a day.4. Tab Least, once in a night for at least 7 days. These measures will help to reduce the symptoms and improve the condition. Thank you."}
{"_id": "000001666", "text": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry I'll try to explain you something and give you my opinion. We talk about hypertension if we have mean value that exceeds 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values during day and night. In general hypertension does not give any symptoms. A person might have high values and not feel anything. Leaving the hypertension untreated slowly modifies heart muscle, so it is very important to intervene in time to treat it. So in your case we have caught a value. It might be just because of street being to the dentist, but it is important to follow it. If I was your treating doctor, as you are over 50 it is necessary to make some examination like an electrocardiogram, a cardiac echo to evaluate heart function and walls, a full blood analyze and a holder pressure monitoring. This can give us a fool view of your values day and night and decide how to treat it if its necessary. Hope I was helpful. Wish you good health. Best regards."}
{"_id": "000001667", "text": "Hello. Thanks for writing to us at Chat Doctor I will keep a possibility of Tina corporal/fungal infection. For confirmatory diagnosis of fungal infection a KOH preparation can be made from the scale to look for fungal elements (hype) under the microscope. Fungal infections usually present as annular or round, red, scaly patches. Itching is subjective in individuals. Upper inner thighs and abdomen are common sites which can be affected with fungal infection. Topically you may try an OTC antifungal e.g. clotrimazole 1% cream, twice daily for a duration of 2-4 weeks. However, extensive involvement such as in your case would respond better to Oral antifungals in addition to the topical antifungals. Oral antifungals are prescription Chat Doctor. If this rash doesn't respond as expected to topical antifungals alone you may visit a dermatologist for a review as well as appropriate prescription. Regards"}
{"_id": "000001668", "text": "Thanks for your question on Chat Doctor. In my opinion you should get done holder monitoring.  In this continuous recording (24\\u00a0hours) of ECG is done. So at the time of chest pain, if you are having ECG changes than we can pick up this by holder monitoring. If this is also normal than no need to worry about heart disease. You might have anxiety associated chest pain. So consult psychiatrist at get done counselling sessions. Avoid stress, tension, anxiety. Be relax and calm."}
{"_id": "000001669", "text": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that total cholesterol and LDL levels are not a true indicator or your cardio-vascular risk. LDL/HDL ratio and Total cholesterol/HDL ratio are better indicators of this risk related to the blood lipid profile. I would like to know your HDL levels in order to give a more professional opinion if you need to take medication for dyslipidemia or not. Hope you will find this answer helpful! Wishing all the best,"}
{"_id": "000001670", "text": "Sacralization of lower lumbar vertebrae like L5 means gradual fusion of the lower lumbar vertebrae as in case of the sacrum where the vertebrae are already fused. Otherwise, there is some degree of movement between the lumbar vertebrae. As a result of such fusion scoliosis or a lateral curvature of the spine may occur and the nerves exiting from the two sides of the lumbar vertebrae get compressed resulting in pain. Since it is age dependent degenerative lesion, not much can be done and there is definitely some cause of concern. Please be in the follow-up of an orthopedic. Traction and physical therapy with ultrasonotherapy and hot compress should give you relief. Surgery is required in extreme cases, but you need not panic as of now."}
{"_id": "000001671", "text": "Hello, But I would recommend that you get tested for HSV and other std. Also, please send a photo of the lesion to be able to help you further.  I would also recommend that you get tested for diabetes which can predispose to infections by a blood test for blood glucose levels both fasting and postprandial. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000001672", "text": "Hello! Welcome on Chat Doctor! Your symptoms do not seem to be related to any heart disorder (including a heart attack). The fact that your symptoms are triggered by deep breathing, could indicate possible musculoskeletal pain. For this reason, I would recommend taking ibuprofen or acetaminophen for the pain. Your situation will improve in the next days. There is nothing to worry about! Kind regards,"}
{"_id": "000001673", "text": "Hi How are you doing ? I think you should get it done. This is usually the first step in any Calendly see if the following checklist of investigations is househusband- Semen analysis at least 2- done 4 weeks apart preferably in an infertility center (examination done by an Chat Doctor.  Being such a small opening tube can get blocked easily, So check with HSG(X-ray with dye), or SSG (Scan with dye) or Laparoscopy all this done & found normal, nothing can stop a pregnancy with Gods will Hope I have cleared your overall the best"}
{"_id": "000001674", "text": "Yes definitely for you the best option is to adopt Ayurveda oils and some pain management herbal capsules those can be taken at home for long time without side effects. Similarly, for anxiety you cannot depend on synthetic medicine for long time. To my own patients I would recommend Rumply DS herbal tablets and Short capsules and also Mahanarayan oil for gentle message followed by hot fomentation for absorption of medicine. This oil is little smelly but naturally effective. Alternatively Rumply OUL is odorless but little less effective. Ayurveda med is SLOW. You may not see changes rapidly but then weigh the plus points. It is economic, safe, easy to apply and side effect less. If you can get the help if Ayurveda doctor near you, its excellent or go by these safe herbals yourself. IRS sure that it will not cause any problems. Worst may be that it may not give you relief.... But it will give you relief. Believe me. Hope it helps you."}
{"_id": "000001675", "text": "Hi Michele Jacobi The first thing that has to be done once you find a lump in the region of the chest wall is to confirm what it is. In your case a biopsy has already been done and let us await its result. You're understanding that cancerous lumps don't bleed after biopsy is correct. But I think your presumption that if it was scar tissue it would have bled is not correct. Scar tissue also need not bleed. Needle biopsies do not usually cause any bleeding unless a blood vessel is ruptured during the procedure Since how long have you noticed this lump. Is the size of the lump increasing ?  If the biopsy comes as positive for cancer then you will have to undergo a series of investigation to find out he the extent of the disease. ? Whether it is confined to the chest wall only or whether it has gone beyond the chest wall to other regions. Treatment decision will depend on the results of this If the biopsy comes as negative for cancer then there are 2 options 1- If your physician thinks it is insignificant then you need to follow it up. Just keep a check on your lump to see whether it is increasing in size and also get it checked by your physician regularly2- The second option (and my preference) is to do an open biopsy especially if the lump was detected recently and is increasing in size and also if the lump is firm to hard (and not very soft). The reason is needle biopsy can be negative, but this does not always mean there is no cancer especially if the tissue sample taken is not adequate. Also time factor is important. You may lose time keeping the lump under follow up to see whether it is increasing in size Hope you are satisfied with my reply. Anyway don't worry. Follow your doctors' advice Chat Doctor."}
{"_id": "000001676", "text": "Welcome to Chat Doctor I have gone through your query and understand your concern. You may be suffering from osteoarthritis of knee joint as pain on walking and standing and not on rest, and it is common in your age. You are likely to get benefitted by glucosamine and analgesic such as ibuprofen for pain relief. Your swelling can be related to your circulation and heart condition. You can get your heart check up and take treatment accordingly. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"_id": "000001677", "text": "Hi, Thanks for your query. As you know, cancers mostly are detected during the late stages as in your fathers case.  The swelling in the feet and bilirubin levels are due to the liver damage.  According to what you said, he is very weak due to the toxicities of chemotherapy and moreover due to the disease process itself. Varying treatment modalities are advised by various doctors as there is no treatment which can offer a very high success rate. I would suggest giving him more nutritious food which contain high vitamins and minerals, more fruit juice and nutritional supplementation. This would improve his general health and immunity to a better state than now. The aim of treatment for now should be more on improvement of quality of life rather than the quantity of life. There are also new modalities of complementary therapies like Den Chat Doctor.  Hope I have answered your question. If you require any further assistance please let me know. Thank you. Regards"}
{"_id": "000001678", "text": "Thanks for your question on Chat Doctor. In my opinion the treatment is good. But I prefer Caroline over fluoroquinolones. As coverage of Caroline for upper respiratory tract infection is good. And no need to give levosulpride. Give only proton pump inhibitors. I would also like to give anti-inflammatory Chat Doctor.  All treatment for 5 days. If not improve in 5 days than get done chest x-ray to rule out lung infection."}
{"_id": "000001679", "text": "Hi there ~ Panic attacks can be a very difficult thing to deal with and for you, it is getting worse by the day.  Xanax and Wellbutrin are not a good choice for the illness that you are suffering.  I feel i.e. you have to see a doctor to make sure that your stresses are relieved with the right kind of medications.  I think that you might benefit from relaxation techniques like yoga Panama and such and regular daily activities.  Furthermore, I hope this helps.  Take care and have a nice day !"}
{"_id": "000001680", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pain around thigh and leg. Well there can be many reasons for symptoms you mention in query like muscle strains, tendonitis, arthritis, gout, nerve damage or slipped disk. I would suggest you to consult orthopedic surgeon for proper diagnosis. Doctor may order blood test, physical examination, nerve conduction test and take history. Doctor may prescribe nerve supplement, muscle relaxant along with anti-inflammatory. Doctor may also recommend physical therapy and surgery for disc problem in severe cases. For now take proper rest eat healthy, apply warm compresses and Chat Doctor.  Also take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000001681", "text": "Hello, Congratulations on becoming a parent. Yes that stitch line is going to hurt or pain. If it is paining with in bearing limits then it's no need to do anything. Make sure whether there is any pus coming out of stitch line or not. If it is so consult your doctor and start some good antibiotic to get rid of the infection. The burning sensations are due to cut nerve endings over the local area. It will persist for long but with the passing time the cut nerve will regenerate and become normal... No need to worry. For the pain u can have paracetamol or diclofenac to decrease pain. Hope this would help. Thanks"}
{"_id": "000001682", "text": "Hello, In varicocele blood stays around testes and because of that testes don't get fresh blood supply and this causes pain in testes. Mostly this occurs when a person feels sexual excitement, because at that time blood supply to penis is increased. If varicocele is not treated timely, it can cause damage to testes and sperm production. As u mentioned that you are having bilateral varicocele, I advise you to go for its treatment as soon as possible. Available treatment is varicocelectomy. It is an outpatient surgical treatment and is usually indicated in symptomatic patients and patients having abnormal semen analysis. Hope this helps you. Thanking you."}
{"_id": "000001683", "text": "Dear friend, locating the kidney in body surface and then trying to find out if there is any pathology behind that pain is always a person do when he or she feels such pain. But as a clinician, from my experience, I am telling you that here an X-ray of kidney to know if there is any stone and Ultrasound investigation to know the exact renal pathology arctic vital investigation you should go gfor.in case of simple back muscle pain the renal pathology can be ruled out by these two necessary investigation.in the meantime give some rest to your back muscles and stop stretching it too far .hope, this two investigation will clinch the diagnosis of the symptom profile you have given. Wish you recover very soon. Thank you."}
{"_id": "000001684", "text": "Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor.  I have read your question completely, I understand your concern and will try to help you in the best way possible. I am sorry to know about what has been happening to you lately. According to the history you have given me and description of symptoms how they start, how they continue and how they cured I am of the opinion that you indeed seem to be having and allergic or inflammatory reaction to certain foods. Like other parts of the body tongue too can be irritated by certain chemicals contacting it which in case of tongue are foods. There are certain irritants in foods which can cause inflammation on tongue. The foods which you have mentioned in your list are foods which mostly have a preservative and have some ingredient among them which is canned.Foods can have certain irritants and preservatives which can cause such symptoms, you can avoid this problem by simple changes and care. Here I would suggest you certain measures which you can take to avoid this problem in the future.1) Avoid preserved and canned foods.2) Make a list of foods which irritate your tongue and avoid using them.3) take an anti histamine like Cetirizine 10\\u00a0mg at night daily when you are having inflammation. 4)Broken or Tylenol can also help in relieving pain and inflammation.5) NSAID gargle solutions and Some can help too in relieving pain and inflammation. This problem can be easily controlled and cured but will need active care and attention. I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegrads."}
{"_id": "000001685", "text": "Hi, Thanks for asking the query, Bleeding gums can occur due to many reasons , like inflammation of the gums known as gingivitis , plague and calculus deposition , vitamin deficiencies , systemic conditions like diabetes and leukemia.  Visit to a Dentist and get checkup done . Get complete mouth scaling and polishing done. Use antiseptic mouthwash solution like chlorhexidine twice daily. Take vitamin supplements. Develop a habit of brushing teeth twice daily with a soft bristle toothbrush . Develop a habit of using dental floss and interdental cleaners . Hope this helps out. Regards...."}
{"_id": "000001686", "text": "Hi. Based on your provided information, your roommate is seemingly having difficulty in attention-concentration. Plus his irritability is seemingly more due to sense of feeling overwhelmed/unable to cope to lives demands. He might be possibly suffering from major depressive episode. Hence, it is prudent on your part that you should encourage him to talk about his difficulties, convince him to visit a Doctor preferably a Psychiatrist for getting a formal evaluation & treatment. Lastly I would like to congratulate you both for your concerns & your vigilance for well-being of your roommate. Good luck"}
{"_id": "000001687", "text": "Hi welcome to Chat Doctor... Here you have mild chest discomfort since long duration .... No other symptoms present, so it could be muscular stiffness or muscle strain problem..... Simple analgesic will be useful... Avoid strenuous work...and sleep in supine position... Although chances are less to investigate your case with ....1. Blood pressure measurement and auscultation2.chest x-ray 3.ECG This preliminary work up will be useful for detection of any cardiac or resp causes if present ... Take care Advise"}
{"_id": "000001688", "text": "Hello, It seems that you are uncertain about following.1)Whether there is any infection at puncture site?2)Bruise gone unnoticed3)Whether there is any chance to develop gangrene?4)Have to wait and watch? Answers are here.first u have not mentioned that whether u have been prescribed any painkillers or not. Neither you have mentioned the name of antibiotic. Now,1) If u have developed any infection at your wound site, u probably have developed fever, which u have not mentioned .2)Bruise is called \\\"delayed bruise\\\" as it develops after about certain time of actual impact. If it is of purple color, it's in the phase of healing. No treatment required for that except painkillers.3)There is a chance to develop gangrene, when you leave your wound in unhygienic condition, do not take proper antibiotics, already have undiagnosed diabetes. Otherwise, there is negligible chance.4)If pain is unbearable there is no choice for wait and watch. Anyway if you have consulted an or tho. Surgeon, He must have given you painkillers, if surely not you should consult him. I am not suggesting you any painkiller online, because I do not know your gastric history. Get well soon."}
{"_id": "000001689", "text": "Welcome to Chat Doctor. 1. The history is not very clear with nature of lump and duration. But according to your words it seems like a long-standing and spinal lesion.2. The possible cause could be anything from a muscular lesion, lipomas, spinal lesions, tumors arising from spine, any disc pathology appears as a bulge, or bony pathology, degenerative growth and so on.3. At this point get an ultrasound to know the nature of the lesion its contents, sours of the lesion and its extensions.4. An lateral cervical spine exercise to see the bony pathology. But bet tool to investigate is MRI (if no issue with affordability that will be the best).5.Finally, if it's a mass lesion an FNAC - fine needle aspiration cytology for assessing the cells of nature. Treatment depends on the investigation findings. Good luck Hope I have answered your query.Anything to ask do not hesitate. Thank you."}
{"_id": "000001690", "text": "Hello have gone through your question and understand your concern. Presence of bruise is suggestive of internal bleeding underneath the skin or subcutaneous tissue. It may or may not be related to your previous cancer history, but caution is the word. Fix an appointment with your treating doctor at the earliest as various diagnostic tests have to be conducted to find out the cause and initiate the treatment. Good luck. Hope your concern is answered. Thank you."}
{"_id": "000001691", "text": "Hello have gone through the description you have provided. Your fatigue and lack of energy is due to the recent infection and is a common occurrence during recovery. Regarding your question on surgery the answer is yes you need a surgery for the appendix. And it should have done as early as possible. Please set up an appointment with your surgeon to set up an appointment Hope this helps do get back in case you have further queriesRegards Chat Doctor."}
{"_id": "000001692", "text": "Hello and welcome to Chat Doctor, A lump on lower back on left hip region is most probably due to soft tissue swelling. Muscle spasm is unlikely to cause a lump or swelling. Imaging of the lower back will help to determine the relationship of the swelling with the bony structure. Imaging can be followed by aspiration cytology of the swelling. In aspiration cells are aspirated, spread on a slide, stained with appropriate stains and studied microscopically. This investigation will determine the origin and nature of the swelling. Management of the lesion can be done after this investigation. Consult your primary healthcare provider for clinical assessment, investigations and thus management. Thanks and take care Chat Doctor."}
{"_id": "000001693", "text": "Dear, first, please understand that pulmonary stenosis is basically the tightness of one of the valves on the right side of the heart and in your daughters case, it seems to be by birth. You have mentioned that she underwent cardiac cat hat the age of 1, but you did not mention that only the path study was done and what was the gradient at that time or the ballooning was also done. Now she is 7 years old, and she never had any symptoms as per you (I presume she never had palpitations, loss of consciousness, chest pain, swelling feet or face, easy navigability), so I would just do ECHO to look for the gradient across the pulmonary valve and then decide if the cardiac cat his required or not. Now coming to your worry about the leakage in the valve. A tight valve is rigid and it doesn't close properly sometimes leading to leakage which can sometimes become worrisome and needs surgery. And ballooning of the tight valve can also lead to some leakage in the valve and this ballooning is done only if there is no leakage initially. I hope I have cleared your queries to some extent!! All the best"}
{"_id": "000001694", "text": "Hello got flu 7 days back, for last 4 days there is severe cough with difficulty in breathing. Such type of symptoms may be due to bronchoconstriction (as this produces severe cough and difficulty in breathing) . There develop wheezing sound and rales. When such bronchoconstriction combine with bacterial or viral pathogens there also develop fever. Without proper examination it is very difficult to diagnose, which type of infection, you are having. So consult physician and get his opinion. Good luck."}
{"_id": "000001695", "text": "Hi, it is very important at his age that you seek a medical consult immediately since it could mean that he has an infection that is causing the weakness. It is very common for an infection to present with lethargy and sleepiness and fever or tiredness, though it could also be normal if this trend has been going on for a long period of time like months. So don't ignore his health and meet your Physician soon."}
{"_id": "000001696", "text": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that cholesterol target levels depends on some factors like your age and other associated rich factors like hypertension, diabetes and hereditary history of high cholesterol levels. Normal cholesterol level should be below 180 mg / DL and for LDL col below130 mg / DL. Cholesterol up to 235 is a high value, but you should not worry, you can correct it. The first recommendation is live style modification with dietary changes and regular physical activity minimal 40 minutes walking every day. If dietary modification and physical activity doesn't work than it might be a hereditary or genetic factor that keeps your cholesterol high and in these cases is essential to start medical treatment. Hope I was helpful. Best regards, Chat Doctor."}
{"_id": "000001697", "text": "It's a kind of allergy caused by many kinds of foods, stings, external factors etc. Patient himself or herself is the best judge to find how it triggers. As per Ayurveda, we have a clear principle that it is caused by Pitta and Cafe vitiation. These are two basic humors of body. All the causes searched by modern science are basically Pitta and Kafka vitiation. Nomenclature and principles apart, patients do not need to take Chat Doctor.  Instead, avoid known triggers and take Turmeric powder and Need leaves (Azadirachta indica) plus sugar candy powder (if not diabetic). Mixture of these powders removes hives. One classic prepared Ayurvedic powder called HARD"}
{"_id": "000001698", "text": "Hello, Light bleeding or spotting may occur in early pregnancy. But you need to undergo one blood test for beta-ChatDoctor and TVS scan to rule out possible miscarriage or viability of fetus. Following test result, you need to consult with gynecologist for next line management. Above medicines are quite useful to prevent abortion & support pregnancy. Take complete bed rest, avoid long journey/ heavy work/ high heal shoe, Chat Doctor. Good luck."}
{"_id": "000001699", "text": "Hi young girl. This is very true that one gets changes in breasts as per the hormonal changes, one can have. In your case, this looks to be a fibrotic disease and nothing to worry about cancer at this age and stage of life. Consult a General surgeon, just in case, to rule out impending abscess or so as the fibrotic disease can not change to purple and dark- if so you have to take antibiotics and anti-inflammatory medicines."}
{"_id": "000001700", "text": "Hi, dairy have gone through your question. I can understand your concern. You have vitamin D deficiency, and you are taking supplements. Your x-ray is normal so no any bone lesion. It may be due to arthritis only. Your calcium level is high normal. However, you should check your ionized calcium level once. If it is high then check your parathyroid hormone level. Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001701", "text": "Hi, Welcome to Chat Doctor forum.  As you describe it is difficult to classify her into a disease, It may lead to a disease, may be the schizophrenia. Otherwise it may lead to the depression, etc. I advise you to consult a psychologist for diagnosis and treatment.  She should receive love and affection, in spite of her behavior. And must have balanced, and nourishing food.  Wishing her a quick and complete recovery. Thank you."}
{"_id": "000001702", "text": "Thanks for posting this question in ChatDoctorI am a neurologist and epilepsy specialist responding to first of all let me tell you that treatment of epilepsy largely depends upon the exact type of epilepsy (it may be a focal epilepsy due to brain tumor, scar related to head injury or other cause, or it can be genetically mediated generalized epilepsy). For a proper diagnosis of epilepsy, a neurologist will need EEG test and MRI scan of brain; both of these data are not available to me in your case. Let us see your case. I understand that you had a head injury. This might have resulted in a focal scar in the brain which can cause epilepsy. I am not sure the exact severity of head injury and if there is a scar or not. One interesting thing which you have to note that some types of epilepsy namely primary generalized epilepsy can become worse after treatment with Oxcarbazepine. However, this possibility is low in your case but cannot be excluded without a long term EEG and MRI scan of brain. Once, a long term EEG and MRI can identify he exact type of epilepsy. We will have the following options1. If focal"}
{"_id": "000001703", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are having heart disease from birth, we should first rule out cardiac chest pain in your case. So immediately consult doctor and get done 1. ECG 2. 2d echo 3. Stress test. If there is some problem in any of the above-mentioned tests then you need to consult cardiologist and start appropriate treatment. If all these reports are normal then no need to worry much for heart diseases. Musculoskeletal pain is more likely. So tale painkiller and muscle relaxant Chat Doctor.  Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas. Don't worry, you will be alright. But better to rule out worsening of heart disease first. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000001704", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, COPD (chronic obstructive Pulmonary disease) can affect pregnancy. COPD is chronic, progressive inflammatory disease of lungs. It causes breathlessness, recurrent lung infection, heart failure, arrhythmia, Pulmonary hypertension etc. And all these can worsen in pregnancy. So control of COPD is must if patient is planning for pregnancy or already pregnant. With controlled COPD, normal pregnancy can be achieved. So no need to worry much for pregnancy with COPD if COPD is fully controlled. So be cautious while having pregnancy with COPD. Strict control of COPD is needed to achieve normal pregnancy. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks."}
{"_id": "000001705", "text": "Hi, Thanks for asking the query, Prolonged use of certain antibiotics can lead to the development of oral thrush, it is the infection of mouth caused by candida fungus. Signs are presence of raised creamy white lesions in oral cavity along with pain. It is well treated with antifungal Chat Doctor. You can go with symptomatic treatment at home by regular mouth rinsing with antiseptic mouthwash solution. Maintain a good oral hygiene and"}
{"_id": "000001706", "text": "Hi, dairy have gone through your question. I can understand your concern. You have vitamin B12 deficiency. You may have some problems with absorption of it b12 from gastrointestinal tract. Furthermore, you injectable it b12 is the better choice. Furthermore, you should take a course of injectable it b12. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001707", "text": "HI, Thank for asking to ChatDoctorI really appreciate your concern looking to the given history here I would like to ask you that you used the words \\\"Night fall\\\" did you mean \\\"Nocturnal ejaculation\\\" if this is right then let me tell you that this is physiological phenomenon and not the disease, but this is great myth, so need to worry about this it won't cause anything, hope this information helps you, take care and have a nice day."}
{"_id": "000001708", "text": "Welcome to ChatDoctorI have read and understand your query hope this will be useful you having any associated flu or heart burn? Do you smoke ? A runny or stuffy nose, A feeling of liquid running down the back of your throatFrequent throat clearing and sore throat, sour taste in your mouth or any coughing up blood? Prolonged cough can be managed with few home remedies and an ivy leaf extract cough syrup. Take a lot of fluids, particularly warm. A teaspoon (5 grams) of honey in warm water is a good home remedy. Take an anti allergic along with a cough syrup. Quit smoking if you are a smoker. A cough caused by acid reflux can often be treated with lifestyle changes alone. This includes eating smaller, more frequent meals; waiting three to four hours after a meal before lying down; and elevating the head of the bed at night. I hope this would help you. You can reach me anytime with any other queryRegards Chat Doctor."}
{"_id": "000001709", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having musculoskeletal pain. Your symptoms are associated with specific arm movements. This is characteristic feature of musculoskeletal pain. So do following things for better symptomatic relief in pain. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller and muscle relaxant Chat Doctor.  5. Apply warm water pad on affected areas. Do all these for 1 week, and you will mostly improve. If not after 7 days then get done chest x-ray and ECG to rule out any lung and heart disease respectively. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001710", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. Along with Chat Doctor.  1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. 5. Quit smoking and alcohol if you have these habits. 6. Lose weight if you are obese. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001711", "text": "Hi, thanks for posting your concern in the Chat Doctor. The symptoms suggest that you have got both upper and lower respiratory tract infection.  To rule out pneumonia you will need to have a complete blood count, CRP, X-ray Chest (PA view) done. A detailed clinical examination combined with investigations will help to specify a final diagnosis.  In case of a bad pneumonia, you may also need injectable antibiotics and in patient treatment. Taking only Acetaminophen will not fault the progression of the disease or development of complications. So, you should urgently consult your physician or a pulmonologist for further evaluation and management.  For any further information please write back to us. Regards."}
{"_id": "000001712", "text": "Hello dairy understand your concerned you have this sex before the 7 days of the period then there is no chance of the pregnancy. (as it has 30 days regular period). In regular period, ovulation is occurred at the 14th to 16th date. But you have sex 7 days before the expected period date. At this time there is no ovulation and so no fertilization will occur. I do not think there is any need of the pill. Avoid stress, take healthy diet, Chat Doctor. Use condom in future to prevent the unwanted pregnancy. Hope this may help noncontact further if follow up needed Best regards"}
{"_id": "000001713", "text": "I have gone through your question and appreciate your concern. Most of the time back pain is neglected as trivial one even doctors. I think it is Better to consult orthopedic specialist and Get MRI of spine done to reach correct diagnosis. General measures to reduce back pain are Avoid bending forward and lifting heavy Weights. Lie on flat hard bed. Hot fomentation thrice a day. Muscle relaxants and analgesics will help. Local application of analgesics gel. Muscle strengthening exercises will help in long Term. Thanks. U can write me back for any query."}
{"_id": "000001714", "text": "Hello and welcome to Chat Doctor forum, As you wrote, pain after a month of getting your wisdom molar extracted is something which needs to be checked thoroughly. Without checking clinically, I cannot suggest you any treatment but I would like to ask you to do warm saline rinses or Betadine rinses, in order to relief some pain. Your dentist might prescribe you antibiotics and anti-inflammatory only after ruling out the cause. So kindly visit your dentist soon. I wish you good health."}
{"_id": "000001715", "text": "HI. Thanks for your query. As per the history you have provided you are already suffering from IBS and Crowns- It may be either of it. You are bleeding in intestines in spite of the medicines means you need to get a review. I would advise you the following"}
{"_id": "000001716", "text": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have fibroadenomas as it's a tender breast lump. Your age is not mentioned.Hence, Please check out with your ER Surgeon who would treat it accordingly.FNAC under USG guidance would fix the diagnosis. Till then don't worry. So don't build up wrong concepts and self-medicate your self which would increase risks and costs to you.Instead, just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N."}
{"_id": "000001717", "text": "Hi, thank you for providing the brief history. As the history suggest that due to the fall in the past there will be some bony pathology which subsided in the past and also have a way for the soft tissues like the intervertebral disc to land into pathology which is one of the commonest reason I find in my clinical practice. Having a thorough clinical examination and MRI of lumbar spine will help further study of the lumbar and sacral spine along with the soft tissues. Treatment of choice will be simple medication for pain relief and physical therapy like therapeutic ultrasound therapy and TENS therapy. Exercises will be recommended to improve the muscle strength and stabilize the spine. Regards Jay In Chat Doctor."}
{"_id": "000001718", "text": "Hello, As you are mentioning that you got your tooth extracted and after that you felt some white stuff coming out from the socket, it looks that this white stuff is pus which is coming out as infection is still present there. You should visit your dentist and get an x-ray done of that socket as the healing of socket starts within 1 week and there is no pus, but if in your case there is infection still present then there must be some part of root left there. Hope it will help you."}
{"_id": "000001719", "text": "Hi, As you have kidney stones, your problem may remain for long time and at the same time recurrent urinary tract infection will take place. While consulting urologist you ask about, Is it possible that stone might come by itself with taking plenty of water ? Does stone will come out with IV fluids ? Any damage in kidney due to stones ? Can have recurrent UTI ? Any chance of having kidney stones in future ? What food or vegetables not to be taken ? Stones are of Calcium oxalate or Phosphate ? Ok and take care."}
{"_id": "000001720", "text": "Thanks for your query, I have gone through your query. The decayed tooth might cause infection and result in pain swelling difficulty in mouth opening. Before that consult your oral physician and take a radiograph and check the status of the tooth. If sufficient tooth structure is there then it can be saved by doing root canal treatment. If it is gone completely then it has to go for removal under local anesthesia. I hope my answer will help you. Take care."}
{"_id": "000001721", "text": "Hello, thanks for the query to Chat Doctor. C. Here I want to make very clear that you need not fear about this swelling. You are a patient of asthmatic allergic bronchitis, that's why there are sneezing, runny nose, redness in the eyes. Actually all these problems are due to allergy. As far concerned about the swelling it is not serious, but you have to keep in mind that this swelling may be due to some infection (any type, we call this a lymphadenitis i.e. enlargement of lymph nodes in the neck. Please consult a physician and get a blood sample, ti will reveal the cause and after this, if you need arises you can take treatment in spite of pregnancy. Have a good luck."}
{"_id": "000001722", "text": "Hi Thereafter going through your query I understand your concern. I would like to tell you that Urinary tract infections are more common, more severe, and carry worse outcomes in patients with diabetes & often caused by resistant pathogens. Poor immune system, poor metabolic control, and incomplete bladder emptying, fungal infection may all contribute to the enhanced risk of urinary tract infections. The treatment for your UTI will depend on what type of infection it is. But You can prevent UTI by practicing good Hygiene techniques like-Wiping front to back is essential-Go to the bathroom and empty your bladder immediately after sexual intercourse.- Every time you empty your bladder, try to make sure it is fully empty.- Keep your diabetes under the best possible control. Hope to have been Helpful. Kind Regards"}
{"_id": "000001723", "text": "Hi... I understand your concern and agree that the weight of your kid is less than 5th percentile according to his age. But there is no use of appetite stimulants in kids. I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Regards -"}
{"_id": "000001724", "text": "Hi dear. Lower respiratory infection presents with fever and cough. My advice to you will be. Get a chest X-ray done in App and lateral position to rule put pneumonia or any consolidation, if there are changes Consult a physician.check his CBC, and blood culture. He should be started on antibiotics if his fever persists and congestion .you can continue giving paracetamol for fever .hope this helps."}
{"_id": "000001725", "text": "Hi...you are exactly right. This is collection of smegmas underneath the skin, and it is called stepmom. Usually it will subside by itself. Sometimes steroid creams at the penile tip by stretching the skin will help open the tight skin there a help in its expulsion. After that you need to clean the penis regularly while giving bath by retracting the penile skin as much as possible. I suggest you consult your pediatrician regarding this as the technique needs to be taught. Regards -"}
{"_id": "000001726", "text": "Hi.it is best if you consult with a doctor, preferably a general surgeon in regard to your concern. It may be any of the following benign breast lesions"}
{"_id": "000001727", "text": "Thanks for your question on Chat Doctor. In my opinion you should first consult pulmonologist and get done1. Chest x ray2. PUT (Pulmonary Function Test). Chronic cough not responding to antibiotics can be due to bronchitis. So we need to rule out this first. And PFT is needed not only to diagnose but also for knowing severity of bronchitis.  And treatment is based on severity only. So PFT is necessary. Another possibility is chronic lung infection like TB or fungal infection. As routine antibiotics will not work on it. So chest x-ray is needed to rule out these. So better to consult pulmonologist and discuss all these."}
{"_id": "000001728", "text": "Hello, Nebuliser machine is indicated if she is unable to use inhalers. Extra oral medication like Nicotine 400 or 600\\u00a0mg at night helps along with Montelukast 10mgFor nebulizer, you need 2 res pules of Albuterol alternating with Ipratropium every 6 hours for a week or 10 days. Then you must switch to inhalers. If she is still unable to use inhalers, nebulizer must be given 12 hours apart. Best Wishes."}
{"_id": "000001729", "text": "Hello. Thank you for asking at Chat Doctor. I feel your son is having an allergic respiratory disorder most probably allergic rhinitis with multi-trigger wheeze. I would suggest your son regular montelukast and levocetirizin which will help him to reduce both rhinitis and wheezing episodes. If this does not prevent his wheezing episodes, I would suggest adding regular inhaled corticosteroids using Metered Dose Inhaler with Spacer device with face mask. However, this depends on how frequent and how severe his previous episodes have been. I would suggest you to consult an Allergist who will advise allergy testing for him and may suggest what to avoid for reducing wheezing episodes. As a general rule, I would suggest him to avoid dusts, smoke and air pollutants. Hope this will be helpful to you. Wish your son the best of the health. Regards."}
{"_id": "000001730", "text": "Hello, As you are mentioning that there are 3 bumps behind your front lower teeth, there can be three possibilities-first it can be possible that these are normal salivary gland opening which is present there, and you have noticed it now. -second it can be possible that your front teeth are infected and now the infection is spreading in the apical region and forming pus because of which there is swelling. -third possibility is that there must be some salivary gland infection which has appeared like this.In my opinion you should visit a good dentist and get it examined completely with an x-ray which will give you the diagnosis and help to solve the problem. Hope it will help you."}
{"_id": "000001731", "text": "Hi, I appreciate your concern. Colon carcinoma usually presents with Iron-deficiency anemia, Rectal bleeding, Abdominal pain, Change in bowel habits, Intestinal obstruction. Nonspecific findings like fatigue, weight loss etc. can also occur. More advanced disease can present with abdominal tenderness, macroscopic rectal bleeding, palpable abdominal mass, hepatomegaly, ascites etc. So without knowing your detailed history, physical findings and imaging findings, it is very difficult to say the exact etiology. Hope it helps"}
{"_id": "000001732", "text": "Welcome to Chat Doctor .1. Its hair follicle infection (carbuncle / fur uncle) bacterial infection.2. Might have started after a shave and not using good antiseptic after shave (possible cause).3.Meanwhile until it heals do not shave, trim instead. As it will irritate again and dally in healing process.4. You should not scratch, compress the lumps as you are only complicating and causing delay in healing.5. If lump is not healing, a small incision and Chat Doctor. 6. Maintain local hygiene, avoid any irritant cloths constant rubbing, ad frequent clean with antiseptic liquid will help in fast healing. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000001733", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Pneumonia usually takes 2-3 weeks for complete recovery. Your oxygen requirement is decreasing. This is suggestive of recovery. So you will definitely be alright after 4 weeks. So get done repeat chest x-ray to see how much pneumonia is recovered. Chest physiotherapy, deep breathing exercises, incentive spirometry are vital to achieve good lung functions after pneumonia.Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001734", "text": "Hi, Based on the information provided it seems \\\" like a benign insulin\\\" which is a cancer of - Beta cells that produces the insulin, and the surgical removal of this cell mass will be a cure of your problem.  It's not a malignant pancreatic cancer you have been reading about, just a simple tumor that can be removed and 100% cure is obtained.  Now for the insurance issues, some hospital will allow a cheap surgical option, NEEDY MEDS website will help you to locate such cheap location. Hope it helps."}
{"_id": "000001735", "text": "Hi, Thanks for writing to Chat Doctor. Microdox contain doxycycline. It is antibiotic given for infections. I guess your doctor must have suspected sexually transmitted disease (STD)in you and prescribed microdot. The treatment for STD is antibiotic and avoiding sexual contact with wife, maintain good local hygiene. Once it is treated you can plan for pregnancy.  You should confirm from your doctor that the disease is cured. Hope I have been helpful. Regards Chat Doctor."}
{"_id": "000001736", "text": "Hi welcome to Chat Doctor. I have gone through your question. To conceive not only your site should be clear. Your partner also should have normal reports. I would advise getting done semen analysis of your husband if not done. If normal plan naturally do intercourse in fertile period on alternate days. Then consult gynecologist if not get success. Hope I answered your question. Would be happy to help you further. Take care."}
{"_id": "000001737", "text": "Hello Patti.welcome to Health Care Magic Usually lithium is not reported to cause side effects of lymphadenopathy, so don't worry about lithium dosing. Capital is known to causes serious skin side effects and serious hypersensitivity in susceptible individuals and lymphadenopathy may be seen with it. So lymphadenopathy may be probably due to some other cause. Kindly visit a doctor for proper investigation. ThanksTake Care"}
{"_id": "000001738", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. I suggest you should be some more descriptive. The problems are simply mentioned manias, a lot of noises in my ear and loss of hearing etc. These simple terms are not enough. Psychiatrists and psychologist treat after thorough examination of whole symptoms. Therefore, please be descriptive. I suggest you to call me at night after 8 PM. I am from Ottapalam, Alaska. Phone 9995407714. We shall work together for a cure. 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."}
{"_id": "000001739", "text": "Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. This may be caused by certain bowel disorders such as food allergies, I inflammatory bowel diseases or steathorhea and liver dysfunction. Allergy tests and liver work up is required. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health."}
{"_id": "000001740", "text": "Cannabis per se can cause various heart issues including fluctuations in blood pressure, heart rate, spasm of heart rate is too clogging of the art is causing heart attack. So by all means cannabis even social use is not advised in patients who have any kind of heart issues. You had pacemaker put for a heart block, per se cannabis will not interfere in the functioning of the pacemaker, However as a cardiologist I cannot recommend that you continue the use of cannabis, as the risk of ill effects in long run are not worth the calming effect you experience.  Try weaning yourself off. Regards Chat Doctor."}
{"_id": "000001741", "text": "Dear patient Infra red light cannot repair broken ligament at your spine. So we need to first confirm what is the actual problem by doing MRI of spine. It gives detail of ligaments , disc a and nerve roots. So visit a radiology center nearby you and get it done.  If its grade 1 or 2 tears it will heal completely with rest for one month. If its grade 3 it needs to repaired surgically.  Visit expert spine surgeon and get yourself examined."}
{"_id": "000001742", "text": "Hi! Welcome to Chat Doctor. I read your query. Check for any cavity in that tooth or adjacent teeth. Your symptoms are of dental abscess. I suggest you to visit a dentist and get an x-ray done. You need to get either RCT or extraction of tooth depending on condition of tooth. You need to have an antibiotic course on prescription. Painkillers like diclofenac etc. will help to ease pain a bit. Do warm saline rinses if warm water does not hurt. It will help in releasing pus. Final treatment is done by dentist after examination. Hope the answer helps you. Thank you."}
{"_id": "000001743", "text": "Hello, Regarding conservative treatment for the prolapsed disc, these are a few things you should follow.1. Avoid bending forward and weight lifting.2. Sleep on the hard bed and always sit straight with back support.3. Use a lumbosacral belt in the daytime.4. Give hot fomentation on the affected part.5. Apply diclofenac gel and give massage to the part.6. Do spinal extension exercises as tolerable.7. Take gabapentin and nortriptyline.8. Take any good muscle relaxant. Try these all for 1 month and still your pain is not relieved then there is no option other than surgery. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001744", "text": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that tuberculosis is communicable disease. If the diagnosis is made by biopsy of the node than it is confirmed diagnosis. Otherwise you should do biopsy to confirm tuberculosis. It is spread by respiratory route so to take a leave until you are all clear with the tuberculosis is necessary. But in all cases open case of tuberculosis is communicable to others not the close one. If you have sputum TB positiver than and then you are communicable disease. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor."}
{"_id": "000001745", "text": "Hello. I have reviewed your query and here is my advice. The children behavior is never masturbation. As you already know it is a normal behavior. But if the frequency is increasing and the girl becomes careless, then the problem is never normal. Here you should take this as behavioral disorder. Child Chat Doctor.  Their behavior can be changed with the help of many psychological techniques like distraction, reward, punishment etc. Use them wisely. I can help you if you need. Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further."}
{"_id": "000001746", "text": "HiT hanks for posting your query on ChatDoctorI appreciate your concern for your father. Your father must be given the treatment immediately. The wound should be cleansed, Injection Tetanus toxic should be given. Then he must receive the anti rabies vaccine on the following days"}
{"_id": "000001747", "text": "Hi, The pain is most probably a muscular pain but however it could be from a pinched nerve too. It should settle using Ibuprofen, but I would suggest over-the-counter Tylenol for the pain as it does not cause the side effects coming from using Ibuprofen. I would however suggest that you not take either of them on an empty stomach. Also, it would be prudent that you abstain from alcohol, if at all during the period of your medication. You could also use an antacid before you have some food."}
{"_id": "000001748", "text": "Thanks for question on Chat Doctor. In my opinion it is a acid reflux only. As lactose intolerance cause diarrhea first. And for acid reflux try to follow all these simultaneously for better control.1. Avoid oily, spicy and hot food.2. Avoid stress and tension.3. Avoid large meals, instead take frequent small meals.4. Quit habits like smoking or alcohol if you have.5. Lose weight if you are obese.6. Take proton pump inhibitors. 7. Go for walk after meals.8. Keep 2-3 pillows under head in bed."}
{"_id": "000001749", "text": "As you told 2deco is negative, and stress test is also negative, so other possibility is of nerve compression or nerve root pain as the complaint you told according to that is the possibility of this.  Second important thing is your posture during sleep this is also responsible for such problems so correct sleeping posture if not. Rule out for nerve compression or nerve root pain. You can take physiotherapy also."}
{"_id": "000001750", "text": "Hellohow are you?yes you have a spasm due to bite and inflammation at the tendon site. So need not worry because it is not a very serious condition. Just follow my instructions and take care. If possible remove the sting if it is there with precautions. Apply ice pa cat the site for 10-15 minutes. Take anti-histaminic Chat Doctor.  Take paracetamol or broken to relieve pain and inflammation. If swelling and inflammation is very severer than consult your doctor for short term corticosteroids. Get well soon"}
{"_id": "000001751", "text": "Hi, thanks for sharing your health concerns with Chat Doctor!  Hi, If I were your treating Doctor for this case of a lump near leg calf area following some blow, I would come up with only two possibilities like an organized hematoma and a slowly remodeling/tearing of underlying bone ! You might apply ice/cold compress there and avoid rubbing...! Therefore, nothing to worry about this and try not to get infected there! I suggest you to go for an X-ray/USG and FNAC test of the lump for confirmation and to relieve your concerns! 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."}
{"_id": "000001752", "text": "Hello Ravi and welcome to Chat Doctor. As a Urologist, i can fully understand your concern. The stone needs to be treated. With kidney failure, hes likely to develop bleeding after a surgical procedure.That's the cause for the blood clots in urine. The stent causes irritation in the bladder. The same with the catheter. Both cause irritation and pain. You have to bear with it. Realize that the stent is temporary and will be removed in short time. His kidney failure will need dialysis, as and when indicated. Wishing your father well. Chat Doctor.  Manga."}
{"_id": "000001753", "text": "Hi, From history it seems that you might be having some degenerative changes in your cervical and thoracic spines giving this problem. Due to pinched nerve pressure you get this pain. Go for x-ray cervical and thoracic spines. After report go for treatment accordingly after consulting your orthopedic surgeon. Take some calcium and multivitamin supplements. Physiotherapy and short way diathermy will give you relief. Ok and take care."}
{"_id": "000001754", "text": "Hi dear, The Tuberculosis is absolutely curable if the treatment is taken regularly and completely as prescribed by the treating doctor. You have already said that its cured. Regarding Asthma, it is not a curable disease, though, it is a preventable disease, that is, its progression can be halted on a regular treatment. Moreover, deep breathing exercises like Panama are known to have beneficial effect in asthma. Avoid cold and dust including household dust and pet animals to avoid asthma attacks. Have a good health"}
{"_id": "000001755", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart and lung diseases for your symptoms because heart diseases like arrhythmia and lung diseases like asthma and bronchitis can cause similar symptoms. So consult doctor and get done 1. ECG, 2d echo and blood pressure monitoring to rule out heart diseases. 2. Clinical examination of respiratory system and PFT (pulmonary function test) to rule out asthma and bronchitis. It all these are normal then no need to worry about major heart or lung related diseases. Sometimes, stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001756", "text": "Hi dear, The symptoms you mention in query are probably due to Force spots. They are variant of sebaceous gland. These harmless small white bumps inside the lips are visibly sebaceous or oil-producing glands. There are many treatment options available for such lumps like Electron desiccation, Pulsed dye lasers and Micro-punch technique. I would suggest you to consult dermatologist for proper diagnosis and rule out conditions like oral thrush, herpes simplex or a canker sore. For now apply lip balm containing SPF 15 and apply raw honey at night. Hope your query is solved. Get Well Soon. Best wishes,"}
{"_id": "000001757", "text": "HelloThanks for writing to ChatDoctorSlight amount of chronic microvascular ischemic loci are mainly due to chronic microvascular ischemic changes resulting from involvement of small blood vessels. Iischemic changes resulting from blood vessels changes in diseases like hypertension, diabetes mellitus, dyslipidemia. So, you need monitoring of conditions that leads to ischemic changes like hypertension, altered lipid profile, diabetes mellitus. You need investigations like routine hologram, RBS,LFT, RFT, Lipid profile, ultrasound of abdomen. Proper treatment depend upon findings. Hope I have answered your query. Take Care Chat Doctor."}
{"_id": "000001758", "text": "HelloThanks for your query, based on the report of your semen analysis that you have posted it appears that your semen analysis is well within normal range as per WHO standards as far as sperm count, morphology and motility of sperms is concerned except presence of pus cells. Presence of pus cells indicate infection of either Seminal vesicle or Prostate which can be cured by taking antibiotics for 4-6 weeks. Chat Doctor. ."}
{"_id": "000001759", "text": "Hi, thanks for posting in Chat Doctor I have understood your concern 1. Your post radial sugars are high so you need increase in the morning dose as a tablet or basal insulin. I can suggest you to take tab.januvia50mg once in the morning, recheck the sugars after one week and needs dose adjustment. If not getting controlled with tablets, better to take low dose basal insulin.2. Reason for giddiness may be due to hypotension or vertigo.  Or uncontrolled blood sugars, or I can suggest you to get done CZECH BP check while having giddiness tab.vermin 8 mg twice daily for 5 days3. Your weight is more and that is also contributing to uncontrolled sugars suggest you to reduce weight by regular exercise and diet control. Hope this helps you any further questions please let me know thanks"}
{"_id": "000001760", "text": "Hi. Thanks for the query. I have gone through your query and can understand your concern. As per your complaint it looks like there is problem with the jaw joint that can be either due to dislocation in the jaw joint or the soft cushion present between the two bony ends of the jaw joint known as Articular disc is displaced. So my advice to you is to consult an Oral Physician or Oral Surgeon and get evaluated and a clinical examination and investigation like Panoramic x-ray can help in ruling out the exact cause and treatment can be done accordingly. You can be advised painkillers and muscle relaxant and along with it Physiotherapy, night guards will also be advised. Also avoid excessive mouth opening like during yawning laughing etc. You should take a soft diet. Massage the sides of the face with round gentle movement of fingertips. Hope this information helps. Regards."}
{"_id": "000001761", "text": "Hepatitis A causes infective hepatitis and jaundice. Although her jaundice has subsided, complete resolution of such an infection and the pain could be related to that. But it is hard to comment surely as she needs to be examined clinically. Treatment depends upon the cause behind. Still, giving her pantoprazole and demonic, half a tablet each, may give her some relief. Please get her examined by a doctor and decide on the treatment accordingly."}
{"_id": "000001762", "text": "Welcome to Chat Doctor. 1.No, the history you have given does not suggest any cancer, it only suggests a superficial/ subcutaneous lump with pain.2. That could be hair follicle infection, lipomas, or superficial abscess.3. Would recommend you to see the doctor / GP, he will examine the case and do needful investigations done.4. If there is any pus discharge / collection noted - a course of antibiotic would help.5. If in case its bigger a small incision and Chat Doctor.  Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you."}
{"_id": "000001763", "text": "Thanks for your query at Chat Doctor! I went through your query! Legalon, is of plant origin containing Silymarin. It is a cell membrane stabilizer and capable of protecting the liver against deleterious agents and of restoring damaged liver cells to normal. You can take Legal on (35 mg) 3 time daily for long periods. Various studies are still evaluating its role but initial results have shown benefits. Kindly describe other complaints so I may guide. Kindly monitor LFT regularly. Chat Doctor.  You can get viral load tested. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. Take care!"}
{"_id": "000001764", "text": "Hello, Thank you for posting on Chat Doctor. It seems you are suffering from Tina courts and corporal, a kind of fungal infection. I would suggest you to consult your dermatologist for proper management of the condition. I usually recommend proper course of oral antifungal Chat Doctor.  You can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistamines for itching as required. Maintain hygiene over those areas and avoid wearing tight undergarments. Hope your queries are resolved and wish you best of health. Kindly spare some time to rate my answer and"}
{"_id": "000001765", "text": "Hi, dairy have gone through your question. I can understand your concern. Your father has chronic myeloid leukemia. His total count is high. His platelet count is normal. Spleen enlargement is common in CML. But stage depends on the percentage of blast cells he has. Please send me the report of differential count so that I can help you further. Treatment options are imaging & HY Chat Doctor.  Hope I have answered your question, if you have any doubts then contact me at bit.ly/"}
{"_id": "000001766", "text": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Pernicious anemia is due to intrinsic factor deficiency and is an autoimmune disease and will require It B12 injections.2. Iron deficiency is due to reduced intake and possible reduced acidity due to gastric atrophy. Acid helps in increased iron absorption.3. Iron infusion or injections will be more useful. Followup reticulocyte count after 15 days will confirm improvement. This will give overall improvement. Hope it helps. Any further queries, happy to help again."}
{"_id": "000001767", "text": "Hi! Good morning. I am Chat Doctor answering your query. This could be a hematoma (collection of blood) due to the trauma, which has not yet got absorbed. A simple hematoma would gradually get absorbed of its own unless there is persisting oozing or if it gets infected. The exact status could be known by a clinical examination by a surgeon and a fine needle aspiration if need be. Therefore, I would suggest you to get an appointment with a general surgeon for an appropriate diagnosis and further management. Till then, you could go for an anti-inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000001768", "text": "Hello, Welcome to Chat Doctor, Rabies is a disease which is also transmitted by bite of the monkey, it is a 100% fatal disease, but it is 100% preventable by proper and adequate treatment. As you were bitten by a dog on the hand, and it has not led to any bleeding, according to WHO categorizes it has been categorized into Cat II. Cat II requires active immunization with antirabies vaccine on days 0,3,7,14 and 28 (if the dog is healthy you can stop the vaccine after the third dose). The vaccine should be taken to the shoulder by the intramuscular route. You need to take a shot of tetanus injection too. The aforementioned treatment will protect you against developing the disease rabies. Thank you."}
{"_id": "000001769", "text": "Hello, thanks for using Chat Doctor. Ca 125 as you already know is a marker for cancer. It increases in cancers of the digestive system and those of the reproductive system including the ovaries, fallopian tubes, endometrium of uterus etc. It is highly used in the diagnosis and follow-up of ovarian cancer. Ca 125 is not specific to a particular disease and does not necessarily indicate a malignant disease. It could be elevated in benign conditions such as uterine fibroid as well. From your history; heavy menses, anemia, enlarged uterus etc., there is a good chance that what you have is a uterine fibroid. The only problem is that the ca 125 level is far above the normal which is 35 (300 in your case). The appearance of uterine fibroid on ultrasound is particular, and you should see your ultrasonographer to say if the mass was not well round and with borders and characteristic of fibroid. If it's a fibroid or none metastasized cancer, hysterectomy will be just fine. Best regards and hope this helps. Chat Doctor."}
{"_id": "000001770", "text": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. This can be due to an infection. It should be examined and if it is simply an abscess, you should be given a course of antibiotics like Augmenting. If it still persists, You should get a FNAC of that area, to be sure of the diagnosis. This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy"}
{"_id": "000001771", "text": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to an infection. I recommend consulting with your GP for a physical exam, an X-Ray study of the spinal cord of this region and sacrum, a complete blood count, PCR, ESR for infection. A lumbar puncture may be needed, if suspicions of an infection of the fused vertebral bodies is suspected. Hope to have been helpful! Wishing all the best,"}
{"_id": "000001772", "text": "Hi, thanks for using Chat Doctor In general, it is thought that ovulation occurs about 10 to 17 days after the onset of the last period. If the periods are irregular, it is more difficult to pinpoint the exact time. In most women ovulation would not have occurred by day 8 but having said that, it is possible to get pregnant at any time in the cycle, the chances are just greater at different times. White curry discharge is usually a sign of a yeast infection which can easily be treated, yeast infections can occur in the absence of pregnancy. Signs and symptoms in early pregnancy include"}
{"_id": "000001773", "text": "Hi, Thank you for posting your query. I appreciate the amount of care you are taking to keep this problem in check. Various types of treatment are beneficial for cervical disc disease. Regular physiotherapy, including neck extension exercises are very useful. For pain relief, IT and ultrasound are useful, traction is useful in some. Using a soft cervical color, especially while traveling, is very useful. For severe pain, use of medications, such as pregabalin is useful. Regarding follow, MRI of cervical spine is useful. There is no need to do it on regular basis, it can be repeated as per need and on the basis of symptoms. Best wishes, Chat Doctor."}
{"_id": "000001774", "text": "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 queryStool disorders are well known in patients of IBS. So the passage of mucus is not too surprising. The stools quality may change even during the IBS condition. So maybe that is why you are feeling surprised. As to the pink color, there is a high possibility that the color is due to the pigment of something that you may have eaten, This food substance can cause the pink discoloration. However, to be on safer side, have stool for occult blood tested.  If It's negative, you need not worry and the color is due to other causes, not blood. If it is positive, a colonoscopy may be needed to look for the source of blood 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. Please do understand that some details could be extracted from a detailed history and examination. 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."}
{"_id": "000001775", "text": "Hi, I have gone through your query. Xiaflex was previously used for the treatment of Dupuytrens contracture. Now it has been approved for use in Parodies disease. Main action of this medicine that it dismantles the fibrous tissue which led to bending of penis. The Chat Doctor. There are 4 cycles of treatment with it. 2 injections are given in each cycle and later on penile remodeling is done, if required. It can correct up to 30 degrees of curvature. Final decision should be made by treating doctor. Do consider positive feedback as a credit to my work. Let me know if you have any further questions."}
{"_id": "000001776", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, you should not with Chat Doctor.  Incomplete treatment can develop resistant in the organisms. Which makes your condition untreatable. Completing the course has advantage that it will clear up all the bacteria. Thereafter infection won't recur. You can also apply antibiotic cream over the bump like polypoid. Please wash the area frequently with soap and water. Avoid injury to the affected part otherwise it will keep recurring. I will be happy to answer your further concern on bit.ly/"}
{"_id": "000001777", "text": "Thank you for asking! Polymyositis is muscle inflammation disease and hyperkalemia may develop from the illness and from the medicines too like servitude in your case. Next trouble is your Vegetarian nature, So seek a nutritionist for guiding better regarding avoidance of potassium rich supplements. Avoid steroids and any medicine that may cause hyperkalemia. Seek help as slight deranged potassium can be lethal. Take care"}
{"_id": "000001778", "text": "Hello.I would like to know the detailed history of this child starting from fetal life. Was your pregnancy normal, or were there any complications?was he delivered vaginally or through c-section?if c-section, what was the indication? Did he cry immediately after birth?or was their any history of delayed cry?any neonatal ICU admission?any history of neonatal jaundice requiring phototherapy or exchange transfusion? Any history of CNS infection in the past? Give me detailed developmental history like when he started having neck holding?social smile?sat with or without support? When he started walking? When he started talking? Any family history of child with developmental delay? How about the siblings? I want to have a detailed analysis of this child in the light of the answers to these questions. Thanks"}
{"_id": "000001779", "text": "Hello, Thanks for your query. Scarlet fever causes a sore throat, high temperature and a rash. It usually occurs in child Chat Doctor.  It has become much less common and less serious than it once was. Full recovery is usual. Treatment is with a course of an antibiotic. It is important to finish the full course of antibiotic, even if symptoms soon go, as this helps to prevent possible complications. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000001780", "text": "Hi. The pain in the back seems to be a back spasm.which can be cased due to various reasons...a sudden over activity.sudden twisting can land you to that issue... Don't worry...keep icing your spine frequently say once for every 2 hours for 15 mins.don't force any activity on your spine.take rest... As your muscle allows slowly stretch your low back by bending your bent knees towards your chest.while you are lying on your back. Hope this is helpful to routinely revert in case you need any more clarification..."}
{"_id": "000001781", "text": "Hi, If I were your treating Doctor for this case of ankle lump, I would come up with only one and one possibility that is a sebaceous cyst or folliculitis! Nothing to worry about this and try not to get infected there again and again! You might need to take oral antibiotics for these... I suggest you to go for an FNAC test of the lump for confirmation and to relieve your concerns! 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."}
{"_id": "000001782", "text": "Helots history of illness and symptoms are not an indication of any particular disease. With the help of these symptoms at least, it is very difficult to establish any diagnosis. As you mentioned that she is having PCs, fever off & on, frequent urination, stuffy nose and difficult to breath. Stuffy nose and breathing problems may be due to bronchoconstriction (either due to allergy or infection) . While PCs is another disease. Fever on & off may be due to infection either urine or upper respiratory infection. At this stage I recommend you please visit a physician and get his opinion as physical examination as well as clinical examination is important in this case. Good luck."}
{"_id": "000001783", "text": "Hi, Thank you for posting your query. I need some more information to better understand your problem and give my advice.1. Since how long are you having these symptoms?2. Has it happened only once or does it recur?3. Have you lost consciousness during these episodes? Possibilities include a seizure phenomenon and vitamin deficiency. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"}
{"_id": "000001784", "text": "Hello, Lower back pain may be due to 1. Back muscle spasm.2. Lumbar spondylosis.3. Renal pain.4. Pancreatitis pain.5. Herpes zoster. Until examination is done it is difficult to say what it is. Use tablet aerosol Mr (Don't take if you have chronic kidney disease) twice a day for five days. Use local application of painkiller gel with hot or cold compression. If symptoms not improved please get it done x-ray of LS spine get treated accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000001785", "text": "HelloThanks for query. The problem of Erectile dysfunction needs to be investigated to find out the cause of ED. With normal Testosterone levels and unresponsive to Viagra, the cause of E. D is most likely to be Vasculogenic. Consult qualified Urologist for clinical examination and get Color Doppler Scan of the Penis done to confirm /rule out arterial insufficiency or venous leak as a cause of your ED. If proved to be due to arterial insufficiency it can be treated with newer modality called Extra Corporeal Shock Wave Therapy (EST)to penis. This helps to develop collateral vessels and thereby increase blood circulations to the erectile tissue to achieve hard erection. Chat Doctor."}
{"_id": "000001786", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. Shaking of legs simply does not point towards restless leg syn Chat Doctor.  I advise you not to notice the restless legs yourself. Ask somebody to monitor you without you knowing it. Let him monitor you when you are at work, at school, at games etc. Then ask him how serious it is. If he says it needs to be corrected, then you start researching about it. Definitely not now. Worrying about a possibly non-existing problem can be the basic cause of the problem itself. Be wise. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000001787", "text": "Hi, only paracetamol and anti-cold medicine is not going to core her respiratory tract infection and antibiotics are needed to be given to her only then she can recover well. Anti bionics like ampi-cloxacin or co-amoxi-clav or Rothko can be given to her a dsome vitamins including vitamin C should be given, but I advise you to go to a physician and let her examined physically to rule out pneumonia and other specific condition for which special attention is required and then follow the treatment. Thanks and with regard."}
{"_id": "000001788", "text": "Hi. Welcome to Chat Doctor . As per your complaint sharp points on the jaw where teeth are not present that are very painful during placing denture are due to formation of bony spicules and are formed due to left over sharp areas over the bone after removal or loss of teeth, and they appear as sharp elevations over the top of the jawbone and when the denture is placed the gums gets impinged or rubbed between 2 hard surfaces that is the bony spicule and the denture plate. It cannot be treated with mouthwash or any medication, and it has to be removed by trimming the bony spicules by a small surgical procedure known as Alveoloplasty. Once the bone gets smooth then wearing the denture will not be painful. As of now you should apply numbing gel containing Lidocaine over the painful areas to relieve pain. Hope this helps. Regards."}
{"_id": "000001789", "text": "HelloElevated liver enzymes like SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need clinical evaluation and investigations like routine hologram, random blood sugar, lipid profile, complete liver function test, viral markers, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg tablet twice daily for three months. It helps in regeneration of liver cells. You should avoid saturated fat and go for brisk walk regularly. Get well soon. Take Care Chat Doctor."}
{"_id": "000001790", "text": "Hi dear thanks for the query on Chat Doctor You need to get an examination by a physician. There are various swelling that can appear in neckThyroid swelling, hypoglossal cyst, laryngeoceleZekers diverticulum, lymph node swelling, lipoma or neurofibroma. You need an ultrasound neck... If swelling is solid a FNAC of the swelling for pathological diagnosis. Based on diagnosis treatment can be initiated. Thank you"}
{"_id": "000001791", "text": "Hello! Thank you for the query. The most common reason of lower abdominal pain is urinary tract infection. You may have also frequent urinating, burning while urinating, blood in the urine, fever with this condition. Lower abdominal pain should be also checked with inguinal hernia, adductor muscles inflammation, appendicitis (lower right abdominal pain), diverticulitis (lower left abdominal pain), ovaries inflammation, ovaries cyst, pregnancy. Please consult your doctor and start with urinalysis, abdominal ultrasound and blood work. Hope this will help. Regards."}
{"_id": "000001792", "text": "Hi, If I were your treating Doctor for this case of severe pain under the left rib cage, I would come up with three possibilities, these include"}
{"_id": "000001793", "text": "Welcome to the ChatDoctorI understand your concerns. You daughter seems to be suffering from either an inflammatory or an infective cause of illness. There could be many possibilities such as Viral fevers, connective tissue disorders such as systemic lupus erythematous, a bacteremia etc. I would recommend you the following measures"}
{"_id": "000001794", "text": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that a comprehensive differential diagnosis should be done to differentiate between different causes of this clinical scenario"}
{"_id": "000001795", "text": "Hello, welcome to Chat Doctor. It is usual to have guilt for 1-2 month after death of loved one, due to grief. But having excessive guilt for more than 2 years is not common. It is symptom of depression. Only explanation regarding cancer will not help him much. It is better to get him evaluated by psychiatrist. There are several treatment options are available like Chat Doctor. Wish you good health and all the best."}
{"_id": "000001796", "text": "Hello, As you have repeated infection of hair follicles, you can take tablet Ciprofloxacin, tablet Broken and Newsprint H ointment locally after consultation. To avoid repeated infections, maintain proper hygiene, remove hairs if possible, and use antiseptic soap. Bath daily two times if possible, keep yourself cool, and avoid heat and humid environment. I will suggest you to review back with detailed history or consult with dermatologist for detailed examination. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001797", "text": "Hi. I know how difficult to eat child of this age. U have improvised some following things1.give frequent small diets and small diet should be with extra calories(add sugar or ghee or oil). 2.never force the child for feeding. If he or she is hungry he will come ask or food definitely. Till 1yr parents are responsible for child feeding after that child can walk some can come and ask for it. 3. Always take breakfast, lunch and dinner in groups so child can enjoy feeding. 4.give minimal amount of milk5.give spy vitriol and spy zirconia bot are tonic which may improve diet. Hope you are getting your ans"}
{"_id": "000001798", "text": "Thanks for posting on ChatDoctorNOrmally leukemia will show as high white cell count & not low (unless leukemic patient had aggressive chemotherapy)You are quite right that recurrent viral infections can lead to low WBC & subsequent fatigue. Due to her being on metformin & also having some other chronic medical conditions (RA, kidney problems etc.) - she must undergo few other blood tests if not already done - FBE, Fe ferritin, it D, ESR CRP, Lots, kidney tests, TFT. Hope this is helpfulThanks"}
{"_id": "000001799", "text": "Hello dear, Erythrocyte Sedimentation Rate (ESR) is more of prognostic value rather than diagnostic one. And in absence of any specific symptom, only rise in ESR has no clinical significance. Though increase in ESR is seen in many conditions like anemia, chronic diseases, tuberculosis, etc. any disease cannot be diagnosed only on the presence of increased ESR. In your post you have mentioned the decrease in values of ESR on subsequent testings. It indicates a good prognosis that the treatment against UTI has been effective. Please let me know if you have any further queries. You can ask me a direct query on this website using the below link"}
{"_id": "000001800", "text": "Hello, Thanks for your query. I have read your query in detail.  The symptoms you have described are more likely to be symptoms of muscles strain. To get relief from the pain and for quick healing"}
{"_id": "000001801", "text": "Hello USG findings may indicate renal parenchymal disease. This is indicated by coarse cortical echo texture of kidneys. Your father-in-law need clinical examination and further investigations. Investigations include routine hologram, random blood sugar, renal function test(include serum urea, creatinine), creatinine clearance, GFR,serum sodium, potassium,calcium, phosphorus,chloride, bicarbonate etc. It is important to assess severity of illness. Treatment depend upon findings. Simple cyst in kidney is an age related finding, and it is a benign finding. Diffusely increased echo texture of liver indicates fatty changes in liver. Fatty liver is a reversible condition, and it can be reversed by diet and lifestyle changes. Take Care Chat Doctor."}
{"_id": "000001802", "text": "Helloo...read through your query...according to me bleeding can cause on the extraction site if the healing process has not yet complete, or it may have infected due to some remnant tooth parts or bone pieces...so it causes cant be predicted without seeing the clinical situation.but with these symptoms u can take medicines(antibiotics Amos for 3 days)as prescribed by your dentist.and take care not to have hard food and don't bite in that area for few days.while brushing don't touch that area.also don't touch that site with tongue or finger.do salt water gargle twice daily .and see for few days and still bleeds meet your dentist....and be cool...hope your benefitted something from this reply.have a healthy day!!"}
{"_id": "000001803", "text": "So you're having some kind of infection and taking azithromycin. Having chest pain is cause of concern. Reason may be simple chest infection causing pleural inflammation called pleurisy you can assess if its localized sharp and increased with deep breath. If its like it then simple antibiotic and pain killer are sufficient. But more worrisome is if its cardiac or Ischemic. So u may need chest x Ray and ECG to diagnose after proper clinical assessment."}
{"_id": "000001804", "text": "Welcome to Chat Doctor I have gone through your query and understand your concern. This seems to be due to infection most probably viral infection. You are advised to visit ENT specialist for it. Till that analgesic such as ibuprofen is required. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care."}
{"_id": "000001805", "text": "Hello! Welcome and thank you for asking on Chat Doctor! Your symptoms seem to be related to a nerve compression. It could be related to compression during sleep too, after staying in a wrong position. I would recommend consulting with a neurologist and performing a nerve conduction study to examine the nerves of your arm. Some blood lab tests (complete blood count, PCR, sedimentation rate) would also help exclude other causes like inflammation. Hope you will find this answer helpful! Kind regards,"}
{"_id": "000001806", "text": "Hi. Thanks for your query and an elucidated history. You have got recurrent sharp stabbing pains in the left abdomen between the naval and hip bone, this is most suggestive of the following"}
{"_id": "000001807", "text": "Dear patient This can be stress fracture of your tibia or muscle pull. Since you are exercising for last 3 weeks it puts stress on your bone which is not accustomed to such extraordinary stress. This leads to minor fracture in code which is not usually seen on X-ray.  I would like to advise X-ray of involved tibia fibula anteroposterior and lateral views to look for fracture line. Avoid treadmill for one week to give rest to your tibia. Take milk every day with vitamin D supplements. If your pain is not relieved within a week MRI of involved leg is required. All the best."}
{"_id": "000001808", "text": "Hello, Your symptoms could be related to anxiety. Cardiac arrhythmia cannot be excluded either.  For this reason, I would recommend performing an ambulatory 24-48 hours ECG monitoring in order to examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia.  Some blood lab tests are needed too (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction and blood electrolytes for possible imbalance).  If all the above tests result normal, you should consider anxiety as the main cause underlying your complaints.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000001809", "text": "Hallow Dear, You had taken birth control pills regularly during the month of May. So your May month cycle was well protected. However, you have delayed starting the pills of June by seven days. So your June month cycle is NOT protected against pregnancy. You have to use additional protection like Condom during this month. Still, please continue to take the pills though you have started them after a gap of 7 days. This will help to give a start to next month's pills. You are right in your calculations. If you had your menses from 11 May through 18 May, you would be ovulating around 26-27 May considering your cycle to be 30 days. However, if your have got your menses in June, you do not have to worry about this period of ovulation. I hope this helps you."}
{"_id": "000001810", "text": "Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that head injury followed by vomiting and headache is a sign of intracranial hemorrhage, creating pressure on the brain. It is necessary to do CT scan of the brain to rule out hemorrhage. If the there is an alteration in consciousness kindly attend the nearby ER department otherwise condition will be fatal. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease."}
{"_id": "000001811", "text": "Dairy understand your concern. The medications you are having may be apt. Still you need to consult a clinical psychologist for evaluating the depth of your depression and panic condition. Time and again it has been proven that medicines alone cannot cure depression. Yoga and meditation can help you in regaining body metabolism and streamlining the mind. Psychotherapy can streamline your lifestyle. Both together will strengthen your body and mind to overcome difficulties. Wish you speedy recovery."}
{"_id": "000001812", "text": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause for the lump in your head and throat-In my opinion both these lumps are differrent-One on the head above right ear-is diagnosed by your doctor as but bite-and is being treated accordingly. The bite seems to be infected with secondary infection.Hence, I suggest it to consult ER Surgeon, who would treat it accordingly. Other lump -on the throat-is a separate lump and is not causing the headache you have. Headache you have is due to the infected bug bite and needs to be treated by antibiotics with your ER Surgeon. For Final Diagnosis and treatment needs clinical data from a Doctor.It's not thyroid as you think -otherwise Your doctors would have asked you to do USG and other tests to rule it out. And Hence for further treatment I would advise you to Consult ER Surgeon, who would treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N."}
{"_id": "000001813", "text": "Hello thanks for posting at Chat Doctor. Your symptoms like shortness of breath, loss of weight, chest pressure, fatigue can be symptoms of anemia. But since you have worked up, I guess hemoglobin levels would have been checked and found normal. Another possibility is chest infection. You have mentioned that tests are normal, but not which tests have been done. I want to know whether a chest x-ray and a CT of the chest has been done. If not please get a CT chest done. It will show if you have some infection patches in the lungs. If infection patches are present, samples from those areas can be taken by bronchoscopy for testing. Possibility of tuberculosis should also be considered here. Since your ANA is positive then the symptoms can be due to autoimmune disease also. But again it depends on the intensity of ANA, its final dilution and its pattern. Please share information about the full ANA report. ANA positivity can affect lungs, kidneys and other organs also. Please do a urine routine and creatinine (if not already done) to see if kidney functions are affected. Please revert with the above findings. Wishing you good healthRegards"}
{"_id": "000001814", "text": "Thank you for posting query at Chat Doctor. Yellow color of eyes (sclera) indicates due to high bilirubin levels termed as Jaundice. Jaundice can be due to hemolytic anemia, hepatitis OR gall bladder pathology. Therefore, your advice to do certain blood tests and visit hepatologist or gastroenterologist at earliest"}
{"_id": "000001815", "text": "Hello, I would be happy to help you with your question. I think that you should still be concerned about the remaining tube.  For the same reasons that you had the ectopic in 2007, your other tube might be diseased as well in a way that was not detectable on HSG.  There should be consideration of a laparoscopy to look at the other tube, and to assess for adhesions.  I only suggest this because GUI is expensive, and if the remaining tube is not functional or there are adhesions, then it will likely not work, or you will be at risk for a recurrent ectopic pregnancy. I hope that this helps and good luck!!"}
{"_id": "000001816", "text": "It seems that there is some injury in the spinal cord itself, you can get a fresh CT scan or MRI for the spine and send me the report. Unfortunately spinal cord injury is not treatable by any medicine or surgery however stem cells can be used to regenerate the damaged spinal cord, and we have seen good response in such cases at our center. This therapy is still under research at present however you may try it"}
{"_id": "000001817", "text": "Hello, At this age you can start giving Carla stage one rice or Nestum rice stage 1 etc. All are same in calories and energy. Only thing is palatability which is subjective for each kid. Other home-made food options will be - 1. Deal and rice well cooked and made into a oatmeal along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal oatmeal preparation with additional ghee added. Remember certain principles like -1. Add one food material / cereal or fruit per week. This will be useful because if he develops vomiting or diarrhea, we will know what to avoid.2. Add vegetables and fruits made into a paste surely to avoid constipation.3. Do not add too much sugar as it may cause diarrhea. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001818", "text": "Howell come to ChatDoctorAllergic reaction may be likely atomic dermatitis may be possible this can be managed with following medicines 1) Beclomethasone with Aureomycin for local application, if this does not respond then clinical examination would be necessary, as matter of fact all the skin lesions demands clinical examination for diagnosis without this difficult to say anything it is kind of art of looking that gives all information about disease, have a nice day."}
{"_id": "000001819", "text": "Hi, If you are having symptoms like giddiness, blurring of vision, in coordination, slurring of speech, or if you lost consciousness after hitting your head It's advisable to see a neurologist who might advise a CT scan to rule out any bleeding. If you none of the symptoms, there is no need to worry and the pain you are experiencing will subside in few days. The reaction of your pupils cannot completely assess the working of your brain. Regards."}
{"_id": "000001820", "text": "Hello, Thanks for the query. You might have developed an autoimmune condition like psoriasis or atop, Rash lasting for so long cannot be any infection. I would suggest you to get a biopsy done. It will help in finding out the exact diagnosis. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https"}
{"_id": "000001821", "text": "Hello, Your symptoms need more through interviewing. It reflect botChatDoctorponents of anxiety and obsession disorder. Please visit a doctor & get yourself evaluated. At your age there can be several possibilities behind such thoughts and one need to be careful while starting Chat Doctor. However, with proper meds you will have great benefit-your mind will relax, the disturbing thoughts will reduce and day"}
{"_id": "000001822", "text": "Hi, Thanks for writing, I recommend you to visit a general physician and tell in detail the cause of your problem. There are many diseases which you may be at a risk of. Even though cephalexin was prescribed, but doctor might have prescribed it for skin and soft tissue infection.  See, almost all STDs are curable. You just need to have the right Chat Doctor.  A more detailed clinical examination and details of your history are must for a clinician to diagnose your problem. Only then can he prescribe better and specific"}
{"_id": "000001823", "text": "Hi, dairy have gone through your question. I can understand your concern. You have multiple myeloma. Your pathological fractures are due to multiple myeloma.  You should take treatment of multiple myeloma. Thalidomide plus dexamethasone is the treatment of choice.  Bortezomib can be used.  Definite treatment is stem cell transplantation. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001824", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, you are right. Your current scar on chest x-ray can be due to the procedure you had at the time of lung collapse. But better to get done 1. CT thorax. CT gives much better idea about lung lesion than chest x-ray.2. Bronchoscopy. If CT suggestive of fresh lesion (due to infection) than to search the cause, bronchoscopy is necessary. So better to consult pulmonologist and get done CT thorax first and discuss all these."}
{"_id": "000001825", "text": "Hi, Chance of pregnancy is less because you used protection. Your symptoms could be due to hormonal imbalance as demo shot has been off. To confirm pregnancy, I would suggest going for blood Chat Doctor test, 10 days after sex. Blood Chat Doctor test is more accurate test and detect pregnancy earlier compared to urine pregnancy test. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards,"}
{"_id": "000001826", "text": "Hello, At the age of 10, many conditions causes fever. You have not mentioned any other symptoms your child suffering from, otherwise it would be of great help in diagnosing the condition. The treatment you are giving is right to lower the temperature. But as you said it is not working, following may be the reasons"}
{"_id": "000001827", "text": "Degree understand your concerns went through your description. I suggest you not to worry much. The fluid you are talking about is actually the semen itself. Body produces semen whenever it is sexually aroused. Such semen should be ejected out of the body, and it is the need of the body. If you do not masturbate or indulge in sex regularly, body finds its own way to eject produced semen. It could be through night fall or urine. Your case is normal and stop worrying. As such leakage is normal, all your tiredness feelings are just in your thoughts. Divert your attention from sex related matters and prioritize. Channel the thoughts towards education and career. You might need psychotherapy and other cognitive behavioral therapies. I can help you through telephone. Please do contact me through customer care of www.ChatDoctor .com for a telephonic consultation session. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000001828", "text": "Hi I did review your concern. Can you please send us the complete blood report to comment more on your platelet count? Low platelet counts can be due to many reasons like a recent infection, or idiopathic (ITP) or immunological destruction or low production or bone marrow infiltration by any process. We need to have a look at your report and if it is below 1 lakChatDoctorm then a bone marrow aspirate is advised to see if it is megakaryocytic or not. Then there is treatment available to increase platelet count in form steroids or splenectomy or romiplostim and so on, but it depends on diagnosis.I hope this helps. Wish you all the best. Thank you for using Chat Doctor."}
{"_id": "000001829", "text": "Hello, Headache, dizziness with fever in a child warrants detailed clinical evaluation by a pediatrician. Causes of sucChatDoctorplaints are commonly upper respiratory infections, but may be seen in certain other conditions such as migraine, hypertension, anxiety, CNS infection, etc. You should consult pediatrician and get detailed clinical evaluation done. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001830", "text": "Hello user, As per your history, there were 2 times when you got pregnant before Caesarion. That shows that your reproductive system is without any problem, section. As far as I know, follicular size is not the only criteria which help you to get you pregnant ! The main point of concern is the Caesarion section performed by the surgeon might have made the inside of the uterus a bit difficult for the egg to implant, Which might be causing you infertility. There are hormones and Chat Doctor. Hope my info helped you regards"}
{"_id": "000001831", "text": "Hi, He has a fever, anorexia, vomiting, red eyes and some irritability. These symptoms usually suggest a viral fever, and need only supportive treatment. He will be fine in 3-5 days. Just continue the medicines as advised. Give paracetamol 3-4 times a day. Give syrup ondansetron (2\\u00a0mg/5ml) 2.5ml 2-3 times a day for vomiting. Give feeds more frequently in small amounts-this will increase holding down. Take him back to doctor if symptoms are not coming down after 72 hours, he becomes very lethargic, or not at all taking feeds. Until then, you need not worrywart care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000001832", "text": "Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you are having some viral infection which is causing fever, body aches and fatigue. As your symptoms lasted for few hours which was not associated with nausea and vomiting suggest that you had some flu like symptoms of viral origin. Most of the viral infections are self limiting, and it will subside by itself. As your symptoms have lasted for few hours it will subside gradually. For your symptoms, I would suggest you to follow1. Chat Doctor."}
{"_id": "000001833", "text": "Hello, I have studied your case. This can be arthritis of spine due to deviation in mechanical axis. There can be associated disc Protrusion leading to neuritic pain. You may need MRI spine to get detail diagnosis. For symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. 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"}
{"_id": "000001834", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint yes, if you have an aggressive form of thrush and if you get a tooth extracted, the yeast will get favorable environment to grow and can infect the extraction area also leading to delayed healing.Also, the antibiotics given post extraction can cause flaring up of thrush and increase the severity of infection. You should therefore consult your treating dentist and take a script of antifungal medications to be taken orally like Fluconazole along with Statin mouthwashes and clotrimazole lozenges. Take more of probiotics like Yogurt in diet. Take antibiotics as less than possible as your dentist will advise you low doses to prevent flaring of thrush Hope this helps. Regards."}
{"_id": "000001835", "text": "Hi, It is not proven that progesterone can really help with preterm labor, so your doubt is correct. Many doctors just prescribe it as a precaution. I would like to know if any sonography was taken and was the length or dilatation of cervix (mouth of the womb) noted. Only if there are changes in the length and dilatation of the cervix can we consider that you are truly in preterm labor and only then would some medications be advised. Braxton hicks are false labor pains and do not cause preterm. If you do have changes in cervix and repeated tightening and pain which in increasing in intensity then we should consider corticosteroid injection for maturity of fetal lung and admit you for observation in hospital at least for 24 hours ant to watch for bleeding or leaking. Also do not use progesterone as their benefit is questionable. Hope this helps. Regards."}
{"_id": "000001836", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Your symptoms are mostly due to musculoskeletal cause because of your work. But since you were taking poison for 3-4 weeks, better to rule out cardiac cause first for your left sided chest pain. So get done ECG first. If ECG is normal then no need to worry much for cardiac cause. Your symptoms are due to musculoskeletal pain. So try to follow these steps for better symptomatic relief.1. Avoid heavyweight lifting.2. Avoid strenuous exercise.3. Avoid bad postures in sleep.4. Avoid movements causing pain.5. Start painkiller and muscle relaxant.6. Apply warm water pad on affected site.Don't worry, you will be alright.Don't start poison again."}
{"_id": "000001837", "text": "Hello! Thank you for asking on Chat Doctor! I understand your concern, and I would like to explain to you that one of the most frequent inconveniences surrounding by pass patients is sternotomy region medical issues. Sometimes, local infections may complicate seriously the clinical course of healing and recovery. Sometimes, a sternal suture dehiscence appears as a very problematic and dangerous situation, leading to mediastinitis (a serious complication that urges prompt and vigorous treatment). You need to perform an immediate medical check up to your cardiac surgeon to rule out these medical complications. Hope to have been helpful to you. Greetings!"}
{"_id": "000001838", "text": "Dear as said by you have severe neck pain with radiation to head and back and there is history of car accident also. All this is suggestive of musculoskeletal pain with or without some nerve compression. To confirm the diagnosis we need an MRI cervical spine .that will show us about any bone fracture or nerve root compression, or it may be a simple muscle injury or stain.bone fracture with prolapsed disc compressing nerve is an emergency. That must be diagnosed as soon as possible and managed. If it is some muscle stain it can be managed conservatively by some muscle relaxant and painkillers along with physiotherapy. So at this time you need to discuss all this with your physician .hope this will help."}
{"_id": "000001839", "text": "Hi! Thank you for consulting with Chat Doctor ! Is the rashes just on her right cheek? Have you noticed rashes on other parts of her body? Babies have very sensitive skin. It can be that she always sleeps on the right side and this part of the face is always in contact with the bedsheet or the cloth where she sleeps. It is best to avoid strong scents like perfumes, lotions and powder for both babies and caregivers. Also, when you start feeding the baby, introduce food one at a time. Give one kind of food for 3 days before introducing a new food to her. In that way you can observe if she has any reaction to that particular food. For example give wheat cereals for 3 days. Observe if she has a reaction like rashes, swollen eyes or in worst cases difficulty of breathing. If none, you may give mashed vegetable like potato for the next 3 days. Again observe for a reaction. If none, then you know she can eat wheat cereals and potato. Then again you can add another kind. Hope I was able to answer your question. Have a good day! Sincerely, Handle Dulay-See, M.D. Pediatrics"}
{"_id": "000001840", "text": "Hallow Dear, Follicular size of 20 mm does indicate that you may ovulate anytime. Hence, you have been rightly advised having maximum sexual relations during this period. However, at this stage, In. Chat Doctor would have helped you more. It would have caused ovulation within few hours and then sexual intercourse on this and the following day(s) would have increased the possibility of pregnancy. I hope this helps you."}
{"_id": "000001841", "text": "Hello, Thanks for posting your query. The pain and swelling is due to the periapical infection of the broken tooth. The medication can relieve the swelling to certain extent. For permanent relief, tooth has to be extracted, or root canal treated depending on severity of infection involved. Please do visit your dentist and get the treatment done as soon as possible. Rinse your mouth using warm saline and chlorhexidine mouth rinse. Hope this helps."}
{"_id": "000001842", "text": "Hello and welcome to Chat Doctor, Smoking tobacco in any form is a risk factor for developing lung cancer. Not only lung cancer, tobacco is known to cause cancer of many other organs like bladder, pancreas, kidney, head and neck region, aer-digestive tract. Since, you are coughing up dark brown colored phlegm (probably blood tinged sputum) the possibility of lung cancer increases. Tobacco is the worst known carcinogen (cancer causing agent). Long duration of smoking tobacco increases the risk of developing cancer, but it can develop after short interval of 2 years also if the usage is very high. Usage of tobacco should be discontinued. There are many rehabilitation centers and Chat Doctor. Thanks and take care"}
{"_id": "000001843", "text": "Hello, Unprotected intercourse soon after a period is relatively safe, as ovulation usually occurs two weeks prior to the onset of the next cycle. Risk of conception is high around mid-cycle. Birth control pills used on a regular basis help and are advised if she is not feeding the baby. Emergency contraception can be availed by insertion of an IUD also and this is more advisable than the pills in view of the safety and longevity. Hope you find this information useful. Take care."}
{"_id": "000001844", "text": "you're absolutely right. She is having frequent episodes of Ties which are warning signs of future major stroke. As u told she also has carotid stenosis, if it is severe then carotid angioplasty and Stenton can be done. Nose bleeding is different issue. It is not related with carotid stenosis.  Most of the time if it is due to local nasal cause. For this consult an ENT specialist. Also check her BP during episodes of nasal bleeding as rarely high BP nay cause epistaxis."}
{"_id": "000001845", "text": "Hi dear welcome to the Chat Doctor, Paracetamol to be used with recommended doses of 15 mg per kg 4 to 6 hourly to get the desired. Muscle cramps to be treated with plenty of electrolytes and fluids. Fever to be investigated in terms of CBC, ESR, CRP, TY PHI DOT TEST, URINE EXAMINATION, Dengue serology to rule out any infection. Plenty of Oral rely Chat Doctor.  Now days ready-made ORS is available in liquid for with the chemists. Hope the query is answered. Thanks"}
{"_id": "000001846", "text": "Hello, If you've been trying to replenish iron stores by mouth without success, then intravenous iron can be a fast solution, although it is not usually recommended for safety reasons. It could cause serious allergic reactions. The most important issue is that you should be certain about the reason that your iron is low. You haven't mentioned your age and sex. Both are essential information regarding low iron causes. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001847", "text": "HelloThanks for writing to us. It is not a rule that while on Cigarette you should NOT be having periods at ALL. Cerazette often causes a period that is very scanty and only consists of brownish spotting such as the one you have described. So please do not worry. The period would be accompanied by mild pain also, which is normal. Continue taking Cigarette as has been instructed to you and do not worry. All the best."}
{"_id": "000001848", "text": "Cellophane You for contacting Chat Doctor. Take medication for at least 3 days. If you do not find improvement or condition starts to deteriorate then consult hospital again for thorough evaluation. In most of the cases common allergy from insect bite, famines or food causes these symptoms. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health."}
{"_id": "000001849", "text": "Hello, Sporran is Lactobacillus which is usually given along with antibiotics to keep gut flora normal. Brazen is an anti-inflammatory, and it might have been given for the inflammation post hemorrhoid surgery. Radical is Omeprazole, an antacid that was given to you because you were prescribed painkiller and other Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000001850", "text": "Hi. Thanks for your query. Your have multiple problems of pain in abdomen, removed gall bladder, liver lesion, breast lumps biopsied FNAC so many times and diverticular disease and suspected celiac disease and tanned like skin. The major issue is the pain in the abdomen for which you should again get all the relevant tests like"}
{"_id": "000001851", "text": "This is usually a sign of cerebellar disease. Does he seem to have problems balancing himself? He may feel like he is tipping to one side. Alternatively, he may actually fall to one side. He may have difficulty in walking straight. He may develop tremors when doing something, like say lifting an object. I would suggest an MRI brain to diagnose the same. It is the MRI is positive, we will need to treat it accordingly. If the MRI is normal, a speech therapist may be able to help Best of luck Chat Doctor."}
{"_id": "000001852", "text": "Hello and welcome to Chat Doctor, The permanent cure for any allergic disease is avoidance of the agent causing allergy. Allergy tests are available to determine the allergic agent causing allergic reaction. You need to consult an immunologist for patch tests to determine the cause of allergy. In the meanwhile, you need to continue the medication to control the symptoms. The dose of the Chat Doctor. There are some allergies which are seasonal and more severe during a particular season. So, a variation in dose is needed according to the season or severity of symptoms. Thanks and take care"}
{"_id": "000001853", "text": "Hi... Your neck pain is due to sudden insult to the spine and associated strong jerky movement in the neck... Because of sudden movement in the neck there could be spasm developed in the neck and may make you feel stiff and reducing the mobility... I recommend you to kindly do lot if icing both in neck and tailbone frequently.day once in every 2 hours for 15 mins. Avoid loading in the injured area... Support your neck while sleeping. If you have any Anti-inflammatory medication previously prescribed to you .can use them . Hope this is helpful to routinely revert in case you need further clarification...."}
{"_id": "000001854", "text": "Hi thanks for contacting Chat Doctor. According to your complaint it seems to be viral flu like infection.... It could be viral bronchitis or bacterial one... Sputum examination helpful. If it is infective by bacteria necrophilia will more and lymphocytes in viral.... Avoid smoking.... Take broad spectrum antibiotic like levofloxacin.... Healthy and balanced diet ... If cough not coming easily aerosol plus albuterol containing syrup can be taken... I blocked nose also present then elastin nasal spray given.... Take care. If still worsening chest x-ray done to look for consolidation... Chat Doctor."}
{"_id": "000001855", "text": "Hi, Thanks for posting the query, Yes this could be related, sometimes the pain in the tooth can spread to the surrounding areas. I would suggest you to get a checkup done for the broken tooth take an OPG radiograph, and plan for the treatment. Take tab augmenting TDS and tab diclofenac TDS for 5 days. At home take antiseptic mouthwash rinses. Maintain a good oral hygiene. Take complete sleep, avoid anxiety and stress. Take care! Chat Doctor."}
{"_id": "000001856", "text": "Hello, I have studied your case with diligence. When such patients come to our hospital I advise them blood test like CCP, HLA B27. Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have sucChatDoctorplain? Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? It may be seronegative spindle arthropathy with RA test negative. NSAIDs, Awards (disease-modifying anti-rheumatic Chat Doctor.  These include methotrexate and sulfasalazine. Corticosteroid injections for severe pain and inflammation in a specific joint.TNF-a inhibitors, a newer class of biologic medication. 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."}
{"_id": "000001857", "text": "Hi welcome to Chat Doctor.... See effect of smoking is not same on every person... Genetic, environment and many other factors will affect it.... As in your case by smoking release of elastane can be there and lung tissue might be damaged by it.... Here restrictive lung disease like pulmonary fibrosis lung disease ruled out by x-ray and PFT... Chronic obstructive pulmonary disease like bronchitis or emphysema could be there. So rule out by x-ray and PFT.... You might have given bronchodilator therapy. Treatment given according to cause. So consult physician without delay with keeping my answer in mind.... Take care. Chat Doctor."}
{"_id": "000001858", "text": "Hello, A positive anti-nuclear antigen (ANA), and a history of swollen hands, swollen legs, and joint pains suggest an autoimmune disorder. There are a number of autoimmune disorders which show positive ANA. The closest differential of above-mentioned symptoms is rheumatoid arthritis. Rheumatoid arthritis is characterized by joint pains especially the joints of hands. Rheumatoid factor (RF) is usually positive in rheumatoid arthritis however, it can be negative in many cases. I suggest you consult your rheumatologist for further workup. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001859", "text": "You are having an ulcer over your tongue tip. Small ulcers 2-8\\u00a0mm in diameter heal by them-self with in 7-10 days time. If there are multiple painful ulcers then it may be herpes. If the size is more or the ulcer is also not painful then kindly you must visit your doctor as there may be serious problem like malignancy. Otherwise keep your oral hygiene good, take some multivitamins, avoid smoking, alcohol, irritant type of substances. You will recover footage Care"}
{"_id": "000001860", "text": "Hi, Thanks for posting your query. You need to consult a gastroenterologist/hepatologist. He needs to undergo few more tests to plan the treatment. This includes tests to know whether he acquired the infection recently or earlier, tests to know the viral load and the e antigen status. Other tests like PT/INR, ultrasound scan of the abdomen and serum alpha photo protein should also be done. Your gastroenterologist/hepatologist will discuss more about this. I hope that answers your question. Regards."}
{"_id": "000001861", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Atelectesis is partial collapse of part of lung. It is mainly due to retained secretions in the bronchus. And I section is the most common cause for secretions. So, her current condition can be due to spread of infection from the family members. Treatment of atelectasis is 1. Vigorous chest physiotherapy and deep breathing exercise for removal of secretions.2. Bucolic and expectorant Chat Doctor. 3. Antibiotics to treat infection. Get done repeat chest x-ray after 7-10 days and if atelectasis is still there then get done bronchoscopic treatment for atelectasis.Don't worry, she will be alright."}
{"_id": "000001862", "text": "Hello, As you are 45 and swelling of the leg is often present I will advise getting the kidney assessment done and also check for varicose veins issue.  As there is reduced venous return I will advise getting involved in an exercise which can help improve the venous return and improve the overall well-being. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor."}
{"_id": "000001863", "text": "Hi!welcome to Chat Doctor .com. Please do an ultrasound abdomen to know whether the injury has affected kidney or only soft tissue, Also it would do good to take a X-ray of that side including the ribs and vertebrae affected to rule out fracture. Minor kidney injury doesn't cause hematuria(blood in urine). If all goes well take a course of anti-inflammatory pills like broken for 2-3 days. It should subside. Take care."}
{"_id": "000001864", "text": "His understand your concern. You need to investigate yourself for differential diagnosis. If it is associated with blurring of vision/difficulty in walking/giddiness/nausea and vomiting etc. then go for investigation.1st thing is required is funds examination. It will show any papilloma that suggest raise in interracial tension. MRI brain will helpful to rule out any pressure producing lesion or space occupying lesions. Analgesic like paracetamol help to reduce pain. If all report come normal then we have to think about migraine associated with tension type headache. But go for reports 1st then consult neurologist if you required. Still have query then feel free to ask. Thank you. Get well soon."}
{"_id": "000001865", "text": "Hello, The blood glucose levels mentioned are showing a prediabetic state. Fortunately, it is a reversible condition, provided person maintains near normal weight, adheres to balanced diet and exercises daily for over 1 hour. Food intake has to be based on ideal body weight not on actual weight. For you to ward of diabetes following things have to be done"}
{"_id": "000001866", "text": "Thanks for asking. I have gone through your question and understand your concern. You said that your friends' daughter has been diagnosed with hand foot and mouth disease. You said that she played with your daughter 5 days before, I want to a mention point here that, duration(incubation period) between the virus that goes to body and the illness like fever is generally 3 to 6 days in hand foot mouth disease. So as you said that 5 days has passed since she is not developed and symptoms. It is very unlikely that she will develop the s disease now. yeah, this is you can spray her toys with Lysol to prevent infection but after spray with Lysol wash with tap water before your kid touch them.  Thanks hope I answered your question."}
{"_id": "000001867", "text": "Hi, dairy have gone through your question. I can understand your concern. You have flu. Night sweating, vomiting, fever all are common in flu. Don't worry. Just continue your Tamil. Take plenty of fluid orally. If you have fever then you can take paracetamol as and when required. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001868", "text": "It is the condition of very much concern & should not be neglected. To diagnose such types of conditions correctly it is important to have a look at your lesion so that perfect visual impression can be made & diagnosis can be given. As I am unable to visualize it the exact comment about it can not be given. ButConsidering the symptoms & the course of the antibiotics you have it is must that you should consult a qualified surgeon who after looking at the swelling & palpating it can give the exact diagnosis. You may need a minor surgical procedure for it too. As there are the chances such of infections in the area of face & ear to spread to meninges (coverings of the brain) & brain causing serious complications such as meningitis & encephalitis due & utmost care should be taken to avoid the further consequences."}
{"_id": "000001869", "text": "Hithank you for providing the brief history of you. A thorough neuromuscular assessment and musculoskeletal assessment is advised. As you have a numbness in the later aspect of the thigh, this could be related to the pinched nerve in the spine as to assess this a thorough neuromuscular assessment is advised post which is needed an MRI will be guided. Also, for you pain in knee a thorough musculoskeletal assessment is guided post which is needed than an MRI to detect the soft tissue status needs to be viewed. Based on the diagnosis, with simple medication and physical therapy should help you much better. Usually, if vitamin D medicine is taken, it should act in 7 days of time, if it doesn't than need of sunbath is advised. If still the pain and numbness persist than the MRI comes to existence. I see cases with such numbness and such, but the problem I usually confirm from the pinched nerve in the spine and vitamin D is just a deficiency and may not give major symptoms. I advise my patient physical therapy and they respond well. RegardsJay In Chat Doctor."}
{"_id": "000001870", "text": "HelloThanks for your query, based on the facts that you have posted it appears that you have pain in your penis before passing urine. This is most likely to be due to inflammation of urethra(Urethritis). Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like \\u010ceferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria."}
{"_id": "000001871", "text": "Hi, You want to know how much time she will take to recover and get out of the bed. I can predict that she may take somewhere around 4-6 months to recover well also there shouldn't be any kind of infection she gets in this duration. Having a physiotherapist who can teach some simple breathing exercises and help her with active assisted ROM exercises which can help her to keep the joint freedom and also muscle will be in an active state. Because anyone lying in bed for a long time will have muscle weakness irrespective of the age. So bedside physiotherapy will definitely help her to regain all the ADLs.  Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000001872", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Aortic aneurysm is abnormal dilatation of part of aorta. This can cause symptoms of chest pain, chest tightness, chest pressure, breathlessness, cough, fainting episodes, black-outs, hypotension or uncontrolled hypertension etc. So if you are not having any of these symptoms then no need for urgent 2d echo. But it is recommended to get done 2d echo annually to rule out other cardiac diseases and complications. Don't worry, you will be alright. No need for rush for 2d echo. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001873", "text": "Dear-thanks for using our service, I reviewed your question in detail. Your back pain could be secondary to gas, because it gets worse when you eat or over-eat. It gets better when you massage the area because it helps the movement of the gas. The other situation that aggravates it is the excessive acid reflux, which can irritate the walls of the esophagus and give you pain which can radiates to the back. This pain can be so severe that can mimic a heart attack. Antacids helps this situation, and you can add Sanitizing or Cimetidine, both control the acid production and relieves the reflux. Avoid food like spicy, coffee and alcohol too. All of those changes will improve your symptoms, I hope that my advice has been helpful. Chat Doctor."}
{"_id": "000001874", "text": "From the question and details it appears that you have stopped or increased the dosage of medicines on your own. If you did not, and it was your doctors' advice then continue with it. If you are not advice to change the dosage, I suggest stick to what your doctor has advice you.govern is advice for pain in RA mostly and I suggest you to take the dosage as per your doctors' advice as its one of the side effects is it interferes with kidney function. I would suggest you not to increase the dose without consulting your doctor once. And do keep exercising sometimes or visit a physiotherapist to learn about exercises. It helps in management of RA usually,"}
{"_id": "000001875", "text": "Hi, I have gone through your query and can understand your concerns. As per your complaint it seems that a raw spot on roof of mouth can be due to torn mucosa caused due to any hard foods, burning with hot foods or chemicals, Canker sore formation etc. Secondly, black spots scattered on the roof of mouth can be due to melanin pigmentation caused due to most common factor like smoking. It can also be due to any medications if you take. Another cause however very rare can be a Melanoma. Consult an Oral Physician and get evaluated, and a thorough clinical evaluation has to be done. In case if it is due to smoke then cessation of smoking habits can gradually resolve pigmentation. The same is with medication. As of now for sore spot apply numbing gel containing Lidocaine. And take anti-inflammatory painkillers like Ibuprofen. Hope this information helps. Let me know if I can assist you further. Thanks and regards,"}
{"_id": "000001876", "text": "Hallow Dear, Phaeton is a progestational medicine. In fact progesterone is needed for stabilizing the pregnancy and taking it to the term. So rest assured that Phaeton will not cause abortion. If you are having progesterone deficiency due to weak corpus luteum, you will need this medicine to stabilize this pregnancy. Then in such case if you stop Phaeton, your pregnancy might get disturbed. If you continuously take Phaeton, you will not get your menses even if you are not pregnant, till you discontinue these pills. After stopping them, if you are not pregnant, you will get with Chat Doctor.  I hope this resolves your query."}
{"_id": "000001877", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Chest pain, hiccups and sweating are seen with heart and lung diseases. So better to take him to hospital and get done blood pressure monitoring, ECG and 2d echo to rule out heart diseases. Get done chest x-ray to rule out lung diseases. If all these are normal then no need to worry much. Give him could water to Chat Doctor. Baclofen twice Daily should be started for hiccups.Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks."}
{"_id": "000001878", "text": "Hello, Your symptoms could be related to vitamin D deficiency or a metabolic disorder (anemia, thyroid gland dysfunction, etc.). For this reason, I would recommend performing some blood lab tests (complete blood count, PCR, ESR, thyroid hormone levels, blood electrolytes, vitamin D and vitamin B12 plasma levels). 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."}
{"_id": "000001879", "text": "Montoux is not a diagnostic test, it just tells that you are exposed to tuberculosis and in countries like India, Africa and most of the developing countries almost 70-90 percent of ppl are exposed to TB and almost all medical professionals are also exposed to TB, that means everybody lol have a contour positive in other words you can say Contour tells the immune response not the disease diagnosis of tuberculosis disease is made only by sputum smear examination or sputum culture for tuberculosis and never by contour discuss this with your physician so that he can guide you best thanks feel free to ask more questions"}
{"_id": "000001880", "text": "Dear friend . I don't think having asthma is a contraindication for visiting your day care. I am sure you are knowledgeable enough to manage the emergency situation if it arrives. Ask the parents first to meet the pediatrician and get proper treatment. See that child is not exposed to dust. Provide hygienic food and water to avoid infections which may exacerbate asthma. Better keep an inhaler for emergency learn to operate. Inform the parents that must be available on cal if required."}
{"_id": "000001881", "text": "Hello, You are a hepatitis B carrier patient. For that regular monitoring of GOT, SGPT needed. If they remain high, then Head and HBV DNA have to be checked. Otherwise, no need for any medication. Legal on proved beneficial in a few clinical trials. But still cannot eliminate Bag from the blood. Consult gastroenterologist for examination. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001882", "text": "Hello dear Leslie, warm welcome to Chat Doctor.come have evaluated your query in details .* The case discussion requires all details of reports done till now for better guidelines of management.* Suggestions at present - Chat Doctor.  - Consume balanced nutritious diet.  - Regular walking in fresh air, exercises, YOGA - Avoid smoking, alcohol if using.  - Avoid stress, anxiety.  - Manage regular sound sleep of 8 hours. Hope this will help to clear your doubt . Wishing you fine recovery. Always welcome for any further assistance anytime. Regards ."}
{"_id": "000001883", "text": "Hi, Small biliary leaks can result in persisting pain abdomen following gall bladder surgery. However, it would have been found out in the search they made. The pain you are experiencing when every thing is normal may be a referred neuralgia. This is not an uncommon problem, but is generally ignored by many due to its mild and intermittent nature. You may try Gabapentin or Amitriptyline, after consulting your doctor. Hope this helps."}
{"_id": "000001884", "text": "Hello, I had gone through the case and found that you must go for MRI to know the exact cause of pain. Also do vitamin D3 and Vitamin B12 blood test. It might be cervical and lumbosacral spondylitis.Meanwhile, take mild painkiller and apply muscle relaxant gel. After diagnosis go for physiotherapy, it will help to subside the pain. If vitamin D3 and Vitamin B12 deficient then take Vitamin D3 once a week and meganeuron OD once a day. Hope my answer will be effective for you. Thanks"}
{"_id": "000001885", "text": "Hi welcome to Chat Doctor forum.  Thanks for choosing Chat Doctor. Forum.  You had fever since 4 days, and also tonsillolith, (consular stones) They may not be harm full, but they are a absence. Abdominal pain may be secondary to indigestion of the fever. Cancer of the kidnaps may not have any relation with the present condition, but if streptococcus infection is there kidney may be infected, but the symptoms will be different.  I advise you to consult an E.N.T.surgeon for diagnosis and treatment.  Wishing for a quick and complete recovery.  Best regards."}
{"_id": "000001886", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. This may be is caused by urinary infection including kidneys infection or urinary stones, so you should do urinalysis, monoculture and kidneys ultrasound to rule these out which are the most common causes. You should Chat Doctor.  You should reduce salt in your diet as well, alcohol and carbonated"}
{"_id": "000001887", "text": "Thanks for your query. I have gone through your query. The soreness or ulcer could be an authors ulcer. The most common cause is stress or post surgical(removal of lump) or nutritional deficiency. Nothing to be panic, consult an oral physician and get it evaluated.Meanwhile, you can take symptomatic treatment like topical anesthetic like 2% lidocaine gel. Apply 3-4times daily. Consume nutritious food. Lead a stress-free life. I hope my answer will help you. Take care"}
{"_id": "000001888", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of simple musculoskeletal pain is more. But better to rule out heart related causes first because you are having hypertension. So get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. If all these are normal then no need to worry about major cardiac diseases. Musculoskeletal pain is more likely in your case. So avoid bad postures in sleep. Avoid movements causing pain. Take simple painkiller like ibuprofen. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001889", "text": "Hi Thrive read your query and I understand your concern I would like to tell you heart problem generally in young age is unlikely to happen until unless you have a very strong cardiac family history. It's advisable for you to take antianxiety meds like alprazolam for some time, but this medicine is not available over the counter. So, you have to go to a doctor for written prescription. Hopefully I answered your query. Wish You Good Luck"}
{"_id": "000001890", "text": "Hi, Welcome to Chat Doctor forum.  The hot flashes might be due to the deficiency of the estrogen, H.R.T is discontinued due to some reason.  There might be some other reasons, for hot flashes, may be underlying feelings of deficiency of estrogen, deficiency of vitamins, some chronic infections.  I advise you to consult a physician for diagnosis and treatment.  Take more of green leafy vegetables, pulses,sprouts, and protein rich foods to have blood, general health and resistance against infections.  Wishing for a quick and complete recovery. Thank you."}
{"_id": "000001891", "text": "Hello, Chat Doctor diet is not approved for weight loss unless it was recommended by your doctor. As it contains restrictions in foods, you might suffer a lack of nutrients, plus changes in pH of body fluids.  All these changes might affect the already damaged nerves, precipitating neuropathy pain flare-up. So you should stop this diet, and if it was recommended by your doctor, report this to him/her. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000001892", "text": "Good evening sir, The symptoms you have explained may be due to lots of reasons, but, your primary concern should be to get yourself evaluated by a neurologist, to rule out any kind of brain injury, which might be a minimal shock to the brain to a severe extra rural hematoma, such signs often are accompanied along with head injury, so please take good care of yourself and consult a neurologist as soon as possible."}
{"_id": "000001893", "text": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Bilateral limb swelling is due to cardiac failure. Stagnation of blood due to edema is leading to blood perfusion into subcutaneous tissue and itching.2. Limb elevation and diuretics will reduce edema. It's very important for edema to disappear to improve itching symptoms.3. Avoid plasma and go for packed cells during next transfusion in view of cardiac problems. Hope it helps. Any further queries, happy to help again."}
{"_id": "000001894", "text": "Hi, I understand your concern and I feel that he may be having sensory neuropathy for idiopathic peripheral neuritis. I think he should be getting a nerve conduction velocity testing rather than MRI brain as I do not think this is a central cause, but I feel it is more of peripheral cause or peripheral neuropathy. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000001895", "text": "Hi, History of total absence of menstruation followed by surgical (mostly Dilatation and Evacuation and Curettage) termination of blighted ovum pregnancy is suggestive of adhesions formation in the uterine cavity due to trauma to the uterine lining and the musculature. This entity is known as Sherman Syn Chat Doctor.  This could be the cause of failure of conception. Hysterosalpingography / Hysteroscopy can diagnose this condition. If Sherman syn"}
{"_id": "000001896", "text": "Hello there, I am Chat Doctor.  Because sudden pain after stopping of antibiotic is not the feature related to staph infection. If infection is remaining than you have associated symptoms like fever, body pain and many more. You have not mentioned your age here. I think you need to see an orthopedic surgeon. Because in later age our bone became weak and slight straining may lead to so-called pathological fracture. You just go through x-ray examination and along with your serum calcium level. According to that calcium supplement can be started. You need to do suggested things. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating according to your satisfactory level. Thanking you."}
{"_id": "000001897", "text": "Hi, Son diagnosed with Depressive disorder with psychotic symptoms and on treatment, Divalproex sodium 1g/day, Aquitaine 400\\u00a0mg/day and Escitalopram 20 mg. Depression that occurs very early in age (you have not mentioned your sons age) and with accompanying psychotic symptoms has a high chance of recurring again. In the first 6 months the chances of relapse (symptoms appearing again) is very high and so the medicines SHOULD NOT be stopped. Thereafter, the duration for which he needs to take medicines depends on how many times this has happened to him earlier and on the severity of the illness. The treating psychiatrist will decide this based on clinical judgement. He need not take it throughout his life if he maintains well while on medications. The doses will be reduced, and few medicines will be stopped eventually. He will not get dependent on this medication, there is nothing to worry about. Hope this helps, Chat Doctor."}
{"_id": "000001898", "text": "HIT hanks for posting your query to Chat Doctor.  Most of the breast lumps at your age is harmless. But still it needs to be evaluated.  Does it feel hard to feel or firm or soft ? If you can make it out its better you get a breast examination by your doctor. Only if he feels it need further evaluation then you can go for Mammogram test.  But there is no need to be scared as I told earlier that most of the lumps at young age is harmless."}
{"_id": "000001899", "text": "Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. My opinion-IN the given situation, You seem to be having-CAD(Coronary Artery Disease) with Smokers Cough with Bronchitis. Low thyroid could be causing high lipids with accompanied Coronary predisposition to Chest Pain. The left chest pain radiating to collar bone, is a bad indication of- accompanied Coronary blockage with impending Heart attack causing Myocardial infarct. To avoid this-You need to Consult Cardiologist- and get investigated for lipid profile and stress test/ Thallium Nuclear Scan may be needed in your case. X-ray Chest would fix the Bronchitis with smokers lungs. Rule out other causes of bronchitis with AFB and IRA Blood test for to rule out-hidden TB lungs. This briefing reply is on facts submitted, which need to be verified from your attending doctors, with whom you can check before starting further changes in the treatment of your dad. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http"}
{"_id": "000001900", "text": "Welcome to Chat Doctor I have gone through your query and understand your concern. There is no harm in getting surgery if your anesthetist consider you feet for surgery. Life is unpredictable no one can tell about it accurately. Life is prolonged by Chat Doctor.  Keep hope and live your life. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"_id": "000001901", "text": "Hai, i appreciate for quitting smoking. Normally after quitting smoking 3 to 4 months will need to get regularize and healthy ovum from ovulation. In addition to that you should follow a healthy food habit, lifestyle etc. along with the medication. Follow the below advise"}
{"_id": "000001902", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of stress and anxiety related symptoms is more because you develop symptoms only 10 minutes before and after seeing your boyfriends' chest. But better to rule out lung related diseases. So get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If both these are normal then no need to worry about major lung related diseases. Avoid stress and tension. Be relax and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000001903", "text": "Hi, If I were your treating Doctor for your case, I would come up with three possibilities, these include"}
{"_id": "000001904", "text": "Hi, I did review your concern. I believe you son had probably some infection. Staphylococcal infection of stomach is generally not seen, but we do see food poisoning due to staph toxin resulting form eating contaminated milk based food. It can cause fever and severe vomiting. It does not require any antibiotics, and it usually reverses on its own after toxin is passed through stimuli hope this help swish your son and your family a healthy life ahead."}
{"_id": "000001905", "text": "Thanks for posting your query to Chat Doctor. Influenza is a viral infection present with feature of common cold . Upper respiratory tract is involved mainly and patient present with weakness in head, headache, watering from eyes/nose, discomfort in throat, mild cough, fever, body ache etc. it will recover spontaneously within a period of 7 days. You should maintain proper HY Chat Doctor. For systemic symptom Paracetamol can be taken for symptomatic remain. Take care."}
{"_id": "000001906", "text": "It's called award in Ayurveda. If other medicines are not working pl give her water/ tea/ milk boiled with Holy basil leaves and may also give her 1/4 tsp turmeric powder once a day with water or honey. Duchy powder (Diaspora Cordelia powder) is also a choice to add. Anyone or two or all may be started on availability. There are capsules also available Tulsa (Holy b.), Hard Chat Doctor. ), Duchy of Himalaya herbals. There are no side effects. These are natural. Can be given with other"}
{"_id": "000001907", "text": "Hi, Yes, pain in the food pipe and stomach is due to the side effect of danogen-50. Nausea, heart burn, dyspepsia or epigastric pain may occur with the use of danogen-50. It may be due to the dosage taken. It can be prevented by stomach acid suppressant like antacid or proton pump inhibitor. Talk to your doctor about reducing its dosage or switching to another Chat Doctor.  I advise certain lifestyle changes to prevent this problem like"}
{"_id": "000001908", "text": "There are two broad possibilities to consider. She might have elevated blood pressure which might have caused the bleeding. Her blood pressure needs to be checked immediately. The second probability is gastritis and a gastric ulcer. It could also be that she has developed a gastric ulcer which has bled. This also goes directly with her pain in the stomach as well as her weakness. Whatever be the case, ask her to go to a hospital emergency immediately. Be sure to ask her to take somebody along."}
{"_id": "000001909", "text": "Hi. This is a par of the sequel after any surgery with septic peritonitis, whether due to perforated appendix or any part of the intestine. After the perforation the intestinal contents spread in the peritoneal cavity. The intestinal (appendix is a part of intestine) contents contain bad bacteria and once they reach the peritoneum, infection becomes widespread. Sometimes even the best antibiotics may take time to control the infection. The white foul smelling discharge is pus from peritonitis. This is coming from the peritoneal cavity. The bad odor is produced by the breakdown of the tissue by the bacteria as a byproduct of the process of pus formation. Pus culture and sensitivity guides for the best antibiotics which may help fasten the process of controlling infection. Blood proteins should be within normal limits for a good healing. Hemoglobin should be good. There must not be any affection of liver / kidneys. May need sonography or CT to decide what is the extent of infection inside abdomen before your Surgeon may decide to re-open the abdomen, if he feels necessary."}
{"_id": "000001910", "text": "Hi, thank-you for providing the brief history of you. As you have Achilles tendon and with Physical Therapy you are helped it is good that you continue further. As your ROM has improved and also the strength now needs a bit of correction of the proprioception. Using a balance board training will help further more and also walking on a ground with bare feet. In my clinical practice only physical therapy, balance board training, bare feet walking on ground, grass, standing on the acupressure plate etc. helps patients regain the normalcy of life. RegardsJay In Chat Doctor."}
{"_id": "000001911", "text": "Thanks for your query. I have gone through your query. As far as the pain is concerned, it can be because of the gum infection that has resulted in bone loss(as you described as it is in OPG). Nothing to be panic, consult an oral physician and get it evaluated. For the severe pain, you can take retool tablets which will reduce the pain in 10 minutes. Along with the analgesic, you need to take a course of antibiotics like amoxicillin and metronidazole combination(if you are not allergic) till you consult your oral physician. Once the diagnosis is confirmed, If it is a gum infection, it can be treated with scaling and root planing. I hope my answer will help you, take care."}
{"_id": "000001912", "text": "Dear, Welcome to ChatDoctorWe understand your concerns went through your details. The present heart palpitation you complained could simply be due to stress. Usually, body rhythm changes after food. To digest food, body needs more oxygen and blood and automatically heart beat and blood pressure is increased. You watched absent-mindedly the palpitation and got obsessed with it. When you started watching the heart beat, body considered it as stress and took preventive measures. Rapid heart beat is bodies preventive measure to overcome stressful situation. Don't worry. You may consult a physician for necessary evaluations. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000001913", "text": "Hello, Thank you for your query. I understand your concerns. For ideal blood glucose control the fasting blood glucose should be less than 110 mg/DL, the 2-hour post radial blood glucose should be less than 160-170 mg/do. I am not sure of your mothers age as these values are patients who are less than 55-60 years old and who are reasonably in good health.  As a person becomes older or if there is a diabetic patient who has multiple problems, then these target values would also be a little higher than too tight control of an elderly persons blood glucose will cause them to have low blood glucose (hypoglycemia) and this can cause in serious complications. I am also not sure how often your mother is taking the Glycimark M and the Logo 0.2 mg. Assuming your mother is less than 60 years old and that she is reasonably good health, if she is taking Glycimark M 40/500 only once a day then it can be increased to twice a day (15 -30 min before breakfast and before dinner). If she is already taking this tablet twice a day, then she can increase the dose of this, she can take Glycimark M 80/500 twice a day. Recheck her blood glucose levels in 2 weeks. If her blood glucose is still high then she can take Logo 0.2 mg either twice a day (if previously she has been taking it only once) or up to three times a day (if she has been taking it only twice a day). If at any point she experienced low blood glucose symptoms like sweating, hunger, dizziness, fast heart beat, mood changes etc., then it is the Glycimark-m that is causing the symptoms, and she needs to reduce the dose of this. The immediate treatment of low blood glucose is by taking a tablespoon of honey/sugar, sugar candies, glass of fruit juice or regular Pepsi/coke etc. This should be followed by a carboy Chat Doctor. Her blood pressure is fine, and she needs to continue with her Advance and Cretan. I hope this answer has helped you. Regards"}
{"_id": "000001914", "text": "Thanks for asking your query completely understand your problem you have non resolving pneumonia as a diagnosis along with a nodule in rt middle lobe ? Cause.regarding bilateral parenchymal lesions in lungs sputum can be tested for AFB, myogenic culture and sensitivity, fungal elements, malignant cells. Or that 6 mm nodule along with these parenchymal lesions you should consult a pulmonologist personally and if he wants a bronchoscopy to be done to rule out malignancy and other causes by taking a biopsy if anything is visible on copy.don't panic go to a pulmonologist, he'll guide u the best thanks for more queries feel free to ask may god bless you with good health"}
{"_id": "000001915", "text": "Hello, What I understand from history is that this pain is due to nerve entrapment. Use a soft cervical collar for a week to two.  Do some hot water fermentation to relax the muscle spasm in the neck and shoulder region.  Later start some low-intensity static neck exercises for stabilizing the neck and strengthening the muscles. Post which does exercises for the upper limb strengthening. You should do well. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor."}
{"_id": "000001916", "text": "HI, Thanks for your query.  I have read your query & understood your problem.  You seem to have allergic problem leading to bronchitis. * Antibiotics in 2nd months monthly intake of antibiotics when prescribed by a doctor knowing about your pregnancy, is not likely to cause direct effect on fetal development except for staining of teeth sometimes. But, the antibiotics are likely to cause B complex deficiency in yourself. Which would in turn cause loss of taste & less eating . Weakness& this may indirectly affect your baby.  Anti-allergic pills taken for a long period is not indicated in early pregnancy (before 3 months) Intravenous injections of antibiotics (permissible in pregnancy)/ bronchodilators do not affect fetal growth.  * Better way to manage your problem is to have consultation of a chest physician & start preventive measures for it. Inform the doctor about your pregnancy & then start with inhalers / medicines. Syrup, pills as per his expert advise.  Thanks."}
{"_id": "000001917", "text": "Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  You have got bad stomach pain that is up to the Regina, You are always getting the pain and fear of getting the pain at any moment.  As you describe it appears that the pain is in the lower abdomen, the description suggests that the pain is a urinary tract infection, or a stone in the urinary tract.  I advise you to consult a surgeon for diagnosis and treatment. You may need to have an M.R.I.besides other routine tests for confirmation. If follow this recommendation you may not get the pain here after.  Wishing for a quick and complete recovery.  Best regards."}
{"_id": "000001918", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out heart and lung related diseases for your breathlessness on minimal exertion. So consult doctor and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test) to rule out heart diseases. Get done PFT (Pulmonary Function Test) and chest x-ray for lung diseases. If all these reports are normal then no need to worry about major heart and lung diseases. Sometimes undiagnosed stress and anxiety can also cause similar symptoms in young individuals. So avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001919", "text": "Hi Saber, Welcome to Chat Doctor ! The anaphylaxis is a life-threatening phenomenon, you should remember the name of the painkiller and avoid it in the future. The Chat Doctor. You should take frequently the household liquid diets like warm soups/tea etc. Lemon water would also be good. I would advise continuing tablet levocetirizine 5\\u00a0mg for 5 days to come. I hope the advice would be informative and useful for you. Take Care!"}
{"_id": "000001920", "text": "Hi dear user, thanks for your query. Decreased blood flow during menses is one of the advantage of oral contraceptive pills. In your case, it seems to be the same. Brown discharge may be residual menstrual blood, or it may be due to some local infection. If this is residual blood it will subside. But if it is due to infection then it will persist, and you will need some treatment. Failure rate of pills (used correctly) is very low i.e. 0.1. So, if you have taken them regularly then chances of pregnancy are negligible. Hope this helps."}
{"_id": "000001921", "text": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion your pneumothorax problem is more associated with ballad and bless. If you are having bull and blew in your lung than possibility of pneumothorax is always high. Bulla and blew can easily rupture by coughing, sneezing, heavyweight lifting etc. and produce pneumothorax. The only solution for you is to consult pulmonologist and get done bursectomy (removal of bull and bless) with pleurodesis (iatrogenic adhesion of layers of pleura). Pleurodesis will remove the potential space for pneumothorax because of adhesions. So recurrent pneumothorax can be avoided. This procedure is known as VATS (Video Assisted Thoracic Surgery). So consult pulmonologist and discuss these. Vitamin b 6 deficiencies can not cause pneumothorax. And vitamin B 6 is water-soluble and easily available in day to day food. So deficiency of vitamin B 6 is less likely in your case."}
{"_id": "000001922", "text": "HelloAppendix was inflamed, and they removed it, they also removed a hematoma and a ruptured cyst. I want to tell you that, since for 10 years, you were suffering for cysts, that was the reason of pain. Appendix don't interfere in getting conception. Since you are 34 years old and not been pregnant. So I recommend you please get in ultrasound of both ovaries (if right is not removed completely). Thereafter, if nothing is abnormal write down complete history of menstruation cycle. If this is also normal then write down size of matured follicle and probable date of ovulation. Either upload all these reports or consult an INFERTILITY specialist and get his opinion. If everything is normal you can get pregnancy. Good luck."}
{"_id": "000001923", "text": "Hi, as you mentioned the history of you. Ofcourse you need physiotherapist to assist further your muscle strength and the joint mobility. Also, performing proper exercise in the correct axis and planes with the maximum longest lever application for the strength of the muscles is guided. Focus on the hand as a whole because it is a complicated unit and need a thorough attention with various factors to keep into consideration. With the grace of God I wish you a speedy recovery"}
{"_id": "000001924", "text": "Thanks for your query, I have gone through your query. The broken tooth or root should be removed prior to the placement of the implant. The implant cannot be placed in the root itself. The root piece has to be removed, then the implant has to be placed. If required bone graft has to be placed and the socket should be left for minimum of 6 months for the new bone to form. Or else, immediately soon after removing the root we can place the implant, but the success rate with immediate loading implant is less compare to waiting for 6\\u00a0months and getting it done. I hope my answer will help you, take care."}
{"_id": "000001925", "text": "Hello dear, I understand your concern. In my opinion the pregnancy is suspected by a few symptoms and confirmed by tests. The first sign is missed period. And then the nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period. A urine pregnancy test gives accurate results a week after missed period. And the blood test for pregnancy helps in early detection as early as 8 days after ovulation. Practice regular intercourse on alternative days to increase the chances of conception. Avoid stress and anxiety regarding pregnancy as they might delay fertility further. If your cycles are irregular continuously then consult doctor. Best regards..."}
{"_id": "000001926", "text": "Hello! First, do not worry. 6 months are not enough to get worried. Second, you have to confirm that you have POD. Your doctor is right. You should have menstruation every month. They feed the uterus, unless it becomes smaller, and you may have difficulties in the future to conceive. The fact that the menstruation come after Phaeton, it is a good sign. Also, you have to know that in POD, there is a difficulty in growing a mature follicle. So you have to monitor your ovulation with your gynecologist. At least, I would say that you should try for another 4 months with your husband during the appropriate days and then take an appointment to your doctor. During this time you should take also Phaeton for the menstruation. If you do not have menstruation, you can not get pregnant. Take care. Chat Doctor."}
{"_id": "000001927", "text": "HiT hanks for using Chat Doctor, This may be due to a skin infection, allergy or autoimmune disorder. If it is a fungal infection like Tina tricolor there might be itching and scaling of the skin. This can be treated by antifungals. It can be due to vitamin deficiency and can be treated by b complex tablets. Sometimes rarely it might turn out to be vitiligo, or any precancerous skin lesion. It is advisable to consult a skin specialist and undergo skin tests for further treatment."}
{"_id": "000001928", "text": "Hi, there are chances of pregnancy.  But I think you should track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Hope I have answered your question. Regards Chat Doctor."}
{"_id": "000001929", "text": "Hello, I have gone through your query and I can understand your concern. As per description the size of your epididymis cyst is very small. These cysts are generally harmless and no treatment is required unless the size is large, or it causes symptoms. I think your problem is out of unwanted anxiety. It rarely causes sexual symptoms and very unlikely in your case. Treatment is by surgical excision of the cyst, But in your case surgery is not at all required. Medical management by Chat Doctor. In higher advanced centers a newer treatment called percutaneous aspiration is available. In this method surgeon insert a long needle through your scrotum under USG guidance and aspirate fluid from your cyst. I suggest you to consult a urologist, and he will guide you accordingly. You might need few sessions of counselling to avoid unwanted stress. Hope this information helps. Regards."}
{"_id": "000001930", "text": "Welcome to Chat Doctor .1. Lesion / lump / swelling at the ankle region - probable cause could be ganglion arising from the tendon, joint and nerve sheets.2. They are normally painless lumps, in inflamed status symptoms might be seen.3. If its erosive and tenderness on touch, we can think in terms of factorial infection, infection of hair follicle - if lump is big a small incision and Chat Doctor. 4. Generally if you have no history of been in outdoor experience some insect can think, but home spiders bugs may not give such conditions.5. You need to get an appointment with your GP let the lesion get examined, and then some treatment can be suggested.6. Meanwhile as a remedy - do not press, scratch the lesion, maintain local hygiene, keep clean with antiseptic liquid. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000001931", "text": "Well come to Chat Doctor Thank for asking really appreciate your concern, I am sorry for your wives illness, it is but natural that you are under the lot of stress, and worry, but you have to face the reality, you need to take good care of your health, what was the symptoms you descried here could be due to hypoglycemia, you might be eating less due to stress and worry, try to come out of the stress, eat well, hope for good, if you remain in tense condition then muscle would be stiff, so just relax, think about the future of you child Chat Doctor."}
{"_id": "000001932", "text": "Hi, thank-you for providing the brief history of you. As you are having UTI and on antibiotics then you should have some sort of back pain. As antibiotics will do its role, I will advise you to undergo physical therapy for backache. As by physical therapy your pain will be relieved. Physical therapy will include - therapeutic ultrasound therapy, TENS therapy and exercises will help as per my clinical experience.Also, for controlling the frequent UTI happening you need to improve the pelvic floor Strengthening along with abdominal strengthening. In my clinical practice most patients responds to physical therapy. Regards Jay In Chat Doctor."}
{"_id": "000001933", "text": "Hello I can understand your problem. As he don't have any problem except fever, so I think it may be viral fever. So you can give Spy. Paracetamol as per the weight of the baby after consultation with the pediatrician. You can do cold sponging as per the requirement. If fever is associated with any other complaints like cold cough, irritation then you consult with the doctor. I think this is helpful to you. Review back. Thank you."}
{"_id": "000001934", "text": "Hello, Welcome to the magical world of health care, I went through your query, and It's hard for me to believe that no doctor have been able to help you. Your symptoms are from the spine, with pain in leg, and that means involvement of nerve roots, what prompts you to say it's not disc, have you been investigated, because if its truer than its even worst, you may have secondaries of any primary cancer in your spine which can cause severe pain mainly at night and may radiate to the leg if pressure on nerves occur. Now have you got an MRI done. Who is the doctor you consulted. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks."}
{"_id": "000001935", "text": "Hello, I have gone through your query and understood the concern. During the initial months of hormone contraception, menstrual irregularities are observed and these include persistent bleeding/spotting, mid-cycle bleeding/spotting, irregular cycles and heavy bleeding etc. These usually settle down after a few months as the body adjusts itself to the new hormone level. If you do not find any respite after managing your diet, weight and styptics, you need to get a complete physical evaluation, hepatic/renal profile, blood counts and coagulation profile, stop the medication and go for a suitable alternative. Hope this helps."}
{"_id": "000001936", "text": "HelloThanks for your query. You have been indulged in frequent masturbation regularly and get ejaculated early. What you consider premature ejaculation is not a premature ejaculation but early ejaculation due to vigorous shaking of penis while masturbating. Premature ejaculation is defined as ejaculation that happens when one ejaculates within a minute after penetrating vagina during sexual intercourse with female partner. Softness of the penis in flaccid state is of no significance and does not need any treatment nor massaging with mustard oil will make any difference. Chat Doctor."}
{"_id": "000001937", "text": "Hi, Welcome to Chat Doctor .com. I had gone through your question I can understand your concern about your teeth. As per your history and symptoms it seems to me you are having apical periodontitis (that means infection blow tooth root) because of that there is pus and tenderness while you put pressure on it. If I had been your treatment doctor I would have prescribed the antibiotics like Amoxicillin clavulinic acid thrice daily, dosage adjusted as per your weight and anti-inflammatory too like Ibuprofen. You must visit a doctor and take medication as prescribed and if you want proper treatment plan upload an n image and write to us back. Hope my answer will help you, and you can visit us again if you have any further queries. Regards Chat Doctor.  Bachelor of Dental Surgery."}
{"_id": "000001938", "text": "Please don't salt your food. What happened to you is similar to adjusting the house temperature with a thermostat. Our normal body sodium us between 135 and 145 me/DL. It is maintained at that level by a complex interplay of hormones and Add, or anti-diuretic hormone is the most important among them. You have an inappropriately high ADH level, that is inappropriate to your body sodium level. The normal or low sodium that u have is sensed by the body as inappropriately high and body fails to suppress the ADH release that ought to have taken place at such low sodium level. So if u take high salt body is just going to retain more water and your blood sodium level will not improve. Best practical way is to restrict water. Next best thing is to use oral/intranasal ADH analog called desmopressin. Either way since your Nephron judged it is due to trauma, it will stick with you for the rest of your life. So adapt."}
{"_id": "000001939", "text": "History that your husband broke ankle, and he is in so much of suffering with cancer. With his condition I may suggest simple wearing of ankle brace and not much of interference apart from gentle manipulation to correct any deformity. Oxycodone for pain relief, or he may be on pain meds already. Do not let him stand or bear weight for 3 weeks. A consultation with orthopedic doctor to do the necessary if he agrees Best wishes and good lucky for his well being regards,"}
{"_id": "000001940", "text": "Howell come to ChatDoctorThe condition could be due to lotion and the friction these could cause the hypersensitivity reaction, because of the tender skin of the penis such reaction would be very likely, in my opinion better to stop using the lotion and even stop the masturbating too, if the condition of rash is still there then this can be treated with Mometasone furnace cream, three time in day, hope this information helps, take care."}
{"_id": "000001941", "text": "Hi.based from your description, it could be a cystic formation (tedious or gelatinous type) or a fibrous tissue formation. A consult with a doctor, preferably a general or an orthopedic surgeon, is best for physical examination and clinical evaluation, especially if the lesion is increasing in size and causes you discomfort. Diagnostics (such as X-ray) and management (medical and/or surgical - excision of the lesion) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor."}
{"_id": "000001942", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you son have symptoms of flat red spots after treated throat infection seems to be due to bacterial or viral infection persistence. Need not worry. I would suggest you to do warm saline gargles 3 to 4 times a day. Take ibuprofen one tablet twice daily. You should avoid spicy food. Visit ENT specialist once and get it examined and start treatment after proper diagnosis. Take soft foods to avoid irritation to the throat. Throat lozenges one every 4 hours is helpful.  Chat Doctor.  Milk boiled with a pinch of turmeric taken at bedtime for can be relieving as it has antimicrobial properties. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000001943", "text": "Hi it can be related to caffeine intake, caffeine is a stimulant and stimulates the heart, caffeine can precipitate palpitations and arrhythmias. So yes it can be because of caffeine also however things could be serious also , palpitations can be caused by arrhythmias also, some arrhythmias can be life threatening also so I would advise going for a holder monitoring it records the heart beats for 24\\u00a0hours, and we can see the nature of palpitation whether its normal fast heart beat or arrhythmia"}
{"_id": "000001944", "text": "Respected user, Hi I evaluated your query thoroughly.*In my opinion this is due to decreased lung immunity to fight against external pollen.*You require taking steps which give you slow but long-lasting results by enhancing his pulmonary immunity, which will not come by current media.@ Regular walking in fresh air to fill his lungs with adequate oxygen levels.@ Deep breathing exercises along with YOGA 30 minutes daily without failure.@ Keep him away from dusty atmosphere containing excess pollen, @ Try to make him wear Protective mask where there is more crowd where he is prone to get immediate infections.@ Avoid exposure to excess cold environments.@ Avoid continuous exposure to air coolers / air conditioners.@ Avoid excess cold Chat Doctor. @ Give high protein & iron diet to boost up his immunity.@ Tulsa with Turmeric are the best Herbs for your kid on this earth.@ Maintain chart of his weight, height & follow properly.@ Maintain his anxiety episodes, give him more moral support.@ Regular Spirometric exercise at home which is fun for him along with definite treatment & definite measure to evaluate building up of his lung capacity very easily.@ Pediatrician consultation in case of severe cough / rhinitis / fever / any discomfort in breath / decreased appetite / weight loss. Hope this clears your query. Thanks for using Chat Doctor & reviewing my answer. Wishing your child happy healthy life ahead. Regards. Bye Dear take care of him."}
{"_id": "000001945", "text": "Hi, It sounds like a Lipoma in your anterior abdominal wall. It is usually harmless and nothing to worry about. You can have it examined by your GP or a Surgeon who can advise you as to what it is and the further course of management. It is difficult to tell what it is without examination. Though it sounds like a Lipoma(Swelling containing fat cells). Do not worry and get it checked up to be sure. Take care, Chat Doctor."}
{"_id": "000001946", "text": "Hi... By what you quote I think your kid is having a viral illness. YOU HAVE GIVEN THE MOST IMPORTANT POINT IN CLINCHING THE DIAGNOSIS OF VIRAL ILLNESS - THAT IS - once he has been given the European he ok plays eats but after 6-7 hours he starts running temp. This is how a viral illness behaves. Will tell you about viral illness so that you can be rest assured. 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 at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards -"}
{"_id": "000001947", "text": "Thank you for asking this question because it is important to know because of the headache & hypertension and high blood pressure is usually a silent disease and it is does not cause any symptoms, but also it is a silent killer too, but some people are sensitive and if the blood pressure is mildly high they get headache, but also you have to remember that headache can cause high pressure as I mentioned some people are sensitive to even lower level of high blood pressure in that case it is not that dangerous but if the blood pressure is very high and level III that is above the 190 systolic and the diastolic above the 120 then he should get immediate treatment what and go to the emergency room, but you have not told me any numbers off the blood pressure I will be interested if you can provide me that, and then I can be more specific in the meantime if he has a high blood pressure he should not do any strenuous exercise except regular walking thank you again"}
{"_id": "000001948", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, this patient should start anti-tubercular Chat Doctor. Tubercular Lymphadenopathy is much more common than acidosis. Acidosis is more common in mediastinal lymph node. TB is more common in cervical lymph node. So even if culture is negative, absence of cassation necrosis, we should definitely go for anti-tubercular"}
{"_id": "000001949", "text": "Hello, Usually liver enzymes come down to near normal levels after therapy against hepatitis C, particularly if you were cured. However, if there was a significant amount of inflammation prior to treatment, and your liver enzymes were even higher, then it could take some time for them to come back down. I would definitely recommend you following up with your doctor to make sure there are no other causes of abnormal liver enzymes, such as fatty liver or other problems (such as autoimmune liver disease, other viral hepatitis, hemochromatosis, etc.). Avoid alcohol."}
{"_id": "000001950", "text": "Hi, As with the history it appears to me that running nose can be due to the dust infection. You need to get your blood routine get checked as sometimes infection goes on for longer and needs a medication. A pulmonologist will be helpful to examine and assess it.  For the neck stiffness and clavicle old injury you need to get an x-ray done and MRI for the cervical spine. As due to the tightness in the Trapezius muscle there might be a chance of having deviation in the normal cervical curvature.  Having it assessed by a sports Rehabilitation team which will include the orthopedist and a physiotherapist to help you. Usually due to Trapezius muscle spasm, there might be changes in the curvature of the spine and a change in the position of the intervertebral disc.  Which might lead to some compression over the nerve root. It's never a mandatory that people might have symptoms of neuropathy but have small deviation and can lead to discomfort.  With conservative management bike medication and exercise people respond well and having undergoing sports rehabilitation program helps them have a good outcome score in sports. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000001951", "text": "Hi, I advise you against any such self medications for diabetes. And also avoid such abrupt stopping of antidiabetic medications in the future. Diabetes is a chronic condition that requires long term medication. You need to take the medications as prescribed. Getting off on an antidiabetic Chat Doctor.  The dose and medications depends upon your blood glucose control. For now, I suggest you against using your husbands' insulin. You need to get yourself evaluated by an endocrinologist or a physician. As you are insulin naive, It's difficult to predict the effectiveness of insulin dose. And the metformin in your system can exaggerate insulin action. Please do follow the prescription as suggested by your doctor. Medications will be based on blood glucose levels and glycemic control. You will also be advised to get HbA1C values that predicts your average glycemic control over few weeks as you are not compliant with medications. I hope the above information helps you. Thanks for writing into Chat Doctor. Take care."}
{"_id": "000001952", "text": "Hi... Your dent in the shin-bone could be a soft tissue injury and will reduce slowly.nothing to worry. I recommend you to. Do a lot of icing in the injured area of your shin. Keep it compressed witChatDoctorpression bandage. If you have an Anti-inflammatory topical application gel.you can apply it over the injured area... Hope this is helpful for you... Kindly revert in case you need any further help..."}
{"_id": "000001953", "text": "Hi, Continuous exposure to cold temperatures results in construction of blood vessels, which in turn results in numbness due to loss blood supply to nerves. Recovery of sensation is unpredictable. If I was treating doctor, I would have advised few investigations and proceed accordingly. I would recommend that you visit a foot surgeon at the earliest. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000001954", "text": "Hi, After going through your mothers' case record there is a development of right Diabetic Foot. Her symptoms started with pain in right thigh after applying heat and massaging the symptoms aggravated. (Applications of heat and massaging should be avoided in Diabetes patients.) Subsequently, there is decreasing knee swelling but development of swollen leg with overlying tight, brown, shiny skin. Skin changes denote possibility of cellulitis (infection) witChatDoctorpartment syn Chat Doctor. ) Diabetic patients are more prone to develop foot problems because - 1) loss of protective sensation of foot (diabetic neuropathy) which make patient more prone for injuries to feet. 2) Impaired blood supply due diabetic radiculopathy, which impaired nutrition of leg. 3)Diabetes patients are more prone for infections and poor, delayed wound healing. I will advise you to consult your doctor immediately. She requires detailed foot Examination. Blood investigation. Intravenous antibiotics. Strict blood sugar level monitoring and control. Arterial and venous Doppler of right leg to assess blood supply of leg. Depending upon her clinical condition and test results she may require surgical intervention. I think this much information is enough for you to make further decision. You are free to contact me for further queries."}
{"_id": "000001955", "text": "Hi, dairy have gone through your question. I can understand your concern. You have sore throat or granular pharyngitis.  You should take a course of antibiotics like azithromycin or levofloxacin.  Also take saline water gargles.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000001956", "text": "Hello dear! A picture of the rash will help me more in diagnosing the condition. In the absence of fever it can be allergic rash/urticaria. It can be the start of measles if she is having watery eyes and runny nose with this. It can be viral exanthem. No need to worry, it will settle on its own. Give him spy. Levocetrizine 2 ml at night for 1 week. Hope it will help. Wishing your child good health"}
{"_id": "000001957", "text": "Hi. Weight loss with persistent pain in the upper abdomen and vomiting on daily basis has to be investigated by the following"}
{"_id": "000001958", "text": "Thanks for your question on Chat Doctor. When you fell on your butt suddenly, there is definitely strong jerk in the chest and ribs. And this can cause pain on breathing. Possible complications are1. Rib injury2. Muscular injury3. Pulmonary contusions. So get done chest x-ray to rule out all these. If chest x-ray is normal than no need to worry much. You are having muscular pain mostly. So try to follow these steps for better symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Avoid movement s causing pain. 4. Start good painkiller and muscle relaxant. 5. Apply warm water pad on affected site."}
{"_id": "000001959", "text": "Hi Seaman, CSR, usually has a good prognosis. 90% of cases after with Chat Doctor.  For your faster relief, you may be prescribed low dose of Aspirin. Slight impairment of vision, specially night vision and color blindness can persist. If your eye condition do not improve, you may have to undergo laser surgery for the eyes. Relapse of Autoimmune pancreatitis can occur in 20-30% cases, which may require prolonged course of corticosteroid. Chances of relapses are more if there is an involvement of extrahepatic or intrahepatic bile duct. One thing to remember is that in case you have to start again the steroid, your doctor must closely monitor the doses and blood levels of the steroid, because it is directly related to your chances of CIS. Wish you good health"}
{"_id": "000001960", "text": "First as you are an active working women I will advise you to take painkiller like kilos or biozobid-plus 8-12 hourly for your back pain when it is worse enough or disturbing your daily work. Apart from this you can take some calcium supplement like tab shall once daily preferably in afternoon. You can do some physiotherapy exercises after an expert opinion of physiotherapist. Also, I will advise you to sleep on plain surface for some time as it is very helpful in case of back pain."}
{"_id": "000001961", "text": "Hello. Phenytoin is metabolized by liver enzymes. The level of liver enzymes are influenced by number of Chat Doctor.  Hence, the level fluctuates It is quite a common phenomenon in daily practice. The purpose of doing levels is to correct any possible toxicity, as levetiracetam has very good safety profile hence doing a level is not advisable as no corrective actions are required even if the levels are high"}
{"_id": "000001962", "text": "Hi, Thank you for posting your query. I have noted your fathers symptoms and the MRI report. A spot in the brain is a very non-specific riding, and we need to know the detailed report in order to advise you better. If possible, please upload the MRI report here. It is possible that he has a small infarct due to lack of blood flow. He can be treated with medications and physiotherapy. 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/"}
{"_id": "000001963", "text": "Hi, From the given history what I understood is that you gave 5 ml each of Cronin and Paracetamol syrup (amounting to 10 ml) to your 4-year-old daughter. The oral dose of paracetamol for child Chat Doctor. Since each of Cronin and Paracetamol syrup contains 120 mg of Paracetamol /5 mL accordingly you have administered 240 mg of Paracetamol at once. 240 mg of Paracetamol is still within the normal dosage required for the child"}
{"_id": "000001964", "text": "Hi, Thank you for providing the brief history of you. As you don't have a fracture this could be related to direct hit on the rib bone. Which will take some time to heal. Also, the muscles must be in trauma and this leads to the intercostal muscular pain Which will also heal slowly. Besides taping can be done to restrict rib movements and control pain, Try performing slow costal breathing exercises as it will improve the muscular strength and also reduce the pain and aches. If the pain increases more along with additional symptoms than a CT may be performed, or else I do not think anything should be worried about. RegardsJay In Chat Doctor."}
{"_id": "000001965", "text": "Hello ! I read carefully your question and understand your concern. I think that the symptoms you describe may have been a seizure, a complex partial seizure, but they may also be caused by sleep disorders. As you refer you have painful leg cramps during the nights, which can be restless leg syn Chat Doctor.  Seizures may be caused by sleep deprivation. I would recommend you to consult with the neurologist, have a good neurological examination, a full blood work and an EEG for the possibility of seizures. Another examination that I would recommend is a polysomnography, which is very helpful in the diagnosis of sleep disorders. A brain CT scan may be needed in case of an abnormal EEG or neurological examination. Hope to have been of help! Greetings!"}
{"_id": "000001966", "text": "Brief answerDysmennorhoeaDetailed answer can understand your problem if you were having regular menses prior to this than definitely it's a matter of concerns would advise you to take tab Acetaminophen and antispasmodic for immediate pain relief plenty of oral floodlit could be a sign that your periods may follow this pain go for an ultrasound for establishment of an exact diagnosis Hope this helps you"}
{"_id": "000001967", "text": "HI, thanks for using Chat Doctor The bed-wetting episode and increased white cell count may indicate an infection possible a urinary tract infection. This can cause incontinence such as bed-wetting. It may not necessarily be related to the other infection but may be due to another bacteria. He may need additional tests such as an urinalysis. If a specific bacterium is identified, he would need another antibiotic course. I hope this helps"}
{"_id": "000001968", "text": "HelloWelcome to Chat Doctor. Recurrent ringworm can be treated by(of I were your treating doctor, I recommend)--Local antifungal like clotrimazole and HY Chat Doctor. -Oral antifungal doses like fluconazole twice or once weekly for 4 weeks may be needed.-Oral cetirizine once a day for 3-5 days for itching-Wear loose and cotton clothing.-Avoid accumulation of sweat and moisture by using talc powder over body. Hope this information helps. Any further query is welcome"}
{"_id": "000001969", "text": "Dear Madam, it is good to know that you have lost 100 lb with diet and exercise. Your back pain, toe cramp and tightness in the thigh all have source in your nerve coming out of spinal cord in sacrum area. We have a soft tissue like substance in between our vertebra. These are called vertebral discs. If these discs gets torn or displaced due to many reasons then the nerves get entrapped between vertebral bones.it causes pain, muscle cramps, numbness along back and two legs. Also you should give rest to your right arm which has been injured. Your wrist twice has caused the local nerves affected causing finger shake., so please go for a comprehensive orthopedic check-up to know the exact status of your wrist joint. But I assure you that your sore tooth has nothing in relation with your muscle cramp of leg pain. Thank you."}
{"_id": "000001970", "text": "Hello, Welcome to Chat Doctor, As you are having hyper responsiveness condition of your respiratory tract infection the symptoms have increased because of the bronchoconstriction. The symptoms like wheezing and tightness of the chest are due to the constriction of the bronchus. Adavir is a fluticasone propionate helps to relieve the symptoms as it is a bronchodilator, the albuterol inhaler also helps to improve the condition and prevents the further occurrence of the symptoms. Thank you."}
{"_id": "000001971", "text": "Hi, Welcome to Chat Doctor forum.  You have faced so many problems, and suffering with the P.T.S.D, and did crisis, and in pains like muscle pains, spasming,which is effecting, the mental health, ringing in the ears.  First you should get the treatment for the physical problems, once these are controlled, the psychological problems may come down to a maximum extent.  If you feel something is to be done then you can consult a psychologist.  Take more of green leafy vegetables, pulses,sprouts, and protein rich foods to have blood, general health and resistance against infections.  Wishing for a quick and complete recovery. Thank you."}
{"_id": "000001972", "text": "Thanks for your query, I have gone through your query. I feel sad for your condition. The consent and permission will be taken when the patient is completely normal, responsive not while sedated. If you are not happy with the bridge, you can always get it corrected by repeating the bridge. Consult your dentist and get it repeated, we can remove the bridge and redo it. I hope my answer will help you, take care."}
{"_id": "000001973", "text": "Hello, It could be an arrhythmia"}
{"_id": "000001974", "text": "Hi. I understand your concern. I appreciate that you are physically active. It will make much improvement. Adjustment disorder require reassurance. Psychological and social support. Psychotherapy and counselling can help. If anxiety features prominent then it can be treated with benzodiazepine and anxiolytic. If depressive features are prominent then antidepressant like SSRI can be useful. Meditations will help. I hope I have answered your question. Still if you have a query then feel free to ask. Happy to help you, Thank you."}
{"_id": "000001975", "text": "Hello and welcome to Chat Doctor, The AB + blood group suggests presence of both AB antigen in and absence of Rh factor in your blood. Reactions can occur when there is mismatched blood transfusion and a genus with different blood group. In case the fetus has different blood group, anti D immunoglobulin factor is given within 72 hours of delivery. As you have mentioned you have had the antiserum at the time of delivery. Mixing of blood (as you have mentioned) does not cause transfusion reaction. So, there is nothing to worry about the reaction. However, there is risk of reaction in subsequent pregnancies in which case you have to take anti D immunoglobulin again. Thanks and take care Chat Doctor."}
{"_id": "000001976", "text": "Hi, Welcome to Chat Doctor. Gardnerella vaginal is causes a condition called as bacterial vaginosis. This is characterized by foul smelling discharge, itchiness and redness. This condition is easily treated by antibiotics. If your daughter has not responded to the prescribed antibiotics, then you should get a culture sensitivity done to know the appropriate antibiotics. Metronidazole along with a quinolone antibiotic is more effective in such cases. I suggest you discuss my suggestions with her treating doctor. Maintenance of personal hygiene is a must. Thanks."}
{"_id": "000001977", "text": "Hello Sachs, From the description of your disease it appears that blood was coming not from your lung, but from the back of your nose or the sinuses. During sleep this blood would be collected in throat and coughed out on waking up. Probably you are having bacterial or fungal infection of the sinuses (paranasal sinuses) on left side. It is causing pain on left eye, nose, forehead. You will require treatment with antibiotics and nasal Chat Doctor. The disease can be confirmed by proper examination of nasal cavity, by X-ray of sinuses, or by nasal endoscopy. Sometimes CT scan of sinuses will be required. You will require treatment for an ENT surgeon. Sometimes minor surgical procedure may be required to remove pus from sinuses. Also investigate for risk factors like diabetes"}
{"_id": "000001978", "text": "Hi, Thanks for writing in. It appears that you have had a major surgery to your face. In such situation there is mobilization of structures and this can mean that the sinus Chat Doctor.  There are a lot of nerve endings and therefore this can cause variable sensations including burning or itching when your head is kept at certain positions. The clear fluid and heaviness of head is from the sinus fluid which is"}
{"_id": "000001979", "text": "Thank you for your query. When a woman finds out she's pregnant, the gestational age is already 4 weeks (calculated from the first date of the last menstrual period). When a miscarriage occurs, all the products of conception are expelled out along with the endometrial lining. It is like a heavy period. However, sometimes, the placental tissue remains adhered to the uterus and needs to be removed either by medications that enhance uterine contractions and if that too doesn't work, it has to be removed manually by a dilatation & curettage (D&C). An ultrasound is performed to confirm that all the embryonic tissue is expelled. Symptoms of pregnancy - nausea, vomiting, frequent urination to name a few. In your aunts case, she may have meant 3 months. Hope this answers your query. Please get back to us for further clarification. Wish you good health"}
{"_id": "000001980", "text": "HIT hank for choosing ChatDoctorThe meningioma, is asymptomatic kind of disease, some persons remains asymptomatic through out the life, and it is most of the time, the lesion is benign, sometimes it accidentally found out during the CT imaging, in symptomatic case surgical resection carried out sometime (Partial resection of tumor) Chemotherapy has got very little or no role third option is radiotherapy can be taken into hand as single line of treatment or with the surgical procedure , if the lesion is benign then the side of treatment are negligible but if the lesion is malignant then the usual many of side effect of treatment is likely, benign tumor hardly turned in to malignant, according to some study female are more suitable to this than male, genetic mutation having 5% cause of this disease, hope this information may help you, good luck"}
{"_id": "000001981", "text": "Hi Rajesh.yashmak, I have read your question, Since you said acne, Literal which is an anti-biotic tab is not needed unless there is any severe bacterial infection, and generally it is not prescribed. So I suggest you to discontinue it immediately. I had a previous patient using similar Chat Doctor. For you, I would recommend using an ayurvedic ointment under brand name \\\"Then balm\\\" for at least a fortnight for effect. Generally this medicine does not have any side effects but if you feel any allergic reactions discontinue it immediately. Further I suggest you to"}
{"_id": "000001982", "text": "Hello are taking metoprolol (atenolol), lipid lowering atorvastatin, antihypertensive lisinopril and clopidogrel. You gained 20 lbs, that is a cause of concern. Avoid fried, fatty oily greasy foods. This measure may help you, this is not scientifically proved but I have tried on so many patients having Coronary artery disease (blockage in arteries supplying blood to heart). Take CREEPER PORTION (HIYA in India) , extract its juice in juicer, add 10 leaves of basil (Tulsa) , 10 black pepper, add black salt. Total juice should be 300 ml, Chat Doctor.  For first 4-5 days you may develop loose motion (diarrhea) , after this it will adjust in body. From day one you feel difference. This is advised to take it for 6 months at least for the best result. Creeper pompion should be FRESH. Bilberry tablet will affect or not I don't know. Further if any question regarding this, I will reply. Good luck."}
{"_id": "000001983", "text": "Hello, I passed carefully through your question and would explain that your symptoms could be related to gastritis of gastroesophageal reflux.  For this reason, I recommend performing a fibrogastroscopy.  I would exclude any cardiac issues, considering your cardiac performed tests.  Regarding the Chiara malformation, I agree with you that it could be related to the dizziness and neck pain. Anyway, I recommend trying to correct your posture and use an orthopedic pillow in order to investigate if a wrong posture is contributing in all this clinical scenario.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000001984", "text": "His have gone through your complaints. You are 14wks pregnant and bleeding during time needs to think of miscarriage, placenta prefix and cervical congestion. In ER, says everything regarding baby is fine by hearing heart beat and cervix closed .but It's important to go for scan how is placenta. If its low-lying or covering OS It's important to take rest. If all this is normal then you can think of cervical congestion. Thank youRegardsVasundhara"}
{"_id": "000001985", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No high fever for two weeks raises suspicious of some severe infection. I advise you to investigate your self completely. Once the investigation is completed we can conclude the disease and its type of infection. I suspect typhoid fever or dengue fever. Please investigate the cause for further management of the disease. Till the report came I advise you to take paracetamol for control of fever. Maintain the essential HY Chat Doctor.  Take the enough food. You can give a cold water sponge if the temperature is not responding. I will be happy to answer your further concern on bit.ly/"}
{"_id": "000001986", "text": "Welcome to Chat Doctor .1. First thing you have to do as a remedy - Take fiber rich diet, plenty of water, avoid junk and spicy food. (try this at least for 3 weeks) The bowel habit should be regularized.2. If the symptoms does not resolve - Then you need to see your doctor and take a course of antibiotics (Suspecting bowel infection / inflammation)Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000001987", "text": "IIN fact, the adenoids tend to shrink after early childhood, and by the teenage years they often almost disappear completely. Generally, you can have your tonsils and adenoids removed without increasing your risk of infection. Swollen or enlarged adenoids are common in child Chat Doctor.  Causes include"}
{"_id": "000001988", "text": "Hi.noted history of gallstones and kidney stones. Unlike your kidney stones, gallstones have lesser chance of being dissolved by medications especially when it has been there for a long time already. It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Other diagnostics (such as repeat ultrasound, liver function tests, blood counts, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. If your symptoms are becoming more frequent, I advise you to consult with your surgeon with urgency and schedule surgical intervention electively, as emergent surgeries or procedures has higher risks and chances in developing post-operative complications. Definitive treatment for gallstones is cholecystectomy or surgical removal of your gallbladder along with your gallstones. It could be done laparoscopically (gold standard) or through open technique. Low fat and low salt diet is also advised. Hope this helps. Good day!!~ Chat Doctor."}
{"_id": "000001989", "text": "Hello, Yes, there is high chance of pregnancy in fertile days with unprotected sex or slipping of condom. If Corvette is only available in your region, then it can be taken as emergency pill. 4 pills are to be taken at once (within first 24 hrs) and another 4 pills need to be taken after 12 hrs gap. You will get with Chat Doctor.  Do one home pregnancy test if your period is delayed more than 1 week. Practice safe sex in the future. Good luck."}
{"_id": "000001990", "text": "Hi, Chronic infections like tuberculosis decrease the immunity of a person. The person is more susceptible to more infections. Kindly ask him to take TB medications without missing even a single dose.Also, kindly visit a physician. A chest X-ray, complete blood count with blood culture, urinalysis and urine culture may be required. He can take tablet paracetamol 500\\u00a0mg 3 times a day for fever. Chat Doctor."}
{"_id": "000001991", "text": "Hello... Thanks for your query. Talking to self and hearing voices that others do not are referred to as auditory hallucinations and hallucinatory behavior. These are symptoms of psychotic illness. Effective antipsychotics are available to deal with the condition. I would suggest a thorough psychiatric evaluation followed by appropriate antipsychotics for management. Sedatives can be prescribed for sleep difficulty. Regards Chat Doctor."}
{"_id": "000001992", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Your cough is worsening by emotions (stress and tension). You are also having dust allergy. Both these characteristics are more in favor of asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000001993", "text": "Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would advise your daughter to avoid trying to hold urine for a long time frequently. This causes distension of the bladder resulting in pain. I would also advise her to get her urine routine/microscopic/culture and sensitivity test done to rule out a UTI (urinary tract infection), and treat it if it comes out to be positive. In case of persistence of symptoms, I would not hesitate to refer her to a gynecologist for a check-up. Till then, she should take some anti-inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000001994", "text": "Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  You had pain abdomen on left lower abdomen after bowling. It is again paining while bowling only, and not during other games.  It appears to be a muscle catch, due to stretch on the left side, while bowling, that is why it is paining while there is stretch on that side.  Other causes could be urinary tract infection, stones in the urinary tract, or infection of the descending colon.  I advise you to consult a surgeon for diagnosis and treatment. You may need to have M.R.I. besides other routine tests for confirmation.  Wishing for a quick and complete recovery.  Best regards."}
{"_id": "000001995", "text": "Hi. Thanks for the query. Yes, it can be probably due to erupting permanent teeth as itching and soreness of gums is commonly been when the teeth are about to tear from the gums to erupt. When the erupting teeth are about to break from the gums become inflamed and itchy and creates a deep urge to itch over the area. If the itching is so annoying you can do cool compresses over the itchy gums and can also apply Lidocaine gel for relief.Anti-inflammatory painkillers like Ibuprofen can be advised by a Dentist. Also doing warm saline gargles can relieve. In case if there is still no improvement then you can consult a Pediatric dentist and get evaluated. Hope this helps. Regards."}
{"_id": "000001996", "text": "HIIT can be a pain attack, a stable angina attack or a minor stroke as all have almost overlapping symptoms complete baseline cardio profile of mother should be donated echo treadmill test to rule out the functions of the heart and ischemia cardiac marker like top I should be done brain should be done to rule out stroke fasting and pp blood sugar to be done blood pressure to be monitored.a diagnosis can be made only after full investigation"}
{"_id": "000001997", "text": "Hello ATL. Thank you for asking at Chat Doctor. I went through your history and I would like to make following suggestions to you"}
{"_id": "000001998", "text": "Hello, The causes of pain over back part of pelvis are"}
{"_id": "000001999", "text": "Hi sadiqa786, your periods are not heavy and the flow you have described may be normal. The pains that you experience could be due to varied reasons most commonly may be due to polycystic ovary disease, pelvic inflammatory disease, endometriosis or no explained cause. As you are also trying to conceive it would be best to visit a gynecologist and get yourself evaluated for the same and during the course of investigation they will be able to find any cause for dysmenhorria(pain full periods) if any. In the meanwhile you could start doing some exercise or yoga to keep yourself fit and to lose weight if you are overweight. Yoga helps in receiving cramps and helps in decreasing pain during periods. Take care!"}
{"_id": "000002000", "text": "Hello! Thank you for the query. If the pain is only in the bump area, and no swelling, redness of surrounding tissues, no need to visit a doctor earlier. Such bum is most likely a ganglion. It's a kind of cyst filled with gelatinous fluid. This fluid comes from the joint as ganglion is kind of joint herniation. It does not increase the risk of cancer. So you can wait till the scheduled surgeon consult. In case of doubts, ultrasound should be done. The lump should be removed. Hope this will help. Regards."}
{"_id": "000002001", "text": "Hello Amit, Thanks for posting your query. I understand the concern regarding your problem. You have a feature to upload the reports by yourself on the right side of the query page, please utilize that so that I can answer your queries better. I have gone through your reports. It suggests that you have low sperm count as well as the low sperm motility. Bear in mind that a men fertility can fluctuate a great deal from week to week. Lots of things affect male fertility. If your fertility is low you should have at least three semen analyses before reaching any conclusions. Do not be too disheartened by a single result. When sperm motility is less, then chances of spontaneous pregnancy decreases. This is one of the common causes of male factor infertility. This is also one of the most common semen abnormalities in men. It could be due to hormonal deficiency, mechanical obstruction to outflow tract, infection and many more. Treatment depends on the cause. Assisted reproductive technology like in vitro fertilization has revolutionized the treatment of infertility. Each year thousands of babies are born in India as a result of ART. Medical advances have enabled many couples to have their own biological child. I suggest you to see the good gynecologist for further treatment options. Eat nutritious food. You can take Vitamin B-complex, vitamin C, E, and Selenium. These supplements are available in single capsule also. I hope I have answered your query. I will be available if you have any follow-up queries. Wish you best of luck."}
{"_id": "000002002", "text": "Hello, People who have allergy to a particular metal would continue exhibiting allergy to it when it is used subsequently. You can abstain from wearing ear rings for a few weeks and then try again wearing those ear rings to which you have allergy to see if it has resolved, otherwise you would need to wear those golden ear rings all the time. Gold is one of the metals which is least allergic so is titanium therefore these are your options."}
{"_id": "000002003", "text": "Hi Siva Mary. Thanks for your query. Read the history and understood your problem. Yes, I can understand the medical facilities in Andean may not be sufficient at a given time, but they have a full-fledged hospital facility and the facility to shift the patient by flight. You have a pain in the lower abdomen 10 days before menstrual periods and I can second your search that Endometriosis is the first thing that should be diagnosed and treated. Malar hospital in Chennai is the best in the town and consult a Surgical Gastroenterologist and a Gynecologist for a combined approach; insist for it. I would advise the following"}
{"_id": "000002004", "text": "Dear Patient, With the history of knee replacement on the left side the possibility of having osteoarthritis on the right side is too high, also possible that your right ankle is also showing arthritis changes, what you need to do is get your joints screened with X-Rays to see the status of your joints, may be your other knee will also need a replacement. As far as the status of one knee replacement and spine surgery goes, this is no more unusual, as with changes in lifestyle and increased life expectancy these are becoming a routine.  So just relax and get yourself screened, also if you are overweight than you should also reduce it as that will solve a lot of your problems. I hope I have been helpful in your understanding of your disease. Thank You"}
{"_id": "000002005", "text": "HelloThanks for query. Redness of glans penis and foreskin is due to infection Ba llano Prostatitis. The itchiness of the glans penis and foreskin is generally a presenting symptom of impending diabetes. Get our blood sugar levels on empty stomach and 2 hours after lunch done to rule out diabetes. You need to take broad spectrum antibiotic like Cefuroxime and antifungal medication Fluconazole along with anti-inflammatory Chat Doctor. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely. If turns out to be diabetic. You will need to consult qualified Diabetologisy or Physician for proper treatment of diabetes."}
{"_id": "000002006", "text": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will give you my opinion and explain you something. You should know that heart pains have some characteristics. Usually they are retro-sternal pains like squeezing, tightness, heaviness. They may irradiate to arm, shoulders, jaws, last from 5 to 20 minutes. They might be associated with fast heart beats, nausea. A prickly sensation, lasting day and night it's not a typical heart pain. If it was a heart pain, something should have happened till now. It seems much like a muscular, schematic or neurotic pain. My opinion is that this is not serious, you should not worry. You don't mention your age, but if this really bothers you a lot you should go to the emergency, and they could check this. Or, if this continues you can make a full check up. I will recommend an electrocardiogram, the cardiac enzymes, a cardiac echo and after this a stress test to exclude heart problems. Hope I was helpful. Best regards."}
{"_id": "000002007", "text": "Herpes zoster (shingles) is a sporadic disease that results from reactivation of latent VZV from dorsal root ganglia. Herpes zoster is characterized by a unilateral vesicular dermatome eruption, often associated with severe pain. Patients with herpes zoster benefit from oral antiviral therapy acyclovir or acyclovir. If severe pain you can take Chat Doctor. Numbing agents such as lidocaine gels can be swallowed in small quantity. Shingles generally lasts between two and six weeks. Eat food in small quantity at frequent intervals."}
{"_id": "000002008", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, these two events might be related to each other. CABG (Coronary artery bypass grafting) patients are at increased risk of arrhythmia (rhythm disturbances in heart). So your skipped beats are likely due to arrhythmia. Some arrhythmia can also cause sudden gasp of breathing. And this is considered as serious event. So in my opinion, you should consult your cardiologist again and discuss this event. You will need repeat ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). On the basis of these reports, suitable anti arrhythmia Chat Doctor.  Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002009", "text": "Hi Nicolai have gone through the details provided by you of your husband. Its quite unfortunate that no diagnosis has been made and still he is suffering. As he had an injury to the chest I would like to recommend CT scan of chest for him as we might be missing something which could show up in the test. That the only hope if something could be picked up in that. Sometimes even for very experienced doctors also it becomes very difficult to understand the abnormality and to treat when they are not getting any clue as medical science is an ever-changing field. I advise you not to lose hope. I wish him good luck and health"}
{"_id": "000002010", "text": "Initially during and after the radiation treatment, there is swelling of tissues and that may actually worsen the symptoms. Also, it can cause infection of the bladder area leading to these symptoms. Eventually the size reduces, and the patient is relieved. Important thing is to know if the disease is under control. Get a serum PSA done and if it is normal then don't worry. The symptoms will ameliorate with time. If it is raised, then he may need some other form of treatment like hormone therapy."}
{"_id": "000002011", "text": "Hello and welcome to Chat Doctor, The first problem that you have mentioned- hemorrhagic is most commonly caused by hormonal imbalance. Thus, consultation with a gynecologist is required for relevant investigations and thus management. An endometrial biopsy/ currents may be required. The other symptoms of behavioral changes, aggressiveness can be due to metabolic disorder or psychological disorder. Thus, I suggest you to first consult your physician for clinical assessment and relevant investigations to rule out metabolic disorders. In case no biochemical disorders are suspected, psychiatrist opinion can be sought. Thanks and take care Chat Doctor."}
{"_id": "000002012", "text": "Thanks for your query, I have gone through your query. The soft tissue hanging from the socket is nothing but the gums or flap around the tooth, it's not nerves. Nothing to be panic, it will heal by itself. If it is hurting or paining, then consult an oral physician and get the excess tissue removed. Meanwhile you can give an analgesic like ibuprofen if he has pain. Let him do saline gargling. I hope my answer will help you, take care."}
{"_id": "000002013", "text": "Dear, We understand your concerns went through your details. You are doing good. Masturbation twice a day is not at all harmful directly to your health. Masturbation cannot reduce your muscle growth directly. There are no direct health side effects of masturbation. But there are some side effects indirectly. When you masturbate, energy is spent by your body. Naturally, after masturbation you feel tired. The more time you masturbate, the more you are tired. Physically and then mentally you will be tired. This is also mental stress. Lack of knowledge about masturbation can also cause anxiety and depression. These are the indirect side effects of masturbation. I suggest you to reduce the masturbation frequency to thrice or four times a week and engage in physical activities. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000002014", "text": "Hi, The best thing to do in the current scenario is to go for an estimation of the serum beta-ChatDoctor titles and a trans-vaginal sonogram. This will conclude beyond doubt if there is any pregnancy. A complete hormonal profile also will help to check if there is any imbalance consequent to the nearing with Chat Doctor.  Please take the help of a specialist in person to help you conceive. Ovulation may return in a couple of cycles and can be detected by accurate measurement of basal body temperature from day one of the cycle and also through follicular studies. Hope this helps."}
{"_id": "000002015", "text": "Dear Patient, each wound has its depth and no two are alike, so the time taken may vary, wound heal by capitalization from the sides, and if too much granulation is formed it hampers this process. As you feel that your wound is not healing, I would advise you to see your doctor, I feel if there is too much of granulation, than you will need scraping of the wound, and may be skin graft if wound is big enough. Thanks"}
{"_id": "000002016", "text": "Hello! Thanks for posting your query. The course and treatment for pleurisy depends on the cause of pleurisy. Pleurisy due to some causes like viral infection do resolve with just supportive medications and time. With only chest x-ray it's sometimes difficult to differentiate pleurisy from pleural effusion (where fluid gets collected around your lungs) Hence, it is advisable to get an ultrasound of your chest done just to ensure there is no effusion. For the pain due to pleurisy, short course of simple analgesics, chest physiotherapy and breathing exercises will give symptomatic relief. Just give it time until it resolves. Hope my reply is of help. Do Chat Doctor."}
{"_id": "000002017", "text": "Hi, You seem to have charities. There may be some cause. Either irritation or allergy. If it is for the first time, it may be due to irritation caused by some irritant like toothpaste, cosmetics,lipstick, soap,Sundays or some food particles. You consult dermatologist for the firm diagnosis. I would suggest as follows.- oral steroids in tampering dose- antibiotics- antihistamines- application of mild steroid with antibiotic cream hope this would help you. Thanks."}
{"_id": "000002018", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged supraclavicular lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. Or you may have some soft tissue tumor or mediastinal tumor. You should go for X-ray chest first. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002019", "text": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that yes it is possible to have you a fungal infection. I advise you to do KOH examination from scraping of the skin. If its fungal infection it will be treated by candid ointment. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you."}
{"_id": "000002020", "text": "Hello, Thanks for the query to Chat Doctor. Forum. The average weight of prostate is 11 gm (7-16 gm or cc) according to few books. In your case, you are right, moderately enlarged prostate. Mild retention or urine is there (3.5 cc). Serum creatinine level is very good. Average flow rate is mildly slow, but this may be due to age factor. In my opinion the cause of concern is speck of calcification. Prostate specific antigen is very good in your case, this is not a cause of concern, rather favorable. Get in one more opinion from a urologist. Good luck."}
{"_id": "000002021", "text": "Hello, No, this is not true. RA (rheumatoid arthritis) is autoimmune (connective tissue) disease. It is not caused by injury. It is because of bodies immunity.  And just only on the basis of the positive Manitou test, you should not start antitubercular Chat Doctor.  RA itself can cause pulmonary nodules, fibrosis etc. So in my opinion, you should consult pulmonologist and get done a bronchoscopy and BAD (bronchoalveolar lavage) analysis. If BAD is negative for TB then no need for anti-tubercular"}
{"_id": "000002022", "text": "Hello, Thank you for consulting with Chat Doctor. Actually HY Chat Doctor.  But at that time proper precaution is taken for prevention of soft tissue, as it creates slight irritation to soft tissue. So in your case it can be possible that this chemical might have contacted your lips and a sensitivity has developed. But as it is in diluted form it will not cause any further damage. Hope it will help you."}
{"_id": "000002023", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No peeing more is not the symptom of the dengue. Fever which is coming and going and severe muscle ache with bone pain while having fever is the symptoms of the dengue. But if you want to confirm the status of the dengue you can do a card test. This simple test will screen dengue from you. Once tested you can do the management accordingly. As such there is no treatment available for dengue. But you can take the fluid therapy. This can help flush the virus from the system. Checking out platelet count is also necessary. If your platelet count goes down severely you may face the hemorrhagic episode. This will be helpful in proper management. In future avoid mosquitoes bites as dengue can be spread by the mosquito bites. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."}
{"_id": "000002024", "text": "Hello, Trivial mitral and tricuspid leaks are physiological, and it is present in practically all General population its just some doctors prefer not to report it as its normal to have. None of your symptoms are due to the trivial leaks and even in future they will not cause any symptoms.  The hyperventilation episodes are probably because of anxiety and just relaxing techniques would help. Regards"}
{"_id": "000002025", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, you should definitely consult doctor, don't wait at home. Since you are having heart murmur, we should first rule out heart failure in your case. So better to get done ECG, 2d echo and blood pressure monitoring. If all these are normal than no need to worry about heart diseases. Another possibility is lung related causes like lung infection or bronchitis. So get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). You may need antibiotics, antihistamines, inhaled bronchodilators and inhaled corticosteroid. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000002026", "text": "Hello dear, I understand your concern. In my opinion the itching during pregnancy can be physiological or abnormal. Usually itching is present in pregnancy in 3rd trimester i.e. between 29-40 weeks. But it might not be associated with raised serum bilirubin and liver enzymes. Other condition called obstetric homeostasis of pregnancy (OCP) where there is severe itching and jaundice associated with raised liver enzymes and serum bilirubin. I suggest you to get serum bilirubin done to check for any OCP.OCP might be associated with preterm labor.Don't worry. With good monitoring the complications can be prevented. Antihistamines might give you relief. If raised bilirubin is present other medicines to decrease the bilirubin might be prescribed. Avoid stress. Hope this helps. Best regards..."}
{"_id": "000002027", "text": "HI. The pain in the lower abdomen on exertion can be due to the following reasons"}
{"_id": "000002028", "text": "Hello, thank you for your concern and question regarding your boyfriend. My opinion is that the surgery should be the last step for herniated disc and only after all other treatment alternative have been used and failed. I do not know the grade of the disease and what are the complaints (pain, numbness of arms or weakness of muscle and reflexes) but usually I start the treatment with pain relieve and some sort of collar for immobilization of the neck for few weeks. Then continue with physiotherapy procedures such as ultrasound magnet therapy and tens but not manipulations. Most of the time the hernia will shrink down and absorb. If your situation is the same or worse after 6 months you can start to think about the surgery which nowadays is done with small incision and the complication rate is very low. I wish you a quick recovery."}
{"_id": "000002029", "text": "Degree understand your concerns went through your details. I suggest you not to worry much.  Hematemesis, Elena, and hematochezia are symptoms of acute gastrointestinal bleeding. Such a condition may not have anything to do with the mental condition you are suffering. I sincerely think that you are exaggerating your symptoms. You are 21. You have not given any of your details regarding studies and occupation. In any case, at 21, if you are not creative and vibrant and active, your brain shall become stagnant and shall make you lazy. Lazy people do have all those mental and physical symptoms which you mentioned other than hematochezia and asthma. If you do not understand this fact, no neurological Chat Doctor. 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."}
{"_id": "000002030", "text": "Hi welcome to Chat Doctor.... You have anorexia and weight loss .... First rule out tuberculosis by sputum examination and chest x-ray ..... If TB present consolidation will also be seen in x-ray ....and in sputum AFB test will be positive ..... If TB present full course AKT given. .... Second your ribs tender to touch ... So could be Costco Chat Doctor. ... Ibuprofen given for it with taking rest. ... Hot compress applied over affected area... Proper sleep posture .... If diarrhea present than hyperthyroid also ruled out by thyroid profile .... Consult physician for this .... Take care ...."}
{"_id": "000002031", "text": "You are not saying what was the cause for the paralysis. I'm assuming it's a stroke. If that is the case usually most improvements are expected during the first 6 months, given her young age you can expect a better outcome. However, how much of her functions will she recover is hard to say without knowing the exact extent of the damage. While you should conserve hope as it is a several months long process, if the damaged area is big you should also be aware that some disability may persist."}
{"_id": "000002032", "text": "Hi... By what you quote I feel that it could be acanthuses Nigerians. But you say he is not obese. Acanthuses Nigerians occurs commonly in obesity. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000002033", "text": "Helloi have gone through your query. Yes your numbness of the lip is mostly due to cold sores. But the problem is why you are getting cold sores every couple of months.maybe it is caused by the herpes simplex virus type 1, which is usually acquired in childhood through contact with infected saliva.it is activated by stress, anxiety, a cold or excessive exposure to the sun. Unfortunately you can't cure cold sores permanently, and they like to keep coming back. But you can get yourself relief from it in certain ways. Apply travel on the affected area. Change your toothbrush as it harbors the virus. If pain is more aspirin or paracetamol CN be taken. Cold sores may be triggered by stress. During stressful times, sucking on zinc lozenges can boost the immune system. Hope this and helps Regards"}
{"_id": "000002034", "text": "Hi and welcome to Chat Doctor.  Apple cider that has been boiled down to syrup, taken by tablespoon as a tonic, can ease enlarged spleen.  Milk thistle supplement, in the form of a capsule or tablet supports liver and spleen function. The two organs work closely together, and an enlarged spleen is often caused by an overworked liver.  A diet high in fruit, along with plenty of water, will help keep the lymphatic system clean. Increase intake of high-fiber fruits such as apples, bananas and blueberries. When suffering from an enlarged spleen, avoid fatty and processed foods. These foods are difficult to digest and put significant strain on the liver and spleen.  Increase water intake to shrink spleen.  Also add dark green leafy vegetables, such as spinach and kale, Chat Doctor."}
{"_id": "000002035", "text": "HelloEmpirically you can take proton pump inhibitors like tablet pantoprazole 40 mg twice daily half hour before food for one week then one tablet can be taken for one month. You should avoid wine completely because it will aggravate your problem. It is also important to exclude any cardiopulmonary problem. You may need routine hologram, random blood sugar, liver and renal function test, lipid profile, ECG,ECHO. You may also need upper GI endoscopy after evaluation. Get well soon. Take Care Chat Doctor."}
{"_id": "000002036", "text": "Hi, I think you should try naturally for at least 6 months.  Be in contact with your husband every 2 to 3 days after your periods stop.  If you have irregular periods, then you can go for ferry medicines.  You can take ferry tablet for 12 months. After that, the risk of ovarian cancer increases. Side effects may be nausea, mood changes or visual disturbance.  If visual disturbance is there, you should stop the medicines. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  Hope I have answered your question. Regards Chat Doctor."}
{"_id": "000002037", "text": "Hi, dairy have gone through your question. I can understand your concern. She definitely has some cause of bleeding.  Without searching the cause it is very difficult to treat.  She should go for ultrasound abdomen and gynecological examination.  Search for the all possibility of blood loss. If you don't find the cause then bone marrow examination is needed. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002038", "text": "Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH)"}
{"_id": "000002039", "text": "I presume the infection is in the testes and not limited to skin of the \\\"ball sac\\\" as you call it. If so the common causes are spread of infection from the urinary tract or occasionally affection from mumps among other causes. My practice would be to do an ultrasound of the urinary tract as a minimum to make sure there are no abnormalities there. Your physician is right in saying that it takes some time for the infection and pain to resolve after giving proper antibiotics for proper duration. Occasionally it might take 3 months for the swelling and pain to settle completely."}
{"_id": "000002040", "text": "Normal levels of ALT range from about 7-56 IU/L. Normal levels of ALP ranges from 44 to 147 IU/L. In your child values of both ALP and ALT are within NORMAL range. Right bundle branch block (RBBB) in child Chat Doctor.  To find out the exact CAUSE of RBBB your doctor has advised Echocardiography. I don't think this problem has anything to do with eating disorder from which your child is suffering. Isolated RBBB is not fatal. It is usually considered benign condition. So you need not worry so much. After Echocardiography your doctor will determine the cause of RBBB and will treat accordingly."}
{"_id": "000002041", "text": "Hi Welcome to Chat Doctor forum.  It appears that there is definitely a problem with the surgery. It may be the sliding of the mesh if kept, or opening of sutures, strangulation of a fragment of the hernia, or surgical hernia.  I advise you to consult your surgeon for diagnosis and treatment. You may need to have M.R.I, for confirmation.  Take more of green leafy vegetables, pulses, sprouts and protein rich food, to support the treatment.  Wising for a quick and complete recovery. Thank you."}
{"_id": "000002042", "text": "Hi, Welcome to Chat Doctor. I am Chat Doctor. I appreciate your concerns. The pre-ejaculate fluid (pre-cum) does contain few sperms. As the genitals did come in contact (even though there was no penetrative sex), there is a small possibility of pregnancy if this is your fertile period now. When was your last period?Therefore, take Pill immediately. Pill taken within 24 hours is 95% effective in preventing pregnancy. Pill does not have any long term side effects. So don't worry. Please consult your doctor and start using regular contraceptive pills. They are more effective than Pill in preventing pregnancy. If you think you are at risk of STDs barrier contraceptives like condom should be used during sex. I hope this is helpful. If you have further concerns, I will be happy to answer. Best wishes, Chat Doctor."}
{"_id": "000002043", "text": "Hello, The symptoms you have mentioned are suggestive of anxiety rather than heart illness. Since have family history, also age, you should get BP checked, sugars and lipid profile tested. Stress thallium or TMT test for detecting unmasked blockages.  Also, you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat its of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002044", "text": "Hi. Thanks for your query. Plank exercises involve the abdominal muscles. It looks you has a strenuous session, and you have either ruptured some muscles or a blood vessel causing a hematoma. I would advise the following in such a patient"}
{"_id": "000002045", "text": "Hello. Thanks for posting your query with us. The pain you have looks like it did definitely start with the episode of pushing the motorcycle up on a stand. If the pain is radiating into one of your leg then you need to visit an orthopedic doctor. He would assess your pain and give you painkillers and medicines to relieve swelling. After the rest and medicines, you would need to start on physical therapy to prevent another episode of a similar pain. The physical therapist will assess and teach you exercises for the strengthening of your back and once you continue the exercises for about 3 months you'll have a strong back. If your pain at the moment is just in the lower back region and that to maximum on sitting then you can simply apply some heat and take muscle relaxants for 3-5 days and start with a few exercises. That should help relieve your pain. The exercises include1. Bridging2. Knee to Chest3. Straight leg raise to 30 degrees on both legs4. Static abdominals5. Hip abduction and extension6. Cat and camel7. Superman exercise for back Hope this helps. Get well soon."}
{"_id": "000002046", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node or may have some tumor pathology.  Your migraine and headache is not related to your lump mostly.  You should go for fine needle aspiration cytology or biopsy to search the cause whether it is lymph node or some benign or malignant tumor.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002047", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, your fianc\\u00e9 is having lung cyst or ballad. It is empty airspace within lung tissue. It is developmental thing. If patient is asymptomatic (no cough, breathlessness, expectoration) then nothing should be done. If he is a active smoker then tell him to quit smoking as soon as possible. And no harm or fear for your future baby. Hope I have solved your query. I will be happy to help you further. Wishing good health to your fianc\\u00e9. Thanks."}
{"_id": "000002048", "text": "Welcome to Chat Doctor, thank you for your query both amoxicillin and maxichlor can be used simultaneously. But if you are taking amoxicillin for the past seven says I will not suggest you to continue it.  See your treating physician he may order for a sinus x-ray to know the severity of the congestion, and he may prescribe a higher antibiotic (cephalosporins) for reducing the symptoms. Some patients even may need iv antibiotics for 3 days. Wish you a speedy recovery with regards Chat Doctor."}
{"_id": "000002049", "text": "Hi and thank you so much for this query. I am so sorry to hear that your sister has Guillain Barre syn Chat Doctor.  I wish her the very best of outcome with this. GBS treatment is mainly medical(plasmapheresis and intravenous immunoglobulins) and supportive. This is followed by intensive physiotherapy sessions for rehabilitation. I do not know of any surgical treatment as of date for this condition. Please, check with the physicians on why they want to take her for surgery.  May be for another reason. And if it is for another reason and not an emergency, then I will differ with the decision at this time. Please, get the acts right. I hope you find this helpful. Please, feel free to ask us more question if they do come up. Thank you so much for using our services and hope you do when the need next arises. I wish her a rapid recovery and good health."}
{"_id": "000002050", "text": "HI, thanks for using Chat Doctor Adenoids are part of the immune system, and it is possible that there was some change in the immune response as a result of the surgery though it should not be to this extent. It is also possible that she is now showing her intolerance for these products. In some persons, initial use of certain foods and Chat Doctor. This can even happen in adults, they start showing allergic reaction to foods that they have used for years. I hope this helps"}
{"_id": "000002051", "text": "Hi, Thanks for writing in. Intraductal carcinoma is a cancer of the lactiferous ducts in the breast. Treatment for intramural carcinoma requires a planned treatment approach. This includes lumpectomy for small tumors and wide excision for tumors that might be excised. For tumors which are fixed to the muscles of chest wall, it is better to avoid surgery as first line of treatment and give radiation and chemotherapy and then decide if surgery is possible. Hormone sensitive cancers work better with exogenous hormones. Some tumors are estrogen receptor sensitive and these will show improvement with hormone targeted therapy. Please do not worry."}
{"_id": "000002052", "text": "Hello! Thank your for asking on Chat Doctor! Regarding your concern, I would explain that uncontrolled high blood pressure can lead to irreversible changes in the retinal artery, causing troubles with the vision. Coming to this point, a better control of blood pressure values would help stop the progression of these changes. You should also know that with such blood pressure values, you are at an increased risk for stroke, heart attack or intracranial bleeding. So, I would recommend discussing with your doctor on the possibility of optimizing your current antihypertensive therapy. Some blood tests are needed to exclude secondary causes of uncontrolled high blood pressure"}
{"_id": "000002053", "text": "Hello Beth.  Welcome to Chat Doctor .com.  I understand your difficulty in dealing with your adult ADHD.  It is a quandary for family physicians who are weary of stimulants if strategy does not work for the adult.  Stimulants do have a high potential for abuse and I understand your concern and your doctors concern as well.  I would advise that you seek a referral from your physician to another physician who has been trained in treating adult ADHD and this other physician will most likely be a psychiatrist.  Psychiatrist tend to have more training in ADHD in general.  A psychiatrist can also be a wealth of information on other coping mechanisms for your ADHD as well.  I would never advise taking someone else's medications, as it is dosed for their weight and age.  It is also considered a form of child abuse to take your children medication in some areas of the country.  Be well,"}
{"_id": "000002054", "text": "Hello, thanks for the query to Chat Doctor. Forum would like to say one thing that she has Hyper acidity (gastritis), that's why there are pain and nausea. Anxiety, Fried food, Alcohol,Over feeding, Junk food, All these increases' gastritis hence symptoms recur. Now she is pregnant, so pregnancy also increases hyper acidity due to certain hormones, hence nausea, vomiting, pain in epigastric region. Now only one option is there consult a gynecologist and have a treatment for HYPER NEMESIS GRAVIDARUM (nausea and vomiting in pregnancy). Lemon water Luke warm sometimes gives relief in few patients. Good luck"}
{"_id": "000002055", "text": "Hello dear, I understand your concern In my opinion it appears that the urine pregnancy test was done early. Usually the urine pregnancy test gives accurate results a week after missed period because Chat Doctor the hormone responsible for positive test starts appearing in urine around that time. And even the symptoms of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period. The first sign of pregnancy is missed period. So I suggest you to check for the period. In case if it is delayed go for a urine pregnancy test. It is too early to test for pregnancy and also to feel any pregnancy symptoms. As there is pain abdomen I suggest you to get physical examination done and also if needed ultrasound to rule out the cause for pain. There can be possibility of urine infection also. But chance of STD might be rare as you don't have any altered vaginal discharge and no lesion over genitalia. Anyway physical examination helps in accurate diagnosis so kindly consult doctor. Take adequate fluids up to 3 liters per day to prevent urinary tract infections. Avoid stress. Relax. Hope this helps. Best regards..."}
{"_id": "000002056", "text": "Hello and welcome to Chat Doctor, I am sorry, but your query is not very clear. I will try to answer to bast of my understanding of your problem. There are a number of cancers which can metastasize to the bone marrow. Lung cancer, and prostate cancer are the common cancers in men which metastasizes to bone marrow. Breast cancer and lung cancer are the commonest among the females. Did your husband undergo bone marrow transplantation? Bone marrow transplantation is done for primary bone cancers like multiple myeloma, and leukemia. The most Chat Doctor. Chronic rejection occurs after many years of transplantation and can affect many organs of the body. You have mentioned that the functional capacity of the heart is left to only one fourth. This implies that there is some disease process which is affecting the functioning of the heart. You need to consult a cardiologist for the knowing the disease affecting the heart and its management. Cardiac compromise is a contraindication to many surgeries. A good cardiovascular functioning is required to withstand any surgery. Patient can go into cardiac failure if the cardiac functions are compromised. Thanks and take care"}
{"_id": "000002057", "text": "Hi, Thanks for writing in. Cancer of thyroid like papillary carcinoma have good cure rate if treated early. As you have got surgery and are taking radioactive iodine, it will help in your recovery. Married life is one based on trust, emotions, love and faith. It is certainly possible to start a married life after recovering from papillary carcinoma of thyroid. Please be clear to tell your prospective spouse that you had a medical condition in the past and have taken complete treatment. It is important to note that cancers are difficult to treat, and you must keep a close watch on your health for some years and get regular health check done as a precautionary measure. Please do not worry."}
{"_id": "000002058", "text": "Your allergies are irritating youth use of inhalers can cause the increase heart rate cats, food,pollen are exaggerating factirsyou can start montage FX antiallergic twice a day tab rhinitidine 150 MGM early morning and flunarazine at nightie you need you can take inhaler but with my experience it is allergy and you won't need inhalerdonot take paracetamol.disdain, analgin, brufenget your allergy tests and start slit treatment for permanent cure we have much success with this therapy"}
{"_id": "000002059", "text": "Hi... Thank you for consulting in Chat Doctor. This looks like viral illness with diarrhea and cold. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor."}
{"_id": "000002060", "text": "Degree understand your concerns. I went through your details. We all know \\\"what is there in name?\\\". Such thought itself is childish. Also, your child is being childish now. That is normal. Instead of pacifying her and convince her, you did wrong by trying to change name. No problem. Taking her to a psychological counselor shall surely help. Only that shall help, because you already tried whatever you can. Now an approach psychologically can only change her. Please do not ignore. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000002061", "text": "Hello, Cerazzete may cause nausea and vomiting as adverse events, and it is important for your friend to talk to her doctor related to her symptoms. The doctor will have to examine her and rule out other possible causes of her nausea and vomiting and if cerazzete is causing the symptoms, he may need to recommend her alternative methods of contraception. I hope this answers your query. I remain at your disposal for further medical assistance."}
{"_id": "000002062", "text": "Hi, You are already diagnosed for having anxiety problem. Multiple pain complaints in different part of body can occur in anxiety due to muscle spasm. Loose stools can occur in anxiety due to irritable bowel. If problem is prolonged or severe then, for treatment, you can visit specialist like psychiatrist or psychologist. Cognitive behavior therapy from trained therapist also help in these cases. I hope this information has been both informative and helpful for you. Wish you Good Health."}
{"_id": "000002063", "text": "Hi I do care for your concern. The Chat Doctor.  You have not mentioned your age and occupation Raised eosinophil count is usually associated with exposure to allergens for prolonged period.  It is advisable to prevent the exposure and along with this treatment it will help you a lot. There is no need of pulmonologist intervention right now. Hope I have answered your doubt, if you have more feel free to ask. Thank you."}
{"_id": "000002064", "text": "Hi! Good morning. I am Chat Doctor answering your query. Having periods started after menopause needs to be investigated in detail. If I were your doctor, I would advise you for a complete blood count, a serum Chat Doctor, and an ultrasound abdomen to rule out any pelvic pathology. Apart from all the investigations, you of course need to be examined by a gynecologist clinically to arrive at a diagnosis after any further related investigations as advised by her. Till then, you could go for an anti-inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor"}
{"_id": "000002065", "text": "Hello You are having fever, chills weakness and sore throat for one month and recurring. These symptoms may be due to these possibilities, these include.1 Typhoid fever, diagnosis can be confirmed by Tidal test and serology test.2 Malaria, is another reason of such type of fever, if it is untreated, resistant and neglected.3 Tuberculosis, diagnosis can be confirmed by tuberculin test, with X-ray chest and blood for CBC, ESR (if very high, suggestive of some chronic infection. However, there are so many other reasons of such fever like URINARY tract infection (urine examination) , anemia (hemoglobin examination), jaundice (hepatitis). In my opinion consult another physician and get his opinion (2nd one). Hope for good."}
{"_id": "000002066", "text": "Degree understand your concerns went through your details. You do mention that your son agreed to see a doctor for the first time. In that case it is also sure he realizes the seriousness of the issue. He understands his problem. This is the correct time for you to take your son into confidence. I suggest you to be with your son when the consultation takes place. You may chip in whenever opportunity arises. That would be helpful. Your son may not know the details of his childhood, and only you will be able to tell those. Nothing wrong in telling facts to the doctor. Be truthful and faithful. Don't exaggerate. You may email the details to the doctor. But usually doctors do not attend cases with presumption. Go ahead. Everything will be alright. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000002067", "text": "Hi! Welcome to Chat Doctor. I read your query. Wisdom tooth surgery wound usually take more time to heal than normal tooth extraction depending on angle of wisdom tooth impaction. If there is a swelling, I suggest you to visit oral surgeon again and get it checked. May b he/she will take a radiograph of the area to check infection or any remaining tooth fragment and do the required treatment. For time being you can start antibiotic course along with anti-inflammatories like Choral AP, etc. Do warm saline rinses. Keep the area clean. You can use Betadine gargles or mouthwash. Take multivitamin tablet once daily for 2 weeks and maintain good diet. Hope this answer helps you. Thank you!"}
{"_id": "000002068", "text": "Hello! Thanks for your query. The most common side effect of IUD is spotting. Painful sex and dark discharge may be from the cervical or vaginal pathologies. You should do a PAP smear(if you do not have done within 1 year) or vaginal smear to exclude any infection. There are so many birth control methods after you remove IUD"}
{"_id": "000002069", "text": "Hi. This is a serious social problem. Both the problems may be or may not be associated. The Smell from mouth and / nose is called a foe tor"}
{"_id": "000002070", "text": "Hello, Thanks for the query. You might be suffering from scabies. The other condition having similar presentation is endogenous eczema. You will require treatment with permethrin or steroids, depending on the condition you are suffering from. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https"}
{"_id": "000002071", "text": "Hi, Thanks for the query. If you had unprotected intercourse at the time of ovulation then there is possibility of pregnancy. But delay in periods always may not indicate pregnancy and that can occur due to many causes. Birth control pills can act as emergency pill when taken in sufficient dosage, but they should be taken within 72 hours of the intercourse. So now you check for pregnancy once with the kit and depending on o the result proceed further. For more details you can ask me through"}
{"_id": "000002072", "text": "Hi! Your son got two different problems that are confusing you, but both related to the accidental hitting! You mentioned, Lately he is irritable, has loss of appetite, and will occasionally fall over as though losing his balance.... This indicated injury to brain or the middle ear/temporal lobe possibly an urgent CT scan f the brain is required! And, the pea sized lump at the back of his head is just a small hematoma might be tipped of the iceberg phenomenon. Therefore, please see a surgeon immediately for management!regards,"}
{"_id": "000002073", "text": "Hello, Welcome to Chat Doctor, The symptoms suggestive of some allergic reactions. As your doctor has prescribed medicine for the symptoms of allergy you can take these medicines. These medicines will control the symptoms, but it is not going to cure your condition, you have to find out the reasons for your symptoms. You need to test your blood sample for absolute eosinophil count, it will help to know the presence of allergic reactions in the body. To avoid the symptoms of asthma, you should not be exposed to the triggering factors which may be a dust, pollen or food. The allergen causing these symptoms should be avoided as for as possible. If it is not possible to avoid the allergen you can consider taking of immunotherapy by consulting your doctor. For the present symptoms, you can take the medicines prescribed by your doctor. Thank you."}
{"_id": "000002074", "text": "Here as per your x-ray report the heart size and shape is normal but still you have sharp pain in your rib and radiating to you back. It can be related to a couple of things. It can be due to vitamin D and calcium deficiency so that there could be weak bone profile. It can also be problem at spinal level which is paining at spine as well as at rib. I suggest visiting an orthopedic doctor for proper physical examination. And doctor may ask you to do some tests like ECG, treadmill test as well MRI scan which ever is needed. Here doctor will suggest you treatment with few medications like vitamin D, and calcium tablets. Along with this I also suggest taking an exercise program from physio for improving cardiac functioning as well for spinal strengthening and improving lung capacity. In case anything major gets diagnose in tests then you may need a surgical correction too. But as per your symptoms given by you does not look anything major. Here I have given you general guidelines as per your symptoms because physical examination and check is not possible. However it will be useful for you if you follow step by step. Take care."}
{"_id": "000002075", "text": "For severe back pain you can take some painkiller like ultracet-plus or zerodol-sp only when the pain is worse enough or disturbing your daily routine work along with some calcium supplements like shackled or toscal-gem once daily. Take some multivitamin like metilda-af or neurobian-plus once daily. Do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advise you to sleep on a plain surface."}
{"_id": "000002076", "text": "Thanks for your question on Chat Doctor. I don't think your lower back pain and shoulder clicks have anything to do with breathlessness. As both these conditions favor bone related disease, mostly osteoarthritis or osteoporosis. So better to consult orthopedic surgeon and get done x-rays of left shoulder joint and lumber spine to rule out orthopedic problems. For breathlessness, consult pulmonologist and get done1. Chest x ray2. ECG3. PUT (pulmonary function test). You may have both the problems simultaneously, lung related and bone related. So consult doctor and discuss all these."}
{"_id": "000002077", "text": "Hello, Thanks for trusting us with your health concern. If you did not develop the diarrhea within two hours of consuming the emergency contraceptive pill, there is no worry since the pill is absorbed by then and has started working effectively. The efficacy provided by the emergency contraceptive pill ranges from about 98-85 percent depending on the time-lapse after the unprotected intercourse. You can expect with Chat Doctor.  Hope this helps."}
{"_id": "000002078", "text": "Hello, If the baby is gaining weight appropriately and urinating 4 to 6 times per day I do not think you need to worry about this as this could be a simple regurgitation because of overfeeding. But if the baby is stretching the spine backwards and vomiting after every feed and losing weight then we need to consider gastroesophageal reflux and treat appropriately. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000002079", "text": "Hi welcome to Chat Doctor forum. The bulky ovaries may be suggestive of poly cystic ovarian syn Chat Doctor.  If this is to be confirmed and other causes are to be excluded trans pelvic scaling must be done, if it is P.C.O.S. it can be easily overcome by medical treatment. You can get regular periods and pregnancy.  What ever the cause may be bulky uterus interferes with getting pregnant.  Anyhow you are under treatment by a gynecologist, you follow exactly as your doctor says, so that you can become pregnant.  In the meanwhile try to have a balanced diet, and good health, avoid tension to become pregnant. Wish you an early result of having pregnancy, I thank you for calling."}
{"_id": "000002080", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma or dermatofibroma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002081", "text": "No, it doesn't mean that you don't have Added. Adderall usually causes weight loss. However, the side effect (or lack of it) has nothing to do with the diagnosis. Even response to treatment is not the way to diagnose a clinical condition. In my opinion, the issue for you should be whether you see any benefit in the symptoms that led you to seek consultation. You should feel free to discuss this with your psychiatrist. I hope this answers your question."}
{"_id": "000002082", "text": "Welcome to Chat Doctor .1. The way you have described, it seems like lymph nodal enlargement.2. In a case like you, I would ask for an ultrasound neck to find out where the lumps are arising from and what they contain.3. Lymph nodal enlargement generally seen after any infection / inflammation and any underlying systemic causes.4. So if you are suffering from anything get treated.5.Don't be scared, i don't think its cancer. First get the needful things. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000002083", "text": "HelloThanks for query. You have noticed your external urinary meats to be inflamed after having an oral sex. The oral cavity of human being is habitat for many bacterial flora hence it is very common to get infection of genitals after receiving oral sex. You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely."}
{"_id": "000002084", "text": "With the description I assume you have an upper teeth infection and looks is a dentoalveolar abscess or periapical abscess actually your dentist would have left it open for Chat Doctor. You are on antibiotics and still the infection spreads so fast to the orbital or eye area it needs an immediate dentist attention. Infection does not spread to brain so don't worry. Make sure the tooth root tip or apex is not in maxillary sinus. But don to forget to seek attention from your dentist. Sometimes it may need extraction of the tooth if there is any cyst or granulomas. Hope this helpful."}
{"_id": "000002085", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. The most common cause for bronchitis is viral infection. And viral infection is common cause for generalized weakness and fatigue. Viral infections are self limiting in nature. But bronchitis needs proper treatment. So better to consult pulmonologist and start inhaled bronchodilators and antihistamine Chat Doctor."}
{"_id": "000002086", "text": "Hi, welcome to Chat Doctor. Small red rash or bumps near mouth region in 1-year-old child could be due to insect bite or allergic rash. Insect bite can present as rash which has itching over the rash and may develop secondary bacterial infection over it. Allergic rash due to pillow cover or bedsheets can also appear like this. In my opinion, you should give HY Chat Doctor. 5 ml PO three times a day for 3 days and apply mupirocin cream at the site of skin lesion. Review back after 2 days with some pictures of the skin lesions. I hope this will help you. Take care."}
{"_id": "000002087", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. From the description, it is very clear that your child is nervous due to exams. This can be termed as exam anxiety generally. Online treatment plan is futile. Need to speak to a psychological school counselor. Psychological counselors provide awareness about exams which parents and teachers cannot give. Please consult a psychological counselor. 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 the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000002088", "text": "Hi, Thanks for your query. The symptoms you have described are more likely to be symptoms of muscles strain. To get relief from the pain and for quick healing"}
{"_id": "000002089", "text": "Hi, I think I have understood your concern. I will suggest you TP opt for a healthy diet and regular exercise regime. Include more portions of fruits, salads and vegetables in your diet. Avoid deep-fried food, bakery products and refined sugars. Please check for thyroid function tests. Sometimes hypothyroidism that is not present in pregnancy starts after delivery, due to some autoimmune conditions. Please do not fall prey to false and non-scientific things for weight loss. I hope this answer helps you. Thanks Chat Doctor."}
{"_id": "000002090", "text": "Hi Thanks for your query and Welcome to Chat Doctor. I am Chat Doctor. Scoliosis is an s shaped three-dimensional deformity of spine which can cause"}
{"_id": "000002091", "text": "Welcome to Chat Doctor. 1. Lymph nodal enlargement is generally seen after any infection or inflammation, which can be localized or systemic.2. The other possibility of lymph nodal enlargement can be due to the lymph nodal pathology itself - lymph adenoids.3. As an investigation - get an ultrasound examination of the lump - which will assess the status of the lymph nodes solid / cystic / degenerative status.4. To assess further - an FNAC - fine needle aspiration cytology for assessment of nature of the cells involved.5. If you are known to any infection or systemic pathology - get it treated, the lymph nodes will disappear on their own.6. I would recommend seeing your GP, get examined and treated according to the examination and imaging findings. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http"}
{"_id": "000002092", "text": "Hi. Thanks for your query. Read your history and understood the problem. The growing swelling in the roof of the mouth can be an abscess into the preexisting adenoid or a cyst of the minor salivary gland. I would advise you the following"}
{"_id": "000002093", "text": "Hi, Thank you for your question. The blood pressure that you have mentioned should not cause any dizziness. Morphine PCA following a surgery can cause low blood pressure. Chat Doctor.  Continue taking your usual medication. Check your blood pressure only once daily. Whenever you sit for a longer time, make sure you stand for a minute, and then you start to walk. Standing up and walking immediately can sometimes make you feel dizzy which is known as orthostatic hypotension. Hope it helps. Regards."}
{"_id": "000002094", "text": "Hi friend, first let me figure out your prob-----since you are getting married shortly, I think this thought is haunting you, and you are fearful about sex. Despite any logic, these thoughts are intrusive and making your life miserable, you can't concentrate at job, confidence lowered, can't sleep, cant relax. It all be better if you clarify further more about the prob that whether you have a tendency to \\\"doubt\\\", get occupied by trivial/unusual thoughts/acts, do some rituals/actions to get relief. If so probably you have problems of \\\"obsessive compulsive disorder\\\". Learn more about it from authentic websites. Get to know how to stay relaxed, how to control thoughts, build up your good habits & hobbies. If your time to get married is very short, or you think that your problem is very severe better take help from experts. Best wishes"}
{"_id": "000002095", "text": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should be thoroughly examined yourself. The problem you have mentioned is not only related to trace elements deficiency. It looks like some kind of autoimmune disease or some biochemical problems in your body. Taking vitamins and trace elements won't work out in your case. Full diagnosis and management thereafter is the sole thing that can help you. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor.  Thank you. ChatDoctorInfectious diseases specialist."}
{"_id": "000002096", "text": "Helllooo...read through your query...I must say that your lucky that at least u have saliva...many people are there suffering from lack of saliva...so don't worry much about that...regarding the white color at corner of mouth it can be candidiasis(fungal infection).don't worry about that...u can apply statin gel and maintain good oral hygiene...increase in salivation can also be due to the candida infection ... Chat Doctor. .hope your benefitted something by this reply.have a healthy day!!!"}
{"_id": "000002097", "text": "Hi, 1. Fever occurring every 6 hours needs to be evaluated in small babies.2. Your baby needs to be evaluated by the pediatrician at earliest to find out the exact cause and to be treated accordingly.3. Fever every 6 hourly can be because of any kind of stomach infection, throat infection or urine infection. So for that you need to mention other symptoms along with fever to get on to the diagnosis. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002098", "text": "With such presentations in my clinic, if I were your treating doctor I would first rule the possibility of fracture by taking the x-ray hand AP and oblique view and based on that treatment varies. If fracture was not there it should be either ligament injury or soft tissue injury. In both of these ill prescribe a combination of paracetamol and ibuprofen tablets for seven days twice a day and along with that cr\\u00eape bandage 4 inches one to be tied.  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."}
{"_id": "000002099", "text": "Hi, Thanks for posting in Chat Doctor. I understand your concern. Based on your description, it appears that you could be having fungal (yeast) infection around the genital area. Kindly do the following to overcome the symptoms. 1. Clean the area with mild antiseptic solution like Salon twice daily. 2. Apply antifungal medication Ketoconazole cream or dusting powder over the region twice daily. 3. Do not put tight clothes and undergarments over the region till the symptoms subside completely. Maintain good personal hygiene. Gradually, your symptoms should subside. Hope the information provided would be helpful. All the best."}
{"_id": "000002100", "text": "Hi, Thank you for posting your query. Yours is a very good question. Regret only helps relieves the symptom, in this case, pain due to Trigeminal neuralgia. So, it does not make sense to take regret for one year to prevent one episode of pain. So, in your case, you can take it as and when you get the pain. Most people have frequent pain, even on a daily basis, they need to take it every day. Best wishes, Chat Doctor."}
{"_id": "000002101", "text": "Hi and welcome to Chat Doctor. I understand your concerns. This report is showing polycystic kidneys disorder on the right side and this kidney may have reduced function or even be functional completely but left kidney is better condition, and it may overtake whole necessary function. In the future, your baby should be closely followed, and it can't be predicted how long will his kidney work but in most cases there is no need for transplantation or dialysis in childhood hope I have answered your query. Kindly regards. Wish you a good health."}
{"_id": "000002102", "text": "Hi, dairy have gone through your question. I can understand your concern. She has pleural and pericardial effusion.  It may be due to cancer or may be due to some other cause like low protein or infection. She should go for pleural tapping and examination of pleural fluid.  It will give you exact diagnosis whether it is due to cancer or some other cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002103", "text": "Hello! Thank you for the query. This lump is rather not a hernia. As it was blue with bruising and has appeared after the injury, most likely this is a hematoma. It appears due to veins rupture (Caused by the injury). The blood cumulates in the soft tissues. If a hematoma is pretty large won't disappear by its own. I suggest you to consult general surgeon. The hematoma should be Chat Doctor.  In case of doubts, soft tissues' ultrasound can be done. Hope this will help. Regards."}
{"_id": "000002104", "text": "Hello friend, Your husband is not having food poison. He is under the panic of his disease. He must have become aware of his disease. The cancer is an icon of death as per the teaching of conventional medicine. The frequent surgeries made him to believe that he is not going to survive, or he will die immediately. He is waking up in frenzy because he is having fear of death. You have to take him to an expert Homeopathic physician at the earliest because he alone can consider his mental attitude and will prescribe a remedy that will give him immediate comfort and thereafter give him curative remedy.In the meantime your duty is to give him reassurance that cancer is not the end of life and once he is cured through Homeopathic genetic constitutional treatment, he can enjoy several more years of healthy life. Give him positive suggestions and hope that he will become alright. If you are not able to find any expert Homeopath in your reachable locality, get back to me with his whole case. I can even send to you on request a case recording format in which you can expand his case. I have to understand him as a person to prescribe the curative remedy. Homeopathic remedy will cure him rapidly and permanently. With Best wishes,"}
{"_id": "000002105", "text": "Hi I can understand your concern... Fatty liver means stenosis in which fat getting accumulated in hepatocytes... It can be reversible condition.... You are complaining right side pain below rib. So gall stone can be there.... Take Ad\\u00edlio tablet 150 mg daily...USG helpful for detecting stone..... Take low fatty diet.... In your routine lunch and dinner fried food taken less...... Include green leafy salad in your routine diet... Fruits taken more like blueberries, papaya, orange etc.... Regular exercise done. If stone present and much troublesome then need its removal by cholecystectomy. Chat Doctor."}
{"_id": "000002106", "text": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, it is necessary to perform a comprehensive differential diagnosis of different causes that may mimic this clinical scenario (cardiac arrhythmia, chronic anemia, thyroid dysfunction, etc.). Anxiety could also be related to this symptomatology. I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray and some blood lab tests (complete blood count, thyroid hormone levels, cortisol plasma levels, fasting glucose, inflammation tests, blood electrolytes, kidney and liver function tests). An ambulatory 24-48 hour ECG monitoring and a closely monitoring of your blood pressure are necessary to exclude possible cardiac arrhythmia. If all the above tests result normal, the most probable cause of your symptomatology would be anxiety and a consult with a specialist of this field would be necessary for the proper therapy. Hope to have been helpful! Best regards,"}
{"_id": "000002107", "text": "Hi, Thanks for writing in. It is important to know what type of bonce cancer your husband is having. There are many bone cancers in appearance and types. Some are locally aggressive while others can be highly metastatic and destructive. If bone cancer is detected in stage 1 and 2 then patient survival chance is more. In stage 3 and 4 bone cancer the survival chances are less however some patients might survive with aggressive treatment. Your husband has some co morbid factors like overweight, treated for high blood pressure, high cholesterol, diabetes, has polycystic kidneys, depression and that might play a role in recovery. Please discuss with your doctors concerning the stage and treatment. PSA has no isolated predictive value is bone cancer but if more than 10 NG/ DL then his prostate must also be evaluated and treated for any condition. Please do not worry."}
{"_id": "000002108", "text": "Hi, Zola (alprazolam) is Benzodiazepine commonly prescribed to treat anxiety, panic disorders, and anxiety caused by depression. Its starting dose is usually 0.5 mg once daily preferably at bedtime. Dosage should be reduced gradually when discontinuing therapy. Its most common side effects include lightheadedness, dizziness, sleepiness, habit-forming (liable for addiction), memory impairment, ataxia and cognitive dysfunction. Because of safety concerns, it should not be used during pregnancy. Consuming alcohol while on Zola can increase dizziness, Chat Doctor.  She should avoid or limit the use of alcohol while being on Zola and also avoid activities requiring mental alertness such as"}
{"_id": "000002109", "text": "Degree understand your concerns went through your details. If you are sure that your testosterone level is low according to the report, you should certainly continue the treatment. Ayurveda and allopatry are equally effective. You may have to wait for some time to see the results. Be patient. Work with your doctor. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000002110", "text": "HI, Thanks for using Chat Doctor, Itching and redness all over body like fingers, arms,neck etc. and high levels of histamine in blood could be possibly an allergic reaction to something. You should consider the use of an anti histamine to dampen the response. An example would be levocetrizine or fexofenadine a good choice in place of Ben Chat Doctor. There are also some creams which may soothe the itching, examples include calamine lotion or menthol in aqueous cream. You need to be further clinically examined by dermatologist for proper diagnosis and treatment. I hope this helps,"}
{"_id": "000002111", "text": "Hello;Thanks for your query. Any menstrual cycle between 21-35 days is considered as normal so from your history it seems that you have normal cycles. The ovulation occurs on 14th day in a 28-day cycle so if you have unprotected sex every alternate from the 10th to the 21st day from the start of your menses then the chances of getting pregnant will increase. If you have been married for a year or more and still not got pregnant then you need to consult a Gynecologist, and she will advise you the necessary measures and treatment. Hope this answer is helpful to you. Take care. Regards"}
{"_id": "000002112", "text": "Hi welcome to Chat Doctor... Let me know you wheezing can be from bronchoconstriction.... And pain by exertion suggest angina or LVH.... So investigate your case with......1. Blood pressure measurement 2. Auscultation 3. Chest x-ray 4. Spirometry and 5.EKG According to cause treatment guided .... If angina there than arbitrate like Chat Doctor. If heart failure than diuretic needed .... If bronchi constriction present than bronchodilator needs to be given .... Take care Advise"}
{"_id": "000002113", "text": "Hi, Thanks for writing in. If you are having a scalp swelling and that hurts then a clinical examination might be required to know if there is any bleeding in the scalp swelling. This occurs when there is slight blood collection below the scalp skin. People having a concussion might experience headaches, dizziness, fatigue, irritability, anxiety, insomnia, loss of concentration and memory, and noise sensitivity most commonly. These usually get better in 3 months. If the dizziness is slight then you can take rest and apply ice over the injured area. The pain might increase tomorrow and this is usually mild. If the dizziness increases, or you feel vomiting with loss of balance then please go to ER for evaluation of probable internal head injury. Persistent dizziness also requires you to go to the ER and get a CT scan to be done."}
{"_id": "000002114", "text": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Interstitial lung disease (OLD) is very bad disease to have. No cure is available till date. And it is progressive disease. No Chat Doctor. So better not to start homeopathy medicine. It may even more harm you, because of the side effects. So better to avoid such homeopathy medicines. Better to discuss end of life issue with her."}
{"_id": "000002115", "text": "Hi thanks for asking question. You have not mentioned history in detail and investigation done. The common condition that can lead cramp is gall stone. It could be single or multiple gall stone. I would like to advise you to perform USG and LFT for it.USG will detect stone if present. For its ursodeoxycholic acid can be taken. Second it could be by cholecystitis like condition also.USG and CRP done for it. If it seems to be bacterial cause antibiotic taken. Take low fat diet. Avoid alcohol and smoking. Regular exercise done.Lose weight if overweight. I hope your concern is solved. Chat Doctor."}
{"_id": "000002116", "text": "Hello, Diabetes is a chronic disease, and it is most common in who is over weight or obesity. The best way in treatment is to lose weight that usually effected by changing lifestyle. Lifestyle change includes diet and exercise. Changing diet helps to reduce body weight and exercise helps to stable the body weight. So you should eat healthy food like plenty of vegetable and some amount of meat but decrease carboy Chat Doctor.  If you control your diet well your diabetes will be good control also. There is a medicine that can treat hepatitis C. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002117", "text": "Hi I do care for your concern. Your history suggest allergic reaction to the insect bites. This is a type of hypersensitivity reaction against substance released by this insect. I would advise Consulting your physician and get a shot of DEXA if needed. Taking medication such as Ben Chat Doctor.  Application of calamine lotion over skin will add to the help. Hope I have answered your question, if you have more feel free to ask. Thank you."}
{"_id": "000002118", "text": "Well the cause of your issue could be anything out of what you think, but now you need to focus more on treatment as well as precautions.  For this you can visit an or tho or physio doctor get your mom done and based on the severity of your issue they will guide u in this with few posture related advice as well exercise to strengthen the back.  If it looks severe on MRI then the or tho would also guide for any kind of surgical corrections.  Don't get panic and just follow the steps by visiting or tho or physio, and you should be fine.  Take care"}
{"_id": "000002119", "text": "Hi, dairy have gone through your question. I can understand your concern. You have clue cell in urine. Clue cells are the typical vaginal epithelial cells covered by bacteria. It is seen in bacterial vaginosis. It is caused by Gardner vaginitis. You should take antibiotic treatment. Metronidazole is the Chat Doctor.  It is prescription based medicine so consult your doctor and take treatment accordingly. Consult your doctor and take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002120", "text": "Hi, Pre-eclampsia is a condition where you will have high blood pressure, protein in urine and significant swelling of limbs (called Edema). So if you just had one episode of protein in urine, you need not worry much if you have not had high BP and edema. Also worrying will increase stress and anxiety, which in itself may raise your BP. They will check protein in urine in every antenatal appointment, as if at all any is picked up appropriate care can be given to you and your baby. Do not worry and go regularly to the appointment as to help prevent any complications. Hope this helps. Regards."}
{"_id": "000002121", "text": "Reclothe diagnosis is established , so please take care that in any condition don't stop the anti-tubercular treatment till your doctor advise. When a patient visit my clinic I advise them to take these Chat Doctor. Forecox (rifampicin 225 mg + isoniazid 150 mg + ethambutol 400 mg + pyrazinamide 750 mg in one tablet) take 2 tablets on empty stomach but if patient feel nausea and vomiting then take these tablets 3 hours after meal and also take some antacid. In the evening I prescribe levofloxacin 750 mg + pantaloons, these two after dinner. I usually advise this treatment for 3 months. After this I advise my patient to take Rifampicin 450 mg + isoniazid 300 mg in the morning.  Levofloxacin 750 with pantaloons in the night after dinner. Till another 3 months. After this rifampicin 450 + isoniazid 300 mg for another 6 month. One tear treatment completed in this way. Observe any symptoms like cough, hemoptysis, fever, weakness, if any, report at once to treating doctor. Regular x RAY after every 3 months with sputum for A F B if present. Blood after every 3 months for c b c & e s r. Since you are not producing sputum, so it is presumed that no sputum or sputum for A F B negative patient cant spread tuberculosis because"}
{"_id": "000002122", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, it looks like septicemia. I advise you to do blood for culture and sensitivity. When there is septicemia bacteria can be isolated from the blood culture. With the help of sensitivity, we can give antibiotics to the patient. Patient can be treated effectively with it. For fever, you can give paracetamol under your doctors' guidance. This will bring the temperature down. Do not do overdose. Maintian good hygiene around baby. This will effectively play good role in treating the infection. Give good breastfeeding and ORS to baby. This will maintain good HY Chat Doctor. I will be happy to answer your further concern on bit.ly/"}
{"_id": "000002123", "text": "Hi, Thanks for writing in. The liver is a large organ where bile generation takes place. Bile is an important digestive juice and is essential. For the bile generated in the liver to reach the intestine, it has to flow through dedicated biliary channels. First the bile from both lobes of liver collects in the gall bladder and from there it is again let out in to the intestine through the common bile duct. This common bile duct is a tube like structure and is surrounded by the head of pancreas at its termination. Therefore, any pressure in or around the pancreas will cause hold up of bile. The cholangiocarcinoma can cause blockage to biliary passage within the liver leading to pooling of bile in intrahepatic location."}
{"_id": "000002124", "text": "Hello, First try to rinse vigorously. Warm salt water or your favorite dental rinse is recommended. Recheck and see if it has been removed. You indicate that this a change from an area that you commonly examine with your tongue. It is possible some thicker mucous built up. It is possible tonsil stone dislodged. Have you had an increase in congestion? This would be the simplest answer and solution. Your uvula could be inflamed and swollen.  Possible infection needing an antibiotic. Your tissue could have a cyst, polyp or growth. This would best be evaluated with a clinical exam. You can try anti-inflammatory medication to see if the area reduces. I would be glad to evaluate further with more details. Was the size of the bump? Any tenderness? Your medical history and medications? I hope this has been helpful. Thank you for your inquiry."}
{"_id": "000002125", "text": "Hi! Welcome to Chat Doctor. I read your query. Since you are currently having Orthodontic treatment (braces), there are regions where your toothbrush might not reach for effective cleaning. Also, areas where your braces material impinges continuously onto your gums, leaves a white mark called as Frictional keratitis (as you read too). I would suggest you to visit your Orthodontist and ask him for braces adjustment in that particular area. Also, you can use Orthodontic brushes specially meant for braces cleaning. Use mouthwash regularly as it removes particles from difficult to reach areas of mouth too. Go for oral prophylaxis every 3-6 months. Maintain good oral hygiene and diet. Hope this answer helps. Thank you!"}
{"_id": "000002126", "text": "Hello, Welcome to Chat Doctor, As you are diagnosed to have cellulitis of the leg, which is a bacterial infection of the skin, subcutaneous tissue and fascia. It is swollen, red and the surface shows crusting. Minor trauma or cracks/breaks in the skin provide a portal of entry for the bacteria. Stasis dermatitis predisposes to infection. If I was your treating doctor I would have advised an oral antibiotic for a week (preferable penicillin group e.g. Amoxicillin in combination with clavulanic acid, 375 mg thrice daily for a week). A topical antibacterial like 2% mupirocin can be applied at the site of blisters. An OTC painkiller like ibuprofen twice or thrice would help you with the pain. Thank you."}
{"_id": "000002127", "text": "Hello Miss wood, Thanks for using Chat Doctor. I can understand your situation. You do have some symptoms of schizophrenia, but proper diagnosis can be made after evaluation only by a psychiatrist. You need antipsychotic medicines. There are two types"}
{"_id": "000002128", "text": "Hi their am ChatDoctorI have read your detailed query And I need to say the information is quite aptly put will start by first stating that the symptoms are probably due to the hematoma. Understand that the skull is a closed space in which the brain is placed. So any added matter in a closed space will increase the pressure. That is a basic law of physics. As long as the blood remains inside, the pressure will be high. This therefore causes pain and discomfort. Headache is due to this. As for improvement, I cannot surely say, because I have not seen the MRI. However, you may talk to your neurosurgeon about elective surgery and Chat Doctor."}
{"_id": "000002129", "text": "Hi Vicki Basher, Thanks for using Chat Doctor. Your symptoms may be due to hypothyroidism or any CNS problem. Hope you don't have any other problem. Get done thyroid profile once witChatDoctorplete hologram and get examined by your doctor for any endocrine or CNS problem as we can diagnose only after complete examination. It can be corrected once we diagnose it. Get back to us with the values for discussion. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards"}
{"_id": "000002130", "text": "Hello, Having jaundice four years back could have been either hepatitis B virus or any other virus. You must have developed the virus now, if u had no history of it. Once your Bag status is positive, please consult your Gastroenterologist, so that he can advise you further test to know if the disease is active or not (head), whether your body have developed immunity against the virus or not (IGM anti He), and how much is the viral load at present (HBV DNA- quantitative analysis), with USG abdomen to see your liver status, only Depending on these parameters can anyone decide if treatment should be started or do you just need regular follow to know the viral status, and Hepatitis B virus spreads via bodily fluids, please ask everyone in your family to be evaluated and if they are negative for the virus, let them get vaccinated immediately, but anyone is positive they should go about it the same way as yours, hence please consult your Gastroenterologist and get yourself completely evaluated. Hope I could help you. Thank you."}
{"_id": "000002131", "text": "Hi, Thanks for posting the query, According to your clinical symptoms I suppose that you are suffering from infection of gums known as gingivitis. I would suggest you to go for complete mouth scaling and polishing and curettage. Take lukewarm saline and antiseptic mouthwash rinses. Take multivitamin supplements. Take complete sound sleep. Avoid anxiety and stress. Take regular exercise. Take care! Chat Doctor."}
{"_id": "000002132", "text": "The MRI findings are likely irrelevant to your seizure episode. Microcascular ischemic WMD is usually noticed in people who smoke, have high cholesterol, diabetes, are hypertension, or have renal disease.  It can also be seen in normal individuals with none of the above conditions and simply as a result of aging which can be detected as of the mid to late 30s as small areas of degeneration in the deep white matter.  If this answer provided you with useful information I would very much appreciate a bit of written feedback as well as a star rating for the response to this question. If you would like more information or have further questions please write to me atbit.ly/ Chat Doctor."}
{"_id": "000002133", "text": "Good Day, and thank you for being with Chat Doctor ! You may have developed another stone and passed it out. If your symptoms persist I would go back to your urologist or go to the ER to get some tests done. I'm the meantime Chat Doctor.  I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at"}
{"_id": "000002134", "text": "Hello Mam, I just read your query. See Flint tablet is given for the proper formation of egg. It will definitely help you.* Along with that adopt healthy lifestyle, eat fresh fruits and vegetables. Avoid excessive tea, coffee, cold Chat Doctor. * Do exercise daily.* Try in between ovulation days(11 to 15 days) of cycle.* If still face any problem, then do consult your gynecologist.* I hope you find my answer helpful. Thank you."}
{"_id": "000002135", "text": "Hello, What is your age why because ALP may vary according to the age. In males up to 19 years range 79 to 222. More than 19 years normal value is 45 to 115. It may be elevated in obstructive jaundice. If it is elevated along with GGT means liver pathology. Bone disorders also it may elevate. Few Chat Doctor.  So, do not worry if it is elevated more than 3 times of normal range, then it is significant. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002136", "text": "Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would not opine on it without a clinical examination of the lump and getting some routine investigations of your like a blood sugar, CBC, and other necessary investigations as the case might be. Therefore, I would advise you to show it to a general surgeon in your area to get it managed properly to prevent any other complications. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000002137", "text": "Hi! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would advise you for urine routine/microscopic/culture and sensitivity test to rule out an asymptomatic UTI, a blood test like CBC, serum Chat Doctor to rule out a pregnancy, and an ultrasound of abdomen either to confirm pregnancy or to rule out any other intro abdominal pathology. Till then, I would prescribe you with an anti-spasmodic and a proton pump inhibitor Chat Doctor.  Further management would depend on the result of a clinical assessment and reports of the related investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor"}
{"_id": "000002138", "text": "Hellowelcome to Chat Doctor how do you know you have seedling fibroid? Im asking because seedling fibroid is a term used for tiny fibroid discovered during any operative surgery. They are an incidental finding. They are so small that they are not even detected on ultrasound. Do no worry. All you need to do is get an ultrasound and a gynecological examination done once a year to monitor the size. If however you do experience symptoms of excessive bleeding during menses or cramping then you might need some medication."}
{"_id": "000002139", "text": "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. Please do not worry.  There are safe antibiotics available for use during the pregnancy period.  Antibiotics of penicillin group, cephalosporin can be used safely during pregnancy. Secondly if you are pregnant or trying to get pregnant, I will suggest you to opt for a healthy lifestyle, healthy diet and regular exercise regimen.  Include more portions of fruits, salads and vegetables in daily diet."}
{"_id": "000002140", "text": "Hallow Dear, Novel DS Tablet contains Ormeloxifene as an active ingredient. It has got contraceptive effect; hence while you are on these pills, you cannot conceive. You do have a chance of conceiving after discontinuing these pills. Fibroid may not interfere in conceiving; however, the fibroid may cause complications of pregnancy or delivery. You may have to face miscarriage, premature delivery, etc. During pregnancy, the fibroid always increases in size and may have bleeding in it. After delivery, since the uterus cannot contract effectively, you may have to face excessive bleeding. Of course the size of the fibroid is not very big. So you may take a chance of pregnancy without removing fibroid. Left ovarian cyst needs to be evaluated. If it is corpus luteum cyst, it should not cause any problem. Ultrasonography ovulation monitoring will give some clue. If you are ovulating then you may go for pregnancy. However, if you are not ovulating, ovulation induction may be required. Please report to your Gynecologist before attempting any pregnancy."}
{"_id": "000002141", "text": "Such types of symptoms some times can be seen in post pregnancy period. The pain persist due to laxity of back muscle and improper physiotherapy after delivery. Lack of rest also aggravates these symptoms. Back muscle strengthening and pelvic floor exercises will be beneficial to you. For this you need experts guidance by rehab specialist and physical therapist .oral calcium and analgesics such as ibuprofen will give instantly relief. 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."}
{"_id": "000002142", "text": "Hi, dairy have gone through your question. I can understand your concern.  You may have some polypoid skin growth like fibroepithelial polyp. You should go for excision biopsy of that growth and go for histopathological examination. Then if needed to take further treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002143", "text": "Hi. Thanks for your query. Since you have pain in the right lower abdomen, fever and related symptoms, and the ultrasonography done 6 months back was normal, I would suggest you the following"}
{"_id": "000002144", "text": "Hi and welcome to Chat Doctor. Thanks for the query. Biopsy should not be done during pneumonia, and it can wait till he recovers. This is not an emergency, he probably has those lesions for longer period. It must be evaluated and tumors must be ruled out. It is hard to say what it is exactly. It can be benign or malignant lesion. But in every case he should treat his pneumonia first. Wish you good health. Regards"}
{"_id": "000002145", "text": "Hi. I have read your question in detail and can very well understand your concern, and you need not worry about the white/yellow thing you are seeing in your socket. After the tooth extraction the blood clot forms in the socket acts as a medium through which new cells grow and the healing takes places. The white or yellowish thing that you are seeing in your socket is nothing but the healing tissues which in the initial phase of healing appears in white yellowish color. You need not worry at all as it is nothing serious and the healing is progressing well. Just keep following the instructions given to you by your dentist and maintain a good hygiene and keep away from smoking, Chat Doctor."}
{"_id": "000002146", "text": "Hi, You are experiencing fetal movements and as the baby is growing its movements are being perceived by you much better. I would like to know if all your scan reports have been normal and is there any evidence of increasing Amniotic fluid around the baby. Sometimes in pregnant women when you are lying down the weight of the womb on the inferior venacava which is the veins which carry blood from limbs to heart is blocked. When you change position this pressure is lifted and there can be a sudden rush of blood to the heart. What I would advise you is to sleep in left lateral position.Also, this feeling will get more as pregnancy advances. Hope this helps. Regards."}
{"_id": "000002147", "text": "Hi, I think you should go for some medicines and injections for growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for next 2 to 3 days.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months. Also try losing some weight.  It will help you in responding to the medicines.  Also do a thyroid profile and prolactin levels.  Hope I have answered your question.  Regards Chat Doctor."}
{"_id": "000002148", "text": "HiT hanks for askingBased on your history and query, my opinion is1. There is a possibility of having contracted an infection from your friend, as the bacteria could have gained access through raw areas or skin abrasion.2. But this needs to be confirmed by getting a culture sensitivity of the pus. 3. Based on the nature of organism, you can be treated accordingly.4. Do not worry much as there is treatment for staphylococcus infection if it comes positive on culture. Hope this helpsRegards"}
{"_id": "000002149", "text": "Hi, dairy have gone through your question. I can understand your concern. He has history of operation. Clotting is common after surgery. He should take warfarin to prevent further complication. He needs blood examination to know the type of anemia. Then he should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002150", "text": "Hi Xavier. Thanks for your query. Since you are suffering from pain in abdomen for a couple of years, I would advise you the following"}
{"_id": "000002151", "text": "I am not sure what you mean by tea cup apple head, perhaps it is a term of endearment.  The term you use \\\"after she was in heat\\\" makes me think you are referring to a pet, not a child.  Perhaps you meant to post this to a veterinary site, do you have a chihuahua? This description is puzzling in that it is hard to palpate the ovary in a chihuahua.  This could be a serious problem.  Please take her right to the vet."}
{"_id": "000002152", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, it's not related to virus.HFMD disease only lasts for few weeks as in your case. Once it gets treated it will disappear completely. The peeling is because of some other reasons. I advise you to apply moisturizer cream on the peeling area. But please check this with your nearby doctor as it has different etiology. Please maintain good hygiene as it is very important and can prevent the infection. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."}
{"_id": "000002153", "text": "Thanks for consulting in Healthcare. I will tell you one-you should go to doctor, he should auscultate you, if he will listen to whistling, then you can suggest. In addition, do ECG for check your heart, you don't worry if it happens one time. Treatment of mild asthma include hypoallergenic diet, avoid oranges, chocolate, strawberries, tomato soup, markets juice, seafood, chicken, antihistamine, bronchodilator, antiinflammated. For example, Allegra 1 tab for night, albuterol 100mcg 1 dose 3 times, fluticazone spray for nose 2 dosages 100mcg 2 times after15 min after albuterol, hepatoprotector, macro lid antibiotic if you have My, or CHL, pneumonia. Best regards Chat Doctor."}
{"_id": "000002154", "text": "Hello, Welcome to Chat Doctor, I understand your concern. Regarding your symptoms you could have early symptoms of Lyme disease. Lyme disease has early signs and symptoms and later signs and symptoms. The early once appear within a month and include rash on the place where you have been bitten and flu like symptoms. So if you've been bitten and experience signs and symptoms of Lyme disease, contact your doctor immediately. Treatment for Lyme disease is most effective if begun early. However, diagnosis can be confirmed by ELISA for Egg against Cordelia and can be confirmed by a western blot test. Thank you."}
{"_id": "000002155", "text": "Hi... It seems that you may be having a condition known as halogen effluvium. I would like to give some knowledge about halogen effluvium. It is condition in which the hairs fall in halogen stage of hair cycle. The causes may be many like. ...tension, anxiety, thyroid diseases, endocrine diseases, hormonal diseases, diseases like typhoid, malaria, viral diseases, surgery,trauma, Chat Doctor. .methotrexate, internal diseases, anaemia, nutritional deficiencies..... etc. might precipitate the disease. Excessive sun exposure may be responsible for the disease. Dan"}
{"_id": "000002156", "text": "Hello read your problem.it seems you have stiff muscles due to which you are not able to open your Southside. Its nothing wrong in it. Since there is no painswellin or inflammation there is no reason to worry. Inflammation around wisdom tooth is because it may be impacted infected. Since wisdom tooth does not carry any function in our mouth it's an extra tooth and since in your case its getting infected I would also advise you to extract it. You can increase your mouth opening by doing an exercise slowly opening your mouth twice daily .you may even try keeping a small stick in between your upper and lower teeth that will hold your mouth open. Regards Chat Doctor."}
{"_id": "000002157", "text": "Hi, I can understand your concern with repeated thoughts which are disturbing you. You seemingly are having ruminations which can be due to underlying anxiety or depression. Excessively worrying about something and not able to get over that thought is intrinsic to anxiety. I would suggest that you seek a psychiatric consultation for your condition. Treatment with selective serotonin reuptake inhibitors like paroxetine would be helpful. You can also consider cognitive behavior therapy which will include multiple sessions focusing on learning relaxation and helping you change the maladaptive thinking pattern. Hope this information was helpful. Best wishes."}
{"_id": "000002158", "text": "This does not look like the vertebra has gone bad, but yes, the sciatic nerve may be getting pinched, and it occur at several places. Going by the history, it looks as if you are suffering from performs syn Chat Doctor.  Stop putting wallet in your back pocket, foment the area with hot water, ask your doctor to prescribe a muscle relaxant and neuropathic painkillers so that the pain is reduced. Gentle stretches after subsidence of spasm will prevent this condition to revert."}
{"_id": "000002159", "text": "Hi, you seem to have developed excessive Chat Doctor.  Well in case you don't have any associated itching or redness over the same area, then you need not worry... But if there is any redness or itching, then it can be a sign of a fungal infection or any edematous condition. In that case you will have to consult a skin specialist for proper assessment and diagnosis.... But if there is no associated complaint, then you need not worry. Just keep your skin adequately moisturized. Apply plenty of moisturizing lotions and preferably use some oil also once a day (something like love oil or almond oil)... hope it helps"}
{"_id": "000002160", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint excessive salivation can be experienced by an individual due to two causes"}
{"_id": "000002161", "text": "Hi, I have gone through your query with diligence and would like you to know that I am here to help you. Question"}
{"_id": "000002162", "text": "Hi, dairy have gone through your question. I can understand your concern.  You have lupus.  Thrombosis is common in any connective tissue disorder. You may have some vascular thrombosis or coagulation problem which leads to that marks.  Go for coagulation profile and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002163", "text": "Hello and welcome to Chat Doctor. Thank you for your query. This bony growth that you have recently noticed could be a less exposed end of your upper jaw, now that your wisdom tooth is coming into place you could have noticed a change in your jaw. This should not be of any worry. But an oral examination would always be best, consult your dentist for the same. Also, if you do experience any other symptoms you could visit your dentist at the earliest. If you do feel discomfort with the muscle flap that is still covering your wisdom teeth, there is a small procedure that can help expose the wisdom teeth quicker and thus avoid pain and discomfort. This is done by making a small excision on that flap. It is a safe and small procedure. Discuss the possibilities with your dentist. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes."}
{"_id": "000002164", "text": "HI, Thanks for the query. I understand your concern.  - Hypothyroidism in pregnancy needs to be corrected by taking suitable dose of thyroid medicines with an endocrinologist advise.(low thyroid affects fetal physical & intellectual development,) The thyroid function tests are to be repeated as per advise & dose of medication revised as per need with expert advise throughout pregnancy.  - about cervical spondylitis muscle strength of neck muscles & mobility of neck should be maintained with physiotherapy exercises under expert guidance/ avoid jerks while traveling. Use of seat bets is a must.  During normal delivery. Thin pillow to be used when lying on bed/ propped up position is best to avoid strain to cervical spine, while bearing down, During LSCS. Type of anesthesia decided after knowing normality of lumber spine/ a GA is used in case of accompanied lumber spondylosis A regular pregnancy check up & going as per doctors advise is the best policy. As the strategy may change from time too time. Please remind doctor about your problem while deciding delivery mode. So that proper care would be taken.  Thanks."}
{"_id": "000002165", "text": "Hello! Welcome on Chat Doctor ! Your symptoms could be related to a sinus infection or an inflammatory lesion in this region. For this reason, I recommend consulting with your GP for a careful physical check up and a sinus X-ray study. Some blood lab tests (complete blood count, PCR, sedimentation rate) are needed too. If the problem persists, a brain MRI study would help exclude any possible brain lesions. Hope you will find this answer helpful! Best wishes,"}
{"_id": "000002166", "text": "Hello! Welcome to Chat Doctor. Food lodging between teeth is more common in periodontal problems and wide contacts. You can use a soft interdental brush available in Colgate or any brand. You can get it in a local pharmacy. Use it between teeth in and out in all the front and back tooth. You do not need to apply any toothpaste on it. Use warm saline gargle twice daily. You can use a branded mild mouthwash if you are hypertensive(instead of saline). Get professional scaling done every 6 months. Your dentist will be able to tell you if you need a deep scaling. Get a clinical evaluation done. Hope this helps."}
{"_id": "000002167", "text": "Respected user, hi I evaluated your query thoroughly.* Not necessarily every fiber is parasite and every fiber is from cancer.* Relax, there are lot many conditions of the lungs where you get certain fibers in coughing from inflammatory erosion of the bronchi alveolar margins, rarely certain tumors.* So, don't get panic, no need to take further albendazole till CT Scan. Hope this helps you. Welcome for any further assistance. Thanks for using Chat Doctor s and giving me an opportunity to assist you. Wishing you fast recovery from the same. Regards dear take care."}
{"_id": "000002168", "text": "Hello Sakha, Well , you don't have a child means you and your wife needs to be investigated. You have low sperm motility. I would first like to know whether you have any habits of smoking or alcohol, then please quit as these are proven to decrease sperm motility. Secondly if you have got any varicocele as evident by swollen cord like structures in your scrotum please consult a doctor. As regards to diet please take healthy diet with fruits -these contain antioxidants. Prepartions containing COQ, astaxanthin and antioxidants available in the market can help. Please avoid exposure to hot environment continuously. Good luck"}
{"_id": "000002169", "text": "HelloThanks for posting your query in Chat Doctor. The symptoms you are having are most commonly suggestive of pain due to unnoticed trauma to your collar bone. You might have just ignored the trauma when it happened. These type of symptoms also occur in thoracic outlet syn Chat Doctor. So, i would suggest you to consult an orthopaedician and take a shoulder X-ray and confirm the diagnosis. Hope you are happy with the answer. Thank you"}
{"_id": "000002170", "text": "Hi I have read your history, and I am sorry for experiencing such sad situation. Isotrion has a lot of side effects such as"}
{"_id": "000002171", "text": "Hi, Thanks for your query, No, laparoscopy is not responsible for pregnancy losses in fact it is helpful First trimester abortion may be due to some genetic or hormonal problem. You will have to get checked by your infertility doctor and treat the cause accordingly.Sometimes the cause remain unidentified.  Keep hope and try again. Preimplantation genetic diagnosis may help but it is costly. Take care and best of luck Hope it helps..."}
{"_id": "000002172", "text": "Hi welcome to Chat Doctor forum.  Thanks for choosing Chat Doctor. Forum.  You had C.S.in September 2012. Mirena put in November 2012. Today when I touch on left side of your belly button, it is very tender.  The pain appears to be due to gastric pain, pancreatitis, renal colic due to urinary tract infection, or stones in the urinary system. It may be intro abdominal hernia.  I advise you to consult a surgeon, for diagnosis and treatment. You may need to have M.R.I. besides other routine tests for confirmation.  Wishing for a quick and complete recovery.  Best regards."}
{"_id": "000002173", "text": "Hi... It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor."}
{"_id": "000002174", "text": "Hi ! Good morning. I am Chat Doctor answering your query. From your history, if I were your doctor, I would advise you to avoid eating from outside if you do to avoid any chances of an intestinal infection. I would advise you for a routine stool test for ova and cyst, and an ultrasound of the abdomen to rule out any intra-abdominal pathology for the hard feeling of yours in the abdomen apart from examining you physically. Further management would depend on the results of examination and reports of the related investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000002175", "text": "Hi, Incomplete data like age of your wife, purpose of taking gemstone injection or any side effects occurring with its use? Yes, there are two equally effective oral progesterone formulations are available. Since your wife seems to be intolerant to injectable forms of natural micronized progesterone formulation like gemstone and may be with substance as well. You may consult her treating doctor for the alternate effective oral micronized synthetic formulations of progesterone like promethium or progestin. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002176", "text": "Hello, There is no effective Chat Doctor. So as with any other viral diseases, the affected individuals should avoid contacts with others, take plenty of fluids, and take rest. Since the stool remains very contagious for several weeks into the illness, they should be extra careful with bathroom hygiene. If possible, a separate bathroom should be set aside until recovery. Separating eating utensils may be of benefit. Most of the peoples suffering from hepatitis A recover completely in 5 to 6 weeks time however around 10% people may have prolonged waxing and waning illness that may last as long as 6 months. There is no chance of this problem becoming chronic and once a person recovers from it, he never gets it again in his life. Your temporary increase in bilirubin levels is Normal and should not be worried. Relax, soon you shall be all right. You are not doing anything wrong. Nausea and loss of appetite shall be alright soon. Avoid alcohol. Thanks"}
{"_id": "000002177", "text": "Hellowelcome to ChatDoctoras per the details u have submitted u were having a condition called ALLERGIC URTICARIA DUE TO FOOD .that means you are sensitive to shrimp. Unfortunately only the remedy available for any food allergy is avoidance of food that causing the hives...I advise you to use anti-histamines witChatDoctorbination of FEXOFENADINE+MONTELUKAST and try to avoid the allergens as much as possible...regarding your eosinophil count, when ever the body exposes to allergens, the eosinophil count increases., so there is no separated medicine for increased eosinophil count as in your case. Hope this will help u ."}
{"_id": "000002178", "text": "Hi, Thanks for writing in. A lump in that area can be due to an infection below the skin or a benign tumor. It is best to consult a surgeon and confirm the plane of swelling. If felt necessary an ultrasound scan of the lump may be done, and it will give a confirmation on the location and features of the lump. Infective lumps usually respond to antibiotics and anti-inflammatory medications. Such infections may occur due to sweat in the region infecting the hair follicles in most people."}
{"_id": "000002179", "text": "Hello, Welcome to Chat Doctor, Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment. As you were scratched by a stray dog which has led to small amount of bleeding, according to WHO categories of animal bite it has been categorized into Cat III. Which requires1. Wash the wound properly with soap and water under the running water.2. Active immunization with antirabies vaccine on days 0,3,7,14 and 28.3. Passive immunization with rabies immunoglobulin should be administered in and around the wound.4. In TT5. A course of antibiotics should be taken. Thank you"}
{"_id": "000002180", "text": "IIN regard to your query,1. Best way to clean their mouth is taken a gauze cloth wrap it around your finger and gently clean his/her tongue coatings first so that bad breath will stop.2. I assume he has an inflamed gums because of improper maintained of oral health gently brush his teeth by using soft bristled kids brush and kids toothpaste which has extra fluoride content or use same gaze.3. Coming to the bleeding gums sometimes when gums are inflamed during eruption of teeth also may lead to bleeding. Consult your periodontist for the best treatment if symptoms persist. Hope I have answered your query tic your satisfaction."}
{"_id": "000002181", "text": "Thanks for the query. By description, it seems adults are giving in demands of the child. The yesterday's meal was high in salt and sugar and fructose and GO how many more chemicals in the form of stabilizers, preservatives etc. Her body seems to be throwing the toxins ingested. My advice is to wait and watch and visit her doctor if vomiting persist. Do not worry if she doesn't take a meal or so. Do not force anything, but please do not give any junk food, it is never replacement of regular food. You can offer her banana, lemon water, buttermilk etc. You are the parent, and you are supposed to enforce these things."}
{"_id": "000002182", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that swelling over the face can be due to anesthesia injection, in case if the anesthesia injection is injected deep and that too for the upper back teeth and if the needle is penetrated deep it can enter the mesh of veins known as Venous plexus and there can be hematoma formation, and it can lead to swelling. Other cause can be due to dental abscess if the swelling was present before injection also. In case if it is due to hematoma formation it can take a few days to resolve and for this you do not need any medications and can do alternate warm and cool compresses. In case if it is due to abscess, the filling needs to be removed, tooth needs to be cleaned again and pus needs to be Chat Doctor. . You should consult your treating dentist and get evaluated and a thorough clinical evaluation and x-ray can help in diagnosis and treatment can be planned accordingly. Hope this information helps. Thanks and regards."}
{"_id": "000002183", "text": "Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. The pain can be treated with non-narcotic painkillers as well. In case if your doctor is not prescribing you adequate medicines then cognitive behavioral therapy is a good option to reduce the distress. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. 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"}
{"_id": "000002184", "text": "Degree understand your concerns went through your details. I suggest you not to worry much.  You are supposed to refer to concentration and attention as two. Attention span for any adult is maximum 30 minutes. Sometimes, a person can be attentive to an interesting thing for more than 30 minutes, such as movies or games. Concentration is attention plus understanding. For this too, span of below 30 minutes. If you are able to make your studies interesting and based on variable principle, your concentration level can be increased. Concentration comes only when you are interested in what you do. So please be passionate towards what you are doing or do only those things which you are interested in. It is also possible to improve your concentration level with the help of yoga, meditation and breathing exercises. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000002185", "text": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you specifically describe your symptoms and your thumb pain means your sixth cervical nerve root is getting compressed, please get a MRI done and confirm, if the compression is more you may need a repeat surgery, but that can be judged by a clinical examination. I hope that answers your query. If you want any more clarification, contact me back."}
{"_id": "000002186", "text": "Hello, Indeed, your symptoms of feeling tired with painful hands and knees are indicating a possible hematological problem.  As I cannot have a complete physical exam on you, I recommend consulting with your primary first and"}
{"_id": "000002187", "text": "Hi, Thanks for writing in. Neuricysticercosis is infection of the brain by the dog tape worm. This occurs due to contamination of food and water. The neurocysticercus is an organism that occurs in 4 stages and the cystic stage is the one that causes most seizures. Since your has the calcified stage, it is a healed stage and less likely to cause seizures.However, the fact that he had a seizure since 6 years means that the granuloma might be causing sudden outbursts of electrical activity. Seizures happen due to sudden out bursts of electrical activity in the brain and that can happen due to the old calcified granuloma or any new granuloma. Since CT scan is already done then proceed with an electroencephalogram to study the focus of abnormal electrical activity in his brain. Once the tests are done, he can be treated with anti-epileptic medications for months, and also he might need a dose of anti-helminthic should there be any active neurocysticercosis lesion. If there is brain swelling then measures are to be taken to reduce it. He must avoid Chat Doctor.  Also make a note of any seizure attacks he gets in the next few days. This might happen and must be told to the doctor to give proper dose of medicine. If it is fully calcified then the infection is inactive. Repeat scan might be required to know recent activity. A single granuloma can be cured and might take months to years. If no seizure for 5 years then it is understood to be cored. He can eat non veg that is cooked properly in pressure cooker. Please do not worry."}
{"_id": "000002188", "text": "Hello share your concern At the outset, I would like further information for better assessment of the conditioning how long it has been there any history of discharge or pain?complete medical history like diabetes or other metabolic disease possible upload a photographs would advise you for a battery of tests after physical examination to establish a diagnosisMeanwhile clean it with antiseptic solution and keep it moist. Apply antiseptic ointment if it is an open and dischargingPlease write back to me with these details so that I will be able to tell you more precisely. Best wishes"}
{"_id": "000002189", "text": "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. A sprained lower abdominal muscle may not be responsible for swelling in the testis. The description that you are giving suggest that there had to be trauma or torsion. 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"}
{"_id": "000002190", "text": "Hi, I think you should take some other progesterone like Austen or phaeton in spite of primal N, if you are planning for a baby. They are more safe. Ask your doctor regarding this.  You can take them in the same way starting from day 16 of your cycle. Be in contact with your husband every 2 to 3 days after your periods stop.  It will increase chances of your pregnancy.  Hope I have answered your question. Regards Chat Doctor."}
{"_id": "000002191", "text": "Hello, Most probably it is not broken. It needs a more high energy trauma for it to break such as falls or car accidents. I think probably you had some muscle or ligament sprain or tear. It needs some kind of immobilization such as brace or elastic bandage or a boot, though. If after 2 weeks you do not have improvement at all consult a doctor for x-rays and MRI. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002192", "text": "Hi, Best way to find out would be to do a home pregnancy test, if negative you are not pregnant. You will need to take progesterone tablet to your period after which you should consider ovulation induction with Camphene and follicular monitoring by ultrasound to increase your chances of getting pregnant.Meanwhile, folic acid, healthy diet and exercise are very important in any women planning pregnancy more so if having PCs as a weight loss of 5 kilos can tremendously increase the chances of getting pregnant. Hope this helps. Regards."}
{"_id": "000002193", "text": "Hi, This is typical of rhinitis, that is inflammation of nasal mucosa. Very often it is caused by viruses, like flue, and does not need any treatment however for symptoms control you may use some antihistamines like Zyrtec once or twice a day. Topical steroids spray may also be used if symptoms are worse and not controlled by anti histamines only. Sometimes It's caused by allergies to other things, however treatment remain the same.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002194", "text": "Hi, sensitivity to wind is very rare possibility but yes she might have allergic to dust or pollen or Mites or pets dander means any airborne allergy and not BCU of wind. Although symptoms are allergic, but it is difficult to say a correct allergen, however nowadays, people go for different type of laboratory allergy testing, but frankly they are not so reliable. The only way is to get it from patients accurate history taking and correlation with symptoms. U go to experience dermatologist who can diagnose well."}
{"_id": "000002195", "text": "Hi there, Thank you for reaching us. I understand your problem. Though you are not sexually active now, but you might have acquired a sexually transmitted disease(through oral, vaginal, and anal sex), when you were active. This most probably is due to a virus named Herpes simplex, for this you need antiviral treatment. Secondly it might be due to sensitivity to chemicals or irritants(contact dermatitis), or caused by allergies (atomic dermatitis). You should visit a gynecologist for this. In the meantime avoid known irritants, such as abrasive soaps or strong fragrances. You may find some relief through a site bath. This helps to relieve any pain and discomfort associated with the sores. This can be done at home by filling the bathtub with warm water that goes up to your hips. You may add a mild saline solution or baking soda to the water. While you can purchase small basins for site baths from a Chat Doctor. Hope it helped. Take care"}
{"_id": "000002196", "text": "Hallow Dear, Prolific is camphene citrate which is a useful medicine for induction of egg release in PCs patients. However, there is a thought amongst we Gynecologists that it should not be continued for more than 6 months. The chances of success become less after that. As you have very rightly proposed, GUI seems to be a good option for you. With prolific you are forming eggs; however, the oligospermia seems to be the apparent factor for non-conception in you. There are good chances that intrauterine insemination after sperm washing (incapacitation) would work for you. You may try it for 3 months. If this also does not work for you, then there are other methods of assisted reproduction like intracellular sperm injection (CSI), in vitro fertilization (IVF), etc. which you may go for after your Gynecologists advice. My suggestion is to try with GUI initially."}
{"_id": "000002197", "text": "Respected user, thanks for using Chat Doctor.come have evaluated your query thoroughly.* Your query has answer in itself. Your excess thoughts, stress, worry are the only causes of pain in the left chest.* Try to relax yourself with different modalities of meditations, concentration exercises, YOGA - Involve more in likelihood activities - Be positive attitude in life - Have faith in destiny almighty God has decided for every human being - By worrying you are raising level of gastric problem and chest pain both. Hope this clears your query. Welcome for further questions. Regards dear take care."}
{"_id": "000002198", "text": "Hello. In your urine test bacteria are detected. By the positive analysis and your symptoms is recommended take antibiotic. Before taking antibiotic you must collect a sample of your urine and give the doctor for realizing a urine culture(detect the bacteria that cause infection and antibiotics that kill bacteria). After giving the sample to the doctor, starting empirical treatment, pending culture results. Fosfomycin or Cefuroxime are Widely used in the treatment of lower urinary tract infection. Please consult your local doctor for a prescription. Also tell you that if you have fever, it means that infection of lower urinary tract has progressed to kidney, and therefore you must go to Emergency Service. I wish you good health.(If the answer has helped you, please indicate this)"}
{"_id": "000002199", "text": "Thanks for your question on Chat Doctor. I can understand your concern. To keep him healthy, you should follow these steps. 1. First of quit his smoking. This is the most important step for your fathers good life.2. Strict control of diabetes should be done. 3. Consult cardiologist regularly (once a year) and get done ECG, 2d echo and stress test (trade mill test). If you follow these steps, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks."}
{"_id": "000002200", "text": "Hi, Thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you had a sports injury, the RICE protocol have to be implemented instantly. Now with the mechanism of injury what I understand is that the ball has hit the leg directly and after a few minutes the swelling has started. So there might be a compression injury to the muscles and the vascular system too. Which needs a thorough examination. Using the contrast bath technique will help provide the changes in the vascular mechanism and also the healing process. Also, for swollen knee, we need to check for any ligament injury too. For which an MRI might be needed after a sports musculoskeletal assessment. Later stages, with physical therapy you can regain the knee mechanism better under the complete sports rehabilitation of the knee. In my clinical practice, such cases comes with sports injuries and after a thorough assessment and knee rehabilitation the back to sports is achieved. RegardsJay In Chat Doctor."}
{"_id": "000002201", "text": "Thanks for asking question gone through your query. Your 12-year-old son is suffering from GAD and ADHD, and taking medicine. You consulted GP for his fatigue and not feeling well. GP noticed enlarged thyroid, and some blood test was done which reported normal. There is nothing to worry about enlarged thyroid. The thyroid gland size enlarges in this age group, the increase in size of thyroid is normal in this age, there is nothing to concern for present and future .size of third will decrease itself over about 6 months .this is normal part of development in adolescent. There are many cause for fatigue in this age group. So time medicine for GAD can cause easy fatigue. So talk with doctor who is treating GAD. In this growing age requirement of all nutrients, esp iron and protein is increased. I generally tell my patient for proper diet or I supplement by food supplements hope i able to answer your query wishes you healthy family life"}
{"_id": "000002202", "text": "HelloThanks for writing to ChatDoctorPain may be due to peptic ulcer. You can take tablet pantoprazole 40 mg half hour before food for six weeks. You also need few investigations to exclude other causes. Investigations include routine hologram, RBS,LFT, RFT, Lipid profile, Ultrasound of abdomen, Upper GI endoscopy, ECG in all leads. Further treatment depends upon clinical findings and investigation reports. Take Care Chat Doctor."}
{"_id": "000002203", "text": "Hi, dairy have gone through your question. I can understand your concern. Your father has hepatitis B. His GOT and SGPT is slightly raised only.  In hepatitis these enzymes level increased very high.  If your previous GOT and SGPT level as very high then its comes normal level now and nothing to worry.  Continue your Chat Doctor.  Avoid fatty food and alcohol. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002204", "text": "Hi, Thanks for writing INI think your physician would be tapering off the Aaron very soon. However, it seems that some form of immunosuppressive treatment like cyclophosphamide or steroids or Azorean (in very low doses) would be required to maintain this stage of remission. Please continue with the dietary changes and other medications like Along and Selma as suggested by your physician. These would continue lifelong. Hope this helpsRegards"}
{"_id": "000002205", "text": "Hallow Dear, Though failure of tubal ligation is not unknown, pregnancy after 10 years of tubal ligation is very rare. Moreover, you had your last menstrual period just a week and half ago. So there is no chance that you are pregnant. You have not specified which pregnancy symptoms you are experiencing. If it is nausea and vomiting, it could be due to acidity or gastrointestinal disturbances. Try some antacid; if it does not give you any relief, please report to your physician."}
{"_id": "000002206", "text": "Thanks for your question on Chat Doctor. I can understand your concern. First, no need to worry about heart diseases as your TMT (trade mill test) and 2d echo are normal. Possibility of HERD (gastroesophageal reflux disease) is more likely. GERD is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause chest pain, indigestion, vomiting, burping, chest tightness etc. So avoid stress and tension, be relaxed and calm. Avoid hot and spicy food. Avoid junk food. Avoid large meals. Take pantoprazole and levosulperide combination on empty stomach twice daily. Quit smoking and alcohol if you have these habits. 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."}
{"_id": "000002207", "text": "Hello! Thank you for using Chat Doctor. You have not mentioned your age, but my guess is you are young. The lump in your breast seems like a Fibroadenoma, which is a benign (not cancer) condition. Because of the way it freely moves, it is also known as mouse in the breast."}
{"_id": "000002208", "text": "Hi, u can visit the doctor again or a skin specialist for the rashes, it might be simple heat rashes and specially mention that she is sensitive to Angola lotion. U can ask for mild steroid lotion/ cream after confirming from a doctor and for the eyes you can check with an ophthalmologist the cause of redness, whether allergic or infective as the treatment schedule is different according to the cause.  Take care"}
{"_id": "000002209", "text": "Hi, dairy have gone through your question. I can understand your concern. Your total WBC count is slight high. No need to big worry. It is common in bacterial infection. You should go for ultrasound abdomen to search the cause of pain, and you should take a course of antibiotic according to cause of infection. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002210", "text": "Hi & Welcome. I appreciate your concern for the duration of the treatment for H. pylori. The prescribed treatment for 3 weeks may not have helped in the eradication of the H.pylori. As it will take 6-8 weeks for the eradication of H pylori infection. In my opinion and personal experience, you should have been treated by the following \\\"Triple Therapy\\\" which is found to be more efficacious"}
{"_id": "000002211", "text": "Hi, Thanks for asking the query, Lichen plans is presented as a chronic recurrent rash due to inflammation which involves skin and oral mucous membrane. Treatment of the condition involves administration of various Chat Doctor. I would suggest you to continue with the dose of medications prescribed to you. At home take symptomatic treatment like lukewarm saline rinses to give a soothing effect. Start with the course of multivitamin supplements. Hope you find this as helpful, Regards."}
{"_id": "000002212", "text": "Degree understand your concerns went through your details. First you do the test and confirm you have varicocele. After confirmation, you can think of surgery or alternate course of action. Maybe the problem is not varicocele. Generally Varicocele surgery is common and is without any complications. There are no guarantees of results, but many success stories are available for you to confirm. You can refer these links. http"}
{"_id": "000002213", "text": "Hi... It may go down. But I would be even more comfortable if I could see an image and guide you better. This is because, skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000002214", "text": "Mr Abdul you had affair with a girl .she married, and you moved out of her life .u did a great thing .it was morally correct ...may be that lady was not ready to forget you, or she is blaming her failures in marriage at you ...please explain to that girl that your intentions were right .if she is not convinced .forget her .and concentrate on your life .but the guilt is overcoming you .please see a psychiatrist soon ...best of luck"}
{"_id": "000002215", "text": "Thank you for asking Chat Doctor. My name is Chat Doctor. As the ct scan brain is unremarkable as you mentioned above you should be thankful to God... Pre-mature atrophy does not have any significance as this is age related changes in brain which is not harmful... I would also like to share with you that get checkup to nearby consultant for your satisfaction... Doctors treat the patient not the scan... Hope this may help you. Let me know if anything is not clear. Thanks."}
{"_id": "000002216", "text": "Hi, Psyllium (Metamucil) is a bulk-forming laxative commonly used to treat constipation or bowel irregularity. Its common side effects include stomach cramping, nausea, vomiting and bloating sensation. A dose reduction of psyllium husk is recommended to over the stomach cramps along with adequate oral fluids' intake however other causes of abdominal pain must be ruled out by your doctor. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000002217", "text": "Hi. Thanks for posting your concern at ChatDoctorYou seems to have Infected eczema dermatitis since it is itching and thus got secondarily infected therefore causing oozing I was the treating doctor I would have prescribed you an oral antibiotic(penicillin group or cephalosporin group) for a week to Chat Doctor. An OTC painkiller e.g. cetirizine once daily will help to control the itch as well. Take care regards"}
{"_id": "000002218", "text": "First, please do understand that, infections do happens in every human being. Secondly it is not the end of the universe & life!! So please instill a positivity in yourself and just give some more time to your body to recuperate. Leave smoking and other alcoholic beverages because it helps body to fight better with infection. Start some sort of daily Yoga or mind concentration technique. Please follow this for one week and reply."}
{"_id": "000002219", "text": "Hi and thank you so much for this query. I am so sorry to hear about this fifth disease that your daughter has. It is a contagious disease caused by a virus. It would have been advisable to avoid too much contact with her during this time. There is no need to go and get tested for this condition a there is no Chat Doctor.  The system is what masterminds and quarantine the virus. If you have no manifestations, you have nothing to worry about. I hope this helps. I wish you well. Feel free to ask for more information and clarification if need be, and I will gladly respond to."}
{"_id": "000002220", "text": "Hi Priya, Thank you for posting your query. Your problem is epilepsy, and it requires medications for a long time, as it is a chronic problem. Sodium valproate is a good Chat Doctor.  Regarding the MRI finding, it is normal brain. Maxillary polyp refers to a minor problem in the sinus (located on the side of nose). An ENT doctor would help in treatment of the same, if it is causing symptoms, such as nasal obstruction, cold, etc. Best wishes,"}
{"_id": "000002221", "text": "Hello Welcome to Chat Doctor, thanks for posting this. Sorry to hear this loss. Hope you get enough strength to combat this loss. I read your question fully and understood the situation, but frankly speaking it's not a possible thing. I've seen so many such infertility cases being a senior doctor, but 5 days post death is next to impossible. Some may advise in order to calm you down but I'm being frank and telling you the truth. Basically all the cells die, maximum by say 24 hours including sperms. So there's no possibility. Hence, I suggest you to not give a try. Hope I'm not rude or bad to you. Get back to me in case you need any further help. Take care."}
{"_id": "000002222", "text": "Thanks for your question on Chat Doctor. I can understand your concern. You're all symptoms are explained with hypotension. Hypotension causes fainting tiredness, chest pain etc. Common causes for hypotension in young age is decreased oral intake of fluids, deny Chat Doctor.  So get done ECG, 2d echo (to rule out heart diseases) and Complete blood count (to rule out infection). If all these are normal then deny"}
{"_id": "000002223", "text": "Hello, I need to know more about the symptoms, like precipitating factors, factors that increase pain etc. Mostly it's a gastritis and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks.  Secondly does this pain increase on applying pressure over the area, if yes it could be Costco Chat Doctor.  Does this pain increase on deep breathing and coughing etc. if yes it a pain arising from lining of lungs and needs NSAIDs treatment and evaluation.  Reply if you have any doubts."}
{"_id": "000002224", "text": "Hi dear, I have gone through your question and understand your concerns. Delayed or no periods at all is indicative of an ovulation and decreased ovarian activity. Conception is very difficult if there is no ovulation and the ovarian activity is decreased. I will suggest you to consult an infertility specialist to get properly examined, investigated including ultrasound and hormonal profile and get treated accordingly. Hope you found the answer helpful. Wishing you good health. Chat Doctor."}
{"_id": "000002225", "text": "Hi The causes of stroke are"}
{"_id": "000002226", "text": "Hi, That can be initial stage of gastritis. The hot food could have damaged the stomach mucosal lining to cause an ulcer, leading to your symptoms. Also, presence of food increases acid production in the stomach, which irritates the ulcer to cause the sensation of rush. I would suggest that you take a course of PPI like omeprazole or pantoprazole, to allow the ulcers to heal, and till then avoid hot foods. Hope, I have been helpful."}
{"_id": "000002227", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint itching in ear, along with reduced hearing and pus discharge seems to be due to ear infection and due to accumulation of pus which is a viscous and comparatively thick fluid there is fluid behind ear Chat Doctor. . The black thing that came out of ear can be dirt and debris that gets accumulated in ear while it can also be blood clot which can occur due to mild bleeding secondary to infection. You should consult an Otolaryngologies and get evaluated, and an endoscopic examination can help in diagnosis and treatment can be planned accordingly. For infection in ear antibiotics oral as well as ear"}
{"_id": "000002228", "text": "Hello welcome to Chat Doctor Don't worry and relax. In case of OCD, SSRIs are treatment of choice, but the main point is adequate dosages and adequate duration. If you are changing medicines without reaching adequate doses or duration, you might not get results. I advise you to discuss all this with your doctor and have faith in him as it often takes long time to treat this condition. Psychotherapy and relaxation exercises are also required along with pharmacotherapy. Sometimes in resistant cases, ECT may help. Hope it helps Good luckThanksThanks"}
{"_id": "000002229", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since you are smoker and having slightly elevated heart rate and blood pressure, better to get done 2d echo and stress test (trade mill test) to rule out heart diseases. If both these are normal than no need to worry about heart diseases. Smokers are known to have gastritis and acid reflux. Both of these cause nausea and central chest pain. So first quit smoking as soon as possible. It is the main cause for your symptoms. Then take proton pump inhibitors for gastritis. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000002230", "text": "Hello, Thank you for the query. About Lyme disease, this is an infectious disease caused by a bacteria called Cordelia burgdorferi. It is diagnosed on the basis of clinical symptoms, history of exposure to bite, as well as blood serological tests. This is transmitted by tick bite to the humans. As this is a bacterial infection, the main line of treatment is antibiotics. If disease is diagnosed earlier than antibiotic treatment is very effective a curative. So my suggestion is consulted any internal medicine doctor or doctor specialized in infectious diseases nearby can diagnose and treat this disease well. Hope this helps. Take care. Thank you."}
{"_id": "000002231", "text": "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. Its unfortunate that at the age of 62 you are still having the sexual problems. If the glans has been sensitive for these many years is difficult to reduce its sensitivity. The better way would be to control the sensitivity psychologically. Biofeedback therapy is one of the options.  It should help you. 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, or want any further details about this same issue you can use the below-mentioned link"}
{"_id": "000002232", "text": "Hello, I have gone through your query and understood the concern. You had the intercourse just before the onset of your natural period and this makes it safe. Please note that ovulation occurs two weeks prior to the onset of the next period. Home pregnancy tests read well when performed 3-7 days after the missed period. You should also take into account the irregularity of your cycles in recent times. You have to count the longest cycle duration and if it passes this date also, then consider it as a missed period. Furthermore, you can get the blood test for a better clarification and see a specialist for further management. Hope this helps."}
{"_id": "000002233", "text": "Sir, Haemangioma per se does not hurt. It creates problem only when it is large enough to cause pressure effects or gets infected or ruptures. All are fortunately uncommon or rare. Here at this point it is necessary to know that which specific organ is involved. Liver is the most common site or hematoma in the abdomen. If it is so again you need not worry because it complicates very rarely and remains asymptomatic for whole life. Your right back and shoulder pain may be due to some other pathology in the abdomen, probably an acid peptic disorder. You should try OMEPRAZOLE 20MG DAILY EMPTY STOMACH AT BEDTIME FOR 7-10 DAYS.Don't take much spicy food. Stay healthy!"}
{"_id": "000002234", "text": "Hello dear understand your concern if you are using BC pills then no need to take extra precaution.BC pills are already sufficient for birth control.pills has 1-2% failure rate means if 100 women used it then 1-2 women he a chance to become pregnant. Condom is extra protection you used it's not needed & also he did not ejaculate, so don't be afraid.no worries for pregnancy. Hope this will help you. Best regards. Chat Doctor."}
{"_id": "000002235", "text": "Hello. Thanks for asking Chat Doctor. It can be a bacterial bronchitis this time around. Viral bronchitis does not require treatment. I would suggest taking bronchodilator syrup which contains aerosol, terbutaline. Steam inhalation two times a day along with paracetamol 500 mg SOS. If you don't improve within 2-3 days, start with appropriate antibiotics. If you have any other queries/question please feel free to ask. Thanks and wish you a healthy life."}
{"_id": "000002236", "text": "Healthier may be mild variation in results. It depends upon many things like lab variation etc. We can't expect good results in such a short period. Increased ALT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, obesity,altered lipid profile, medicines,autoimmune causes etc. It may be due to alcohol intake in your case. You may need few more investigations like routine hologram, random blood sugar, lipid profile, viral markers, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. You may need few more medicines after full investigations. It is good that you have quit alcohol intake. I suggest follow-up test after 3 months. Get well soon. Take Care Chat Doctor."}
{"_id": "000002237", "text": "Hi there. Thanks for the trust on virtual clinic. I have carefully gone through your case and yes it is possible that you are allergic to some ingredients of that almond butter. Take anti-allergic pill one daily for 7\\u00a0days (fexofenadine120mg is good one). Avoid that almond butter again and remember its ingredients and to be on safe side never use such a thing with any of those ingredients. Hope you get well scorecards"}
{"_id": "000002238", "text": "Your son probably has gastroenteritis, which is an infection, usually viral, in these intestines, that causes fever, vomiting and loose motions. The concern here if it does not get enough fluids he might get deny Chat Doctor. Now, a few things that if you notice, then go visit his doctor"}
{"_id": "000002239", "text": "Hello,Azoospermia means zero sperm count. If you have been diagnosed as azoospermia based on one report only please repeat it again in a standard laboratory to confirm the same. First you need to analyze cause for azoospermia. Hence, please get examined by a urologist. You need to get scrotal Doppler ultrasound scan done to see if there is varicocele or small size testis. Based on above 2 tests you need to get hormonal evaluation mainly FSH and Testosterone. The treatment can be offered after seeing above reports. These measures may help start taking Chat Doctor.  Stop smoking and alcoholReduce weight and do excerciseDont ware tight underwearThank you. Void trauma to testicles"}
{"_id": "000002240", "text": "Hello, I have gone through your query and understood the concern. If you have always had regular cycles, your age of pregnancy can be approximately calculated even though you had a recent irregular period excluding the number of days your period got delayed. The ideal way to estimate the gestation age in the current scenario, however, is to get a trans-vaginal sonogram. This gives you the location of the gestation sac, the fetal pole, cardiac activity and so on with more accuracy. Follow-up gives you good concurrence. Hope this helps."}
{"_id": "000002241", "text": "Hi there! Thanks for posing your question On Chat Doctor! What you seem to be suffering from is mostly Reflux disease, also called HERD. This generally happens because of a number of reasons. Irregular dietary habits, spicy diet, too much alcohol are just a few of them. Although the pain doesn't seem to be affected by food, thereby ruling our ulcer; if left untreated, it could result in a gastric ulcer, later on.\\u2019M treatment would be taken one tablet of Pantoprazole 20 mg, once a day before food, for 15 days. Hope this helps!"}
{"_id": "000002242", "text": "Hello and thanks for postingGlad to hear that the ER evaluation was normal, and hopefully they did a CT scan to rule out any underlying pathology such as appendicitis or else. Uncertain as to what to make of the \\\"bumps\\\" on your back, but certainly have your physician take a look. Sometimes people can develop shingles that is easily diagnosed and treated. If the abdominal pain does not resolve as well, make sure you follow up the evaluation with a gastroenterologist. Best of luck"}
{"_id": "000002243", "text": "Hello, I have studied your case. Vascular claudication can lead to black /brown dot which is common in smokers. Another possibility could be lumbar canal stenosis leading to burning sensation and pain in your leg. I will advise you to do MRI spine and color Doppler leg and foot. For these symptoms analgesic and neurotrophic medication can be started. 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."}
{"_id": "000002244", "text": "Hi... Thank you for consulting in Chat Doctor. 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 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\\u00a0mg/kg/dose (maximum ceiling dose of 500\\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000002245", "text": "Hi you have not mentioned your sons age. Most of the childhood nephrotic syn Chat Doctor. Your son has again developed proteinuria, so he is probably in relapse. Check proteinuria again for next two days. If it remains >1+, he again requires prednisolone therapy. You may require to continue prednisolone for long period of time or another immunosuppressive medicines. If relapses are more frequent renal biopsy may be required. Consult your nephrologistTake care"}
{"_id": "000002246", "text": "Hi, Dear,Thanks for the query from you to my Chat Doctor Clinic. I have gone through your query and after in-depth study on it, In My opinion-the right-ear lump mostly is boil on the hairline, as you noticed recently. I would ask you to consult a doctor and take treatment accordingly under his care. Hope this would resolve your worrisome query for now. Wellcome-to my Chat Doctor Clinic for any more query."}
{"_id": "000002247", "text": "HelloThanks for writing to us with your health concern. When taken within 24 hours of unprotected intercourse, the emergency contraceptive pill is more than 95 % effective in preventing a pregnancy. So your girlfriend is protected against pregnancy, with only a 5 % chance of failure. There is no point in getting a new dose of emergency contraception. That will only increase the side effects. If she misses her period, take a pregnancy test. In general, the risk of falling pregnant is very low. So do not worrywart care."}
{"_id": "000002248", "text": "Hello, Welcome to Chat Doctor. I understand your concern. Your dad is suffering from Pulmonary tuberculosis affecting his both lungs. This is a serious disease and has very high mortality if left untreated but curable if proper treatment for adequate duration is taken. Your dad should receive 4 anti-tuberculosis medicine for 2 months namely, Isoniazid, RIFACE, Pyrazinamide and Ethambutol. This should be followed by 2 Chat Doctor. Adherence to the treatment is of utmost importance for complete cure. He should consult a physician or chest specialist as advised and be subjected to sputum examination after 2 months of treatment and as advised later on. Hope this will be helpful. Do ask if any further question is there. Take care."}
{"_id": "000002249", "text": "HI. Thanks for your query and an elucidated history. As pr your history your son who is just 12 years underwent cholecystectomy, and has chest pain and upper abdominal pains. History of medications and endoscopy, eosinophilic esophagitis noted. I would advise the following in such a case."}
{"_id": "000002250", "text": "Hi, Its quite common for infants not having motion for 3-4 days. If he is not having significant abdominal distension / repeated vomiting / excessive crying, and feeding as usual, nothing to worry. He will pass motion in the coming days. In such cases, if above-mentioned symptoms are present, after ruling out structural obstruction by abdominal examination and sometimes an X-ray, I used to give bisacodyl suppository 1-2 times and further workup if symptom recur or persist. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000002251", "text": "Hi, It could be due the antibiotic or some viral infection. Based on the history your daughter has developed red spots on her face which could be either due to the antibiotic augmenting or some viral infection. Yes, a calamine lotion may be used on her face, but a pediatric consultation is also recommended to rule out viral infection. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000002252", "text": "Hi steamed ! Maybe this is fungal infection. That you spreading by scratching one place then other. Now what to do! Take anti allergy pill and fluconazole tab once in a day. Apply fungal cream just apply don't rub and scratch. Now after doing every thing situation remain same, then go for pathological microscopic examination of that part of skin to know the cause. It will clear all doubt. Take care. Just try not to scratch, it spreads. Bye."}
{"_id": "000002253", "text": "Hi, There is no hard and fast rule regarding this. The dictum is when he is afebrile for more than 3 days, no more lethargic and having good appetite, his body is ready to accept a normal diet. For my patients, I suggest a period of 5 days fever free period before heavy diet. Also, since he is getting recurrent episodes kindly give due caution for food and water hygiene (always use boiled or RO/UV filtered water, avoid raw food, fruits and juices form outside as well as street food. Wash hand well with soap and water after toilet and before food. I also strongly recommend typhoid vaccine for him Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000002254", "text": "Hello. Thank you for contacting Chat Doctor. I assume that the procedure was carried out via the radial artery pathway. Complications, rarely serious, are common when this procedure is carried out via this pathway. However, it is very rare that the problems persist for, I calculate, almost 6 months now. Did you suffer a hematoma at the function site, after the procedure? If the discomfort affects on your quality of life and work, I would suggest you to see a vascular doctor, to further evaluate your state, using echo Doppler of peripheral arteries, or other diagnostic means. I hope I was helpful. Feel free to contact me again. Take care"}
{"_id": "000002255", "text": "Dear Mom, If you are getting pains, you are in labor. However, the water trickling down your legs suggests that your bags of water have been ruptured. If it is without any pains, you have risk of infection if the labor does not start. If you are full term, you should be delivered ASAP. If you are premature, doctor has to do something to stop the leaking. From your apprehension, it appears that this is your first pregnancy (prime). After the initiation of labor, it takes more than 16 hours to deliver for the prime. So you need not worry. Please keep your laptop aside, get up, get your phone and call the Obstetrician. Your baby will not get hurt. By just sitting in a place, you are increasing the risk of complications of your delivery.  Chat Doctor.  I hope you have got the message and will take prompt action to move to the maternity home."}
{"_id": "000002256", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out arrhythmia and other heart diseases in your case. So get done 1. ECG 2. 2d echo 3. Holder monitoring (24 hour continuous monitoring of ECG). If all are normal than no need to worry about heart diseases. Stress and anxiety can cause similar symptoms. So better to consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000002257", "text": "Hello, Thanks for the query. You might be suffering from recurrent folliculitis. This is a bacterial infection. You need treatment with oral antibiotics. Please meet a dermatologist, for exact diagnosis and treatment. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https"}
{"_id": "000002258", "text": "For gallbladder stones if there is no symptoms you can be on observation. And where is the stone in kidney. Is it in upper pole, mid calyx or lower pole and wits the size. If its smaller size less than 8 mm. You can be on observation and if greater than that u can undergo PCNL, ESL etc. if its at ureter or PUB u can also undergo the URS. Regrading diarrhea. Do know about stool test report. If its regular better go for the colonoscopy ."}
{"_id": "000002259", "text": "Hi, In the present scenario, you should see an expert infertility specialist and get properly examined and investigated. The cause of your tubal cysts should be treated and tubal patency and function tested. The cause of your irregular periods should be diagnosed through hormonal assays, trans-vaginal sonogram and treated. You should maintain a healthy weight, avoid stress and eat healthy. Hope you find this information helpful. Take care."}
{"_id": "000002260", "text": "Hi, you are using augmenting for cellulitis, but you are experiencing headache, backache, panic in sleep, dizzy, feet stiff, etc., every test of all systems are fine.  Most probably the changes are due to the allergic reaction of the augmenting, and also due to the gastric irritation.  As the Chat Doctor.  I to my patient with such symptoms prescribe omeprazole, risperidone, and antacid gel. If some changes persists you can go for exchange of the antibiotic. Thank you."}
{"_id": "000002261", "text": "Hello and thanks for using Chat Doctor. I have read your question and understand your concerns. If the diagnosis of orthostatic hypotension is right, Vicar is not listed in Chat Doctor. Vicar is a combination of coenzyme Q and Carnitine, that are normally produced by body. So, it is a supplement and should be prescribed in cases of low body levels. Treatment about orthostatic hypotension includes home remedies such being well HY"}
{"_id": "000002262", "text": "The medicines you have mentioned works only in some cases of osteoarthritis of knee. This depends on the grade of osteoarthritis seen clinically and on X-rays of the knee. Better is to go with the specific physiotherapy protocols made for patients of knee pain. Medicines have a limited role in cases of osteoarthritis. Consult some good orthopedic surgeon who can really guide you about the management protocol for osteoarthritis/knee pain."}
{"_id": "000002263", "text": "Hi, If the MRI is not showing any cause for obstruction then you need not worry. Postcholcytectomized state can also give rise to dilatation. A 10\\u00a0mm duct becoming 8\\u00a0mm is suggestive of narrowing which can be extrinsic or intrinsic and needs to be evaluated. At times a Contrast enhanced Ct yields more information on such issues. Get a stool occult blood examination done. If positive then an upper GIs copy and Ct may be indicated. Reagrds"}
{"_id": "000002264", "text": "Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000002265", "text": "Hi, Most probably the delay in your menses is due to side effects of Plan B One Step. These medicine contains a hormone levonogestrel and the bleeding a few days after taking it was with Chat Doctor.  That is why, it is common for the next cycle to be either early or late, and the flow heavy or low. It is good that you did the pregnancy tests. Now that the tests were negative, please do not worry and wait for the regular menses to resume. Hope this is of help. Best wishes."}
{"_id": "000002266", "text": "Hi, thanks for sharing your sons' problem with Chat Doctor! Well, not to worry about this and if I were his family physician in this case, I would just think about a retention-type of cyst or in worse case a hematoma/lymphangioma type of swelling! In fact, thee is some loose collection within its cavity, and it is very prone to get infected. I would like to suggest confirming the diagnosis first by FNAC test/ultra-sonography and accordingly go for treatment as suggested by your surgeon! The treatment could be just aspiration of its contents or excision or just wait and watch under conservative treatments! But never it is some serious condition! See you again with feedback and all the best..."}
{"_id": "000002267", "text": "Hi dear user...welcome to Chat Doctor.,1)Pimples and blackheads are commonly seen in Your age ..., because it is due to an Chat Doctor. ...,2)Darkening of Your face and skin is due to sun tanning.(UV light affect)3) Treatment side .... go for a) frequent soap and water washes (use Triclosan soap-Acnil) b) Topical Erythromycin gel on face morning times..., Darlene in n nighttimes c) Oral antibiotics like Doxycycline capsules 100 mg daily d) Sunscreen lotions like UVA guard or Sun care morning times 15 MTS before going outside ...o.k.good luck"}
{"_id": "000002268", "text": "Hello! Thank you for your question on Chat Doctor! Regarding your concern, I would explain that your blood sugar levels are high. How many hours after eating did you perform the blood test? I would recommend performing a fasting glucose and a glucose tolerance test, including HbA1C to exclude the possibility of diabetes. From the other hand your blood pressure seems to be OK, but your heart rate is a little high. Do you have any symptoms like palpitations, chest discomfort, shortness of breathing? Regarding the blueish feet and the headache, these symptoms could be related to an inflammatory disease, to a viral infection. Do you have any fever? A peripheral arthropathy can not be excluded as the possible cause of the changes in the color of your feet. I recommend consulting with your attending physician for a careful physical examination and some tests"}
{"_id": "000002269", "text": "Hello, and I hope I can help you today. I am sorry that your breasts have developed such a painful condition. You are correct that you may have breast hypertrophy, which is abnormal growth of the breasts, due to the hormones of pregnancy. Gigantomastia describes breasts that increase in size by 2.5\\u00a0kg or greater. Unfortunately, there are no effective treatments for breast hypertrophy, especially during pregnancy. Hormonal medications really do not work, and elective surgery is not recommended until at least a year after the baby is born, as sometimes the size of the breast does go down on its own. In the meantime, ice packs and supportive, stretch bras, even when you sleep, can help with the discomfort. Limiting your overall weight gain will also help slow down breast growth, as a significant portion of breast tissue is fat. Applying lots of lotion and emollients to the skin will help reduce stretch marks. I am sorry that there is no immediate treatment for your condition, but your breasts may slow in growth as the pregnancy progresses. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes for the rest of the pregnancy,"}
{"_id": "000002270", "text": "Hello, Welcome to ChatDoctorYes, although it's just a scratch you need to take full course of antirabies vaccine, since it's a street dog.5 doses of vaccine t be given at 0,3,7,14 and 28 days.0 means the day you had bite. It is very much essential that you take the complete course of antibiotics to prevent the development of rabies even though you are healthy.Also, you should watch the dog for 10 days. Watch for any change in its behavior. Hope you are happy with the answer. Thank you"}
{"_id": "000002271", "text": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* Pelvic pain is in relation with basic pathology of uterine problem along with post procedure discomfort.* Abdominal bloating is in relation with stress induced gastritis or other medications given post procedure to be taken orally.* Recommendations for better recovery- Chat Doctor. - Soft, light diet.- Avoid oily, spicy, junk foods.- Cap. Omeprazole (20)mg morning and evening on empty stomach Tab."}
{"_id": "000002272", "text": "Hi there. Thank you for posting your question with Chat Doctor. I will do my best to help you.  The prevention of kidney stone is a complex subject and there are loads of good information on this on the Internet. I would recommend the Mayo Clinics website as an excellent place to start. Also, you need to discuss this with you own doctor or urologist. First it depends on what type of stone is developing in your kidney or bladder. This has to be determined. If you can, develop the habit of urinating through a sieve just in case you can catch a small stone for your doctor to send for analysis. Most stones are calcium based. Dietary restrictions in calcium is however no longer recommended. This is because it does not seem to work and, in any case, calcium is an important mineral for proper bodily functioning.  Some stones are composed of uric acid in which case allopurinol, to lower uric acid levels, may be prescribed. All recurrence rate of all stones can be reduced by increasing daily fluid intake. The cheapest way to achieve this is by Chat Doctor.  The aim should be to increase fluid intake to the point where you are passing at least four pints of urine every day. I hope that I have answered your questions at least to some extent and been of some help.  If you have any more questions please contact me again anytime."}
{"_id": "000002273", "text": "Hi. There are no conditions of liver or any other organs inside the abdomen or lower chest that they can cause burning pain. The burning pain can be due to entrapment of some nerve/s supplying this area. This can be at the spinal level or at the level of ribs on that side. Please discuss this with your Doctor, You may be benefited well with a trial of gabapentin under the prescription and guidance of your Doctor as the dose of this medicine needs to be adjusted."}
{"_id": "000002274", "text": "Dear Sir, The seriousness depends on the stage of disease. Based on your age and the fact, that you have complaints for a short period, I think your diseases are not advanced and can be treated. You should take your doctor prescriptions. Besides, you shouldn't smoke, should eat healthy food with a very little amount of salt, avoid fast food and soda. After your fever is gone, I would advise you be much in fresh air and exercise much. Hope I could help nourishing you good health In case of further questions don't hesitate to ask"}
{"_id": "000002275", "text": "Hi there, There could be a lot of reasons for absence of periods. Age, Ovarian reserve, hormones, like thyroid, prolactin, FSH, or uterine lining, this needs to be evaluated. It could also be due to stress, anxiety, change of lifestyle, or any medical conditions. Do you have any other symptoms like hot flushes, sweating, weight gain, weight loss, galactorrhoea? Proper evaluation is needed. I would advise you to visit a Gynecologist to rule out all the above factors. Hope this helps. Regards."}
{"_id": "000002276", "text": "Thanks for your question on Chat Doctor. I can understand your concern. First no need to worry about major heart and lung diseases because your ECG and chest x-ray are normal. Since you were bedridden for 2 months due to spine surgery, possibility of stiffness related chest pain is more likely. So start your routine activities, do some exercises, apply warm water pad on affected areas' chest. All these will improve stiffness and reduce pain. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002277", "text": "Hi, welcome to Chat Doctor. Kidney infection is common problem especially with diabetics. Kidney infection requires treatment with antibiotic with specified time duration depending upon site of infection and evaluation regarding the cause of kidney infection. Do basic urine report, S. creatinine, and sonography or CT scan.Don't get worried. It is completely curable but require proper evaluation and treatment. Maintain adequate HY Chat Doctor. I think this would be helpful to you. Best wishes. TC."}
{"_id": "000002278", "text": "Helots type of condition is known as asthmatic allergic bronchitis and predisposing factors are as mentioned"}
{"_id": "000002279", "text": "Hi, welcome to Chat Doctor. It seems that your child is having pneumonia. Also, the hemoglobin is less which can lead to severe hypoxia. Please show the child to a pediatrician for the management of the problems. He might also require a blood transfusion depending upon the vital status. He will also require chest physiotherapy, bronchodilators and broad spectrum intravenous antibiotics which can be done in hospital setting. Please take a consultation regarding admission to pediatric care unit. Hope he will get well soon."}
{"_id": "000002280", "text": "Hi, Thank you for posting your query. Based on the symptoms of your fianc\\u00e9e, I would first like to reassure you that there is no need to worry. The symptoms are most likely due to pinched nerve in the neck region, which can cause pain in the neck, which can radiate to arms, associated with tingling. As you suspected, stress is aggravating his symptoms. You could manage his stress, and start him on pregabalin capsules. This would make him feel better. 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/"}
{"_id": "000002281", "text": "HelloThanks for query. Based on the facts that you have posted I would say that you have Neurogenic bladder. The HY Chat Doctor. Consult qualified Urologist /Nephrologist for detail evaluation and GE following basic test done to confirm the diagnosis.1) Aerodynamic study. 2) Endoscopic examination of bladder (Cystoscopy). Take Oxybutynin once daily Further treatment will depend upon TH final diagnosis."}
{"_id": "000002282", "text": "Thanks for asking Chat Doctor. Hemorrhoids occur when the veins of the rectum or anus become inflamed because of too much straining in the area. I would suggest"}
{"_id": "000002283", "text": "Hello, I think you need to get evaluated by a neurologist first. The cause of double vision needs to be confirmed. If you had weakness also, the thing whicChatDoctores to my mind is myasthenia graves. In this disease the muscles (including the one needed for moving eyes) become weak and so one starts having double vision. For evaluation tests like repetitive nerve stimulation test etc. are required which can be done under neurological supervision only. Good luck."}
{"_id": "000002284", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern.HSV never causes ingrown hair. It is likely to be some other infection.HSV 2 causes same symptoms as HSV 1. It causes cluster of blister which gets rupture leaving a burning pain and raw area. The lesion may be red RAE area with serous discharge. You can use acyclovir tablet for the infections. Please take the completed treatment under your doctors' guidance.HSV is notorious for its recurrence. Please take complete treatment. Please use condom for the sex. Otherwise, cross infection with the herpes with partner is maintained and will be difficult to treat. Better option is to avoid the sex until you are cured. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."}
{"_id": "000002285", "text": "Hi I am Chat Doctor. .  From your given history you mentioned standing for a long time this allows blood stasis and swelling of your feet, it also causes pain due to decreased venous return while standing for long times.  You may wear some compression stockings if you have swelling, hot massages with topical anti-inflammatory gels, elevation of your ankles above a pillow while resting will be helpful.  To decrease the need to your medication you may avoid heavy lifting, overweight, vigorous movements and wear flexible comfortable shoes will be effective for now.  If your pain persists I suggest you visit your physician for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask."}
{"_id": "000002286", "text": "Hello, Welcome to Chat Doctor, As you are having allergic reaction, you need to identify the allergen causing these symptoms. You need to test your blood sample for absolute eosinophil count (AEC) to confirm the presence of allergic reactions. Then you need to undergo skin prick test (SPT) for most prevalent allergens like food, dust, mite and pollen, this will help us find the allergen causing these symptoms. After identifying the allergen causing these symptoms, and you can avoid these allergens, if it is not possible to avoid you need to take immunotherapy. For present condition you can take Tab Least, which helps to control the symptoms. For long term measures you can choose either subcutaneous immunotherapy (SUIT) or sublingual immunotherapy (SLIT). This mode of treatment will help you to control the infection. Thank you."}
{"_id": "000002287", "text": "Hello, Welcome to Chat Doctor, As you were diagnosed to have Lyme disease which is an infectious disease caused by Cordelia bacteria, and it is a tick borne disease transmitted to humans by the bite of infected ticks. The symptoms are suggestive of the Lyme disease for which you have taken different antibiotics. I would suggest oral doxycycline, if you have taken this and if there is resistant to this you can take either cefuroxime or azithromycin. These medications should be taken for at least one to four weeks. Thank you."}
{"_id": "000002288", "text": "Hi...if ERA is suggestive of deafness then it is sensorineural deafness. There are different treatment modalities for single ear and both ear deafness. If there is deafness in both the ears then hearing aids should be tried first. The last option is cochlear implant which is done on one side and can be done at one year of age. It is only done in tertiary care centers. So be in touch with your pediatric ENT surgeon and take decision according to the audiometry reports. Choclear implantation gives good results and the baby can lead a near normal life"}
{"_id": "000002289", "text": "Hi, There is no need to hurry. Wait for one more day to see if body is responding to medication. Also, you need to take rest. Try taking hot packs on the painful areas with each setting for up to 10 min even after doing this pain doesn't go away then you need to go and visit ER and explain to him that last 3 days. I don't have any difference in my pain and would like to be checked up again for any fracture or other injury. Hope you find this helpful. Let me know if I can assist you further. Jenis Bhagavan"}
{"_id": "000002290", "text": "thanks for your query can feel your concern sit seems to be some kind of infections it painful?does it leave scar?I advise you to consult a dermatologist for proper clinical examinationdonot use any commercial creams or moisturizer stake a course of antibiotic after consulting your doctor you can apply local antibiotic cream after consulting your doctor donor scratch them wishing you a speedy recovery Hope I have answered your query am available for your help regards Chat Doctor."}
{"_id": "000002291", "text": "Hellos you mentioned that there is a pain during cardio i.e. pain due to or during exertion, this type of pain may be due to these reasons, This includes.1 Muscle fiber rupture as I have noted that during sports or exercises person usually torn the fiber of muscles. When exertion this aggravates as may be in your case. Diagnosis can be confirmed by M R I of part concerned.2 As you mentioned that pain is in the lower left reason, so this pain may be due to amoebic colitis.  Stool examination will find out amoeba historical.3 Left renal colic may be the another reason of such pain. In my opinion whenever this pain occurs consult a physician and get his opinion because physical examination will find out exact site of pain. Good luck."}
{"_id": "000002292", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, in my opinion you are mostly having severe cold. It is mostly viral infection. Ibuprofen is good for anti-inflammatory action. But you need antihistamine Chat Doctor.  No need to worry about ear damage. It will clear once your cold is improving. Also start steam inhalation 5-6 times a day. This will help you in stuffed nose. Also"}
{"_id": "000002293", "text": "Hello and ! I have read your question I can see that you are having a problem with the medicine Escitalopram. The salt Escitalopram is available in many names in the market, one of them is learn. You have been informed that both are same, which is right, as learn has Escitalopram only. Escitalopram is the active ingredient of the Chat Doctor.  I think the problem is related to the company. A good company Escitalopram will bring the desired effect, which may not be seen when someone switches to any other brand. Sometimes some companies donor use good quality raw material or may use cheap products and so, the patient has either no effect, or may have some unwanted side effects. So, look out your brand of Escitalopram and shift to learn if your patients was good with it and there is no other cause apparent for her problems. Hope the reply helpful free to ask more questions"}
{"_id": "000002294", "text": "Stress during exams is normal. But people who have difficulty handling stress should not be staying alone. They should have people around them.  Do you believe in group studies? Group studies help those who cannot handle stress during exams. If you don't like group studies, you should have someone around you with positivity for e.g. your mother could stay with you during exams. One very important thing is to take care of your diet during exams."}
{"_id": "000002295", "text": "Hello. Thank you for writing to USI suggest a possibility of seborrhea dermatitis. Seborrheic dermatitis can present with red, scaly and itchy lesions at various sites including face. Seborrheic dermatitis is a steroid responsive skin condition and responds remarkably well to them. I would suggest that you apply a moderately potent topical steroid e.g. fluticasone propionate 0.05% cream, twice daily for 2 weeks. Seborrheic dermatitis can recur therefore re-treatment may be required. However, since topical steroids cannot be used for more than 2 to 4 weeks on face because of the risk side effects that they can cause like skin atrophy, acne therefore for mild recurrences I would suggest a topical immunomodulator e.g. pimecrolimus cream twice daily. If your seborrhea dermatitis recurs frequently topical immunomodulators can even be used for maintenance of improvement as they are devoid of steroid related side effects. Regards"}
{"_id": "000002296", "text": "Hi, Thanks for writing in. A smaller right kidney with increase in cortical echogenicity can indicate decreased kidney function. For this the serum creatinine must be measured, and glomerular filtration rate is also assessed. Disease in the right kidney might be in the initial stages. The most common cause of renal artery stenosis is a blockage in the arteries due to high cholesterol. This problem occurs when a sticky, fatty substance called plaque builds up on the inner lining of the arteries. When the arteries that carry blood to your kidneys become narrow, less blood flows to the kidneys. The kidneys mistakenly respond as if your blood pressure is low. As a result, they release hormones that tell the body to hold on to more salt and water. This causes your blood pressure to rise."}
{"_id": "000002297", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. This is very likely to be an inflamed Bartholdi cyst and in this case heating pads won't be efficient. You should see a gynecologist since this abscess should be surgically incised and Chat Doctor.  Otherwise, it may just grow and cause even more intensive pain.Also, antibiotic therapy may be required, so you should not delay doctors visit anymore. Bartholdi cyst is a common condition, and it is best to solve it once forever. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health."}
{"_id": "000002298", "text": "Hello, Welcome to this forum. A pelvic pain is not uncommon in late trimester when your fetal head enters into your pelvis. It compresses the pelvic structures towards periphery, which could cause such a pain. Along with, are there any possibilities of constipation or urine infection inside you, which could cause this sort of pain? However, just start to taking sat bath twice a day. This could be done by sitting inside a bucket full of warm water up to your umbilicus. Next, rule out whether you have any constipation or urine infection. As this is mostly physiological, your doctor will unlikely induce you at 37 weeks for this. You can try Advil 650 mg which is an OTC Chat Doctor. However, please contact your OBI consultant if you feel any form of intense pelvic pain, tightening of abdomen along with discharge per vagina ; which signifies the onset of labor Sincerely,"}
{"_id": "000002299", "text": "Hi, thanks for writing to Chat Doctor. It is not recommended or advisable to get exposed to radiation (in any form) during the first trimester of pregnancy (during first 3 months). This is because \\\"Organogenesis\\\" (formation of body parts) occurs in the fetus during the first 3 months. If you are exposed to radiation during this period, there is likely possibility that the fetus may develop congenital abnormalities. There is no purity or guarantee that a lumbar epidural steroid will provide you relief throughout your term of pregnancy. Hope this information is helpful. Good day"}
{"_id": "000002300", "text": "Hi I did review your concernHypokalemia can be due to multiple reasons ranging from kidney problems to GI problems. Most important is to rule out whether you have concomitant hypertension with it or not to rule out any a Chat Doctor. Your creatinine is slightly high and creatinine clearance and EFR are low indicating that your kidney is not excreting metabolites properly. I believe what now needs to be done is and arterial blood gas analysis and detailed study of your urine in terms of 24 hr potassium in urinalysis and blood urea nitrogen. I hope this helped me know if you have any more questions or concerns. Wish you all the best."}
{"_id": "000002301", "text": "Hind, Thanks for writing in.  You seem to have postinflammatory hyperpigmentation. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements.  You can apply Costco cream at nighttime over the affected area.  You need to consult a dermatologist as dermatology being a visual field, the cause for your pigmentation and the treatment required can only be suggested after proper skin examination. Certain treatments like chemical peeling and microdermabrasion can help you a lot. Argipeel can give you results in un Chat Doctor.  Take care."}
{"_id": "000002302", "text": "Hello, No usually if they do colonoscopy why will the prostate get inflamed? There is no connection also. If there is any fistula or sinus they would have found out in colonoscopy. Maybe they might have introduced infection which might have caused you the generalized infection and also prostate which is confusing to you. Whatever the etiology by taking antibiotics it will get subsided. Next time before colonoscopy takes prophylactic antibiotics if you are so concerned about it.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002303", "text": "I'm a little surprised you didn't say that you called 911 if you are sure he became unconscious which is usually not hard to tell. It is certainly possible for someone to choke on something without making a noise, but usually a witness can describe other things happening such as a sudden flushing in the face and the person themselves usually becomes desperate and may even thrash about trying to dislodge whatever they are choking on. I think you need to get your husband evaluated as he may have had something else happen that caused that entire event."}
{"_id": "000002304", "text": "Hello, Welcome to Chat Doctor, Wart which is painless and itching are the classical of Wart which is caused by Human Papillomavirus (HPV). Human Papillomavirus (HPV) infection can be transmitted to the partner as this is a sexually transmitted disease. This should be diagnosed by physical examination and confirmed by Polymerase Chain Reaction (PCR). The treatment for this condition includesCryotherapy- which should be done in the hospital.local application of 0.5% solution of podophyllin, which should be applied twice daily for 3 days and nothing should be applied for next 4 days (7 days cycle). This cycle should be continued for 4 weeks.local application of 5% Imiquimod cream for 3 times in a week for 16 weeks (4 months). For fungal infection you can use topical clotrimazole cream over the lesion. If it is not improving you need to undergo lab investigations like KOH mount. Thank you"}
{"_id": "000002305", "text": "Hallow Dear, I pill contains Progestational medicine. After taking these pills, some amount of spotting to bleeding is common to occur (break through bleeding); even sometimes the regular expected period also may get delayed up to one week or so. After such delayed period, usually trail bleeding is not known commonly. However, your period has appeared rather earlier than the expected period. It is likely that this was not a regular period but was an extension of break through bleeding. Now this bleeding you have got may be your regular periods. Alternatively, this is some trail bleeding after your regular period. Very rarely it may happen so. Such bleeding would stop within few days. If it does not, you may take some Progestational pill like Devilry till the bleeding stops; 4-7 days after discontinuing these pills, you will again get some bleeding for few days (mostly you won't require this). If the bleeding is minimal, you may ignore it. Such irregularity is not reported occurring in subsequent months. I hope this helps you."}
{"_id": "000002306", "text": "Hello, Thank you for your question. Infertility is defined as the inability of a couple to become pregnant after one year of unprotected intercourse in women under 35 years of age and after six months in women 35 or older. The ability of a couple to become pregnant depends on normal fertility in both the male and female partners. Because pregnancy requires normal fertility in both the male and female, health care providers routinely involve both partners in the evaluation.A woman can have trouble getting pregnant for different reasons. Include"}
{"_id": "000002307", "text": "HiT hank you for asking ChatDoctorI have gone through your query. If you got an itchy rash from your boyfriend then it is most likely a fungal infection like Tania corporal. The shot he got could be antihistamine which even can give to allergic rash. For itch with fungal infection I treat with ointments of clotrimazole or powder or soap of ketoconazole for local application. I also advise fluconazole tab for oral intake weekly once for 1 month to stop recurrence.Anyhow, it is better to confirm it with a dermatologist. Hope this may help you. Let me know if you have any further query."}
{"_id": "000002308", "text": "Hi, Your frequent headache and numbness of the arms can be due to abnormal posture. Try to be careful about your posture especially while working on the computer and sleeping. Use a small pillow while sleeping. For improving your appetite go for a walk, take in a lot of fluids and a lot of roughage in diet - green leafy vegetables and fruits. Try to avoid tea, coffee, spicy and oily food. Make sure you take your medicine related to thyroid regularly because uncontrolled thyroid levels can also lead to navigability and swelling. If possible get some investigations done like repeat thyroid function tests, complete blood count, vitamin B12 levels, and X-ray cervical spine (neck). This will help in proper diagnosis. Take care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000002309", "text": "Tithe blister like feeling that you can sense through your tone might be the parotid papilla. The parotid gland (the gland around your ear opens into the oral cavity on the inner surface of the cheek, usually opposite the maxillary second molar tooth) and its duct are associated with the main nerve of your face (the facial nerve) . Any swelling /stone /enlargement /abnormality in the gland/salivary duct associated, can lead to unnecessary stimulation of the nerve and lead to the pain that you have mentioned usually in the area around the ear. Please visit an oral physician to rule out the above and note the precise time of pain and any stimulant associated (like immediately after meals, the swelling might subside), oral Chat Doctor.  Hope this could be of some help. Take care,"}
{"_id": "000002310", "text": "Dear Tracie thank you for the question. Let me start by saying how sorry I am that you have to suffer like this. To answer your question Yes it is quite possible that these sudden spasms and cramps you are having is due to Chronic Lyme disease or Post Treatment Lyme disease syn Chat Doctor. However, I would be remiss if I did not tell you the following.1) Get an electrolyte panel done"}
{"_id": "000002311", "text": "Hi, Sorry but your history is not clear. Let me tell you the basis of ovulation & periods. Normally periods are 28 days +/- 7 days, bleeding of up to 7 days is normal. To know the exact date of ovulation, Subtract 14 days from Average length of cycle, e.g.- if periods every32 days, 32-14= Day 18 is day of Ovulation. If your cycle is regular, don't worry about any other hormones. Because if you have abnormal levels of Thyroid or Prolactin hormones, you will not ovulate, hence your periods will be prolonged or irregular. Repeat Prolactin (early morning around 6-7 am, empty stomach). Do consult infertility specialist if level is too high (up to 30\\u00a0ng/ml or mcg/Lt is normal). Prolactin can rise for varied situations e.g. - lack of sleep, anxiety, after sex, anxiety even seeing the syringe ! If your cycle is regular rule out other causes for infertility like Husband - Semen parameterize- Tubal patency- SG (X-ray with dye) or SSG (Scan with dye) or laparoscopy. All the best Chat Doctor."}
{"_id": "000002312", "text": "Hi, It may be allergic urticaria and allergic rhinitis. Consult the dermatologist for the perfect diagnosis and proper treatment.  I would recommend you to take antihistamines like bepotastine under supervision of your doctor. Avoid contact with suspected allergens and also avoid dietary stuff which may precipitate the disease. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002313", "text": "Dear Ma'am, Sorry to hear about your complaints, but I am glad that you are seeking medical advice for the same. The symptoms you are describing are typical of fibroadenomas, which is associated with pain in the breasts which increases before menses and subsides after the periods, only to recur again after z few days. It is also associated with multiple small lumps/ cysts in the breast. Majority of the times this condition is not associated with any risk of malignancy. You just need to follow up regularly with your surgeon and get regular (yearly) USGS done. For the pain the doctor can start you on It E (Evian) capsules and oil of evening primrose capsules. These help in reducing the pain. Other measure you should take are --reduce caffeine intake-wear a comfortable breast support (like a sports bra) Usually this condition subsides with time as it occurs due to hormonal imbalance. Hope you get well soon. Rohan KhandelwalBreast Surgeon"}
{"_id": "000002314", "text": "Hello Welcome to ChatDoctorYou didn't mention age of your child. It's really important to consult your dentist because if child is 10-13, teeth are in erupting stage & trauma at that time may lead to developmental anomaly in eruption. One thing is very clear that your child has got a soft tissue injury & has lost some bone covering. So It's necessary to consult dentist for getting stitches if required. Along with that antibiotic & analgesics are required. Also do take care of his oral hygiene. Take Disregards Chat Doctor."}
{"_id": "000002315", "text": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern.First you have to be sure that are you really suffering from Typhoid or not. Widal test that must have been done is not sensitive. So, tell me since when are you having fever and of what grade. As far as your query is concerned, you can take Iran with Mathis is my best opinion for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD"}
{"_id": "000002316", "text": "Hello, It is not uncommon to need a bite adjustment after a restoration such as only, crown or filling. Usually the new restoration is causing an interference. This often occurs on a movement from side to side called excursive movement. Please make sure this is checked and adjusted. From your description, this may involve other teeth than the tooth recently restored and still require further adjustment. Currently, you should stick to a soft diet. Give your mouth a chance to adjust. Take some Tylenol or Motrin, if necessary. Long dental procedures with local anesthesia can cause stress on the jaw. Do you grind your teeth? If so, do you wear a night guard? You could consider purchasing a soft night guard to reduce pressure on your teeth. These are available we are dental supplies are sold such as your pharmacy. This may offer you some temporary relief. If your discomfort does not begin to decrease with time, please consider having another clinical exam with a second opinion. This will determine if the restoration was done properly. If you have no contact with the tooth and your bite continues to feel off, the only may need to be redone. Do you have any other dental treatment planned that may affect your bite? This may be a factor concerning the current restoration as well. Thank you very much for your inquiry. I hope my suggestions are helpful and that you feel better soon."}
{"_id": "000002317", "text": "Welcome at Chat Doctor I have gone through your and being your physician I completely understand your health concerns. For how long you're suffering from it? Any other associated problem? Like diabetes or hypertension? Are u having fever? Any other lymph node swelling in your body? Is swelling on both sides of neck or not?  In my opinion it is better to diagnose it by examining rather than illustrating, anyway, based upon your history, if these are red pimples with a pus then it is a myogenic infection mean it may be due to staph, plus strep can also cause it , BUT, it can be a viral infection with super added bacterial one too.  As far as vibration is concerned i don't think its indication here in this scenario. If you're having associated URINARY TRACT INFECTION then it can be justified.if you don't get any improvement then consult your doctor again meanwhile stay calm and use acetaminophen to relieve pain get well soon Hope your query is adequately ad Chat Doctor."}
{"_id": "000002318", "text": "HI. Paracetamol alone will not help for pain in abdomen. Since you have pain in the lower abdomen which increases on pressure, and now you have a bad stomach too; I would suggest you to consult a Doctor to get examined, investigated and get a prescription of a proper antibiotic, probiotic and supportive medicines. Get a course for 5 days. If you do not get a complete relief you may need further investigations like ultrasonography."}
{"_id": "000002319", "text": "Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows"}
{"_id": "000002320", "text": "Hi,1. Seizures are often precipitated on stopping antiepileptics. So the answer is yes2. Long list of side effects like liver, bone,blood problems, skin rash, gum swelling. But dangers of the disease eclipse the side effects. And blood levels should be measured so that she does not get excess Chat Doctor. 3. Calcification is unlikely to disappear.4. If seizures are effectively controlled, and she has regular checkups future will not be a problem. But she will have to be careful in pregnancy and take extra folate. And she will not be able to"}
{"_id": "000002321", "text": "Thanks for your question on Chat Doctor. She is mostly having inflammatory swelling due to blunt abdominal trauma. Blunt abdominal trauma causes 1. Damage to Internal organs like intestine, stomach etc. 2. Injury to abdominal muscles. 3. Injury to skin, subcutaneous tissue and fat. She is mostly having muscular and subcutaneous tissue damage which is causing inflammatory reaction and appearance of swelling. But better to rule out internal organ damage. So get done ultrasound examination of abdomen first. If this is normal then no need to worry about this swelling. It will gradually resolve by its own in 1 month."}
{"_id": "000002322", "text": "Hello As you mentioned that your nephew treated for ulcerative parotitis with SILVER NITRATE, you are right, and I do agree with you that he was treated and cured. But do to any reason the papers were not published and that's why not over internet. However, logic is there ulcer very easily respond to silver nitrate. 2nd point is that ulcerative parotitis causes due to acquisition of HSV, N.gonorrhea or C.trachomas. Sometimes it is due to sexual contact. Sometimes Guardian Zambia is also causative organism. So in your nephew the causative organism may different type, while in your case may be different type. You can use silver nitrate because it is the best wound healer. Hope this information will be useful for you."}
{"_id": "000002323", "text": "Hi Thereafter going through your query I understand your concern. I would like to tell you that the upper limit for BP is 140/90. But your symptoms are more suggestive of anxiety disorder and anxiety causes temporary spikes in blood pressure. In this situation anxiety should be treated, and high blood pressure will be treated itself. This requires a treatment done with anxiolytic.It's recommended for you to consult a Psychiatrist for further management. Hope this will helping Regards"}
{"_id": "000002324", "text": "Hello, I suggest your daughter see a doctor and do some routine blood tests, an ECG, a cardiac sonography, a chest x-ray, a24h ECG Holder monitoring and to control the blood pressure sometimes a day for a few days. These are to give the doctor basic information about the patient health conditions and to conclude if there is a health problem and to give the right treatment if there is one. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000002325", "text": "Your mother is suffering from radiation induced gastric ulcers which are a common occurrence after radiation. The same get aggravated by stress and lead to regurgitation and throat pain. She needs to take Tab. Pantoprazole 20\\u00a0mg twice daily and Spy. Machine gel 2 teaspoonful thrice daily. That should relieve her symptoms. At the same time, some useful precautions include avoiding spicy food, coffee, tea, mint, chocolate. Eating food 2 hours before going to bed and elevating the head end of the bed will help further. If her anxiety is excessive and persistent, it would be advisable to add an antianxiety Chat Doctor.  Alpha 0.5\\u00a0mg at bedtime)."}
{"_id": "000002326", "text": "Dear patient low back pain for last 6-month falls under chronic backache, and common reason are 1. Muscular 2. Instability 3.lumbar spondylosis. If pain occurs only on sitting and activity which reduces on rest possibility is of muscular pain. If pain also occurs at night chances of spondylosis is increase. You need to do X-ray of lumbosacral spine anteroposterior and lateral views to confirm diagnosis. Please get it done from radiology center nearby you. Meanwhile, start tab moral 4 mg nice a day with diclofenac sodium 50 mg twice a day for pain relief. Hot water fomentation with water bag helps in reducing pain. If X-ray is abnormal please consult orthopedic surgeon nearby you. All the best."}
{"_id": "000002327", "text": "Hello Yes you can take glucosamine, it c and it D with CALCIUM. Use ice packs to reduce swelling, inflammation and pain. Physiotherapy with ultrasound and Tens will help you, For early healing you can take Tab Colin [it C] and antioxidant with anti-inflammatory [Tab enzymic plus]. If there is no relief them you may need to do MRI. 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"}
{"_id": "000002328", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of stress and anxiety related chest pain is more likely. No need to worry about heart diseases as your ECG was normal. Better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. 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."}
{"_id": "000002329", "text": "As you are a doctor we would discuss likewise.  Mostly you have essential hypertension.  When you say LVH on echo, it means the BP was on higher side to cause LVH, as you say telmisartan and clear are good Chat Doctor.  Now on the important issue of beta blocker, you tend to get bradycardia with ten 50\\u00a0mg in a day, as you are on so many years on beta blocker, and we want to medically manage HD, we should optimize the dose.  Do try replacement of atenolol with Weibull, which has intrinsic sympathomimetic activity, so bradycardia is less than compared to ten. Take blood pressure at different times of the day, and dose the antihypertensive accordingly to minimize peaks and troughs. Lastly get you TSH and free t3/ free t4 next time to see whether we are over treating or undertaking hypothyroidism"}
{"_id": "000002330", "text": "Hello dear, Thanks for writing at ChatDoctorAs your son is only 12 year old. And last year he went for surgery and now in present if he has very much difficulty in breathing due to internal structure of nose the medication alone will not help. If there is a severe block then it could pressure on his other veins damaging it. So it is better to go to a specialized, who could diagnose the actual problem and suggest you betterHowever if your child goes after the doctor say for surgery then make sure it is done from specialize person in that field. But you don't need to worry, these surgeries do not have mucChatDoctorplications and now days done successfully without any complication but a proper study of that individual case or condition is neededThanks Chat Doctor. IqbalPsychologist & Psychiatrist"}
{"_id": "000002331", "text": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your cervical spine MRI report indicates just chronic degeneration of the cervical spine, without any clinical significance. There is no description of brain MRI. Coming to this point I would recommend consulting with an ENT specialist for a physical check up and labyrinthine tests to exclude an inner ear disorder. Taking Meclizine or Dimethyl Chat Doctor.  Hope you will find this answer helpful! Best wishes,"}
{"_id": "000002332", "text": "Hello dear, I understand your concern. In my opinion there is no chance of pregnancy in your case. Usually there is scope for pregnancy when the semen is ejaculated inside or around the vagina during the fertile period. Roughly a week before and after the periods and period days come under safe period which means there is no chance of pregnancy even with unprotected sex. This is applicable only in case of regular cycles as the period can be predicted. So there is no chance of pregnancy in your case as it was done during the period. So relax. Avoid stress. Best regards..."}
{"_id": "000002333", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since you are having strong family history of heart diseases, better to first rule out cardiac cause for your chest pain. So get done blood pressure monitoring, ECG and 2d echo. If all are normal than no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar kind of pain. So if you are having stress and tension than avoid them, be relaxed and calm. Don't worry, you will be alright. But first rule out heart related diseases. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000002334", "text": "Hello there, I am Chat Doctor. Arius is an anti-allergy medicine. It helps control your allergic reaction and its symptoms. I think your cough is not related to any infection. It is probably because of allergy. Treatment of allergy is only avoidance of allergen. So now you need to find what is/are the allergen. By your observation or you can go for allergy testing. Second thing you may have inflammatory bronchitis which leads to"}
{"_id": "000002335", "text": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. Fever of such duration should further be evaluated. In older age, urine infection is a possibility. Get following"}
{"_id": "000002336", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Central chest pain after eating is commonly seen with gastritis. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid large meals, instead take frequent small meals.3. Take pantoprazole tablet on empty stomach twice daily.4. Lose weight. Quit smoking and alcohol if you have these habits.5. Go for walking after meals.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."}
{"_id": "000002337", "text": "Hi, Kidney or Renal cysts are round fluid-filled pouches that form in kidneys which sometimes may be associated with serious disorders that may prejudice the normal functioning of the kidneys.  But given that your USG report mentions it to be a simple cortical cyst, you don't have to Chat Doctor.  You are at peril of acquiring them as you get older, and I would want you to be wary of symptoms like fever or severe pain on your lower back or sides as the cyst might get infected because of urine"}
{"_id": "000002338", "text": "Thank you for your contact to Chat Doctor. It seems she had minor nosebleed that has stopped, it may require no treatment at all. She formed a clot at the site of the bleeding that stopped any further bleeding.  If the bleeding repeats, a doctor may cauterize it (seal the blood vessel) with a chemical called silver nitrate. Cauterization is most effective when the bleeding is coming from the very front part of the nose. In more complicated cases, a nasal packing may be required to stop the bleeding. The idea behind this is to put pressure from inside the nostril to halt the bleeding. Many types of packing are available, ranging from petroleum (Vaseline) gauze to balloon packs to synthetic sponge packs that expand when moistened.  I suggest --don't remove cloth, apply pile or tomophobe on the nose, rubber gently 2 times a day for 5 days"}
{"_id": "000002339", "text": "Hello and welcome to ChatDoctorIn most cases cause is benign and should not worry you. If this I soft and not painful then this in most cases indicates swollen lymph node, lipoma or atheroma. And if this is hard and immobile swelling behind the ear would be a bony swelling, most commonly known as Osceola. These swellings are generally asymptomatic and requires no treatment. However, if it increases in size, or you develop pain then I would like you to meet an ENT doctor for further evaluation and treatment. The other swelling in the neck is likely to be a lymph node and since it has not increased in size for past few years then you have nothing to worry. No treatment is required. Wish you good health. Regards"}
{"_id": "000002340", "text": "Hi, I have gone through your query. Cracks on penis is usually suggestive of fungal infection(Picture of the lesion is necessary for actual diagnosis). These can be painful and spread if ignored. He was using ointment for healing cuts. These ointments contain antibacterial, so there is no response. I advise him to use ointment containing antifungal like clotrimazole, maintain proper hygiene of the area and keep the cracks Chat Doctor.  Ibuprofen can be taken to reduce pain. 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"}
{"_id": "000002341", "text": "Degree understand your concerns went through your details. Your current problem is due to anxiety related to ill-information or wrong knowledge. I assure you masturbation is safe and not unhealthy. But anxiety related to masturbation can provide you with mental stress and could give you performance anxiety. You can marry, and you will not have any erection problems. You should consult a psychologist for sexology related counseling. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000002342", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint sudden itching or irritation of tongue followed by lips seems to be most probably due to allergic reaction, and it seems that you are continuously exposed to some unknown allergen leading to itching or irritation of tongue and lips. It can be due to things like any food or medicine, any lip cosmetic, or any environmental allergen. I would suggest you to consult an Allergist and get evaluated and a thorough clinical evaluation and allergic tests like LAST test, Patch test, food challenge test can help in diagnosis and treatment can be done accordingly. On CE the allergen is diagnosed try TP prevent exposure to allergen to prevent the symptoms. You can take anti allergic like Levocetrizine or Ben Chat Doctor. . In case if there are recurring symptoms an Immunotherapy can be instilled to reduce the severity and frequency f allergic attack. Hope this information helps. Thanks and regards."}
{"_id": "000002343", "text": "Hi, thank you for providing the brief history of you. As per your history it looks like a pinched nerve symptom. Undergoing a thorough clinical examination and if required an MRI should help understand the matter more, as due to pinched nerve in the lumbar region abnormal sensation is found. In my clinical experience most patients with such symptoms respond well to physical therapy. RegardsJay In Chat Doctor."}
{"_id": "000002344", "text": "Hello dear,First don't worry and be relaxed. I have gone through your query thoroughly. I will provide you with my best possible advice. Your doctor gave you the right advice and medicine. Brain(azithromycin) is a Caroline antibiotic whereas clindamycin is a Glucosamine antibiotic. Both are from different antibiotic group. So no need to worry, have faith in your doctor, follow his/her medication and instructions as prescribed. Hope I answered your query there is any more query or question regarding this in your mind, you are welcome to ask me any time. Take Care of YourselfRegards"}
{"_id": "000002345", "text": "Hello need proper clinical examination and routine investigations. Investigations include routine hologram, random blood sugar, ultrasound and color Doppler of scrotum, urine RE/ME. Your symptoms may be due to many causes like epididymo-orchitis etc. Ultrasound of scrotum is important due to swollen feeling of testis associated with redness. It can assess many conditions in testis. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor."}
{"_id": "000002346", "text": "Hi I did review your symptoms. I would recommend you to get your rash and abdomen evaluated.Also, if lymph nodes are enlarged I would recommend a biopsy study of them since you have had weight loss. Later on a bone marrow biopsy me be required. Such a constellation can be seen in hepatitis C infection or other autoimmune conditions and so serum studies for these like Anti HCV and ANA tests are required. I hope this helps. Wish you all the best. Thank you for choosing Chat Doctor."}
{"_id": "000002347", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor and I will try to help you as much as I can. Liver transplantation is extensive surgical procedure and electrolyte imbalance is common complication. Liver is organ that excretes hormones and enzymes required for sodium absorption and here some imbalance may occur after transplantation. Second cause may be kidney insufficiency and third too low salt intake. In every case, sodium can be replaced intravenously, and extensive tests are required to identify exact cause. I am sure doctors will find it. In general, this is not big deal. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health."}
{"_id": "000002348", "text": "Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-Lump due to perifolliculitis with cellulitis, giving painful hard lump in formation, which overnight reduced down to bump with pinpointed pain too-suggesting the developing or maturing Furunculitis of the scalp hair. Second Opinion from Surgeon with Surgical Chat Doctor. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!!"}
{"_id": "000002349", "text": "Hello, This is a very difficult question to answer since ultimately the decision must be that of the patient.  She, unfortunately, she has been given a TERMINAL prognosis of these tumors which are obviously no longer surgically amenable and sound as if they are growing rapidly.  I believe an important question the patient will want to ask the doctor is how much additional time do they think she can extend things by going on chemotherapy.  Also, she should ask the doctor to be very upfront about the expected side effects and how those are likely to affect her quality of life. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000002350", "text": "Hello, I have studied your case with diligence. Due to ca breast there is possibility of spinal osteoporosis leading to back pain. Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis, You need to start supplement of calcium with vitamin D, it B12, and if osteoporosis is severe then bisphosphonates can be started. I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. You need to take diet rich in calcium and vitamin D. 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"}
{"_id": "000002351", "text": "Hello, After stenting and opening the coronary artery, without having a history of prior myocardial infarction a person is in a very good condition, and he can work like any other healthy person. Since has gone nine years from stenting, I would suggest you do a stress test and to see how is your working ability. Based on that the cardiologist can say if you can work out in the gym. Hope I have answered your query. Let me know if I can assist you further. Regard,"}
{"_id": "000002352", "text": "Hi Your brother has sclerotic hip with bone island, and he prefers to be in bed rather than working actively. I would like to know what exactly is the cause of sclerosis in the hip. Most commonly it is arthritis of hip which may be very painful while walking. In such Condition it is better to go for orthopedic consultation and see what he says. Most of these patients require joint replacement. Also ask your brother to use walking aids like crutches / walker which help in walking by reducing the load on hip."}
{"_id": "000002353", "text": "You don't give antibiotics use spy fexofenadine 30 mg beta montelukast dispersible 4 mg busy vent pd 1/2 SF BD and tossed 1/2 SF night give for 7 days, but actual problem is milk if you stop giving milk and diary products child will recover no allergies will come when we add animal milk after 2 years child starts with these symptoms because child does not need milk after 2 years you add other substances and with Chat Doctor."}
{"_id": "000002354", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Diflucan is the right treatment. You should continue it under your doctors' guidance. Anal fungal infection can only be possible if you have severe immunocompromised state. I suggest you should check your HIV and diabetes status. If its HIV immediately treatment for HIV is necessary. Please also apply Candide ointment this is also helpful for you locally. Anal region is potential dirty site. If you maintain good hygiene there than infection can be cured early. Other household remedies won't work like garlic and other. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."}
{"_id": "000002355", "text": "Hello, I read your message and understood your medical issue. I think this man must be sent to the hospital to do some examinations and to consult with a doctor. These symptoms and their rapid onset may be related to many diseases some of which may be dangerous. A migraine with aura is a possible diagnosis. This is a type of headache associated with strange sensations and sometimes with nausea and chills. The sense of disorientation associated with nausea and chills can be related to vertigo which can be caused by an ear infection, ear toxicity etc. or if it is due to a central because it can be more serious. An ear examination with an horoscope by a doctor is the first thing to be done followed by the general examinations including the neurological ones. Ear infection is successfully treated with Chat Doctor.  If the cause is something by a central origin a head CT scan must be done. If this is his first attack of migraine he must be careful to distinguish the triggers of his migraine headache and avoid them. OTC pain relievers are usually enough to control this type of headache. Next, if the worker did not use to have his meals regularly,"}
{"_id": "000002356", "text": "Hi, thank you for posting query at Chat Doctor. Alcohol ingestion and obesity are common causes of fatty liver disease. Advice for fatty liver"}
{"_id": "000002357", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. How you diagnosed that your husband is depressed? He could just be stressed, disappointed with normal life situations. Situations arose out of job are always stressful. You need to talk to him. That is your duty as his wife and homemaker. A good relaxing chat with you should clear some clouds from his mind. Do it every day. Support him. If need be, consult a psychologist. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000002358", "text": "Hello, I can understand your concern for liver function test. Your blood reports are almost normal. Total bilirubin is slightly high but within acceptable range. To do not have jaundice. Only in jaundice with total bilirubin >5 mg/DL, bile salt (which make bilirubin in liver) get excreted from urine and can be detected by biochemical test. Presence of bile salt in urine is indirect confirmation of jaundice. Absence of bile salt in urine is normal. Hope I answered your query. If you have any further question, I would be happy to help you. Have a nice day!"}
{"_id": "000002359", "text": "Good Day, and thank you for being with Chat Doctor ! I would recommend to rush to the emergency room, so they would be able to contact your urologist. Trauma to the penis may lead to formation of stricture again.  I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at"}
{"_id": "000002360", "text": "HelloThanks for your query, based on the facts that you have posted it appears that your boyfriend has nothing but Mitosis from childhood. Please consult qualified general surgeon or Urologist for clinical assessment. He needs to get circumcised. This is a simple surgery carried UT under local anesthesia as an out patient procedure. The results of the surgery are gratifying, and he will have normal erection and enjoyable sexual life throughout rest of his life. Chat Doctor."}
{"_id": "000002361", "text": "Hello and welcome to Chat Doctor. Thanks for your query. I'm sorry about your fathers death and I understand that you are going through a difficult time. It is common to have some depressive symptoms after the loss of a loved one - this is called a grief reaction.  But if the symptoms are excessive or prolonged, then it may be indicative of a pathological grief or a depression. Since you mention that your symptoms are quite prominent and distressing, I would suggest that you see a psychiatrist for a detailed evaluation. There are effective treatment options in the form of counselling or sometimes, medication, which can help you overcome your problems. Wish you all the best."}
{"_id": "000002362", "text": "Hello, Welcome to Chat Doctor, Rabies is a disease which is also transmitted by bite of the monkey, it is a 100% fatal disease, but it is 100% preventable by proper and adequate treatment. As you were bitten by a dog for which you have taken a shot of TT injection and antirabies vaccine. Active immunization with antirabies vaccine should be taken on days 0,3,7,14 and 28 (if the dog is healthy you can stop the vaccine after the third dose). The vaccine should be taken to the shoulder by the intramuscular route. There is no restriction of food and the water during the treatment of dog bite. If you are an alcoholic you need to avoid it since it may hamper the production of protective antibody titles. Thank you."}
{"_id": "000002363", "text": "Degree understand your concerns went through your details. Anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing heart and shakiness. There are a number of anxiety disorders"}
{"_id": "000002364", "text": "Hi, Thanks for writing in. Symptoms including momentary absent-mindedness, dizziness and numbness involving hands and feet should not be ignored. These might have a common origin in the brain and can occur due to reduced blood supply in certain areas or any similar abnormality limiting the functions of the brain. It is suggested that you consult your neurologist at the earliest and get your neurology clinical examination done in detail. Depending on your examination findings, your doctor might advise you to get an MRI scan or CT scan done for the brain. This will rule out any possible condition which might cause your symptoms. The above can be considered mini stroke like episodes, and you should not wait anymore."}
{"_id": "000002365", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out thromboembolism in your case. Vasculitis patients are at increased risk of thromboembolism. So they may dislodge and cause Coronary artery blockage (chest pain) or retinal artery blockage (blackout) etc. So better to consult your doctor and get done 1. ECG 2. 2d echo 3. D dimer study 4. CT angiography You may need blood thinners like warfarin. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002366", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Yellow sputum us suggestive of infective etiology. Since you had pneumonia, possibility of recurrence of pneumonia is more. So, better than consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and sputum culture and sensitivity report. Repeat chest x-ray is needed for the diagnosis of recurrence of pneumonia. Sputum culture will identify the causative organism. Sensitivity report will guide us about effective antibiotic treatment. By these, inappropriate use of antibiotics can be prevented. This will prevent Chat Doctor.  So consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000002367", "text": "Hi, Actually you will need a neurosurgeon for choosing the best permanent treatment according to his physical examination. My advice would be according to degree of cases. Mild cases of bifacial spasm may be managed with sedation or Carbamazepine (an anticonvulsant Chat Doctor.  Microsurgical decompression and botulinum toxin injections are the current main treatments used for bifacial spasm. For moderate to severe cases we use Microvascular decompression appears to be the most popular surgical treatment at present. Microvascular decompression relieves pressure on the facial nerve, which is the cause of most bifacial spasm cases. Excellent to good results are reported in 80% or with a 10% recurrence rate. Approximately 10% had previously failed surgery. Side effects include hematoma, swelling, infarction, and brain death. Botulinum toxin is highly effective in the treatment of bifacial spasm. It has a success rate equal to that of surgery, but repeated injections may be required every 3 to 6 months. But it is a bit expensive. Hope the above information helps you. Let me know if I can assist you further."}
{"_id": "000002368", "text": "Hi, I did review your problem It is possible to get infected with Hep B and Hep C with this scenario. Since the needle was very fine the amount of blood inoculated will be less however there remains a probability. Best would be to take post exposure prophylaxis for Hepatitis B in form of BIG and then vaccination for Hep B routine schedule. Symptoms of Hep B and Hep C may occur or may not occur at all but usually take 45-180 days. You can get a serum check after 2-3 months for antibody and antigen liters and see from there Jewish you a healthy life ahead."}
{"_id": "000002369", "text": "Hi dear, your friend who is having headache vomiting dizziness and forgetting. But you didn't mention that such symptoms occur episodically or continuous. If such symptoms occur episodically then think for the seizure as in post seizure phenomena such signs and symptoms occur. otherwise think for some brain related pathology. So first go for MRI brain. And first start with simple analgesic and antacid then see for the cause. Such features also occur in migraine. For that Tab amitriptyline 25\\u00a0mg HS and also Tab Propranolol 40\\u00a0mg sustained release. Also Tristan for SOS pain tenement"}
{"_id": "000002370", "text": "Hi In Chat Doctor.  It will help to conceive faster. As she is not ovulating regularly on her own she will need assistance in the form of tablets (iPhone which she is already taking). Just understand that one ovulatory cycle with tablets will give 25% chance of pregnancy (50-60% with 3 cycles). So be patient & continue treatment (with 6-8 cycles chance of pregnancy will be around 70-75%. If you add GUI, chance will increase to around 75-80%). If you be patient & follow prescribed treatment there is definitely good chance of pregnancy. By doing GUI, chance will increase by approx. 5% per cycle. You can go for it. Wish you good luck."}
{"_id": "000002371", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Skipping of heart beat with chest pain and breathing difficulty are commonly seen in arrhythmia. It is heart disease with problem in rhythm of heart. If not treated promptly, this can lead to serious complications. So better to first get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about heart diseases. But if any of these is abnormal then you need treatment. So consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002372", "text": "Hi...by what you quote (as you say the kid is otherwise active and playing around) I feel that it could be cuts marmots which gives the skin a blotchy appearance, and it is a self limiting one and nothing to worry about. It can occur due to changes in the ambient temperature also. But.... Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000002373", "text": "Hello, I would hope to see improvement after five days. I would take my child to the pediatrician to see if antibiotic needs to be changed or dosage increase. Certainly do not delay if symptoms have gotten worse or additional symptoms such as a fever have developed. Severe tonsillitis will take more than five days to treat, and chronic tonsillitis may require more than medication if not responsive. It is important to have your pediatrician follow the progress. Additional diagnostic testing may be considered since you have ruled out Strep. The coating on the tongue can indicate a secondary infection such as an oral yeast infection. Make sure you have followed proper dosage instructions. Thank you for your inquiry."}
{"_id": "000002374", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of lower respiratory tract infection (LETI - pneumonia) is more in your friends case. Yes, cold weather must have contributed to her current illness. She is also a cancer survivor and took chemotherapy and radiotherapy. This makes her immunocompromised and more prone for infection. Her symptoms like fever, chest pain, breathing difficulty etc. favor pneumonia more. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. Sputum culture and sensitivity report. Chest x-ray is must for the diagnosis of pneumonia. Sputum culture will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. Don't worry she will be alright. Consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks."}
{"_id": "000002375", "text": "Hello, As sitting for long hours working on a computer in a static position may lead to troubles like lower limb tightness, pain in knees, swelling etc. based on the pathologies they have in the past like blood pressure, high sugar levels, less physical activity, pain and aches of the back, etc. I will advise you to get involved in the physical exercise 30 minutes a day which will. Help improve the overall muscle strength and avoid fatigue setting in faster in the muscles. Also, do posture correction while working on a computer. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000002376", "text": "Hello, I hope you are very well. Nutritional management in a patient with hepatic cirrhosis is essential for their control. The diet should consist of a caloric intake of 30-35 kcal/kg/day with a protein intake of 1.2-1.6 g/plot/day, with proteins of high biological value being recommended. These requirements are necessary to maintain an adequate body condition and also prevent or precipitate episodes of hepatic decompensation of hepatic encephalopathy type. I suggest that you go with a nutritionist to provide you with an adequate diet plan according to the area where you live and to consider nutritional supplements."}
{"_id": "000002377", "text": "Hello, If you have had a series of tests already which have failed to show any definite pathology in the stomach or related organs, and you have been examined by a doctor who wishes to perform an endoscopy then. By all means have that particular test completed before anything else. However, if this is also unable to demonstrate any pathology then, I believe you may wish to consider that anxiety and stress may be to blame for the symptoms.  Abdominal pain, bloating, gassy feelings can be brought about by such psychological pressures, and it may be worthwhile speaking to someone on how to perform relaxation exercises and on how to use breathing techniques to feel more comfortable both physically and mentally.  You may wish to become part of a gym and get into a workout routine as well as this can also divert painful vague symptoms away from the referred area and improve your ability to relax once you've exerted yourself a bit. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000002378", "text": "Hello, It appears to an acidity and reflux disease. Do you also have upper abdominal pain, nausea, bloating, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated?  You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts."}
{"_id": "000002379", "text": "Hello mam, As you had described I would suggest going to physician as soon as possible. Normally I recommend taking rest for some days but as your problem I read, I would only recommend to concern physician. And another suggestion is please try to away for some days from intercourse because it will hurt you more than enjoyment. So, Talk with your partner to not having intercourse for some days, till concern physician and what he/she suggest follow strictly. If you still want remedies than keep resting and use Heat/Ice Packs. It helps relieve most types of low back pain by reducing inflammation. Often patients use ice, but some prefer heat. Both may be used alternately. Hope you will find it out helpful. Thanks And"}
{"_id": "000002380", "text": "Hi, doctors take many criteria in to account for prescribing antihypertensive medicine. They are age of the patient, other co morbid condition, like associated obesity, lipid level, prostate problems etc. Also tolerability of patient, fluctuation of blood pressure and level of blood pressure is also taken into account. On the basis of all these factors doctors prescribe medicine for blood pressure. Thanks for using Chat Doctor."}
{"_id": "000002381", "text": "Hi, Thanks for writing in. Cancer is a difficult condition to treat and at times certain lesions in organs like liver might not respond as expected. Liver metastasis occurs in many patients with cancer. Treatment of liver metastasis not responding or showing slow response to chemotherapy includes the following methods.1. Surgery.2. Neoadjuvant chemotherapy.3. Local ablation (e.g. radiofrequency ablation).4. Adjuvant chemotherapy.5. Intra-arterial chemotherapy.6. Selective internal radiation therapy (SIR)Please discuss the above options with your doctor as there are criteria to provide treatment and the patient must have a cancer that shows features within the criteria of treatment. Please do not worry."}
{"_id": "000002382", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, he is mostly having stress and anxiety related HERD (gastroesophageal reflux disease). But better to get done ECG to rule out heart diseases. If ECG is normal then no need to worry about heart diseases. Stress, anxiety and depression cause laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of gastritis, chest pain, chest tightness, burping etc. So control of anxiety and depression are must in his case and hence better to consult psychiatrist and get done counselling sessions. Try to identify stressor in his life and start working on its solution. He may need anxiolytic and anti-depressant Chat Doctor.  For stomach problem, give him antacid like proton pump inhibitors. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your brother. Thanks."}
{"_id": "000002383", "text": "Hi Rooney Thanks for writing in With S Ty phi positive and not responding to oral antibiotics, febrile patients need to be taken care of The GI complications of typhoid are very difficult to handle so if the title has increased I would suggest get her hospitalized with a good physician and start parental antibiotics Hope this helped write back in case of concernWishing your daughter a speedy recovery"}
{"_id": "000002384", "text": "Hi. I understand your concern. Yes it is serious as she had already attempted for suicide. Need to go for emergency psychiatric consultation. Hearing of voices or auditory hallucination may indicate psychotic illness. Voices that are commanding or giving threat may indicate schizophrenia or related illness. Intensive indoor and supervision treatment are advisable. So consult psychiatrist and get further assistance. I hope I have answered your query. Thank you."}
{"_id": "000002385", "text": "Hi, Noted your short but an elucidated history about a growth on abdomen that when squeezed oozes out blood and oily material, shaved a lot in this area, looks to be pubic area. The character of the lump in lower part that is most probably the pubic area indicates this to be a cyst of skin origin hence the oozing out of oily material and blood. Since this is a cyst it will secrete the liquids till the inner lining is alive. Hence, I would advise you the following in such a situation"}
{"_id": "000002386", "text": "Hi light scabs on face and eyes rules out scabies. Scabies does not occur on face.I think she is suffering from severe atomic dermatitis. It can be treated by application of daily moisturizer all over body and application of private g ointment over the lesions can cure the condition. Use of Atari 25 mg at night. Antibiotic twice daily can cure it. Use of tacrolimus ointment daily can prevent recurrences"}
{"_id": "000002387", "text": "Degree understand your concerns went through your details. The scabbing and blistering could be due to some allergen, and could just be for the time being. Ask your wife to keep good hygiene, and you too do the same. At the same time, make sure that your wife is not having lubrication problems. Tilted penis definitely not the cause and cannot cause discomfort. That is in a way blessing in disguise. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000002388", "text": "Hello, As you were diagnosed with polio and operated 30 years back for the same for having good lower limb which can assist in walking, now the symptoms you are facing is due to post-polio syn Chat Doctor.  During this there are some symptoms out of which you are facing one.  I will advise you to contact a competitive physiotherapist who can help improve your muscle strength and also the gait.  In my clinical practice of over 12 years, there is nothing heard as a reappearance of polio, it is diagnosed as post-polio Syn"}
{"_id": "000002389", "text": "Hellowelcome to Chat Doctor yes of course you can conceive if u had an ectopic pregnancy. Do not worry about the tilted uterus. What treatment was given to u when u had an ectopic pregnancy? Anyhow with any treatment given you still have one-sided tube and ovary so do not worry. One tube is enough for you to conceive. The only thing you should keep in mind is that you should go see your gynecologist as soon as you miss your period/pregnancy test is positive, so it can be confirmed that the pregnancy is intrauterine as ectopic pregnancy may re-occur if u have had one earlier. So just be careful and don't worry it will be fine."}
{"_id": "000002390", "text": "Hi, more details are required. I think your friend had a blocked kidney tube due to stones and so a tube has been put into her kidney from the flank to Chat Doctor.  This is done to reverse the kidney swelling and prevent further kidney damage due to blocked kidney tube. It is also done in case the urine in kidney is infected or pus-like (hydronephrosis or infected IN). If tube gets blocked, check that it is not getting twisted or kinked, it is not getting compressed while lying down. If still gets blocked, probably changing to a larger size tube will help. Her urologist will be the best person to help. Good luck."}
{"_id": "000002391", "text": ". Stomach pain usually occurs due to oily, spicy food, disturbed diet pattern, stress,over eating... You have to take more simple, liquid,high fiber diet. Chat Doctor. You can take pantoprazole mebendazole with risperidone. Enzyme preparations will be helpful. Avoid oily, spicy food. Avoid stress, anxiety.go for exercise regularly. Consult your treating doctor for further diagnosis and medical management."}
{"_id": "000002392", "text": "Hi, I have gone through your question. Yes, you can go for IVF as your age is 35, and you are suffering from endometriosis. Conception is very difficult in endometriosis because the fallopian tubes are distorted, and their function is suboptimal. Since you have taken 2 cycles of ovulation induction with aerosol, and failed to conceive, therefore I would suggest you to get in vitro fertilization as further trials of ovulation induction can lead to ovum depletion and decreased ovarian reserve for in vitro fertilization, if required later. Hope you found the answer helpful. Wishing you good health."}
{"_id": "000002393", "text": "Hi, Welcome to Chat Doctor. You seem to have Boil in early stages below the belly button, as only blood gushed out when you pressed it out.Hence, I would suggest you to get Second Opinion from Surgeon, who would direct for its management after needful physical and radiological check up.-Treatment-Cold Compresses.-Tab Anti-inflammatory under guidance from your doctor.-Antibiotics to treat boil/fur uncle causing that lump below belly button.-Test Blood for FBS /PPS/ and Thyroid profile, to rule out any accompanied primary or hypothyroidism with secondary diabetes as you had diarrhea concurrent to the lump.-Surgeons consultation and needful further treatment as directed from him. Hope this would help you to plan treatment with your doctor. Will appreciate your review write up and hitting thanks, to help needy patient visitors like you at Chat Doctor. Welcome for any further query in this regard. Good day!! Chat Doctor. N. Senior Surgical Specialist. M.S. Genl-CVTS"}
{"_id": "000002394", "text": "Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. Any fracture in a joint can cause the whole area to pain. Foot and scaphoid fractures definitely needs attention. If the fractures are minor, undisplaced, plaster immobilization should be enough. If It's displaced, it may require surgical intervention. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless."}
{"_id": "000002395", "text": "Hello, I had gone through your query and understand your concern.WBC count increases whenever there is infection in the body. As it is evident from your question, your mother had pleural effusion which means collection of fluid around the lungs. There are many reasons for this. I suppose your doctor has sent that fluid for analysis which will help to know the reason behind such fluid accumulation. Once the infection is completely cleared WBC count will come back to normal. It takes time. You need not do anything for this to happen. Normal platelet count is 1.5 to 4 lakh/MCL. Our body will try to produce more platelets when the count is low. I have seen many cases with platelet count even below 40000 and recovering well without any blood transfusion. Low platelet count will cause bleeding disorders. Keep watching for any bleeding from nose, bleeding in the eye, giddiness. If your mother develops any of these better to take her to an ER. A persistent low platelet count calls for further evaluation. I suggest you to take repeat platelet count. I hope that it will come normal. Take care of your mother. If you have any other queries, feel free to contact me."}
{"_id": "000002396", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No, I don't think it is due to gall bladder. In my opinion, you should definitely rule out cardiac chest pains. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. Sometimes women approaching menopause can show similar symptoms due to hormonal imbalance. So consult gynecologist for this. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002397", "text": "Hello and welcome to Chat Doctor, Continuous low grade fever with raised ESR is suggestive of chronic disease e.g. tuberculosis. Tuberculosis is usually associated with low grade fever, night sweats, weakness, decreased appetite, tiredness, and fatigue. The symptoms mentioned by you can be due to typhoid, however, typhoid does not usually cause an elevated ESR level. I suggest you to consult your primary healthcare provider for clinical examination and relevant investigations. A Manitou test and X-ray chest should be done initially. Management will be decided once the result of the investigations is received. Thanks and take care Chat Doctor."}
{"_id": "000002398", "text": "Hello, Thanks for the query. If high fever is there then a higher dose of Paracetamol (Solo 650) may be needed. What is the weight of the patient? Dose can be 10 -20 mg per kg per dose for 4 times a day with a maximum of 4 g in 24 hours. Following a single dose, one may not see sudden reduction in fever. Plus even if fever does come down on taking adequate dose of paracetamol, there is always a possibility of fever coming back after about 5 to 6 hours as the blood levels of the Chat Doctor.  That is why dosage is advised every 6 hours initially. The antibiotic given helps to treat and remove the cause (infection) for the fever. So in that case to a single dose is not going to be helpful. A minimum of few doses of antibiotic (2 to 3 days, 625 mg three times a day) has to be given. To help a better recovery give a good deal of fluids along with normal food. Preferably 1 to 1.5 liters of oral ready"}
{"_id": "000002399", "text": "Cellophane You for contacting Chat Doctor. Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way. MAKE SURE ONE THING"}
{"_id": "000002400", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. Stress and anxiety and itching rashes could be related. Stress Can Cause Hives. Mental stress increases the amount of corticosteroids released from you a Chat Doctor.  Hives develop after the release of histamine from immune cells in blood vessels near the skin causing swelling, heat, and itching. Reduce stress and live happy. Enjoy life. 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. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000002401", "text": "Hi, I understand your concern and would explain that it is important to differentiate between heart failure and a sleeping disorder, which can mimic this clinical situation.  For this reason, I recommend consulting first with her cardiologist for a physical exam, a cardiac ultrasound and NT pro BNP levels. It is also important performing pulmonary function tests and a chest X-ray study in order to exclude a possible lung disorder.  If all these tests result normal, I would recommend starting mirtazapine in low doses in order o help with sleep and anxiety. 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."}
{"_id": "000002402", "text": "Hi, Thank you for providing the brief history of you. A thorough Neuromuscular assessment is advised followed by an MRI of lumbar spine. As you have a history of disc degenerative changes, a thorough assessment is required to be followed by an MRI to see the status of the disc. As, nerve carries dual functions - motor and sensory. So the pain and weakness are the two abnormal symptoms usually noticed with the degenerative disc disease as it pinch the nerve roots. I will advise to undergo physical therapy - therapeutic ultrasound therapy and TENS therapy to reduce pain. Also, core stability and spine muscle strengthening is required. Along with this, add on to the lower limb strengthening exercises which will help regain the confidence and strength in the lower limb muscles. In my clinical experience we receive patients with similar issues, and we recommend physical therapy due to the success in the research. Majority respond well and regain the functions back. RegardsJay In Chat Doctor."}
{"_id": "000002403", "text": "Hi, dairy have gone through your question. I can understand your concern. Your ALT level is normal. No need to worry about your ALT level. There is minor lab to lab variation and instrument and kit wise variation in result. So no need to worry about ALT. Statin is not responsible for that. Liver hematoma is accidental finding, and it is also not responsible. Statin does not increase the blood glucose level. Take low fat diet with high amount of polyunsaturated fatty acids. Continue your statins according to advise. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002404", "text": "Thanks for your question on Chat Doctor. In my opinion you are not having these due to your blood pressure medicine. You may have bronchitis. It is basically an inflammation of bronchi, which causes edema and more sputum production.  Whitish sputum indicates inflammatory process, not infective process. Do better to consult pulmonologist and get done PFT (Pulmonary Function Test).  This will help you in diagnosis of bronchitis. It will also give you severity of the disease. You may need bronchodilators and antihistamine."}
{"_id": "000002405", "text": "As u have mentioned according to your history you're a case of patent vitally intestinal tract with on off discharge and infection and umbilical granuloma .this is congenital but if you're sure that it developed after surgery than this is a complication and its sinus tract with discharge from port site in laparoscopic surgery u need thorough investigation and examination but our operating surgeon and also have second opinion for same. Even residual stones in tract may cause this problem if contents of gallbladder are spilled during surgery"}
{"_id": "000002406", "text": "Hello and welcome to Chat Doctor .com. This is going to be a rather long answer.  Please bear with me as I talk through this.  I will also quote a study on this disease process from a journal, Pediatrics.  The article is entitled Acquired Microcephaly"}
{"_id": "000002407", "text": "Degree understand your concerns went through your details. Pain on the right scrotum in itself needs investigation. You consulted a doctor, and he conducted an ultrasound and said everything is alright and there is nothing worry. I hope the ultrasound was conducted within the last one year. Otherwise, please do the ultrasound once again. Secondly another reason for the pain could be simple obsession with the pain. Anxiety and depression can be the reason for the obsession. Stress and strain of the muscles could have been the reason, and you mistook as any serious disease and obsessed. Such an obsession could become psychosomatic and can manifest as pain. If you still need my assistance in this regard, please use this link. http"}
{"_id": "000002408", "text": "You have not stated your age. Pain and cramps in your abdomen might be due to some chronic infection like amoebas or even because of any stone in kidneys or ureters or even gall bladder as you are having it on the right side. Cramps plus loss of appetite might be due to chronic infection like tuberculosis. Is all this associated with weight loss? If so and if you are above 40 years, get yourself examined to rule out cancer. So first you need to do an ultrasound of abdomen and consult a medical practitioner."}
{"_id": "000002409", "text": "Hello, I have studied your case. There are various procedure which include chemonucleolysis, ozone therapy and injection Dylan. MRI spine will show any disc bulge is there or not. And when muscle sprain is confirmed muscle relaxant, analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care"}
{"_id": "000002410", "text": "Hi and welcome to Chat Doctor. Its elevation is common found in many disorders must most usually is alcoholic, viral, autoimmune or toxic liver damage. The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor.  Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. If you don't have any symptoms then this is just slight and reversible liver damage. Wish you good health."}
{"_id": "000002411", "text": "Hello, I have gone through your query and here is my advice. As per your history it may be due to strain and stress. For further assessment he may require complete hologram, lipid profile and electrocardiogram, after physician consultation. For that he may require tablet sildenafil 1 hour before the sexual act. Avoid smoking and alcohol. Avoid stress. Hope I have answered your query, let me know if I can assist you further.  Chat Doctor."}
{"_id": "000002412", "text": "Hi, Sperm are regularly produced in our body along with fluids secreted from glands like prostate seminal vesicle etc. it becomes semen. So if it is produced regularly it should be discharged regularly from body by sexual intercourse and manually through masturbation otherwise it comes out during nightfall. Now masturbation does not cause weakness or defect in sexual organ (energy lost is almost similar to doing other activity in muscle contraction n relaxation). It gives pleasure during act of masturbation and later calmness which is thought as weakness.  Your height and weight are normal. So in my opinion you don't require supplementing any diet if you are taking balanced diet. Hope this will help. For any queries feel free to ask. THANKS N REGARDS"}
{"_id": "000002413", "text": "Hello, Blood in sputum or nose can be very trivial or can be very serious. In pregnancy that too around 33 weeks vascularity of the mucosal area increases so bleeding from such areas can be considered physiological. If your chest is clear on auscultation, and you have consulted general physician, then don't worry about some serious reason for this bleeding. It can be because of the cough and mechanical trauma to the respiratory tract. I just want to know why you are using Esprit. If it is mainly for some preventive purpose, then you can stop that tablet which can be a contributory factor for your bleeding. Anyway now you are in 33 weeks now it's the time to stop Esprit that is 34 weeks. So do consult your gynecologist about stopping the Esprit. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002414", "text": "Dear, Musculoskeletal chest pain has no relation to fast heart beats, it may be due to anemia or generalized fatigue. Diclfenac Sodium 75 (Voltaren) once daily for 3 days will treat your chest pain combined by a muscle relaxant and get away from cold air .you may need to visit your doctor to check out the cause of fast heart beat but don't worry, it will be a minor cause and simple treatment will push it away. Thanks"}
{"_id": "000002415", "text": "Hello, I have gone through the query and understood your concern. If the blood, urine, hormone levels, tubal patency tests and sonogram of the pelvis are normal, you can wait for 6 months to one year. If you still do not conceive, you should be tested for anti-sperm antibodies and other incompatibilities. Regular sexual intercourse should be practiced at least on alternate days during the fertile period. You should lie down flat for 30 minutes after the act, on your back if you have an anteverted uterus and on your stomach if you have a introverted uterus. Hope this helps."}
{"_id": "000002416", "text": "Hi Julie...thanks for sharing your problem here in this forum.you have made your eyebrows wounded by waxing...eyebrow area is having more loose tissue so whenever wounded there is more swelling here.I will suggest you to wash the area with cold water. Do use ice packs wrapped in some gauze to reduce swelling. Apply some antibiotic cream with soothing effect like poly fax plus 3 times a day after washing.it will also reduce pain as well.if pain is sever you can take ibuprofen for it...hope this will work.thanks Chat Doctor."}
{"_id": "000002417", "text": "Hi. Thanks for your query. You are in the period and the congestion can lead to the symptoms like mild Diarrhea you have. IF there is no fever and intestinal problems. Wait and watch. If associated symptoms - go for check up with the Surgeon, ultrasonography to see that there is no local collection of a clot or infection or sequel of sterilization procedure Bloody discharge can be due to regular periods."}
{"_id": "000002418", "text": "Well, you certainly are taking the right actions to help fibromyalgia. Some of it is due to depression and antidepressants are generally used for it. Otherwise, it is perhaps a dysregulation of the nerves that damp down pain. This is more or less corrected by exercise up to the point of the exercise causing pain. The pain from the exercise resets pain perception. It is temporary and needs to be done regularly."}
{"_id": "000002419", "text": "Hello, As the symptoms you mentioned this appears to be related to venous return. Before this, I would like to ask you if you have any Diabetes or high blood pressure issue. If so please kindly get it checked and monitored by a physician. Next, this bluish or blackish or purplish discoloration is due to something called varicose veins.  You need to meet up a vascular surgeon and get a Doppler scan done, so we can some inputs if that is the one. There might be a possibility that you may be put under some medication for the same. You can use hot water fermentation and do the maximum exercise of the calf muscle like ankle toe movements keeping the leg over the pillow. Pain will subside with painkillers but we shouldn't ignore the varicose veins as this may later stage give more trouble if left unnoticed. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor."}
{"_id": "000002420", "text": "Hello Welcome to Chat Doctor I can understand your situation. I appreciate your effort to seek online support. As per your details, you are possibly having underlying anxiety/depression. For this consult a psychiatrist for detailed evaluation. Following treatment strategies would be helpful- 1) Antidepressants/Antianxiety agents like SSRIs (Escitalopram, sertraline, paroxetine etc.)2) Antianxiety agents like clonazepam, lorazepam, alprazolam etc3) Psychotherapy/ Counselling sessions4) Relaxation techniques like yoga, meditation, deep breathing etc. Hope it helps Good luck Regards"}
{"_id": "000002421", "text": "Hi welcome to Chat Doctor forum.  Thanks for choosing Chat Doctor forum.  Your mother got severe pain since 1 month, and pain since 1 year.  The pain is burning, cramping, spastic, time to time, increasing after food, Sometimes diarrhea, Nausea, loss of appetite.  She had gastritis, pancreatitis, duodenites, diabetes, and hypertension.  Gastritis and duodenites may be cured completely, but pancreatitis can recur, other 2 also have possibility or recurrence. Which all these symptoms, diabetes and hypertension should under control.  I advise you to consult a physician for diagnosis and treatment.  Wishing for a quick and complete recovery, Best regards."}
{"_id": "000002422", "text": "Hello, Thanks for your query. After going through your query I came to know that you have period like cramping and lower back pain (very dull). Your husband and you had intercourse a couple of weeks ago that was unprotected using the pull-out method. As you are breastfeeding your 4-month-old child regularly, so it is likely your first period since being pregnant and having your baby. But I will advise you got pregnancy test to rule out pregnancy. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000002423", "text": "Thanks for your question on Chat Doctor. In my opinion we should first rule out cardiac cause for your low blood pressure and chest discomfort. So better to consult cardiologist and get done ECG and 2D Echo and Blood pressure monitoring. If everything is normal than no need to worry much. Get done thyroid level. As thyroid problems may give similar symptoms. If this is also normal than your symptoms are mostly related to anxiety and stress.  So better to avoid tension. Be relax and calm."}
{"_id": "000002424", "text": "Hello, Thank you for trusting ChatDoctorThe symptoms you are describing is likely to be Lyme disease caused by Cordelia infection. The concerning symptoms are you being off balance and headaches. Possible Lyme meningitis needs to be ruled out. Treatment is with antibiotics. Lyme meningitis will require IV ceftriaxone. Please be advised to follow up with the emergency room. Hope this answers your questionsPlease ad Chat Doctor."}
{"_id": "000002425", "text": "Hello and welcome to Chat Doctor, Low hemoglobin level is often associated with fatigue and tiredness. A hemoglobin level of 7 has to be managed by blood transfusion as well as iron supplements. Presence of small sized myeloid cells is not characteristic of CML.CML is characterized by increased white blood cell count, increased number of precursor myeloid cells. Constitutional features of fever, fatigue, enlarged spleen are also present. Since, the cause of anemia is iron deficiency, you are advised to take iron supplements for at least 3 months and then get blood iron levels re-checked. Thanks and take care Chat Doctor."}
{"_id": "000002426", "text": "Hello, Any injuries to the abdominal wall, always better to rule out any injury or damages to internal organs also. If such a Patient comes to me in my clinic, I suggest him to get this evaluation done Immediately1) An Ultrasound whole abdomen2) X-Ray erect abdomenReview with a General Surgeon. If you have any further queries related to this medical condition you can get back to me. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002427", "text": "Cellophane you for asking in ChatDoctorThis situation may occur mostly in normal persons. As you explain that you feel a kind of discomfort in your chest better to do"}
{"_id": "000002428", "text": "Hello and welcome to Chat Doctor, The squamous cell carcinoma is not directly related to the kidney function tests. Kidney diseases do not show up early in the course of disease because the kidney compensates it. The normal kidney takes over the functions of diseased kidney tissue. The renal function tests turn abnormal only when the disease becomes advanced. You have mentioned that you acquired wound infection for which you took some antibiotic. There are some groups of antibiotics which affect the renal functions. The compromise seen in renal functions could be due to these antibiotics. You need to consult your doctor for management of the compromised renal functions. Thanks and take care Chat Doctor."}
{"_id": "000002429", "text": "Hello Sir, your present problem does not seem to be related to your gall bladder surgery. Following exercise if you develop jamming feeling it most probably your fast heart beat that you feel after exercise .can you tell me what's your blood pressure in normal days?  Please provide me the details about your rashes when they develop? Timings? Type of rash? Its distribution. Over body? Did you notice jaundice or yellowish discoloration of your body? Will help me sort your actual problem... thank you"}
{"_id": "000002430", "text": "HI. As per the history you provided this looks to me a case of colitis and /or enteritis. What are your associated symptoms? How is the stool-loose, sticky, bloody ?ant associated nausea, vomiting, fever, weakness or so. I think a course of an antibiotic along with metronidazole and antispasmodic like dicyclomine for a 5-day course should solve the problem. Please let me know more about other symptoms if you have Chat Doctor."}
{"_id": "000002431", "text": "Hello, I went through your reports. Two and half years back ANO Rectal Surgery was performed followed by Chemotherapy and radiotherapy. Your main complaints are painful constipated stool and bleeding. These two complaints are the common problems post operative in this operation. How is the operated area wound. If the wound is there proper cleaning and Chat Doctor.  Even if the wound has healed well, Site bath (sitting in a Betadine diluted warm water 20 MTS for as much time as possible) after each defecation, Laxatives at night and painkillers 2 or 3 times a day may be helpful.  Anvil PM you can take in the night. Other"}
{"_id": "000002432", "text": "It is very uncommon for radiation to precipitate atrial fibrillation especially if it on the right side. Scatter is very rare with the latest technology radiation. You haven't mentioned chemotherapy. Some chemotherapeutic agents like doxorubicin and trastuzumab can have an effect on heart, but the effect is mainly on heart muscle, though rhythm disturbances can also occur. But these effects are not long lasting, and she would revert to normal with time"}
{"_id": "000002433", "text": "Hello, Evaluate your diet and try to eliminate foods that might contribute to this condition. Rule out any deficiencies or excesses in your diet and maintain balanced vitamins. Make sure that you have had blood tests to rule out systemic factors. Diabetes is known to have as associated condition that changes your breath due to ketone production. Bacterium studies of your oral environment may show an imbalance in your oral flora. I generally do not do this during routine dental exams. Consider visiting a periodontist to further evaluate tissue and bone health. Your comments concerning the throat describe the possible condition of tonsil stone formation or tonsillitis. You have consulted the correct doctors. Continue to try and determine specific triggers. Thank you for your inquiry. I hope my suggestions are useful."}
{"_id": "000002434", "text": "You have not mentioned the day 21 serum progesterone level (suggests about ovulation)It is reassuring to know that rest of your baseline subfertility investigations are normal. What is your BMI? Do you have regular cycles? Usually women with PRO have irregular cycles as they do not have regular ovulation. I suggest that you take closed/tamoxifen +In Chat Doctor for six cycles along with ultrasound follicular study. Ultrasound examination helps us to make sure that ovulation is occurring. If conception does not occur with this treatment then I would discuss with you two options of management. Either to start induction of ovulation with hormones or laparoscopy and ovarian diathermy for polycystic ovaries. Pregnancy rates between laparoscopic ovarian diathermy after 6 to 12 months follow up and six cycles of ovulation induction with gonadotropin are the same. Laparoscopic ovarian diathermy carries the risk of surgery. However, the rate of multiple pregnancies is lower in women who conceive after ovarian diathermy. Take one tablet of folic acid daily. To increases your chances of pregnancy, maintain normal BMI, quit smoking (if you are a smoker) and have intercourse at least three times in a week. For women with PRO maintaining normal BMI extremely important. Even reduction of just 5-10% of body weight corrects the hormonal imbalance and improves chances of conception. I hope I have answered to your satisfaction. If you have any further queries feel free to contact me through Chat Doctor"}
{"_id": "000002435", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having post infectious bronchitis. It is common after viral upper respiratory tract infection (cold). Bronchitis is inflammation of airways. And it gives feeling of hot and warm on inhalation. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002436", "text": "Why crowning has in done? Did your dentist go for root canal treatment?if has done act and crown the tooth the it is ok, in that Casey we have to assume that the pain is taking place due failure of act.act can be failed for many reason starting from pts status to the faulty procedure. But if your dentist did not act, only he filled the tooth and the he went for vital tooth preparation, the pain might happen due to secondary caries, or chronic irritation to the pulp. But in both cases' treatment is same, first remove the crown, thn go for reject or act. And I believe there will not be any pain in future"}
{"_id": "000002437", "text": "Hi. Hives in your case could be due to infection related or Chat Doctor.  Hives are generally classified as Acute or Chronic depending on the duration of onset. Acute if less than 6 weeks and chronic if more than 6 weeks. In your case you have been experiencing it for 10 days... Means they are acute(Anyway take Levocetrizine 5\\u00a0mg in the evening daily for 7-10 days. Take Fexofenadine 120 mg once daily during the day. Apply calamine. Get a few blood investigations like Complete Removal, Urine R/M, stool ova/cyst and Chest x-ray"}
{"_id": "000002438", "text": "Hi, Thanks for writing in. It is important to know the findings of cancer in ovary that she is having. The CA125 level is also important to know. In patients of cancer ovary with pleural fluid showing metastatic cells indicates that the cancer has spread to other parts of the body, and probably she is having stage 4 cancer. Treatment is surgical debunking any tumor in the pelvis and then giving chemotherapy in cycles. Surgery will remove any tumor that is operable and chemotherapy will stabilize the disease. Survival in stage 4 cancer is up to 2 years with good care and treatment. Please do not worry."}
{"_id": "000002439", "text": "Hellowelcome to ChatDoctorwell, if I were your treating doctor then first and foremost I would have advised you to get done certain tests to evaluate the extent of disease and the present status as it will greatly help to choose the Chat Doctor. .tests done to evaluate COPD includes --(1) COMPLETE HOLOGRAM WITH ABSOLUTE EOSINOPHIL COUNT(2) ABG i.e. ACID BLOOD GAS ANALYSIS(3) PFT i.e. PULMONARY FUNCTION TESTS(4) CHEST X-ray (5) CT SCAN OF CHEST apart from the above tests it is very important to perform a physical examination including auscultation of the chest and this is not possible online so I would advise you to visit a pulmonologist for clinical evaluation and evaluation of the reports of your tests...as far as treatment is concerned, there are many"}
{"_id": "000002440", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged cervical lymph node in your neck.  It can be due to reactive hyperplasia, tuberculosis or lymphoma. In HIV reactive lymph node and tuberculosis both are common.  However, it depends on your sexual history.  If you have high risk sexual contact in past then there is chance.  You should go for fine needle aspiration cytology of that lump and HIV testing.  It will clear all doubts. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002441", "text": "Hello, The symptoms seem to be related to rheumatoid arthritis. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest using cold compresses for local application. Furthermore, I recommend exercises and regular physical therapy. You should follow up with a rheumatologist for further evaluation. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002442", "text": "Dear Sir/mam, I understand your concerns about this pregnancy. In her case the following points should have betaken into consideration for a complete management of this case1- Due to the cramping and pelvic pressure your daughter has especially in the setting of cervical changes on ultrasound, a sterile spectrum exam must be done in order to see if the cervix is dilated, if the spectrum shows normal looking cervix, then a digital pelvic exam should be done to assess the dilation. 2- Your daughter must be put on the too to assess if she has contractions. If she doesn't then a rescue cervical circle can be done for prolongation of the pregnancy.3- urine infection must be rule out since it might be the reason for the cramping sensation. urinalysis and culture must be done.4- For the future pregnancies am early circle at around the timing for nuclei translucency can be done. Add to that vaginal progesterone also is a good idea. Best regards"}
{"_id": "000002443", "text": "Hello, 200/121 BP is very high. As you are already having treatment for hypertension, then this much of high BP is not expected after treatment. * Check your BP once again, if its still high then do consult your doctor immediately as this much BP may lead to bleeding in body. Bleeding can be from nose as epistaxis but if it occurs internally then it might lead to serious outcomes.* Also keep some emergency medicine at home for emergency. You can keep capsule nifedipine (5\\u00a0mg) at home and in emergency take it sublingual. You can ask your doctor about this capsule.* Keep an eye on salt in your diet and cut off extra salt from diet and do walk daily. Both these things will help in controlling high BP.* But for now consult your doctor first.* I hope you are satisfied with my answer.  Thank you."}
{"_id": "000002444", "text": "Hi, The emergency contraceptive pill should be taken on the same day for it to have an effect, as such there is no point in taking one now. How long have you been on the pill, if it's been for a long time then there is a chance that you won't get pregnant. But in these things there is always a chance, especially if you were ovulating. Pills work by suppressing ovulation, if you miss one - you may ovulate. As such you can either wait till your period should start or take a home pregnancy test. I hope this answered your question."}
{"_id": "000002445", "text": "Hi welcome to Chat Doctor. I have gone through your question. Your both reports are normal and still having problem in conceiving is\\\" unexplained infertility\\\". The treatment taking you injection on 5/7/9 thy day and followed by follicular scan to do GUI intrauterine insemination is idle procedure. Continue this method as per your gynecologist advise. Hope I answered your question. Would be happy to help you further. Take care."}
{"_id": "000002446", "text": "Hi, Capsules should never be broken and consumed since the potency of the Chat Doctor.  They must be swallowed as a whole. I would suggest you to visit your doctor for a re prescription of clindamycin since it cannot be obtained over the counter. You have not mentioned the age of the patient or the dose prescribed. This time you can get a lower dose 150 mg. Take care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000002447", "text": "Hello and welcome to Chat Doctor !!well given your history complete penetration has not happened, but it is not a necessity for pregnancy to happen, and the white liquid is what is called pre-cum which is produced to lubricate and may have active motile sperms my advice would be to wait for your girlfriends period if it doesn't happen get a urine pregnancy test and in the future be very careful about unsafe sex. Take care."}
{"_id": "000002448", "text": "Dear Friend, greetings from Chat Doctor. Understand your problem. You need not take tablets but get the lipid profile repeated after a month with a fasting blood sample. Try to reduce your triglycerides by proper diet and exercise. Do walk for an hour a day. Avoid sugar and carboy Chat Doctor.  Take good proteins like sprouts to take more fiber rich diet like green leafy vegetables, oats. Milets either in boiled or in bread form. Thank you for contacting us and do contact us for more questions."}
{"_id": "000002449", "text": "Hi, Thanks and welcome to Chat Doctor . A one and a half year old baby, if he passes less than 4 motions/week it is called constipation. You may use some laxative for constipation. I usually prescribe Lactulose syrup. Feeding fiber containing and energy dense foods like whole wheat bread, leafy vegetables will prevent constipation. Excess of milk consumption leads to constipation. Hope this answer serves your purpose. Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam."}
{"_id": "000002450", "text": "It's normal to have some discomfort after act completion for 1 to 2 weeks. The root canal filling makes the tooth tender. The reason for your pain can also be food impaction around the cut tooth which is the space created to fit the crown. If your dentist has done the RCT procedure well then your pain will go in another week or so. Meanwhile you should avoid chewing food from the affected side. Take some anti-inflammatory Chat Doctor. And most importantly while getting the crown placed be sure that all the teeth are in contact.  Sometimes the new crown is high relative to adjacent teeth and this can aggravate the pain. Take care"}
{"_id": "000002451", "text": "Hi, I had gone through your question and understand your concerns. I just want to ask a few questions.1. Did you get the vaccines on time?2. Were the wounds washed with soap and water? Do not worry. I would suggest you to - Apply Mupirocin ointment locally.- Take warm compress over the area- I would start tablet Diclofenac along with tablet sanitizing to relieve the pain. Visit a surgeon. He/she can examine the wound and correlate clinically. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health."}
{"_id": "000002452", "text": "Biting is one of the differential diagnosis for a blister on lip in a 9yr child.it should heal in a matter of 1-2 weeks completely. As u said it started as an enlarging blister with bleeding and grown in size in an irregular shape, so the child should undergo biopsy to rule out malignancy. As family history also suggestive of cancer in the mother, you need to consult dermatologist or pediatric surgeon for biopsy and to proceed further."}
{"_id": "000002453", "text": "Hi Welcome to Chat Doctor, I understand your concern. Your symptoms could be related to underlying pathology in the heart. So I advise you to get an ECG,2D Echo, lipid profile immediately. Monitor blood pressure and heart rate immediately. Chat Doctor. Exercise daily for 30 min. Avoid smoking and alcohol if any. Consult cardiologist for expert management. Post your further queries if any, Thank you."}
{"_id": "000002454", "text": "Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, the type of symptoms you describe fit into fleeting arthritis, which is an inflammatory group of arthritis, where multiple joints get involved one after the another, and then slowly start getting corrected. This type of arthritis is usually a sequel of any past episode of viral fever, and can be associated with swelling and redness in eyes, or irritation in urination. These may not be present. The treatment is usually a short course of steroids to suppress the aberrant immunity, so that no damage is done and the body slowly recovers. The medication is to be taken under direct supervision of the doctor hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks."}
{"_id": "000002455", "text": "Hi, Diabetic being the major risk factor for getting coronary artery disease, people having diabetes frequently suffer from the same.  To tell you better I'll need the Angiography report. But as your doctor has already told you that he needs a bypass, prognosis depends on heart functioning (LVEF) at the time of surgery, how good diabetes is controlled and any other associated comorbidity.  Exact prognosis can only be told after examining the patient. If the heart function is good, and he is healthy enough, I hope he won't face any problem during or after surgery. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000002456", "text": "Welcome at Chat Doctor I have gone through your query and being your doctor I completely understand your health concerns... Based upon the history you have provided you should require workup...what about the texture of your liver on ultrasound? Is there any associated ascites?  What about serum albumin levels and bilirubin?? What is the genotype of your HCV??? Is there any lesion on ultrasound???  Nowadays new Chat Doctor. ....it's a pill which to be taken daily for six to 12 months depending upon the genotype...it is very effective and to date cure rate is 95%. And without any unwanted side effects of interferon therapy... Consult hepatologist regarding this new"}
{"_id": "000002457", "text": "As pediatrician I can understand you concern, but milk is not the only diet for a 9-month-old infant. In fact he must have been started supplementation at 6 months of age with food stuffs like chichi, Dalian, DAL, puddings etc. child Chat Doctor.  Initially infants do not accept salty foods but on repeated feeding for few days they usually develop taste. As far as your concern let him take your feed as much as he wants ... instead o giving him formula milk, feed him with above-mentioned food stuffs along with finger foods, mashed potatoes, etc. m sure he will develop taste and start gaining weight, also there would be no signs of iron deficiency as seen in only milk fed babies."}
{"_id": "000002458", "text": "Hi, The red rash occurring on the face off and on may be inflammatory acne or rosacea. For firm diagnosis, you consult dermatologist. Stress, anxiety, tension, excessive sun exposure, exercise, travelling, oily food might trigger the disease. Antibiotic like azithromycin or minocycline for long time would give good result in both cases. Clindamycin gel application at night would improve inflammatory acne. And metronidazole gel on rosacea might improve cleanse the face with antiseptic liq like detail. After long treatment you might be benefitted. I hope you got my answer. Thanks."}
{"_id": "000002459", "text": "Welcome to Chat Doctor .1. Possible cause could be ductal Eurasia (dilated ducts) as it increased after having baby.2. Other possible the lesion has grown in the size.3. If you are my patient I would have examined first and then send you for an ultrasound breast, to evaluate the nature of the lump (cystic, solid, mixed), source (duct, breast tissue, fat) and its extensions (chest wall, vessels, ducts).4. Depending on the findings - FNAC might be needed (fine needle aspiration cytology)5. Depending on FNAC findings operative or not will be decided. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000002460", "text": "Hi madam, your daughter most likely has upper respiratory tract infection which most of the time its viral, and rapid heart beats is normal during fever unless if its above 180 beat / minute.because she is an infant I recommend seeing the pediatrician and do a physical exam because sometimes pneumonia can present with these symptoms and especially high grade fever, and physical exam is very helpful in the diagnosis. I hope this is helpful"}
{"_id": "000002461", "text": "Hi, dairy have gone through your question. I can understand your concern. Your lump behind ear has no relation with sunburn. Your lump may be sebaceous cyst or Desmond cyst.  Or it can be some enlarged lymph node due to reactive hyperplasia or soft tissue tumor like lipoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002462", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No need to take aspirin as your ECG is normal. Normal ECG rules out cardiac chest pain. In my opinion, you are mostly having musculoskeletal pain. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002463", "text": "Thank you for your question Mr. Sivaraman. Cervical spine lordosis has no permanent cure apart from a surgical intervention. But for the pain you are experiencing I would suggest that you take some muscle relaxants Tab Nova MR twice a day, avoid lifting heavy weights and give sufficient breaks in between your work to avoid over straining your hand. If the pain in your arms and hand saree very troublesome you may also apply a cr\\u00eape bandage to work to reduce the pain. Hope this information was helpful to u. Do get back to me for any further queries. Chat Doctor."}
{"_id": "000002464", "text": "You have not mentioned your age which is very important in case of arthritis which is quite common in elderly people above 60 years of age. As per your history I will advise you to take some painkiller like attract or biozobid-plus only when pain is worse enough or disturbing your routine work. Apart from this you can take some calcium supplements like shall or toscal-gem once daily preferably in afternoon along with some multivitamins like metilda-forte or meganeuron-plus. You can do some physiotherapy exercises after an expert opinion of physiotherapist."}
{"_id": "000002465", "text": "Generally speaking if there was a significantly harmful contaminant you would see signs of a problem fairly quickly.  It is never good to give anyone, especially infants, fluids contaminated with plastics.  Plastics can have hormone like effects or other toxic effects, but these are mostly a problem when exposures occur again and again over time.  Usually a single exposure won't cause serious problems."}
{"_id": "000002466", "text": "Hello, Thank you for asking at Chat Doctor. I went through your history, I assume that you have allergies to molds and would like to make suggestions for you as follows"}
{"_id": "000002467", "text": "Hi, Thanks for asking the query, The above symptoms which you have mentioned are due to wisdom tooth removal, these are common symptoms which will subside after sometimes. You follow the post extraction instructions given by the Dentist properly. Take complete course of antibiotics and analgesics prescribed to you. At home take lukewarm saline and antiseptic mouthwash rinses. Avoid anxiety, stress take complete rest. Hope you find this as helpful, Regards."}
{"_id": "000002468", "text": "1. since you are suffering from the symptoms since the age of 6, any history of injury to muscles, bones, joints,tendons, soft tissues?2. Any wear and tear, overuse, spine problem, poor circulation, varicose veins.3. Since it's quite a long time, hopefully deep vein thrombosis or any clot is ruled out.4. Were investigations like Doppler study carried out to rule out DVT? Or RA factor, ASO title were done to exclude Rheumatoid arthritis, rheumatic fever in childhood?5. Check your potassium and calcium level, as low concentration (deficiency) result in nerve dysfunction and leg pain.6. Regarding painful vein"}
{"_id": "000002469", "text": "Hello, Welcome to Chat Doctor, The history and symptoms are suggesting me that you are having upper respiratory tract infection. This infection is may be due to viral or bacterial infection. The symptoms are in favor of bacterial infection, which is leading to yellow mucus from the respiratory tract. For the symptoms I would suggest you to follow1. Steam inhalation with Vocals.2. Tab Augmenting, 625 mg, twice daily for 5 days.3. Oral Monte LC, once in a day in night.4. Syp Ambrosia S. The aforementioned measures will help to reduce the symptoms and improve the condition. Thank you."}
{"_id": "000002470", "text": "Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply"}
{"_id": "000002471", "text": "It sounds like he may have cellulitis, which is an infection in the skin. Often before an infection shows up, you can get flu-like symptoms, like muscle aches and feeling sick. If he could hardly get out of bed, then I think he is quite sick and should be seen for it right away. An infection in the skin can easily cause blood poisoning (sepsis) and can be very dangerous. He may need someone to take him to emergency, but he should be seen and started on antibiotics right away. Hope this helps."}
{"_id": "000002472", "text": "Hello, If you could please describe the precise lesions you see or how you feel them, estimate the size by comparing to a known object. Locations of lesions, clustering or not. The dermatitis you are having might not even be directly related to your pregnancy. But if they are pregnancy related, then you should allow sometime for hormonal balance to be established in your system and suppress the symptoms by either applying HY Chat Doctor. 05% cream on the lesions or taking oral antihistamines.  Another possibility is if the above treatment doesn't work, you might be having scabies (strange right? But it is quite possible given the locations you have mentioned). If that is the case, you'll need to take appropriate treatment with anti-scabies lotions.  Your daily skin lotion too, should be re-checked as it might be the cause and by stopping and switching your soap might help your situation. I will suggest you pay a visit to a dermatologist for close examination and proper management if above do not work.  Not able to examine the rashes myself makes it difficult to give you exact management. Best wishes and regards"}
{"_id": "000002473", "text": "Hello, As per your description, your son might be suffering from Urinary Tract Infection. As he developed fever with rigor followed by sweating along with stone in kidney. So he may have infection in urine that causes fever. First, get some tests done to confirm like Urine routine microscopy with Urine culture sensitivity. Along with that kindly rule out other causes of fever like Malaria and Typhoid. According to report, treat the patient with proper antibiotics. If its UTI then better you start Tab Nitrofurantoin 100 mg twice a day with Cronin 650 mg SOS for 7 days. And for renal stone, don't be panic. If stone size is less than 10 mm then better treat conservatively and give plenty of water. If more than 10 mm size, then contact Urologist for further management. Thank you"}
{"_id": "000002474", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having cough with hemoptysis (blood in sputum) and greenish expectoration. All these suggestive of lower respiratory tract infection (LETI - pneumonia). You are also not improving with routine cough medicines. So better to get done chest x-ray for the diagnosis of pneumonia. You may also require antibiotics, bucolic and expectorant Chat Doctor.  Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000002475", "text": "Thanks for your query, I have gone through your query. The implant failure could be because of the rejection by the body or improper maintenance or systemic conditions like diabetes or smoking or immunocompromised state. Consult an oral planetologist and take an opinion. You can get your blood sugar level checked. We cannot do any investigations after removing implants. It has to be done before placing the implants. You should get a CT done to check the density of the bone to place implants. Nothing to worry now. If all the blood investigations are normal then you can wait for 6 months after grafting and place the implants again after 6 months. I hope my answer will help you, take care."}
{"_id": "000002476", "text": "Dear Luke, there is a chance that this sign could mean something serious but don't be concerned until you do further diagnostic test. It's important to know do you vomit blood, coughing up blood, or you just noticed it in your saliva. The first one means that you have some serious gastritis, gastric ulcer or esophageal disease. Coughing up blood is also a serious symptom which could be sign of pneumonia, COPD or even cancer so this needs to be ruled out. Blood in the saliva could be seen due to some lesion (ulcer, tumor, gingivitis, teeth disorders) of mouth or pharyngeal mucosa. So depending on what I've just said you should definitely do Castro, pull and ORL examination.  Wish you good health,"}
{"_id": "000002477", "text": "Hello... Thanks for choosing Chat Doctor for your query.... It is quite distressing for the would be mother to deal with nausea vomiting. I think you should get your ultra TSH, HbA1C, fasting sugar done. Is it single or twins pregnancy. If everything normal you can try some home remedies...it is advisable not to have any kind of liquid after getting up in morning for two hours. You can have Chat Doctor."}
{"_id": "000002478", "text": "Thanks for your question on Chat Doctor. I can understand your concern. You're all symptoms are suggestive of mostly stress and anxiety related HERD. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of Central pain and tightness. So stress management is very important in your case to relieve these symptoms. And for this, you should consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  You should also start proton pump inhibitors. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002479", "text": "Hi. This is a classical finding of a fissure-in-ano, you have described. Occurs due to strain at pooh as you have rightly mentioned. The simple treatment which you do at home is"}
{"_id": "000002480", "text": "Hello, Thanks for using Chat Doctor. I can assure you that keeping hip in body is not going to harm you can easily continue this for as long as possible. I have seen patients with 35 years with hip implant inside and there is no side effects. So you do not need to be worried about this.  I would also like to tell you that it is not right to remove hip implant and no doctor is going to do this as it is not medically acceptable. I hope this answer will be useful for you. Let me know if there is any other followup questions.thanks."}
{"_id": "000002481", "text": "Thank you for asking Chat Doctor. My name is Chat Doctor. You have mentioned your open Gall bladder surgery and a wound which was although healing, but now it has developed Pus and at times of removal of bandage, it bleeds slightly. Let me clear your concept regarding some points of key importance-you have mentioned that you have a big cut which was a Lauro hole, probably. Laproscopic holes are quite small and most of the time they just need a single stitch enough for their approximation and healing and their scar are very small. One of the key purpose of Lauro surgery is Cosmetic which means avoiding big and visible scrap on patients skinsoThis big Scar which you are mentioning is due to Open surgery which needs Naked eye evaluation and proper exposure so that's why it needs much bigger Scar than Lauro. Your second concern is regarding wound healing wound healing varies from patient to patient, Generally it takes the duration in the Range of 1-2 weeks and after that duration stitches are removed. Some factors which are vital in wound healing,-Sterilization and infection control during and after surgery -Early mobilization of the Patient-Diet of the patient -Post operative wound Care your"}
{"_id": "000002482", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that a couple of small dots or holes over the gum seems to be infection or injury to the area that can be caused due to the braces while can also be due to trauma caused by toothbrush or any hard food. It can also be due to viral infection causing cold sores that generally occurs in clusters. Another common cause can be inflamed minor salivary glands present in that area. I would suggest you to apply an antiseptic and steroid oral ointment combination over the area. If there is soreness you can also apply numbing gel containing Lidocaine. You can start doing warm saline gargles and also do antiseptic mouthwash gargles. Take a soft diet and maintain a good oral hygiene. Chew a vitamin C pellet daily. In case if there is still no improvement consult a Dentist and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor."}
{"_id": "000002483", "text": "Hallow Dear, If you are menstruating regularly with cycle of bot 30 days, you can expect egg release (ovulation) about 2 weeks after the last menstrual period. Some amount of light bleeding, may be with some pain in the abdomen can be experienced on and around the day of ovulation. It is called Mittelschmerz. Your bleeding seems to be this type. Also, this bleeding could be due to the birth control pills you have taken after the intercourse. In fact post-coital emergency contraceptive pills within 72 hours of the intercourse would have been more effective in avoiding the pregnancy. However, you had unprotected intercourse during this period. So the possibility of pregnancy cannot be ruled out. I would advise you to get Beta Chat Doctor test done 10 days after the last unprotected intercourse to find out the evidence of pregnancy. Alternatively you may wait for menstruation. If you miss it, perform pregnancy test on overnight morning first urine sample about a week after the missed period; earlier the test may report false negative results. I hope this helps you."}
{"_id": "000002484", "text": "Hello! Welcome on Chat Doctor ! I read carefully your question and would explain that your symptoms seem to be related to neurological complications of Lupus. In fact as there is no cure for Lupus, there is also no cure for your complaints. But you can try symptomatic treatment. For this reason, I would recommend starting Duloxetine. This is an antidepressant, which is also very helpful in chronic pain or neuropathic pain. Considering the fact that Lupus affects both the central and peripheral nervous system, this Chat Doctor.  A brain MRI and a nerve conduction study are also needed. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Kind regards,"}
{"_id": "000002485", "text": "Hello, It could be an upper respiratory tract infection. Allergic cough is another possibility. As there is a fever, antibiotics can be started empirically. Consult a pediatrician and he will direct you accordingly. A chest X-ray and blood routine has to be done as a preliminary investigation. Stalin syrup can be given according to the body weight. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000002486", "text": "Hello! I read your question and understand your concern. In my opinion the way pain on your back, problems with feet and headache may be related to a cervical disc problem. But trouble with memory is not caused by cervical disc. I would recommend a cervical spine CT scan and a head CT scan for the memory problems. A full blood work for inflammation would be helpful in rheumatic pain. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes"}
{"_id": "000002487", "text": "Hello. Your panic attack can occur due to"}
{"_id": "000002488", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some cyst, abscess, infection or malignancy.  You should go for ultrasound study.  Don't afraid of telling it to your parents.  It has no relation with masturbation.  You need investigation and treatment. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002489", "text": "Good morning.!! Babies up to 1 year can pass stools even up yo 15 times a day. Consistency can range from solid, semi-solid to watery. Colour can be anything (worry only if she passes fresh blood). You need to worry only when she becomes dull, not taking feeds, not passing enough urine per day (minimum 6 times) etc. Consult your doctor if any of these red flags are seen. Thank you, have a nice day.!!!"}
{"_id": "000002490", "text": "Welcome to Chat Doctor I have gone through your query and understand your concern. Whenever you feel pain in hip joint you can get your hip join revise. It will take nearly 15 years to hip joint to revise. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"_id": "000002491", "text": "Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. If there is no sign of viral hepatitis then it may be another type of liver damage due to alcohol, autoimmune hepatitis or bile duct obstruction. Extensive Gastroenterology work up should be done. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health."}
{"_id": "000002492", "text": "Hello, I just read through your question. It is possible that the mold from the tub toys are responsible for this. You can treat the fever with Tylenol or Motrin. The congestion may last up to a week, but then it will resolve on its own. If the fever persists beyond 2-3 days, or the congestion beyond 1 week, I recommend consulting with your doctor. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002493", "text": "You have developed angiogram with urticaria. In this patient have recurrent episodes of swelling of particular and personal area along with transient raised itchy rash over body... As anti histamines are the first line treatment start with oral fexofenadine or levocetrizine under dermatologist supervision. Steroids have a place only if antihistamines won't help... Treatment should last for long without gapping for earlier relief...thanks"}
{"_id": "000002494", "text": "Hi, dear. I have gone through your question. I can understand your concern.  You may have lump or it may be ribbed. Just go for ct scan to know the origin of lump and Amy connection with rib or not. If needed go for FNAC of that lump. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002495", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Bilateral upper lobe infiltration is seen in following lung conditions. 1. Tuberculosis 2. Acidosis 3. Chronic hypersensitivity pneumonitis 4. Silicosis 5. Pulmonary fibrosis. So to confirm the diagnosis you should get done bronchoscopic evaluation. This includes BAD (bronchoalveolar lavage) analysis and lung biopsy to confirm the diagnosis. Treatment of all This is different. So better to consult first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002496", "text": "HIT hanks for using Chat Doctor In case, you specific phobia, you need both antidepressant and psychotherapy. You should consult your psychiatrist for management. With antidepressant like paroxetine, gradually, these symptoms would decrease and with psychotherapy like exposure therapy, you would be able to control anxiety as well thoughts that lead to phobia. In case, you need more help, you can ask. Thanks"}
{"_id": "000002497", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No, pain is not due to air pockets. In my opinion, you are mostly having pleuritic chest pain. It is seen with pleurisy (inflammation of pleura). Chest pain on coughing, sneezing is characteristic of pleuritic pain. Most common cause for this is lung infection (pneumonia). So better to get done chest x-ray to rule out lung infection. You may need antibiotic, anti histamine and anti-inflammatory Chat Doctor.  Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002498", "text": "Dear user, don't worry of if it is nothing but lumbar spondylosis. You just take inferential and ultrasonic therapy for 20 - 25 days. With some regular back muscle strengthening exercises you will improve. But you need to correct your sitting posture, as it may be the cause of pain in back. Sit straight always don't bend forward while sitting, avoid lifting heavy objects for few days. Wear LS belt. Within a month your pain will reduce."}
{"_id": "000002499", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Your brother is having orthopnea. Orthopnea is breathing difficulty in supine position which is relieved by sitting position. Most common cause for orthopnea is heart failure. He is above 50 years and also a smoker. So he is at risk of heart diseases like congestive heart failure. So better to consult cardiologist and get done ECG, 2d echo and stress test. He may need diuretics and other cardiac supportive Chat Doctor.  He should quit smoking as soon as possible. Hope I have solved your query. I will be happy to help you further. Wishing good health to your brother. Thanks."}
{"_id": "000002500", "text": "Hello, Since the supraspinatus muscle tear is full thickness then I think you should have surgery to repair it. During the arthroscopic surgery the surgeon will fix also the biceps tendon problem by doing biceps tenodesis. The physical therapy is not the solution for your problem, unless you are very old and your quality of life does not require much movement of the shoulder and arm, and you have other medical problems that stop you from doing surgery, then you can proceed with physical therapy and accept the limitation of range of motions left. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002501", "text": "Hello CharleneThis answer is from a Homeopath. We do have a different approach to cancers. We should get the individuality of the patient, his genetic traits both in the mental and physical make-ups. I do not know whether you understood or not. Please stop all the chemical Chat Doctor.  What exactly was the life situation just before he had a stroke? How he reacted to that situation in mental level? Is he frightened due to the attack of stroke? Is he having fear of death? His present mental and physical symptoms can be very well picked up by an expert Homeopath and give him relief. Please do not lose hope. HomoeopatChatDoctoredicines will improve his general conditions like appetite and thus improved physical conditions will give him more hope and confidence to return to normal. A good counselling also will be helpful. Avoid all chemo. Hospitals may further frighten Jimmy best wishes for a speedy recovery through Homeopathy."}
{"_id": "000002502", "text": "Thanks for your query, I have gone through your query. The swelling between the gums extending into the cheek could be because of the tooth infection or gum infection. Consult your oral physician and get yourself examined and take radiograph of that tooth to rule out the infection. If I am your treating doctor I would have suggested you to take a course of antibiotics and analgesics and after that treat the tooth with RCT or gum with oral prophylaxis. I hope my answer will help you take care."}
{"_id": "000002503", "text": "Welcome to Chat Doctor .stabbing chest pain and numbness tingling in fingers point towards cervical spondylosis .please get cervical spine X-ray ...take neurotics as methylcobalamin .a good option is tab neurons plus .as it is prescription Chat Doctor. .maintain proper posture of neck .no more flexion please ...as you get problem when in stress so please as a precaution get BP checked and ECG done ...regards"}
{"_id": "000002504", "text": "Hello.thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about.will u able to conceive after AKT treatment.right.my answer is.YES. there are chances of getting pregnancy after AKT.u haven't told your age, I assume you're of young age, that means u came under reproductive age group(age 15-45yr came under this group). In that age group chances of getting pregnant is high. But u had diagnosed Tuberculosis of uterus which poses some difficulty in getting pregnant. But DON'T WORRY.everything have solution. Ur next query is- this Chat Doctor.  My answer is-YES, they will affect your conceiving issue. My advice is u have to postpone your planning for conceiving till the treatment is completed. This treatment will effect your baby which is growing inside your womb(medically called uterus)through blood supply,,, if u will take it during pregnancy. This AKT"}
{"_id": "000002505", "text": "It is most likely pregnancy induced hypertension. It occurs in patients with borderline hypertension or sometimes even in normal healthy patients when they get pregnant. Sometimes it may not present until after the delivery. If she was immediately managed then there is less risk, though I can't say anything without the proper reports. Did she have a Seizure after that? And yes complete recovery is possible if there aren't any other complications. The survival would mainly depend on how well she is able to hold up when the ventilator is removed (after stable vitals)"}
{"_id": "000002506", "text": "Hi welcome to Chat Doctor... I can understand you have many question in mind regarding hyperinflation... But see inhalation during chest x-ray as you are advised doesn't lead hyperinflation in fact it is necessary for better x-ray film. Anyway here hyperinflation should be investigated through spirometry examination as well as clinical correlation... As you have smoking habit emphysema changes has to be searched for by above advised spirometry as well as your auscultation and examination ... Avoid smoking if you can get rid of that . Take care .... Advise"}
{"_id": "000002507", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. Your dentist has not given stitches because of less traumatic injury during procedure and titches are not necessary. You are right that you should bite firmly, but you should not bite barely at extraction site. You should first place cotton gauge on extraction site and then bite it for half an hour to 45 mins. You should not put anything from oral cavity to socket because it can carry microorganism with it. Now you should wait for 2-3 days and follow the instructions given below.- Do not swish or throw saliva forcefully out of mouth, because it can dislodge clot inside socket. - Eat soft food from side other than extraction or have liquid diet. Do not suck any liquid with straw.- Give warm compresses on cheek outside extraction site.- Take ibuprofen(if not allergic) or acetaminophen for pain and swelling.- After two days start warm saline rinses 2-3 times day. If it starts paining after 2-3 days which is duration for Chat Doctor.  Doctor may clean socket with Betadine for 2-3 days regularly or prescribe antibiotics. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000002508", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, you can conceive without any fear. Temple (oseltamivir), eyelid (azithromycin) and luminal (N acetyl cysteine), all are safe for pregnancy and fetus. N acetyl cysteine is anti oxidant, anti-inflammatory, bucolic and expectorant in nature. It is having good beneficial effect in lower respiratory tract infection. It is safe during pregnancy, so you can conceive while on luminal."}
{"_id": "000002509", "text": "Thank you for choosing Chat Doctor. I'm sorry to hear that about your son. Rashes can be due to a lot of factors like allergy, infection, heat and some disease.  Fever and a rash can be caused be several viral infections. It depends on the characteristics, the location, what part of the body did it appear first, how it spread to be able to give us a clue on what specific virus caused it. Is it itchy? Painful? It is best to consult your doctor, so he can give you the correct diagnosis and proper management. Hope he feels better soon. Sincerely, Handle Dulay-See, M.D. Pediatrician"}
{"_id": "000002510", "text": "Hi ! Good evening. I am Chat Doctor answering your query. Even though it needs a complete general and local examination along with all related investigations to arrive at a tentative diagnosis of your condition, form your history, it seems to be a systemic problem where there are generalized lymphadenopathies along with involvement of the GI tract resulting in blood in stool. If I were your doctor, I would refer you to a general surgeon and gastroenterologist jointly for a possible FNAC of the localized swellings, and to know the source of bleeding in the GI tract, so that appropriate management could be initiated. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000002511", "text": "Thank you for your contact 1. Tea Tree Oil has natural antifungal properties that can effectively treat jock itch along with other types of skin infections. It also has deep cleansing and stimulating elements along with a powerful antibacterial quality. Use a cotton ball to apply tea tree oil to the affected skin twice daily.2. Apple Cider Vinegar two tablespoons of apple cider vinegar in two cups of warm water. Wash the infected area with this solution and allow it to Chat Doctor. 3. Keep skin"}
{"_id": "000002512", "text": "Thank you for question, don't worry about your child. Dark circles around eyes are very common in anemia with iron deficiency. It is also common with vitamin deficiency like vitamin D.if headache persist then needs Brain MRI will be helpful to exclude any serious cause. Advice"}
{"_id": "000002513", "text": "Dear friend. Thanks for sharing your concern. Third molar is neither esthetically nor functionally important. Therefore it is usually advised to get extracted. In your case, you must take an x-ray which will guide you about the available space in your jaw for eruption of third molar. After that you can decide whether to get the tooth extracted or not.it is your choice, if you are convinced with enough reasons, only then you should get it extracted. Antibiotics and analgesics are temporary relief in this case, permanent solution is always extraction. As this last molar always leads to recurrent infection called pericoronities, due to poor hygiene there. Hope I have answered your query. For further you can contact me through my profile.regards.thanks."}
{"_id": "000002514", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out lung infection in your case because you're have developed chest pain and worsening cough. So get done chest x-ray. If this is normal then no need to worry about lung infection. Possibility of musculoskeletal pain is more likely due to coughing. So take levocetrizine 5 mg twice daily for coughing. Apply warm water pad on affected areas of chest. Take simple painkiller like paracetamol or ibuprofen. Avoid movements causing pain. You will mostly improve with all these in 5 days. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002515", "text": "Hello Thanks for query Posterior wall Intramural fibroid of size 3.4X2.6 Cm generally don't hamper successful pregnancy if it lies in the upper part i.e. body or funds of uterus. Reason for miscarriage can be many hormonal, infectious, uterine environmental. So rule them out step by step Hope I have answered your question well to your satisfaction. Wish you speedy complete recovery at the earliest."}
{"_id": "000002516", "text": "Thanks for your question on Chat Doctor. COPD is a risk factor for pneumonia.  And with heart failure, the chances of pneumonia will be high. So to know whether your husband is suffering from pneumonia or not, please follow these investigations. 1. CBC (Complete Blood Count) if show high WBC count than possibility of infection is high.2. Chest x-ray. If this shows consolidation or infiltration then it is due to pneumonia only.3. If chest x-ray is inconclusive then get done CT THORAX. 4. Sputum routine examination and sputum culture for isolation of causative bacteria. 5. If sputum production is not present than Bronchoscopy and BAD (Bronchi Alveolar Lavage) analysis. So better to consult pulmonologist and discuss all these to diagnose pneumonia in your husband."}
{"_id": "000002517", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint there is a possibility that you might have eaten something very hard that has lead to inflammation of these areas leading to soreness and swelling. Secondly it can also be due to eating something very hot or can be due to allergic reaction to any food or medication. As of now you can take anti-inflammatory painkiller like Ibuprofen. You can also do cool compresses over the area. Avoid eating any hard or hot foods. Dink plenty of cool water and take a soft bland diet. If still there is no resolution or the condition worsen consult an Oral Physician and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor."}
{"_id": "000002518", "text": "Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that your symptoms are not typical of a cardiac disease (including myocardial ischemia). Was the pain triggered by deep breathing or body movements? This would indicate possible musculoskeletal pain. Anyway, considering your past medical history for heart failure, I would recommend going to the ER if the pain persists, in order to perform a careful physical exam and some tests"}
{"_id": "000002519", "text": "Hello, Welcome to Chat Doctor, Tops or lotion is a topical potent steroid lotion usually given for allergic disorders or steroid responsive dermatitis e.g."}
{"_id": "000002520", "text": "Hello, Thanks for consulting Chat Doctor, Read your query, as you have stiffness and heaviness of tongue this can be due to condition like smoke exposure, oral submucous fibrosis, laryngitis, pharyngitis, strep throat and as you have medical condition tuberculosis also, so it can be related to that. I will suggest you that of you have habit of smoking or chewing please quit your habit first and consult oral surgeon for examination of oral cavity and go for its treatment. Hope it will help you. Wishing you good health."}
{"_id": "000002521", "text": "Hi, Thanks fir writing in. Your dad seems to be having stage 4 cancer if the disease started in his large intestine and spread to liver and lymph nodes. This is a difficult condition to treat completely, and patient survival is extended with chemotherapy. The average survival of patients with cancer in large bowel with spread to liver and lymph nodes is two years. He surely is having a lot of pain and discomfort due to which he is getting morphine. Please allow him to be comfortable and discuss pain relief with the doctors. Right now he needs to be given enough pain relief medicines that might help control his pain. Please do not worry."}
{"_id": "000002522", "text": "Hello and welcome to Chat Doctor. Thanks for your query. Stress and anxiety can manifest with not only psychological symptoms, but also with a variety of physical or somatic symptoms. However, a mole or an itchy skin lesion is a dermatological problem and is unlikely to be the direct result of stress. You will need a proper physical examination to determine the nature and cause of your skin lesion.  Irrespective of this, it appears that you are going through a lot of stress, and so, it would be worthwhile to seek professional help for the same. There are effective psychological therapies which can help you acquire better stress management techniques and coping skills. Wish you all the best."}
{"_id": "000002523", "text": "Hi. Thanks a lot for the health query with us. You have an abnormal sensation in the jaw, and it is pulsating is it?and the phenomenon is associated with sweating. It indicates hyperdynamic circulation. Hyperdynamic circulation is fast flowing state of circulation. It could be cardiac-valvular like aortic stenosis or coronary heart disease. It could be general like fever, hyperthyroidism, anaemia etc. Get it investigated and get treated accordingly. Hope we helped you sir. Thank you"}
{"_id": "000002524", "text": "HiT hanks for the query The swelling near the belly button can be most commonly due to paramedical hernia which often is an asymptomatic and do not require any treatment but if it develops symptoms like pain or abdominal bloating it does requires surgical repair. Other than that it can be subcutaneous nodule or cyst in the subcutaneous tissue which also can be removed through minor surgical procedures.  For better opinion it is recommended to visit a general surgeon for complete evaluation ThanksRegards"}
{"_id": "000002525", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should tell her to consult emergency room immediately. Breathing difficulty with hypotension (low blood pressure) and tachycardia (rapid pulse rate) are commonly seen in heart and lung diseases. So ask her to visit emergency room and get done 1. Blood pressure monitoring 2. ECG and 2d echo to rule out heart related diseases. 3. PUT (pulmonary function test) for the diagnosis of lung related diseases (bronchitis). She Mayan need cardiac supportive Chat Doctor.  Don't worry, she will be alright with appropriate treatment. So tell her to visit emergency room as soon as possible. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks."}
{"_id": "000002526", "text": "Hi, Your doctor must have prescribed Diane to treat acne and hirsutism associated with POD.  Diane contains ingredients similar in action to hormonal birth control pill. Cyproterone acetate contained in it is a progesterone derivative and ethinylestradiol present in it is a synthetic estrogen. So this tablet is also an effective combined hormonal contraceptive. It is as effective as any other combined hormonal pill.  Therefore, if you have been using this pill correctly as per the instructions there is no need to use emergency contraception.However, there is a very small possibility of method failure as in birth control pill. So if your periods get delayed get a pregnancy test done. I advise you to use barrier method of contraception like condom along with Diane to protect yourself from sexually transmitted diseases. I hope I have answered to your satisfaction. If you have any further queries do contact me through Chat Doctor"}
{"_id": "000002527", "text": "Hello, Thank you for contacting us at \\\"Ask a Doctor\\\". I will try to answer your questions the best of my ability. I have reviewed your questions, and it is certainly possible that you have a so-called Costco Chat Doctor.  The other possibility would be a simple intercostal muscle strain in the same region.  If you not have any swelling present then this is very unlikely to be something like a hernia.  Also, spleen problems do not present in this way, and so this would also be very unlikely. I think at this time it will be sensible to avoid any lifting.  You can certainly take over-the-counter remedies such as ibuprofen or Tylenol if it is particularly painful.  A local application of ice in the form of a bag of crushed ice applied for about 10 min. 4 or 5 times a day, would certainly help.  I would continue with this approach for the next 5-7 days.  If after this time, your symptoms are worse, or you have developed any new symptoms I would certainly consult with your primary care physician.  At this time I do not see the need for further tests or x-rays, et cetera.  I feel confident that this condition will settle in due course. I hope this information is helpful.  Please don't hesitate to contact me again if you have any further questions. Best wishes, A"}
{"_id": "000002528", "text": "Hello, Thanks for the query to Chat Doctor. Forum. I want to explain that normally AST & ALT (GOT & SGPT) are 5-50 I U. But here on point is very important that if level is more than 300 I U than it is a cause of concern according experts. Mile elevated level of got, Sept have no specific because each and every Chat Doctor.  Still ultrasound of liver play and important role in few diseases but , if liver not enlarged and still patient feel discomfort then please get in liver biopsy which is important tool in diagnosis liver disease. Consult a physician and get his opinion as physical examination play an important role in liver disease. Good luck."}
{"_id": "000002529", "text": "Hello, Thank you for trusting Chat Doctor. Muscle twitches are normal after strain, threshold varies between individuals based on their fitness level. Your doctor was right prescribing iron based on He level and being a lady, plus you can add some multi vitamins with vitamin B complex in them but refer to your doctor always before taking any new medication even multi vitamins, and remember to Chat Doctor.  I don't think it's a nerves issue. Hope that helped. Best regards,"}
{"_id": "000002530", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more likely. GERD is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause burping, chest pain, breathing difficulty etc. So avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Avoid stress and tension, be relaxed and calm. Lose weight if you are obese. Take pantoprazole and levosulperide combination on empty stomach twice daily. Quit smoking and alcohol if you have these habits. 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."}
{"_id": "000002531", "text": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. HSG test as such does not have any effect on the cessation or delay of the cycle. The delay in getting the periods can be due to some hormonal changes. HSG test just suggests about the patency of the fallopian tubes on X-ray.  If you have delayed periods and your pregnancy test is negative, then you can simply wait for the onset of periods or induce the periods with progesterone tablets. Your treating doctor can guide you further about the same. I hope this answer helps you. Thanks."}
{"_id": "000002532", "text": "Thank you for query.it may be folliculitis.please use topical antibiotics like funding or silvered. You wear loose cotton clothes.see that there is no friction or irritation. Have good aeration in the area. You can use antihistamines like cetirizine, and analgesics like broken if needed. Consult doctor if it does not subside else You can get back directly to me for any clarifications with the photos. Chat Doctor."}
{"_id": "000002533", "text": "Thanks for your question on Chat Doctor. I can understand your concern. You are having hemoptysis (blood in sputum). Most common cause for hemoptysis is lung infection. Other causes are tuberculosis, bronchitis etc. So consult pulmonologist and get done chest x-ray and PFT (Pulmonary Function Test). You may need antibiotic and inhaled treatment on the basis of reports. And please quit alcohol Chat Doctor.  Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002534", "text": "Fellow years back your husband treated for pulmonary tuberculosis for 6 months (complete treatment). Now again he is having fever (subsides) severe cough. Since this cough may be due to upper respiratory infection or due to some sort of allergy. Only physical examination will confirm the diagnosis. As far as concerned about recurrent infection of tuberculosis (relapse) . 1 Your husband (this time) is having fever from last one month with cough, these two symptoms are an indication of relapse of tuberculosis. Diagnosis can be confirmed by X-ray chest, sputum for A F B, blood for C B C, E S R, TUBERCULIN test .2 Fever has subsided but cough still present. This is also an indication of relapse. So in my opinion consult CHEST & TUBERCULOSIS specialist and get his opinion. If untreated (tuberculosis) 2nd time this may develop into M D R T (multi Chat Doctor. Good luck."}
{"_id": "000002535", "text": "Hello, thank you for posting your query here.  First, debris in bladder and dye staying in bladder for a longtime means she has dysfunctional voiding, that is she does not pass urine well. Some causes are constipation, urinary infection, toilet training issues or habitual. I would advise you to"}
{"_id": "000002536", "text": "Hi, thanks for writing. Yes, follicle has ruptured means ovulation has occurred, and you need to have intercourse in and around this time to attain pregnancy. If you don't get pregnant in this cycle, repeat the same for next 2 cycles. In the post ovulatory period take phaeton for 10 days for luteal phase support. The chance of pregnancy increases with this. Hope I have answered your query. Good day."}
{"_id": "000002537", "text": "Hello, I have studied your case and I think you might be having infection in your knee that can cause such lump. These things should not be taken lightly, and you need to see doctor as soon as possible. If there is any infection then this fluid needs aspiration, and then it should be sent to culture, and then you should receive antibiotics accordingly.  I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks"}
{"_id": "000002538", "text": "HI, Welcome with your query to Chat Doctor. Based on the facts of your query, after its review, In my opinion you should not handle repeatedly, as it has increased in size with resultant big size on next morning and chances of getting infected and turning in to abscess. Remedy-I would suggest immediate-consultation with your GP doctor, and Take-Tab Of lox / Tab Motrin / Cold compresses to reduce its size over next 2-5 days. If it does not regress, Surgical Chat Doctor. So don't wait for summer to go. Act fast. Hope this reply resolves your worry with your queries. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!!"}
{"_id": "000002539", "text": "Hello Mrs Saga, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows"}
{"_id": "000002540", "text": "Dear- I understand your concern and will give you my medical advice. Lumbosacral neuritis is a painful condition. You might have a bulging disc or spinal stenosis, however, it is most likely that is a bulging disc pressing the nerve that is causing this problem. It might be related to the fall, but the most important thing is to have an MRI of that area and see what is the level of damage. Epidural block or as last resource, surgery, should be considered. In terms of the knee, Baker cyst sometimes requires surgery to relieve the pain. The numbness of the left knee is from the neuritis and the accumulation of fluid. Thanks for using our service Chat Doctor."}
{"_id": "000002541", "text": "Hi, Based on the details you had headache during post-natal period for which lumbar puncture was done to know CSF opening pressure and to rule out any infections. Now you have coccyges pain (you meant to say pain in the tail bone). Lumbar puncture is done at L3-L4 or L4-L5 vertebral level. Pain secondary to CSF Chat Doctor.  Coccyx is the tail bone seen after sacrum should consult Neurologist for the neurological examination and determine the level of pinyon may also require MRI lumbosacral spine with focussing on sacrococcygeal region require, analgesic, neuralgic"}
{"_id": "000002542", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Right sided chest pain with radiation to right shoulder joint and breathlessness are commonly seen with lung diseases like lung infection and bronchitis. So we should first rule out these. So consult pulmonologist and get done 1. Clinical examination of respiratory system.2. Chest x-ray 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. He will mostly recover with antibiotics, inhaled bronchodilator and inhaled corticosteroids. So first diagnose him and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002543", "text": "Hi. Can understand your concern. As per your complaint pain in a root canal treated tooth is due to infection below the root tips of the tooth. When the infection is mild there is some amount of pain and the bodies immunity plays its role to wall off the infection and cure. When the infection increases there is Abscess formation below the root tips of tooth and when there is no escape way for pus it creates pressure on the nerve fibers in the region and causes pain. Pain rising during lying done to sleep indicates that there is pus formation which causes more pressure while lying done causing increased painHeadache can be due to radiating pain from tooth and to cure it treatment of tooth has to be done. I would suggest you to consult a dentist and get an x-ray done to check for the level of infection. In case if there is abscess formation a 10 days course of antibiotics like Augmenting 625\\u00a0mg twice daily and painkiller like Ibuprofen twice daily along with Pantoprazole 40\\u00a0mg empty stomach in morning can relieve. But in case if there is no relief and the symptoms of pain aggravates or swelling occurs you need to get the root canal treated repeated, or the tooth needs to be extracted. Hope this information helps. If you find the answer helpful please write a positive review and click on found this answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. ."}
{"_id": "000002544", "text": "Hi welcome to Chat Doctor forum.  Thanks for asking a question to Chat Doctor. F.  You had abdominal pain since few weeks. sometimes light and sometimes heavy. Sometimes pain radiating to left side of chest. You also get pain and numbness of left leg. Pain in lower abdomen is constant, Period is late by 4 weeks. And you have got an eating disorder.  As pain is constant in lower abdomen, and coming down to legs, it appears to be the urinary tract infection, or stones in the urinary tract. Other causes are worms in the abdomen, if female, pelvic disease may be there.  I advise you to consult a surgeon for diagnosis and treatment.  Best regards."}
{"_id": "000002545", "text": "Hello, I have gone through the query and understood your concern. You had the intercourse during the fertile period. You took the emergency pill at 28 hours and this puts you at about 70-80 percent protection. Furthermore, you also had some early spotting around the date of your expected period. In this scenario, I would ask you to go for the estimation of the serum beta-ChatDoctor titles and if positive for pregnancy, go for further management with your consultant. You also need a trans-vaginal sonogram for further clarification of pregnancy, the location and the age of the gestation sac and the viability. Hope this helps."}
{"_id": "000002546", "text": "Hello, Yes, the doctor will definitely contact you immediately if he found something abnormal in a chest x-ray. So no need to panic about it. In my opinion, you should also consult a psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You will also need anxiolytic Chat Doctor.  Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002547", "text": "Hi, Thank you for posting your query. I have noted the symptoms of your mother-in-law. She has features of dementia, most likely caused by Alzheimer's disease (AD). AD is a condition, where there is cerebral atrophy (shrinkage of brain), leading to loss of brain functions, including memory. The exact cause is not known, however, it is a degenerative disease. As of now, there is no cure for AD. However, with proper care and nursing, life expectancy can be almost normal. 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/"}
{"_id": "000002548", "text": "Cellophane you for trusting ChatDoctorDear post-traumatic headache may experience in with in 7\\u00a0years after injury. It may mimic migraine headache. Dear what Chat Doctor. Tricyclic antidepressants may be useful. Nsaid may cause rebound headache. Include physical therapy, biofeedback/relaxation therapy, nerve stimulators, and cognitive behavioral therapies is useful. Please consult your neurophysician he will examine and treat you accordingly. I think I answered to your question if you have more questions feel free to ask. Take care"}
{"_id": "000002549", "text": "Hi, You seem to suffer from telegenic effluvium. There are many causes. One has to find out the particular cause and that is to be treated. Kindly consult the dermatologist for the perfect diagnosis and proper treatment.  I would suggest ....- apply mild steroid lotion on the scalp daily-take biotin 10 mg daily-take treatment of underlying disease-herbal oil and shampoo may used hope this would help you. Thanks."}
{"_id": "000002550", "text": "Hi, Do continue taking Lyrics, it is a medication used to relieve neuropathic nerve pain or pins & needles sensation associated with diabetic causes, carpel tunnel syn Chat Doctor.  It looks like you are having discomfort due to developing neuropathy. Get all Nerve Function tests done & get evaluated for the cause of pins & needle sensation. Treatment of pins & needles sensation depends upon the cause.  For your rashes, you can apply locally HY"}
{"_id": "000002551", "text": "Hey, First of there is no relation between periods and heartburn. Heartburn due to gastritis in most of the cases. Junk and spicy food may lead to same. Avoid this kind of food. Avoid overeating. Have any proton pump inhibitor like omeprazole once or twice a day for few days. That will combat your heart burn. Regarding periods its quite common to have irregular periods. You can have advice by Obstetrician and gynecologist for same. Most of the cases its sports related and next is might be Polycystic ovarian disease."}
{"_id": "000002552", "text": "TO PIN OUT ALLERGIES WE HAVE TO GO FOR TESTS OTHERWISE NOT ABLE TO FIND WHAT IS CAUSING IT YOU CAN THINK OF ENVIRONMENTAL ALLERGENS AND GET BLOOD TESTED FOR THESE ALLERGENS PREVENTING I CAN GIVE YOU iPhone USE MUSTARD COCONUT WALNUT GROUNDNUT ALMONDS SOYBEAN OIL USE OLIVE FOR COOKING AND APPLICATION USE NONTOXIC SOAPS SHAMPOO CREAMSAPPLY NEWSPRINT H EYE OINTMENT IN NOSE BD FOR PREVENT SNEESINGPUT Seawater Chat Doctor."}
{"_id": "000002553", "text": "Brief answer"}
{"_id": "000002554", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. Schizoid personality disorder people could show manic behaviors. Preoccupation with fantasy and introspection and facing criticism could trigger mood swings and sometimes manic episodes, in very few cases. But, here, your friend may not be even having schizoid personality disorder. In every possibility, he could be bipolar. Consult a psychiatrist / clinical psychologist for correct diagnosis and start treatment. 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."}
{"_id": "000002555", "text": "Hi and thank you so much for trusting us with your health query. I am so sorry to hear about this small bowel obstruction.  They all present with abdominal pain. However, with small bowel obstruction you would have vomiting, absence of stools and the pains are often very severe. It may not be very clear to non-professionals, but it takes very little for a physician to make the difference. I am happy that you are alive. Whether you would have died or not is something we cannot speculate. Though late arrival in the hospital could see complications significantly increased, it cannot conclude that you would have died. Please, always seek medical attention when sick. It is better to rather than to forgo and face severe complications later. I hope you find this helpful. I wish you well. Thank you so much for using our services, and please do feel free to ask for clarifications or more information if need be."}
{"_id": "000002556", "text": "Hi, Welcome to Chat Doctor forum.  It appears that he would have a urinary tract infection, or a stone in the kidney, or ureter. The advice is to Chat Doctor.  But he also must be treated for the infection, pains, and weak less.  I advise you to consult a physician for diagnosis and treatment.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to compensate the weakness, and resistance against the infections.  Wishing for a quick and complete recovery. Thank you."}
{"_id": "000002557", "text": "Hello,1. Please ensure there is no gastroenteritis (bacterial) with a stool routine/ culture studies. If there is fever, he will need a complete blood count, CRP, liver function tests. 2. Metformin itself can cause cramps, diarrhea.3. A stat capillary glucose check is important.4. Itchy skin rash can be taken care with antihistamines such as cetirizine 10\\u00a0mg or Exocet 5\\u00a0mg. People with diabetes can get a fungal skin rash that is variably itchy and not much red, for which antifungal creams are required. See your doctor if the antihistamine tablets do not help. Best Wishes."}
{"_id": "000002558", "text": "Hello, Hypothyroidism (low TSH) can cause infertility and miscarriages. Before conceiving you should be in Synthroid. The optimal dose is 75 mcg, and it has to be monitored once in a month, whether it is adequate or not. If not again dose has to be adjusted, if TSH is normal, then repeat the test every 3 months. You have to take thermoform on an empty stomach early in the morning before breakfast. Before conceiving your TSH level should be normal. Otherwise, it will be dangerous to your growing baby. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002559", "text": "Hi.... By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor.  But, skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000002560", "text": "hiFrontotemporal lobar degeneration (FTLD) is the name for a group of clinically, pathologically and genetically heterogeneous disorders associated with atrophy in the frontal lobe and temporal lobe of the brain, with sparing of the parietal and occipital lobes. In the over 65 age groups, FTLD is probably the fourth most common cause of dementia after Alzheimer's disease, dementia with Lewy bodies and vascular dementia. In the below 65 age groups, it is the second most common cause after Alzheimer's disease. In some patients the symptoms of FTLD and Alzheimer's may overlap so what your was suffering either of the two1 fast with Chat Doctor. .with"}
{"_id": "000002561", "text": "U need some rest. Avoid any intercourse for few weeks. U got posterior annular ligament tear. It might progress to diffuse disc bulge. Need not worry. It'll not be transferred to your kids. U need absolute lifestyle modification for 4-6 weeks. Do some physio. Lie on flat couch with soft pillows underneath your thighs n knees. U ll be better soon as there's mild disc blue. For cervical problem, avoid pillows avoid lifting heavy objects"}
{"_id": "000002562", "text": "The main risk following splenectomy is overwhelming infection, or post splenectomy sepsis. The risk of post-splenectomy sepsis can be reduced by vaccinations and preventative antibiotics. If you were not vaccinated prior to surgery, you should arrange to get the vaccines once you have completely recovered from the operation. Hemophilia Influenza type B (His), Pneumococcal vaccine, Meningococcal group A, C, Y, W135 and B should be taken. The vaccination schedule will be advised by your General Physician. You will also need either daily antibiotics or emergency antibiotics when you are unwell. That will be again prescribed by your Physician. Seek medical attention when unwell, present to your GP or nearest Emergency Department. Look for high fever, cough with phlegm, flu-like illness and sore throat. Take special care to avoid infections."}
{"_id": "000002563", "text": "Sudden onset of a set of symptoms like sweating, cold hands & feet, tingling/ numbness, anxiety may be a panic attack. They typically occur suddenly without a warning and will settle in 15 to 20 minutes time. This may lead to depression and a fear of having another attack at any time. During the attack you may also feel like you will lose control of yourself, or you may be getting a fear that it is a heart attack. You may consult a psychiatrist for these symptoms. Panic disorder is a highly treatable condition. Your psychiatrist may also prescribe tests to rule out medical conditions that may cause panic, such as hypertension, hyperthyroidism, etc. Hope this helps."}
{"_id": "000002564", "text": "Hello dear, warm welcome to Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with adenoid enlargement following respiratory infection most likely.* Need to get another group of antibiotic (as Caroline or cephalosporin with your doctor for better coverage.* Additionally gargles with salted lukewarm water added peppermint oil 3 times a day will improve faster. Hope this clears your query. Regards."}
{"_id": "000002565", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged lymph node due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma.  Or you may have some tissue tumor like lipoma or neurofibroma. You should go for fine needle aspiration cytology or biopsy of that lump.  It will give you exact diagnosis.  Then you should take treatment according to diagnosis. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002566", "text": "Hi, Welcome to Chat Doctor . Pain in ovary or uterine region is not due to conception.  These are mainly due to side effects of progesterone which will be given after GUI.  Chances of conception are good as GUI is done. Problem of ascend and reaction towards sperm is solved. But it is also true pregnancy happens by luck and chance. There is no 100% guarantee for any treatment. Hope I have been helpful. Regards Chat Doctor."}
{"_id": "000002567", "text": "Thanks for your question. The symptoms you describe are certainly suggestive of early pregnancy and a follow-up pregnancy test would be recommended. The fact that two pills were missed may have allowed the ovary to form a hormone producing cyst that could also produce these symptoms. Ultrasound would help determine if this were the case. However, these are all side effect symptoms that can be seen with women who use hormonal contraception for birth control. Ectopic pregnancy (pregnancy that develops outside the uterus, usually the fallopian tube) can also present in this fashion, the reason that follow-up pregnancy testing is indicated. I hope this answers your question. I am available for further consultation if needed."}
{"_id": "000002568", "text": "Hello and welcome to Chat Doctor. As a Urologist, I can understand your concern. Maintained dialysis to maintain kidney function, vomitting is common. The causes are various, including electrolytes disequilibrium, Chat Doctor. P.fluctuations, etc. The safest step is to avoid home or OTC remedies and take him to hospital. His tests will tell us the cause and start treatment and dialysis if needed. He should take low salt and protein diet, avoid fresh fruits and take all"}
{"_id": "000002569", "text": "Hello thanks for consulting at Chat Doctor.it might be due to post-operative infection following endoscopy, or it may also be specific oral infection may be present either periapical or periodontal etiology, either ways do take tablet analgesics and u may need antibiotics under the guidance of your treating physician either GI surgeon or general physician or oral medicine specialist,hope it helps,take care."}
{"_id": "000002570", "text": "Hello, It is indeed a cause for concern if you have hyperprolactinemia and this can cause infertility and hence, needs to be corrected. Treatment of hypothyroidism is not responsible for this condition; in fact, the hormonal defect could be an associated factor, and you may need further investigation and treatment for multiple hormone imbalances that could lead to infertility. Hyperprolactinemia can be simultaneously corrected through medication once organic causes are excluded. Hope this helps."}
{"_id": "000002571", "text": "Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions"}
{"_id": "000002572", "text": "Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* The reason for weight loss needs detailed case evaluation with physical examination and study of the reports done till date.* For chest and back pain primary relief can best obtained with PPI as omeprazole and analgesic as ibuprofen (400) mg after meals if no history of Chat Doctor. * If you have financial issues to pay for answers, can anytime request to customer care personnel to ask me premium question free of charge complimentary. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards take care."}
{"_id": "000002573", "text": "Hi, Thanks for posting your question here, I will try to answer it to the best of my abilities. Shortness of breath isn't a side effect we usually associate with contraceptive pills, as such I am sure the cause is something else. I recommend you see a doctor as soon as possible, after a X-ray of your lungs and listening to your breathing sounds using a stethoscope we may be able to diagnose the problem and then treat it accordingly. I hope this answered your question."}
{"_id": "000002574", "text": "HelloThanks for your query, based on the facts that you have posted it appears that you have developed infection of Foreskin (Prostatitis) due to allergic reaction to acidic secretions of vagina. You need to take broad spectrum antibiotic like \\u010ceferin and anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely."}
{"_id": "000002575", "text": "Hi Welcome to Chat Doctor As per your history you are suffering from unexplained infertility. As you are already 34 yrs (with increasing age and time to conception fertility further reduces) and have been trying for 3 yrs, you need to be thoroughly evaluated by doing a laparoscopy+ hysteroscopy. Why Laparoscopy?? Sometimes few patients may have minimal endometriosis or mild adhesions which may affect the function of tubes and leads to infertility. By doing laparoscopy adverse factors if any can be ruled out or treated. Also tubes can be evaluated under direct vision Hysteroscopy is the procedure where inside uterine cavity is viewed using a camera and if any pathology found can be treated at the same time. Laparoscopy is a day care procedure where you can go same day or next day morning. Don't get scared. As your doctor already said you can try GUI after laparoscopy because immediately after surgery there is good chance of conception. If 3 Luis fail after laparoscopy you can go ahead with IVF. IVF can be done directly, but you need to undergo hysteroscopy before IVF for the reasons explained above. Trust your doctor.  All the best"}
{"_id": "000002576", "text": "Hello and welcome to Chat Doctor Hepatitis A infection does not cause chronicity, so it usually clears away with medication. Medication has cleared away the infection so all your liver function tests are within normal limits. However, the entire disease process causes a lot of weakness. It may take some more time to recover completely. Take care of your diet. Take nutritious food and enough calories. Start with your running practice slowly over a period of time. Thanks and take care Chat Doctor."}
{"_id": "000002577", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having post infectious bronchitis. It is common after lung infection. It is actually due to inflammatory process in trachea after infection. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only confirm the diagnosis, but it will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You will need newer longer acting inhaled bronchodilator like formoterol or albuterol. Also start inhaled corticosteroids (ICS) (budesonide or albuterol). No need to worry about ICS. They act locally without any systemic side effects. They are best in action to reduce inflammation in trachea. Don't worry, you will be alright. Consult pulmonologist and start newer inhaled treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002578", "text": "Hi, uncles age? Small projection in liver may or may not be cancer. We have to do a USG guided FNAC for the confirmation. I have to look at the CT scan films to comment about the operability of the lesion. Ur uncles condition is to be assessed for surgery and how much benefit we will get with surgery. U can mail me the photos of CT scan. The cost of treatment is different at different places in India. At my center in Ajmer Rajasthan, it will cost around rs. 80,000 in general ward."}
{"_id": "000002579", "text": "Hi, It can be due to bacterial infection. Need to send a picture of the affected part to comment more on it. Is he diabetic?  In case of uncontrolled diabetics skin and soft tissue infections in leg is a common issue. Do blood routine investigation and sugar levels in blood to rule out infection. In case of infection antibiotic therapy will be required. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000002580", "text": "HI, Welcome with your query to Chat Doctor. Based on the facts of your query, your daughter seems to have chronic bump with abscess discharging from it.It's due to the chronic infected tissue of the earlobe, which is not attended by a doctor. Remedy-Consult a Surgeon, Who would assess and treat it by Antibiotics/Anti-inflammatory/Surgical Chat Doctor. Hope this would help you. 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!!"}
{"_id": "000002581", "text": "Hi, Sorry about your predicament. I guess by kinked ureter to your right kidney you mean retrieval ureter which means ureter goes behind the large blood vessel, and it is compressed by it. You need to consult your urologist as you are still getting pain 10 months after surgery. There is a possibility that your ureter is still obstructed. You will need certain radiological investigation which your urologist will advise you.  Your increase in BP is most likely not related to your surgery. It is incidental, and you will need physicians opinion for that. Your previous surgery will not cause hypertension unless your right kidney has become non-functioning."}
{"_id": "000002582", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. It is due to albuterol only. Albuterol is strong beta 2 agonists. It is basically bronchodilator in nature. It is having side effect of fat burn and weight loss. Furthermore, it is strong sympathomimetic Chat Doctor.  And all your side effects like shaking, tremors, pain in forehead, eyes etc. are due to sympathetic over activity caused by albuterol. So better to avoid albuterol for weight loss. It is not US FDA approved"}
{"_id": "000002583", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Var inhaler is having beclomethasone. It is inhaled corticosteroid (ICS). It is first line treatment for asthma. Furthermore, it is anti-inflammatory and hence it is preventer medicine. Your daughter might be having asthma. She is not having any symptoms at present, so her asthma is controlled with this inhaler. You are talking about rescue inhaler which is used in emergency situations where asthma is not controlled by preventer inhaler. So better to continue var in your daughter as it has controlled her asthma. Give her for 1 year, and then we can taper it down. Don't worry, she will be. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks."}
{"_id": "000002584", "text": "Hello and welcome to\\\" Ask a Doctor\\\" service. I have read your query. It is not necessary to rush to the ER, your wife may use paracetamol or ibuprofen for the pain. In the incoming days she should get evaluated further for that dilated vein. Temporal arthritis is a condition to consider. Discuss with the primary care Doctor for these issues. Hope you found the answer helpful. Let me know if I can assist you further."}
{"_id": "000002585", "text": "Hi, Welcome to Chat Doctor forum.  The reading of alkaline phosphatase suggests that there is some problem with the liver, may be hepatitis, fatty liver, etc. Your doctor ordered for ultrasound to find whether there is swelling of the liver, and if it is there tests are to be done to find the exact reason.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have good health and resistance.  Wishing for a quick and complete recovery. Thank you."}
{"_id": "000002586", "text": "Hi thanks for contacting Chat Doctor... According to history your mother mostly having alcohol induce hepatitis....First stop alcohol Chat Doctor. .... Low fat diet advisable as inflamed liver cant digest fat easily. Refined food avoided. Trans fat like junk food, ghee, butter ,meat less ..... Green leafy veg more. Take some good food for liver like.....-mustard green -spinach -papaya -carrot -dandelion -grapefruit juice -Indian gooseberry etc..... Rest done.... If needed viral marker study done for viral hepatitis.... With keeping this in mind you can consult her to gastroenterologist. Take care."}
{"_id": "000002587", "text": "Hi thank you for trusting ChatDoctorI read your query and understand your concernFirst I am sorry for the symptoms you are suffering, but you have to be calm as your symptoms don't lead to any risky disease In my opinion it may be caused by isciadicus nerve root inflammation It can be cured with gabapentin or pregabalin slowly increasing dose may confirm my doubt by scheduling an ENG with will determine the nerve suffering and probably it causeDiscuss with your doctor about my opinion Hope I have been of hellish you good health and fast recovery Feel free to ask for further questions or doubts Best regards Chat Doctor."}
{"_id": "000002588", "text": "Hello Dear, Thanks for your query, I will be most happy if I could help you out. After going through your query, In your query, you have not mentioned if you are still having pain at the site of extraction?? If I were your treating doctor, and If you are otherwise healthy and not experiencing any pain or other problem, your medication should be completed by a week or less. I think that your dizziness may be caused by the Ibuprofen tablet which you are taking since 1 week. Dizziness is one of the commonest side effect of ibuprofen.- Chat Doctor. - Consult your dentist regarding completion of the medication. Hope this will help you. If there is any more query or question regarding this in your mind, you are free to ask any time. Thank You and Take Disregards"}
{"_id": "000002589", "text": "HI. Thanks for your query and an elucidated history. You have a classical history which says that the pain on the left side of abdomen increases on empty stomach or after eating. This relation with the food habits indicates the following reasons"}
{"_id": "000002590", "text": "Pills are almost 100% effective if you take them every day at the about the same time and rarely miss a pill (double up if you miss and use back up if you miss more than once). It doesn't matter if you don't have. If you pleader regularly or if you spot. They are still that effective if taken correctly.  Usually women on the pill have fewer cramps than women who don't take the pill because bleeding I s usually much lighter. It does however take a few months for your body to adjust to the changes caused by the pill. If you are continuing to have severe cramps through the next couple cycles it will be time to be evaluated for some other things that can cause pain such as an infection. I hope this information helps. The nausea should also decrease over time. If it continues you might want to try changing when you take your pill. Sometimes it's better to take it with a little food."}
{"_id": "000002591", "text": "Thanks for your query, I have gone through your query. The lump over the side of the jaw can be an enlarged lymph node secondary to any tooth or gum infection. The other possible cause can be a fibrous or lipoma. Consult an oral physician and get it evaluated. Meanwhile you can start with a course of antibiotics like amoxicillin(if you are not allergic). Nothing to be panic. I hope my answer will help you, take care."}
{"_id": "000002592", "text": "Hi. Thanks for the query. Pain after 3 days of extraction and graft can be due to Infection at the site or can be inflammation that is a regular course of any surgical procedure. If the pain is unbearable then you should consult an Oral Physician and get evaluated. A clinical examination and x-ray of extraction site should be done so that the exact cause of the symptoms can be ruled out. For now, you can take Motorola or Tramadol for pain relief. Do cool compresses over the cheek. Apply Lidocaine gel over the extraction site. Hope this helps. Regards."}
{"_id": "000002593", "text": "Hi. Pain for no obvious reason and so much weight gain has to be investigated. I would advise"}
{"_id": "000002594", "text": "Hello, Yes, Vilest pill can cause these side effects. Vilest is a combined contraceptive pill containing an estrogen and progesterone. The most common side effects of combined contraceptive pills like Vilest include headache (migraine), high blood pressure, swollen feet (fluid retention), breast tenderness and the most serious one being an increased risk of getting a blood clot in a vein, such as a deep vein thrombosis (clot in the leg) or pulmonary embolism (clot in the lungs). All these side effects appear to be due to estrogen present in the pills. To overcome these side effects you may start taking the progesterone-only contraceptive pill (after consulting a doctor) which does not contain any estrogen and hence less like to cause those side effects listed in your query. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000002595", "text": "Hello and welcome to Chat Doctor. Thank you for your question. I understand your concern. Your father appears to have trifascicular block or third degree atrioventricular block. No matter which is the right diagnose of these two, pacemaker implantation is indicated. I can understand that your main concern is about his age, since he is in the oldest old age-group of patients (a sexagenarian). I would take the liberty and inform you that the oldest patient to have pacemaker implanted, in our clinics experience, is a 103 years old lady. As I write, she should be 106 by now and was last checked month. Even though the greatest fear is that this is a delicate age, my opinion is that pacemaker implantation is a safe procedure. Of course, I am not saying that the risks are the same for him, as they are for, let us say, a 65 years old person. Still, my opinion remains the same. I hope I was helpful with my answer. Good luck."}
{"_id": "000002596", "text": "Hello have gone through your question. I can understand your concern. You actually have a basal-bolus injection regimen with 28 UI long acting insulin twice a day and 15 UI before each meal. This means that your total insulin doses is 101 UI/day. You need a large daily doses of insulin to control your diabetes, so in these circumstances it is not recommended to change the regimen of inline therapy and to start using Humalog 75/25.(You can discuss the problem of prescription coverage with your treating endocrinologist and find a way how to solve this problem.) Humalog Mix75/25 is a mixture of insulin bistro solution, a rapid-acting insulin and insulin bistro protamine suspension, an intermediate-acting blood glucose-lowering agent. This insulin is used with another insulin regimen(different from your actual insulin regimen) that in my opinion is not the right choice to control your diabetes, for the moment. So, My answer is"}
{"_id": "000002597", "text": "Hello, Thanks for the consult... Brief answer, Surgery is needed for that cyst. Detailed Explanation,1. I read your query and I am happy to help you. You already mentioned that your son has cyst on his inner thigh.2. This is similar to cyst called Lipoma because it is soft and change locations, but chills in lipoma is unusual 3. Chill represents the infection is systemic4. Kindly advice ultrasound at the site of cyst5. Excessive sleep is due to hard work for the past 3 days and loss of appetite is due to systemic infection6. Surgery is the final treatment of choice in this case Hope this information helps"}
{"_id": "000002598", "text": "Hello and welcome to Chat Doctor I would think of a possibility of fungal infection OR Tina. Tina is fairly common in the belt area and lower abdomen. She is overweight doesn't help her either. Clinically Tina presents as red, scaly, itchy plaques with raised margins and central clearing. The patches extend peripherally. I would suggest a KOH wet mount from the scale for a confirmatory diagnosis. Treatment for a fungal infection is with topical and oral antifungals. Topically she could use an OTC antifungal e.g. clotrimazole cream, twice daily for 2-4 weeks. Oral antifungals e.g. fluconazole can also be started for a confirmed fungal infection. The dosage would be 150 mg once every week for 4-6 weeks. An OTC antihistamine e.g. cetirizine 10 mg once daily would provide symptomatic relief from itching. Hope this helpsRegards"}
{"_id": "000002599", "text": "Hi Welcome to Chat Doctor forum. You have got the correct information. Generally in a cycle of 28 days we call a specific period known as \\\"safe period\\\" which is for a week from her last date and again the week before she expects her next cycle. Having an intercourse during this time will have very minimal risk of pregnancy, but do make sure that the cycles are regular, else this method may not hold good. The remaining days from the first week up to 21st day of the cycle is considered fruitful period were chances of fertility is very high to get you pregnant. Wish you good health"}
{"_id": "000002600", "text": "Hello, The medicine which you have mentioned are mostly safe. The risk of affecting your child is very less with these. However almost every psychotropic medicine is passed in breast milk and may cross placenta. At the same time I would like to mention that the risk of affecting the baby is more with illness than with medicines. So you can become pregnant provided you keep a regular follow up with your psychiatrist. Thanks."}
{"_id": "000002601", "text": "Thanks for your question on Chat Doctor. Since her chest x-ray and blood reports are normal, I think asthma or cardiac cause (valvular heart diseases) may cause such symptoms. So get done PFT (Pulmonary Function Test) to rule out asthma. Get done ECG and 2D Echo to rule out cardiac cause. If all are normal than no need to worry much. It will mostly stress related only. So consult psychiatrist and get done counselling sessions. Try to identify stressor in her life and start working on it. Avoid stress and anxiety. Be relax and calm."}
{"_id": "000002602", "text": "Welcome to Chat Doctor! I have read your question carefully and from my clinical experience I can say that the pain you have been having is not likely to be related to the past appendectomy surgery. The surgery was one long back and was successful without any complication, so the current pain symptoms are due to something else (even is the site appears to be similar one.) I think you should meet a doctor, get an ultrasound abdomen done along with routine blood test and see what is causing it. For the acute pain, you may go for painkiller injections"}
{"_id": "000002603", "text": "Respected user, thanks for using Chat Doctor.come have evaluated your query thoroughly.* This is definitely due to psychological manifestation of underlying anxiety disorder.* My suggestions for you - Daily allow 1 hr for meditations, deep breathing exercises, YOGA - 30 minutes regular walking in fresh air - Manage to have regular sound sleep of 8 hrs - Plenty of liquids, balanced nutritious diet-Avoid smoking, alcohol-Avoid stress, anxiety - Keep BP, blood sugar under control Hope this clears your query. Welcome for further assistance. Regards."}
{"_id": "000002604", "text": "Hi and welcome to Chat Doctor. Thanks for the query. Cancer is the last thing to think of and these are not sign of any female cancer. This is probably herpes and herpes infections are usually refracted and bothering and easily treatable in some people. You should continue with val acyclovir. Outbreaks can last even longer, and it is hard to predict how long. Uterine cancer is usually seen in postmenopausal women, it goes with pelvic pain, prolonged and excessive vaginal bleeding. You should do testing for other STDs. Wish you good health. Regards"}
{"_id": "000002605", "text": "Hi ! From your history, it seems that 24 hours have already past the incident, and you are not having any pain or any other problem excepting for the allergic rashes for which you already have an appointment with your doctor. At this point of time I personally do not consider the need for an urgent CT scan for you. However, if you continue vomiting, and if your family members or friends see any abnormality in the level of your consciousness, then one may consider for a CT scan after a clinical examination by the doctor. All the best."}
{"_id": "000002606", "text": "Degree understand your concerns went through your details. Panic attacks always happen due to underlying anxiety disorder. You need to analyze what happened to you and what is basis of your anxiety. Please understand anxiety is part of your bodies defense mechanism, and you have nothing to worry about it. The more you worry, the more problem it creates. You could be needing psychotherapy techniques as treatment. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000002607", "text": "Hi, dear. I have gone through your question. I can understand your concern.  You may have acute viral infection.  Platelets reduction is very common in viral infection.  So no need to worry.  It will become normal within few days.  If you have any symptoms of bleeding then consult your doctor urgently and check your platelets count.  Otherwise, no treatment is required.  Just Chat Doctor.  Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002608", "text": "Degree understand your concerns went through your details. I suggest you not to worry much.  You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000002609", "text": "Hi, Please avoid smoking during Jaundice. It will definitely worsen your health. Especially during Jaundice you have to be very cautious and always try to follow healthy diet.  Chat Doctor.  Avoid in taking fatty foods like Meat, Bakery items, etc., So, going forward, If you quit your smoking habit you will refrain yourself from Heart Problems, Asthma and lung cancer. I hope, I am not giving any scary answer here and am just placing a fact in front of you. Thanks."}
{"_id": "000002610", "text": "Hi, I think your follicles are growing a bit slow. But, repeat a scan after 3 to 5 days. If your follicles attain a size of 17 mm, you can take injection for rupturing the follicles.  Be in contact with your husband for next 2 to 3 days after injection. Take progesterone for 2 weeks to support the pregnancy.  Do a pregnancy test after that.  There is a good chance of pregnancy this cycle also. I have answered your question.  If you have any other query I will be happy to help. Regards Chat Doctor."}
{"_id": "000002611", "text": "Hi, You may have a soft tissue infection of the face causing these symptoms and should be looked at by a physician to determine the need for possible antibiotic treatment. Send me a digital photo of the affected parts of your face and head and I would be happy to give you more opinions.  I would not delay getting to a doctor since the symptoms appear to be marching and any infection in the facial area could disseminate to other systems of the body including the central nervous and cardiovascular systems. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002612", "text": "Hi, Thanks for asking the query, I would like to tell you that there should not be any problem in opening and closing of mouth after getting your tooth filled, according to your symptoms I suppose that there could a presence of any high point or there could be presence of small hematoma due multiple injections. I would like to encourage you to get a thorough checkup done by the concerned Dentist. Take lukewarm saline rinses. Take a course of multivitamin supplements. If it is a nerve damage it takes a time of six months to year to heal. If there are presence of high points can be trimmed by the Dentist. Hope you find this as helpful, Regards."}
{"_id": "000002613", "text": "Hello Jewish, welcome to Chat Doctor in your age group the common causes of gynecomastia are obesity and hormonal disorder.  So if you are obese try to reduce your weight by daily exercise and diet modification.  If you are not obese then try to consult a physician for cause of hormonal imbalance. You may need some blood tests for hormone level in blood are you taking any medications? Some medications can also cause gynecomastia.  Take care."}
{"_id": "000002614", "text": "Hi, dairy have gone through your question. I can understand your concern. This gene mutation has no relation with your immune thrombocytopenic purpura.  It is immune mediated disease in which there is destruction of platelets occurs by your own immune system. You should take steroids to control that. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002615", "text": "Hi Thanks for using Chat Doctor Forum, Low white cell count may be due to acute viral infections, such as with a cold or influenza. It can be associated with chemotherapy, radiation therapy, myelofibrosis and plastic anemia (failure of white cell, red cell & platelet production). HIV and AIDS are also a threat to white cells. Other causes of low white blood cell count include systemic lupus erythematous, Hodgkin's lymphoma, some types of cancer, typhoid, malaria, tuberculosis, dengue, Ricketts infections, enlargement of the spleen, folate deficiencies, psittacosis and sepsis. Many other causes exist, such as deficiency in certain minerals, such as copper and zinc. Chat Doctor. I Hope I Provided Useful Information. Do ask Further Questions to help You get well soon. Regards"}
{"_id": "000002616", "text": "Hello there. I'm sorry to hear you are experiencing such problems. I will try to help. First and foremost I cannot make any definitive decisions or a definitive diagnosis without considering your full history and undertaking a full examination, but I will use to above information to try and advice you accordingly. Pain around a tooth can either originate from the tooth itself or from the tissues surrounding the tooth. 1 -If the pain originates from the tooth itself it is usually either due to decay which is encroaching onto the pulp (the nerve chamber) or the filling is so deep that it is close to the nerve and some constituents of the filling material are stimulating pain as they find their way through the identical tubules into the nerve chamber. Another possibility is that a composite resin material was used (white filling) and as it contracts when cured (hardened) it pulls against the walls of the cavity which causes pain. One final possibility is that you may have a fracture through the tooth. I know you say this was ruled out, but in fact it is very difficult to rule out fractures in teeth. They certainly don't show up very well on radiographs (X-rays) and they are hard to identified clinically (in the mouth) unless they are extensive. I would like to see the radiographs if possible. Solutions to the above problems involve removing the existing filling, check the base of the cavity, placing a sedative Chat Doctor.  This sedative"}
{"_id": "000002617", "text": "Hi, Thanks for writing in. You exactly need to discuss the side effects which your father is experiencing probably due to overdose of radiation. Radiation can virtually affect any organ system of the body, and it will be essential to know what exactly is troubling him right now, years after taking radioactive seeds treatment for cancer of prostate. Treatment of radiation side effects is by getting attention for the particular problem that he is facing. It might be bowel related, urinary system related or spine related especially for radiation given to prostate. The best person will be to consult a surgeon and neurologist and then proceed with the confirmation of the condition and treatment. Please do not worry."}
{"_id": "000002618", "text": "Hi, Welcome to ChatDoctorYou are suffering from hypothyroidism, along with ? High BP and irregular heart beat, your Liver functions are mildly deranged and it is possible to have fatty liver changes if you are overweight or taking alcohol, if no alcohol NASH you can get an Ultrasonography to know the state of liver. Take care of diet do not consume alcohol as GGT is also little raised. Udiliv will help to heal liver and reduce fatty changes. Reduce weight if Obese is not then also take up walking 3 to 4 km /daytime care of health Good luck to you Please keep informed about progress."}
{"_id": "000002619", "text": "Hello, Welcome to Chat Doctor. I am Chat Doctor answering your query. I can understand your concern. The symptoms that you have mentioned, indicate towards a positive pregnancy, however nothing can be said without the information of the length and regularity of her menses, as well as when exactly did you engage in intercourse. You can get back to me with these details or wait for a few more days for her period. If she still doesn't get it, there are chances she might be pregnant. This can be tested and confirmed by urine test for pregnancy. Remember, with Chat Doctor. Hope I have answered your query. Good luck!"}
{"_id": "000002620", "text": "Hi and welcome to Chat Doctor. Thanks for the query. If there was nothing on ct scan then I doubt that there is any lesion on your liver. Surgeon may have seen something like heamngiom, but it could have seen just darker part of liver or he just saw something else. So I think that you shouldn't be worried, just have regular LFT check-ups and watch for any new symptom.  Wish you good health. Regards"}
{"_id": "000002621", "text": "Thank you very much for contacting Chat Doctor. In our body any infection is defense by fever. Fever is a defensive phenomenon. Vaginal yeast infection is most common. Itching, irritation, rash is common symptoms in vaginal yeast infection. Overgrown of yeast and bacteria may cause more worsen symptoms. Vaginal discharge is helpful for culture test by this way yeast or bacterial growth can detected. In Uncontrolled diabetes more changes of vaginal infection. According to your doctors' suggestion start antibiotics or steroid treatments. Wish you a Good health. Take care. Thank you very much."}
{"_id": "000002622", "text": "Hello, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate Chat Doctor. Meanwhile, you can follow these measures"}
{"_id": "000002623", "text": "Hi, Increased white blood cells are seen when there is an inflammation or infection. As you have cold, it could be that showing up on the cell count. What type of cells are increased? Lymphocytes or Neutrophils?Also, the normal value of white cell count is changed from 11,000 to 14,000 in pregnancy, so hope this is kept in mind while reading the report. If your count is less than 14,000 it would be considered normal. The trace of sugar in urine needs to be evaluated, it could be a sign of gestational diabetes. Kindly get a 75 gm Oral glucose tolerance test done. Hope this helps. Regards."}
{"_id": "000002624", "text": "Hi, welcome to Chat Doctor forum.  The malignant growth might be in advanced stage, the age also might not be permitting for the surgery. In advanced malignancy, if it is cut for surgery, it flares like anything to the whole body. The nerves to the legs may get paralyzed during the process.  To take up such surgery you have to give concept that the surgeons are not responsible, if dies on the operation table also as there will be possibility of such happenings.  Anyhow ask your doctor, stating that you will be bearing the risk, and do the surgery, they may accept to do it.  Wishing for a quick and complete recovery. Thank you."}
{"_id": "000002625", "text": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that Staphylococcus epidermis is the normal communal flora but can cause infection. Usually the Acne problem is caused by P.scenes. I suspect the staph in your case is the normal communal flora. Any soap can work good if standard precaution is followed, like washing the face for 20 minutes with gentle pressure. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you."}
{"_id": "000002626", "text": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that her blood pressure values are high, which means that her current antihypertensive therapy is not very effective in controlling blood pressure. I agree with you her doctor on the decision of increasing the doses of her current antihypertensive Chat Doctor.  But, if her blood pressure values do now lower with these changes to her current medication, considering the fact that she has a lot of pressure in her head, I would recommend bringing her to the ER, in order to lower her blood pressure values. You should know that if her blood pressure values continue to be high, she may be at increased risk for stroke or intracranial bleeding. Hope you will find this answer helpful! Kind regards,"}
{"_id": "000002627", "text": "Hi there. I believe you have pinched nerves in the lower back which is causing these symptoms. Wear a lumbar belt. Avoid bending forwards or lifting heavy weights. Apply hot water bottle to the areas of pain. Take Tablet Diclofenac 75\\u00a0mg + Thiocolchicoside combination twice a day after a meal. Also, similar pain killing gel can be applied to the painful areas. Consult your Orthopedic surgeon who may request you to get an MRI lumbosacral spine to understand the degree of nerve pinching and the appropriate treatment."}
{"_id": "000002628", "text": "Hi.thanks for posting query at Chat Doctor.HCV is a common cause of chronic liver disease. However, not all patients infected with HCV will necessarily develop chronic hepatitis. Since your Antioch positive BUT HAVANA (PCR) is negative, it means that you have NO virus in your blood. Praise to Almighty GOD, that your immune system was strong enough to get rid of the virus. You need not worry. Your anti HCV positive means that you were infected with virus in the past and the PCR negative means that you do not have virus in your blood anymore. Since you do not have the infection NOR the virus in your body, you may marry happily. You may repeat the PCR once again. If you have already had the PCR twice, then NO need. Wish you good and sound health and a happy married life. Hope to answer your concern. If any further questions, you may find me at"}
{"_id": "000002629", "text": "Hi,if the periods have been quite regular for a number of years and then suddenly stop, or the cycle becomes frequently interrupted, it denotes debilitated and devitalized condition of the system. Causes towards the condition are anemia, worry,grief, fright or other serious emotional disturbance etc. You should have three meals day of fresh juicy fruits like apples, pears,grapes, papaya,orange etc. You should boil one spoon carrot seeds in one glass of water for 5 to 6 minutes and take it for 5 days in early morning, it is very beneficial for this. Sesame seeds are also use like this. Warm hip bath is also regulating the menstrual disorders. Take care"}
{"_id": "000002630", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out bronchitis and asthma in your case because both of them can cause sniffing and breathlessness. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT is must for the diagnosis of bronchitis and asthma. It willingness also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002631", "text": "Hi, Thanks for writing in. Low potassium or hypokalemia, especially if persistent, can induce a variety of changes in renal function, impairing tubular transport and possibly inducing chronic tubulointerstitial disease and cyst formation. Diet modification is recommended for you. High sodium intake tends to enhance renal potassium losses. Therefore, taking a low-sodium, high-potassium diet is best for you. Avoid extra salt in foods. Bananas, tomatoes, oranges, and peaches are high in potassium and can be included in your diet."}
{"_id": "000002632", "text": "Hi, Welcome to Chat Doctor. Looks like you have got a hematoma (blood clot) following the bump. It occurs when there is an injury to a vessel following trauma, leading to collection of blood in the region. It will get absorbed slowly but will take a few weeks in this process. You may take painkillers for your pain. But keep a watch over the swelling, and on case it becomes more painful or red you will need to get it removed, as that means that it has got infected. Hope I have been helpful. Regards"}
{"_id": "000002633", "text": "Hi, Dear,Good Morning. Thanks for the query to my Chat Doctor Clinic. I studied your query in depth. I am concerned about the worries you have. In my opinion, you have -Relapsed Follicular Lymphoma /? Could be thyroid CLT . I would advise not to depend on Alternative treatment-which you may -support with the advice and consultation of ER -Oncologists- who would treat it with-low toxicity-Rituxan-Radio-immunoassay treats would fix the problem you had. This is the remedy for your lump. Hope with this you would be relieved of your worrisome query. Wellcome again to Chat Doctor. Have a good Day."}
{"_id": "000002634", "text": "Hithere may be following reasons for your symptoms with a car accident 6 years ago"}
{"_id": "000002635", "text": "Hi, i read your problem, this may be due to infection spread to the oral spaces, as you said you have swollen lymph nodes on the left side it is because of some infection on that side. And you have muscle spasm may be due to some habits like bruise or trauma to that side etc. So I will suggest you please go to an oral surgeon and go for whole mouth examination and follow all the given instructions and take a proper treatment. Nothing to get worried. Take care Chat Doctor."}
{"_id": "000002636", "text": "Hello, welcome to Chat Doctor, Firstly, your semen analysis report shows low sperm count, (normal is >20 millions / ml as per WHO 2009).  But, nobody can tell you that you will not have a baby with this sperm count because only one motile, normal sperm is enough for pregnancy.  You should consult with an infertility specialist for prescribing some good medicine like coenzyme q and vitamin E and antioxidants."}
{"_id": "000002637", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely because your pain is associated with movements and worsening by heavyweight lifting. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid heavyweight lifting and strenuous exercise.2. Avoid forward bending and sudden jerky movements of chest.3. Apply warm water pad on affected areas of chest.4. Take simple painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright with all these in 2-3 days. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002638", "text": "A problem which needs attention from the physiotherapist !!perhaps your mother is about 50 +, and as she fell the whole body weight must have been taken by the shoulder. In such injuries the damage is due to injury to the muscles and nerves. So the movements become painful and restricted. So, at this time a consultation with an or tho / physio would be helpful, as a diagnosis is essential. You are doing well with rest and heat to the part. But gentle exercises must be started such as taking the arm out, small circular movements with the arm hanging in front of the body, taking the hand to the back of the neck, You will agree that these are best demonstrated and taken up in a gradual manner. To help in local repair you may use Diclofenac cream massage, three times a day after local fomentation. The cream used should be up to the middle crease of your index finger."}
{"_id": "000002639", "text": "Hello, Welcome to Chat Doctor, She is having very high temperature which should be brought down as early as possible otherwise she may through some seizures. The cause for the fever associated with vomiting should be ruled out. She needs lab investigations like CBC, routine urine examination, tidal test and CRP. This will help us find out the reasons for her symptoms. For her symptoms immediately she needs to follow1. Antipyretics like Paracetamol should be taken once in 6 hours.2. Cold tepid sponging3. Oral antibiotics may require hospitalization, I would suggest you to take her to ER for complete evaluation and adequate treatment. Thank you."}
{"_id": "000002640", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son have symptoms of flesh deposition in the nose which seems to be due to formation of skin tags which usually grow where skin get irritated. They are generally harmless and do not bother. But some people get them removed because of esthetic purpose. Sometimes they are a nasal polyp, which looks like skin tags. There can be other reasons for skin tags other than skin irritation like hormonal changes, disease like diabetes and during pregnancy. Need not worry. I would suggest you to consult ENT specialist doctor may order nasal endoscopy or CT scan to confirm the diagnosis. Doctor may remove them under local anesthesia by freezing liquid nitrogen or burning electric current. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000002641", "text": "HelloThanks for query. Erectile Dysfunction that you have is mostly due to frequent, excessive habitual masturbation. You need to have self-determination to quit frequent masturbation to help in getting hard Erection. Excessive and frequent habitual masturbation does affect quality of erection and delays ejaculation. Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading , social work etc. so that you will not get free time to masturbate. You may take Sildenafil after getting married and one hour before having sexual intercourse with your wife. This will help you to get hard sustainable erection to have enjoyable sex. Do not attempt to massage your penis with any oil. There is risk of damaging your penis.  Chat Doctor."}
{"_id": "000002642", "text": "Hello ma'am. A pinkish discharge is a sign of either an infection, a soon approaching period or a hormonal imbalance. In your case it could be a hormonal imbalance caused by use of the pill. Do not worry, this should soon normalize. Ifnit does not disappear within 7-10 days time, then please visit your doctor. Also, if you experience any symptoms of an infection then report to your doctor at the earliest. Hope this helps. Best wishes."}
{"_id": "000002643", "text": "HI...as you classically describe the movements as - very much like the moment we all have when you just dose off and suddenly wake up as if you were made to jump - I feel this is benign sleep myoclonus, and it is common for some kids while going to sleep and while coming out of sleep. If she has not lost her conscious and there are no signs of limb weakness, you need not worry. But if this becomes repetitive, then I suggest you consult your pediatrician. Regards -"}
{"_id": "000002644", "text": "Hi, dairy have gone through your question. I can understand your concern. Your triglycerides level is high.  You should take low fat diet with high amount of polyunsaturated fatty acids. Your MCV is slightly higher.  You should go for serum B12 level once. You may have it b12 deficiency. Your rest all reports are normal. No need to worry. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002645", "text": "Thanks for your question on Chat Doctor. I can understand your concern. If your ECG is showing ischemic changes in inferior leads then you are mostly having inferior wall ischemia. This means your hearts inferior wall is not getting enough blood. This wall is supplied by right coronary artery. So possibility of right coronary artery obstruction is more in your case. To confirm this you need to get done 1. 2 d echo 2. Stress test (trade mill test) 3. Coronary angiography. Coronary angiography is not only diagnostic, but it is therapeutic also. We can put Stent if there is blockage in coronary arteries. So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002646", "text": "Hi. Thanks for your query and an elucidated history. With a history of your multiple surgeries and present problem, I would think about intestinal adhesions as the first probable cause. But an additional symptom of constant urination gives additional/ another possibility of a problem with remaining kidney. Only ultrasonography or/ and CT scan of the abdomen can give a clue to clinch a diagnosis. Clinical examination by a Doctor adds on the possible diagnosis."}
{"_id": "000002647", "text": "Hi, thanks for your query. There are several issues that can cause your lip, chin, or jaw to be numb after a root canal procedure. The first is that, in the process of filling the space normally taken up by your tooth pulp, the dentist has used too much filling material. Doing this sometimes results in the material penetrating to the main sensory nerve and chemically burning it. It is very common for overfill in rear teeth to cause lip and chin numbness. Once infection is present from perforation, however, medications may work, but if the problem gets bad enough, extraction might become necessary for you, just as it is with infection from under filling. Visit endodontist for this. Hope this is helpful."}
{"_id": "000002648", "text": "Hello, Welcome to Chat Doctor, When bees sting a person they will inject venom through their stinger into the skin of the victim. People stung by bees will have an allergic reaction to the sting and in severe cases it will cause anaphylaxis. For any Bee sting, following measures should be followed1. If the stinger is present remove it immediately. 2. Apply ice or cold packs to the area to reduce the bodies inflammatory reaction.3. Wash the area with soap and water4. Take antihistamine such as Ben Chat Doctor. 5. Pain relievers such as ibuprofen or acetaminophen can also provide relief of symptom. Aforementioned measures should follow whenever there is a bee sting. Thank you"}
{"_id": "000002649", "text": "Dear user about your fever you will follow these simple of treatment steps as alternative to Tylenol but if symptoms persist you need to see your doctor for blood tests and investigationsibubrufen and metal are good antipyretic that you could take for relief of fever as alternative to Tylenol and it is safe for use ......important step required with medications is doing cold compresses that decrease body temperature........making cold compresses and put your head or body under mild cold running water fora time if 10-15 minutes until grade of fever reduced then take antipyretic........ibuprofen has excellent effect in lowering moderate fever ......i....... ..simple cold compresses should not be ignored....it will make you improve a lot...........treatment of the cause of infection is the main step that if bacterial infection suspected you should take antibiotic as amoxicillin ....also your question about using food thermometer is yes it can measure body temperature hope that helps you wish you healthy life"}
{"_id": "000002650", "text": "Hi, Thanks for posting in Chat Doctor. After going through your description, it appears that you have a local inflammatory reaction due to insect bite. This has not responded to the antibiotics which was administered. Kindly take the following medications, and it should respond to these. 1. Tablet. Ciprofloxacin 500\\u00a0mg twice a day for 5 days. 2. Tablet. Ibuprofen + Paracetamol twice a day after food for 5 days. Keep the wound site clean, Chat Doctor.  In case it doesn't subside, you need to get the following tests done and managed accordingly. 1. Random blood glucose to rule out diabetes mellitus. 2. Pus culture and sensitivity to know the organism and the antibiotics it is sensitive to. Hope the information provided would be helpful. All the best and wish you speedy recovery."}
{"_id": "000002651", "text": "Hello, Thanks for consulting Chat Doctor I have read your query. Sharp pain in jaw line can be due to Temporomandibular disorder. For this I will suggest you to take soft diet. Avoid excessive mouth opening. Do Hot fermentation. You can take medicine Muscle Relaxant like MySpace forte or Flexion MR by consulting with local doctor. Consult oral surgeon for clinical examination of TMJ and investigation like TMJ sectional view. Hope this will help you. If you have more query feel free to ask I will be happy to help."}
{"_id": "000002652", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out lung infection because it can cause chest pain on breathing and phlegm. So get done chest x-ray. If chest x-ray is normal then no need to worry about lung infection. Sometimes simple musculoskeletal pain can cause similar kind of chest pain. So take simple painkiller like paracetamol or ibuprofen. Apply warm water pad on affected areas of chest. Avoid movements causing pain. 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."}
{"_id": "000002653", "text": "Hello, I have gone through your query and understood the concern. As far as pregnancy is concerned, if her physiological condition is healthy, the baby should not have any health related issues. Yet, the fact that her mental health is not satisfactory goes a long way into the upbringing of the child. Moreover, Chat Doctor.  In the situation described by you, couple counselling should be done to achieve good result. More than medication, your friend needs a patient listener and counselor with whom she can confidently share her sorrow. Hope you find this information useful. Take care."}
{"_id": "000002654", "text": "Thanks for your question on Chat Doctor. In my opinion you should not worry much for cancer at present. As painful lumps are less like to be malignant. And if your lump is not increasing in size over the years then it is benign only. But better to get done biopsy and histopathological examination of the lump to rule out malignancy. So consult doctor and get done biopsy. More chances of benign lump then malignant lump."}
{"_id": "000002655", "text": "Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child. Pseudo dwarfism will not get benefitted by growth hormone therapy. The cause of bending of legs in your child could be calcium deficiency. In my opinion, you should do complete blood count, calcium levels and X-ray wrist to rule out calcium deficiency. If we give therapy for calcium deficiency then there are chances that bending of legs will get corrected to some extent. I hope this will help you. Take care."}
{"_id": "000002656", "text": "Hello, Welcome to Chat Doctor, Your symptoms suggests me that you are having some allergic reaction, the allergen causing these symptoms should be identified. To identify the allergen causing hives all over the body, you need to undergo skin prick test for the allergens. You should be tested for most prevalent allergens like dust, mite, pollen,food and medicines. This will identify the allergen causing all these symptoms, and you can avoid that allergen. For your present symptoms you can take Chat Doctor. Thank you."}
{"_id": "000002657", "text": "HI thanks for your question. The doctors might be right(taking decisions based guidelines), not experimenting, some patients based on my experience can be complex. I usually like to discuss results of investigation with patients and their partners if they don't mind, ask doctor to show results it's your right. You need help from experienced surgeon (gastroenterologist) and your husband might require surgical intervention as soon as possible. Hope I answered your question, will be happy to help you if you have other queries"}
{"_id": "000002658", "text": "Hello, Thanks for posting on Chat Doctor, The problem is likely coming from the liver or her gallbladder. She might be having hepatitis or liver abscess. She will need evaluation of her liver (LFT) and an abdominal CT to determine the state of the liver and gallbladder. Furthermore, she will need to see a astrologist who can do a complete evaluation and determine the actual cause of her symptoms. Your sister might require admission. If she is having skin lesions, liver soreness, bilirubin in urine, then her problem is clearly of liver origin. Testing SAT, ALAT, BUN, alkaline phosphatase, amylase, lipase, viral hepatitis (B, C etc.) might be what is needed to be done to determine the cause. Hope this helps"}
{"_id": "000002659", "text": "Hi shell, thanks for writing to us. Given your complaints, I do not think your child is at increased risk of getting epilepsy. If it has been 9 years since you stopped the medication, it should not be causing the weakness in bones. That could be due to a deficiency in vitamin D and calcium. So see your physician and get a consult. In addition, you should have a healthy and balanced diet, practice stress reduction exercises and exercise regularly. Also, take Tablet folic acid 5 mg 1 tablet once daily. This helps reduce risk of defects in child Chat Doctor.  Do not get worried, You and your child would be fine regards"}
{"_id": "000002660", "text": "Hello, I have studied your case. This can be scoliosis of spine leading to deviation in mechanical axis. There can be associated disc Protrusion leading to neuritic pain. You may need X-ray spine to get detail diagnosis. For symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. 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."}
{"_id": "000002661", "text": "The condition is called melasmaFacial will not help much need to use sunscreens on a regular basisSunscreen is the most important aspect of treatmentAvoid Delaware or creams with similar composition as they contain topical steroids which can harm the skin if used for prolonged period without guidance. Plasma ISA chronic conditions and needs prolonged treatment One of the recently adopted mode of therapy by dermatologist is peels and topical demeaning agents used cyclical. Regards Chat Doctor."}
{"_id": "000002662", "text": "Hello, you shouldn't be so worried since you were examined in the hospital. If you had something serious, I'm sure the colleague who examined you, would have told you so. You can take acetaminophen for the discomfort. Do not take it only when you have the fever but on a regular basis (every 4-6 hours) for as long as you feel sick. You haven't given enough data to suggest a possible diagnosis. Most low grade fever cases (like yours) are attributed to viral infections. Fortunately masturbation does not cause fever or our planet would have been a really hot place! I also suggest you consult your doctor for the fever in case you haven't seen signs of improvement already. Since you mentioned no other specific symptoms or signs suggesting any diagnosis would be risky. I hope you get well!"}
{"_id": "000002663", "text": "Hi, Thanks for writing in. It is important to get a clinical examination done for the soft spot on your head. It is unusual for anyone at 59 years to have a soft area as seen in a newborn. Furthermore, it can be due to a change in the bones of the skull or due to something growing on the scalp under the skin. Since the nerves in different parts of the body are interconnected, it is possible that you are feeling the pains in the shoulder. Please consult your doctors and get an imaging investigation that will confirm if your skull bones are involved and if there is a NY growth in the area."}
{"_id": "000002664", "text": "Your reports are quite acceptable. With a creatinine of 3.49 your kidney function is about 25% to 30%.  You have to come to terms that CKD cannot be reversed. However, you can prevent additional stress on your kidneys by avoiding unnecessary medications, except those being taken in consultation with your nephrologist. Especially avoid painkillers easily available. A balanced diet - low fat/ low salt/ avoid red meats/ fluid as per your output (The best guide is your doctor). Remember Don't try any magic remedies."}
{"_id": "000002665", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. The behavior is a mental disorder. Being aroused by having fantasies about murder, torture, humiliation. Paraphilia is the experience of intense sexual arousal to atypical objects, situations. You should see a psychologist to assess whether your girlfriend is having Paraphilia. Then treatment also should be started. 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."}
{"_id": "000002666", "text": "Hi, I think I have understood your concern. I will suggest you the best possible treatment options. Please have small, frequent meals.  Avoid deep-fried foods, bakery products and refined sugars in diet. Tab ODEM MD 30 minutes before the meals will be of help. Also, low level of vitamin B 12 and Folic acid can be responsible for it. So you can start on. Therapeutic dose of vitamin B 12 and Folic acid. I hope this answer helps you. Thanks Chat Doctor."}
{"_id": "000002667", "text": "Hi, Thanks for writing in to us. You must consult your gynecologist and talk to her about suspected infertility in you.1. She will take detailed history and do clinical examination.2. An ultrasound scan of the pelvis (uterus and ovaries) is required.3. This will be followed up by a hysterosalpingography to see the cavity of uterus and tubes.4. A follicle scan may also be asked for to study your ovulation pattern.5. Do tell your doctor about any birth control methods you have used in the past and are presently using. Hope this helps"}
{"_id": "000002668", "text": "Hello, I have gone through your query and understood the concern. In the manner described, you have no reason to worry about possible conception. The emergency contraceptive pill contains high hormone dose and as a result, you can expect side effects like nausea, vomiting and some with Chat Doctor.  Your next natural period also may get delayed by a week or two. So, if you happen to become overdue by ten days, please contact your gynecologist for further support. Also, please remember, emergency pill use has to be restricted to once or twice a year to avoid future hormonal imbalances. Hope this helps."}
{"_id": "000002669", "text": "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. Please do not panic. It is good to note that you have stopped smoking and alcohol.  Also, I will suggest you not to indulge in marijuana.  As it gets transferred to baby across the placenta.  It is known to cause learning and development issues in the baby. I will suggest you to stop it at once. It takes about 3 to 5 days for the substance to get cleared from your body. Please take care. May God bless you. I hope this answer helps you. Thanks"}
{"_id": "000002670", "text": "Hi. Thanks for the query. Teething is the phase of development in which the teeth erupt in mouth and during that period the child can have the symptoms of mild discomfort inside the mouth with soreness of gums, swollen gums along with mild rise in temperature. But in case if she has a runny nose and fever then it can be most probably due to Viral infection leading to fever. Pain in gums can however be due to teething when there is breaking of tooth from the gums leading to inflammation of gums causing pain.-So my suggestion is to continue giving Tylenol to relieve pain and along with it, you can also start doing steam inhalation and use a humidifier in your room.-You should also feed her with plenty of fluids and give her soft and bland diet.-Give her appropriate rest. Hope this helps. Regards."}
{"_id": "000002671", "text": "Hi, The commonest cause of sudden pains in small joints are as follows"}
{"_id": "000002672", "text": "Hello, She may be either having cellulitis or deep vein thrombosis of her hand. I shall advise to not wait and consult to your doctor. He may need some blood examination like CBC, ESR, CRP and Doppler test. She needs a prescription of a broad spectrum antibiotic. Meanwhile, you may give her an anti-inflammatory analgesic like Tylenol or aspirin for relief.  Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000002673", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are diabetic, we should treat your chest infection (pneumonia) very vigorously. Pneumonia is the cause for your chest pain, chest inflammation, low blood pressure etc. So we should treat your pneumonia first. Best treatment for pneumonia is identification of causative organisms and start appropriate antibiotics. So get done sputum culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. By this we can prevent haphazard use of antibiotics and achieve faster recovery. So don't worry, you will be alright. Consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002674", "text": "Hello dairy understand your concerned not worry, minor side effect will occur after consuming the pill. Following are the side effects"}
{"_id": "000002675", "text": "Hi. Welcome to Chat Doctor. As per your complaint painful sore and inflamed area at the roof of the mouth can be due to causes like formation of an ulcer that has been traumatized and inflamed. It can also be due to biting something very hard causing injury to the mucosa. Another cause can be burning of the roof of the mouth with some hot foods or fluids or chemical substances. I would suggest that he should start applying numbing gel over the sore area to relieve pain especially before meals to make eating painless. Do cool compresses or suck ice pops. Avoid spicy and hard foods and take a soft bland diet. Take Ibuprofen to relieve inflammation and pain. Do antiseptic mouthwash gargles. Hope this helps. Regards."}
{"_id": "000002676", "text": "Hi, Thank you for posting your query. I can understand your discomfort on account of neuropathy on one side, and side effects related to medications on the other side. Both gabapentin and amitriptyline are good medications for treating neuropathic pain, but unfortunately, you had side effects from both of them. In your case, other treatment options include pregabalin or duloxetine. You should discuss with your doctor regarding these two Chat Doctor. Best wishes,"}
{"_id": "000002677", "text": "Hello Metal spas is recommended for pain. It is not the medication for enlarged liver. For enlarged liver, you need clinical correlation and investigations like routine hologram, liver function test, random blood sugar, lipid profile and Ultrasound of abdomen. For vomiting, I suggest tablet ondansetron or risperidone to my patients. You can discuss with your doctors. Treatment depend upon findings. Get well soon. Take Care Chat Doctor."}
{"_id": "000002678", "text": "Hi ! Good morning. I am Chat Doctor answering your query. An increased poly morph count along with a high ESR could be due to any kind of infection which could be a simple food poisoning to any kind of intro abdominal pathology. This could be judged by a clinical examination and related investigations by the treating doctor, which possibly was already done. If she got partial relief from the treatment, I would advise you to continue the same. In case of increased intensity of pain or no relief, you have to get her reviewed by her treating doctor again. I hope this information would help you in discussing with your family physician/treating doctor in further management of your mothers' problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish her an early recovery. Chat Doctor"}
{"_id": "000002679", "text": "tithe expansive nature of cyst may cause symptoms depending on compression produced. It can press on spinal cord or nerve roots and variable symptoms of pain and compressionTreatment options include simple curettage with bone grafting, complete excision, embolization, and radiation therapy. Reconstruction and stabilization of the spine may be needed if deformity and instability are present. Complete excision of aneurysm bone cysts offers the best chance of cure and spinal decompression if neurological deficits are present may consult a spine surgeon Best wishes"}
{"_id": "000002680", "text": "Hi, Your problem is this shooting pain along the legs and buttocks. Firstly to get relief from this pain he will have to avoid any posture, position, or work which aggravates the pain.  He will need specific medication for nerve pain like pregabalin, gabapentin along with muscle relaxants and pain medications available in your area.  He will surely need a euro exam, an MRI of the spine, Please ensure his sugars are controlled if he is a diabetic and to stop smoking if he is a smoker. Hope I have answered your queries. Let me know if I can assist you further. Take care"}
{"_id": "000002681", "text": "Hi. Within 5 days this lump, which is most probably an infected lymph node has become tender. By not taking treatment you / she has lost a better window. Anyway get started with antibiotic and anti-inflammatory medicines ASAP. Request the Doctor give a course of 1 to 3 weeks. Most probably this will settle although now will take more time to heal. A few investigations may be suggested by your Doctor. If the medicines do not help her you can get FNAC= fine needle aspiration cytology done."}
{"_id": "000002682", "text": "Hello, Rheumatoid factor is an inflammatory marker. It shows that patient has chances of developing arthritis. But value 6 does not mean anything. It can be seen with range of this test. So suppose normal range is below 6 so that means it is positive.  I would suggest you to meet your physician and get your self examined. If you are otherwise normal but only Ra factor is raised than it is normal.  I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks"}
{"_id": "000002683", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Since he is a active smoker, possibility of either bronchitis or lung infection is very high because fever, cough, oxygen need etc. are seen in both. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule lung infection. PFT is must for the diagnosis of bronchitis. He may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS). Smoking cessation should be done first. So better to consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002684", "text": "Hi dear.thank you for posting your query on healthcare. Dark greenish, mucoid stools of loose consistency is suggestive rapid colonic transient of stools because of that bile poured from duodenum is not getting converted to stercobilin.rapid colonic transient generally occurs in diarrhea .the is also supported by the fact that your scan is showing swelling in the colon. Parasitic infestation should be ruled out .hope you got your answer."}
{"_id": "000002685", "text": "Hello In my opinion the enlarged lymph nodes should not be of any concern as you are taking antibiotics, and it will resolve once your ear infection is controlled. Lymph nodes usually enlarge as a reactive change to infection from the lymph Chat Doctor.  Has the pain in your ears subsided? Once it settles, lymph nodes also get back to normal. Some infections do not resolve to certain antibiotics due to antibiotic resistance. So in your case the second round of antibiotics might help. Hope I have answered your query. Regards."}
{"_id": "000002686", "text": "Hello Welcome to Ask a Doctor service. I have reviewed your query and here is my advice. No modification or alternation is advisable in cardiac medicine you are not supposed to do it on your own, because it is not the symptomatic medicine that can be stopped at any time and start at anytime, the least concern what psychological condition you are having cardiac medicine needs to be continued taking, if you are having some doubt then you can discuss this with your cardiologist but do not change the Chat Doctor."}
{"_id": "000002687", "text": "Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY Chat Doctor. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. Regards -"}
{"_id": "000002688", "text": "Hi, Welcome to Chat Doctor. We understand your concern. I am Chat Doctor Psychiatry from India. I will try to help you with best of my effort.  Apparently you are suffering from a Severe Depressive Episode. Depression is a serious but curable mental illness. Any person in world may have this illness. Depression may precipitate suddenly after some triggering factor/ stressing situation, or it may come insidiously over a period of days to weeks without any obvious trigger. Like in your case you do not know why it is happening to you as apparently there are no precipitating factors.  The suffering may continue from few weeks to years if not treated. But with treatment, a person have significant improvement of symptoms in an average of 2-3 weeks. A person suffering from depression have the following main symptoms1.  Sadness of mood2.  Preference for solitude and social with Chat Doctor.  Reduced energy and lethargy4.  Reduced pleasure in pleasurable activities which he/she used to enjoy earlier5.  Poor appetite and disturbed sleep6 Feeling of helplessness, that none can help me in present situation7.  Hopelessness, that condition can not be better in future8.  Low self-esteem & guilt (thinking himself as a cause of all the mishappening and responsible for all the wrong things in past)9.  Ideas of worthlessness (life is not worth living), and even suicidal ideas or attempt.  As you revealed, you have many of the above-mentioned symptoms like sadness of mood, reduced energy and lethargy causing excessive sleepiness, ideas of worthlessness (feeling more dead than alive), suicidal ideas and multiple attempts of self harm/suicide. The person suffering from depression can be easily cured by psychiatric medicines and psychotherapy.  I advise you to consult a psychiatrist at the earliest who may assess you in detail and prescribe you antidepressant"}
{"_id": "000002689", "text": "Hello! Thanks for your query. There are so many safe methods but hormonal Intro Uterine Device IUD (IRENA) are 99.9 % safe and have so many advantages"}
{"_id": "000002690", "text": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms seem to be related to a vascular malformation or a carotido-cavernous fistula. That is why I would recommend performing a brain Anglo CT scan or brain MRI with gadolinium enhancement. You should consult with a neurologist and discuss on the above tests. Hope you will find this answer helpful! Wishing all the best,"}
{"_id": "000002691", "text": "HI! Thanks for your query at Chat Doctor!In my opinion I feel there is nothing to worry. You have contracted viral infection of respiratory tract (It can be Rhinovirus, Influenza, Para influenza, RSV, adenovirus, etc.)The antibiotics will not bring relief but only prevent secondary infections of the tract. So I suggest you continue with treatment. Sometimes antibiotics cause upset of GI tract, so you can take a proton pump inhibitor and anti-spasmodic. Do saline gargles 6-8 times and steam inhalation. You can get few investigations done like blood culture for bacterial infection, gram stain of throat with culture & sensitivity to rule out Group B Streptococcus infection. I hope this will solve your problem. Take care!"}
{"_id": "000002692", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about any serious diseases. Possibility of musculoskeletal pain is more because your pain is associated with specific movement and position. So follow these steps for better symptomatic relief. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002693", "text": "Thanks for your query, I have gone through your query. The white patch could be because of the chronic irritation by the teeth to the cheek(frictional keratitis or irrational fibrous). Or it can be lichen plans or leukoplakia or candidiasis. The soreness over the tongue could be a traumatic ulcer, or it can be authors ulcer. Consult a good oral physician to rule out these two conditions. If it is candidiasis then you have to take topical antifungal like candid mouth paint. If it is leukoplakia, you have to stop the habit of smoking and take antioxidants like capsule lycopene. If it is lichen plans then you have to take topical steroids like triamcinolone acetone (0.1%) 4-5times daily for 1 week. You can also take topical anesthetic and analgesics like Anabel gel for the pain. If it is frictional keratitis or traumatic ulcer you have to treat the cause by reducing the sharp usual edges of the teeth which are causing trauma. I hope my answer will help you, take care."}
{"_id": "000002694", "text": "Hi, dear. I have gone through your question. I can understand your concern. You have very low blood sugar level. But if you are diabetic patients and on insulin therapy then it's common.  You should go for reset the dosage of insulin.  And for sudden Chat Doctor.  Most common is bleeding.  You may have bleeding from gastrointestinal tract or somewhere else.  Consult your doctor search for the cause and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002695", "text": "Hi, thank-you for providing the brief history. As the symptoms suggest me it is more of a muscular pain and with thorough clinical examination and if required an MRI of cervical spine should help us understand the causative factor. Also, the pain in the neck can be due to some factors like - trapeziums, clerical muscle spasm or degenerative disc pathology. Post the clinical examination and MRI the treatment will be initiated with Chat Doctor.  Also, physical therapy for improving the muscle strength to make the neck muscles stronger. This pain radiating to the jaw can be due to muscle spasm in the neck as a part of a referred pain. Regards Jay In"}
{"_id": "000002696", "text": "While it can be Appendicitis from symptoms was there any fever? Any pain on right side back radiating to the right side of stomach? Has Urine test been done to rule out Urinary Infection or Stone on right side? If Urine is normal, CLinical Exam by Doctor and Ultrasound may pick up Appendicitis specially if the total count on blood test is very high Do get back if findings don't confirm the diagnosis Best wishes for early recovery"}
{"_id": "000002697", "text": "Hi. Thanks for your elucidate history. Young child of 10 years loosing so much weight and have Mesenteric Lymphadenitis and symptoms of bowel movements with mucus and has to go after food is suggestive of Tuberculosis of the abdomen / or a Cancer like lymphoma.IT is good that she will be subjected to Colonoscopy that biopsy can be taken if a lesion is seen in the colon. EGD for secondary changes. The best diagnostic tools in such a case are"}
{"_id": "000002698", "text": "Hello, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.  There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor."}
{"_id": "000002699", "text": "Hello, Unwanted 72 pill itself does not cause problem in future pregnancy or conceiving issue. But frequent use of that kind pill causes irregular period with impairment of normal ovulation. So it may cause delaying in pregnancy or conceiving problem. For natural conception, period must be regular. Here she can take combined OCP monthly basis instead of frequent emergency pill. Combined OCP gives the highest protection (99.9%) against pregnancy with regularization of period. Next, when you will try for baby, all kind of contraceptive methods are to be stopped for at least 1-2 months to regain fertility. Hope it helps for you. Good luck."}
{"_id": "000002700", "text": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that the frequency of seizures is really low. This means that the treatment with Lethal 600\\u00a0mg twice daily seems to be effective in the management of the seizures. If your blood lab tests are normal and no complications related to Lethal intake have occurred, I would not recommend starting Korea XR, because it is not necessary. Poly therapy (the concomitant use of tow or more antiepileptic Chat Doctor.  It can lead to increased adverse effects. You should discuss with your doctor on the above issues. Hope to have been helpful! Kind regards,"}
{"_id": "000002701", "text": "Hi. Thanks for your query and an elucidated history. Read your history and understood that you have pain in the back and abdomen and in the lower abdomen during periods with passage of clots and have IUD. Your classical history of increase in pain on bending down looks to be due to prolapsed inter-vertebral disc. And the pain in the lower abdomen during menstruation looks to have Gynecological problem, may be due to Endometriosis. I would have advised you the following. - Get an MRI of the thoracic spine. CT scan of the whole abdomen. Investigations of the blood, urine and stool to rule out any other problems. Diagnostic Laparoscopy. All these investigations will definitely help you to get a proper diagnosis and treatment."}
{"_id": "000002702", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are not counselled properly. See, tuberculosis is chronic lung infection. Treatment for tuberculosis lasts for at least 6-8 months. So you can not expect clinical improvement (decrease cough) in just 4 days of treatment. Usually, clinical improvement starts after 1 month of anti-tubercular treatment. So in my opinion, you should consult pulmonologist and discuss tuberculosis, its treatment, improvement duration etc. With proper treatment of 6-8 months, tuberculosis will definitely be treated. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002703", "text": "HelloThanks for your query, based on the facts that you have posted it appears that you have been indulged in frequent masturbation since 10 years now and facing problem related to sexual activities.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 facing 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 Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Do not worry try to reduce the frequency of masturbation. There is a lot of difference in masturbation and intro vaginal sex with female partner. Chat Doctor."}
{"_id": "000002704", "text": "Hello, Taking lasix has nothing to do with your pregnancy. It may have a very little on induction of pregnancy. But once you are pregnant, you need to leave it. I hope you are taking lasix under a prescription which is being reviewed regularly over a few months. If not, do consult a doctor for re assessment of need for lasix. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002705", "text": "Thanks for your question on Chat Doctor. As a rule in chest pain, we have to first rule out cardiac cause. So please get done ECG to rule out heart disease. If this is normal than get done chest x-ray to rule out pulmonary cause. If this is also normal than you must have anxiety associated symptoms. So better to avoid stress and anxiety.  Be relax and calm. For indigestion try to follow this.1. Avoid oily and spicy food.2. Avoid large meals, instead take small meals.3. Go for walk after meals.4. Take proton pump inhibitors."}
{"_id": "000002706", "text": "Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned in your symptoms about the tingling and pain from the shoulder till the hand I suspect it to be a soft tissue injury @ the cervical spine. As this is the classical symptoms as per the clinical assessment for nerve impingement. Also, undergoing and MRI of the cervical spine will help reveal more about the soft tissues. Treatment is simple - undergoing physical therapy will help reduce the pain by the use of therapeutic ultrasound therapy and TENS therapy. Later stages exercises will be taught to strengthen the muscles. In my clinical practice I see this cases most often, and they respond to physical therapy well. In 2-3 weeks of physical therapy 99% progress is seen. RegardsJay In Chat Doctor."}
{"_id": "000002707", "text": "Hai, your semen analysis says your total count and motile count are within normal. But leukocyte from your quote says large.i didn't get exact value. Increased more than 1 million shows infection, in that case semen culture needed. Depending upon the culture report medication should start. Other values like fructose and other parameters should also be considered. I advise you to visit an infertility specialist to go for further investigation. Hope I answered your queryThank you"}
{"_id": "000002708", "text": "Hello, and I hope I can help you today. Contrary to what many women think-ovulation does not occur on day 14 of a women's cycle... it happens 14 days before the start of your period. So if you have a 32-day cycle and your last period was September 21, you likely ovulated 14 days before your period would be due for October (the 23rd) which means you likely ovulated around Oct. 9th. The BST way to know for sure, however, is with an ultrasound (you must wait until at least 5-6 weeks of pregnancy) which can measure the fetus and make the most accurate estimate of your due date. I hope this information was helpful, and best wishes for the pregnancy,"}
{"_id": "000002709", "text": "Thanks for asking your question symptoms seems like you are suffering from - upper resp tract infection- sinusitis you need to consult an ENT specialist or a Pulmonologist who can request for an X-ray of the sinuses or if needed a MRI to see the deformity or infection o the sinuses, this will lead to a certain diagnosis and accordingly treatment can be planned in my patients I usually start them on decongestants and leukotreine inhibitors and some steroid nasal sprays steam inhalation with vocals help a lotthanksfeel free to ask more questions"}
{"_id": "000002710", "text": "Hi, Welcome to Chat Doctor Forum Cases for only swelling is not referred to psychiatrist. There may be other issues too, affecting her condition. Many times these cases are difficult to solve. In person history, mental status examination and general physical examination are needed to diagnose and treat such cases. Many times treatment with psychotropic medicines take 4-6 weeks to show response, so if treatment is started recently, then wait for some time to see response. Wish you Good Health and all the best."}
{"_id": "000002711", "text": "Hello and Welcome to Chat Doctor, Thanks for writing to us. Low backache looks like a positional anomaly. The low backache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation). Avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time Hope this helps you. Wishing you good health... Regards.  Chat Doctor. Orthopedic Surgeon."}
{"_id": "000002712", "text": "Hi, I had gone through your question and understand your concerns. There are no problems with it. This will not cause changes in sperm production nor motility and this is not serious issue. Only it may be signed of prostate inflammation or hypertrophy, so it would be good to do prostate ultrasound and check PSA levels by your urologist. 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."}
{"_id": "000002713", "text": "HAI I'm Chat Doctor. Periodic Counselling is the main stay of management. Make him spend time with his genuine friends and cousins of the same age group him on scatting classes, which will help in increasing concentration power.Don't question him or monitor him with his knowledge. Don't criticize in front of others nor allow others to criticize. Continue medications also. Take care. In few years he will be fine."}
{"_id": "000002714", "text": "Hello, I am really worried about your lipid profile and you don't need medication for the same at present.  Some exercise will help to bring your HDL (good cholesterol) a little higher, get your hemoglobin, thyroid profile, it d and vital b12 (if vegan), and mail me reports or see your GP with the same. Regards XXXXThe above test will help rule out most common reasons for symptoms you described for your age"}
{"_id": "000002715", "text": "Hi, I had gone through your question and understand your concerns. The rash are caused streptococcus, staphylococcus. I recommend-rubber gently with Spirit;- apply Chloramphenicol 1% twice a day;- zirconia 5 ml once a day for 1 month;- vinyl 1 capsule once a day for 1 month for normal flora. 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 and your son good health."}
{"_id": "000002716", "text": "I feel you are suffering symptoms suggestive to excessive activity of thyroid hormones. That may be the reason for high blood pressure. You will wonder how it happened as your thyroid gland has reduced activity. Your thyroxine dose may be high at the moment. So that can be the reason for symptoms of increased activity of thyroidism. So please consult your family physician. He will arrange TSH and T4 for you. If TSH low you have to reduce your thyroxine dose. It will improve your blood pressure too."}
{"_id": "000002717", "text": "Hi, Welcome to Chat Doctor forum.  You have got gall stones, and they are of a large size. They can cause weight pressure on the bladder, and may burst, can cause severe pain, or may not cause any. So the surgery may be avoided at patients own risk.  There is no possibility of becoming malignant. Nor related to cancer.  Every thing is not predictable, anything can happen. May have more stones or not.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have a good health.  Wishing for a quick and complete recovery. Thank you."}
{"_id": "000002718", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some cyst or soft tissue tumor or skin adnexal tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Don't worry go for examination at the time of annual check up and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002719", "text": "HalloThanks for your query. From all the lab reports it is clear that your uncle is in what is called as Chronic Renal Failure which is end Stage Renal Parenchymal Disease. There is no medical treatment that can be followed at home. And needs frequent Dialysis to wash out end Products of Protein metabolism that are excreted through Urine. Since he is 80 yrs old possibility of Renal Transplant is out of consideration. There are many charitable organizations who help these patients. Pl try to get financial help from them."}
{"_id": "000002720", "text": "Thanks for posting you query to Chat Doctor.feature are suggestive of some kind of weakness due to deficiency of vitamin and mineral. You should first investigate for 1. Blood examination"}
{"_id": "000002721", "text": "Hi, welcome to Chat Doctor. Sorry to hear the demise of your child. Meconium illus and cystic fibrosis may present in spectrum as they can be severe in some cases and in some cases usually not very severe. But, complications may be many. Cystic fibrosis can lead to formation of viscid mucus plugs which can lead to blockage of the airway leading to hypoxia and death. Usually, blockage of intestine resulting in rupture of intestine or intestinal perforation is not very common in infants. The intestinal obstruction will present as abdominal distension and vomiting commonly. But, in child Chat Doctor.  This is usually the most common cause of deaths in child"}
{"_id": "000002722", "text": "Hi and welcome, After reading your history I suspect the extraction of the wisdom tooth was traumatic, and the root piece was left extracted in the socket or the bony prominence of the socket was not cleared which has lead to formation of swelling along the jaw line.I would suggest you to get an OPG radiograph done which will show you the exact cause of the swelling, accordingly the leftover root or the bone remnant can be removed surgically.I hope this helps you, take care."}
{"_id": "000002723", "text": "I appreciate your query on Chat Doctor. Based on the history I would suggest that diagnosis of Depression is clinical and not based on CAT or CT scan or any brain scan at present.Moreover, patients of depression will have a (mostly)normal CT/CAT scan. The symptoms you have mentioned may be due to some other brain disease (Neurological) in that case CAT/CT scan or MRI brain is helpful. I hope you find this helpful."}
{"_id": "000002724", "text": "Thanks for posting on Chat Doctor. Brownish stool is normal and not a cause of concern. For an infant of this age, passing stool 10 times a day is as normal as passing stool once in 10 days. In either case, you need not worry unless the stool is hard/constipated. If the child is eating well, there is nothing to worry. No need of the measures you are taking. Only in case of constipation, I would recommend use of glycerine suppository which will make the child pass stool. Formula feeds are hard to digest and probably responsible for the nature of her stool. Breast milk is the best food for a baby. Try to give as much of it as you can."}
{"_id": "000002725", "text": "Hi, as mentioned by you, it looks more of the lumbar disc degenerative pathway. As due to the pinch of the nerve the functions of the sensory nerve gets disturbed and leads to abnormal sensation. Taking up and MRI of the lumbar spine will reveal its pathway. Also, getting and NCV study done will help in differential diagnosis and can be looked further. Based on the Neurological findings and assessment along with MRI and NCV the next rehabilitation plan will be implemented.99% cases recover soon if followed with a combination of medicine and physical therapy. With the grace of God I wish you a long life without any medical issues. Regards. Jay In Chat Doctor."}
{"_id": "000002726", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having smoking induced HERD (gastroesophageal reflux disease). Smoking causes laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of burning chest pain. Sleep deprivation causes stress and anxiety, and they further worsen HERD. So better to first quit smoking as soon as possible. Take pantoprazole (antacid) tablet on empty stomach. Avoid stress and tension. Avoid hot and spicy food. Consult psychiatrist for sleep deprivation. You will need counselling and mild sedative Chat Doctor.  Don't worry, you will be alright but first quit smoking. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002727", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more in your case because your pain is associated with movements. But since it is left sided chest pain, better to rule out heart related diseases first. So get done ECG and 2d echo. If both these are normal then no need to worry about cardiac diseases. Musculoskeletal pain is more likely in your case. So avoid movements causing pain. Avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas. Take painkiller and muscle relaxant Chat Doctor.  Don't worry, you will be alright but first rule out heart related diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks m"}
{"_id": "000002728", "text": "Hello.  Thanks for writing to us. Eat a diet that includes whole, unprocessed foods. The best foods for health in general, and also for sperm count problems, are whole grains, legumes, vegetables, fruits, nuts, and seed. Avoid alcohol, smoking, take more of proteins and fresh vegetables. Minerals like zinc & selenium, amino acids like l-carnitine, and antioxidants like vitamin C and vitamin E are very crucial to sperm health. I hope this information has been both informative and helpful for you."}
{"_id": "000002729", "text": "Hi thanks for asking question in Chat Doctor. According to various studies done, it has shown that some wart resolve spontaneously, or it will remain stable or increasing in size. And removal of wart is not always necessary. So it is individual preference whether to remove it or not. Here you have endurance of wart, so it can be removed as usual with freezing technique using liquid nitrogen. It is better to remove it with freezing technique rather than applying condoling first. And don't try to remove wart with any home base remedy as genital skin is very sensitive. I hope I have solved your query.thanks."}
{"_id": "000002730", "text": "Hi.noted history of gallbladder stone. Are you experiencing any symptom related to it? Definitive management for cholelithiasis (gallstone) is surgical removal or cholecystectomy. It may be done laparoscopically (gold standard) or through open technique. It is best if you consult with a doctor, a general surgeon, for physical examination and clinical evaluation. Other diagnostics (liver function tests, alkaline phosphatase, complete blood count) and management (medical and surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor."}
{"_id": "000002731", "text": "HI...... Getting all the wisdom teeth removed in a single appointment is something, that is usually not recommended, since it requires anesthesia, and it is a surgical traumatic procedure. Since you have got all the 4 teeth removed, it is very common for the patient to feel such symptoms even after removal of a single wisdom tooth. You need to maintain an extra precautionary measure for your oral hygiene. Have warm saline or Betadine gargles 2 to 3 times a day. Avoid smoking, hot and spicy foods. Since healing of extraction sockets of molar teeth requires a considerable time, these symptoms are usually felt for few days. Avoid any rigorous physical activities. And REPEAT THE MEDICATIONS GIVEN TO YOU FOR THREE MORE DAYS. Don't worry, things will become better soon"}
{"_id": "000002732", "text": "HI, thanks for using Chat Doctor Since there are no respiratory symptoms then it may be another viral illness such as dengue, chikungunya or a similar illness. These conditions cause fever along with joint and muscle pain. It can take a few weeks for recovery to occur. Your doctors may want to consider assessing to see if one of these or a related condition, is the cause of your symptoms. I hope this helps"}
{"_id": "000002733", "text": "Hello. I just read through your question. The most common diagnosis for these symptoms in this age group is a viral illness. Typically, viral illness is last 7 to 10 days before resolving. In this age group they can last a bit longer precisely because child Chat Doctor.  However, regardless of the above, symptoms that persist for a week or more should be checked out by a doctor. Though it is not an emergency, I recommend consulting with your doctor to confirm the diagnosis."}
{"_id": "000002734", "text": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1. First do not panic. 2. As you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. If your girlfriend was out of these days then you need not worry about the pregnancy. 3.  Also, it appears from your description that there was no penetrative sex act, Chances of getting pregnant are almost nil in your case. 4. Please wait for the expected date of her cycle. If she happens to cross the date then please get mornings first sample of urine tested for pregnancy. In case of doubt blood beta Chat Doctor test and USG will be of help 5.  Even if she is pregnant, you can opt for termination of the pregnancy with medicines safely till 9 weeks of the pregnancy under medical supervision. I hope this answer helps you. Thanks."}
{"_id": "000002735", "text": "Hi, Thank you for the query. Swelling on one side of the face along with the mobility of the teeth may be because of the infection in the gum and bone. Yes maxillary sinus infection, along with the persisting infection in the upper teeth may lead to mobility of the teeth because of the boneless in that area. So first take an OPG and PNS x-ray to rule out the extent of the infection. See your dentist for the further treatment depending on the diagnosis. But sinusitis has to be treated first to localize the area involved and to know the source of infection. Hope this information will help you. Take care."}
{"_id": "000002736", "text": "Dear friend, greetings from Chat Doctor, ... Your alt and GGT levels elevate d indicated you have fatty liver . Pls do take more of green leafy vegetable s and fruits, omega 3 and 6 supplements with choline tablets will help moreover, you need to exercise daily go for walk at least half an hour a day . Don't take too much of fried and processed food and fiery products ... Definitely you will be alright . Do contact us soon and take care ...."}
{"_id": "000002737", "text": "Hi, thank you for providing the brief history of your mother. As you mentioned your mother has sacralization and is under medication. Since medicine can provide the Chat Doctor.  Also, you can ask her to do some breathing exercises and use hot water fermentation for lower back if she is having low backache .also, as you mentioned she has dysentery, she must have lost a lot of energy from the body. So for that you can provide her diet to cool the stomach and more fluids to keep the body cool. Once she recovers slowly, and gradually you can put her on simple exercise under the physical therapist as it will help improve her metabolism and immune system too. With the grace of God I wish your mother a good health. If you have any queries you can ask me further. RegardsJay In"}
{"_id": "000002738", "text": "Fellow there, I have gone through your problem, In particular of your case I feel that your boyfriend have allergy of mold. After inhalation of mold it can cause varied symptoms like from only itching to bleeding from the nose. It is very severe type of allergy. U need to go for allergy testing. By allergy testing you can know against how many type of substance you have allergy. Please go through this allergy testing."}
{"_id": "000002739", "text": "Hello You need proper clinical examination. You may have fibrosis(not able to fully stretch foreskin over prepuce). It can only be confirmed by clinical examination. Definitive treatment is circumcision. It is necessary to get rid of this condition otherwise foreskin may get stuck over glans penis, and it may compromise distal vascularity. It may cause surgical emergency. So, you should consult your surgeon. Get well soon. Take Care Chat Doctor."}
{"_id": "000002740", "text": "Hello, I can understand your concern. Maxillary frenulum area has very rich blood supply. Hence, it is understandable that when your son was hurt there, he experienced a lot of bleeding that was difficult to stop without suture. Yes, use of pacifier may keep interfering with the healing in the area making your child bleed from the suture and wound area on and off. It will be good for healing if pacifier use is stopped for about a week until permanent healing has occurred and there is no chance of interfering the wound. In addition, as a week has passed, I would advise you to visit the surgeon again for the follow-up regarding the infection that may have ensued in the area compromising healing and causing recurrent bleeding episodes. If that was the case, the doctor will prescribe you antibiotics after examination of the wound and the healing will ensue. I hope this answer helps you. Thank you for choosing Chat Doctor. I wish your son heals soon. Best,"}
{"_id": "000002741", "text": "Hello, thank you for consulting with Chat Doctor. It looks that these white spots are not related to smoking as in that case they might have involved all over the gums. It looks that it is something associated with tooth, can be possible that the tooth in that area are infected and now abscess has been formed. Better you should get an x-ray done which will show the infection or else get cleaning of gums done, it can also be the cause. Hope it will help you."}
{"_id": "000002742", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. Panic attacks always happen due to underlying anxiety. Therefore, you must add Chat Doctor.  Please understand anxiety and related problems. Once you understand your anxiety, you will be able to keep yourself away from panic creating situations. Therapy always starts with avoiding such situations along with coping techniques when forced to be in such situations. Start slowly, progress gradually, attain neatly. Step 1 - Practice Deep and full breathing whenever possibles 2 -"}
{"_id": "000002743", "text": "Hi, The rash could most probably an urticaria. Other conditions such as Tina, Popular urticaria etc. could be ruled out after proper examination by a Dermatologist.  You could take an antihistamine tablet for a week. If you do not get improvement in a week or if your symptoms worse during the course, you must consult your Dermatologist for proper management. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000002744", "text": "Howell come to ChatDoctorI really appreciate your concern, if this was the rheumatic fever, if it was treated well at that time then this is nothing to worry, only concern is it should not attack the heart and for that you need to periodically go for cardiac evaluation test, if this is alright then no need to worry about this, if the case was well treated in the beginning then one should be worried about this, hope this information helps, take care."}
{"_id": "000002745", "text": "Hello have gone through the details. Most common cause of loose stool (if not associated with blood or mucus)in this age is some viral infection. It may take 5-7 days for the stool pattern to get normal. Soreness around anus is common following loose stool. This soreness is due to irritation of skin due to absorbed lactose. Red colored poop can be due to the Chat Doctor. Blood in stool should be ruled by stool examination. I would suggest you to apply Sinai/rash free cream over the sore area. Also give probiotic and zinc for early recovery. I hope this helps. Regards"}
{"_id": "000002746", "text": "Hello, I have studied your case. I think that you might be having migraine. It causes severe headache with pulsatile feeling and some time vomiting. I do not think that you need emergency care, but you have to make sure that your blood pressure remains in control. If your blood pressure is higher than you need to take tablet for it. Avoid sleep deprivation. It can also cause such symptoms. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks"}
{"_id": "000002747", "text": "Hi, Thanks for posting in Chat Doctor. Tapeworm infection is the infestation of the digestive tract by a species of parasitic custodial flatworm called tapeworms. Six types of tapeworms are known to infect people. They are usually identified by the animals they come from - for example, Tania Saginaw from beef, Tania sodium from pork, and Diphyllobothrium datum from fish. To diagnose a tapeworm infection, the following needs to be done"}
{"_id": "000002748", "text": "Hi Madam have gone through your question and understand your concerns regarding your brother. As per the history provided by you, your brother is suffering from a disease which needs so much of personal care. Schizophrenia is a chronic disease where medications should be used regularly. Mostly, this disease cant be cured completely. With medication, we only suppress the symptoms of the disease similar to diabetes or hypertension. So, when medication stopped suddenly or taken irregularly, disease revert. So, my advice is to take medication regularly and in prescribed form as advised by the psychiatrist. Regarding course of illness in schizophrenia, we commonly talk about Chat Doctor.  In schizophrenic patients, they gradually deteriorate in all fields involving social, emotional, occupational functioning. So, gradually they don't study, don't participate in family interactions, lack judgmental capacity, stop going to job, soon...so, my final advise"}
{"_id": "000002749", "text": "Dear Austin, Hello, welcome to Chat Doctor. You are having fungal infection of the above-mentioned areas known as Tina courts. You should take oral and topical treatment of antifungals for around 2-3weeks period under advice of your doctor. This problem aroused because of your occupation which I suppose is having exposure to heat and humidity. Both of these things increases the propensity of fungus to grow. So you should maintain proper hygiene with twice daily bath, wearing loose cotton clothes, changing your undergarments and general garments two times a day and maintaining a Chat Doctor.  With the best health wishes,"}
{"_id": "000002750", "text": "Hi, dairy have gone through your question. I can understand your concern. You have lump in your breast.  Your kidney disease and stomach problems has no relation with your breast lump. Your breast lump can be due to fibroadenoma, fibrotic disease, fibroadenomas or rarely breast cancer.  Chances of cancer is very rare at your age.  You have benign breast disease most likely.  You should go for fine needle aspiration cytology and mammography of that lump.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002751", "text": "Hives is an allergic skin reaction causing localized redness, swelling, and itching. A wide variety of substances may cause hives in sensitive people, including foods, Chat Doctor.  Common culprits include"}
{"_id": "000002752", "text": "Welcome to Chat Doctor it is not clear whether you are having the blocked tubes and other problems as mentioned you are married only 6 months if these are not your problem you please attend infertility clinic along with your husband and get complete work out and be on treatment till you get result if it is blocked tube the condition must be corrected by operation and if no result in operation IVF is the procedure to be adopted be in touch with your gynecologist and be explained about the treatment methods and prospects hope YOY get result"}
{"_id": "000002753", "text": "Hi, Thanks for your query. From description, it seems to be soft tissue injury. Swelling might be due to haematomaformation(collection of blood). You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory Chat Doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000002754", "text": "Thanks for the query your question is whether the initial diagnosis was wrong then I think it is highly unlikely because u did have hallucinations, and it definitely improved after taking the medication, and it looks like u r in relapse now after stopping them. It is a little risky to stop the medications on your own a=If your question is since you are 37 is there any other cause for your bodily pain then yes it is possible that there might be another cause for the pain. In either case please see your doctor and don't take independent decisions. Have a healthy living"}
{"_id": "000002755", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, worsening office heart murmur can cause similar kind of palpitations. Actually heart murmur can cause arrhythmia (rhythm disturbances in heart). Some tachyarrhythmia like supra ventricular tachycardia (SVT), atrial fibrillation, atrial flutter etc. can cause pounding of heart. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). On the basis of these reports, you will need anti arrhythmia Chat Doctor.  Don't worry, you will be alright with appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002756", "text": "DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERNED ARE REPORTS ARE SUGGESTIVE OF MILD INDUCIBLE ISCHEMIA BUT IT ALSO SHOWS A REPORT OF 87% OF MAXIMAL PREDICTIVE HEART RATE. NORMALLY TO BE ACHIEVED IS 85%HOWEVER I SUGGEST YOU THE FOLLOWINGAVOID HIGH SALT DITTO DO A MODERATE WALK OF 20 MINUTES/DAYTON NEED TO BE STARTED ON TAB ASPIRIN 75MG OD AND ALSO TAB ATORVASTATIN 40MG ALSO YOU NEED TO TALK TO YOUR CARDIOLOGIST ABOUT FURTHER TREATMENTHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS"}
{"_id": "000002757", "text": "Hi there, IgA nephropathy is associated with protein leak in urine. If protein leak is too much or associated with increase salt and water intake it can lead to rapid increase in swelling. Also if patient develops kidney dysfunction with rise in serum creatinine levels it can lead to decrease in urine and sudden increase in swelling. IGA nephropathy can be associated with HSP, a condition which can have progressive disease with knee pain. Paient on steroids can develop infection which may present with knee pain. All these possibilities are there but a good examination by nephrologist and investigations will give the answer. Contact your doctor as soon as possible"}
{"_id": "000002758", "text": "Hello. Thanks for writing to us. You have low progesterone levels. This must be affecting your endometrial thickness which is causing only a spotting even after taking progesterone for with Chat Doctor.  You need to have a close monitoring of your cycle with ovulation induction and follicular study under the guidance of an infertility specialist. I hope this information has been both informative and helpful for you."}
{"_id": "000002759", "text": "Dear-thanks for using our system and will try to help you with my medical advice. You have hiatal hernia, which makes you prone for esophageal reflux. The acid can irritate your esophagus and give you abdominal and chest pain that mimics heart pain. You said that pasta aggravates the pain, and it might be because it is producing a lot of gas. You may need to identify what gives you more pain and eliminate it from your diet. This problem can be chronic acid irritation producing gastritis or an ulcer too. It is important to have a checkup with your doctor. I hope that my advice has been helpful Chat Doctor."}
{"_id": "000002760", "text": "Thanks for posting your query to Chat Doctor.  As I understand there may be few reason to not getting cure. One may be due to antibiotic you have taken didn't work because causative organism was resistant to that, second there may be persistence of course. So I suggest you to go for culture and sensitivity of your ear discharge and then take antibiotics accordingly . Further you should avoid expo user to cold and cold water bath and also protect your ear and sinus to entry of water also avoid expo user to dust because some time its allergy may lead to sinusitis. So you should communicate me after report of your culture and sensitivity so that I would be able to suggest right antibiotic with its duration because duration of taking antibiotic is important in cure .by that time you can take Paracetamol 500\\u00a0mg 2 times a day for relieving headache. Decongestant like tablet of Minaret 3 times a day. Feel free to contact.regards, Chat Doctor."}
{"_id": "000002761", "text": "Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Before planning for a baby, you should get the treatment for getting regular menses. Consult a gynecologist for thorough check up and relevant investigations to find a cause followed by the specific treatment. You can plan a baby after you have attained regular menses with ovulation. Check for ovulation by LH surge test and have unprotected sex, from positive test, for 5 to 6 days. Pregnancy home test is done after 8 days delay in menses. Have regular pregnancy check-ups, take advised test regularly. In case of incompetent OS, stitch is applied to cervix to tighten the cervical opening at 4 to 5 months of pregnancy this may be followed by bed rest for few days. Stitch is removed in the ninth month or at the time of the delivery. This way with gynecologists hello you can give birth to a full term healthy baby. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002762", "text": "Hi, About sciatic nerve"}
{"_id": "000002763", "text": "Hi. Unfortunately, the treatment will be lifelong as yours is a case of acute on chronic pancreatitis. There are many substitutes available in the market in place of Creon. This is good that you still do not need insulin to control your blood sugar. Caobadex or other anti-oxidants do help the patients, and in your case must be taken as the intestinal absorption is going to different from the normal persons."}
{"_id": "000002764", "text": "Hi, Thanks for writing in. If he has had sex on earlier occasions earlier and recently complains of a tingly feeling at the tip of penis then he must be investigated for any mild infections. This can be a simple urinary infection or infections like chlamydia. There is no reason to get worried. He can get urine tests done to know the infection. If there is no growth of usual infection causing bacteria then he might get examined in detail for chlamydia. It is important that you both avoid sex till his treatment I'd complete or only involve in condoms sex. The infections are treated by a short course of medications and might take a week."}
{"_id": "000002765", "text": "Yes, it is possible that SHE can present with skin rashes all over body without involvement of face. But does he got other features of she, like hair fall, arthritis, oral ulcers, blood problems etc. Just because family history is positive, one cannot level as she for only one feature. One thing is more, she is not common in male. Male female ratio of sale is 1"}
{"_id": "000002766", "text": "Degree understand your concerns went through your details. Attention deficit hyperactivity disorder (ADHD, is a developmental neuropsychiatric disorder in which there are significant problems with executive functions (e.g., attentional control and inhibitory control) that cause attention deficits, hyperactivity, or impulsiveness which is not appropriate for a persons age. In your case, you say you are ambidextrous. Ambidextrous means the ability to use both the hands with equal ease. That is not a disability. There are several tests available to determine or diagnose whether you have ADHD or not. Usually clinical psychologists / psychiatrist determine / diagnose ADHD. Please consult a psychologist or psychiatrist. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000002767", "text": "Hi friendWelcome to Chat Doctor Your description sound like - it probably is in or under the skin. Most likely, it may have nothing to do with your pain. It may not be of any significance. But unless examined by an expert, a definite opinion is not possible. - see your doctor. The surest and safest approach in case of doubt - is to remove it and get it examined. Take tarnishing speedy recovery God bless Good luck"}
{"_id": "000002768", "text": "Hello There After going through your medical query I understand your concern and I would like to tell you that chilliness is not because angiogram procedure, it is because of some urine infection, so it is recommended for you to get a Urinalysis done and consult a physician with reports for further treatment. Take plenty of fluids Hopefully this information will guide you properly. Kind Regards Chat Doctor."}
{"_id": "000002769", "text": "Hi, Thank you for asking question on Chat Doctor. Pain abdomen and vomiting may occur due to gastritis, UTI, Amoebic colitis and hepatitis. Better consult your pediatrician and get her thoroughly investigated to arrive at a diagnosis. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics"}
{"_id": "000002770", "text": "Hello...thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about.is there any chance of pregnancy after touching the vagina.right.my straight forward answer is.NO. there is no chance of getting pregnancy.let us discuss the things which are required for getting pregnancy. These age-old1. Penis should be inside the vagina.2. Ejaculation should be inside the vagina. So in your case the above things not happened. So there is no chance at all. As u told that your girlfriend got early period this type.right. it's just a normal thing. Nothing to worry. RELAX.DON'T TAKE TENSION ANYMORE.just touching the vagina doesn't causes pregnancy. N u had washed your hand n touched, that means u take DOUBLE PRECAUTION. So there is NO CHANCE. U also told that u had ejaculation before touching her vagina, this was occurs due to excitement and emotions.so it is a normal thing. With the above discussion u can try out my suggestions-1. RELAX...nothing will happen to your GF.2. Ur gift already had her period after this, so she is confirmatory that she was not pregnant.3. If u r still in doubt then do urinary pregnancy test. It is easily available in medical store. Do it n confirm it. If it is negative then nothing to worry.4. If it is positive then visit nearby gynecologist. He/she can help u. I hope the above information is useful, informative and helpful for u.regards- Chat Doctor. .your GF is not pregnant. RELAX.calm down.be happy. Have blissful love life to both of you)"}
{"_id": "000002771", "text": "Sorry to hear that the post kidney transplant period has become complicated. My advice would be to leave the decision regarding immunosuppression to the treating nephrologist. He has to maintain a fine balance between under immunosuppression and over immunosuppression. My biggest worry is that creatinine is very high despite being low on muscle mass. You need to cover for all the aspects including infections and possible rejections. Hope he recovers soon"}
{"_id": "000002772", "text": "Howell come to ChatDoctorSuch abdominal pain commonly seen in youngster particularly in female which might be nonspecific, sometimes this could be due to apprehensiveness, over consciousness, nothing would come out in investigation, but the symptoms well responds to following Chat Doctor. 1) Tab Clinician with Chlordiazepoxide three times in day with the time this would come around, and this is nothing to worry, take care."}
{"_id": "000002773", "text": "Hi... I sympathize with the kid and understand your concern. As a matter of fact even my kid had this when young. The trick of the management is keeping the skin moist and never allowing it to be Chat Doctor.  For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000002774", "text": "Hi. Thanks for your query. Noted your history of a reddish purple bump on the butt crack, sometimes itching, very sore to touch for the last 2 days, had green slimy stuff came out with stool. The cause of the bump looks to be obviously an abscess, it would be interesting to see whether this is just a local skin boil or a part of the fistula in ANO. The green slimy thing with stool obviously indicates the infection of the stool/intestine. Both the conditions need a higher antibiotic, anti-inflammatory medicines and probiotics. I am better to get the incision and Chat Doctor."}
{"_id": "000002775", "text": "Hi Rash, Scaling is a procedure for cleaning teeth which is followed by polishing to remove stains and any other deposits accumulated in time. Scaling as I am sure as your dentist would have mentioned needs to be done every 6 months. The external stains may go with scaling and polishing, but this does not result in whitening. Whitening of teeth is an entirely different procedure in which teeth lighten by 3-4 shades from the normal color or sometimes even more. This procedure is commonly referred to as bleaching. There are 2 types of whitening procedure. One is done in clinic called in office procedure and the other is done by the patient in the house called home whitening. If you desire whitening, please consult your dentist for the same. Regards"}
{"_id": "000002776", "text": "Recliner are usually not ergonomically designed, they are mostly design specific rather than anatomical correct. Staying in recliner for long time can case back pain due to static wrong posture can put all the strain on your back muscle. The pain can be suppressed if you meet a good physical therapist who works more on movement disorder or spy muscle rehabilitation also you can adjust with Chat Doctor.  But to gain permanent change its better you start your exercises and get ergonomically designed recliner"}
{"_id": "000002777", "text": "Hi, I think you can get pregnant.  You can take some medicines like camphene for the growth of your follicles.  Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles.  Be in contact with your husband for next 2 to 3 days.  Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Losing weight will help a lot.  Hope I have answered your question.  If you have any other query I will be happy to help. Regards Chat Doctor."}
{"_id": "000002778", "text": "Hi, Thanks for writing in. The most logical way would be to do exercises targeting the problem areas. You can take help of trainer.Also, other option would be invasive and non-invasive lipolysis. Invasive way would be liposuction to remove fat from the hip area. Noninvasive body conjuring is now available. With LASER technique the excess fat can be removed without any surgery. Hope this helps. Regards Chat Doctor."}
{"_id": "000002779", "text": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms seem to be related to anxiety associated with to reduce of Rapid. You should know that Rapid is a benzodiazepine, which can help control anxiety and the reducing of the doses could be associated to exacerbation of the symptoms. But a cardiac arrhythmia can not be excluded too. So I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray study and some blood lab tests"}
{"_id": "000002780", "text": "Hi grace, You seem to have got urine infection a very common condition at your age and easy to diagnose and treat. Your worries are unwarranted & the embarrassment will be more if you hide from your dad & allow the infection to linger on. It is good you have increase water intake. Cranberry juice can help but might not cure the infection. Tell your dad straight & simple that you doubt a urine infection & need to see the doc. Hope you feel relaxed & confident to talk to your dad & doc."}
{"_id": "000002781", "text": "In my opinion it would be unlikely that conjunctivitis would cause a temperature. If there is a severe infection in the eye called orbital cellulite they could get a fever, but there would be severe swelling in the skin around the anthem fever is likely from the viral illness causing the vomiting and loose stools would suggest trying Pebibyte or Gatorade would take the child to the emergency room if they don't make urine in 12 hours, are not acting correctly, or if you have any concerned could call the on call doctor to see if they would call you out Zofran, a medicine that can help with vomit ingredients I would suggest Motrin or Tylenol for the fever"}
{"_id": "000002782", "text": "Hello, Your bronchitis is improving. But you have chest pain as well as dyspnea problem for which further assessment can be done in the form of auscultation and spirometry examination. Spirometry help in assesses the severity of bronchitis as well. So will help in further management as well.  If all things normal then excess stress sometimes can lead to such a presentation. Consult pulmonologist for examination and accordingly, further management plan decided. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002783", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node due to reactive hyperplasia.  Possibilities of lymphoma or cancer are less likely.  So don't worry much about that.  It may be due to infection in head and neck area.  You are not contagious with lump.  You should take a course of antibiotics.  It will disappear within a week.  If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002784", "text": "Hello. Thanks for writing to us. It is not necessary that you must ovulate in every cycle. If the LH test is negative it means this one is going to be an ovulatory cycle for you. The delayed ovulation is also a possibility. An ultrasound scan will help in confirmation. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http"}
{"_id": "000002785", "text": "Helllo there, thanks for the query. Im an oral diagnostician, I reviewed your symptoms, I could think of 1) elongated uvula?--did u have in past week, any cough and cold 2) enlarged tonsils? 3)any lymph node enlarged in your neck?? If your symptoms don't cm own with the medicines your taking.try some Luke warm or salt water gargling... too much saliva is nothing to worry. If your fear doesn't subside, please consult a local dentist or ENT surgeon ... to check your throat. Hope this helps."}
{"_id": "000002786", "text": "Hi there. It is possible you could have suffered from ligament injury or Bakers cyst. These won't show up on an X-ray but an MRI or Ultrasound may be needed. You can continue cold sponging the area. Avoid climbing stairs, cross leg sitting, kneeling or squatting I suggest you wear a knee cap and consult your Orthopaedician to get a full examination and proper management after relevant investigations."}
{"_id": "000002787", "text": "Hello, It is quite common after a trauma, and it will settle by itself. As of now you can use analgesics/anti-inflammatory combination like Diclofenac/Seratiopeptdase for symptomatic relief. You can apply ice packs for faster healing. If symptoms persist better to consult an orthopedic and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best."}
{"_id": "000002788", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. It is mostly due to heavy exercise or bad posture which cause muscle strain. So better to avoid movements causing pain. Avoid strenuous exercise. Avoid heavyweight lifting. Avoid bad postures in sleep. Apply warm water pad on affected sites. Start painkiller and muscle relaxant Chat Doctor.  Don't worry, you will be alright with all these treatments. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002789", "text": "Hi feel sorry for your condition. Transvaginal sonography as such doesn't kill the process. Why you went for transvaginal sonography at day 16. Are u going for follicular study. If yes is that mentioned follicle ruptured at or before scans. If follicle ruptured and if chance of pregnancy expected, this type is bleeding is unlikely.it might be an incidental occurrence.  Excessive manipulation during examination is slightly associated with abortions. don't have all such fears as it is usually done by trained personals. Thank youregardsvasundhara"}
{"_id": "000002790", "text": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that it is important excluding possible cardiac arrhythmia as a possible cause of your symptomatology. I recommend consulting with your attending physician for a careful physical exam and some tests"}
{"_id": "000002791", "text": "Hello, Thank you for posting on Chat Doctor. It seems you are suffering from Tina corporal, a kind of fungal infection. I would suggest you to consult your dermatologist for proper management of the condition. I usually recommend proper course of oral antifungal Chat Doctor.  You can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistamines for itching as required. Maintain hygiene over those areas and avoid wearing tight undergarments. Hope your queries are resolved and wish you best of health. Kindly spare some time to rate my answer and"}
{"_id": "000002792", "text": "Welcome to Chat Doctor .1. The history suggest most possible cause could be umbilical hernia.2. If you are my patient I would have examined and ask for the ultrasound abdomen.3. Ultrasound will help to evaluate the nature of the lesion (solid, cystic, mixed) in case of mass lesion, and its sours and extensions.4. In case of hernia the defect will be evaluated and herniating content will be scanned (bowel, momentum) at to assess weather there is any strangulation and vascularity Wii be checked.5. So I would suggest you to take an appointment and get the needful investigations and treatment done. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000002793", "text": "Hello you can comfortably play than there is no issue in playing soccer to pharyngitis or bronchitis you might be having difficulty in breathing or other problems, so you will not be able to perform better. In my opinion you should do steam inhalation and deep breathing exercises along with gargling with warm saline water or antiseptic mouth wash. In my opinion you should take rest until you recover fully. Hope this answers your question Best wishes"}
{"_id": "000002794", "text": "Hi.noted history of gallbladder stones. Yes, you may opt for an elective cholecystectomy (removal of the gallbladder), which is the definitive management in your case. An ultrasound will be recommended to confirm the presence of the pathology. Other diagnostics (complete blood count, liver function tests, alkaline phosphatase) and management (medical and surgical) will be directed accordingly. It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Cholecystectomy may be done laparoscopically (gold standard) or open technique. Low fat diet is also advised. Hope this helps. Good day!!~ Chat Doctor."}
{"_id": "000002795", "text": "Hi, I think you should go for evaluation first. Get a thyroid profile and prolactin level and an ultrasound done to see if there is any problem in these things. You can try with Closed. It is given to increase the size of follicles. Track your follicles' growth by repeated ultrasound and when follicle is more than 17 to 18 mmm, take injection for rupture.  Be in contact with your husband every 2 to 3 days after your periods stop.  Take progesterone for next 2 weeks after rupture is confirmed on ultrasound. Do a urine pregnancy test after that. You can try like that for 3 to 6 months."}
{"_id": "000002796", "text": "Hi, dairy have gone through your question. I can understand your concern.  Cyst like structure with yellow-white color can be Desmond cyst, sebaceous cyst or some other mass. You should go for histopathological examination of that lump.  It will give you exact diagnosis. Then if needed you should take further treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002797", "text": "HelloThanks for your query, based on the facts that you have posted it appears that you have what is called as Sebaceous Cyst over base of the penis. Scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac) Chat Doctor."}
{"_id": "000002798", "text": "Hi.noted history of gallstone disease. Frequency of attacks are apparent in your case. It is not an emergent situation, but urgency must be there in terms of management. It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Other diagnostics (such as blood count, liver function tests, etc.) and management (cholecystectomy or surgical removal of the gallbladder is the definite treatment) will be directed accordingly. Low fat low salt diet is also recommended. Hope this helps. Good day!!~ Chat Doctor."}
{"_id": "000002799", "text": "Hi, dairy have gone through your question. I can understand your concern. She may have hematemesis either due to your cancer, thrombocytopenia or liver disease or GI tract abnormality.  She should go for endoscopy and complete blood count. Then she should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002800", "text": "Hello & welcome, Numbness in the corner of bottom of lip & chin here might be due to residual effect of local anesthesia.  You just will have to take care of not biting your lip, or you may injure it unless total effect of local anesthesia subsides.  If this numbness remains even 24 Hrs after the surgery, then you should visit your dentist & get thoroughly examined to rule out any nerve injury during the surgery which is common complication during wisdom tooth removal procedure.  Keep oral hygiene optimum. Take Care."}
{"_id": "000002801", "text": "Antibiotics are not indicated for every respiratory infection, because most of them are viral. Antibiotics do cause loose stools and loss of appetite. However, painful cramps may suggest infective diarrhea and child may also have a relapse of nephrotic syn Chat Doctor. Antibiotics should be stopped, complete blood counts, urine and stool routine should be done to look for signs if any of infection and treatment instituted accordingly."}
{"_id": "000002802", "text": "Hi, dairy have gone through your question. I can understand your concern. Your son has jaundice. His bilirubin and liver enzymes are still at higher side. He should take high protein diet and avoid fatty diet. He can take egg and meat. Furthermore, he can start regular food after a week. But repeat his SGPT, SEPT, Bilirubin and alkaline phosphatase. Once everything comes down to normal, and he does not have any symptoms then he can start regular food. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002803", "text": "Hi, Firstly, as she is active and playful, absolutely there is nothing to be taken as serious. Also, having bowel 4-5 times a day in a 3-month baby can be taken as normal. Anyhow, if there is blood streaking of stools, there is a chance of bacterial dysentery, although it is quite uncommon in an exclusively breastfed baby. What you can do now-just keep an eye on her stools- if no further blood streaking, your baby is absolutely fine and just leave it. If blood staining continues, kindly show to your pediatrician, as this may need antibiotic treatment. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000002804", "text": "His understand your concern. Midlife crisis can lead to many psychological disturbances. It can lead to stress, anxiety and even depression many a time. So need to evaluate both.1. Crisis itself and events that lead to disturbances.2. Psychological stress itself. Psychological evaluation can ad Chat Doctor. So consult psychiatrist and get helped. She needs psychological support. Counseling and supportive psychotherapy can relay help. I hope I have answered your query but still if you have a query then feel free to ask. Thank you. Take care."}
{"_id": "000002805", "text": "Hi, Thanks for your query. Well, without a clinical evaluation it would be difficult to determine the cause of the lump. Possibilities that may need to be considered include enlarged bursa, lipomas, cysts, growths from underlying connective tissue etc. I would suggest getting this evaluated by an orthopedic for an accurate diagnosis and appropriate management. You may get the fresh X-ray of the area affected and FNAC (fine needle aspiration cytology) of lump under his/her guidance. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000002806", "text": "Hi, dairy have gone through your question. I can understand your concern. His platelet count is not fluctuating. Both counts are same. Slight variation is common due to instrument.  He may have viral infection or something else.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002807", "text": "Thanks for your query, I have gone through your query. The proclaimed canine can be treated by moving it orthodontically. If I am your treating doctor, I would have advised to get a radiograph done like OPG and Lateral rephotograph to rule out any bony loss or to assess the status of the teeth and the bone. If the bone support is fine, then you can get your tooth corrected by the orthodontic treating. There is a treatment protocol called adult orthodontics, so consult a good orthodontist and get it treated. I hope my answer will help you, take care."}
{"_id": "000002808", "text": "Thanks for your query at ChatDoctorMethicillin sensitive Staphylococcus aureus infection is the cause of your carbuncle in your armpit. I suggest if you are getting it removed post surgery send the tissue for bacterial aerobic culture sensitivity tests. You will be started on Chat Doctor.  Also get your nasal swab tested for carriage of MRSA which could cause problem in the future. As far as your vomiting is concerned it does not seem to be the part of MRSA infection. Are you taking medicines??? It could be"}
{"_id": "000002809", "text": "Hello and thanks for writing in. I understand that you are very concerned about your dads recent emotional problems. You have mentioned that he is becoming more emotionally labile, having crying spells and forgetfulness. These symptoms at this age could be due to two possibilities"}
{"_id": "000002810", "text": "Since you had antibiotics for 10 days your bacterial flora in the intestine may be affected which helps in the re-absorption of water from the stools. So what you can try is stop codeine and take some probiotics available in your home, or you can get it from your family doctor. Since you don't have fever or abdominal pain or vomiting this is usually non-infective diarrhea induced by the antibiotics. Hence, whenever you take antibiotics for any reason next time take some probiotics containing Lactobacillus spores along with the antibiotics."}
{"_id": "000002811", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have sharp, pulsating pain from shoulder to neck. Well there can be many reasons for symptoms you mention in query like cervical spondylosis, cervical radiculopathy, muscle stain or disc problem. I would suggest you to apply warm compresses, take proper rest and take ibuprofen or acetaminophen for pain. If condition doesn't get well then consult orthopedic surgeon for proper examination. Doctor may order CT scan, MRI or physical examination. Doctor may prescribe Gabapentin, muscle relaxant along with anti-inflammatory and physical therapy. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000002812", "text": "Hello, welcome to Chat Doctor. Thanks for writing to us. You should first consult a cardiologist and go for a ECHOCARDIOGRAPHY to evaluate the cause of murmur. The treatment depends on the cause, type and grade of the murmur. As regards the activities he can do whatever he likes. But keep in mind that sudden respiratory distress and blueness of lips and tongue are ominous signs for him. Hope I have answered your query. Stay fit, good luck."}
{"_id": "000002813", "text": "Hi, dairy have gone through your question. I can understand your concern. Your son has urinary tract infection. He has protein and blood in urine, so he may have some infection in kidney. It can lead to dizziness. You should consult your doctor again. He needs to test creatinine level, protein level and electrolytes level. Then he should take treatment accordingly. Hope I have answered your question. If you have nay doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002814", "text": "Hi welcome to Chat Doctor. After going through your query my opinions is that you are suffering from disc prolapse/ cervical spondylitis. Have an MRI of cervical spine done. Avoid lifting heavy weight, pillow. Start Hales regime physiotherapy for neck. If pain is very severer than wear soft cervical color and start physiotherapy as soon as pain resolve. Take analgesics, muscle relaxants, hot fomentation. Visit orthopedic surgeon. For your problem of cirrhosis and spleen visit gastroenterologist. Hope your query get solved. Welcome further queries"}
{"_id": "000002815", "text": "Asthma is one of the fastest growing medical problems in all developed countries.Some common symptoms of asthma are which may not be continuous.1. Constant coughing,2. A feeling of tightness in the chest and difficulty in breathing. Sometimes the symptoms may be mild while in some cases it is very severe. Still Medical attention is compulsory. So I think u should better visit a doctor. He can help u better in this regard."}
{"_id": "000002816", "text": "Thanks for your query, I have gone through your query. The gross taste and yellow saliva in the morning time can be because of the pus discharge secondary to gum infection or tooth infection. The bleeding in the oral cavity could be because of the gum infection, or any cuts in the oral cavity or pulp polyp or any bleeding disorders like idiopathic thrombocytopenic purpura. Consult an oral physician and get these things ruled out. Get a complete blood investigation along with INR to rule out the bleeding disorders. If any gum infection then get your teeth cleaned and use topical gum astringents like stolen gum paint. If pulp polyp is there then get it root canal treated. If bleeding disorder is there then consult a general physician. The chest pain is not related to bleeding gums. Consult a general physician for this. I hope my answer will help you, take care."}
{"_id": "000002817", "text": "helloThanks for query. Your semen analysis has revealed your sperm count to be less tan normal(Oligospermia) It is likely that your Urologist on your clinical examination might have detected you to have Varicocele. Since Varicocele is one of the causes for Oligospermia he has rightly advised you to get color Doppler study of the Scrotum to confirm or rule out the same. Please go ahead and get it done It will help him to plan the further treatment Chat Doctor."}
{"_id": "000002818", "text": "The TIDAL test reports both the flagella (H) and the somatic (O) antigen titles. Significant titles to diagnose a patient as having typhoid are"}
{"_id": "000002819", "text": "Brief answer mouth ulcer or leukoplakiaDetailed answer have gone through your query I think I have a better answer to help you out In my opinion it could be a case of mouth ulcer that can develop due to nutritional deficiency to help you better I would like to know do you smoke or chew tobacco Hope I have answered your question. If you have any further questions I will be happy to help wish you good health Chat Doctor."}
{"_id": "000002820", "text": "Hello, This might be due to allergic reactions to clothes, latex-containing condoms or some Chat Doctor.  However, infections other than STIs could be a possibility as well. I suggest you to take precautions like keep it clean, don't wear tight clothes or apply petroleum jelly over the lesions. If not settling I suggest you to see your doctor for a checkup. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000002821", "text": "Hi, Thank you for posting your query. I have noted your symptoms. First, I would like to reassure you that your symptoms are not suggestive of Parkinson's disease (PD) and there is no need to worry. In PD, there are tremors of hands, and they persist. They do not come and go. In addition, there is slowness of movements and rigidity of arms/legs. Also, it is important to note that PD usually does not affect people below the age of 40 years. 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/"}
{"_id": "000002822", "text": "HI, thanks for using Chat Doctor Sneezing can be due to the common cold or related to allergic rhinosinusitis (allergies of the nasal passages and sinuses). It can also be associated with nasal congestion and post nasal Chat Doctor. This can be relieved by continuing the use of the oral antihistamines and also a topical steroid nasal spray. The itching sensation in the eyes is also indicative of allergies-allergic conjunctivitis. The cold is a trigger for asthma attacks, but the use of the asthma inhaler does not trigger the common cold. I hope this helps"}
{"_id": "000002823", "text": "Hi, Thank you for posting your query. Since six months have passed since the surgery, it would be preferable to repeat an MRI scan of the spine with contrast to evaluate the enlarged nerve root at this point of time. The treatment options would depend on the MRI findings. As of now, you could take pregabalin or gabapentin capsules for pain relief. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"}
{"_id": "000002824", "text": "HAI, Your semen analysis report says some abnormalities towards infertility. Total sperm count and parameters also to be considered. Regarding your report"}
{"_id": "000002825", "text": "Hi, Thanks and welcome to Chat Doctor. Your history indicates the child may be suffering from diarrhea. Ofloxacin and ornidazole combination syrup 2 times daily will control infection. Sporolac one sachet daily prevents diarrhea. Cyclopam syrup 2-3 times daily will make the child free from colicky pain and make them comfortable. Avoid wearing diapers for few days till diarrhea is controlled. Local application of clotrimazole ointment for diaper rash. Hopethis reply serves your purpose. Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam."}
{"_id": "000002826", "text": "Hi, It is common for some amount of white discharge to be seen throughout a menstrual cycle and the consistency and the amount varies depending on the hormone status. The presence of an IUD is perhaps leading to the excessive discharge owing to some irritation. Yet, since the discharge is seen increasing of late, I would ask you to get a clinical evaluation by a specialist to exclude vaginitis, erosion and/or polyps and if deemed necessary, replace the IUD. A trans-vaginal sonogram is also needed to see the condition of the pelvic organs; pelvic inflammation also should be excluded. Hope this helps."}
{"_id": "000002827", "text": "Hi, Thank you for posting your query. Every medical student goes through this phase, when after noting a few symptoms, it starts to look like a serious disease what he/she has read in the medical textbook. As a neurologist, I can assure you that your symptoms are not suggestive of Bulgar ALS or any other serious neurological disease. When a patient with Bulgar ALS develops swallowing problem, there would be slurred speech, nasal twang in the speech, coughing or choking while swallowing and the tongue would be wasted (thinned out). 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/"}
{"_id": "000002828", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems like severe soft tissue trauma along with ruptured blood vessels leading to inflammation and bruising. The numbness is due to damage or inflammation of nerve endings secondary to injury. I would suggest you to consult an Orthopedic and g refracted evaluated, and he can do a clinical evaluation along with an x-ray to rule out for bony fracture. In case if there is bone fracture reduction of bone segments and fixation ill be done. In case if there is only soft tissue injury doing alternate warm and cool compresses, applying analgesic gel like Diclofenac to relieve pain, heparin gel to reduce bruising and steroid gel to relieve burning. You will also be advised to take anti-inflammatory painkiller like Ibuprofen and muscle relaxants for relieving inflammation and stiffness. Hope this information helps. Thanks and regards. Chat Doctor."}
{"_id": "000002829", "text": "Hi, i am not a rheumatologist unfortunately, but I am an orthopedic and know about such conditions. Let me tell you what I know, that rheumatoid arthritis is a condition in which the bodies defense mechanism faultily fight against some parts of the body. That is for e.g. joints. When this happens your joints pain. And to detect this is a test for RA factor . But unfortunately this test is not perfect, and you may be a case where you have rheumatoid arthritis, but the test is negative ... it is an indication since ESR is high and that means inflammatory reactions are going on in the body...the best way to confirm this diagnosis is to start treating it as suspected rheumatoid arthritis ... if the medicines work ... then you know you have the disease correct and can proceed peacefully with the treatment. Otherwise newer tests are present, but they all have limitations. Like Antioch ...but I suggest carry on with your doc.regards/"}
{"_id": "000002830", "text": "Hello and welcome to Chat Doctor, A lump on the hold bone could be due to hypoglossal cyst, sinus or fistula. You need to consult a surgeon for investigations. Investigations include determining the site of lesion and its extent. An ultrasound of the lesion needs to be done. In case the lesion turns out to be hypoglossal cyst, sinus or fistula, the tract has to be removed along with removal of the hold bone. Besides hypoglossal anomalies, the lesion could be a growth or lesion arising from the cartilage or bone. Thanks and take care Chat Doctor."}
{"_id": "000002831", "text": "Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. Lactic acid arises from the glycogen stored in them muscle. When we use muscle it uses glycogen anaerobically and produces lactic acid. Being acid in nature it causes pain and numbness. The problem of this solution is regular exercise viz. running. Exercise for short time and relaxation for short time causes lactic acid to absorb in the blood circulation and pain gets relaxed. Absorbed lactic acid is than converted to other products in liver. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ Chat Doctor.  Thank you, ChatDoctor"}
{"_id": "000002832", "text": "Hello and welcome to ChatDoctorasthalin is albuterol a short-acting beta 2 agonists, it is a bronchodilator and very effect for acute asthma attacks. For better control of asthma a physician uses step up therapy. i.e. if your symptoms are not controlled with Stalin, Aeroflot is introduced. Seroflo is a combination of albuterol and fluticasone (long acting beta 2 agonists and a steroid) it is generally a very safe Chat Doctor."}
{"_id": "000002833", "text": "HIT hank for asking to ChatDoctorI have gone through the history given here, I think your patients main concern is blackout and unsteady on feet, If I would be doctored of your patient then I would reassess the case right from the beginning, I would stop all the medicine none of it would help the patient instead it may worsen the clinical condition, serum electrolyte has to be done in this case, so we can manage the HY Chat Doctor."}
{"_id": "000002834", "text": "Hello, I explain everything about hair loss in point twice manner1. 100-150 hair fall every day is very normal. So should be considered hair fall if number of hair more than this.2. In male pattern baldness or an Chat Doctor. 3. Straightening and other procedure also cause weakness of root4. Other condition like fever, typhoid, malaria, thyroid, etc. also cause hair fall(less common)Treatment1. Have good sleep. Food., green vegetables, fruits2. Take iron and multivitamins like collinear at least 3 month.3. Check you blood hemoglobin if it is less iron and folic acid supplements should start.4. Check thyroid and diabetes to rule out other cause. 5. Use monoxide 5% hair oil over hair thinning area.6. Final and last treatment is hair transplant which is a minor surgical method but have good results Dan"}
{"_id": "000002835", "text": "HI, thank you for using Chat Doctor! I would say such sharp and short time pains are not dangerous. This pain is not related to the heart for sure. There are some reasons like muscle spasm, rib joints inflammations (Costco Chat Doctor.  Sometimes is not found any disease at all. However, if these symptoms continue to disturb you often you may do some simple examinations including blood count and a chest x-ray at your healthcare center. All the best for you!"}
{"_id": "000002836", "text": "Hi, I went through the history points you have provided - I was expecting that there should have been a history of cows milk and formula feed (this too contains cows milk protein) given to the baby. I feel that your baby is having cows milk protein allergy. Unusually babies grow out of this sort of allergy by 1 year of age.  My suggestions for you - 1. Mother should go off cows milk protein completely. This means that you should avoid consumption of anything and everything related to cows milk - like - milk/ curds/ ghee/ butter milk/ chocolates/ biscuits/ ice creams etc. Even while buying commercial food products, you need to see the ingredients and if they contain milk - do not consume them.2. Feed you baby only exclusive breastfeeds till 6 months of age and then start rice based feeds. 3. If this is followed scrupulously - the baby will stop having diarrhea in another 3-4 days and then start gaining weight too.4. If you feel your feeds alone are inadequate for the baby, then Zero lac is the only option till 6 months age.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002837", "text": "Hi, I have studied your case with diligenceGive rest to hand and wrist. You can apply cr\\u00eape bandage for support. You may now need MRI of hand/wrist to rule out any minor fracture. You can consult your doctor by taking appointment, apparently it does not seem like emergency. 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."}
{"_id": "000002838", "text": "I read your question carefully, and I understand your concern. Seizure is a possible complication of stroke like it seems to be your fathers case. It can happen after a generalized seizure to have some temporary headache and dizziness, if you don't notice any other change in his alertness level, behavior and movement I don't think a stroke recurrence must be feared. Keppra is a good treatment choice with good efficacy and few side effects compared to other antiepileptics. I hope things work out for the best."}
{"_id": "000002839", "text": "Thank you for posting your question. Rashes over body along with other symptoms like sneezing, running nose, cough etc. most probably indicate a viral infection. Most of the viral infections can present with mild rashes similar to the description that you have given. In such cases, nothing needs to be done except application of calamine lotion over the rashes and any antihistamines Chat Doctor. It may also be due to other relatively rare causes. In any case, I would advise you to keep a watch on the progression of the rash. Any increase in size or area of distribution, swelling, discharge or any new or associated symptoms like high grade fever, toxic look, behavioral changes, decreased urine output, swelling in any part of the body should be reported and dealt with immediately. If you have any more doubts, do write back."}
{"_id": "000002840", "text": "Hi, First it should be understood that matador is caused by many reasons like decayed teeth, poor oral hygiene, gastric problems, Sinusitis, liver disorder, diabetes, smoking, alcohol consumption, tobacco chewing. You should consult a dentist to check for any problem in your oral cavity. If the problem is due to calculus and plaque it can be removed by scaling and polishing of your teeth. Flossing of teeth and tongue cleaning using tongue scraper should be done daily."}
{"_id": "000002841", "text": "Hello! Thank you for the query. From your description you have an inflammation in this area. An abscess has probably appeared and as long as it won't be incised, the symptoms will be present. This is not a cancer for sure. It does not grow that fast and rarely grows in mentioned area. Most likely you have had there a sebaceous cyst which has gotten infected. Please consult general surgeon. Incision should be done. Hope this will help. Regards."}
{"_id": "000002842", "text": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should test your mother for dengue. Decreasing platelet count in your mother is suspected of having dengue. I suggest you should start taking HY Chat Doctor.  In the your mother us affixes to take as much fluid she can take. In advance case there is need to transfuse the platelet concentrate otherwise your mother started taking hemorrhage. Advice your mother a rest till her platelet count is not increasing. I will be happy to answer your further concern, you can ask me on bit.ly/"}
{"_id": "000002843", "text": "Good Day, and thank you for being with Chat Doctor ! Stress is the number one cause of your semen abnormality. I would suggest getting a scrotal ultrasound with Doppler to check for varicocele since it is the most common cause of sperm abnormality and is present in 50% of men who are infertile.  I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at"}
{"_id": "000002844", "text": "Hello dear, The twitching sensation of calf muscles in both legs can not be attributed to the hamstring injury in one leg, 18 months earlier. The symptoms as mentioned in your post can be due to"}
{"_id": "000002845", "text": "Dear patient Running as such does not lead to back pain. But I back pain may be related to running due to sprain. Chronic back pain may also be related to spondylosis. I would advise X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities.  Visit radiology center nearby you and get it done.  Start tab diclofenac plus thiocolchicoside combination twice a day for pain relief.  Visit expert orthopedic surgeon with report.  All the best."}
{"_id": "000002846", "text": "Hallow Dear, Unprotected sex on the night before expected day of menses have almost no chance of resulting in pregnancy. The egg is released way back, 14 days prior to the expected day of menstruation and has life of only 24 hours. The sperms are active for 72 hours. Hence, a period of about a week around the day of egg release is fertile period. Delay in her menses is likely to be due to the stress of the pregnancy. If she had any intercourse during the fertile period, then only she has to be worried about the pregnancy. Pregnancy test on urine about 8-10 days after missed period will confirm the diagnosis. The brownish discharge she is getting could be starting of her menses. If she does not get menses in few days, she may be given Tab. Devilry for 5 days and within 4-7 days she will get her menses. However, I feel, wait patiently without stress, and she will get her menses. I hope this helps you."}
{"_id": "000002847", "text": "Hello, As the pain in the collar bone can be due to the muscle tightness of the throat and laxity of the neck and can be associated with the shoulder muscle weakness too. This can be connected to the changes in the normal cervical spine curvature and needs to be ad Chat Doctor.  As due to changes in the cervical spine curvature there might be pathological changes leading to pain in various forms and adjacent joints. I will advise you to check for the x-ray or MRI of the cervical spine and see if any abnormal changes are seen.  If so, then using a neck collar and basic exercises for the Neck and upper limb as a whole will ease the symptoms. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In"}
{"_id": "000002848", "text": "Hello and thanks for using Chat Doctor. I have read your question and understand your concerns. Neural cysts are most likely Taylor cysts (or dilations of nerve root sheaths filled with cerebrospinal fluid). Synovial cyst also is an abnormal fluid collection of the articulations coverings and membranes. Disc bulge is the first stage of herniated disc disease. Nerve cyst on L5 could be evacuated if it is causing symptoms. Different techniques (minimally invasive) exist for this purpose. Synovial cyst doesn't need treatment usually. Disc bulge is treated first with physical therapy and NSAID Chat Doctor. Hope you found the answer helpful. Greetings."}
{"_id": "000002849", "text": "Im really concerned about your condition yes you need to avoid and do few things till your next meeting with doctor1-avoid heavy weight lifting2-avoid forward bending3-avoid Chat Doctor. 6-apply ice pack for 10\\u00a0mins initially few days and after that hot packs for 15\\u00a0mins thrice daily if in case ice doesn't suit s you apply hot pack.7-wear back support for few days while walking.8-avoid prolong standing sitting postion9-avoid cross sitting position10-avoid gym and any other exercises11-ultrasonic therapy will help you a lot so go for a physio session.12-firm pillow and mattress is needed13-reduce weight if you are heavy14-have lot of water and fiber diet. Take good rest and no stress take care"}
{"_id": "000002850", "text": "Hi, Gail Southward, Thnks for the detailed query. Hamburger on way home had lead to the severe-Gastro-enteritis. Plz take opinion of the local physician, as you still need care to recover. In my opinion-Stool examination and CBC, would lead you for the right treats. Be on the liquid diet-non-spicy, with buttermilk and banana-shake, for 3-4 days. You need specific antibacterial treat. You diabetes/and thyroid no doubt need to be controlled with proper medications and dosages. Thnks for the query to Chat Doctor. Wellcome for any more help. Hope you got the answer."}
{"_id": "000002851", "text": "Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised along with x-ray. As you have injured your left wrist joint which pains at the ulnar side and certain movements give you pain, Taking an x-ray will be good to see if any hairline fracture or dislocation of the carpal bones is there. Post which with resting the joint in a wrist brace will help stabilize the joint and healing will occur. Later stages undergoing physical therapy if the muscles are weak will be of choice. RegardsJay In Chat Doctor."}
{"_id": "000002852", "text": "Hi. Thanks for your query and an elucidated history. Noted your history of having Pheochromocytoma for the last 5 years. Since you are having this for the last 5 years, this being malignant is a rare chance. It seems you already had received chemotherapy for this. I think you should consult at the super-specialty center specifically working in this field to get the best out of all treatment, and it is possible that you will get a good result. It needs a very special team well-trained as well experienced in such a field. Wishing you all the best."}
{"_id": "000002853", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that this could be fungal infection and may be associated with secondary bacterial infection if I would be treating physician then I would suggest applying \\\"Provide ointment\\\" with Tab Doxycycline 100 mg once in day for 10 days\\\" hope this information helps you, take care and have a nice day."}
{"_id": "000002854", "text": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you have been going through a very difficult time recently. From the description of your problems, it is possible that you could be going through a depression. Now, there is effective treatment available to help you overcome your symptoms. Help can be in the form of anti-depressant medication or psychological therapy. So, I would advise you to see a psychiatrist in your place for a detailed evaluation and further treatment. If you cannot find a psychiatrist by yourself, then you can see your GP or family doctor and ask him to refer you to a psychiatrist. Wish you all the best."}
{"_id": "000002855", "text": "Hallow Dear, Body play and mutual masturbation never results in pregnancy. However, after masturbation, you had penetrative sex. There is always a possibility of discharge of secretions which will contain some left out sperms which are capable of impregnating her. As you have mentioned in the summary of your query, if you did not have any penetrative sex, you do not have to worry about the pregnancy. However, if you had penetrative sex even after a couple of times masturbation, it is better to look for the evidence of pregnancy by"}
{"_id": "000002856", "text": "Hi, Thyroxine usually causes increase in appetite and paradoxically cause weight loss due to its action on basal metabolic rate. I would suggest my patient to not think about transient weight loss and concentrate on controlling the thyroid hormone status. In that respect, I would suggest you to have a regular follow up with your physician/ endocrinologist. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002857", "text": "Hi. Thanks for your query. History of fundoplication and things related to bloating noted. It is possible that this left sided bloating is due to a condition called sigmoid volumes or there can be an obstruction in the colon. This type of bloating on the left side of the abdomen due to stomach indicated outlet obstruction of stomach. Both the conditions can be diagnosed well with upper GI endoscopy, power GI (colon) endoscopy and barium studies. Fundoplication will not five rises to such a swelling. All the above studies will also help to get the diagnosis related to problems in eating."}
{"_id": "000002858", "text": "Hi. Thanks for your query. Abdominoplasty is an extensive surgery, and it is but natural to cut many nerves. Some nerves on regeneration can give you any sort of weird symptoms, pains and pins sensation. You have got a Sensory Nerve problem and the nest way is to try the following medicines under the care of the Doctor as they are prescription medicines. Amitriptyline, Gabapentin or Geritol. These will definitely help you, ; if not then it will be wise to have re-exploration and cut off the nerves causing such a severe problem."}
{"_id": "000002859", "text": "Hello, Thanks for writing to us, I have studied your case with diligence. There is possibility of ankle arthritis. You may need to do X-ray and blood investigation. If required you may need MRI ankle for soft tissue involvement. Till time, you can use supportive splint or brace and take analgesic. 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"}
{"_id": "000002860", "text": "Hello! Thank you for the query. Yes, most likely this is an abscess. Pain, redness and swelling are very characteristic symptoms of an abscess. Such abscess can be caused by some skin glands infection or sebaceous cyst infection. The best treatment for this condition is incision and Chat Doctor.  If its sebaceous cyst, should be completely removed. I suggest you to consult general surgeon with this issue. In case of doubts, soft tissues' ultrasound should be done. Hope this will help. Regards."}
{"_id": "000002861", "text": "SIR IF YOU FOLLOW ME YOUR CHILD WILL BE Okay.a child need only mother milk up to 2 years and after 2 years child need no milk this is the research we add other milk before 2 years and after 2 year this type OD disease occurs stop all milk and diary products confirm by getting blood serum tested for milk specific antibodies and do desebsitisationafter stopping milk you will get excellent result still 3 weeks gives fexofenadine 30 mg BDB montelukast 4 mg dispersible tissue is okay"}
{"_id": "000002862", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, by your history and description, possibility of heart related diseases like heart failure or arrhythmia (rhythm disturbances in heart). So better to consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. Sometimes, uncontrolled stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000002863", "text": "Hello I understand your concern. You explain that pneumonia is in the beginning, if yes Klaritromic is the proper treatment. Prednisolone in see is a cortisone medication. It helps in chronic ear infection and in pneumonia too lowering the swelling of the airways. As a result the cough will be better and the ear infection too. Air condition is not so well recommended in pneumonia caused. From a specific bacterial agent but in Community squared pneumonia there is no against facts. So I wish good health for your SoftBank you Chat Doctor."}
{"_id": "000002864", "text": "Thanks for your query, I have gone through your query. Taking Only amoxicillin will not be effective in abscess cases. You can take a course of antibiotics like amoxicillin 500\\u00a0mg with metronidazole 400\\u00a0mg TID for 5 days (if you are not allergic). The medicines take 1-2 days to bring down the infection. Do saline gargling. Once the infection comes down, then you can get the tooth treated with RCT or extraction. I hope my answer will help you, take care."}
{"_id": "000002865", "text": "Hello Thanks for writing to ChatDoctorYes, Your SGPT is high and increased SGPT indicates liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines etc. In your case, it is most probably related to history of hepatitis. You need few more investigations like random blood sugar(RBS), renal function test(RFT), lipid profile, GGT level, viral markers, urine RE/ME, ultrasound of abdomen. Liver biopsy can be done if needed. In my practice, for patients like you, I suggest tablet Ursodeoxycholic acid 300 mg twice daily for three months more. It will help in regeneration of liver cells. You may need more Chat Doctor. You should avoid red meat and high fat milk products. You should avoid fried and junk food and avoid alcohol if you take it. Get well soon. Hope I have answered your question. Take Care"}
{"_id": "000002866", "text": "Hi, Dear,Good Morning, and Thanks for your query to my virtual Clinic At Chat Doctor. I studied your query in depth and understood your concerns. Causes for the lumps on your Scrotum are as follows-a-Mostly they are Forays lumps with sebaceous prominence, which later on got infected and formed the boil in few.Don't worry of them, as they are not cancers.b-Treatment -a-As few are growing need to be treated like boil with-b- Tab-NDAIDs/c-Antibiotics like amoxicillin under cover of family doctor Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and Chat Doctor. Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards Chat Doctor."}
{"_id": "000002867", "text": "Bleeding gums can be caused by various conditions. Nutritional deficiency, especially deficiency of vitamin K can manifest in bleeding gums. It is the vitamin that is required for blood clotting. Deficiency of this vitamin can cause delay in blood clotting. Deficiency of vitamin C can also cause gum problems.Ill-fitting dentures, smoking and use of tobacco, improper flossing, infection of the teeth or the gums and use of certain medications like, anticoagulants, calcium channel blockers, nasal sprays, oral contraceptives and antidepressants are some other possible causes. Apart from these, frequent gum bleeding could be a sign of bleeding disorder, scurvy and leukemia. Chemotherapy Chat Doctor."}
{"_id": "000002868", "text": "Hi and welcome to ChatDoctorIt seems some muscle strain to lower back while diving.  As you rightly said, heating pads helps as the heat produces relaxation in the muscles. Apply local anti-inflammatory gel 2-3 times a day. To can continue to take Advil to reduce pain and local swelling or inflammation. Do not try to do exercise that involve painful muscles. Give proper time to heal. I do hope that you have found something helpful and informative, and I will be glad to answer any further query. Take care."}
{"_id": "000002869", "text": "Hello, Swelling, pain, inflammation or stiffness of joints are indicative of RA. Visit ER, get physically examined.  Get tests for RA (CRP, anti-CCP, ESR) done. Get evaluated, get treated at the earliest. Your treating doctor will give you NSAIDs, Analgesics or DM ARDS (to slow the progression of arthritis & save joints). Take antioxidants, vitamin C, garlic, Omega-3 fatty acid. Avoid sugars & refined carboy Chat Doctor.  Exercises & daily walking should be done. You may take the help of a Physiotherapist.  Exercises make joints flexible & hence reduce the pain. Avoid a sedentary lifestyle.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002870", "text": "Hello, welcome to Chat Doctor. He does not appear to simple case of psycho somatic illness. Problem is more complex. Considering your history, following are possible causes of change in his mood and behavior (in hierarchy)"}
{"_id": "000002871", "text": "Welcome to Chat Doctor! I have read your question carefully, and somehow I feel that you either have mixed seizures ( GTCS plus Dissociative) or only dissociative (due to stress) ones. The points which make me feel that you have dissociative seizures are---- that you are having them so frequently, ---you feel depressed from past two years, ----there is no history suggestive of injury, fall, tongue bite, cheek bite, tooth breaking, in - continence during any of them (at least not mentioned in query) ----and all scans are within normal limits. Even if now you want to confirm that whether you have GTCS, then get an EEG or serum prolactin levels, they rise in a true seizure and come to normal limits within next 24hrs, an EEG will come abnormal when you have true seizure. In mixed seizures, patient is given antiepileptics and medicines for stress, which take care of both the things. I think that you must see a psychiatrist, even if you have true seizures, as, you have significant depression, hopelessness and worthlessness, which is harmful for you. Your condition is difficult right now but let me tell you, I have seen cases worse than yours getting completely well. So, there is still Hope, but you need to gather some strength for yourself and move ahead! Please fix an appointment with a psychiatrist and do see him at least once. Till then please continue with the medicines. Hope this answer gives you some help in getting well please feel free to ask more questions"}
{"_id": "000002872", "text": "Hello! Thank you for asking on Chat Doctor! Your symptoms could be related to myoclonus. For this reason, I would recommend consulting with a neurologist and performing an EEG. Other tests to consider would be"}
{"_id": "000002873", "text": "HiT hanks for your query. I think you are suffering from allergic rhino-sinusitis. I think for sinusitis you are suffering from heavy head. Please go for an x-ray para-nasal sinuses to exclude chronic sinusitis and polypoid sinus diseases. If anything found on x-ray, a CT scan of para-nasal sinuses may be done to properly evaluate it. If any polypoid changes occur in the sinuses then FESS (functional endoscopic sinus surgery) can be done to remove it permanently. Otherwise, you should continue to take telecast L, NASA but not Topped 200 for prolonged period.  In addition to that you may consult an allergist and may go for skin prick test and specific IGE tests to detect specific allergen and immunotherapy to that allergen so that you can be protected from that allergen. I also advise you to go for a spirometry with bronchodilator reversibility to confirm the diagnosis of asthma and management of it properly. I think all these will give you remission of these symptoms. You can try our premium services to get further answers on these issues if you have further queries. Thank you."}
{"_id": "000002874", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have painful and swollen pimple on forehead which could be due to hormonal imbalance, allergic reaction, stress and clogged pores of sebaceous glands. I would suggest you to wash your forehead with Clindamycin gel. Apply cream on face rich in comic acid and benzoyl peroxide. You should wash your face 3-4 times a day and apply alicyclic acid gel. Visit dermatologist once and get it examined. Start treatment after proper prescription and Chat Doctor. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000002875", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe pain in the buttock. Well there can be many reasons for symptoms you mention in query like sciatica, sacroiliac Joint, osteoarthritis, bursitis or trigger points. I would suggest you to apply warm compresses to buttock, do gentle message and take ibuprofen or acetaminophen for pain. If condition doesn't get better than consult orthopedic surgeon for proper examination. Doctor may order CT scan, MRI along with physical examination. Doctor may order muscle relaxant along with anti-inflammatory, nerve supplement and physical therapy. Doctor may also recommend stretching exercises or particular strength exercises. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000002876", "text": "Thanks for sharing your concern. It is more likely a viral rash though the possibility of an allergic reaction is still there. Unfortunately there is no certain way to know. The good news is that both types of rashes are very common in kids & generally last a few days. Bena Chat Doctor.  Is the dose right ? Can easily wait 3-4 days for rashes to improve if she remains otherwise ok. Hope you find the information useful."}
{"_id": "000002877", "text": "Hello, Firstly I want to assure you that surgery is not always required, there is a medicine called propranolol which can cure it, and it is given orally though it takes some time. All hematomas are not totally red it can be just raised, and it seems a small one so, do not worry. It is not into the brain and so there won't be any harmful effect on her brain. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002878", "text": "God day .u have sweeping at shin-bone. Seems u have injured your lower limb WC needs1. X-ray to rule out any bony injury,2. Needs plaster support above knee or in mean Tom at home cr\\u00eape may help u.3. U need medication to reduce swelling wiyChatDoctorbination of analgesics. Like trypsin chyme trip sin, with paracetamol and antacids.4. Most imp of all elevation of limb on 2 pillows and ankle and toes to help u reduce swelling. Consult your nearby orthopedic surgeon"}
{"_id": "000002879", "text": "Hello, I have studied your case. I will advise MRI spine to see for any nerve compression leading to upper back pain. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. 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. Take care."}
{"_id": "000002880", "text": "Hello, I have studied your case and reportsCanal stenosis leads to burning/numb sensation and pain in your foot. MRI shows mild to moderate disc bulge with canal stenosis. Another possibility of metatarsal stress fracture. 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"}
{"_id": "000002881", "text": "Hello, A direct causal relationship between MS and glaucoma are controversial although many overlapping mechanisms between optic neuropathy caused by both conditions are recognized. Increased pressure in the eye could be an indirect cause of MS if it causes uveitis to occur within the eye which is an inflammatory condition of the parts of the eye that can then, escalate pressure. Your doctor should do or send you to have done a detailed optic nerve morphological study to better distinguish whether they are looking at MS optic neuropathy or glaucoma optic neuropathy. Action will highly depend on knowing as precisely as possible what is causing the elevation in pressures. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002882", "text": "Hello, Thanks for the query. I have seen the details given.  A blood glucose level of 257 mg after food is a clear sign of having diabetes. The criteria to diagnose is FBG 126 mg and above, PP 200 mg and above and HbA1c% 6.5 and above. Therefore, you need to initiate treatment for diabetes forthwith. Do not delay. Many persons do not get any specific symptoms when diabetes develops. That is one of the reasons why it is unrecognized for quite some time. Along with starting treatment with oral antidiabetics (like Metformin + a Lipton), you will have to also adapt modified lifestyle, meaning taking restricted diet, avoiding sweets, junk foods, colas, pastries, bakery items, alcohol and even smoking. Plus exercise daily for at least 1 hour. My suggestion is pleased your personal physician or a ideologist and start the treatment. Take care. Also get your eyes checked for ruling out diabetic retinopathy. Thanks."}
{"_id": "000002883", "text": "Welcome to Chat Doctor Those pin head spots could be sign of bleeding due to severe liver damage. You need to get her to the Doctor immediately otherwise she is at increased risk of chronic liver disease and liver cancer. She needs her liver function to be assessed otherwise she can bleed out. Once she is on treatment she will recover and less chance for the above from happening. She needs to follow universal barrier precautions. Let her avoid eating fatty food, spicy food. Let her eat plenty of fresh fruits and green leafy vegetables.  Chat Doctor."}
{"_id": "000002884", "text": "Hi It is unlikely that a blood clot is the cause of your pain more than 10 years after your operation unless you are on any blood thinning medication like Aspirin/Clopidogrel/Warfarin/Heparin. I would advise you to consult your doctor for a follow-up to see if all is well with the rods and screws and if he/she thinks a scan is necessary after examining you clinically to rule out any ongoing spinal problem. If all the tests come out clear you could look at optimizing your pain medication and considering other forms of pain therapy."}
{"_id": "000002885", "text": "Hello, I have studied your case and reports with diligence. Can be degenerative wear of bones, muscles, ligament and facet joint arthritis, due to deficiency of calcium, vitamin D, IT B12.so supplements of these nutrients can relieve pain. Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis, And also check your it B12 and it D3 level. I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case you need to take diet rich in calcium and vitamin D. 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. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care"}
{"_id": "000002886", "text": "Hi, dairy have gone through your question. I can understand your concern. You have fever with rash. You should check your complete blood count including platelet count. Furthermore, you should also go for malaria and dengue test. You may have low platelet count. If you have any symptoms of bleeding then consult your doctor urgently. Go for investigation and take treatment according to cause. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002887", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have undergone extraction of tooth now, you feel loose skin don't worry it is a unhealed socket.  Take proper course of antibiotics prescribed by your dentist, and wait for 15 days at least for healing of socket.  Do warm saline gargle two - three times a day. After one week of you won't get relief then go and consult your dentist for oral examination. Hope this will help you."}
{"_id": "000002888", "text": "Hello, You should do your best to maintain proper dental hygiene. Be gentle and include rinsing. The stress on your system will affect the gums and take time to heal. You may have a fungal infection develop with a compromised condition. The antifungal medication Statin may be prescribed. Schedule a dental exam to evaluate your oral condition if it persists and evaluate if the need for a prescription is necessary. There are prescription mouth rinses that include pain medication available by prescription, too. Keep well HY Chat Doctor.  Vitamin B12 helps to heal. Anti- onflmatotyeficstion such as Tylenol and Motrin may offer relief. Thank you for your inquiry."}
{"_id": "000002889", "text": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Polycythemia Vera is a condition characterized by increased hemoglobin levels due to increased production. It's a chronic condition.2. Patient can survive for a longtime with appropriate treatment for polycythemia Vera like HY Chat Doctor. 3. Further change into an acute myeloid leukemia is the major risk and needs to be watched closely. 4. Not to worry, keep a close watch always and any"}
{"_id": "000002890", "text": "Hi, Thanks for the query. I understand your concern.  With you achieving normal ovulation & your husband having normal sperm counts .there is no basic problem in conception. Try with - having sex around your ovulation (determined by ovulation test.-L H Surge test.at home/USG scanning - Do have hormonal support with your treating doctors advise.  - Pregnancy test(blood test giving the earliest results. Done in laboratory / home pregnancy test after 8 days delay in mends) used for early diagnosis & treatment plan followed strictly with doctors advise.  - Both of you should start taking folic acid & vitamin E supplements.  You should succeed within 6 months.  If not go for detailed investigayionslike tube testing.  Thanks"}
{"_id": "000002891", "text": "Hi... can you please provide few details? Did the child become unconscious after head injury? Was there associated projectile omitting after this event? Is there any obvious swelling? If the child was normal after the injury then you can observe the child at home. Fever can be associated with swelling and inflammation. Use ice pack application if swelling is there. If the swelling increases or if the child has severe headache or altered behavior then you should consult a doctor."}
{"_id": "000002892", "text": "HelloWelcome to ChatDoctorYour history and symptoms are suggestive of fungal infection. The fungal infection is common in this area, as they are the normal comedians which were kept under control by the helpful organisms. Whenever there is imbalance in the environment the fungus gets activated and produce these symptoms. I would suggest you to follow1. Keep the area clean and Chat Doctor. 2. Apply antifungal cream like clotrimazole.3. Take single dose of Tab Rifleman, 150 mg.4. Oral antihistamines will help to reduce itching symptoms. Thank you."}
{"_id": "000002893", "text": "Hi, dairy have gone through your question. I can understand your concern. You have large lump in your leg.  It can be liposarcoma, fibrosarcoma, malignant fibrous histiocytosis, malignant peripheral nerve sheet tumor or some benign mass.  You should go for wide excision of lump as early as possible.  Don't wait too long for surgery.  Because if it is malignant then chances of spread are there.  So consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002894", "text": "Thanks for writing to us. Definitely, you are on high dose Oxycontin and lyrics. I always start Oxycontin with lower dosage such as 10 mg 3-4 times and lyrics 75 mg one or two tabs a day. The dizziness and falling asleep is due to side effects. I would suggest reducing the dose gradually and if there is breakthrough pain then consider one tab stat. 80 mg is the max limit for Oxycontin and don't exceed above that. In coming days, pain will reduce and continue complete rest for 1-2 weeks. Thanks."}
{"_id": "000002895", "text": "Hello, Thank you for asking at Chat Doctor. I went through your sons history and would like to know more about him as follows"}
{"_id": "000002896", "text": "Hi, I understand your concern and would explain that your symptoms could be related to a pinched nerve or a fiscal herniation in the cervical spine causing articular pain. It could be related to MA, but there are also a lot of other causes to consider. I recommend consulting with your neurologist for a careful neurological exam, a nerve conduction study and a cervical spine CT scan. Meanwhile, I would recommend holding a cervical collar, which will help relieve the pain. Hope to have been helpful. Let me know if I can assist you further. Kind regards,"}
{"_id": "000002897", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have typhoid fever. It is caused by salmonella type. It is type of bacteria that cause typhoid fever. Fever with abdominal pain is the most common symptoms. You should go for tube tidal test to know exact tier. Treatment of choice is ciprofloxacin. You should take a complete course of ciprofloxacin. Take bland diet and rest.  Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002898", "text": "Thanks for your query, I have gone through your query. The pain, swelling, limited mouth opening could be because of the space infection secondary to wisdom tooth infection. The infection should come down by 3-5days with penicillin and metronidazole combination. If the infection does not come down, then consult an oral maxillofacial surgeon and get Intravenous antibiotics, the infection will come down in a day. Do not apply anything hot from outside. Do saline gargling. I hope my answer will help you, take care."}
{"_id": "000002899", "text": "Hi, welcome to Chat Doctor forum. From your description, most likely it is an insect bite reaction. You should seek medical help as early as possible, as it is getting progressed. You need to have tetanus toxic, antibiotics,analgesics, and anti histamines, and sometimes steroids. Your doctor will assess your condition and guide you. Please avoid any delay. I hope you will find this information useful. Thank you."}
{"_id": "000002900", "text": "Hello, Thanks for consulting Chat Doctor, Read your query, as you have bumps and white patches on back of tongue it can be due to some reason it can be due to presence of enlarged circumvillate papillae, oral thrush, or white lesion can be leukoplakia and redness and swollen irritated left side of mouth can be due to poor oral hygiene, gum problem that can be gingivitis.  I will suggest maintaining proper oral hygiene, do warm saline gargle two - three times a day, and on gums you can apply ointment like gum paint, use mouthwash regularly, and consult dentist for visual examination of tongue and oral cavity. Hope this will help you. Wishing you good health. Regards,"}
{"_id": "000002901", "text": "Hello! Thank you for the query. There is no straight answer for your questions without some tests. It can be pancreas indeed. Due to pancreas insufficiency, it does not secrete enzymes digesting fat. It can cause fatty, bad smelling stools, abdominal pain, diarrhea, weight loss. Such stools usually float. Your symptoms may be also caused by partial bowels' obstruction due to Crohn's disease. It can also give similar symptoms. Abdominal pain is like cramps. Please visit your doctor as you do not seem to be improving. Abdominal ultrasound, blood work, pancreas tests, liver tests, urinalysis and abdominal X-ray should be done at first. Colonoscopy might be necessary as well as abdominal CT. Hope this will help. Regards."}
{"_id": "000002902", "text": "Hi Dear, Welcome to Chat Doctor. Brief answer - Periodontal Abscesses per your query you have symptoms of gum swelling and tooth pain which is becoming generalized in nature it's because of presence of infection, plaque, calculus and food debris accumulated inside the gum area. Extraction of tooth i.e. pulling out of tooth is not a treatment option for your case as tooth pain is generalized in nature. I would suggest you to visit Periodontist once and get it examine properly. Go for root cleaning, curettage and root planning as you have debris inside gums which are causing detachment of gums from arch. Scaling is not the only option as you don't have superficial rather deep debris accumulation. Use antimicrobial mouth wash. Brush twice daily with proper brushing technique. Floss daily. Do warm saline or Betadine gargles to prevent bacterial build up. Go for flap re-positioning if its is advised by periodontist. Use Sensory or any antisenstivity toothpaste to prevent generalized arch pain. Hope your concern has been resolved. Get Well Soon. Best Wishes."}
{"_id": "000002903", "text": "Hello! Thank you for asking on Chat Doctor! Your symptoms could be related to different possible causes like peripheral neuropathy or chronic inflammation. For this reason, I would recommend consulting with your GP and performing some tests"}
{"_id": "000002904", "text": "Hi, Thank you for posting your query. Steroids are required for treating multiple sclerosis (MS). However, it is often used for short duration, about three weeks in total. I agree that it may cause weight gain. But when you stop steroids, the gained weight normalizes. I suggest you continue with your schedule of diet control and exercises to attain the desirable weight. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"}
{"_id": "000002905", "text": "HiT hanks for using Chat Doctor I think, you have some adjustment problem. Sometime, due to some reason, people become obsess about any people. In that case, they feel the same way, you are thinking. Better to consult a psychologist and try to control such thoughts. You can also try some relaxation exercise that would keep calming or relax in tense situation. In case, you need further help, you can ask. Thanks"}
{"_id": "000002906", "text": "DearWelcome to Chat Doctor. Understanding your concern. As per your query numbness and tingling sensation on the face is because of nerve impingement or pressure on facial nerve which can lead to facial paralysis. Need not worry about it. Visit dentist once and get it examined to rule out nerve compression, neuralgia or other conditions like neuropathy. Go for physical therapy of facial muscles. Avoid opening mouth extreme wide while jawing. If it is not due to dental related cause visit neurologist once and get it examined. Doctor may prescribe MRI of brain as it could be related to stroke. Neurotrophic medication such as nerve supplement, methylcobalamine is effective to improve your symptoms. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000002907", "text": "HelloThanks for query. You have not mentioned your sperm count in your query nor posted semen analysis report . You have been married since 4 years and expecting child however your sperm count is low (Oligospermia). The other problems like loss of libido and premature ejaculation are mostly due to anxiety. Clomiphene taken once daily for few months does help to increase sperm count. Following measure will help you to boost up your confidence and getting good erection and delay ejaculation and increase sperm count. 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 every day 4) Avoid alcohol and smoking. Taking Sildenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex. Chat Doctor."}
{"_id": "000002908", "text": "Most common cause for Renal failure in our country is ignorance innocence and use of treatments like herbal medicines, siddha, unani etc. for some other diseases. That's what happened in your case.  As the duration of Buddha medicine intake is short, probably your kidney condition would be reversible. Don't take these types of medicines and also educate your colleagues. All the best. If you have any questions feel free to contact me."}
{"_id": "000002909", "text": "HelloThanks for writing to ChatDoctorYou have negative tidal test. You are not suffering from typhoid fever. Salmonella O or H antigen tier values equal or greater than 1"}
{"_id": "000002910", "text": "1. as you haven't mentioned your age, it is not possible to answer about PMS, is it PRE or POST menopausal syn Chat Doctor.  You are just catching the fluid level which is wrong, instead check with your Doctor about your Renal function (Blood urea, Serum Creatinine, BUN,GFR) to make sure that kidneys are working properly.3. Motrin (Ezetimibe and Simvastatin) is used to lower high blood cholesterol level (please mention your current Lipid profile)?4. For how long you have been taking Spironolactone and for what symptom did your Doctor prescribed the same, any h/o hypertension?5. Because you are taking spironolactone daily, please check your potassium level as it causes dangerous Hyperkalemia, along with any noted acne, hirsutism,alopecia in you??6. Side and severe effects of spironolactone are persistent cough, muscle weakness, and"}
{"_id": "000002911", "text": "HiT hanks for using Chat Doctor In depression, you need antidepressant and that would help you to come out of depressive symptoms. You can consult any psychiatrist in your locality and start taking antidepressant as soon as possible. With medication, you would definitely feel better. You can also try some relaxation exercise. That help you to keep calm or relax. In that case, you need further help, you can ask. Thanks"}
{"_id": "000002912", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some inflamed cystic lesion or some benign tumor.  You should consult your gynecologist and go for examination.  Then take treatment accordingly.  If needed you can go for biopsy of that lump to know exact cause.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002913", "text": "Hi. Thanks for your query. Read your history and understood your problems. You have small stools with creamy colored froth. You also have mild pain in abdomen. The pain intensifies when you try in the toilet. Such a history is seen in patients suffering from Colitis. This may be more due to amoebic colitis as it gives mild pain which increases on passing stool, has creamy froth. There can be a super-added bacterial infection too. I would advise you the following"}
{"_id": "000002914", "text": "Hi and thanks for the query, Its important you recognize already that its due to a change in diet. The first thing might be tried to know whether the symptoms you are experiencing are also experienced by others who ate the same food. This could be important to give an idea on food intoxication. If others are not complaining, that it would be worthwhile somewhat avoiding the particular food type in the future. Depending on whether you are experiencing only abdominal pain, or is accompanied by diarrhea or vomiting the management would be different. If pain is mainly above the navel and moving to the back, this could be indicative of gastritis, and if present, antacids could give relief. If its only abdominal comics, anti-spasmodic Chat Doctor. In case symptoms persist for two or more days, you might to consult your primary care physician for reevaluation. For now, antacids and antispasmodics, as advised by your pharmacist could be very useful. Thanks and best regards, Luchuo, MD."}
{"_id": "000002915", "text": "HI THANKS FOR YOUR QUERY AS PER DISCUSSION YOUR DAUGHTER SHOULD HAVE EXERCISE INDUCED ASTHMA WITH SINUSITIS(INFECTION AND/OR INFLAMMATION OF SINUSES) CAUSE OF HEADACHE MIGHT BE SINUSITIS. During normal breathing, the air we take in is first warmed and moistened by the nasal passages. Because people tend to breathe through their mouths when they exercise, they are inhaling colder and Chat Doctor.  In exercise-induced asthma, the muscle bands around the airways are sensitive to these changes in temperature and humidity and react by contracting, which narrows the airway. This results in symptoms of exercised-induced asthma, LIKE-- Coughing with asthmaTightening of the chestWheezingUnusual fatigue while exercisingShortness of breath when exercising"}
{"_id": "000002916", "text": "Hi, The sperm count and active motility of sperm have not been mentioned here. So report is incomplete.  The sperm morphology is 75% abnormal and 25% normal. According to strict criteria, 4% normal morphology also can be enough for conception. However, I need to check your count and active sperm motility. So attach the report to comment further.  Don't worry even though countless because assisted reproductive techniques available for reproduction.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000002917", "text": "HiT hank you for asking Chat Doctor. I have gone through your query. You can practice squeeze and stop technique. You can wear a condom or condom with anesthetic which will decrease the excessive stimulation on penis and there by prevent premature ejaculation. Furthermore, you can also do thought changing when about to near ejaculation. Anxiety and stress if your have should be controlled as these can cause premature ejaculation also. Breathing exercises for stress relaxation will be helpful for this. If all these not helping then you can approach a psychologist or sex therapist for behavioral therapy. If that is also not helping then SSRI group Chat Doctor.  Hope this may help you. Let me know if anything is not clear. Thanks."}
{"_id": "000002918", "text": "Hello, I can understand your concern for hyperpigmentation and skin darkening. After analyzing your query I can get that you have the problem since a quiet long time. It can be related to simple \\\"Post inflammatory hyperpigmentation\\\" or also known as PIN or could also be due to some genetic condition. In all of these conditions the color giving cells are over active and are produce more color to the skin. The resulting situation is manifested as slightly increased pigmentation over the affected area. I generally give the latest treatment with comic acid, licorice extract, niacin amide or if required the atelier acid based creams and other latest ingredient in the treatment. You can take further guidance from a dermatologist. All the best."}
{"_id": "000002919", "text": "The swelling of abdomen and scrotum is due to low protein content of blood as the proteins are being lost due to leakage from the damaged kidney membranes due to nephrotic syn Chat Doctor.  The solution of the condition can be brought about only by controlling the inflammation of the filtering membrane of the kidney, for which the prednisolone has been prescribed. If you feel that the condition is worsening, please visit the ER rather than waiting for the doctor's appointment but if you feel that the condition is more or less the same, you may wait till tomorrow."}
{"_id": "000002920", "text": "Hi, Any type of chest pain should be taken seriously and should be evaluated to rule out the possible cardiac cause.  Cardiac pain does not change on respiration, but it occurs after exercise or exertion and relieves after rest. Cardiac pain is never localized and is diffusely present over the chest. So you should get yourself evaluated. I'll advise you for an ECG, 2D echo, Chest X-ray and a stress test. The definitive medicine will depend on the results of above-mentioned tests. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000002921", "text": "Hello welcome to Chat Doctor. You have got high blood pressure and hence your doctor has started you on medications for the same. BP medications are usually to be taken for a long term duration. The dose may be lowered or increased according to the BP. If your BP control is good, then the dose can be decreased. But most patients need it for a long term duration. Since you are newly diagnosed, you can start with diet, lifestyle modifications and daily exercise along with the medication. If your BP is well controlled a trial off medications can be given. Your LDL cholesterol also is higher, and you should also be started on cholesterol lowering medications like statins. Wishing you good health. Regards."}
{"_id": "000002922", "text": "I will advise u to increase your sperm count through ayurvedic and natural treatment. Follow healthy diet plan includes nuts (almond, cashew etc.) steamed food in your daily food intake. Avoid junk, fried foods. Take a pomegranate daily and add more vegetables and fruits daily. - gives u antioxidant property. Do walk for 3 to 5 kilometers daily. Avoid stress and have a sound sleep. Oil bath once in a week. Medication"}
{"_id": "000002923", "text": "Hello! Welcome on Chat Doctor ! Your symptoms are not indicative of any brain tumor. Tension type headache seems to be the main cause of your complaints. This is a benign type of headache, which is related to psychological stress. For this reason, I recommend you to focus on your anxiety and try to manage it better. A lot of physical activity (Yoga, aerobics, sports, running, etc.) can help in this regard. Hope you will find this answer helpful! Best wishes,"}
{"_id": "000002924", "text": "Hello Kennan;welcome to Chat Doctor Egg positive of TB suggests old infection and not an active infection. The reason for problem in conception of your friend can be many like irregular periods;PCs;TB;Ovulatory cycles;male infertility etc. just to name a few. There is no immediate solution for it and your friend, and she has to get investigated fully to find the cause and once the cause is treated she will become pregnant. So tell her to consult a Gynecologist and get treated. Thanks"}
{"_id": "000002925", "text": "Hello Jamie, since you say that you can not afford a dentist so approaching dental students or free dental camps organized by various hospitals can definitely help you. I would suggest that before deciding to go for a denture just get your full mouth check up done and I think that should be affordable. avoid going for implants as the procedure requires blood tests and all. Any tooth that can not be saved can be extracted and the others with good prognosis can be conserved. Yes definitely you can be a good candidate for dental students and don't worry they perform their treatments under supervision of highly qualified doctors.....take care. Hope this may help you"}
{"_id": "000002926", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. I hope you consulted a child specialist regarding the symptoms you mentioned here. Furthermore, I could see the problems are a bit more complicated. Realistically, these symptoms could more physical than psychological.  Please consult a child specialist before approaching any psychologist or psychiatrist. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000002927", "text": "Hello, You should take your anti-diabetic medication stamen before food, or within 15 mins of starting your meal at the most for optimum action. Your HAC is still higher and after the change in medication, do repeat the test after 3 months.  However, you may do a fast and post lunch sugar after 2 weeks or so to know the trend.  Your calcium levels are, yes you may stop supplement and rather concentrate of acquiring adequate calcium and vitamin D from.  Regards Chat Doctor."}
{"_id": "000002928", "text": "Hello. Thanks for asking from Chat Doctor. I can understand your concern. As you have had ACD 10 weeks before and similar symptoms have recurred, it might be due to compression at same level. This has happened due to"}
{"_id": "000002929", "text": "Hi, dairy have gone through your question. I can understand your concern. She may have enlarged thyroid or some enlarged lymph node.  SHR should go for thyroid function test and ultrasound neck.  It will give you exact diagnosis.  If needed go for fine needle aspiration cytology or biopsy. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000002930", "text": "Hi there. Thanks for writing in. You are already on pain relieving medications. What you can do is avoid sleeping on the affected shoulder. Serratiopeptidase might help relieve the internal swelling/ edema. Vitamin C tablet might help improve healing process. Application of pain relief gel like diclofenac gel might help. The gel should be lightly applied and not massaged on the affected area. If massaged, can cause burning sensation in the skin. Half an hour after application of gel, do hot fomentation on the affected area. Do hot fomentation 3-4 times a day. If none of the measures seem to help, do consult a physiotherapist. You might also want to get your Vitamin B12 levels checked. Hope my answer was helpful to you."}
{"_id": "000002931", "text": "Hello and welcome to Chat Doctor, As you described, your root-canal treated lower right side teeth is periodontal affected resulting in abscess formation. If you are not willing to retain the teeth, it has to be extracted and replaced with fixed prosthesis. The prosthesis will prevent shifting of adjacent teeth. Regarding your left lower teeth, if it does not have any problem associated, no need to worry. I Would suggest you to maintain good oral hygiene. Prevent plaque accumulation on the affected site. Take care."}
{"_id": "000002932", "text": "HELLO AND WELCOME, Since your affected teeth affected with dental caries at the age of 9 years, the decay has spread into periapical area causing abscess thereby cheek swelling occurs. I WOULD Advise you to get an x-ray of the tooth to know the present condition of tooth and treatment can be planned based on that. If tooth can be saved, RCT HAS TO BE DONE AND CROWN HAS TO BE PLACED. IF tooth cannot be saved, it has to be extracted, and a removable/fixed denture can be replaced. Hope this suffices. Regards Chat Doctor."}
{"_id": "000002933", "text": "Hello, As your aunt has a past medical history of chikungunya, there will be some post pathological effects of the disease. Swelling, pain, tiredness, muscle weakness, joint inflammation are common.  Having a Chat Doctor.  Also, as for chikungunya, the patient tends to have muscle weakness by which the joint space reduced and the compression on joint due to bony friction will be present and needs to perform exercises under a guided physiotherapist, so the muscle stays active and strengthened.  This will help avoid pain.  If she has any cardiac profile and has already into menopause then the swelling will be common due to lack of venous return and hormonal changes. Getting involved in the Physical exercises is recommended in patients with chikungunya. Recent research studies show there are optimum improvements in patients with chikungunya by having regular physical exercises. Monitoring the blood pressure, blood glucose, vitamin D and calcium levels are of utmost importance under a physician. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In"}
{"_id": "000002934", "text": "Hi, Thanks for the query. I understand your concern.  Demo injection is a long acting contraceptive. takes about 9 months on an average for resuming ovulation/fertility. You had been off the injection since 2 months. The symptoms you have (no menses. Moodiness. Loss of appetite etc. are with Chat Doctor.  Still if you have doubt. You can go for home pregnancy test after 3 weeks of having sex.  After you start having regular periods...you can do LH surge test to confirm ovulation then try for conception.  Thanks."}
{"_id": "000002935", "text": "Hi, Thanks for asking.  I understand your concern.  If you & your husband are normal after treatment, you should give a fair trial for normal conception(take It E & folic acid . Both of you/ know your ovulation time by using LH surge test & have unprotected sex around the estimated ovulation day.  - If you do not conceive in 3-6 months, / if the counts are low-go for GUI/ test tube baby.  - In case the sperm count is non-promising. You can take advantage of sperm donation & GUI/ test tube baby.  Wish you all the best.  Thanks."}
{"_id": "000002936", "text": "HiT hanks for posting your query.  Well the possibility of stroke is high as a 100% blockage is heart vessels usually be associated with certain degree of blockage of blood vessels to brain.  I would recommend you get a Carotid artery Doppler which checks for blockage in blood vessels of brain.  Or else he better consult a physician who will evaluate and advise accordingly. But kindly do consult. Hope this information was useful to you. Any further clarification feels free to ask. Regards."}
{"_id": "000002937", "text": "Hi, I have gone through your query and understood the concern. The medication you have taken should be effective. Moreover, if you are in the safe period of your cycle, you are naturally protected. Another alternative is to ask for the insertion of an IUD as a measure of emergency contraception. This also serves future purposes. Please remember that your menstrual cycle is going to get disturbed for one or two months as you have consumed high hormone doses. Your next natural period may get delayed, and please get further help from an expert if you become overdue by ten days. Hope this helps."}
{"_id": "000002938", "text": "He might have small intestinal TB rather than stomach TB. Amoebas also involves small intestine/some part of large intestine. If he has taken medicines for both diseases in form of a Complete Course, he should be fine. U can go for an oral+iv contrast CT scan of him. Now, the diagnosis of a lax cardiac can be confirmed by an upper GI endoscopy with manometry (if available). Lax cardiac may cause acidity with reflux."}
{"_id": "000002939", "text": "Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, immaterial of whether the lump moved or not, I would refer you to a general surgeon for a clinical examination and a possible FNAC (fine needle aspiration cytology) for an initial diagnosis, followed later by an excision biopsy electively. Further management would depend on the reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000002940", "text": "Welcome to Chat Doctor .1. It looks like a bacterial infection (carbuncle / fur uncle) hair follicle infection.2. Not always a course of antibiotics will help in case of infective lumps / collection / abscess.3. In this case the treatment of choice will be - small incision and Chat Doctor.  After that a course of antibiotics.4. The remedies in this case is avoided shaving underarm and deodorants - as all these cause irritant and delay healing effect. You can use trim until complete heal.5. You can change your doctor if you are not happy, but sometimes just antibiotic treatment will not help, procedure is needed.6. Furthermore, you can not leave it, complications can be there. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000002941", "text": "HI. Thanks for your query. Diabetes has to be well under control for the effectiveness of any antibacterial treatment including that of Tuberculosis. The treatment was correct in the initial phase. After the relapse you may need a second line of treatment under the guidance and observation of a Physician. This is important as the same Chat Doctor.  Secondly, you need to have a proper diagnosis done by Laparoscopy and confirm whether there is relapse or aftereffect / sequel or complication of TB. This is the most important aspect."}
{"_id": "000002942", "text": "Hi, It will not be hard to determine the difference between a MASS LESION or an infection since there are several diagnostic studies such as PET SCAN, ULTRASOUND, and finally FINE NEEDLE BIOPSY that can all help differentiate between those 2 entities. Also, blood tests can help when looking at high white blood cells and/or the presence of fever etc. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002943", "text": "Hello, Thank you for posting on Chat Doctor. It seems you are suffering from Seborrhea dermatitis, which secondarily leads to hairball and thus It's important to treat it first hand. I would recommend you a short course of oral antifungal Chat Doctor.  Use a medicated shampoo containing ketoconazole and salicylic acid twice a week. Take antihistamines as required for itching. Avoid excessive use of hair oil. As for the hairball, start oral supplements containing biotin and other essential vitamins and minerals (Collinear new) once a day for at least 3 months. Hope this will take care of your query. Thank you"}
{"_id": "000002944", "text": "HiI understand your concern. Pitting edema in lower leg might indicate renal pathology. Though there are various causes of edema. Complete blood testing with Renal/Liver/Thyroid functions test will be advisable to reach root cause of it. Physical examinations?blood pressure?blood sugar is also necessary. So consult physician and get assistance from him. I hope I have answered your query. Feel free to ask. Thank you."}
{"_id": "000002945", "text": "Hello, Thanks for choosing Chat Doctor, Quenching teeth is medically termed as bruise.It's mainly related to the stress, anxiety,bad Chat Doctor. Etc... Do you quench vigorously in a particular moment? If it's related to the above-mentioned then you have to decrease the stress.but it may be due to other various reasons.like malocclusion. Consult with Dentist for whole mouth check-up...Don't neglect this...bruise can lead to temporomandibular joint problem... Get your proper treatment done... Wish you good health... Regards..."}
{"_id": "000002946", "text": "Hi, Thanks for writing in. If you do not have any ulcerative wound in your mouth or lumps in the neck region then there is no risk of cancer at present. A throbbing pain in the throat and jaw can be due to many reasons including sore throat due to infection. You have taken a good decision to quit smoking, but please do not start even one cigarette as it is an addiction, and you will get into the habit again. Most people have craving for smoking after few months, but you should avoid any smoking from now. For sore throat you can do gargling and this will help you to soothe the throat and get comfort. Please do salt water gargle twice daily for a week, and you should be feeling better. In case you want to completely confirm the absence of lymph nodes and thyroid problems then do an ultrasound scan of neck. Please do not worry."}
{"_id": "000002947", "text": "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. First do not panic. Endometriosis is a treatable condition.  You will be able to get pregnant once again. If relationship between tubes and ovaries is not disturbed, then chances of getting pregnant are high. If there are adhesions between tube and ovary, then also you get pregnant by artificial reproduction techniques, like IVF. Usually endometriosis is treated with Injections like Bukharin Tablets like Anatole. Once the effects and growth of endometriosis is treated, you can opt for various ways to get pregnant. I hope this answer helps you. Thanks"}
{"_id": "000002948", "text": "Hi, I admire your positive outlook and congratulate you for the attitude. As you know your child is diagnosed to have Crohn's disease. This condition is inflammatory disease in intestine. She requires a long term medication as advised by gastroenterologist / pediatrician. Once she tolerates feeds, you can give any homemade food which is not too spicy. Try to give the lot of liquids food. Keep under continues follow up because disease can flare up any time. Strictly follow the medication regime suggested keeping the disease under control.  Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your child good health."}
{"_id": "000002949", "text": "Your History suggests (1) you may be allergic to some garden related - pollen / flower or any other allergen which can cause such off and on symptoms.(2) You need to go for thorough workup like Throat Culture and Sensitivity test, Allergy panel test, other test which may be required after your physical exam.(3) Best option is when you get complaints next time, you go to a good medical facility and consult Internal Medicine Physician about your off and on complaints. Internal Physician would do physical examination and suggest further course most likely as I mentioned by me in 1 & 2"}
{"_id": "000002950", "text": "HiT hanks for posting your query.  Back pain can occur in any lady who had c section for years together but it won't cause any curving of spine and any walking problem.  So there must be some other problem causing curving of your spine. It could be due to fracture of spinal bones or weakness of spinal bones. Weakness of bones can occur due to calcium deficiency or vitamin deficiency.  I advise you get x-ray lumbar spine serum calcium and serum vitamin D3 tests and revert with reports.  If pain is excruciating get back physiotherapy weekly and take muscle relaxants after consulting your doctor. Any clarification feel free to ask."}
{"_id": "000002951", "text": "Hi, You seem to have developed fungal infection. Groin folds are a very common site of fungal infection. It usually presents as a Chat Doctor.  I suggest you to try an OTC topical antifungal e.g. Clotrimazole 1% cream, twice daily.  In addition, I suggest you to take an oral antifungal e.g. either Fluconazole or Itraconazole, for 2-4 weeks. You may also take an OTC oral antihistamine e.g. Tab Cetirizine once a day for symptomatic relief from itching.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002952", "text": "Hi... I sympathize with the kid and understand your concern. The trick of the management is keeping the skin moist and never allowing it to be Chat Doctor.  For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000002953", "text": "Hi.noted history of non-painful lump on the patients posterior thigh. It may be a case of lipoma (fatty deposit), fibrous (fibrous tissue formation) or a cystic formation. Other lesion types such as malignancy must also be ruled-out. It is best if you bring your friend to a doctor, preferably a general surgeon, especially if the lesion is bothering her. Diagnostics and management (medical and/or surgical) will be directed accordingly. Definitive management is surgical excision of the lesion with proper antibiotic regimen and daily wound care thereafter. Hope this helps. Good day!!~ Chat Doctor."}
{"_id": "000002954", "text": "Hello, Welcome to Chat Doctor. I have read you history carefully and appreciate your concern for your daughter. I think your daughter is suffering from recurrent tonsillitis due viral or bacterial infection. You need to start antibiotics like amoxyclav or azithromycin. You should have her do warm salt water gargle if it is possible for her. Tonsils may also need to be removed if tonsillitis is recurrent, or they are really enlarged and obstructing breathing. It is recommended to consult an ENT surgeon for this. Hope this will be helpful. Do ask if any further question is there. Thanks for using Chat Doctor. Take care."}
{"_id": "000002955", "text": "Hi, thanks for writing. Is her periods regular, 28 day cycle? If so, around day 14 is ovulation occurs. 12-16th day you should have an intercourse to attain pregnancy. If periods are irregular, get a follicular study on day 11 of your cycle and follow up on alternate day till follicle size reaches 20\\u00a0mm. This is time ovulation occurs and should have intercourse. A repeat scan has to be done to see the signs of ovulation. Get a semen analysis also. If everything is normal try for 1 year prior to taking medications. Hope I have answered your query. Good day."}
{"_id": "000002956", "text": "Hi, thanks for the query. Since when do have these concentration difficulties in studies? Starting from simple to more complex issues; we are usually able to concentrate better when whatever we are reading/doing is interesting for us & NOT MERELY Chat Doctor.  Secondly, try & choose subjects/courses which you are really interested in studying & just don't study for the heck of getting a degree/academic qualification. Lastly, studies have time & again proven that average concentration span of human mind is around 30 minutes. Hence, if you are able to study for 30 minutes; you are actually doing good! You can devise 30 minutes study-10 minutes break (strictly 10 minutes!!) schedule to improve your concentration. Good Luck"}
{"_id": "000002957", "text": "Hello, Welcome to Chat Doctor, Wart which is painless and itching are the classical of Wart which is caused by Human Papillomavirus (HPV). Human Papillomavirus (HPV) infection can be transmitted to the partner as this is a sexually transmitted disease. This should be diagnosed by physical examination and confirmed by Polymerase Chain Reaction (PCR). The treatment for this condition includesCryotherapy- which should be done in the hospital.local application of 0.5% solution of podophyllin, which should be applied twice daily for 3 days and nothing should be applied for next 4 days (7 days cycle). This cycle should be continued for 4 weeks.local application of 5% Imiquimod cream for 3 times in a week for 16 weeks (4 months). Thank you."}
{"_id": "000002958", "text": "Hello, For this reason, I recommend consulting with her attending physician for a physical exam and some tests"}
{"_id": "000002959", "text": "Hello, As he has a larger chest on the side than others, why don't you check for his spine? If he has a deviation of the same then it might be a postural habit which has been adapted over a period of time.  An x-ray will only reveal the structural anatomical alignment of the ribs and spinal column. Wait till the film reports come post which you can think of the next step. For now, look for the postural correction and breathing exercises to avoid pulmonary system suppression. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor."}
{"_id": "000002960", "text": "Degree understand your concerns went through your details. I suggest you not to worry much.  You guessed it correct. If you have social phobia and social anxiety at the age of 18 and if you do not take any treatment measures, it is for sure that your condition will worsen in the future. First you should consult a psychologist for a counseling session. Then according to his opinion you may need psychiatric intervention. Please work with your psychologist or psychiatrist. Please do not overlook your condition and shy away from treatment. You need them, for sure. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000002961", "text": "Hello & welcome To Chat Doctor, Your history is not complete. Please let me know about your age, sex, duration of the problem, any history of diabetes, kidney stone or any urinary bladder problem. But till now you can do one thing, ultrasound of lower abdomen. After knowing the complete history, doctor can suggest you the correct treatment. Hope so you are getting the answer of your problem. Thanks & Regards Chat Doctor."}
{"_id": "000002962", "text": "Hi, Thanks for writing in. Liv.52 tablets are suggested to improve liver functions. These tablets contain herbal composition including Chicory and The Caper Bush which contains p-methoxy benzoic acid, which is a liver protective agent. Liv 52 is indicated for the prevention and treatment of viral hepatitis, alcoholic liver disease, pre-cirrhotic conditions and early cirrhosis, anorexia, loss of appetite and liver damage due to radiation therapy It will not work for kidney stone. For kidney stones you must take Cranberry juice."}
{"_id": "000002963", "text": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that a lump that doesn't hurt in this region could be related to a lipoma or fibrosis. I do not think that it is malign or cancerous as it has been there for a long time, without spreading. I would just recommend consulting with your doctor for a physical exam. A surgical resection can be needed, if it disturbs you or interferes with your look. Hope you will find this answer helpful! Kind regards,"}
{"_id": "000002964", "text": "Hi. Welcome to Chat Doctor. I read your query. As you mentioned you had IPR done on your teeth. This can at time lead to slight discomfort post procedure. As for white spots on tongue and burning, there may be rough spots left on teeth after reduction. This may lead to trauma and frictional keratitis. I suggest you go to your orthodontist and get any brought point left smoothened and polished. Also, if there is any plaque or calculus, you can get oral prophylaxis done. If tolerable, do warm saline rinses. Massage gums using gum paint. Apply lidocaine gel before eating to reduce burning. Take multivitamin one tablet per day for 2 weeks. Maintain oral hygiene. Hope the answer helps you. Take care."}
{"_id": "000002965", "text": "CAA.definitely its due to severe allergy to pepper spray.........if he is an asthmatic/allergic person, pepper spray/any irritant causes sudden lung blood supply constriction resulting in craving for oxygen..........AVOIDANCE IS THE BEST TREATMENT FOR ANY ALLERGIC CONDITION............if not subsiding please do use steroid sprays like fluticasone, beclomethasone propionate types response will be good with them.............needed to clean your entire house daily......an allergic person may super from reactions due to household dust"}
{"_id": "000002966", "text": "Thanks for your question on Chat Doctor. I can understand your wife s situation and problem. She may be having blunt chest trauma due to fall. And chest pain with breathing difficulty is common in blunt chest trauma. You should get done chest x-ray first to rule out rib fracture, pneumothorax, Pulmonary contusions etc. As all can cause post trauma chest pain and breathing difficulty. If chest x-ray is normal then she is mostly having musculoskeletal pain. So ask her to follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid bad postures in sleep and painful movements. 3. Start painkiller and muscle relaxant. 4. Apply warm water pad on affected site. Don't worry, she will be alright."}
{"_id": "000002967", "text": "Thanks for your question on Chat Doctor. I can understand your problem. In my opinion we should first rule out cardiac cause for your chest pain. So get done ECG. If ECG is normal than no need to worry much for cardiac cause. Pleurisy (inflammation of the pleura) can also cause chest pain on coughing and deep breathing. So get done chest x-ray to rule out possible causes of pleurisy like pneumonia, tuberculosis etc. If chest x-ray is normal than no need to worry much for pleurisy. Anxiety will be the cause. Many times, patient needs psychiatric counselling along with anxiolytic Chat Doctor.  So consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. Avoid stress and tension. Be relax and calm. Don't worry, you will be alright."}
{"_id": "000002968", "text": "Hi, Thank you for posting your query. I appreciate the detailed description that you provided of your symptoms. First, biracial plexus injury can occur as a complication of difficult labor and delivery (shoulder dystonia), where shoulder of the baby comes out before the head. Treatment is with exercises, and I am glad to note that you have done well. Second, regarding the weakness of left side, it needs evaluation. It could be due to clotting of blood in the brain veins or arteries. An evaluation by a neurologist and a possible MRI of brain may be useful. Regarding the periods being irregular, it is most likely due to a condition called as dysfunctional uterine bleeding. The suspicion that your blood is stored in two sacs, etc. is not correct. Your gynecologist will help you understand your problem better. Best wishes, Chat Doctor."}
{"_id": "000002969", "text": "First, you did not mention whether you had small cell cancer or not. Both have different treatment algorithms and outcomes. Small cell is generally more aggressive. Also, I would like to know if they removed the nodes or not and if they were involved by tumor or not (this would be in the biopsy report). If they were removed and are negative and the margins of resection are negative for tumor (this would mean that the tumor has been completely removed) then you would be in the 2nd stage (stage IIA technically but high risk due to large tumor size). So, I would recommend that you get further chemotherapy to decrease your chances of recurrence. The prognosis is good, and you have a 70% chance of being cured."}
{"_id": "000002970", "text": "Welcome to Chat Doctor. 1. The history suggest the possible cause of the lesion at the site of the previous injury could be infective collection. 2. Though there is no history mentioned pain or fever infective etiology to be ruled out.3. Other possible cause could be lipomatous lesion - fat content.4. The Ultrasound examination is the investigation of choice in this case, ultrasound will help to evaluate the nature of the lump, its source and extensions.5. First thing one has to examine the lump, I do not think there is much to worry as there is no pain on touch. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http"}
{"_id": "000002971", "text": "Hi Dear, Understanding your concern. As per your query you have symptoms of severe hair loss which seems to be mainly due to fungal infection, poor hygiene, and systemic causes. Need not worry. I would suggest you to wash hairs after proper massage with olive oil. I would suggest you to consult dermatologist for proper examination. Doctor may order blood test, skin patch test and can do physical examination. Doctor may prescribe you Chat Doctor.  You should maintain complete hygiene. You should use Finasteride preparations. Furthermore, you should take supplements like vitamin A, Omega-3 and vitamin E. Hope your concern has been resolved. Best Wishes,"}
{"_id": "000002972", "text": "Hi ! Thank you for your query. Dear madam, Whatever information you have provided is insufficient to guide you. Low blood sugar is not related to autoimmune disease. Generally in autoimmune disorders the is hemolysis leading to anemia but that's not universal. High RBC count can be physiological or pathological like in polycythemia. I advise you to see you doctor and get her thoroughly investigated only then we can reach on to some conclusion. If you have any further queries feel free to ask. Wish you good health. Take care."}
{"_id": "000002973", "text": "Hello dear, The symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). So, kindly consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like complete blood count, estimation of serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY Chat Doctor. And also take precautions like getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care."}
{"_id": "000002974", "text": "Hello, Anyway, the numbness in your leg could be related to a pinched nerve. For this reason, I recommend performing nerve conduction studies and a lumbar X-ray study. High blood pressure values could be related to anxiety.  Anyway, I would recommend performing some tests in order to exclude other secondary causes underlying high blood pressure (complete blood count, PCR, ESR, thyroid hormone levels, blood electrolytes, kidney and liver function tests).  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."}
{"_id": "000002975", "text": "Hi.it might be folliculitis based from your description. It is an inflammatory reaction when you shave or remove hair from the area. It is very important not to get it infected by not manipulating or scratching the lesion, avoid shaving and products that may add irritation to your skin. Usually, these cases, resolved on their own. But if the symptoms are persistent, and there's growth of the lesion, a consultation with your doctor is best. Also, maintain a good hygiene and keep the area Chat Doctor. Hope this helps. Good day!!~"}
{"_id": "000002976", "text": "Hello! Welcome and thank you for asking on Chat Doctor! You should know that weakness of your hands is not related to the lumbar spine. In fact, it can be explained by cervical spine degeneration or spinal canal stenosis in these levels. Other possible causes to consider would be polyneuropathy, especially considering the fact that this is a common complication of acidosis. Coming to this point, I would recommend performing a cervical spine MRI study and a nerve conduction study for polyneuropathy. You should consult with a neurologist and discuss these issues. Hope you will find this answer helpful! Wishing all the best,"}
{"_id": "000002977", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. From the description (if the description is correct) it seems that your sister is having amnesia. Amnesia is of different types and proper evaluation and treatment is required. First take your sister to a physician and the physician should decide what type of treatment she needs. Psychologist can do a bare minimum in amnesia. Probably you need to visit a neurologist. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000002978", "text": "Hi dear, it often happens during teething, because infection comes with dirty things, which baby bites and infectious saliva from mouth also causes diarrhea. I suggest-Enterogermina 1 sachet daily for 5 days.-ORS-Try to keep baby HY Chat Doctor. -Nitrofurantoin 1/2 tablet 3 times a day after meal for 7 days.-Z&D syrup-Rice diet, boiled water from pomegranate peels also stop diarrhea(50ml 3 times a day)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 and baby good health."}
{"_id": "000002979", "text": "Thanks for your question on Chat Doctor. Black lung disease is caused by air pollution and coal dust. And not every one who inhaled it, got the disease. Only few who are sensitive to it got the disease. So it is quite acceptable to have disease in only one family member. For the diagnosis of this, presence of coal particles in lung is must. So bronchoscopy is done, and Lavage fluid is sent for the examination. And if coal particles are found than it is mostly black lung disease."}
{"_id": "000002980", "text": "Hello Sudhakar. Welcome to Chat Doctor. Decision of using Stalin (which is a reliever medicine for asthma) or Aeroflot (which is a controller/preventer medicine for asthma) depends on how severe your asthma is and how frequently you need to use Stalin inhaler. Practically, if you need to use Stalin for more than twice a week I would suggest you to take Aeroflot daily. Or if you have to wake up at nights from wheezing frequently or wheezing stops you from exercising, also I would suggest you Aeroflot. Hope this will help you. Wish you best of the health. Regards. Chat Doctor."}
{"_id": "000002981", "text": "HiT hanks for using Chat Doctor You should get your thyroid profile done. Sometime due to hypothyroidism or subnormal thyroid level, patient get depressive symptoms and weight gain. In that case, with thyroid hormone, you would feel better. Even if you profile come normal, you can take it for augmentation purpose with your antidepressant. That would keep you active as well as control your weight. Thanks"}
{"_id": "000002982", "text": "**1. Since there is tissue injury, thus in best interest it is wise to consult an Orthopedic surgeon to rule out any damage to nearby structures [ligament/tendons] before any alternate system of medicine is practiced/tried.2. In acute stage, when there is inflammation, massage is contraindicated, but you may contact a Physiotherapist or Sports Medicine Specialist to know more about the same.3. Till an expert opinion is awaited, you may try following preventive measures at home"}
{"_id": "000002983", "text": "Hi, Thanks for using Chat Doctor. Feeling like electric shock may be due to nerve involvement. I hope you are not taking any Chat Doctor.  You can do regular proper exercise and avoid any unusual posture or pressure on that knee. Get done one EEG and EKG one to rule out any other cause. Consult your doctor once for examination and management. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards"}
{"_id": "000002984", "text": "Hi. Welcome to Chat Doctor. I read your query. On right side as you mentioned the wisdom tooth is impinging the front tooth, it may lead to cavity and pain in front tooth. This may further need RCT and crown of the tooth in front of wisdom tooth if not take out in time. On left side, why would you prefer taking out an already RCT treated molar? The wisdom tooth is impacted, so it won't move enough to cause the closure of space from removal of molar in front. Also, you mentioned of swelled gums around wisdom teeth, which means peritonitis, i.e. there is already infection around wisdom teeth. I suggest you to get both the wisdom tooth extraction and restoration of teeth in front of them. The RCT treated molar needs crown as RCT weekend the tooth, and it can break under mastectomy force. If not at the moment, get a crown over it. Till then avoiding batting hard things from that side. Maintain oral hygiene. Do warm saline rinses. Hope the answer helps you. Thank you."}
{"_id": "000002985", "text": "Hello and welcome to Chat Doctor. As a Urologist, let me explain this simple treatment principle. The left side kidney to bladder tube(ureter), has a 7\\u00a0mm stone blocking the ureter at its lower junction with bladder, causing left sided block and pain, and thereby affecting the left kidney. Major part of urine formed is being flushed out from the right sided kidney. In flush therapy, person is asked to Chat Doctor.  You may send the reports to me directly, for a better answer."}
{"_id": "000002986", "text": "Hi!! I can understand your concern. In my opinion you had a post dated pregnancy which might be the reason for passage of stool in uteri. But that is not necessarily related to the liver enlargement that your doctor mentioned. Liver enlargement could be a congenital problem which needs proper investigation. There is a risk of recurrence of this issue in your next pregnancy, so I would advise you consult your doctor in your next issue."}
{"_id": "000002987", "text": "Hi, I can understand your concern regarding achieve normal activity including sexual activity after the treatment like electrofiltration of genital warts...with HIV positive status. I am really sorry to say to avoid sexual activity for few months due to high chances of relapse of warts... as the immunity is poor. Skin is likely to recover in few weeks with proper treatment after the procedure. Hope this helps. Chat Doctor."}
{"_id": "000002988", "text": "Hi there, thanks for asking. You can continue a benzodiazepine which is absolutely better to be prescribed by your doctor (to give a benzodiazepine which is not metabolized by your liver preferably and also considering other factors) to be able to tolerate the with Chat Doctor.  Almost in all the cases' situation is reversible when it has taken just four years. Alcohol abstinence can lead to improvement from depression as well. You may ask your doctor to check your B12 level since it could be low in alcohol dependence. I wish you a good health."}
{"_id": "000002989", "text": "Hello and welcome to Chat Doctor, Wisdom tooth is the last tooth to erupt in the oral cavity and often its eruption is associated with symptoms like pain and discomfort in eating, difficulty in opening mouth, swelling in the jaws, fever and chills.  Wisdom teeth are often tilted in position and impacted in the bone, gums overlying the tooth is usually undergoing inflammation known as peritonitis which may lead to swelling and bleeding gums.  I would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or Betadine.  You start with antibiotic augmenting along with paracetamol and antic old tablets like levocetrizine to relieve the symptoms till you consult a dentist and get the tooth extracted surgically.  I hope this helps, take care"}
{"_id": "000002990", "text": "Hi, You may be right. The rash is likely due to amoxicillin. Consult the dermatologist for the perfect diagnosis and proper treatment. First thing to do is to stop the amoxicillin. The other antibiotic like azithromycin may be given. Oral steroid in tapering dose, antihistaminics and application of mild steroid cream may be considered. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000002991", "text": "Hi Dear, Understanding your concern. As per your query you have symptoms of severe hair fall which could be due to- Sudden climatic alterations - Nutritional deficiencies- Hormonal changes-Dan Chat Doctor.  I would suggest you to start taking supplements rich in biotin and take Finasteride preparations as well for hair loss. You should do oiling of scalp regularly to with coconut oil. You should consult dermatologist once and get it examined. Start treatment after proper prescription. You should keep your hair massaged to increase blood circulation. Avoid wearing cap for long time and take diet rich in multivitamins. Maintain cleanliness of scalp. Hope your concern has been resolved. Best Wishes,"}
{"_id": "000002992", "text": "Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor.  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal"}
{"_id": "000002993", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint it seems that you are suffering from Allergic Rhinosinusitis and can be due to allergic reaction to some unknown allergen and as anti-histamine suppress the gallery symptoms you get better by taking it. The clotted blood can be due to bleeding in the sinuses and nasal passages during inflammation that gets clotted, and now it is raining out with mucous. I would suggest you to consult an Otolaryngologies and get evaluated and a nasal endoscopy or MRI of sinuses can be diagnostic and treatment can be planned accordingly. As of now you can take steroid nasal sprays, saline nasal irrigation, steam inhalations and take decongestants oral as well as nasal. Hope this information helps. Thanks and regards. Chat Doctor."}
{"_id": "000002994", "text": "Maybe you have to consult an endocrinologist too regarding your high blood sugar. Polyneuropathy can in some cases start from the upper extremities. But the numbness in the forehead and tongue doesn't comply with neuropathy diagnosis. Did the neurologist recommend the MRI and what region? Do you have any other symptoms or did the doctor found any other sign during the physical examination? I will be interested to know the MRI result or any other test that you've taken."}
{"_id": "000002995", "text": "Welcome to Chat Doctor .1. Your symptoms more related to an infective etiology. First possible cause could be abscessed. (sore lump with pain on touch and growing in size with discharge)2. The lumps of 10 years history might be different to the present one (they might be lipomas - fat content)3. In this case if you are my patient - I would examine and confirm with an ultrasound and depending on size (an antibiotic treatment / incision and Chat Doctor. So I would suggest seeing your GP and get the needful tests and treatment done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000002996", "text": "Thank you for the question.I would suggest you to take erosion forte once daily for 3 months. Sometimes there is delayed recovery of sensations of nerve as long as after 2 years so be hopeful.Also, if possible go to a vascular surgeon or have color Doppler for leg circulation just in case blood circulation is impaired, in any case it should be ruled out. You may seek help of physical therapist and do contrast bath to feet in cold and hot water alternately for 10 minutes for few days and do ankle, foot and toe exercises"}
{"_id": "000002997", "text": "Hello, I would explain that your symptoms could be related to a metabolic disorder.  For this reason, I would recommend performing a resting ECG and some blood lab tests in order to investigate the possible causes"}
{"_id": "000002998", "text": "Hi, I passed carefully through your question and would explain that his uric acid plasma levels seem to be a little elevated. For this reason, I would recommend a low protein diet, avoid been and other similar vegetables and take plenty of water.  If high uric acid plasma levels persist, I would recommend discussing with his doctor on the possibility of taking Allopurinol.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000002999", "text": "Hello, I have studied your case. Due to compression of this nerve root there can be neck and head pain. I will advise you to do 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."}
{"_id": "000003000", "text": "Dear Mr Monsanto start with a X-ray and a thorough clinical examination of the knee will help. Her symptoms seem like supra patellar tendonitis and osteoarthritis. Can you share her age and weight as well. Please visit your nearest arthritis clinic and get her evaluated, if properly treated conservatively knee replacement can be avoided for a long time. Please feel free to ask any more doubts that you have"}
{"_id": "000003001", "text": "Hello Your father findings suggests raised liver enzymes and enlarged liver. Enlarged liver(hepatomegaly) may be due to many reasons like hepatitis, fatty liver, tumour etc. It is important to know which parameters of liver function test are raised. Hepatomegaly is most likely related to hepatitis in your fathers' case as he has yellow eyes. He may need few more investigations like routine hologram, random blood sugar, viral markers. He should avoid fatty food. Proper treatment depend upon findings. Take Care Chat Doctor."}
{"_id": "000003002", "text": "Cellophane You for contacting Chat Doctor. Some people are allergic to particular food. So when they take such food then allergic reaction occurs causing rash, swelling, etc. sometimes it goes away with the passage of time and sometimes it persists forever. In that case you simply need to avoid that particular food.I would suggest you to take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably. I would also suggest you to undergo allergy testing at allergy clinic as you have chronic allergy problem. It will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen, and it will improve the problem. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health."}
{"_id": "000003003", "text": "Hi, Welcome to Chat Doctor Virtual Clinic. You seem to have fibrous post head hit with fibrosis hematoma. As I don't have direct information, Second opinion needed from your Surgeon, who would treat it accordingly.USG /So's CT skull would fix the cause of the head lump as above. For the cosmetic correction Excision and HPR study of the head lump is suggested under guidance of your Surgeon. This would help you to plan treatment with your doctor. Contact with Premium question to ME, if need be. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS"}
{"_id": "000003004", "text": "Thanks for your query, I have gone through your query. The positioned canine can be corrected by taking orthodontic treatment. The Invitation treatment can be taken to align your maltose canine. Instead of brackets and wires invitation provides a series of removable clear aligners which moves the teeth gradually. Take radiographs and opinion from orthodontist about the bone support around teeth, whether it is ideal to go for invitation or normal braces. I hope my answer will help you, take care."}
{"_id": "000003005", "text": "Hi ! From your history, I still feel that perhaps you have got very minute calculi in your kidney which is causing minimal amount of bleeding by friction against the kidney tissue. Such minute calculi may not be visualized in any of the scans. The pain may be due to the calculi blocking the ureter which possibly was passed out subsequently in the urine for which it was not visualized in the scan. I would suggest you to keep yourself well HY Chat Doctor. Wishing you an early recovery."}
{"_id": "000003006", "text": "Hi. Thanks for the query. Post nasal Chat Doctor. First get a sinus x-ray done to confirm the diagnosis. If it is confirmed and amoxicillin did not work then Augmenting [amoxicillin +Clavulanate potassium] can be taken. Other groups of antibiotics like Cephalosporins etc. can help. Along with it take anti-inflammatory painkillers like Ibuprofen. Use specialized mouthwash like Magic mouthwash to gargles. Do warm saline gargles. Take anti histamines like Levocetrizine and decongestant like Phenylephrine. Do steam inhalation and saline nasal irrigation. Hope this helps. Regards."}
{"_id": "000003007", "text": "Hi, Welcome to Chat Doctor forum.  The hemoglobin level in the blood has come down to 6 after the transplantation surgery, means she must be given transfusions more over from the genetic relatives, to prevent the complications of the surgery.  Latter when she recovers, you can use things to improve the hemoglobin.  I advise you to give green leafy vegetables, pulses, sprouts, and protein rich foods.  Wishing for a quick and complete recovery. Thank you."}
{"_id": "000003008", "text": "Hi, I think your doctor has put you on oral g to resolve the cysts.  So, don't worry about it. Regarding the polyp, it needs to be removed if it is intrauterine.  If it is a cervical polyp and not interfering with the internal OS, it can be left as such. Discuss with your doctor regarding this.  You can track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop.  Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months. Hope I have answered your question. Regards"}
{"_id": "000003009", "text": "A sharp pain and on the right side of the chest is less likely to be from the heart, although it would be useful to have an ECG, which is an electrical tracing of your heart, to confirm this. Common causes of sharp pain that is aggravated by movement includes an origin from your muscle or tendons, and sometimes from your lung which is what we call pleurisy. These may occur following a number of insults, including an infection or injury. Hope this is helpful."}
{"_id": "000003010", "text": "Hithank-you for providing the brief history of your daughter. A thorough musculoskeletal assessment is advised followed by MRI. As already the MRI shows the high grade near thickness tear of the anterior TFL, a full time brace may help to an extent. Now understanding that the ligament injuries will land into healing stages of a fibrous tissue. Which needs a proper rehabilitation program like the sports physical therapy to regain the full movement. In future the reassessment of the TFL shall be performed by an MRI of to assess the nature of the healing. Depending upon the grade of the tear either a conservative or a Surgical treatment plan is selected. If the surgeon has planned for conservative than the healing time will be little longer as try fibrous tissue has to enter the healing of the ligament. Also, physical therapy plays a very important role to keep the future function of the ankle joint. If these measures are not kept into consideration than the future pain and aches of the same location can arrive which I see regularly in my clinical practice. Keeping in mind that your daughter is just 18, I recommend using the spent as much as possible and undergo sports physical therapy. This should help your daughter. Regards Jay In Chat Doctor."}
{"_id": "000003011", "text": "HI Thanks for posting your query.  First you need to get an X-ray to check if you have sustained a fracture. If not then you need to wrap a cr\\u00eape bandage over your foot tightly (not very tight) and give rest to your foot for a week. You can use painkiller like Tab Zerodol-P 3 times a day for 4-5 days unless you are allergic to it.  I advise you to consult an orthopedic surgeon, till then don't walk or put weight on your foot.  Have a nice day."}
{"_id": "000003012", "text": "HiT hanks for using Chat Doctor Percent contains oxycodone, and it is a painkiller. It has no major interaction with amitriptyline or bupropion. You can carry on both of these Chat Doctor.  In your case, anger or irritability could be due to physical issues. In that case, you can either try some another antidepressant or try for some relaxation exercise. With time all these symptoms would improve. In case, you need further help, you can ask. Thanks"}
{"_id": "000003013", "text": "Hello Thank you for trusting Chat Doctor Dear any aggravating factors?? Like peak emotions? Lack of sleep?? Work stress?? Probably it may be tension headache. Which will feel like pressure sensation and band like feeling around the head other possibilities of occipital neuralgia may present aching, burning, and throbbing pain that typically starts at the base of the head and goes to the scalp. Other head aches need to be evaluated. Dear stress relieving techniques helpful. Ibuprofen and naproxen also useful. Please consult your neurologist if symptoms not improved. I think I answered to your question if you have more questions please feel free to ask."}
{"_id": "000003014", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, all his symptoms are because of stroke due to blocked major neck vessels. Surgery is the best option to remove the clots, but since clots are severe surgery can be risky and life-threatening. In such cases, fibrinolytic therapy with streptokinase or kinase is very useful. These Chat Doctor.  So you can discuss with his doctors about starting fibrinolytic therapy in his case. This is the only thing you can do in his case. Hope I have solved your query. I will be happy to help you further. Wishing good health to your brother. Thanks."}
{"_id": "000003015", "text": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that these blood pressure values are not too low. The low diastolic pressure could be related to her age. Her antihypertensive therapy plays an important role in this blood pressure value too. But, as long as she has no symptoms like lightheadedness, dizziness, or blurring vision, there is nothing to worry about! If she experiences such symptoms and her blood pressure values are low all the time, I would recommend making some changes to her actual antihypertensive therapy. Hope you will find this answer helpful! Wishing all the best,"}
{"_id": "000003016", "text": "Hi, You have POD, and it causes problem in ovarian follicle maturation and problem in conceiving. Generally Chat Doctor injection should have given when follicle is sufficiently matured. Effect of Chat Doctor cause rupture of follicle and ovulation. Usually effect will be seen with in 24 hours. When ovarian follicle will reach at 18 mm then you can go for Chat Doctor injection. You have to do sexual intercourse after receiving injection. Ovarian follicles between 18-21 mm have high chance of pregnancy. So there is chance of pregnancy. You can use Chat Doctor for 2-4 cycles. If it will not respond then ovarian Chat Doctor.  Along with you can take closed, metformin, progesterone pill in second half of period. So there may chance of pregnancy. Avoid stress, take healthy diet,"}
{"_id": "000003017", "text": "Hello, I have studied your case. As per your age and history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs may be associated collateral ligament injury. If pain persists then you may need to do MRI knee to see for any functional defect. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce swelling and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair. 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."}
{"_id": "000003018", "text": "HelloThanks for asking us. I am Chat Doctor and I will be answering your query. See TB treatment is of 6 months if you in categorize one which means you took tb treatment before and also the medicine is freely available in government hospitals. You should go to a government hospital and start your treatment there under DOTS. In my opinion you are having allergic reaction to the Chat Doctor. As you already got itching and rashes all over your body. Did you get fever also? Consult a TB specialist for your treatment ans"}
{"_id": "000003019", "text": "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 everywhere are 2 major possibilities that you may have developed. One is an infection which may be causing the pain, and nausea, and the abnormal stools. This would need a treatment with antibiotics to clear up the infection, thereby clearing the symptoms. The second possibility is having a condition called IBS. This is characterized typically by stool disorders with abdominal discomfort, occasionally accompanied by nausea. This is practically a diagnosis by exclusion and needs a period of three months to be confirmed as a possible cause-so mentioned second 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. Please do understand that some details could be extracted from a detailed history and examination. 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."}
{"_id": "000003020", "text": "Exfoliative erythroderma is an immune reaction in which the skin gets red and falls off. The skin falling off acts as a severe burn and is a serious condition and a reason to immunosuppress. Etiologies are often unknown, but fall into two groups"}
{"_id": "000003021", "text": "Hello, I have studied your case. Due to compression of lumbar [back] nerve root there can be pain in your back and thigh. I will advise you to do MRI whole spinor these symptoms analgesic and neurotrophic medication like pregabalin with methylcobalamine can be started consulting your doctor. Till time, avoid lifting weights, Sit with support of 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."}
{"_id": "000003022", "text": "Hi. Thanks for the query. Well, if you have a habit of grinding teeth then the denture will unfortunately not set well causing difficulty in adaptation of the dentures. It can continuously dislodge he denture and making it difficult for you to wear them and use efficiently.However, the denture will not cause any peeling of skin inside body or the other symptoms of string wrapped around the head. Yes, you are advised correctly that the symptoms can be neurological and even the grinding of teeth can be related to it. So my suggestion is to get your MRI evaluated.Also, for teeth grinding habit you can do meditation and reduce stress. Also consult a Prosthodontist for manipulation of your denture. Hope this helps. Regards."}
{"_id": "000003023", "text": "Hello, PFO is a very common occurrence and is present in as many as 2 % of general population, undiagnosed in many of the patients. Hence, most of the PFO require no treatment and hence should be left alone. Hyper blood pressure is not related to PFO, however it per se increase the flow through the opening causing the murmur. Yes he should stop smoking, consider low salt diet, omit junk food and consider anaerobic exercise to bring the blood pressure under control. Per se just a follow-up after a year to know if there is any increase in size and reassess other associated finding would be enough. I would Lastly advise strictly against any use of recreational Chat Doctor.  Regards"}
{"_id": "000003024", "text": "HelloThanks for your query, based on the facts that you have posted it appears that you have what is called as Teratoasthenospermia meaning there by that percentage of active grade one motile sperm is less than WHO standards and morphology of the sperm is also abnormal. Truly speaking there are no medicines that can improve the sperm motility however Following measure will help to improve sperm motility to some extent.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. As regards presence of 70-80 pus cells it suggests severe infection either of seminal vesicle or prostate and needs to be treated with long term antibiotics (For 2-3 months)like Doxycycline twice daily. Chat Doctor."}
{"_id": "000003025", "text": "Hello, Thanks for your query. You can treat gum sores from dentures by first taking them off so that the gums can relax and then clean them well. Rinse your mouth with warm salty water. It is also important to note that you should not wear them for a long period of time to avoid them from hurting your gums. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000003026", "text": "Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. If you consume alcohol this can cause rise in your liver enzymes. If you don't get your viral markers done. And you might be having acid peptic disease, presence of ulcers is not necessary for that. Review with reports. This is my personal opinion based on details available here.  If you still have any query you may please ask me. Stay Healthy. Chat Doctor, MD"}
{"_id": "000003027", "text": "Hi, it all depends on which kind of cyst was removed. Is ti purely benign or potentially malignant, whether removed completely or some part may leave. Takin in to all this matter in account one can say it will lead to tumor or not. However if you don't feel any lump or mass in that area means there is no tumor. Your pain may be due to some other reasons. So consult your doctor and take treatment accordingly. Thanks for using Chat Doctor."}
{"_id": "000003028", "text": "Hello, Welcome to Chat Doctor, The symptoms of high grade fever and evening raise of temperature along with joint pain and generalized myalgic may be the symptoms of malaria, but it should be confirmed by lab investigation. As your treating doctor has advised medications to cover both bacterial and malaria parasite. As your doctor has prescribed the anti-malarial Chat Doctor.  If you have malaria parasite it will be covered by the antimalarial"}
{"_id": "000003029", "text": "Thanks for using Chat Doctor. Read your query. Irregular positioning of teeth as mentioned will require an orthodontic consultation with an orthodontist. Based on the position of your teeth, space between and crowded teeth and keeping your age in consideration and with appropriate radiograph, the treatment has to be done. I would advise you to consult a good orthodontist in your area and get evaluated if you need any orthodontic treatment or any restorative procedure which can help your teeth be more correct. Hope this was helpful, and you get a beautiful smile. Thanks and regards."}
{"_id": "000003030", "text": "Hi, Thanks and welcome to Chat Doctor. Your history suggests that he may be suffering from cold. Usually it takes one week to clear. Paracetamol 15 mg/kg/dose to relieve fever and an antihistamine like cetirizine daily to relieve cold symptoms. Steam inhalation gives better relief. I do not think you need to see the doctor for simple cold. Hope this reply is OK for you.Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam."}
{"_id": "000003031", "text": "Hello and welcome to Chat Doctor forum, i would be glad to inform you that if the infection around the concerned tooth is not too widespread, then a post & core followed by a crown can be placed over your tooth. In such cases, RCT may be redone, therefore I advise you to see an Endodontist before getting the tooth extracted. I don't get, why your dentist did not prescribe you a crown years ago following the root canal treatment, to avoid the crown of the tooth from fracturing. I cannot assure or provide you with the treatment until, oral cavity is thoroughly checked. Therefore, I recommend you to take a second opinion.I hope I answered your query wish you good health."}
{"_id": "000003032", "text": "Hi, How are you doing ? Better trying further go through the checklist of investigations & see if you have missed any investigationsHusband- Semen analysis at least 2- done 4 weeks apart preferably in an infertility center (examination done by an Chat Doctor.  So check with HSG(X-ray with dye), or SSG (Scan with dye) or Laparoscopy all this done & found normal, nothing can stop a pregnancy with Gods will Hope I have cleared your overall the best"}
{"_id": "000003033", "text": "Hello and welcome to Chat Doctor. It seems you have got local irritation to the creams or lotions you have used. It called Contact irritant dermatitis. Nothing to worry as your skin will be fine soon. After good quality moisturizer like detail DAM twice a day over full face. Use gentle face wash like Detail cleansing lotion twice a day. Avoid use of any oi-based cosmetics. Avoid direct sun exposure and use water-based sunscreen before stepping out in sun. Hope this was useful. Take care Chat Doctor."}
{"_id": "000003034", "text": "HelloThanks for query. Based on the facts and report of your semen analysis that you have posted You have Oligospermia meaning there by that you have low sperm count. Since you have problem of Erectile Dysfunction too. You need to get your blood tests for Serum testosterone level done. Taking Ferry and Maxima cream does help to increase sperm count. Following measure will help you to increase sperm count. 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 every day 4) Avoid alcohol and smoking. A single reading of Oligospermia does not indicate infertility. One can be diagnosed infertile only if their successive reports of semen analysis done at one-month interval reveal Oligospermia Repeat your semen analysis with due precautions of abstinence for 4 days every time before collecting semen sample for analysis. With present report there is every chance of you making your wife pregnant Chat Doctor. ."}
{"_id": "000003035", "text": "Hello, I have studied your case. Usually nerve compression can't be seen on x-ray you may need MRI for this. If there is any nerve compression then that may need specific treatment. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic[pregabalin] medication can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care."}
{"_id": "000003036", "text": "Hi, we surely can help you though if you had mentioned your age, describing and diagnosing your symptoms could have been much easier.nevertheless, all your symptoms basically points towards hormonal imbalance which could be menopause, if you are near about the particular age. The other symptoms are pointing towards diabetes which could be confirmed by investigations. You also need to check the severity of thyroid hormones level as hypothyroidism could also be one of the culprit for the existing symptoms. So my dear, please visit your nearest physician and start with the required treatment. Hoping for the best for you."}
{"_id": "000003037", "text": "Thanks for contacting Chat Doctor. You have problem of stiffness of knee and pain problem that may be because of arthritis problem. Take one x-ray for further diagnosis. Consent a physician for further diagnosis. Any injury may cause bursitis means inflammation of bursa. Avoid excessive straining of knee. Proper physical examination and history give exact idea. I hope my guidance is helpful to you. Take care. Thanks."}
{"_id": "000003038", "text": "Thanks for your query, I have gone through your query. The infected wisdom tooth has to be removed since it is infected, if there was no infection then we could have left it like that only. Get a CBCT done, which shows the exact distance between the root tip and the nerve canal. Later we can plan accordingly and remove it without damaging the nerve canal and nerve. Consult a good oral maxillofacial surgeon and get it done. Nothing to worry. I hope my answer will help you, take care."}
{"_id": "000003039", "text": "Hello. Your complaint appear to be developed after the surgery. It appears that since the stomach is removed the food reservoir function is lost.n it is expected is gastrectomy patients. Usually it is manageable with change in dietary pattern such as shift to small frequent meals. Lesuride three times a day will help. Prefer easily digestible food with less gas producing food. Example most people feel better with avoidance of pulses and legume."}
{"_id": "000003040", "text": "Hello, Thanks for the query to Chat Doctor. Forum. Cough from 4 weeks, right ear blocked, asthma, As Eustachian tube (in ear have direct connection with throat so any infection of allergy first block this tube) has direct link with throat, so blockage is very common in this area due to allergy. Prednisolone is the most potent steroid, and it should be used only in emergency cases. Anyhow, I suggest you please consult a physician and get his opinion regarding cough, which is from 1 month. May be due to, Tuberculosis, allergy,lung infection with allergy. X-ray chest pa view is necessary. Hope I have answered your question. If further any question I will help. Good luck."}
{"_id": "000003041", "text": "Good morning. I believe I understand your symptoms urologist and especially with what you describe is not that uncommon and certainly not that unexpected for someone with a diagnosis of multiple sclerosis. You could have several types of phenomenon that are happening. Some could be related to a headache type of picture while other possibilities include brain lesion that movie present when I fibular or auditory pathway and cortical regions of the brain.  There would be several questions that I would want to ask you and other information to obtain which is much more complex than what can be written in this short space. If you would like to write to me for a specific consultation request I can give you more details and help you understand what could be going on.  bit.ly/ Chat Doctor."}
{"_id": "000003042", "text": "Hello, I read carefully your query and understand your concern. The symptoms can be related to side effects of Naproxen which is an anti-inflammatory medication. I recommend using a gastric protector such as Prilosec in the morning before breakfast. I also recommend to use Ondansetron in case that the nausea continue. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor."}
{"_id": "000003043", "text": "Hi, Sir you guessed it very well, scoliosis is an imbalance of vertebral column, and this can cause imbalance in the muscles around it and thus relaxing some and over straining others. You will need strengthening of both muscles, those that are relaxed and those that are tense, if your spine surgeon is not planning any surgery for scoliosis, then probably consult a good euro physiotherapist and see the effect, guarded and guided exercises is the key. Hope that helps, Have faith in nature and try healing yourself."}
{"_id": "000003044", "text": "Hi, Thanks for writing to Chat Doctor. There is a lot of stigma regarding psychiatric illnesses in our society. Bipolar mood disorder can be completely kept under control if patient is given mood stabilizers and other needed Chat Doctor. Obviously you worry about your father and this worry increases with this situation. But she can take care of your father well if her mental status is stable And not at all it is related to seeing serials that you mentioned. Surely you can discuss with doctor this issue. It also needs to confirm whether she was suffering from bipolar actually or you were just told. That's the most important thing to evaluate her current mental status. Hope I have answered your query,"}
{"_id": "000003045", "text": "Hi. It looks you have Hepatitis. Get your other tests of kidney function, repeat liver function tests, ultrasonography of the abdomen to determine the status of the liver, gall bladder and pancreas and other organs. You need active treatment as the pain could have been due to stretch over the liver capsule. The diet has to be soft and bland, and really dies not need a Chat Doctor.  Bed rest is a must. Consult a Gastroenterologist for further care."}
{"_id": "000003046", "text": "Hi, Certain vaginal changes are bound happen during early pregnancy, but it is not possible to predict that you could be pregnant or not based on such changes alone. You need to take a urine pregnancy test after a week if you miss your periods or if it is delayed. If it comes positive, you need to confirm it by means of ultrasound scan investigation and clinical evaluation by consulting Gynecologist. Hope the information provided would be helpful. Let me know if I can assist you further. All the best."}
{"_id": "000003047", "text": "HelloThanks for query. Your father has been detected to have stones in the kidney and Inguinal Hernia. At the outset I would state that the stones he had in kidney are not due to inguinal hernia. Kidney stones are usually formed due following many reasons 1) UTI2) Metabolic disorders of Calcium.phosphate and Oxalate 3) Concentrated urine due to Chat Doctor.  4) Hereditary factors 5) High atmospheric temperature (Hot Climate)6) Obstructed urine flow."}
{"_id": "000003048", "text": "Hi Thanks for writing to Chat Doctor. Can you please let me know the weight of child? Is there any element of forced feeding? At times overfeeding can cause this. As mentioned by you doctor has ruled out underlying serious problem. But I would like to know if child has any pain in yummy near stomach area and is there dark urine or yellow discoloration of skin. Thanks, in case you have more query I would be happy to answer else rate this answer and close the discussion."}
{"_id": "000003049", "text": "Hello, I can understand your concern. From the description of blow and the symptoms you are suffering from, it seems that you might have fractured one of the facial bones, either temporal or zygotic bone. When one of these bones are hurt, feelings related to nerve like numbness etc., difficulty in opening mouth and swelling in the ear area are usual symptoms. I would advise you to visit an oral and maxillofacial surgeon without any delay. You will have to go through x-ray and possibly CT Scan. Based on the test results, diagnosis of the fractured bone can be confirmed and treatment can be advised. If you are in too much pain, you can take Ibuprofen 400 mg or Motorola 10 mg up to thrice a day for relief in pain. Please do not massage the area or apply heat without consultation with the surgeon. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you recover soon. Best,"}
{"_id": "000003050", "text": "Degree understand your concerns went through your details. Masturbation is a natural process, and it cannot affect your heart, intestines, brain, vision, urinary bladder, lungs etc. Masturbation in moderation cannot have any adverse health problems in you directly. Indirectly, if you be anxious about it, if you become worried about it, without proper knowledge, relying on absurd information, masturbation practice and related worries could lead to anxiety disorder and anxiety disorder could, in turn, lead to erectile dysfunction or premature ejaculation etc. Keep yourself away from wrong information and resultant obsession. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000003051", "text": "Numbness in thumb is usually due to the decrease of blood supply in this area. There are many reasons for this like carpal tunnel syn Chat Doctor.  Due to smoking also your nerves get weak and this problem occurs. So in such I would recommend you to consult some euro physio who can diagnose it and can give you the exact reason for numbness.  In the meantime to get relief from this let me recommend you some home treatment"}
{"_id": "000003052", "text": "His admire you for positive outlook. Psychological stress is due to physical problem can be treated with motivational counseling and support. Proper treatment t of acne can cause relief in stress. Without treatment, it won't go away. Just relax and do not think about that which can lead to mild relief in acne. Sometimes stress causes pimples and acne. So treatment from both the side is mandatory. Consult dermatologist for acne. For stress Do not think much. Divert your thought. Exercise, meditation, deep breathing and hyperventilation, Relaxation. Healthy diet and antioxidant, proper sleep stress free activity. Do pleasurable activity, music and hobbiesDiscuss with friends and take advise. See all thing with different anglePositive outlook and confidence All this will help you to counter daily stressStill have a query then feel free to ask. Thank you. Happy to help you."}
{"_id": "000003053", "text": "Hi, I understand that your father had a CABG done. The surgeon takes a graft from an artery near the shoulder during which sometimes a nerve near it may also get involved. This may cause the pain you are telling about. Further Diabetes also causes neuropathy. I will suggest you take some Vitamin B12 supplement which helps in such type of pain. You can also see a neurologist if the Pain is severe. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003054", "text": "Hellothank you for trusting ChatDoctorDear azoospermia is divided into two types 1.obstructive 2.nonobstructive Obstructive azoospermia affects 40 percent of patients, and it can be caused by abnormalities from birth (such as absence of the vasa deferentia) or acquired blockages (such as after vasectomy). Other causes of obstructive azoospermia include ejaculatory duct obstruction (DO) that can result from chronic prostatitis, prostatic calcification, and compression of the ducts by cysts in the prostate or seminal vesicle. Non-obstructive azoospermia can result from hormonal abnormalities or other disorders that affect spermatogenesis (the process of developing mature sperm cells). This type of azoospermia can be caused by genetic abnormalities (such as Klinefelter Syn Chat Doctor.  Men with this form of the condition were considered irreversibly sterile until recently.  It is now known that sperm can be present in the testes despite being absent in to ejaculate. Testicular sperm extraction can be used to successfully retrieve sperm for IVF and intracytoplasmic sperm injection (CSI).dear please consult your doctor he will examine and find out the cause of your problem. I think I answered to your question if you have more questions feel free to ask. Take care"}
{"_id": "000003055", "text": "Hello, You can give those vitamins all together. In fact, trying to increase those in her food would be best. Is she not Chat Doctor?  Also, if she needs calcium she probably also needs vitamin D. Milk is the easiest solution to that (or yogurt, ice cream, cheese). Will she take mushed up prunes for iron? Lentils and nuts are good for zinc (if she doesn't have allergies). Sometimes It's so hard to get a 1-year-old to eat a variety of healthy foods, isn't it? Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000003056", "text": "Hello, Thanks for writing to us, If medications are not helping in pain relief you can go for epidural injection in institute set up so that post injection management if required can be done. Take lumbar corset support, it will give pain relief. At age of 68 you can't think of any operative procedure. Physiotherapy will give her good relief. I hope that I have answered your query. Let me know if I can help you further. Take care"}
{"_id": "000003057", "text": "Hi, very sorry to hear about your daughter. High fever, cold extremities, headache, cold, cough with phlegm are suggestive of lower respiratory tract infection, flu, common cold. Giving Tylenol or Metal or Cal pol syrup will reduce the fever and headache, however consult your local doctor or Pediatrician as she might require antibiotic for cough to subside. Keep her well HY Chat Doctor. Hope she gets well soon. Thank you."}
{"_id": "000003058", "text": "Hi, thank you for providing the brief information of the report. A thorough neuromuscular assessment is advised. As the report suggest you have degenerative changes in the facet joint - the facet joint is the one which supports one vertebra over the other and below it. The L5-S1 disc herniation is noticed - the disc is a soft tissue placed between the two vertebrae, this disc act as a shock absorb-er in the spine. As due to over use of misuse or aging factor the disc becomes weak and ends into herniation. So, this report has to be correlated clinically and the symptoms like - tingling, numbness, pain radiating in the leg etc. may be present. Treatment of choice will be simple painkillers and physical therapy. Also, with physical therapy, the optimum strength in the muscles will be attained in 2-3 weeks * based on the extent of the symptoms and soft tissue injury. In my clinical experience, I see cases with such injuries, and they recover well with 99% success rate. RegardsJay In Chat Doctor."}
{"_id": "000003059", "text": "Degree understand your concerns went through your details. Anxiety cannot destroy your life because it is part of bodies defense mechanism. In my opinion you cannot get rid of that. You will be able to understand and manage those symptoms and thereby live peacefully. Everything starts in learning anxiety. Read many articles and properly understand anxiety. Then approach a psychologist who assess you with his tools for the depth of your anxiety and provide behavioral therapy. Work with psychologist for cure. Don't do anything in haste. Be patient and you will be happy. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000003060", "text": "Livery sorry to note that you had so much troubled time. Hope the situation now is fine. But in future if you get any similar situation or bad times please consult a psychiatrist instead of harming yourself. You don't have to feel embarrassed to tell your story to any doctor. Doctors are there to help patients and relieve their problems.  They come across all kinds of patients. So feel free to consult doctors. The management of scars depends on how bad are they. The very fact that you have asked for advice indicates it must be visibly bad. So please go for cosmetic surgery. Only clean surgical scars without any secondary infection, generally do not need anything. After a year they almost become invisible. Creams are less likely to hellish you good health"}
{"_id": "000003061", "text": "Hi, You seem to be in good health which means you do not have diabetes, heart problems and are not on regular medication. Sudden muscle weakness and spontaneous bruising could point to a disorder of the blood or muscles. This needs to be investigated by a hematologist and an endocrinologist. You will need a blood picture, blood profile. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000003062", "text": "Squint in infants usually is made by the eyes to overcome a refractory error (that's why your ophthalmologist gave the child glasses to wear), and it was very important to put stickers on one of his eyes to prevent what is called amblyopia (this brain disables one eye to make a better vision) .so the commitment to this treatment is very important yet its hard, but its vital for the children eyes .any other measures is strictly prohibited. I hope this helps"}
{"_id": "000003063", "text": "Hi, welcome to Chat Doctor. Fever with vomiting in a 6-year-old child could be due to food poisoning or gastroenteritis. This could be due food that he ate 1 day back. This seems unlikely due to XR ADHD because if it is due to this Chat Doctor.  In my opinion, you should give antibiotic like syrup of lox (5 ml=50 mg) three times a day for 3 days, syrup coastal 5 ml three times a day for 2 days. Review after 2 days. I hope this will help you. Take care."}
{"_id": "000003064", "text": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you have been facing a lot of difficulties regarding your memory and learning. It is very difficult to pinpoint a diagnosis without a detailed evaluation. But with the brief history of your symptoms, it is possible that you could be having a learning disability. I would advise you consult a psychiatrist to have a detailed evaluation of your problems, in order to arrive at a diagnosis. Further management needs to be planned according to the diagnosis, and the nature and severity of your problems. Wish you all the best."}
{"_id": "000003065", "text": "Hello, Thanks for consulting ChatDoctorRead your query, as your husband had history of fever, swollen lymph node soreness in gums can be due to viral fever related it can be Viral dermatitis causing inflammation of gingival or desquamative gingivitis. Don't worry I will suggest you to consult dentist and go for visual examination of gingival in Meantime you can apply ointment Civil for soreness, and you can take medicine like Civil tablet by consulting with your dentist, do warm saline rinses, you can take vitamin B supplements with medication. Hope this will help you. Wishing you good health"}
{"_id": "000003066", "text": "Dear parent, It seems your child has chronic tonsillitis. Usually in such cases removal is the option. But his pediatrician is saying at present he is not good for surgery. Then request the ENT/Pediatrician to keep the child on antibiotic for two weeks regimen, after culture and sensitivity of the throat swab. In the meantime teach him to gargle with warm saline water three to four times a day. Give him steam/ nebulization three to four times a day. Give him some good multivitamin preparation and balanced diet, which includes lots of fruits and vegetables. This will help to increase his immunity and may remove infection as well."}
{"_id": "000003067", "text": "Hi MP, Only points of concern are history of 2 abortions & FSH level. Hope you have ruled out the other possible causes for such abortions. Like Blood Sugars, Thyroid profile, APA syn Chat Doctor.  But if she has conceived once (even though it ended in abortions) her chances for pregnancies is high. Second concern is the FSH level-Values above 7miu/ml means there are no sufficient eggs in ovaries. But your history doesn't correlate with that value. To confirm have a Serum AMH level in first week of periods. It will give a more specific value. Serum Progesterone is done to know if she is ovulating, but that is done on Day21 of periods not 12, so meaningless. As your semen report is ok, kindly also have a tube patency test done (Tube is the bridge between uterus & Ovaries, where egg & sperm meet to form baby. Its size of a hair follicle, can't be seen on scan. You will never know if it is blocked). Can be tested by HSG(X-ray with dye) or SSG (Scan with dye) or Laparoscopy. All these methods also clear a block if present. Be patient All the best"}
{"_id": "000003068", "text": "What is your age and BMI? If you are obese you must reduce weight. That is the common cause of hormonal imbalance resulting in irregular ovulation. Have you done any investigations before? Since you are not menstruating regularly it suggests that you are not ovulating regularly. As you conceived once in all probably your husbands' semen analysis is normal. You and your husband should consult subfertiliy specialist. You need to do hormone test including thyroid function tests and Fallopian tube patency test.  Your husband should do semen analysis. Based on the results of investigations treatment can be given.  For irregular ovulation you need to take medications like camphene to induce ovulation. I hope I have answered to your satisfaction. Take one tablet of folic acid daily. To increases your chances of pregnancy, maintain normal BMI, quit smoking (if you are a smoker) and have intercourse at least three times in a week. If you have any further queries feel free to contact me through Chat Doctor"}
{"_id": "000003069", "text": "Greetings from Chat Doctor. Thanks for posting your query.  It may be due to arthritis of the finger joints or infection of the whole fingers. You require a proper medical attention as this problem requires Antibiotics and certain tests like Complete blood count, Serum Uric Acid and X-ray.  I advise you consult an Orthopedic and get treated fast, else it may spread and cause complications. Hope you find this information useful. Any clarification feel free to ask. Regards."}
{"_id": "000003070", "text": "Hi, Welcome to Chat Doctor. After going through your query I think You are suffering from acute backache. It may be due to slip disc or muscular.  Treatment of both is rest and analgesics. Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE 20 MG before meals prevent acidity caused by analgesics. To further investigate MRI of the region is advised. I think your query answered. Welcome to any follow-up query"}
{"_id": "000003071", "text": "Hi, Based on your history it seems that you had soft swelling over upper dorsal spine which had ruptured, and now you have neuralgic pain along the ribs (dorsal radiculopathy).you need to visit Neurologist and require MRI dorsal spine to rule out structural lesion there (e.g. Potts spine any access) . Also requires complete blood picture with ESR for further help of etiology to present problem. You need painkiller, with neuralgic Chat Doctor."}
{"_id": "000003072", "text": "Hello dear, The symptoms can be due to"}
{"_id": "000003073", "text": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. Based on the facts of your query, you seem to suffer from-Bra Strap Abrasion with Normal USG of the Breast. MRI for the damage ? In this scenario, I would suggest you to undergo Mammogram and repeat USG for Second Opinion from another Radiologist. This would reduce your anxiety and worry caused by this ambiguity of reports from the earlier doctors. MRI if suggested ? Cant be opined blindly unless physical examination from Surgeon and second opinion on the USG from another Radiologist is taken. Hope this 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"}
{"_id": "000003074", "text": "It is unlikely that you got pregnant if he did not ejaculate inside you.  However, it is possible that some semen was left on his penis.  Although I think it is very unlikely that you got pregnant, you might consider taking a morning after pill just to make sure.  These are available without a prescription from a pharmacy, and they are very effective in preventing pregnancy as long as you take the medicine within 3 days after having sex.  It is great that you used a condom, and you always should to protect yourself from unwanted pregnancy and STDs.  However, you should also talk to your doctor about starting a reliable form of birth control so you don't have to worry about pregnancy at this time in your life."}
{"_id": "000003075", "text": "HelloThanks for query. You have been detected to have stone of a size of 5-6 mm in your kidney and your family physician has advised you to get endoscopic surgery done to fragment /remove the stone. Normally endoscopic surgery for stone is advised only in a situation when patient has severe pain, vomiting, and repeated episodes of pain over a short period and ultrasound scan reveals gross HY Chat Doctor. For a stone of a size of 5-6 mm one can certainly expect it pass down spontaneously with following measures 1)"}
{"_id": "000003076", "text": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a cervical radiculopathy or a pinched nerve. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest maintaining the area immobilized to prevent further damage. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor."}
{"_id": "000003077", "text": "Hi, I have studied your case with diligenceThere can be non-union, infection or soft tissue impediment leading to leg swelling. If you can send all your x-ray reports I can help you better. You can send your reports directly to me onhttp"}
{"_id": "000003078", "text": "Madam, Your husband is suffering from low sperm motility (assumed that the cell count and morphology are normal). Your husbands blood test shows Hyperthyroidism. You are waiting to repeat the blood test to confirm the diagnosis. You are trying to conceive for the 1 yr. Meanwhile, you have ordered for Certain. You like to know whether Certain will alter your husbands blood test. Hyperthyroid is one of the causes for low sperm motility, due to the hormonal effect of Hyperthyroid. The sperm motility can be increased by so many ways"}
{"_id": "000003079", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. I advise you should do culture and sensitivity from the affected area skin. This will guide us regarding the possible pathogen and its sensitivity pattern. Applying cream as per the report will not only cure you but can also cure you properly. Clotrimazole and dexamethasone cream is antifungal agent and can be used in fungal infections. If the infection is not the fungal one, we can't treat it with this cream. Please wash the affected area regular. Maintain good local hygiene. Please start the treatment before the condition become worse. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."}
{"_id": "000003080", "text": "Thanks for your question on Chat Doctor. In my opinion you should consult surgeon and get done local examination of anus. If hemorrhoids are present than bleeding is mostly from it only. So start its treatment. But if hemorrhoids are absent than you need to get done Colonoscopy to rule out internal problem. Radiotherapy can cause ischemic ulcers in bowel lumen. And these ulcers can cause sporadic bleeding. Recurrence of tumor in gut lumen is also possible.  For this too, Colonoscopy is needed. So better to get done Colonoscopy first."}
{"_id": "000003081", "text": "Hello dear, and thanks for posting your query here. I understand your concern about your father-in-law but as he is having recurrence of angina and there are blocked arteries, the arteries need to be opened up to supply the adequate amount of blood to the heart muscles to relieve his ischemia and anginal pain. Afterwards he must continue taking the antiplatelet which are blood thinners for the rest of his life. I hope this information would be of help to you. Thanks and all the best."}
{"_id": "000003082", "text": "Degree understand your concerns went through your details. Seeing blood in the semen can make a man anxious. Fortunately, it doesn't always signal a major medical problem. For men younger than 40 with no related symptoms and no risk factors for underlying medical conditions, blood in semen often disappears on its own. Blood in the semen can come from several sources like infection or inflammation, in any of the glands, tubes, or ducts or some sexually transmitted diseases. The best approach is to consult a urologist for physical and pathological examination. In the meantime, Chat Doctor. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000003083", "text": "**1. Since possible infection is suspected thus examination with ENT doctor is necessary for evaluation of swollen tonsils and lymph nodes in the neck.PS. It is rare for streptococcus bacteria to invade the larynx, thus can be safely excluded2. It will be good to have examination since the bacteria can travel from throat to middle ear through Eustachian tube, as such ENT doctor can prescribe you specific medicine [antibiotic] or even go for swab culture.PS. other complications which though possible but rare are"}
{"_id": "000003084", "text": "Hi dear I read your problem of grain of hair .you nicely tell about your height, weight, feeding habit. U also tell that your bore is also grain. In my view first u don't tell that u early life uses hair color or not. In MY VIEW First TAKING SOME PRECAUSTIONS-1- TAKE 10-12 GLASSES OF WATER IN UR Lifestyle.2-U TAKE COCONUT OIL MIXED WITH ALMOND OIL AND DOING MASSAGE ON THE ROOTS OF HAIRS .THIS PROCESS DOING FOR 15-20 MIN DAILY TWICE IN A DAY.3-APPLY CURD ON UR HEAD FOR 15 MIN WHICH WILL REMOVE THE DAN Chat Doctor. 4- TAKE ONE TEASPOON AMLA PURANA(EMILIA OFFICIALS) WITH MILK.5- ALSO USE MAHABHRINGRAJ TELL ON UR HEAD TWICE A DAY.6-STRESS IS AN CAUSE OF PREYING OF HAIR SO U CAN USE PRAYING IN EARLY MORNING .THAT WILL.BE MOST BENEFICIAL FOR U.7-U CAN TAKE CATALANS KASEYA 40 ML BD BEFORE MEAL .THAT WILL MAINTAIN UR BRAIN COOL.8-TAKE OF RICH PROTEIN DIET, BIOTIN, ZN THAT'S WILL Decrease UR PREYING PROBLEM DEFINITELY.9-U TAKE SADDAM ROGAN OIL AND 2"}
{"_id": "000003085", "text": "I'm very sorry to hear about your brother. Plastic anemia is a very serious condition. The bone marrow shuts down, and no longer makes any white blood cells (protective immune cells), red blood cells (vital oxygen carrying cells), or platelets (clotting cells). This can happen due to cancers, radiation exposure, certain Chat Doctor. Treatments vary and include steroids, injectable colony stimulating factors, transfusions (putting the cells in), and sometimes bone marrow transplantation. Transplantation is very hard to do because there must be an exact match (often a family member or child must donate, but even then a match is not guaranteed). However, sometimes, depending on the actual reason for the anemia in the first place, the body starts making cells again on its own. Providing supportive care in the hospital is sometimes all we can do. I hope things get better for your brother and I will keep him and your family in my thoughts."}
{"_id": "000003086", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about lung infection because her chest x-ray is normal. Sometimes bronchitis can cause uncontrolled Chat Doctor.  So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. She may need inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, with proper treatment, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks."}
{"_id": "000003087", "text": "Hi, Thank you for asking question on Chat Doctor. Cremaffin plus is a strong purgative for her age. Lactulose syrup will regularize the bowel habits. Of course, it has to be given for a long time. Fiber containing foods, high energy density foods will improve bowel motion. Excess milk consumption will cause constipation. Hope this answer will serve your purpose. Please feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics"}
{"_id": "000003088", "text": "Hi thanks for asking question. Here you have elevated ALT and AST, suggestive of liver disease like hepatitis. Here possibility of chronic hepatitis or carrier of Bag has to be ruled out. For that viral markers are useful. If Bag positive more than 06 months than chances of carrier is present. If hepatitis is present viral markers will be elevated. If still cause for hepatitis unknown then liver biopsy can be taken according to patients examination. Second here neck pain and knee pain may be because of some bone condition like osteoporosis or arthritis related changes. You should check your vitamin D and calcium level, if they are low calcium and vitamin D supplement needed. Take regular milk. If you are obese weight has to be reduced. Regular light exercise helpful in arthritis related change. Knee x-ray can be taken to search for pathology. I hope you will understand my concern. Wish you good health"}
{"_id": "000003089", "text": "Hello, After going through your medical query I understand your concern and I would like to tell you that your blood pressure should be under 140/90, and is recommended for you to monitor your blood pressure and consult a physician for a written prescription. You can do some lifestyle modifications to control high blood pressure 1. Low dietary salt2. Physical activity for 45 min daily 3. Stop smoking/limit Alcohol4. Avoid junk and deep-fried food. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003090", "text": "Hi, Welcome to Chat Doctor. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided.  Based on the symptoms it appears to be contact dermatitis. Treatment includes washing with lots of water to remove any traces of the irritant that may remain on the skin. You should avoid further exposure to known irritants or allergens. In some cases, the best treatment is to do nothing to the area. Emollients or moisturizers help keep the skin moist, and also help skin repair itself. They protect the skin from becoming inflamed again. They are a key part of preventing and treating contact dermatitis. Corticosteroid skin creams or ointments may reduce inflammation. Carefully follow the instructions when using these creams. Overuse, even of low-strength over-the-counter products, may cause a skin condition. I advise you to follow the conservative approach as mentioned and if symptom persists i advice you to see dermatologist for exact diagnosis.  Hope I have provided the information you needed. Wish you good health. Take care."}
{"_id": "000003091", "text": "Hello share your concernLooking at your description this could be due to STI, UTI or testis disorder like epididymorchitis or varicocele see patients with similar complaints on my clinic and I will help you out in the best possible way would advise you for urine culture test, semen analysis and a color Doppler of testis He can take ibuprofen for pain relief and wear scrotal support for few daysMeanwhile maintain good hygieneHave multivitamin and minerals supplements thanks and regards"}
{"_id": "000003092", "text": "Thanks for your question on Chat Doctor. I can understand your concern. He is having hemoptysis (blood in sputum). He is also an active smoker. So we should definitely rule out lung diseases forum his hemoptysis. Fumes are unlikely to cause hemoptysis. Common causes for this hemoptysis in an active smoker are 1. Tuberculosis. 2. Pneumonia 3. Lung cancer. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (pulmonary function test). All these are needed two confirm the above-mentioned causes. And ask him tobacco quit smoking as soon as possible as it is not a good habit. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks."}
{"_id": "000003093", "text": "Greetings from Chat Doctor. Thanks for posting your query.  It could be due to Inter vertebral disc prolapse or due to a nerve pinch (compression) in between lower vertebral bones. The other possible cause is Kidney stones or Infection inside your abdomen.  I advise you to get an MRI Lumbar spine and ultrasound abdomen scan done. This will help us in establishing the diagnosis and once diagnosis has been made your doctor has to give proper medication as per the diagnosis.  Kindly revert with scan reports. Hope this information is useful to you. Any clarification feel free to ask."}
{"_id": "000003094", "text": "Hi Regarding your concern, I would explain that the heaviness on the chest could be related to a respiratory tract infection. Gastritis can not be excluded either. For this reason, I recommend consulting with her attending physician for a physical exam and some tests"}
{"_id": "000003095", "text": "Hi welcome to Chat Doctor .... Normal level for GOT is up to 45 unit per ml.... It is not at all alarming and you don't have to worry about that..... Here for your UTI if you are not improving than urine culture can be done to choose suitable antibiotic.... According to culture sensitivity further specific medication can be given.... Meanwhile, Chat Doctor. ... Take care.... Advise"}
{"_id": "000003096", "text": "Hello! Welcome on Chat Doctor ! Your symptoms (tingling in the back of the head and headaches) could be related to occipital neuralgia. While the tingling and numbness in your arm, could be related to a pinched nerve or articular nerve pain related to a bulging cervical disc. You should know that even the occipital neuralgia can be triggered by chronic degeneration of the cervical spine. Coming to this point, I would recommend consulting with a neurologist for a careful physical check up and performing a cervical spine X-ray study. A cervical spine CT scan or MRI may be needed. Hope you will find this answer helpful! Best wishes,"}
{"_id": "000003097", "text": "His understand your concern. I guess it is form of anxiety disorder with panic attack. To be very frank 1st line of treatment is medicine in these disorders. The medicine that given to you is appropriate, and it will improve all symptoms.Besides, this You have to do exercise regularly. Take proper sleep. Healthy diet. Keep yourself busy. DO stress-free work and pleasurable activities. But all this is supportive management and can not replace Chat Doctor. So do consideration and get well soon. Thank you."}
{"_id": "000003098", "text": "Hello. Did you undergo an ultrasound scan to know whether you completely miscarried or incomplete? If it was incomplete, did your gynecologist do the evacuation of the retained products surgically? According to your history I think initially you had uterine infection due to retained products. Pelvc infections are difficult to treat.  When it is not treated well it becomes chronic. According to the symptoms I suspect whether the pelvic infection still persist.  Some complains are normal occurrences associated with menstruation. But if you developed them secondary to pelvic infection it has to be investigated. So meet your gynecologist with your complaints."}
{"_id": "000003099", "text": "Hello dear. Understand your concern. If you start new pack you are fully protected but period may be delayed first you should finish your 6 tab. Of mini pill, or you don't want to take it any more then, avoid unprotected sex or use condoms up to your next menstruation cycle. If you start new pack of Yasmin now then it surely protects you from pregnancy, but it delays your period. Whenever you finish your Yasmin tab. Then you got period. So I advised you that finish your tab & finish your next upcoming menstrual cycle, then start new pack of Yasmin from the first day of your next cycle.hope this guide you. Best regards. Chat Doctor."}
{"_id": "000003100", "text": "Hi, thank you for the question. I'm sorry to hear that you had a fall. Fracture of the ribs can definitely cause a great deal of pain while you breathe. Just ensure you take analgesic/ painkillers as prescribed by your doctor. It will take few weeks for the pain to settle. I suggest you can use some ice packs to decrease soreness of muscles. If the pain aggravates you need to go back and consult your doctor.  Take care"}
{"_id": "000003101", "text": "Hello and welcome to Chat Doctor Nocturnal itching and lesions resembling mosquito bites distributed over upper thighs, wrists, upper arms is very suggestive of Scabies, an infection caused by the itch mite Scopes Scuba. Nocturnal itching is characteristic. A single whole body application of 5% permethrin cream, from neck downwards, with special attention to the finger webspaces, axillary and groin folds, left overnight is curative. It is advisable to treat all the family members, empirically since they may already be infected being in close contact with each other. An OTC oral antihistamine e.g. cetirizine 10\\u00a0mg once daily would help in providing symptomatic relief from itching the clothes, bedsheets, pillow covers, towels, handkerchiefs etc. should be washes and air Chat Doctor. Regards"}
{"_id": "000003102", "text": "Formula feeds like NAN Pro 1 are cow milk based and hence difficult for the child to digest and hence the child may vomit or there may be changes in stool. Diluting the cow milk is better than giving in undiluted form. There is no substitute for mothers milk. A child of this age may pass stool once in 10 days or 10 times a day and both are normal. Unless stool is hard, it is not constipation, and you need not worry. Green stool is normal in child Chat Doctor.  If possible switch back to breast milk. You may also give expressed breast milk."}
{"_id": "000003103", "text": "HI...nothing to worry about. Seem like he has caught a viral pharyngitis. Cough and cold are viral 95% of the times in child Chat Doctor.  For cold, you can use anti-allergics like cetirizine/ Promethazine and for nose block, saline nasal decongestants will do. For fever - Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose (max ceiling dose 500\\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal"}
{"_id": "000003104", "text": "Hi. Thanks for your query. Read and understood that you had a surgery in the same spot a few years ago. Now that there is development of the movable lump at the same spot. It is a bit tender too. I would advise you the following"}
{"_id": "000003105", "text": "Hi, Dear,Good Evening, and Thanks for your query to Chat Doctor. I went through your query details in depth.-In my opinion, in relation to the facts told by you, its infra-clavicular TB-lymphadenitis-and you should be concerned about it, as you may have to rule out the sufferings from ?TB bronchitis with TB of the apical lung segment.-Remedy-Consult ER-Chest physician who would do CBC, ESR,CXR and would treat it with anti-tb Chat Doctor. Hope this would resolve your worries about the lump. Wellcome again for many more queries to Chat Doctor online Clinic-from you and your friends"}
{"_id": "000003106", "text": "HelloThanks for your query. Based on the facts that you have posted I would say that you have multiple Sebaceous Cysts over shaft of the penis. The penile skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac). Chat Doctor."}
{"_id": "000003107", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of post herpetic neuralgia is more. It is common after herpes infection. It is due to hypersensitivity of nerves in the affected area. Best treatment of this kind of neuralgia is pregabalin and vitamin B 12 combination. Application of cold ice bag is also useful. Avoid stress and tension, be relaxed and calm. Don't worry, you will be alright with above-mentioned Chat Doctor.  Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003108", "text": "Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you are suffering with Backache and now the pain is in the lateral side of the leg, I suspect it to be a pinched nerve in the lumbar spine, as this is the classical symptom of lumbar radiculopathy in your history. Also, undergoing physical therapy should help you, as in my clinical practice I see cases with similar complaints and the majority of them respond well to physical therapy. The physical therapist may use - Therapeutic ultrasound therapy and TENS therapy in initial stages to reduce pain and inflammation. Later stages exercises will be taught to improve the muscle strength in the lumbar spine, core, pelvic floor etc. RegardsJay In Chat Doctor."}
{"_id": "000003109", "text": "Hello, I have studied your case. Due to compression of cervical spine nerve root there can be pain in shoulder radiating Tories. I will advise you clinical examination and accordingly investigation like MRI cervical spine or shoulder will help. For these symptoms neurotrophic medication like pregabalin can be added consulting your doctor. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you relief. I will advise checking your it B12 and it D3 level as low levels can cause increased muscle and nerve damage. 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."}
{"_id": "000003110", "text": "Thanks for the query I am assuming u mean pre-mature ventricular contraction. Which is actually an ECG finding to start with and very rarely patients have any symptoms at all, even if they do then they don't present with the symptoms you are facing right now. I think you are stressed more than anything. Meet a psychologist/psychiatrist once the internal medicine doctor doesn't find anything Have a healthy living"}
{"_id": "000003111", "text": "Hi. Thanks for your query and an elucidated history. Well, this is not a callosity for sure. This can be an organized hematoma, post-traumatic. And seen only on frowning as it must be attached to the muscles called frontal is, which works when we gaze-up. Get this checked by a Pediatric Surgeon, investigated and see if this can be removed now as it has been there for one and half years and not expected to go way."}
{"_id": "000003112", "text": "Thanks for your question on Chat Doctor. I can understand your concern. It could be HERD you will benefit from antacids. Also eat small frequent meals instead of large meals. Exercise regularly, do not lift heavy weights, keep your head end elevated by 2-3 blocks or pillows, give a gap of 2-3 hours before you sleep after your dinner.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000003113", "text": "Hi... Thank you for consulting in Chat Doctor. 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 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\\u00a0mg/kg/dose (maximum ceiling dose of 500\\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards -"}
{"_id": "000003114", "text": "Hello, Welcome to Chat Doctor. Treatment depends on the cause of hallucination. If hallucination is recent in onset in this age then there is need to rule out delirium due to medical condition for which investigations are required. If it is for prolong duration then doses of risperidone can be increased or other medicines like olanzapine or clozapine can be tried under psychiatrist supervision. Wish you good health and all the best.www.99doctor.com"}
{"_id": "000003115", "text": "I read your question carefully more than once, but unfortunately I am afraid it was really difficult to understand what really happened to you. You speak of treating cerebral edema, which can have many causes (stroke, tumor, infection) which must be identified and treated accordingly. Then you say you waited for a month to visit the emergency room which makes the cerebral edema a little questionable because it is a very serious finding with the patient often in a coma. Afterwards you say you had no tests but an MRI, which actually is the best test to detect edema, but tell us nothing of its findings. You close it out telling us to have taken treatment by allergy doctor and got better. So I as a doctor started out thinking you had a Chat Doctor. So please try to ask your question again. Try to avoid fancy medical terms like cerebral edema which might not be correct, and tell us your symptoms in plain simple words (headache, vomiting, nose congestion and discharge, fever etc.) using as many details as possible to describe their onset, character and frequency. Include also your age, previous conditions and results of tests like MRI. Me or my colleagues would love to help you, but you have to help us to evaluate your case properly."}
{"_id": "000003116", "text": "Hello and welcome to Chat Doctor, High levels of white blood cells are seen in infections and malignancy. A differential count should be done to know the differential count and the component which is elevated. On the basis of differential count, further management can be done. In case the elevated white blood cells are due to elevated neutrophils, bacterial infection is the most probable cause. Treatment of bacterial infection is antibiotic therapy. Lymphocytes are elevated due to viral infection or other chronic infections. Thanks and take care Chat Doctor."}
{"_id": "000003117", "text": "Hi thanks for your concern. I appreciate your concern that you are showing interest in knowing Sept. K.SGPT is an enzyme that is present in high amount in hepatocytes of liver. Small amount present in heart and muscle. So whenever injury to this organs esp. Liver this enzymes get liberated in blood. So in hepatitis and some time muscle and heart injury show elevated level of it. Normal its value less than 42. In malaria liver can injure and its level increasing rather than decrease. If Sept not elevated then liver mostly not affected. Food that are good ate low fat diet. More fruits. Green leafy veg useful.Omega-3 fatty acid useful like olive oil or sunflower oil. Trans fat like cheese, burger, meat avoided. Exercise useful. I hope I have answered your question well. Regards.; Chat Doctor."}
{"_id": "000003118", "text": "Hi, Thanks for writing in. Sorry to hear about your mother. Cancer is the uncontrolled proliferation of abnormal cells anywhere in the body. The process starts from a single cell and quickly multiplies to involve the entire organ. In case of the esophagus and stomach, there is cancer originating from the walls. The triggering factor might vary from a particular type of fish that is commonly seen in Japanese to any inherent genetic association. Cancers are essentially one rotten egg in a basket which destroys the other eggs. If the single rotten egg or early cancer is not cleared then it proceeds to involve the surrounding areas. In stomach cancer also there are different subtypes like adenocarcinoma, GIST, leiomyosarcoma and lymphoma. Every cancer behaves peculiarly. Hope your query is answered."}
{"_id": "000003119", "text": "Hello dear, I understand your concern. In my opinion the chances of pregnancy are very rare in your case. Usually there is scope for pregnancy when semen is ejaculated inside or around the vagina during the fertile or unsafe period of the cycle. There is very, very rare chance of pre-cum causing pregnancy because rarely pre-cum might have sperms. This applies when penis is inserted into the vagina and the pre-cum is directly injected into the vagina. And in your case the penis was in between the butt and in that case the pre-cum coming and touching the vagina and that leading to pregnancy is rare possibility. So relax. Avoid stress. Nothing to worry. There might be no need of emergency contraception. Hope this helps. Best regards...."}
{"_id": "000003120", "text": "Hello, The prostate infection can acquire secondary to urinary tract infection as well. You need to take antibiotics according to culture reports. It is not related to HIV.  If you have oral ulceration than there is little chance of HIV spread if partner is infected with HIV. You can investigate with CIA ELISA test if suspecting HIV.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000003121", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description possibility of stress and anxiety related breathing difficulty is more. But at your age of 15 years asthma can also cause similar symptoms. So we need to rule out asthma first before stamping anxiety as a cause. So get done PFT (Pulmonary Function Test) to rule out asthma. If PFT is normal then no need to worry about asthma. Stress and anxiety appear more in your case. So better to consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. Sometimes only counselling and discussion with psychiatrist are sufficient to relieve stress and anxiety. You may need anxiolytic Chat Doctor.  So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000003122", "text": "Hello, I would explain that his situation could be suggestive of a chronic infection or metabolic disorder. The stomach pain could be related to the painkillers. For this reason, I recommend taking an antacid. Regarding the leg pain, I recommend performing a leg MRI and checking inflammation tests and vitamin D plasma levels. Take care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000003123", "text": "Thanks for your query, I have gone through your query. The metallic taste and the bad breath could be because of the deposits secondary to the braces. After placing the braces its bit difficult to maintain oral hygiene. Consult your oral physician and get your teeth cleaned and maintain the oral hygiene. You can use mouth wash after that. Rinse your mouth soon after eating anything. I hope my answer will help you, take care."}
{"_id": "000003124", "text": "Hello, and I hope I can help you today. Anxiety is not normally a side effect of birth control, but if you are taking a traffic (pill that has a different hormone dose every week) pill your hormones are at the highest level in the third week of the pack, which may give you Pm symptoms.  So you may be having some type of reaction to the hormone fluctuations. I suggest you speak with your healthcare provider and try switching to a lower dose pill and also one that is the same hormone dose all month, called monophasic. There is a monophasic version of the pill you are on, called Preview (without the TRI) but I think personally you would benefit from a completely different kind of hormone if you have mood side effects. I hope I was able to answer your question today and that my advice was helpful. Best wishes,"}
{"_id": "000003125", "text": "Hi welcome to Chat Doctor forum.  Thanks for asking a question to Chat Doctor. F.  Your stomach suddenly became sour, and tender, hurts when you move or breath in, at the upper central part of the belly.  Most probably it is due to the green tea, and raspberry ketones also can cause the pain. Probably you have taken them in empty stomach, or they may show irritation without any reason also.  If you happen to get the gastric pain it could be due to gastritis or ulcer. Other causes are pancreatitis, gall bladder pain, hepatitis.  Such occasional pains usually subside automatically, if no relief consult a surgeon for diagnosis and treatment. You may have to go for M.R.I.besides other routine tests for confirmation.  Wishing for a quick and complete recovery.  Best wishes."}
{"_id": "000003126", "text": "SWELLING IN COLLAR BONE IS NOT RELATED TO YOUR SYMPTOMS. SWELLING MIGHT BE DUE TO FRACTURE IN THE PAST. SWELLING IN COLLAR BONE IS MOST COMMONLY DUE TO MOUNTED FRACTURE.ARE YOU SURE ITS MOUNTED BONE OR MIGHT BE ENLARGED LYMPH NODE.REGARDING OTHER SYMPTOMS LIKE HEADACHE, DIZZINESS AND WEIGHT LOSS COULD BE DUE TO SOME LONG STANDING ILLNESS. EVALUATE YOUR SELF FOR ANY MALIGNANCY, ANEMIA ETC. ANGIOEDEMA DOESN'T FIT IN. CONSULT INTERNAL MEDICINE SPECIALIST."}
{"_id": "000003127", "text": "Hello and welcome to Chat Doctor forum, As you suspect the hole in gums arise due to ulcerous condition.Localized periodontal infection also can cause this. I suggest you to get scaling done. Bone loss and periodontal pocket formation can be checked through x-ray and clinical examination. Depending on the condition, treatment can be planned. Vitamin supplements and plenty of nutritious rich food has to be taken. Hope this helps."}
{"_id": "000003128", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint difficulty in opening mouth along with pain seems to be due to persisting Chat Doctor. . You are given wrong information that packing the socket will delay healing. So I would suggest you to consult an Oral surgeon and get evaluated and a thorough clinical evaluation along with x-rays of socket can help in diagnosis. In case if there is any left out root piece or foreign body in the socket removal of the same can help. In case if there is"}
{"_id": "000003129", "text": "Thanks for your question on Chat Doctor. I can understand your sisters situation and problem. She is having metastases in liver and bone. This is classified as stage 4 cancer, inoperable cancer. In this stage only palliative treatment in the form of chemotherapy, radiotherapy, nutritional support and pain management are indicated. Stem cells, thermal therapy etc. is useful in stage 1 - 2 cancer. Once cancer is in stage 4, these newer treatment will not help. So better to consult oncologist and discuss all these. Start appropriate palliative treatment for her. Hope I have solved your query. Wishing good health to your sister. Thanks."}
{"_id": "000003130", "text": "Hallow Dear, During pregnancy, there is generalized engorgement of the breasts as a whole. This is due to the hormonal changes in the body. Though the breast is seen on the front side of the chest wall, it has got a tail which extends up to the armpit. This is known as The Axillary Tail of the Breast.  As the breasts get engorged, depending up on the degree of engorgement, this Axillary tail also gets engorged. So what you are feeling the soreness and swelling under the armpit is nothing but the part of breast engorgement involving the Axillary tail of the breasts. I do not feel you need any second opinion. In fact, I have given you the second opinion with physiological and anatomical explanation."}
{"_id": "000003131", "text": "Hello, You have a history of borderline hypertension, on & off numbness of the arms & hands, nausea, vomiting, headache, varicocele & HY Chat Doctor.  You are suggested to get physically examined for hypertension & get treated for it. Hypertension can be the root cause that triggers many of your symptoms.  Maintain a normal blood pressure level. You can do thin with the help of antihypertensive (calcium channel blockers, thiamine diuretics, Ace inhibitors, etc.) medications under a doctor. You can maintain it by regulating your diet. Avoid alcohol & addictions if any. Avoid red meat, trans fat, full-fat dairy, butter, etc. Since you have symptoms of nausea, abdominal discomfort, indigestion; get liver function tests done. A sick liver will cause fatigue, exhaustion & weakness. Get treated at the earliest. Take boiled homemade food. Take food that is easily digestible in small amounts 4-5 times a day, take veggies, soups, ORS & juice to keep yourself well HY"}
{"_id": "000003132", "text": "Hi, Welcome to Chat Doctor. Fungal infections of face, neck and back are commonly caused by dermatophytes and are termed as Tania or ringworm infection. These infections are easily treatable by very good antifungal medications available nowadays. I suggest you get those rashes examined by a skin doctor for confirmation and get a fungal culture done. Get a prescription for antifungal Chat Doctor.  Fungal infections of skin are more common in persons with unmaintained personal hygiene and also in chronic illnesses. If you feel that fungal infection is getting worse than causes for immunocompromised like diabetes, prolonged illness, malnourishment and HIV have to be ruled out. Thanks."}
{"_id": "000003133", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint hairball can occur due to a number of causes like nutritional deficiency like Anemia, hormonal imbalances like Thyroid disorders and polycystic ovarian syn Chat Doctor. I would suggest you to consult a Trichologist and get evaluated, and he can advise you investigations like hormonal assay, complete blood picture, Pictogram and Endoscopy. You can be advised to apply Minoxidil 5% lotion over the scalp. You can also take Biotin supplements along with a combination of Multivitamin and Mineral supplements. You can also apply warm coconut oil over the scalp and gently massage the scalp. You should"}
{"_id": "000003134", "text": "Hi and welcome to Chat Doctor. It sounds like reinfection at first, but it can also be anybody infection including respiratory ones or thesis bacteremia. You should do basic blood tests and blood culture for a start. It is hard to find the exact cause but some hormonal/endocrinologic and metabolic disorders should be considered. Check your thyroid and steroid hormones if female. Wish you good health."}
{"_id": "000003135", "text": "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. Anxiety requires treatment with Escitalopram or venlafaxine. Flu requires treatment with paracetamol. 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"}
{"_id": "000003136", "text": "Thank you for the question. Adenoca in liver confirmed by biopsy means it has to be treated. Some liver surgeons prefer partial hepatectomy if it is localized in liver and not spread anywhere, which can be done by Pet scan, cholangiographic and some other tests, while some prefer chemo and irradiation, thermos ablation of mass. I would suggest you to consult Once surgeon specialized in liver surgery/Gastroenterology. Prognosis may be still fair if there is no local spread"}
{"_id": "000003137", "text": "HelloWelcome to Chat Doctor Anti rabies vaccination protocol should be similarly followed for cat bite as well. There was bleeding at site means it is a category III wound. If you have taken full course vaccination within last 2 years, now you just need to take 2 intramuscular doses of Raipur vaccine as on day 0 and day 3. Previous complete course of vaccination implies 5 intramuscular or 4 intradermal doses with 1 booster at day 90. Hope I answered your query. Any more query is welcome."}
{"_id": "000003138", "text": "Dear friend. Thanks for sharing your concern. Coquitlam can be definitely taken for pain relief in case pain due to erupting third molars. Other analgesics are ibuprofen and diclofenac. But painkillers gives temporary relief. For permanent cure x-ray is required. This is to judge the availability of space in the jaw for eruption of third molar. Therefore, I would advise for a clinical evaluation by your dentist. Meanwhile, warm sine rinses might help to localize the infection. Further, on consultation suitable antibiotic can be started along with analgesics. Hope it helps. Thanks. Take care."}
{"_id": "000003139", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. It is always said \\\"failure is the stepping stone towards success\\\" and you seem to oversee it. Please do not blame yourself for your plight. You are to be blamed but not because you did not study, but because you did not study properly. Approach and attitude, they are the key to any success. You are supposed to refer to concentration and attention as two. Attention span for any adult is maximum 30 minutes. Sometimes, a person can be attentive to an interesting thing for more than 30 minutes, such as movies or games. Concentration is attention plus understanding. For this too, span OS below 30 minutes. If you are able to make your studies interesting and based on variable principle, your concentration level can be increased. It is also possible to improve your concentration level with the help of yoga, meditation and breathing exercises. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000003140", "text": "**1. Cough with throat pain could arise from pathology concerning pharynx [pharyngitis], larynx [laryngitis] and bronchi [bronchitis] is one of the commonest symptom seen in General Practice, thus prior to any alternate medicine, do consult an ENT and/ or Chest Specialist for necessary Management and Examination.2. Since you are getting repeated attacks of cold, thus are usually allergic and/or with decreased Immunity, thus prevention of recurrent attacks is the main aim of treatment. Deep breathing Exercises. Steam Inhalations 3-4 times a day. Avoidance of allergens [dust/cold Chat Doctor.  Vitamin A"}
{"_id": "000003141", "text": "Hello,First, I would like to reassure you that you should not feel disheartened about it. It is important for you to understand that at the peak of her fertility, any healthy woman around thirty years of age has approximately 1 in 5 to 6 chance of becoming pregnant during the fertile period of her cycle. This chance may become less due to a number of factors - increasing age, timing, and frequency of intercourse etcetera. In your case, the fact that you are not staying with your husband regularly, and he is based abroad reduces your chance of becoming pregnant. Besides your marriage is very recent. A guiding principle for starting to investigate for sub-fertility is when a woman has not conceived for twelve months of having regular sex with her partner. This criterion has not been met in your case. However, given your health concerns - diagnosis of horseshoe kidney and PRO, it is important to start an investigation and plan for the conception. Horseshoe kidney is a condition that is there from birth and can occur together with malformations and problems linked to the reproductive parts. It may be worth getting imaging done for the kidneys, ureters, bladders as well as for the uterus, tubes and varied. The blood tests for a renal function should be done and review of results with a Urologist or Gynecologist may be useful. Please get your blood pressure checked as sometimes this can occur with this condition.PRO or polycystic ovaries is a condition that is common, occurring in one out of three women. Sometimes it resolves with correction of weight, lifestyle changes, Sometimes medications may be necessary. Giving combined pills for 3-6 months is sometimes offered to manage irregular periods if fertility is not much of a concern. Moulton is a contraceptive pill, so it might not be the preferred method in your case. Closed and Phaeton might be a better alternative, however, the intercourse has to be properly consummated, timed to the fertile period of your cycle and occur every two days to maximize the chances of conception. I would like to emphasize that for any investigation and management to deal with conception and pregnancy, it is important to include and involve the partner as well. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003142", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No, it is not advisable to conceive during any cancer of the body. Pregnancy causes extreme stress to the body. And this can flare up cancer and can cause spread to distal organs. The treatment, you are taking is also teratogenic. And hence it can damage and deform growing fetus. So better not to get pregnant. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003143", "text": "Hi...as you have had 1st rhinoplasty done three years ago you can go for 2nd one but remember that adhesions formed as a result of 1st surgery.so due to this the 2nd surgery is always difficult but still you can go for it...as for as the flatness is concerned it is unpredictable whether the absorption of cartilage will occur or not...mostly the cartilage taken from the ribs are not absorbed so early.still unpredictable...hope my answer will help out you...thanks Chat Doctor."}
{"_id": "000003144", "text": "Yes sir/ma'am....you are right once your sugar ll get controlled properly all get some relief in neuropathy...it's a diabetic neuropathy pain very difficult to treat, but it is treatable condition and many Chat Doctor.  U take Tab Gabapentin NT start with 100 mg/10\\u00a0mg then increase the dose if no relief.and controls your BP and cholesterol too. Take low fat low salt diet. Do yoga and exercise regularly."}
{"_id": "000003145", "text": "Spitting up blood, swollen glands, and an abnormal chest x-ray indicate a serious process in the lungs. It could be infection (tuberculosis is a big concern), some kind of inflammatory process (similar to lupus), or even cancer. Prominent Hilary markings could be swollen lymph glands in the chest near where the lungs start from the major bronchial tubes. The peritonsillar abscess a year ago is not likely related. He could, however, have an abscess deeper down in the lung passages. Seeing a pulmonary doctor promptly and getting the lymph nodes biopsied is exactly what he should do. Hope this answers your query. If you have more questions, I would be happy to answer them."}
{"_id": "000003146", "text": "Hello, Most probably these are ventricular premature complexes. These are ectopic or extra beats. These are usually benign and not life-threatening. These are frequently associated caffeine, smoking, alcohol, thyroid problems may aggravate these.  So before going ahead we need to confirm it. You'll need ECG, Since these are not frequent ECG may be normal sometimes, so in that case you'll need 24 holder monitoring which can diagnose these. You should also get echo done to look for functioning of heart.  Furthermore, you should also get thyroid test done.  Avoid smoking, alcohol and caffeinated products. You should also discuss with your local doctor regarding Metoprolol XR 25 mg once a day, which will suppress these beats, after confirmation of diagnosis. Hope this helps you and get back if you have any questions."}
{"_id": "000003147", "text": "Hello dear... as a mother i completely understand your worry. Your kid seem to have seasonal rhinitis. You can try a lot of home remedies to treat this...give him warm water to Chat Doctor. .you can do this twice a day. Avoid giving milk at night as it aids in mucus production. You can give him Catherine meds at night for a week after consulting your doctor for the right dose for his weight give him turmeric milk and also honey with little pepper. This will reduce his cough and sputum. Thank you for you query hope my answer was helpful. Do rate my answer."}
{"_id": "000003148", "text": "Hello Thanks for using Chat Doctor .com From the details provided it looks to me like he is suffering from pseudo-medically refractory epilepsy along with psychosis and depression. I call it pseudo because of the inadequate dose and poor compliance with the medications. Other causes for recurrent seizures are sleep deprivation and wrong selection of medications for the type of epilepsy.  I recommend you to see an Epidemiologist for classification of epilepsy and then to choose right medicine for the type of epilepsy. Inspire of this he remains refractory with good Chat Doctor.  Sincerely,"}
{"_id": "000003149", "text": "Hi, Ovamet contain Camphene Citrate help to increase FSH and LH, induce ovulation and increase chance of pregnancy. There are several documented regimens regarding Ova met. The most common regimen is to take the Camphene (Closed) starting on day 5 after the start of menses for 5 days ending on day 9. Another regimen is to start on day 4 through 8 and a recent publication indicates the Closed can be taken on day 1 through day 5 with a very successful pregnancy rate. So regimen varies form doctor to doctor. You can follow your doctors advise and go for USG scan/ovarian follicle study for monitoring after taking it. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards,"}
{"_id": "000003150", "text": "Thanks for putting your query up at Chat Doctor. I am sorry that your daughter has dermatomyositis. Dermatomyositis (DM) is a connective-tissue disease that is characterized by inflammation of the muscles and the skin. While DM most frequently affects the skin and muscles, it is a systemic disorder that may also affect the joints, the esophagus, the lungs, and, less commonly, the heart. The mechanism is immune-mediated damage to microscopic vessels of skin and muscles and gives rise to muscle atrophy. The diagnosis can be confirmed by muscle biopsy, EMG, and blood tests. This disease has no known cure but the immune reactions that result in the disease, can be kept in control using certain medicines. She therefore needs the medicines, and it is no need to worry about side effects as without them the condition would worsen even further. Dermatomyositis is often associated with celiac disease and hence a gluten-free diet is recommended. In other words avoid wheat based products altogether. It is believed that certain dietary regimens like Paleo Diet are beneficial. Okay To Eat"}
{"_id": "000003151", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have lichen plans, Bartholdi cyst, some other benign cyst or soft tissue tumor.  You should go for examination. If needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003152", "text": "Thank you for query.it is due to balanoposthitis now it is causing you fibrosis by the description given. Please consult surgeon immediately for examination and confirmation. It may require simple procedure like slitting or circumcision. Clean the area with warm water twice daily.it may trouble you during intercourse as it progresses. You can get back to me for any clarifications with the photos. Chat Doctor."}
{"_id": "000003153", "text": "Hi. Thanks for your query. Read the history and understood it. To recapitulate"}
{"_id": "000003154", "text": "HelloYour mother X-ray findings suggests mildly under inflated lungs means less expanded lungs than expected. Normally chest X-ray(PA view) is taken in full inspiration. Under expansion may be due to less inspiratory effort, restrictive lung disease etc. She needs proper clinical correlation.PUT(Pulmonary function test)can be done if needed. There are also prominent bronchial calcification and probable calcified lymph nodes at the inferior right him, it may be due to many causes like healed infection, occupational disease etc. It is not an active lesion and mostly it doesn't require any treatment. Get well soon. Take Care Chat Doctor."}
{"_id": "000003155", "text": "Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions to you as follows"}
{"_id": "000003156", "text": "Hi, Thanks for writing in. At age 73 years, having a blocked right kidney and obstruction in stomach or intestine is a medical emergency. It is suggested that you please clarify details on the kidney block and intestinal obstruction. A blocked kidney can be observed and taken care of for a few days if kidney functions are acceptable. However, obstruction in intestine is an emergency situation and the patient must not be ignored. She might surely require upper GI or ultrasound, but those investigations are to be done under the directions of a surgeon who is overlooking the intestinal obstruction. Please also regulate her fluid intake as per instructions from her doctor and keep her HY Chat Doctor."}
{"_id": "000003157", "text": "Hello, As you already got help from the chiropractor I think you should start doing exercises for the neck and shoulder. Since with the chiropractor they can release the locked facet joint and post which the muscles have to work and for that you need to do some exercise. Use cervical collar for now. Then do static neck exercises, shoulder girdle, static biceps and static triceps. This should help in the long run to avoid the symptoms. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000003158", "text": "Hi, dear. I have gone through your question. I can understand your concern. You may have enlarged axillary lymph node due to tuberculosis or reactive enlarged or malignancy.  You should go for fine needle aspiration cytology for exact diagnosis. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003159", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult doctor for these symptoms. Your symptoms are more suggestive heart diseases like congestive heart failure (CHF) and coronary artery disease (CAD). So better to consult cardiologist and get done ECG, 2d echo and stress test. You may need coronary angiography if any of these tests is showing abnormality. So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003160", "text": "HelloThanks for query. Based on the facts that you have pain in back and history of urinary stones in the past the possibility of recurrence of the urinary stone has to be ruled out. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvisFurther treatment will depend upon result of these tests and final diagnosis. Chat Doctor."}
{"_id": "000003161", "text": "Hello, Since these sensations are typically seen before menstrual bleeding, possibility of Premenstrual Syn Chat Doctor.  It is very common in women to have PMS. Most common cause for this is hormonal changes during menstrual cycle, so no treatment is required. Just assurance and counseling are needed. Sometimes multivitamin tablets containing folic acid, vitamin B 12, vitamin d3, niacin and pyridoxine are beneficial. Avoid stress and tension, be relaxed and calm. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003162", "text": "Hello...thanks for trusting the Chat Doctor doctors for your health related issues.don't worry pregnancy couldn't happen in your case. For pregnancy following things required-1. Penis should be inside the vagina.2. There should be ejaculation inside the vagina.  But in your case above things not happened, so don't worry. RELAX.pregnancy is not only the cause of delayed menses. There is many pathological n endocrinological causes behind it."}
{"_id": "000003163", "text": "Dear friend don't worry. The pain may be musculo-ligamental type, that may occur due to sprain after much walking/running. It will subside in few days by its way. You can take analgesic like ibuprofen or if severe pain combination of diclofenac + paracetamol + chlorzoxazon/serratiopeptidase for temporary relief. For severe symptoms got examined by your family doctor first. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon."}
{"_id": "000003164", "text": "Hi, It is very common for infants and child Chat Doctor.  Its more common during winter seasons. A normal child can have 10 -15 episodes of a cough and cold per year. If a cough and cold persist continuously for more than 2 weeks or if there are thick yellowish or greenish nasal discharge with high fever or sudden worsening of the symptoms, then we need to attend and treat it with or without antibiotics. For the current issue, I would recommend a decongestant like MANTRA"}
{"_id": "000003165", "text": "I don't think that she is overdosing/addicted, though that is a possibility. The chance are more that she forgets the medicine she has already taken.Therefore, as soon as she feels uncomfortable, she remembers again that she can take a pill and goes to take it. I think the best solution, and a little uncomfortable for you is to stop leaving her medication up to her. You can leave her medicines that she needs to take in a separate box. The morning and evening doses you can give to her yourself. In other words, you start medicating her."}
{"_id": "000003166", "text": "Hi, The green pills are inert. They do not contain hormones. They contain iron and minerals. The white, light blue and blue pills contain hormones. These are taken in the first three weeks. The green pills are taken in the fourth week. You are protected while taking green pills too, because of the effect of hormone pills you have taken in the first three weeks. You can afford to miss these green pills. Furthermore, you are still protected. But it is important that you start the next pack as per schedule i.e, on the 29th day. I hope I have answered your concerns."}
{"_id": "000003167", "text": "His can understand your problem. H pylori infection which normally causes break in the lining of the stomach (peptic ulcer), the following treatment is found to be effective in killing the bacteria (Helicobacter pylori) and also to promote the healing process. From your query it seems you have not received the proper treatment. If you were my patient, I would have begun your treatment as follows"}
{"_id": "000003168", "text": "Hello madam, thanks for your query.let me first clarify that TUBERCULOSIS IS CLOSELY RELATED WITH INFERTILITY.IT IS ONE OF THE MOST COMMON CAUSES OF INFERTILITY IN FEMALES IN DEVELOPING COUNTRIES.... A POSITIVE PCR FOR TB IS HIGHLY SUGGESTIVE OF REACTIVE TUBERCULOSIS .YOU HAVE TRIED MANY PROCEDURES SO FAR TO CONCEIVE ;but I would like to tell you that you will not conceive unless this TB IS COMPLETELY CURED., since TB is known to block the fallopian tubes arresting the ascent of sperms. Hence you need to get chest ray and refer yourself to an expert pulmonologist for 9monthANTI TB THERAPY.ALSO YOU SHOULD GET YOURSELF HSG-hysterosalpingography. To assess the patency of your fallopian tubes, assess the requirement of surgical clearance of blocked. So best wishes to you."}
{"_id": "000003169", "text": "Hi, welcome to Chat Doctor forum. I understand your concern. In my opinion stomach pain going down to legs are related to menstruation. As you are having light period also. So No need to worry. It will go off once your period will stop. If still it persists then consult any gynecologist for the diagnosis and treatment. I usually prescribe my patients in this condition tab-Meftal spas,1 tablet as & when required."}
{"_id": "000003170", "text": "Hi... Thank you for consulting in Chat Doctor. By what you quote I put forth these possibilities - 1. Congenital airway anomaly - this causes noisy breathing (both inspiratory and expiratory noise, actually inspiratory will be more than expiratory noise). But the child will not struggle to breath and there will not be fast breathing and in- Chat Doctor.  The sound will be more heard during sleeping and feeding.2. Wheezing - Here the sound will be predominantly expiratory; the kid will be struggling to breathe, might turn blue and require oxygen and may have chest wall in-"}
{"_id": "000003171", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. This is very easy to interpret. Your son is masturbating. He must have learned this from somewhere. But he don't know what it is and any other details about it. Now it becomes your husbands' duty to make your son understand what it is. If your husband is not available, you can venture into it. But your son should be aware of masturbation, and he should be taught not to do it in public. Counseling also should do good for your son. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000003172", "text": "Thank you for your question. I appreciate your concern, especially as your granddaughter is an infant. From the history you have provided, it seems to be a viral, most probably a rota viral infection which is common among infants. It usually settles in 5 to 7 days, although a few loose stools a day can persist till 14 days. The main advice I give my patients is to not worry about the number of loose stools, but to look at the oral intake of fluids and feeds, how much urine she is passing per day and her activity. If any of the above three is decreased Chat Doctor.  I would suggest the following"}
{"_id": "000003173", "text": "Hello, Thank you for your contact to Chat Doctor, I understand your concern and will give a resolution over it. If I am your doctor I advise you that there is practically a chance of getting Hepatitis C virus infection to you. The chances of getting infection decreases if you have taken the primary care like washing hand applying antiseptic solution etc. I will be happy to answer any of your concern, kindly contact me for further informationChatDoctorInfectious Disease Specialist."}
{"_id": "000003174", "text": "Hello! Thank you for asking on Chat Doctor! Your symptoms may be related to anxiety. Anyway, I would recommend consulting with your attending physician and performing some tests to exclude other possible causes"}
{"_id": "000003175", "text": "Hi and welcome to Chat Doctor. Thanks for the query. Statistically, this ranges between 6-12 months, but it is individual and depends on the cause of liver failure. In cases of alcoholic cirrhosis it may be longer, and in tumors it may be shorter. If there is no possibility of liver transplantation then there is no some other treatment methods which can prolong life. I hope I have answered your question. Wish you good health. Regards"}
{"_id": "000003176", "text": "Hello, I can't comment on your case because I don't have enough information to do so. I can explain why antihistamines may help though. Antihistamines do act against allergic reactions, but they also reduce the amount of nasal discharge. A runny nose may become Chat Doctor.  Patients with nasal and sinus problems usually benefit from reduced nasal discharge. I hope I've answered your question. Please let me know if you need further assistance. Kind"}
{"_id": "000003177", "text": "Hi, Thanks for writing in. Merkel cell cancer is a rare and aggressive form of skin cancer. It is influenced by sun exposure and appears as a painless nodule in the skin. If there are lymph nodes involved then it is stage 3 cancer. Since the reports have come as inoperable, surgery might not be the best treatment of choice for him at present. Chemotherapy and radiation therapy are two important strategies that might have to be planned by his doctor and given in a regulated manner. Radiation will limit the aggressiveness of the cancer and reduce tumor size. The chemotherapy will destroy the cancer cells. Please do not worry."}
{"_id": "000003178", "text": "Hello, Your symptoms can be due to an allergic reaction. Causing choking in the throat and swelling underneath the tongue. Thyroid swelling can also cause a problem but if levels are fine then it is probably an allergy. So my suggestion is to consult an emergency room and get evaluated. A clinical examination and a blood test can be done for confirmation. If needed an endoscopy can be done. For now, you can take anti-allergics like levocetirizine to relieve the symptoms. In case if it is an allergic reaction a steroid shot can also be given to reduce the symptoms. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003179", "text": "Hi, Thanks for the query. According to the history, your husband seems to be hypertensive and is having chest pain. Even though the ECG was normal, I would suggest getting an Echocardiography done. The enzyme test sometimes comes normal if done too early in a heart disease. As far as age is concerned, yes he is young, but it is quite common these days to see young hypertensives to have heart disease. I would suggest a repeat visit to your cardiologist, get an Echocardiography done and take medications as advised by your doctor. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003180", "text": "Dear I am sorry for health problem you are experiencing. I think that the thing more important to do is to control what happens with fracture during time. You should take contact with a neurosurgeon and realize periodically radiological examination. Those sounds you are caused because spine vertebra have lost their physiological posture probably due to lumbar fracture. I would recommend lumbar fortress and talk to a neurosurgeon. Wish you all the best"}
{"_id": "000003181", "text": "Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* This seems non-cardiac in nature as all cardiac work up is revealing normal results.* As per the intensity and pattern, it is more likely to be ligament or acute muscle spasm related witChatDoctorpression of underlying neurons.* MRI would be of great help after thorough clinical examination. Wishing you fine recovery. Regards dear."}
{"_id": "000003182", "text": "Hi, As you said, you suffer from psoriasis. It is a chronic and relapsing skin disease. I can understand your anxiety for your disease. But, you have to keep patience. You might get relief slowly. And due to some factors it might relapse. You are right, throat infection might precipitate the disease. In fact any infection..... Remember it is a controllable disease. You consult nearby dermatologist for firm diagnosis and perfect treatment. I would like to suggest few things as follows....- accretion 25 mg daily - methotrexate 15 mg weekly in three decided doses of 5 mg 12 hourly. - Blood tests .routine & LFT may be done at regular intervals-Steroid with salicylic acid point may be applied twice a day on the psoriasis lesions.- Soap bath should be avoided. - All precautions may be taken to avoid Chat Doctor.  Winter might worsen due to"}
{"_id": "000003183", "text": "For your information, the listed mental conditions are very rare to occur together. Over and above your girlfriend is just 20. These conditions are very problematic and should be treated to the core. Regarding disability. These conditions alone cannot be a case of disability. Each state government has different means of measuring mental disabilities. Please consult a civil psychiatrist in your state for more details."}
{"_id": "000003184", "text": "Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor."}
{"_id": "000003185", "text": "Hi, Thank you for the query. Cheek bite is a most common problem among every individual. Cause for it varies, may be due to a sharp margins formed due to attrition of the teeth in aging , due habits like tobacco chewing. Usually if left unattended it may lead to formation of cancerous lesion due to repeated trauma. Selective grinding in case of sharp or irregularity in teeth can be done. Another possibility is lack of proper occlusion when closing the mouth or biting or chewing the food. If it is because of improper occlusion then it requires correction of occlusion. Your dentist can diagnose the reason for the cheek bite and treat accordingly.  Hope the information will help you."}
{"_id": "000003186", "text": "Pain in testicles at this age could be due to trauma or infections most commonly. If it is an acute event with sudden onset pain and color change in his scrotal area, then it is advised that he is seen by a doctor immediately. If it is gradual with fever more of infection. His genitals along with a thorough abdomen examination will be done. If there is any suspicion, he might be directed for an ultrasound scan"}
{"_id": "000003187", "text": "Hi, Thanks for writing in. Sorry to hear about your fathers' illness when you are away from him. The main criteria in this situation would first be the serum creatine and blood urea levels, if they have been stable for last 3 weeks or not. If they are unstable, he can go in for renal failure at any time (matter of weeks). The second point is how he is responding to pneumonia treatment. Has any particular pneumonia treatment medication further deteriorated his general health condition or not. You may discuss the above two points in particular keeping in mind his recovery from pneumonia with his present kidney function. Hope this helps."}
{"_id": "000003188", "text": "Hi. Thanks for your query. It is good that you know these are non-menstrual cramps. The most probable reason can be IBS, meaning Irritable Bowel Syn Chat Doctor.  You may get them whenever you are n stress or have taken some foods or beverages which can instigate this problem. Do you get other associated symptoms like bloating, loose motions or so ? Another possibility is that you may have a lesion in the transverse colon. I would advise you to go for the following investigation when you are suffering from cramps"}
{"_id": "000003189", "text": "Hi, Pain and redness in the areola of the males can be due to infection, cysts, hormonal changes, fibroadenoma, mastitis, gynecomastia, breast injury (friction with clothes while jogging), runners nipple, diseases involving the testis, hereditary chromosomal trisomy (Klinefelters disease) or male breast cancer.  Get physically examined and get all screening tests done to get treated at the earliest.  In the meantime take Acetaminophen (Tylenol) and apply Calamine lotion for pain relief. Do not scratch or massage.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003190", "text": "Hither is no permanent cure for ITP. But there are various Chat Doctor.  If she is maintaining platelet counts well and not bleeding much, regular followup with the hematologist is enough. Steroid dependent patients especially with significant bleeding may be considered for a surgery called splenectomy. However, the decision is best taken by the treating doctor after discussing both the pros and cons. It is very important to lose as much weight as possible. All the best"}
{"_id": "000003191", "text": "To confirm whether this is a hernia or not, there area simple tests you can do at home. It is hernia if it shows the following characters anytime during its development"}
{"_id": "000003192", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have sudden wrist pain and swelling. Well there can be many reasons for symptoms you mention in query like trauma, arthritis, carpal tunnel syn Chat Doctor.  Allergic reaction or local infection can also cause pain and swelling in wrist. You can also put your wrist in hot water tub for 15 minutes daily and take ibuprofen or acetaminophen for pain. Do not lift heavy object with arm and give proper rest to your arm. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan, MRI along with physical examination, urine test. Doctor may recommend surgical removal or may prescribe antibiotics, allopurinol along with anti-inflammatory. Doctor may also recommend physical therapy. Doctor may fix the abnormality by plaster, splint, bandage in case of fracture OR may recommend surgery in case of fracture and hematoma. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000003193", "text": "Welcome at Chat Doctor I have gone through your query and being your physician I completely understand your health concerns.  What is your age and sex? Why u have done blood transfusion? Any other associated problem? Like diabetes or hypertension?  Rise in BP do occur after blood transfusion due to rise in intravascular volume, that's why after blood transfusion it is always wise to give patient IN LAST to prevent the volume overload.  In my opinion u need to be examined fully by a physician since merely upon the basis of your history it is very difficult to comment.  It is very imp to look at your kidneys' status as well as other comorbidities.  Do meet your doctor so that appropriate management can be initiated in time.  Meanwhile stay calm get well soon Hope your query is adequately ad Chat Doctor."}
{"_id": "000003194", "text": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having mostly HERD (gastroesophageal reflux disease). Uncontrolled HERD is the common cause for worsening of COPD. And chest heaviness with bloated stomach are the features of HERD more. But better to rule out cardiac cause first as COPD patients and at high risk for cardiac disease. So get done ECG.  If ECG is normal then HERD is likely cause. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. So try to follow these steps. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Start Proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in bed to prevent reflux. 7. Avoid alcohol and smoking if you have these habits. Don't worry, you will be alright."}
{"_id": "000003195", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should get done PFT (Pulmonary Function Test) to rule out bronchitis. Bronchitis is inflammation of bronchi, and it is common in smokers. Cigarette smoke causes persistent irritation and inflammation of bronchi. These cause chest tightness, coughing etc. So better to get done PFT. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and antihistamine Chat Doctor.  And for your lung nodule, you have to get done follow-up CT scan after 6-9 months to see for nodule size. If size is static or decreasing then no need to worry but if size is increasing then you need to biopsy to rule out cancer. Your back pain is mostly due to muscular strain because of lifting your baby. So get done PFT and start treatment accordingly for your chest tightness and coughing. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003196", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have leukoplakia, hyperkeratosis or squamous cell carcinoma. You should go for biopsy of that area. Biopsy will give you exact diagnosis. Symptoms of cancer are weight loss, weakness, anorexia, local mass or lump etc. Don't worry much about that. Consult your doctor and go for biopsy. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003197", "text": "Hi, dairy have gone through your question. I can understand your concern. She has gall bladder cancer and stones. First she should go for cholecystectomy. She should also check for spread in liver or other organ. Radiotherapy and chemotherapy is required according to stage and grade of cancer. Consult your oncosurgeon and plan accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you very good health."}
{"_id": "000003198", "text": "Hi, thanks for using Chat Doctor The main treatment for an allergic reaction is the use of oral anti histamine, avoidance of the precipitating event (the use of medication in your case) and in severe cases, prednisolone may be needed. At present there is nothing else that would be recommended at this time. If your symptoms worsen then your doctor may consider a course of prednisolone. I hope this helps"}
{"_id": "000003199", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Numbness in the chest is mostly due to heart and lung diseases. So better to get done ECG and 2d echo to rule out heart diseases. Get done chest x-ray and PFT (Pulmonary Function Test) to rule out lung related diseases. If all these are normal then no need to worry much. Quit smoking if you are smoker. Vitamin b 12 deficiency and anemia can also cause numbness in chest. So get done vitamin B 12 level and hemoglobin estimation. If deficiency then you need supplements. Don't worry, you will be alright. Consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003200", "text": "Hi, Thanks for writing in. Multiple fibrolipoma is a rare benign hereditary syn Chat Doctor. 002% has been reported. Men are affected twice as commonly as women. Being a benign condition it will not cause any risk to health in any person having it. However, there can be slight discomfort due to appearance of lumps of variable size measuring from few mm to 5 cm. Marriage is advisable as it is a rare condition and is completely benign. However, it is better if you tell your spouse about your condition and get her to understand that this condition is not dangerous to you in the future. Small lipomas can be treated by surgical excision. Please do not worry."}
{"_id": "000003201", "text": "Hi, dairy have gone through your question. I can understand your concern. You have chorionic hemorrhage. It is common and no need to worry.  You should take complete bed rest and if needed you can take blood thinner like aspirin or heparin.  Your hematoma will either absorb or bleed out. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003202", "text": "Hi, dear. I have gone through your question. I can understand your concern. You have low platelet count, but there are many causes of that.  If it is simply due to some viral infection or other infection you can have normal count without any Chat Doctor.  But if you have immune thrombocytopenic purpura then you have to take steroids to suppress immune mediated destruction of platelets. So if you have ITP then take"}
{"_id": "000003203", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a lump inside the nostril that is painless and does not cause any pain or bleeding but cause breathing difficulty seems to be a Nasal Polyp. A nasal polyp is a soft tissue growth in the nostril that is commonly due to chronic irritation in the nasal passages or allergies or chronic infections. I would suggest you to consult an Otolaryngologies and get evaluated and a thorough clinical evaluation and nasal endoscopy can help in diagnosis. In case if Polyp is confirmed as the cause he can advise you to take oral as well as nasal steroids as it can help in shrinkage of the pulp. In case if it does not regress with steroids then surgical removal of the polyp can be advised to you. Hope this information helps. Thanks and regards. Chat Doctor."}
{"_id": "000003204", "text": "Hi, Thanks and welcome to Chat Doctor .22 months child can eat the normal diet taken by adults except the food must be thoroughly boiled and soft and free from spices and chilies. You can give rice with mooing DAL, rice with curd or buttermilk, soft bread, smashed potato, fruits and boiled vegetables or veg soups. Boiled egg may be tried, mutton or chicken soups can be offered. Gradully breastfeeding is with Chat Doctor. Hope this reply is OK for you. Please feel free to ask further queries if any."}
{"_id": "000003205", "text": "Hi. Insect bite hypersensitivity can present as red raised spot which might increase in size over the next 2 days and can sometimes blister. It is usually associated with burning sensation and/or itching and pain. It is usually self resolving, but sometimes patients are in great discomfort, so they need medicines for relief. Painkillers and anti allergic scan be used for symptomatic relief and topical Steroid antibiotic combination ointments/ cream might help in faster resolution of the discomfort and skin condition"}
{"_id": "000003206", "text": "Hello, Since you don't have any appointment slot now and time is moving on. I would recommend you to take up the physiotherapy sessions which might include the ultrasound therapy and TENS therapy. Also, the inclusion of exercise for maintaining the ROM and joint stability will help improve the muscle strength and overall joint functions. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000003207", "text": "Hi, Panadal is commonly prescribed for the symptomatic relief of fever, and it is found to be very effective in reducing the raised body temperature. You seem to have developed some sort of upper respiratory tract infection for which you may need to take a course of suitable antibiotic along with paradox after consulting a doctor. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000003208", "text": "Hi...it could be a Costco Chat Doctor.  As you are camping I will tell you the danger signs as to when you need to get him to medical attention - 1. Pain getting aggravated too fast.2. Breathing difficulty.3. High grade fever.4. Inability to breath normally.5. If there had been a history of injury at the painful region.Otherwise, as of now for the pain you can use Paracetamol at appropriate dose. Regards -"}
{"_id": "000003209", "text": "Respected Sir, hi I evaluated your query thoroughly. Now by this time you know very well it's anxiety induced. Fine it's true. Giving some simple looking suggestions to get you faster recovery from the same. How much it will last is in your own hands, till you desire it will not leave you.* Have adequate sleep of 8 hours.* Engage yourself in regular basis deep breathing exercises and YOGA for 30 min. daily not for only current situation but make it a habit for rest of your life and see the difference on your own.* Manage your schedules in busy life as such that body gets enough relaxation on daily basis not only at week ends.* Maintain HY Chat Doctor. * Avoid smoking / alcohol consumption if at all doing.* Keep laughing from inside to rejuvenate your inner happiness. Hope my trying helps you to certain extent. Thanks for using Chat Doctor & reading my answer with concentration. Regards Wishing you a happy healthy life ahead. Bye Dear Take care."}
{"_id": "000003210", "text": "Hi! You got a common pattern lump! In day to day practice I often get such lump on the upper jaw causing sensitivity and pain in the mouth and after proper examination and some tittle investigations like microscopic / pathological test, I come to following diagnoses"}
{"_id": "000003211", "text": "HelloMosquito repellent contains permethrin compound. When consumed in toxic dose it can cause mild to severe toxicity depending on the dose and body metabolism. The symptoms may be mild nausea, vomiting,abnormal movement of body, increased salivation, respiratory distress and even respiratory failure and coma. As your child has not consumed the liquid and just chewed the stem, chances of toxicity are less. But as I said it depends on body metabolism and metabolism of every child is different, be careful with the symptoms I mentioned above. Once there are toxic symptoms only washing of mouth and giving plenty of fluids is not sufficient. One should consult emergency room for proper assessment and management if needed like gastric lavage, inj atropine, IV fluids etc. I would suggest you to be careful with any abnormal symptoms and if there is any consult emergency medical room immediately. Regards"}
{"_id": "000003212", "text": "Thank you for the Questions there are so many causes of left lower abdominal pain, from those causes ovarian cyst and kidney stones are also culprit for the pain which you have been already diagnosed. Other causes can be ectopic pregnancy, Sigmoid diverticulitis (large colon infection), Salpingitis (infection in the fallopian tube), Gas in the colon, Constipation can also case pain in lower left abdomen. For further evaluation You can discuss with gynecologist and General surgeon. Hope my answer is helpful for you. Plz do not hesitate to ask further regarding your symptoms and signs. Regards, Chat Doctor."}
{"_id": "000003213", "text": "Hello, Your sore throat might be due to smoking as it acts as an irritant to the throat and lungs and may provoke infection as well. Red bumps over penis has the number of reasons ranging from irritation, infections and certain skin conditions like eczema and psoriasis. If these bumps are recovering itself with just good lubrication it's fine, if not go and see your doctor you might have encountered some sort of infection. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000003214", "text": "Hi heartlands for asking your queryMandibularis Tori are abnormal bony protuberance in lingual aspect of oral cavity which hinders with speech, diet and overall life satisfaction, so people usually get TEM removed either surgically or by laser which is an atraumatic ablation of Torino remove it surgically you can consult any maxillofacial surgeon but for laser treatment I will prefer you to consult the one who has skills in laser dentistry search the one I will say you must go to you family dentist he/she will guide you and give you a better referral where this treatment should be Longshanks"}
{"_id": "000003215", "text": "HiT hank you for your question. One of the reasons for persistent pain is pseudoarthrosis or nonunion at the attempted fusion site. Stenosis is narrowing of the spinal canal that predisposes to paralysis. If that is the case documented on your MRI you will need to see a spine surgeon as surgery is indicated in that scenario. A CT scan of the cervical spine can diagnose the nonunion. It can be effectively treated with surgery which is a last option if pain is the only complaint, and it is not effectively controlled with pain management modalities."}
{"_id": "000003216", "text": "Hi, As per your query you have symptoms of red rash with tiny bumps on the side of the wrist which seems to be due to contact dermatitis. Well, there can be many reasons for symptoms you mention in a query like an allergic reaction, psoriasis, skin infection, fungal infection. Need not worry. I would suggest you keep your skin clean and Chat Doctor.  If the condition doesn't get well then consult a dermatologist for proper examination. The doctor may prescribe immunosuppressants along with anti-inflammatory and corticosteroid ointment."}
{"_id": "000003217", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. In one sense everyone is crazy. Our brain learns and understands things relatively. That is the underlying factor of perception. Synesthesia, is not considered as a disease, but is a perception related disorder. In your case, your condition is also defined as a perception based, sensory organ based disorder, but not considered as a disease which requires treatment. Ignore these symptoms and concentrate on your career and education. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000003218", "text": "Hi, Brief.go for pregnancy test. Detail. Though it seems less likely that these symptoms are because of pregnancy.but to decrease the anxiety you may go for pregnancy test. Some time stress and anxiety can cause these symptoms not sex .and hormonal changes for example estrogen surge can cause soreness of nipples and premenstrual syn Chat Doctor. Which will subside after menses. Hopefully my answer will be helpful."}
{"_id": "000003219", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per you query you have symptoms of spreading raised white bumps on neck and ear which is pointing towards a condition known folliculitis due to hair follicle infection, and it could be due to contact dermatitis as well. Sometimes it occurs due to allergic reaction as well or side effects of certain medicine. I would suggest you to wash your face with cold water and apply tea tree oil. Apply cold compresses to your face 2-3 times a day. Take antihistamine Chat Doctor."}
{"_id": "000003220", "text": "Hello, time, The findings on your ultrasound shows that you have many stones from small to fairly large size. Gallbladder distension can mean some degree of inflammation. Even though you say that you have not heyday acute attack, it could be a disaster waiting to happen. Problem is, one of the small stones can get stuck in the bile duct, that is the channel that brings bile into the intestine. Then you can have severe abdominal pain, fever,chills, yellow jaundice and hospitalization. This could result in complications like rupture of the gallbladder and peritonitis. If you had a large single stone, there were options to treat with laser or Chat Doctor. In your case, the best option is surgery. This can be done as same day surgery through laparoscopic approach. Recovery is shorter, and you will not have large incision. Stomach bloating and gas could be symptoms of gallstones.Sometimes, you may have a hiatus hernia and HERD to explain this. I wish you good such and be well."}
{"_id": "000003221", "text": "Hi.to answer your question, yes, gallbladder problem can cause abdominal pain. The usual presentation is colicky in character, located on epigastric to right upper qua Chat Doctor.  It may be secondary to an infective or obstructive (gallstones or lesions) pathology. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Diagnostics and management (medical and/or surgical if indications are found) will be directed accordingly. Low fat diet is also recommended. Hope this helps. Good day!!~"}
{"_id": "000003222", "text": "Hi, I have gone through your question. I can understand your concern. You have weakness and its due to anemia. You should search for the cause. Furthermore, you may have iron deficiency anemia or may be some other reason. So go for CBC and PS examination.  And if required go for further investigation like ferritin, it b12 or bone marrow according to your doctors' advice. Once you find the cause then take treatment accordingly. You will definitely get benefits. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003223", "text": "Thanks for your query, I have gone through your query. The bumps on the gums could be multiple periodontal abscesses because of the gum infection. Or it can be multiple excessive bony growths(exocytoses). Consult your oral physician and get yourself examined and get your teeth cleaned and take a course of antibiotics if it is of gum infection. Do saline gargling. I hope my answer will help you. Take care."}
{"_id": "000003224", "text": "For a child with fever, you can give the child simply normal diet or anything that the child can tolerate. The diet should contain more of proteins as our body is made of proteins and the healing and repair process requires resources. Meat, fish and eggs contain proteins. Spinach, pulses, soda etc. are vegetable sources of proteins. If she is vomiting, be sure to give ORS along with. It is better to leave out milk for a week or so but if she can tolerate it, there are no issues. Give sponging with normal temperature to bring down the temperature if it is greater than 100."}
{"_id": "000003225", "text": "However with leg pain may be due to viral illness. You should be concerned about nosebleeds and see if virus is affection his platelet count(factor necessary to make blood clot). Many viral illness lead to decreased platelet count which may lead to bleeding. Other cause may be trauma by nose picking for which you get him evaluated by ENT specialist though he is a big child, you can ask him if he does. During nose bleed episode pinch his nose, apply ice. If it continues go to ENT specialist."}
{"_id": "000003226", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner. It may happen only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time."}
{"_id": "000003227", "text": "This is absolutely a normal phenomenon.  During sudden temperature change there is testicular muscle and ligamenta contracture which pulls the testes upwards. The question is why one is seen and one not actually this protective mechanism is still developing and will become fully established at the age when sperms need to be preserved inside testis. So nothing to worry, if the testis comes back and disappears."}
{"_id": "000003228", "text": "Hi, Blood pressure is a bit low. But normal. Pulse rate is not high and again normal. It appears she has palpitations. At this age it might be due to anxiety or anemia. You can get her hemoglobin checked and if low, iron, B12 and folic acid treatment can be treated as necessary. Good nutrition is essential. Ask her to take salt rich diet and plenty if fluids. Because of abnormal diet, poor nutrition can cause anemia. If you have any further queries, happy to help again."}
{"_id": "000003229", "text": "Hello, I understand and appreciate your question. Brief Answer"}
{"_id": "000003230", "text": "Hi, Thank you for the query. Loss of temporary restoration should be replaced with a permanent restoration with GIG or miracle mix , at least till you get a crown done for it. If the teeth is left unfilled then there are chance of re infection and breakage of the teeth when you bite on it. I suggest you to see your dentist and get the permanent filling done and plan for getting a crown placed on to it as early as you can and make sure you donor eat anything hard on the teeth . Hope this information helps you. Take care."}
{"_id": "000003231", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Atrial fibrillation (AF) is tacky arrhythmia. If not controlled, it can cause lethal and life-threatening complications. You are now symptomatic since last 1 week. So all these symptoms can be due to AF. And hence you need to treat AF as soon as possible. You are not improving with medical treatment, so you need Radio Frequency Ablation (RFA). Before this you need to get done Electrophysiologist study (EP study). So consult cardiologist and discuss all these. RFA is having excellent success rates. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003232", "text": "Hello Rest, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows"}
{"_id": "000003233", "text": "Hello, No worries, 25 mg is a low dose and usual dose of Losartan is 50 to 100 mg. So you try on 50 mg and if not responding it can be increased to 75 and then to 100. There are number of medicine which are available for this can be added if needed in the future.  You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then your medicine needs to be hiked up. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.  Hope this helps you and get back if you have any doubts."}
{"_id": "000003234", "text": "Hi. Thanks for your query. This is almost 10 days that you are suffering from the symptoms. You also have headaches daily-pee- no appetite, tired and nausea. This can be due to severe urinary infection. I would advise you to go for the following tests"}
{"_id": "000003235", "text": "Hi...this looks like an eczema or a skin allergy or urticaria which too is a sort of allergy. Kin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000003236", "text": "Hello, The given symptoms (Fatigue, bloating, and pain conditions) could be due to fibromyalgia. Hypertension is a different from that, and it needs to be managed separately it does not cause the fatigue, bloating or other symptoms, but severe hypertension may cause the headache. Anxiety may create some effects on all the symptoms, first thing you need to do is to come out of the stress and anxiety. If I was doctored of this case, then I would try to treat this case with Amitriptyline Chat Doctor. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003237", "text": "Hi, Welcome to Chat Doctor .com I am Chat Doctor.  I have read your question with care and understand your concerns. Let me try to help you.  1. No knee cartilage in Rt knee will not cause Shuffling gait. It will be arthritic gait 2. Rotator cuff surgery when 21 yrs old would not cause any rt arm swing. The arm will still swing 3. Rotator Cuff Surgery will not cause Tremors All your clinical features are classical of Parkinsonism and do not correlate with what you have thought. 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. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care."}
{"_id": "000003238", "text": "Welcome to Chat Doctor, Perhaps I can give you some insight into the few labs you have given, but we don't look at labs without specificity and the entire lipid panel, not just one value and be able to give you an accurate impression of what they mean. In general, a fasting laboratory glucose test 125 mg/DL and above verified in the same manner twice is indicative of a diagnosis of diabetes. 5.7-6.4 A1C is prediabetic, but you have not mentioned whether these values are fasting or postprandial.  A fasting triglyceride level is an independent risk for heart disease and standards recommend keeping it below 150 mg/DL.  A level of 219 indicates a need for a low fat, high fiber, low fructose/high fructose corn syrup diet. So, I hear you are worried about your health. I do see some risk factors you can lower. A good public health diet is the Mediterranean Diet with no added sugar, no alcohol, and cut the fructose out, eat whole food and avoid added sugar. You would benefit from an exercise program to stimulate cardiac circulation. I would suggest both cardio and strength training routines. If you need to lose weight, losing it will be most helpful for lowering triglycerides, sugar and increasing overall health. Keep in touch periodically with your personal doctor to have your labs monitored and explained. You gave me a UA without a creatinine. However, I would keep my eye on the kidneys if you were my patient.  A UA of 30 protein could be significant, would like to check with creatinine ratio. Possibility of decreased kidney function. What is your glomerular filtration rate (GFR)? If you are in early stages of kidney decline keeping your protein lean and low might preserve the functioning you have. In summary, if you were my patient I would counsel you on a low fat, high fiber, high water, lean low protein diet with no added sugar and limited fructose. Read labels, no high fructose corn syrup. I would also advise a full physical and referral to a Dietitian witChatDoctorplete labs, diagnosis and diet order for an individualized lifestyle plan. You will feel much better for doing something about your concerns now than later. My best wishes for your continued health. Kathy J. Shatter, MS.RUN"}
{"_id": "000003239", "text": "Hello dear, The symptoms as mentioned in your post suggest that you might be having Allergic rhinitis. Management includes"}
{"_id": "000003240", "text": "Hello, Since you have used the above procedure, and you are not better, I would recommend you to go in a physical therapy center and use procedures such as ultrasound therapy, shock wave therapy, and magnet therapy for 20 sessions and see the results. If you see improvement continue more sessions. This is an overuse syn Chat Doctor. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003241", "text": "Hi. I can understand your concern. Yes lung injuries are seen and do take time to recover. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000003242", "text": "Hi I think you should try at least for a year if your periods are regular and there is no obvious problem.  But if you want, you can go for some blood test like Thyroid profile and prolactin level. You can try ovulation induction with timed intercourse for conceiving if you don't conceive in next 6 to 8 months. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chance of pregnancy. Hope it helps."}
{"_id": "000003243", "text": "Hi, You should have mentioned the disease you are suffering from and the chemotherapy protocol in detail. For low platelet count there is definite guideline for management depending on clinical status and quantitative platelet assessment. So you should have also mentioned the exact platelet count. Anyway, chemotherapy induced marrow suppression generally reverses within weeks so in my opinion your tooth extraction will not be problematic. Consult your doctors."}
{"_id": "000003244", "text": "Hi, thanks for writing in. Spicy foods are known to cause gastrointestinal upsets. You seem to be having two issues1. Upper abdominal discomfort. For this I would suggest you to take sucralfate suspension in the dose of one tablespoon after each meal three times a day for at least 5 days. Avoid spicy foods. Increase the consumption of bananas and cucumber which are natural antacids.2. Since the passage of stools is smooth you need not worry. Just take hot water fomentation for the perianal problem. That will relieve the symptoms. You can add half a sachet of magnesium sulfate powder to the tub of water in which you are going to sit for applying hot water fomentation. This remedy will give you instantaneous relief. Regards"}
{"_id": "000003245", "text": "Howell come to ChatDoctorI really appreciate your concern, Urinary tract infection in female patient is challenging, if the case is associated with other medical condition as it is being stated here then it would be more challenging.  Ideally giving antibiotic in Urinary tract infection without culture sensitivity test is not advisable, the test rule out the possibility of infection due to organism because it may not be the organism that could cause the symptoms, second administered antibiotic without the test could cause the resistance, in geriatric patient great care need to be taken for urinary symptom particularly in female patient it may not be the infection but the whole urinary system need to be taken under clinical consideration, the most important is source of infection it is to be found out. Hope this information helps."}
{"_id": "000003246", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. From the description, it is not enough to diagnose. Tiredness is due to laziness (if not otherwise diagnosed). People like to do nothing if there is an option. But we do a lot of work. We can't think of sitting idle for more than half an hour. That is because we are agile. But lazy people are habituated to sit idle and do nothing. Naturally they become lazy. Lazy mind is devils workshop and other behavioral problems like anger, aggression, irritability etc. follow. The best method to get rid of all these problems are to compulsorily engage yourself in activities. Go for a job. That shall change you. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000003247", "text": "HI, thanks for using Chat Doctor Post nasal Chat Doctor. The became is one of the appropriate treatments for this. You may want to add an anti histamine to this. They are usually available over the counter. Bronchitis may also be contributing to your coughing. It would cause chest tightness and coughing. You may temporarily need a bronchodilator (medication to open the airways such as Ventolin) and a bucolic (medication to help break up the mucus, so it can be easily expelled). I hope this helps"}
{"_id": "000003248", "text": "Hi, I can only give general outlines of information without being there. Fortunately, that's pretty good in this case since it is like any other pain situation. First, defining what the problem is. On the one hand, it's done, you know what part is causing the pain, BUT why it is causing the pain is an issue. Mostly, this occurs with MINIMAL JOINT PROBLEMS, and it is from the hip cartilage wearing through AND the same way the brakes in the car make the most noise when ONE spot has worn through, so, the hip pain is the most when there is the FIRST spot wearing through. The pain decreases paradoxically when the hip become shot; and becomes a good case for hip replacement. So, MRI to see what's gone wrong. If something is stuck on one edge, removing it works. Otherwise surgery doesn't work well. Anti-inflammatories, physical therapy to learn ways to avoid hitting the sore place are some options. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000003249", "text": "Thanks for asking to Chat Doctor. I understand your concern. Short answer"}
{"_id": "000003250", "text": "Hi, Thanks for writing in. Diabetic coma might have affected his long term memory functions severely. Recovery of memory and cognitive functions takes time and the patient requires a lot of support and perseverance from friends and family. It will be nice if he can get himself in to neurological rehabilitation clinics and take intensive lessons to improve his memory and cognitive learning. He can be helped by doing crossword puzzles, reading books, playing word games and using the brain in doing tasks which require teaching concepts newly. He might not be able to get back his old memory, but he can be taught cognitive behavior therapy methods to store and process new information in his daily life. Furthermore, he should be taught few things each day and his progress in to be monitored regularly."}
{"_id": "000003251", "text": "Hello, Thanks for sharing your health concern with us. From your description, it appears as though your wife is experiencing syncopal attacks possibly due to transient hypotension. This must have been aggravated due to the nausea and vomiting. Hypoglycemic states are also commonly observed during pregnancy. Maintenance of adequate fluid-electrolyte balance is necessary. I would suggest an opinion from her health care provider and if necessary, she may be taken for observation. Hope this helps."}
{"_id": "000003252", "text": "Hello dear, thanks for your question on Chat Doctor. In my opinion your symptoms are more suggestive of anxiety. But better to rule out cardiac cause first. So get done ECG and 2d echo to rule out cardiac cause. If both are normal then no need to worry about cardiac cause. Anxiety appears more in your case. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Avoid stress and tension. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright."}
{"_id": "000003253", "text": "Hello, As for a small girl of age 15, I don't think diuretic will be advised. Because this may lead to loss of fluid and lead to headaches as there will be a fluid loss in the body.  For her having to swell in the feet you need to get a proper examination of the feet if there is any musculoskeletal injury. Also, kidney examination needs to be done as due to kidney malfunction there may be chances of swelling. I think a proper examination is to be done before putting her on to the diuretic.  For headache, I will advise getting the eye checked up as due to strain in the eye muscles there may be a headache symptom. I will advise doing complete blood and urine routine, get the kidney assessed, eye examined etc., for coming to a diagnosis and then the treatment part. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000003254", "text": "Hello, Fever of six days, high grade, sore throat, difficulty in swallowing, suggestive of tonsillitis. It needs to give an antibiotic course for five to seven days, also needs to search for any loculated pus in tonsils or lymph node. I suggest you for complete blood count (CBC), ultrasound neck. Less likely possibility of typhoid fever, urine infection. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003255", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. I appreciate your belief in Jesus. That is very good thing. The feeling that you are inside a dark hole, is to be interpreted in a broad view point. In my opinion, at times, every person feels so. When they are disturbed, deeply in trouble, nothing vengeful to do etc. At these times, they feel worthless and that is feeling empty within or feeling dark within or feeling being a dark hole. In every above cases, the worthlessness comes fore. Overcoming these are easy. You need to think positive. Worthless are everybody, still we are living with a lot of enthusiasm about life. Live life happily. For more psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000003256", "text": "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. Your G6PD may not be responsible for the night sweats and insomnia. Trazodone can cause night sweats, but they improve the sleep profile. If you are not benefiting from them then you may switch your antidepressants to mirtazapine or paroxetine which are antidepressants as well as help in sleep. 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"}
{"_id": "000003257", "text": "I understood your problem. Might be you involved in standing work for which there is engorgement of veins this could be result in varicose veins or deep vein thrombosis.I suggest my patients' limb elevation by applying pillow during bedtime and avoidance of much standing work.I generally suggest ultrasonography color Doppler to evaluate this kind of situations if not correct...hope you will be satisfied."}
{"_id": "000003258", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint you have symptoms of pain in knee which exaggerates on different movements like sitting on feet, jumping etc. It can be due to a number of causes like Traumatic injuries, Tendonitis, Bursitis, ligament or meniscus tears, Osteoarthritis,Iliotibial band syn Chat Doctor. . I would suggest you to consult an Orthopedic and get evaluated and a thorough clinical evaluation and investigations like x-ray, MRI scan or blood test can help in diagnosis and treatment can be planned accordingly. You can be advised to take anti-inflammatory painkiller like Ibuprofen, muscle relaxants like Chlorzoxasone. You can be advised to do cool compresses over the knee. Apply an analgesic ointment and put a knee cap over it. Elevate your leg while lying down. You should also avoid excessive exertion and also try to lose weight if you are overweight. You can be advised physiotherapy under supervision of a trained Physiotherapist. In case of no resolution treatments like Arthroscopy can be advised. Hope this information helps. Thanks and regards."}
{"_id": "000003259", "text": "HI, Welcome to Chat Doctor with your query. Confirm the diagnosis before the Treatment Planning-By the facts of your query, In my opinion, you seem to have Post-auricular lymphadenitis from Ear infection after the Cold attack your baby-son got last week. Treatment-Antibiotics/anti-inflammatory treatment from your doctor, if responded would confirm the infective cause of it.Non-response would need Second opinion from ENT Surgeon who would direct further treatment after proper examination and investigations, accordingly. But don't worry as it is not Cancerous and Could be treated by -Surgical Excision with Biopsy, which would confirm further treatment line. Hope this would help you to plan treatment with your doctor. Will appreciate hitting thanks and writing review comments to benefit needy patient visitors at Chat Doctor like you. Good day. Chat Doctor. N. Senior Surgical Specialist. M.S. Genl-CVTS."}
{"_id": "000003260", "text": "History to say that the scan report could not explain your symptoms. Usually all scanning are performed after fasting to facilitate well distension of gall bladder and better visualization of pancreas. Gall bladder is full when there is fluid inside(bile).collapsed gall bladder means it is contracted, means no bile in it. Usually it gets collapsed after taking fried/ oily foods. Because fatty food digestion requires this fluid for absorption into body. If you want to review, go with fasting for ultrasonogram abdomen. As for your symptoms are concerned, it's not related. Small fat containing inguinal hernia or uterine fibroid are nothing to worry. Check once your thyroid hormone levels. Thank Vasundhara"}
{"_id": "000003261", "text": "No need to give antibiotics for constipation.the watery stool could be most effect of taxi antibiotic...pls stop it if you're using for not passing stools.give him more liquids.one and half-time more than what he Chat Doctor. .continue feeding...if constipation persists, check his thyroid profile for hypothyroidism presents with constipation sometimes...give him lactulose 10 ml night dose for temporary relief of constipation instead of antibiotics."}
{"_id": "000003262", "text": "Hi dear, I have gone through your question and understand your concerns. Inability to conceive or infertility can be due to many causes. You and your husband should be examined and investigated completely. Further treatment should be done depending upon the cause. If the ovulation induction has failed to result in pregnancy in your case, then you should go for intrauterine insemination. Hope you found the answer helpful. Wishing you good health. Chat Doctor."}
{"_id": "000003263", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of low fever with body aches, and you had previous history of mono in the past. You symptoms seems to be due to viral infection due to compromised immunity of your body and susceptibility of getting infected. Sometimes initially the infection is viral but with times secondary bacterial infection occur, which cause further complication. I would suggest you to consult ENT specialist without any delay. Doctor may prescribe anti-viral (acyclovir) , antibacterial (penicillin) , decongestant along with anti-inflammatory. Doctor may order throat swab test, viral culture test, and blood test to confirm the diagnosis. For now take steam twice a day to relieve the congestion. You should take proper rest. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000003264", "text": "Hello, Thanks for posting your query in Chat Doctor forum. Usually post-surgical area will gradually reverts to normal. Antibiotics can enhance wound healing. The ill-defined area may recover once the overgrowth of flap has got removed. The area has to be irrigated using providing iodine and HY Chat Doctor. Rinse your mouth after every meal. Maintain good oral hygiene.an x-ray of soft tissue examination will help to diagnose any anomaly underlying. Take care."}
{"_id": "000003265", "text": "Hello! Welcome to Chat Doctor. Pain in epigastric area suggests increased secretion of acid in your stomach. In my clinic, many such patients do come, to whom after examination of abdomen, I advise ultrasound of abdomen & pelvis, if necessary. You should avoid hot/spicy food, late night meals, alcohol, smoking. Also, try to reduce stress, if any, with yoga & meditation. Consult your doctor for medicines like omeprazole, spy. Sucralfate & upper GIs copy if needed. Wish you speedy recovery. Hope this information is useful for you. Thanks. Regards."}
{"_id": "000003266", "text": "Hello. Thanks for asking Chat Doctor. It seems your son is suffering from an upper respiratory tract infection. Metal P is usually given for abdominal pain. I would suggest to start with an antibiotic like amoxicillin 200\\u00a0mg/5ml, Give 5ml three times a day. You can give Cronin syrup 5ml 4-5 times a day depending upon fever. You can give tepid sponging as well to reduce the fever. Keep him HY Chat Doctor.  Hope this helps. If you have any other queries/question please feel free to ask. Wish your son a speedy recovery. Thanks and Regards."}
{"_id": "000003267", "text": "Thanks for your query, I have gone through your query. The pain, swelling can be because of the gum infection over the wisdom tooth (periodontal infection leading to space infection). Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. Meanwhile you can take a course of antibiotics like amoxicillin 500\\u00a0mg and metronidazole 400\\u00a0mg TID for 5 days (if you are not allergic)50\\u00a0mg. Along with an analgesics like diclofenac 50\\u00a0mg BID. Do saline gargling. I hope my answer will help you, take care."}
{"_id": "000003268", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of allergic bronchitis (seasonal) is more. In my opinion, you should take combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast), 15 days prior to season starts and continue till season ends. Along with this, also take inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone) for the same period. You will mostly improve with all these. Since all these are prescribed Chat Doctor.  Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003269", "text": "Hi.... I understand your concern by what you cope I feel that your kid might be having two possibilities.1. Migraine headache2. Intracranial tumor or neoplasm Right now no investigations are required. I suggest that you get her blood pressure checked once and if this is normal no need to do any imaging or scanning. This seems to be a migraine problem only. Whenever there are symptoms like this use of painkillers should be ok. Regards -"}
{"_id": "000003270", "text": "Hello, Your bilirubin levels are not that much concern-able high. Since it's slightly higher than the upper normal range provided your other liver functions are within normal limits. You do not need to worry at all about your results. Just repeat your tests after a period of 6 weeks to see if there is any change in it. If you find yourself itchy and getting jaundiced then immediately consult your doctor.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000003271", "text": "Degree understand your concerns went through your details. I suggest you not to worry much.  Healthy and wealthy memory is possible only when your mind is very clear and without any stress and anxiety. All of us are human beings. We do have our own personal as well as social stress. Understanding those stressors and keeping ourselves emotionally away from those stressors can solve memory problems up to one extent. Secondly, you should understand that everything we learn (academically as well as from life) are stored in brain. Brain is actually limitless. Actual and practical Problem is recollection. To recollect something at appropriate time is quite possible when you are clear in your thinking and mind. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000003272", "text": "Thank you for writing on Chat Doctor. I understand your concern. You shouldn't worry too much. You scheduled for CT which men that it's not an urgency to do it. As a general rule prior to do a d dimer it's been done a prediction score for the risk of pulmonary embolus. I'm convinced that your doctor is suspecting pulmonary embolism. Pulmonary embolic are clots that normal are formed in the veins of lower extremity that travel and block pulmonary arteries. As I see you don't have any pain in the limbs which is a good thing and lowers the risk that you might have thrombus in the lower extremities. You have had a biopsy of your thyroid but the results of biopsy are not shown. It's a great importance to know the results of it. The biopsy may be related to these high d dimer. Periods general do not increase the d dimer The cases for high D dimer excluding the clot formation include infection which increases dimer at high level. Age, whit hit increases somehow and some other causes like pregnancy, trauma, surgery. You just have to wait, and I know is not easy to stay with fear, but a CT is going to be performed and a diagnosis hopeful will come and things can go for better. Wish you good health"}
{"_id": "000003273", "text": "Hello. Thanks for the query. Brief answer is there are combination treatments of Chat Doctor.  Detailed answer, if all your physical investigations till this point are within normal limits; then you are indeed suffering from anxiety disorder probably generalized anxiety disorder (pending further clarification of symptoms). There are a variety of medications available for its treatment & this condition is indeed treatable so rest assured! You need to visit your primary care doctor & en quire about SSRI (Escitalopram, sertraline, paroxetine etc.) or SARI (Venlafaxine, duloxetine, milnacipran etc.), Pregabalin which shall take care of root anxiety over a period of 1 month & SOS anxiety relief medications like clonazepam, Mizoram (both of benzodiazepine group) to reduce feelings of distressing tingling & numbness. Secondly, you shall be also helped by simple deep breathing techniques, antigenic relaxation exercises, yoga & Panama. Do feel free to contact for any further assistance. Good Luck"}
{"_id": "000003274", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of 1. External piles 2. Grade 1 rectal prolapse are high. So better to consult bronchoscopist and get done bronchoscopic examination for the diagnosis of your anal painless lump. You may need surgical correction as your constipation is not resolved by high fiber diet. So first consult bronchoscopist and diagnose yourself and then start appropriate treatment."}
{"_id": "000003275", "text": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that we talk about hypertension if we have mean value that exceeds 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. Hypertension is divided into two groups. Essential hypertension that is a chronic disease and should be treated all live long. It has not an identified cause and is frequent in older agesSecondary hypertension, meaning that it's a secondary house of it. This is found in younger ages and the cause might be renal, endocrine or any cardiovascular anomaly. Resolving the causing factor might resolve hypertension. As you explain, you are under hormone replacement therapy. This makes me thing that you might be near or in menopause. It is quite known in cardiology that hypertension does appear in women during this period. So, if I was your treating doctor I will recommend some examination like a cardiac echo, a full blood analyze and a holder pressure monitoring to evaluate your values during day and niftier this we can better judge how to treat the problem. Hope I was helpful. Best regards, Chat Doctor."}
{"_id": "000003276", "text": "Hello, I would like to tell you that heart emergency isn't popped in because of pigs that were an only cardiac emergency which never gave you any symptoms of its existence.  Now you are facing all post-surgery complications in which you are not that physically active person as you were.  You have to cope up with all these with a healthy diet, regular follow-ups with your cardiologist and medications. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000003277", "text": "Hello, You have visited many doctors and everyone said, the semen leakage is not a disease. That is true. Semen leaks or seeps when you strain your bladder. It is natural that semen discharges after urination. You cannot stop it. Even you cannot stop night fall. Therefore, I suggest consulting a psychologist for sex counseling. Take care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000003278", "text": "Hi, Thanks for the query.  Breast tenderness, nausea, food carvings are some signs suggestive of pregnancy, but need not always be pregnancy.  +ve pregnancy test/ USG pelvis after 5 weeks pregnancy are the confirmatory signs.  In your case, lobectomy being done, It's less likely to be pregnancy (however re canalization of tubes followed by conception is possible in few patients) If it is not pregnancy, it can be - gastritis, acid peptic diseases, ovarian, thyroid problems., POD . Which have similar symptoms... they need to be evaluated & treated with help of a gynecologist./ general physician.  Thanks.  Thanks."}
{"_id": "000003279", "text": "Hi, I have gone through your query and understood the concern. Your symptoms can occur during a very early pregnancy or during the premenstrual phase of the period due to progesterone effect. The vaginal discharge however, is abnormal and most likely due to hormone imbalance. Since you had both blood and urine pregnancy tests negative, pregnancy can be ruled out. A trans-vaginal sonogram will help to know the status of the pelvic organs. Weight disturbances, infections, stress, polycystic ovaries and certain medications also can create this clinical picture. Please get further help from a specialist in person. Wish you good health."}
{"_id": "000003280", "text": "Hello dairy understand your concern Be relax as chance of pregnancy is nil.1. 4th day after the sex is the safe period. Ovulation is not occurred during this time, so no fertilization will occur.2. Unwanted 72 is 95% effective in preventing the pregnancy. Unwanted 72 cause delay in the period by 8-10 days. Avoid stress, take healthy diet and do regular exercise. Hope this may help noncontact Chat Doctor for further health query Best regards"}
{"_id": "000003281", "text": "Welcome to Chat Doctor There could be associated kidney damage which is why you have high blood pressure and swelling under eyes and blood, WBC in urine. You need antibiotics. Take enough water, restrict salt in diet. The stone develops due to infection which is not treated. Eat plenty of fresh fruits and vegetables. You can Chat Doctor.  You need to get other stone removed as well depending on size. As of now you need kidney function tests, DMS scan and antibiotics steroids for your kidney infection. Avoid as much painkillers like NSAIDs, use Paracetamol for pain as long as you do not have liver problem."}
{"_id": "000003282", "text": "No, cephalic presentation is great news. It means babies head is down (in the correct position). The cephalic presentation should not affect whether she goes into preterm labor or not. As far as the growth is concerned, I agree with your doctor. Doppler's need to be evaluated to make sure baby is getting enough blood flow. Your wife will likely need monthly growth scans until she delivers. Good luck!"}
{"_id": "000003283", "text": "Hi, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns. Cause of the health problems you queried-There are many causes of the lump in toe. With the limited information, there is a bit confusion about the heel lump?which is not clear from your query. The tennis ball size lump behind your toe, seems to be with a lot of infection and cellulitis around, from the data given from you. And it seems that this lump is for 1 year almost. Cause in your case-So Don't treat it on your own as it could be-Paronychia with Granuloma of the great toe/ or it could be Ingrowing Nail(Onychocryptosis with Pyoderma with Granuloma)/ or could be benign or malignant tumor due to chronicity of infected growth in the toe.Hence, would advise you to consult ER Surgeon, who would rule out other causes of such a lump and would help you out with the fist hand information. So take his Second Opinion, on the above suggestion, as he would advise you with fist hand clinical information. Remedy-So till the time you consult ER Or tho Surgeon and get his definitive opinion after above investigations, DONT WORRY AT ALL but you need to be concerned as it would complicate into some other problem associated with it.In the meanwhile, Daily Chat Doctor. Take Anti-inflammatory"}
{"_id": "000003284", "text": "Thank you for contacting us with your medical questions. From you description I am not sure that you have shingles. Shingles is a reactivation of chicken pox and usually limited to one part of your body like a chest wall or an arm but does not go from your arm to your leg. It is also accompanied by severe pain and tingling. If it is still shingle then what ever local treatment you apply that helps is fine. We treat the rash with blisters with cold compresses and covering the area. Hope this answers your question. If you have any further questions please contact us again"}
{"_id": "000003285", "text": "Hello, Thanks for posting your query. The hole may be arose from periodontitis/peritonitis of wisdom teeth. Since you are pregnant, the decayed teeth has to be treated with excavating infected pulp and dentin using hand instruments and by placing medicament. Get your teeth cleaned. Frequent warm saline gargle may be helpful. Maintain good oral hygiene. Use chorhexidine mouth rinse to gargle. Medicines can be taken after consulting with your dentist. Take care."}
{"_id": "000003286", "text": "Me fast (metonymic acid) and Maidens (paracetamol) are supposed to bring down fever. Cenobitic (memoir) is a broad-spectrum cephalosporin antibiotic intended to reduce the gastrointestinal infection that could be causing the fever which could also have killed the beneficial bacteria of our bowels and cause antibiotic associated diarrhea. I think you wanted to say diarrhea and not dysentery which means blood stained stool. If that is really the case, you would need to consult your doctor and get it treated. If it is diarrhea, you need to give her curd/yogurt which contains beneficial bacteria and will help in restoring the balance. Alternatively, you can also give Enterogermina one sachet twice daily for 3-4 days. The diarrhea is not due to body heat. It has probably caused due to the beneficial bacteria getting killed by the antibiotic medicine prescribed."}
{"_id": "000003287", "text": "Hi, You may be suffering from nerve compression at cervical spine with resultant articular pain in both upper limbs. Diagnosis needs to be confirmed by doing an MRI of the cervical spine with a screening of the whole spine. MRI is very sensitive and specific for diagnosis of spine pathology.  Please get it done from radiology center nearby you. Meanwhile, start tab Regain one at bedtime with tab Attract twice a day. Avoid labor work and weight lifting. Visit to an orthopedic surgeon for detailed clinical examination is recommended. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003288", "text": "Typhoid in pregnancy, is not a dangerous episode. Hope the doctors have confirmed the diagnosis with a Tidal Test, Blood and stool culture, Ty phi dot and Tube tests, the last two are very sensitive tests and confirmatory. The essential thing is u must have the family members also tested and immunized against typhoid if they are all right. Your wife needs to be treated with an appropriate antibiotic which depends upon the local strains, Usually Augmenting at 625 / 4 times a day for 3 weeks is adequate. As she has already crossed 3 months the effect on the baby of these medicines is not reported. Also, typhoid, will not cause any damage to the baby."}
{"_id": "000003289", "text": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with allergic bronchitis which may be in concern with house dust.* Suggestions for better recovery - Basic work up with x-ray chest and laboratory test of complete blood counts with ESR.- Gargles with salted lukewarm water added peppermint oil 3 times a day.- Inhalation of vapors of boiled water with Karol capsule or tincture Benson with blanket covered over head 2 times a day.- Do not work out beyond the limits of body compensation.- Avoid exposure to any type of dust or pollen with liberal use of triple layer face mask.- Deep breathing exercises with YOGA help great.- No smoking or alcohol . Hope this clears your query. Happy always to assist you. Regards."}
{"_id": "000003290", "text": "Hi. I can understand your concern. It would be advisable for you to get a chest x-ray done. Possibility of musculoskeletal pain is more. Ibuprofen is anti-inflammatory. You will definitely improve witChatDoctorbination of painkiller and muscle relaxant Chat Doctor.  Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000003291", "text": "Degree understand your concerns went through your details. If you feel acidity and gastric and digestion problem, the pain could be attributed to it. When you have this gastric problems, the gas present in your stomach area pushes the diaphragm upwards. Your chest cavity is already packed and has enough space for breathing movements of your lungs. This gas further pressurizes the chest cavity, and you will feel that pressure as tightness or pain. You should consult a physician to rule out organic causes. Take care. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000003292", "text": "Hi...by what you quote I feel that your kid might be having a viral sore throat or a streptococcal infection. I suggest you see your pediatrician and get a rapid streptococcal antigen test done. If it is positive then the kid will require antibiotics. If it is negative then it might be viral illness and doesn't require antibiotics at all. Cough and cold are viral 95% of the times in child Chat Doctor.  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\\u00a0mg/kg/dose (max ceiling dose 500\\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Warm saline gargles will be soothing and will give a lot of relief if the kid can do that. Regards -"}
{"_id": "000003293", "text": "There are much health hazard that your husband is facing because of his personal habits. Most common in his case is cancer of mouth, tongue, throat and food pipe. If he is swallowing the tobacco, he may also be at risk for cancer of other organs. He will have poor oral hygiene which may lead to many dental problems beside the foul breath.Besides this, he may develop high BP, heart problems, gastritis, excess acid secretion and digestive problems. He is Chat Doctor.  These are just to name a few and the list is quite long."}
{"_id": "000003294", "text": "Hello, All the medication you have mentioned for the heart does not cause increase in weight. The benefits of Candace to protect your heart and kidney is far more and should be continued. Moral for your diabetes may cause increase in appetite and henceforth weight gain. However, I would stress again, do not stop the medications, if there is any swelling in the lower limbs than you may consult your doctor, consider ruling out thyroid, if everything normal a dietician consult may help. Regards Chat Doctor."}
{"_id": "000003295", "text": "Hi, It is important to know what chemotherapy was given to you and also the pathological diagnosis of the cancer you have suffered from. Anyway, as you mention breast cancer probably it is infiltrating duct cancer as this is the common diagnosis. It is not clear from your question whether any surgery was done or not, are you put on any hormonal therapy or not. These issues will be dealt by your consultant oncologist. Your present problem is repeated blockage of right ear and feeling of presence of fluid in it. This complaint is not related to your malignant disease process. It may be due to secretory Otis media. Middle ear inflation with or without antibiotics may be an option. Consult with your otorhinolaryngologist.  Take care."}
{"_id": "000003296", "text": "Thanks for asking. I would like to know if you have started weaning him yet?? Because any fibrous fruit specially bananas can cause mucous/stringy black hair like material. The second possibility is they are coming from your husbands' chest. If they are coming often that would worry me. Because hair can organize in a ball which can obstruct the gut. Observe for fallen hair near the baby and be vigilant in removing them. I would also advise your husband to shave his chest more often If they came once and twice that's fine.It's just to reassure you that's not something dangerous. Good luck"}
{"_id": "000003297", "text": "Hello dear, The lump in throat near uvula is enlarged Tonsil. The symptoms mentioned in your post suggests that you might be having Acute Tonsillitis. Management consists of"}
{"_id": "000003298", "text": "Hello, Thanks for using Chat Doctor for posting your query. I have gone through your given history in detail. From your description it appears that you are an anxious personality and that you already have symptoms of anxiety and depression, you certainly need treatment for them. Now the treatment can be of two types - by medications and by talk therapy. When it comes to medicines citalopram is quite a safe Chat Doctor.  But before you start on the medications, it would be preferable to consider talk therapy before. If it doesn't help then medications should be sought. You should ask your psychiatrist to consider you for cognitive behavioral therapy. Do exercise regularly and eat a proper diet. 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"}
{"_id": "000003299", "text": "At 22, the chance of heart as a source of symptoms is low. Low is not zero. In particular, the lining outside the heart may cause discomfort and reoccur repeatedly. I will usually review symptoms of reflux (burning, sometimes meal related, often lasting longer than 30 minutes or occurring at rest) and musculoskeletal pain (positional and localized with a finger). From what you've described, the first step that I would recommend to someone in my office is an over the counter anti-inflammatory like ibuprofen. A trial, paying attention to any improvement, even if incomplete, will be important information for your doctor should your symptoms persist."}
{"_id": "000003300", "text": "Dear, We understand your concerns went through your details. Whether pre-cum contains sperm cells or not, is a million-dollar question. But for sure, the sperm cells contained or come out along with pre-cum, is not strong enough or liquid enough to travel through the vagina and reach the egg within you. Therefore, the chances of pregnancy is bleak in the given scenario. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000003301", "text": "HI, thanks for using Chat Doctor The anti histamine would not help with your sore throat, ears or coughing, they may help with the sneezing and congestion. An assessment of your ears may be needed to determine if you have an ear infection which would require antibiotics. You may want to consider using paracetamol or ibuprofen to help with the sore throat and ears. An oral gargle or spray such as chlorogenic or colonia would help with the sore throat. There are cough suppressants available over the counter to help with the coughing. I hope this helps"}
{"_id": "000003302", "text": "Hi, Thanks for writing in. Cancer of the esophagus is a condition that causes obstruction to food passage. In your aunty there is probably a malignant mass in the esophageal wall that is causing limitation to the swallowing of solid food. In this condition there are few ways by which she can be helped. After evaluating the malignant stricture, a metallic stent can be put in the esophagus. This works in many people but the risk of subsequent block persists. This will again cause a block to food. The other option is inserting nasogastric tune and this is something they must have done. The food is made in to viscous consistency and then given using a syringe. The third way is operating and introducing a feeding gastrostomy. In this method the food goes directly in to the stomach and there is no requirement to feed by mouth. She can continue taking sips of water. These methods are put in to practice after evaluating patient needs and different cancer treatment institutes follow their own methods to support patient nutrition in cancer of esophagus. Please do not worry."}
{"_id": "000003303", "text": "Hi, dairy have gone through your question. I can understand your concern. You have lump behind nipple with soreness.  You may have some benign cyst, proliferative breast disease or breast cancer.  Furthermore, you should go for mammography and biopsy of that lump.  It will give you exact diagnosis.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003304", "text": "Hi, I understand your concern. Pregnancy is possible during ovulatory phase of menstrual cycle., ( when mature ovum is released which needs to get fertilized by sperm .for conception.). Which is mostly in mid menstrual cycle. So there is no chance of pregnancy during menstruation.  Please be cool, you do not have chance of conception.  Though there is no chance of conception, sex during bleeding is supposed to favor infection. So few people do not support the practice, Thanks."}
{"_id": "000003305", "text": "Hello, Severe chemical damage to the surface of the tongue where there are taste buds can be permanent. You were given anti-inflammatory medication, eliminated the chemical and now must keep the area clean for healing. Are you having difficulty healing with any ulcerations? You need to watch for an additional oral infection such as thrush. Antifungal medication such as Statin would be necessary. Antibiotics could be required due to complicated healing. Gentle oral care along with warm salt water rinses will assist and soothe the tongue. Keep well HY Chat Doctor.  Avoid vitamin deficiencies. Spicy and acidic foods may cause irritation. I suggest you have your dentist evaluate and monitor the surface of the tongue. I think you can have a positive outlook and realize with more time, more taste sensation should return. Your exposure sounds limited. Knowing the exact chemical would be helpful. Ruling out an allergic reaction would also be suggested in the case of a flavored tea, etc. Thank you for your inquiry. I am glad to provide additional assistance if you have more questions."}
{"_id": "000003306", "text": "Hello! Welcome on Chat Doctor ! His symptoms could be related to different possible disorders"}
{"_id": "000003307", "text": "Hello, Left sided chest pain should always be evaluated for heart diseases first. So get done blood pressure monitoring, ECG and 2d echo. If all these are normal then no need to worry about heart diseases. Your pain is associated with breathing, so pleurisy (inflammation of pleura) should also be evaluated. Get done a chest x-ray. If the chest x-ray is normal then no need to worry about pleurisy. Start calcium and vitamin D 3 supplements as deficiency of these can also cause similar kind of pain. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003308", "text": "First you need to take proper treatment for your frequent cold and cough.  It could be related to your immunity which may not be good.  And then do some spinal strengthening exercise.  Because if u have back pain while cough and cold then it shows your spinal muscles are not so strong to take the jerk when you sneeze.  And do check on your work posture as well as your normal sitting, walking standing posture.  Take care."}
{"_id": "000003309", "text": "Hi, Thanks for writing in Chat Doctor. The condition can be allergic contact dermatitis, lichen plans, muscular eczema, purpuric dermatitis etc. Diagnosis cannot be made without visual clue. Treatment depends on diagnosis. A visit to dermatologist will confirm the diagnosis. A skin biopsy may be required for diagnosis. Till the time you can take tab. Cetirizine 10 mg twice daily. It will help in decreasing itching. Hope this helps. Regards Chat Doctor."}
{"_id": "000003310", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pain on the legs with bulging disc. Well there can be many reasons for symptoms you mention in query like nerve compression, neuropathy, DVT, muscle spasm or multiple Sclerosis, but in your case the symptoms is due to disc problem. If condition doesn't get well then consult orthopedic surgeon as well as psychiatrist for proper examination. Doctor may prescribe methotrexate, anti-inflammatory, gabapentin long with nerve supplement and recommend physical therapy. I would suggest you to do light stretching exercises along with gentle massage, apply warm compresses on entire leg and take muscle relaxants like orthodox MR. Do not sit or stand for long time in one position, do yoga, meditation and keep your legs in hot water tub with Epsom salt for 15 minutes. There are therapies available like traction. Ultrasound or electrical stimulation. If medication and therapies doesn't work then doctor may recommend surgery. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000003311", "text": "You have swallowed plastic tongue ring ball it means that its in your stomach and not in your airways and trachea. It's a good thing. If you are not having any respiratory symptoms like difficulty in breathing, cough, blood in cough or airway irritation, you can wait for 2 days during which the ball will pass in stool. Monitor your stool for this. Meanwhile, if you have severe abdominal pain, vomiting consult the doctor."}
{"_id": "000003312", "text": "Good morning mam. Your oversize breast is not at all problem. A lot of females have it, and it does not cause any problem. But the problem could be your postures during your work, sitting and lying. Try to adopt good and healthy postures. And do regular exercise. Sometimes back pain with pain abdomen could be due to acid peptic disease. Avoid spicy and preserved food. Have fresh food in time. Hope u get well. Thank u"}
{"_id": "000003313", "text": "Hi, Donors needs to be screened for multiple infections such as HIV, Bag, HCV, V Chat Doctor. If I had been your treating Doctor. Would like to do all basic tests of Donor to rule out sexual transmitted diseases, basic routine tests such as TSH, complete blood count, Liver and Kidney function test, Clinical examination to rule out heart problem, respiratory problem, blood pressure measurement. Other part is done sonogram to check ovarian volume and astral follicles. It is preferable to get AMH anti mullein hormone test done done"}
{"_id": "000003314", "text": "Hello and welcome to Chat Doctor, Lymphoma of the stomach is most commonly caused by bacteria- Helicobacter pylori. Treatment of the bacteria clears away the lymphoma also. Thus, the lymphoma is treatable. Blockage of the bile duct can be due to many reasons. Most common cause of this blockage are stones in the common bile duct. The blockage is unlikely to be due to lymphoma of the stomach. To know the exact cause of the blockage, you need to consult a gastroenterologist. Endoscopic retrograde cholangiopancreatography may be required to look for the cause of this blockage and its management. Thanks and take care Chat Doctor."}
{"_id": "000003315", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. These are one time anxiety related experiences. Ignore it. Just think about what happened before you went to shower and what you were thinking about when you were in the shower? Was there any difference in temperature? Usually, when there is difference in temperature inside the bath and outside, our body reacts by adjusting body temperature. During winter, you must have noticed, our ears and nose become hot red.  Such a change is normal, and you could have miscued such a symptom. Recall. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000003316", "text": "Hi, It depends on the type of surgery you have undergone. In case you had a surgery of valve replacement, it can have complications of anemia. Your complaints most probably are caused by anemia. If your surgery wasn't valve replacement surgery, then you should look another cause for your anemia and symptoms. Anyway iron will help to recover from anemia. Hope I could help nourishing you good health In case of further questions don't hesitate to ask"}
{"_id": "000003317", "text": "Hi, Thanks for writing in. You might be having hepatitis A infection which is transmitted by contaminated water. Please continue taking medications given by your doctor and also include your diet and lifestyle changes as mentioned below. Regarding diet changes, following might help.1. Fresh fruits like papaya, orange, and grapes are a good option for Hepatitis diet.2. Foods must be prepared in low oil.3. Fatty fools must be avoided.4 It is always wise to include turmeric in diet for its anti-inflammatory properties.5. Lots of vegetables must be included as it contains proteins. Potatoes must be taken in less amounts.6. Please stop alcohol completely.7. Use of too much salt might be avoided.8. Eat smaller amounts regularly and maintain a healthy appetite.9. Avoid water and food contamination and do not eat outside foods.10. It is better to avoid meat for some time. You should be alright in a months time."}
{"_id": "000003318", "text": "Advancing age is the most common reason why men cannot sustain erections the way they used to earlier. It is extremely unlikely that a man at 62 years of age will be able to have an erection the way he would have had at 21. As a matter of fact, your physician advised you correctly in the sense Viagra is a good choice for patients with this problem, and there is no valid reason why your husband should say no unless he has some severe heart problem or a visual impairment which could get worse with use of such a medicine. The side effect profile is perfectly acceptable, and there is every chance he will find it useful like million others all across the globe. There are sister molecules of Viagra like Calls in case your husband wants to avoid Viagra, which have fewer side effects as well. The reason I am stressing This is that there are other molecules like Apomorphine which have been claimed to help men achieve erections which are just not that effective, and also can cause nausea, or worse such a severe sedation that your hubby might just Chat Doctor. Let him read this, and if you have issues to discuss, I will be glad to help you."}
{"_id": "000003319", "text": "Hi, Thanks for writing to Chat Doctor, I am Chat Doctor. Hypertension is one of major issue and most time about 90-95% cause is unknown, if u were my patient I would like to ask u monitor BP while you're on med BCS I wanna know is that 1 reading or u having still high BP even after med n, so I can optimize dose to control BP in normal range . Ideally 5-7 days need to BP charting n then bring it to me so I'll decide whether you need to adjust dose or not... regarding alcohol Royal College of Physician said male can use 21 units of alcohol /week n 1 unit is in small pub measure 25ml of spirit(40% alcohol by vol) or standard pub measure 50ml of fortified wine(20%alcohol)... other factor also need to be modified like Dec salt intake, exercise n weight lose if over weight according to BMI protocol . All such factors along witChatDoctorpliance with med can control BP... I hope this answered your question, if you have more feel free to ask. Regards."}
{"_id": "000003320", "text": "Hi. Thanks for your query and an elucidated history. I have read and understood your problem, which is related to the high liver function tests which started since second pregnancy. Pregnancy induces liver function derangement in many patients but get corrected automatically after delivery. I would suggest you to go for MRCP as there may be an underlying problem related to the liver, gall bladder, pancreas or the bile ducts. The treatment will be according to the report and will be specific. This may be a medical treatment or a surgical one if something like a choledochal Cyst. Gall stones or such things are found on the investigations."}
{"_id": "000003321", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No, it is not common to have heart disease (angina) at your young (15 years) age. So no need to worry about heart diseases. Possibility of musculoskeletal pain is more likely. So take simple painkiller like paracetamol or ibuprofen. Apply warm water pad on affected areas of chest. 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."}
{"_id": "000003322", "text": "You had an accident which resulted in injury to multiple bones however you might have sustained injury to lower back that time specially in disc in a severe injury you might not have noticed pain due to disc prolapse as you have started bearing weight disc might have been bulging causing pain other thing is that abnormal posture leads to abnormal weight-bearing which leads to increase load across lower back leading to pain across joint."}
{"_id": "000003323", "text": "HI, thanks for using Chat Doctor Yes, you can use the above medication. The antihistamine aspect (cetirizine) would help with nasal congestion, sneezing, phenylephrine is a decongestant and the paracetamol would help with any areas of discomfort and with fever. This medication is non Chat Doctor. In addition, you need to get as much rest as you can and use fluids (use cool fluids if you are febrile). I hope this helps"}
{"_id": "000003324", "text": "Hi, I can understand your concern for the spreading itchy rash on chest, back, legs and stomach in your husband. I can make a possibility of Allergic dermatitis. In Allergic dermatitis there are eruptions along with moderate itching and in more aggravated cases there is appearance of more redness which persist for more than multiple of days. The only precaution you must follow is not to touch, pinch pop or squeeze any of them otherwise it can get infected and can cause complications. You can apply medium potency steroid cream application of fluticasone cream. You can additional take antihistamine Ben Chat Doctor. If the things are not getting better than can meet a dermatologist for further guidance. Take care."}
{"_id": "000003325", "text": "Hello, Metformin has no relation to increase of SGPT levels and TRIGLYCERIDES levels. The two most important cause for increase in SGPT are pain medications, anti cholesterol medications and herbal medications and conditions like obesity, diabetes and high triglyceride levels in blood. METFORMIN helps in reduction of blood sugar levels and weight also. The most important treatment for you along with metformin is... Regular aerobic exercises for 45 minutes a reduction of calorie and weight. Yu must take adequate IT D to counter IT D deficiency, and it can be done by regular intake of IT D supplement. Thanks"}
{"_id": "000003326", "text": "Hi, dairy have gone through your question. I can understand your concern. Easy fatigue and brittle nails are seen in anemia. You may have some kind of nutritional anemia like iron deficiency anemia or some other. You should go for routine blood test first. If your hemoglobin is low then you should go for anemia profile. Consult your doctor, investigate and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003327", "text": "Hello welcome to Chat Doctor thanks for your query are taking antibiotics for the treatment of typhoid fever... The treatment may include painkiller, antipyretics also,they cause gastric irritation so much. Because of this gastritis you may feel pain in the abdomen,heaviness in the stomach... To avoid all these take proton pump inhibitors like antacid.it should be taken at least half an hour before breakfast in the morning...daily 1 tab.with in 2/3 days you may feel free from symptoms Hope you understand my suggestionThank you Chat Doctor."}
{"_id": "000003328", "text": "Yes the cost is very expensive in America. Rather you can fly down to the India and get the IVF done, and I bet after all expenditure you will still save the money. As you have done your Tubal Ligation the natural path of Ovum is now blocked and hence it is not possible for your ovum to meet your husbands sperms and make you pregnant. In IVF your Ovum are extracted through OLD based surgical procedure and then made fertile with the help of your husbands sperms in a perish this is now called an embryo and this embryo is transferred in your uterus and the pregnancy proceeds as usual... You are already having two kids. At Advance age of pregnancy the chances' trisomy increases that may make you child suffer from at least Mental retardation. Talk more with your genetic counselor. Rest the decision is your own. I hope the information provided is enough sufficient for you..."}
{"_id": "000003329", "text": "Hi, Thanks for posting your query. I am Chat Doctor. K and I am pleased to assist you. Black stool indicates bleeding in the upper gastrointestinal tract. Since you have abdominal pain also which worsens after certain food items including caffeine, peptic ulcer disease is a possibility. An upper GI endoscopy may be done to confirm it and to look for bleeding source if any. You can take Prilosec for relief. I hope that answers your question."}
{"_id": "000003330", "text": "Hello! Thank you for the query. This is not early stage of jaundice! There is no diet to treat it. There is nothing you can do by yourself. It is strongly advisable for you to get medical help. Your liver tests are very bad and can be life-threatening. Such liver tests results can be caused by viral infection, bile ducts blockage, liver cirrhosis, liver cancer. You should have abdominal ultrasound, GGT and AP blood tests, amylase in urine and blood, HAD, HBV, HCV tests. Do not neglect it and get medical help as soon as possible. Hope this will help. Regards."}
{"_id": "000003331", "text": "I think you have significant back pain. From your history it looks like you have unstable spine, and you are a surgical candidate. These problems can be cured completely with surgical management. Daily dependence on pain medications is not advisable, and it has adverse effects. Do you have Lateral flexion and extension X-ray? MRI? Need to see that. You will be back to your work in 2-3 weeks after surgery. Also, this is not only about pain, I think you started developing neurogenic symptoms and signs and in that case timely interventions gives the better prognosis. If you can send you X-ray and MRI images I will be able to tell you more about type of surgery you need. Hope this helps you."}
{"_id": "000003332", "text": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Low folic acid can lead on to anemia.2. Folic acid is a very important vitamin in cell development. Its deficiency can affect all the cells principally fast-growing cells like blood cells.3. Take Folic acid tablets and get a reticulocyte count tested after two weeks. If It's increasing, means its responding. Continue therapy. Hope it helps. Any further queries, happy to help again."}
{"_id": "000003333", "text": "Hello, I have studied your case. You can take medication like metal spas to reduce your pain. But if there is no relief then you may need to do further investigation quickly. If ultrasound is normal then you can wait, otherwise go to emergency. 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"}
{"_id": "000003334", "text": "Hallow Dear, Prima face the diet you are taking seems to be fairly balanced diet for pregnancy. However, I see that you are not consuming sufficient quantity of pulses and legumes. Please try to include them in your diet. Though dose provides some DAL like Brad, it is very small quantity that you are eating. Please increase the quantity of samba in your diet; and let it be a thick samba with plenty of dals. For good quality proteins, include Thalipeeth of combined pulses. You should have the variety of pulses and legumes in the diet to provide all the essential amino acids required by the body. Inclusion of varied bean sprouts will provide you good, predigested high quality proteins. Also, please include more fruits in your diet. Apple is not that nutritious fruit; it contains more minerals and water. Banana is a very good fruit.  Chico and guava also are good nutritious fruits. Citrus fruits will provide you minerals and vitamin C. Please have the variety of fruits in the diet. I am not clear which vegetables you are eating. Along with fruit vegetables, you should have plenty of fresh green leafy vegetables for vitamins and minerals. Moreover, fresh fruits and green leafy vegetables will prevent constipation which is so very common during pregnancy. During whole day, have at least 500 ml of milk in divided servings. One large glassful of milk in the morning and one at bedtime should serve this purpose. In general, follow the principle"}
{"_id": "000003335", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Since, she is having cancer in liver, lungs and bowel, she is having stage 4 malignancy (terminal stage illness). So only palliative treatment in the form of pain management and nutritional support are advisable. Excessive sleepiness can be due to brain metastasis. But we can not do anything for this. In my opinion, she is having life expectancy of less than 4-5 months. So better to discuss end of life issues with her. Hope I have solved your query. Wishing her good health. Thanks."}
{"_id": "000003336", "text": "Hi, dairy have gone through your question. I can understand your concern. It has 60% five year survival rate. It means 60 patients out of 100 will have life expectancy of % year or more. Some person can live 10 year or some person can live 5 year. It is overall rate. There are other factors like patients general condition, grade of cancer, treatment options and many other factors affect the life expectancy. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003337", "text": "Hello, and I hope I can help you today. The recommendation regarding women on Methotrexate for cancer chemotherapy is waiting 1 week after cessation of therapy.  However, the low one-time dose used for treatment of ectopic pregnancy is not regarded as being harmful. I personally believe the safest thing would be to discard your milk for one week after the injection. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes,"}
{"_id": "000003338", "text": "Hello! Thank you for the query. If you are 50 or older, such symptoms should always be checked with colonoscopy because with age of 50 colon cancer risk rises significantly. And the main intention of colonoscopy is to rule the cancer out. Cancer usually does not give any pain in early stages and gives hardly any symptoms. Usually when the symptoms appear, it is quite advanced.  If you are young person, inflammatory bowels' disease can be the reason of your symptoms (Crohn's disease) and this can usually be verified with colonoscopy. Symptoms can be just like yours.  Moreover, your symptoms do last for years and does not seem to get better. So the colonoscopy decision is very reasonable. Hope this will help. Regards."}
{"_id": "000003339", "text": "Dear sir, Please note that consulting a hemato-oncologist does not mean the patient has cancer. I am a hemato-oncologist and nearly half of my patients suffer from benign blood problems. Even if she has a cancer, there is no need to get very much upset. Many of blood cancers can be treated easily, as excellent medicines which are available now. If after platelet transfusion there is no increment in counts, there is a high probability of a benign disease called as immune thrombocytopenia. For diagnosis of this problem a thorough history of symptoms, clinical examination of patient and careful look at peripheral smear would be needed. Sometimes we may do a bone marrow examination, if their suspicion of any other problem. Hope I have answered your question. If you have any further questions I will be happy to help. With regards,"}
{"_id": "000003340", "text": "Hello, I read carefully your query and understand your concern. Butterfly rash on the face can be related to lupus. Other possible conditions that cause butterfly rash are rosacea. I suggest continuing using the steroid cream for local application. If the diagnosis of rosacea is confirmed, oral antibiotics may be needed. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor."}
{"_id": "000003341", "text": "Hi!, Welcome To Chat Doctor forum, I would like to know few things here. Do you get itching between your legs(groins)? Do you see any redness or peeling of skin there ? If so then you need to take a course of antifungal medicine along with some topical creams. If there are no such symptoms then probably its just dark due to friction. Its nit very easy to lighten up this pigmentation. You can try creams like HY Chat Doctor. Glycol peeling is not going to help much. One thing you can try is LASERS. There are specific lasers like q-switched ND"}
{"_id": "000003342", "text": "Hi. Thanks for the query. Bumping of toothbrush over the gums must have led to injury of the gums leading to inflammation which can lead to soreness, pain, redness. If you have sinus infection there can be feeling of pressure and pain in gums but as you are already on antibiotics the healing of the gums will not be hampered, and it is a normal healing process and will gradually heal as the inflammation subsides. You should avoid hot and spicy food. Gargle with cold water will relieve. In case of pain you can apply travel or other numbing gels. Maintain a good Oral hygiene to prevent infections. You should massage the gum with Chlorohexidine gel. If you do not find any improvement consult an Oral Physician and get evaluated. Hope this helps. Regards."}
{"_id": "000003343", "text": "Hello Kyoto, Thanks for your query. The breathing problems mentioned in your post is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma) Management consists of"}
{"_id": "000003344", "text": "Hi, Welcome to Chat Doctor, I am Chat Doctor You did not tell us what type of thyroid you were suffering from. I assume it was hypothyroidism. So, with a TSH level of 4.2 no one can say that you are infertile and go for test tube baby.  Test tube baby is exclusive for those who can't get pregnant normally. And one more thing, from your history it is evident that you have a bad obstetric history. That means you need a thorough hormonal and other studies which will show whether you are able to conceive normally or not. Infertility is restricted for those couple who are unsuccessful to have pregnancy even after trying for one year. So, have you tried for one year after having normal thyroid level? First try that."}
{"_id": "000003345", "text": "Hi welcome to Chat Doctor... You have not mentioned whether you have taken any Chat Doctor. ... You have bronchitis ... It can be viral or bacterial cause....CBC done ... If shows lymphocytes then viral otherwise if necrophilia then bacterial... Take Aeroflot like antibiotic for 5 days... Usually flu take sometime to recover fully... Maintain healthy and balanced diet... Steam inhalation useful.... If congestive symptoms still present then antihistamines like Ben"}
{"_id": "000003346", "text": "Hi Thanks for using Chat Doctor Forum, Anemia can be due to Impaired production of iron Increased destruction Loss of Blood You are male with hb-124g/l is not to be worried as you will improve as on diet.  Worm infestation can also lead to decrease hemoglobin level. Start on with tab. Albendazole once in 6 months. (You can do a stool examination to look for ova or cyst of parasites) vitamin C aids in the bodies ability to absorb iron, so taking oral iron supplements with orange juice is of benefit Increase your foodstuff containing green leafy vegetables I Hope I Provided Useful Information. Do ask Further Questions to help You get well soon. Regards Chat Doctor. Kingston John David"}
{"_id": "000003347", "text": "Hi, Clofert (Camphene) is given for Ovulation induction in patients of PCs. But I would ask you to take it only after your thyroid medication is increased, and your TSH levels are less than 3. I would not recommend active treatment to conceive at 7.8 TSH. So, please increase the dose of Thermoform under the guidance of an endocrinologist and get the TSH levels to less than 3, and only then try with camphene and follicular studies. You can continue folic acid till you get pregnant and also after you are pregnant continue it till 12 weeks. It is safe to take all the above medications together. You can take Genus/Gomez for gastric discomfort. Hope this helps. Regards."}
{"_id": "000003348", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. Your symptoms do point towards so mental disorders including bipolar. But do not have two main symptoms - Cyclic Extreme euphoria and extreme depression. Therefore, stop diagnosing self and consult a psychologist soon and get diagnosed properly. If mental disorder exist get proper treatment. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000003349", "text": "Hi, She is having systemic sclerosis and skim thickening, PAH and OLD is part of the disease. These changes are irreversible. I think she is receiving optimal treatment. Besides medicine chest physiotherapy, limb physiotherapy is very important. Yoga will help. It's better to homeopatChatDoctoredicine because there can be Chat Doctor.  The medicine will help to halt the progression of disease. You should be under the follow-up of local rheumatologist."}
{"_id": "000003350", "text": "DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERTGOER HISTORY OF AN HOME ARGUMENT WITH YOUR DAUGHTER MORE POINTS TOWARD A ANXIETY DISORDERS ANXIETY CAN CAUSE SUDDEN PALPITATION ...AND FAST HEART RATESMOKING AND COFFEE ALSO PRECIPITATES AND INCREASES THE CONDITIONS SUGGEST YOU TO DECREASE YOUR SMOKING AND COFFEE HABITS AS FAR AS POSSIBLEHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS"}
{"_id": "000003351", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. I think the intention of the query is very clear. But there is no substance. Whom do you want to meet? With whom you want to make an appointment? Please be specific with your query, I request. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000003352", "text": "Hello, It is a normal semen report except that pus cells may be due to some type of infection. Sperm count above 20 million /ml is normal and also 50% of the sperms should be active, which is present in your semen. But pus cells should not be present. I would suggest you to consult your doctor and get examined and take proper antibiotics, It will come down. Hope you are satisfied with the answer. Thank you."}
{"_id": "000003353", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged axillary lymph nodes due to reactive hyperplasia, tuberculosis or lymphoma, or it can be simple axillary lipoma. You should go for fine needle aspiration cytology once. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003354", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have fibrotic disease of breast.  If you have cyclical pain at time of menstruation then you may have fibroadenomas.  You should go for biopsy. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003355", "text": "Earle understand your concerns went through your details. I suggest you not to worry much. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. 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 the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000003356", "text": "Hello.... Thanks for your query. On going through your symptoms, it appears that you are suffering from social anxiety disorder which has adolescent onset. It is characterized by anxiety symptoms only ion social situations. Effective antianxiety medication are available in addition to psychotherapy (e.g. exposure & response prevention). Hence, I would suggest you undergo a thorough psychiatric evaluation so that appropriate management can be initiated. Regards Chat Doctor."}
{"_id": "000003357", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pulsating sensation in arms. Well there can be many reasons for symptoms you mention in query like B12 deficiency, multiple Sclerosis, herpes infection, less blood supply and triggered nerve. I would suggest you to apply warm compresses, massage with sesame oily gently, eat healthy add fresh fruits and green vegetables in your diet and give your arm proper rest. Consult orthopedic surgeon if the condition doesn't get well. Doctor may order CR scan or MRI along with physical examination. Doctor may recommend physical therapy which will help a lot along with orthodox MRO, anti-inflammatory and vitamin supplement like vitamin B12. Doctor may also refer you to cardiologist for blood supply problem. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000003358", "text": "Hello, Thanks for the query, I understand your problem You do not have to worry about anything. I feel that you have paroxysmal positional vertigo. Generally this problem is treated with various exercises (alley maneuver, brandtdarroff maneuver etc.). Medications like linearizing, betahistine may help reduce the nausea/vomiting etc., but won't help in log term. Please consult a local neurologist who will have the advantage of examining you and also will rule out other conditions which can present in similar way.  Best wishes Chat Doctor. Chat Doctor .com/doctors/"}
{"_id": "000003359", "text": "Hello and welcome to Chat Doctor, A lump or swelling in the buttock region needs to be investigated. The swelling is most probably a soft tissue swelling since soft tissue swellings are common in this region. Certain investigations are required to know the nature of the lesion. An aspiration cytology of the swelling needs to be done to know the exact nature of the swelling. In aspiration cytology, a needle is inserted into the swelling, cells are aspirated, spread on a slide and stained with appropriate stains. The stained cells are studied microscopically to know the nature and character of the lesion. Thus, consult your primary healthcare provider for clinical assessment, investigations and thus management. Thanks and take care Chat Doctor."}
{"_id": "000003360", "text": "Hi. As per me some more details are required to make a complete diagnosis. But on the basis of information provided, like not able to enjoy anything, this thing persistent for long time, a chronic sadness and getting distressed by small matter, point to diagnosis of either dysthymia or depression depending on your social- functional decline. This is a condition which need an intervention by psychiatrist who will evaluate the need for medication and prescribe you one if required, else may only advise on therapy, specially Cognitive Behavior Therapy. It will help you deal with your situation and help you come out of it"}
{"_id": "000003361", "text": "His may suggest addition of conspiring 150 mg too. There should be periodical check of platelets count, CBC,PT.if you are on blood thinners. Avoid smoking. Your doctor may do Color Doppler to forearm for vascular study, clot, thrombus. A physician must explore causes for hyperconjugation factors of blood, possibly may suggest some plasma infusions periodically if some deficiency is detected in blood.you may consult a clinical hematologist also for thorough evaluation as you stand risk for clot, embolic in vital organs, brain, lungs, limbs..."}
{"_id": "000003362", "text": "Hello there I have read through your question and would like to tell you that if you have diabetes running in your family then you have higher chances of having it. High blood sugar that is fasting sugar above 100 and post radial sugar above 140 is diagnostic of diabetes. But I would advise you to get an HBA1C test done to confirm the diagnoses. Also, high cholesterol levels can also be due to Diabetes, or It can be an isolated occurrence. If you have diabetes you may need to take oral hypoglycemics depending on the level of your blood sugar. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing Chat Doctor."}
{"_id": "000003363", "text": "Hi and welcome. I am concerned about the iodine supplementation as iodine is not indicated in this type of thyroid disorder and is already affecting the labs. The TSH is again too low. I would advise iodine restriction, supplementation with selenium is often recommended as is a low gluten diet. Because this type of thyroid disorder is usually autoimmune based, identifying offending triggers is where nutrition comes in. Studies show excess iodine and gluten to be the most comment riggers. Good Day! Kathy Shatter, MS, RD"}
{"_id": "000003364", "text": "Welcome to Chat Doctor does he have night sweets and weight loss ?sometimes blood related disorders including cancers can behave like this. Please see a hematologist. Other possibilities are severe acid reflux. That can cause cough but not the shivers or fever. Still laryngitis or pharyngitis from acid reflux can cause. Silent aspiration can cause these. If hematology evaluation does find a cause I would suggest Endoscopy"}
{"_id": "000003365", "text": "Hello dear, thanks for your question on Chat Doctor. You had blunt chest trauma due to accident. But no need to worry at all because your chest x-ray is normal. No evidence of any rib fracture, pneumothorax, pulmonary contusions etc., which are common after blunt chest trauma. Your left sided chest pain is mostly due to muscular injury. So better to avoid heavyweight lifting, strenuous exercise. Avoid bad posture and movements in sleep. Start painkiller and muscle relaxant. Apply warm water pad on affected site. Don't worry, you will be alright."}
{"_id": "000003366", "text": "Hi... I read your question and understood your concern.the burial irritation is due to reduced glute strength and stability. I recommend you to-Do lot of icing in the Bursa region of your hip. Anti inflammatory medication to reduce irritation. Strengthen your gluteus to improve stability. Do regular weight training to avoid such issues in the future... improve lower back mobility by doing some spinal extension exercises...cobra stretches... Good hip stretches... Hope this is helpful for you. Kindly revert in case you need any further help in this regard..."}
{"_id": "000003367", "text": "Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that vitriol injection is given in vitamin B12 and folic acid deficiency. So your treatment is in right way. Kanamycin will treat the infection if any you have in the gastrointestinal tract. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor."}
{"_id": "000003368", "text": "Hello and thanks for consulting Chat Doctor. It could be a callus, but it sounds like you may have a plantar wart. Warts are different from calluses in that they often have a small dot in the middle of them and calluses do not. They are common on the bottom of the foot and can get very thick and painful. If you think it may be a wart, there are two types of over the counter medications you can try. One is a salicylic acid preparation that you apply twice a day (it can take months) and the other is a small instrument that freezes the wart. If you are not sure, see your doctor for a diagnosis. Good luck."}
{"_id": "000003369", "text": "Hi, Thank you for posting your query. I have noted your fathers symptoms. These are suggestive of diabetic peripheral neuropathy (DPN). In DPN, the peripheral nerves (located in the skin) get affected. The common sites where nerves get affected are feet and hands. The common symptoms due to DPN are tingling, burning, numbness and pain in feet and hands. Nerve conduction studies may be done to confirm the diagnosis. Medications such as pregabalin or gabapentin capsules could help reduce the symptom severity. 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/"}
{"_id": "000003370", "text": "Hi ! Good evening. I am Chat Doctor answering your query. The symptoms of your daughter possibly points to a food poisoning which has caused the stomach pain, along with vaso-vagal symptoms. If I were your doctor, I would advise a routine stool test for ova and cyst, and treat accordingly. Apart from this, I would also advise a proton pump inhibitor, an anti-spasmodic, and a probiotic. If she does not get relief out of this, and the same symptoms continue, I would advise her to get clinically assessed in the ER of a nearby hospital or your family physician. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000003371", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is more. It is inflammation of airways. And symptoms like heaviness in chest, labored breathing, coughing (not improving with standard medicines) are seen in bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need antibiotics and inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003372", "text": "Hi, You should give her Acetaminophen in alternation with ibuprofen syrup every 4 hours. This means you have given her acetaminophen syrup then after 4 hours you give her Ibuprofen syrup and so on. For stomach ache you give her an antispasmodic as Visceralgine. Offer her only small meals of soft easy swallowed food as soap, yogurt, and jelly. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003373", "text": "Hi Welcome to Chat Doctor, Swollen turbinates with sneezing, watering eyes with runny nose could be due to rhinitis (allergic or infective) or acute sinusitis. Here, it can be mostly due to either allergy or viral infection because of our low immunity or allergic to certain substances like dust, pollens or grass. You should take symptomatic treatment,1) Take antibiotics (quinolones like ofloxacin or accolades like azithromycin) to prevent super-infection.2) Take antiallergic Chat Doctor. 3)Take decongestants like phenylephrine if you have congestive symptoms in turbinates, nose and throat.4) Steroid nasal spray like rhinoceros, flonase or became.5) Nebulization twice daily with saline or take steam inhalation 2 to 3 times a day. The best way to cure allergy is to avoid contact with the allergen, so you can make out which particular substance from these cats or dogs is causing it and try to avoid contact it. If still problem persists then you should consult ENT specialist who can recommend you certain blood tests with ESR and X-ray of face to make a diagnosis clear. Hope this information will help you. If still any query then you can ask me."}
{"_id": "000003374", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases as your ECG is normal twice. So no need to GA for angiogram. By your history and description, possibility of simple musculoskeletal pain is more. You might be sleeping in bad awkward position which is causing this pain in morning only. This pain improves when you relax. This also favors musculoskeletal pain. So avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas. You can take simple painkiller like ibuprofen if pain is more. 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."}
{"_id": "000003375", "text": "Hellowelcome to Chat Doctor Thomas is a tumor originating from the epithelial cells of the thymus. Thomas is an uncommon tumor, best known for its association with the neuromuscular disorder myasthenia graves. Thymoma is found in 15% of patients with myasthenia graves. Once diagnosed, Thomas may be removed surgically. In the rare case of a malignant tumor, chemotherapy may be used.it can occur in any organ where epithelial cells are present ... as we have limitation of words,try to visit the best oncologist near you.take carpal"}
{"_id": "000003376", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely. But better to rule out lung diseases because you are having cough and worsening chest pain. So get done chest x-ray. If this is normal then no need to worry about lung diseases. Do following things for better symptomatic relief. 1. Avoid movements causing pain. 2. Avoid heavyweight lifting and strenuous exercise.3. Apply warm water pad on affected areas.4. Take painkiller and muscle relaxant Chat Doctor. 5. Wear rib belt.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."}
{"_id": "000003377", "text": "Thanks for your question on Chat Doctor. I can understand your friends situation and problem. He is having chest pain on swallowing and lying down, and not improving with painkiller (ibuprofen) so possibility of HERD related pain is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Lying down position makes reflux easier. So better to keep 2-3 pillows under head in the bed to prevent reflux. Ask him to avoid painkiller Chat Doctor.  Start proton pump inhibitors (antacid).  Ask him to avoid stress and tension, avoid hot and spicy food, avoid large meals, instead take frequent small meals. Ask him to quit smoking and alcohol if he has these habits. He will mostly improve with all these. If not improving than consult gastroenterologist and get done upper GI (gastrointestinal) copy. Hope I have solved your query. Wishing good health to your friend. Thanks."}
{"_id": "000003378", "text": "Hi sir/madam, Thanks for your question on Chat Doctor. Ayurvedic medicines indicated in Low backache as per Ayurveda"}
{"_id": "000003379", "text": "Hello, Ive never read anywhere about acute renal failure caused by tokamak! It can cause Liguria sometimes which means a lower urine volume, which under certain circumstances may aggravate renal function and lead to acute renal failure (for example"}
{"_id": "000003380", "text": "Hello, Welcome to Chat Doctor, If you are having unprotected sex regularly for 1 year and your wife has not conceived then you & your have to get investigated for infertility[you cannot make a baby]. You can increase your chances of becoming pregnant each month by having sex at least every 3 days before and during ovulation. It is especially important to do so 72 hours before ovulation begins. Ovulation occurs about 2 weeks before the next menstrual cycle (period) starts. If your wife gets her period every 28 days, you should have sex at least every 3 days between the 10th and 18th day after the period starts. Take care. Regards."}
{"_id": "000003381", "text": "Hi, I read your query and can understand your concern about your uncle. You have mentioned that your uncle was diagnosed with manic episode, and it was only the first episode ever. It would have been helpful if you had mentioned his age and symptoms other than aggressiveness. Your uncle being on treatment and improving is a good sign and there is a very high chance that he will recover completely. However, his medications must be continued for months even after he is fully recovered. If it was a first episode illness, and there is no family history, It's very difficult to say whether this will happen again or not. Making sure that he continues the treatment will certainly decrease this probability. Hope I was able to help you. Best wishes."}
{"_id": "000003382", "text": "Thanks for your question on Chat Doctor. Normal chest x-ray is taken in PA (PosteroAnterior) view.  In this view apical part of lung is overlapped by clavicle and upper ribs (1st and 2nd). So any lesion in apical part can not be clearly visualized, thus proper reporting is not possible. So to overcome this problem, apicolordotic view is done. In this view, x-ray of chest is taken in such a way that apical areas are clearly visualized and so proper reporting of lesion can be possible. So get done apicolordotic view."}
{"_id": "000003383", "text": "Hi.based from your description alone, it could be a lipoma (fatty deposit), fibrous (fibrous tissue formation) or a cystic formation (sebaceous or gelatinous cyst). These are all benign lesions, but other lesion types must also be ruled-out. it's not an emergency case, but if the lesion is increasing in size, causes pain or discomfort, and is bothersome for you, a consult with your doctor, preferably a general surgeon, is best for clinical evaluation. Diagnostics (such as X-ray or ultrasound) and management (medical and/or surgical, excision biopsy of the lesion) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor."}
{"_id": "000003384", "text": "Hello.  I have been through your question and understand your concern. I think you should be concerned, because like clones which is a spinal cord compression sign, electrical sensation as well is a sign of nerve root compression.I suggest you an expert neurological consult and EMG nerve conduction study to see if there is a damaged nerve and further the appropriate treatment. Hope this helps. Please feel free using MHC again"}
{"_id": "000003385", "text": "Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you may be having upper respiratory infection of viral origin which has led to your symptoms. Most of the viral infections are self limiting, and it will subside by itself by 3-5 days. For your symptoms I would suggest you to follow1. Steam inhalation with Vapocaps2. Oral Least, once daily for 15 days3. Syp Ambrosia S4. Multi vitamin to boost up the immunity. Thank you."}
{"_id": "000003386", "text": "Hi. Thanks for the query. As per your complaint lack of appetite and brown yellow stools after intake of antibiotics can be due to probably Clostridium Difficile infection that can occur due to disturbance in the normal bacterial flora of intestines leading to Infection caused by Clostridium bacteria. You should consult a Gastroenterologist and get evaluated and a thorough clinical evaluation and investigation like blood test, occult stool test and Endoscopy can help in diagnosis and treatment can be done accordingly. In case of C. Diff you can be advised Metronidazole, fidoxamycin etc. along with plenty of Probiotics like Yogurt and taking ample of fluids and light diet. Hope this information helps. Thanks and regards. Chat Doctor."}
{"_id": "000003387", "text": "Hi and welcome to Chat Doctor! Thanks for your questions.  Vitamins and minerals in general are in green leafs, vegetables and fruits. However, in your case you have not mentioned what other problems such as diabetes or electrolyte abnormalities? Without going through your health records, suggesting any diet may be harmful. You need to consult your treating physician/nephrologist for diet prescription based on your blood reports. You can get back to us with your complete health report for appropriate diet advice. Take care"}
{"_id": "000003388", "text": "Thank you for posting query at Chat Doctor.Bag positive without further evaluation can not be advice treatment. Your friend also needs to check his liver enzymes (LFT), Head, and viral load (PCR test). Results of all these together with Bag will give a clear picture for treatment. It is possible that the virus remains in dormant phase throughout and causes no harm to liver. Only one fourth of patients infected with Herb virus develop liver cirrhosis. Therefore, one cannot be sure about your friend status. The viral load should be monitored, and he needs to repeat test every 6 month or at least once a year. Meanwhile, people close to your friend needs to be vaccinated and also test for Bag. Advice for friend"}
{"_id": "000003389", "text": "Hello! I read carefully your query and understand your concern. If this pain happens only once in a while it might due to constipation, if it happens near your menstruation time it might due to that, or it might be a muscular pain. You don't need to worry because if the pain was caused by a serious condition it would be there all time and would be accompanied by other symptoms. Usually Pancreatitis cause a severe pain in upper abdomen that irradiate in the back, nausea,vomits and a very sensitive abdomen when you touch it. So I don't think it is Pancreatitis. If the pain get worse, or lasts for some days, and you have other symptoms such as fever, vomits,diarrhea then I should consult a physician for diagnosis and treatment.Meanwhile, you can use Ibuprofen and Tuscan to relieve this pain. Hope my answer has helped. Take care. Chat Doctor."}
{"_id": "000003390", "text": "Good morning. Blackening of palms fingers and soles is a side effect of Melody therapy. It is known as hand foot syn Chat Doctor.  It is a commonly seen side effect and need not worry. As long as thee is no ulceration and peeling of skin it will not cause any harm and treatment need not be discontinued. You can apply some skin emollients and moisturizers to keep skin moist and thus preventing peeling of skin. Regards"}
{"_id": "000003391", "text": "Hello! Thank you for the question on Chat Doctor! I understand your concern. It is true that these symptoms can be caused when the patient is tired, and he can't concentrate. But I would try to exclude first other causes of these symptoms. Slurred speech can be caused by transient ischemic attacks or seizures. At his age he is at risk for these disorders. I would recommend a full blood work to rule out anemia or dyslipidemia, a neurological examination and an EEG for the seizure suspicion. A brain CT scan may be needed. Hope to have been helpful. Best wishes,"}
{"_id": "000003392", "text": "Rabies vaccine is made from killed virus. Therefore, exposure to the vaccine cannot cause rabies. What will be present in the dogs blood after the vaccine is given will be antibodies to the rabies virus. This prevents and does not cause rabies, so any exposure to the vaccinated dogs blood will not cause rabies. You also cannot get rabies from touching anything (such as a book) that has had vaccine on it. So nothing to worry about. Hope this helps."}
{"_id": "000003393", "text": "Welcome to Chat Doctor. 1. Abdominal pain with nausea can be seen I case of gall bladder pathology like inflammation or gall stones.2. The similar symptoms also seen in the gastroenteritis.3. I would recommend getting an ultrasound scan abdomen pelvis will help.4. Ultrasound will assess the gall bladder, bile ducts any obstruction, all solid organs, partially bowel pathologies.5.Meanwhile take symptomatic treatment and get an appointment and investigated and treated accordingly. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http"}
{"_id": "000003394", "text": "Hello, What I understand by the history it there is inflammation in the trapezius muscle as which is common due to work-related. Also, if the pain is in the form of tingling, numbness, radiating then needs to check ours for any nerve-related entrapment. Besides, a cervical rib is one of the causes which may lead to additional symptoms. Why don't you make some time to visit an orthopedist and get examined. As the symptoms are troubling you a physical examination will help reveal in-depth the medical diagnosis and with some x-ray or MRI as the diagnostic procedure should help see within the underlying skin and muscle to see what extent the injury is. Based on the medical physical examination and diagnosis the treatment will be guided. Hope I have answered your query. Let me know if I can assist you further.  Jay In Chat Doctor."}
{"_id": "000003395", "text": "Hi, Redness of foreskin indicates an inflammation either due to some infection (STD or non-STD) or due to some irritation to soaps or some external applications. Yeast infection is a common one to produce such inflammation, and we can confirm this with examination and simple investigations and treat with appropriate antifungal preparations. Scrotal pain may be due to Epididymitis. The cause of this also may have to be investigated with blood and urine tests. Sore back and Itchy feet seems not related to your sex relationship.  Chat Doctor. Morgan"}
{"_id": "000003396", "text": "Hi, in malignancy it is better to avoid prediction of survival in definite way. Pancreatic cancer extended to liver has bad prognosis. Chemo is the only option left. No scope of radiotherapy. If chemo can not be tolerated, it is better to stop it, because performance status is important to make a decision on chemo. Nutritional assessment and adequate nutritional supplement will be the best option. Again some patients lived for years also. So do not lose hope."}
{"_id": "000003397", "text": "Hi...by what you quote it could be HSP - Enoch Scholar Purpura. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000003398", "text": "Thanks for your question on Chat Doctor. In my opinion you are having HERD (Castro Esophageal Reflux Disease)In this upper GIs copy is normal, but the tone of gastroesophageal sphincter is reduced.  So the sphincter becomes lax And cause reflux of acid. And this acid causes symptoms. So try to follow these steps for better symptomatic relief from GERALD.1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed."}
{"_id": "000003399", "text": "Hi ! I had gone through your question and I understand your concern. Yes using to often for a long time Gatorade may cause high liver enzymes. This supplement may cause hipervitaminosis A that cause these symptoms;cause, Chat Doctor. . I would suggest to measure vitamin A level to confirm the diagnosis. The treatment is just stopped the supplement (Gatorade) . And after 2 month check again liver enzymes. Wish your daughter good health ! If you have any additional question feel free to ask me."}
{"_id": "000003400", "text": "Hi. Thanks for asking in Chat Doctor. You have not mentioned if you have vomited out the sugar pill or the hormonal pill. Efficacy of the OCP depends upon the UN interrupted intake of hormonal pills. No harm can occur if you have vomited the sugar pill but if it was a hormonal pill, then surely the contraceptive protection would be reduced. You need not fear about pregnancy as you have used plan B after the intercourse. But your next menstrual cycle can be delayed because plan B also contains progesterone and a high blood level of progesterone can delay periods. This delay, again can create confusion and doubt about pregnancy. So if your period is delayed, do pregnancy test and rule out pregnancy as that will relieve your anxiety. I hope this is useful to you."}
{"_id": "000003401", "text": "Hello, I have studied your case and I think that there can be many reasons of such pain. Like lack of vitamins, fatigue but I do not think it is related to factor V. So I would suggest you to visit an orthopedic surgeon and get your vitamin B 12 and vitamin D examination. If there is lack of this vitamin it can cause such symptoms. Also, some time there can be lack of carnation in muscles. So for that you need to take Acyl carnation. Factor V deficiency make you susceptible to clots. Avoid OCP as they can also promote clots."}
{"_id": "000003402", "text": "Hello, Viral meningitis may indeed present this way, although you can never be certain about the diagnosis without a lumbar puncture. The apparent lack of fever after the first 24 hours despite the continuation of the body aches and the rest of the symptoms does not rule out meningitis because fever may be lacking altogether in up to 5% of cases and also because the painkillers may have masked the fever - you might have had fever, but the painkillers eliminated it. Migraine is possible as well particularly if you have a history of migraines, and you recognize the pattern of the pain. Stiff neck is not expected in migraine through, but a stiff neck can only be evaluated by a doctor. So in conclusion, meningitis is possible with the symptoms you have. Therefore, a visit to the ER is appropriate.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003403", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, your left sided chest complaints can be due to heart diseases. Soreness of heart area with heaviness of left arm are common symptoms of cardiac diseases. So better to get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. If all these are normal then no need to worry about heart diseases. Gallstones usually give right sided complaints. So better to first rule out heart diseases in your case. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003404", "text": "Hi, In most cases this is caused by small biliary stones or pancreatic stones, and he should do ERCP or MRI biography to rule this out. Other causes are alcohol, metabolic disorders or tumors of biliary duct. These are serious issues if so many attacks occurred, and it should be evaluated so that treatment can be started as soon as possible. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards,"}
{"_id": "000003405", "text": "Hi, Symmetrical circular skin lesions could be ringworm or atomic dermatitis, or it could be a form of fungal infection. But skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000003406", "text": "Hello dear, I understand your concern. In my opinion the scanty menstruation could be due to hormonal abnormalities due to thyroid abnormalities, overweight or obesity. Kindly consult a gynecologist and rule out the above said causes by doing thyroid profile. Weight reduction in case of overweight or obesity is important.Don't worry. Avoid anxiety and stress regarding pregnancy as they delay fertility further by causing hormonal imbalance. Also get your partners' semen analysis done. If everything is normal there are definitely scope for pregnancy. Best regards..."}
{"_id": "000003407", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, chest pain and fever are connected. In child common causes for fever and chest pain are pneumonia and bronchitis. So better to first get done chest x-ray to rule out pneumonia. If chest x-ray is normal then get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis. She might need antibiotic, inhaled bronchodilators and inhaled corticosteroid (ICS) on the basis of reports. Don't worry, she will be alright. First rule of bronchitis and pneumonia. Hope I have solved your query. I will be happy to help you further. Wishing good health to your child. Thanks."}
{"_id": "000003408", "text": "Thanks for asking gone through your question, your 14-month-old child having problem of constipation. If I was your treating pediatrician then first I would evacuate the loaded abdomen by giving spy lactulose 2ml per kg per day. And after motion passed I would keep the dose of lactulose 1 ml per kg per day. So that your child pass one soft motion daily, for that I would titrate dose of lactulose. The above treatment is one part of treatment, other is giving fiber diet. Fiber content is good of whole grain, cereals, Give your child just 250 ml of mild daily, rest diet should be of cereals . Cereals form bulk of stool and frequent motions, Treatment may be continued for 2-6 months. Taper the dose of lactulose according the effect. I also give spy multivitamin and iron spy 1\\u00a0mg per kg per day to improve appetite.  Hope i able to give answer to your query"}
{"_id": "000003409", "text": "Hello, I have studied your case. Nor co and percent are from same family of opioid medication. So they have same tendency of dependence. As you have taken Nor co for 3 years he wants to reduce dependence by shifting to percent. You can take neurotrophic like methylcobalamine with pregabalin for disc pain. MRI spine and EMG will help to decide necessity of surgery. 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"}
{"_id": "000003410", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Since you had valvular heart disease in the past, we must rule out heart related diseases like heart failure or coronary artery disease (CAD) for your current symptoms. Because heart failure and CAD are common after valvular heart disease and cause similar symptoms like breathlessness on exertion and chest pain. So get done ECG, 2d echo and stress test (trade mill test) first. You may need diuretics and other cardiac supportive Chat Doctor.  Don't worry, you will be alright with appropriate treatment. Consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003411", "text": "Hello, thanks for using Chat Doctor. I had gone through all the data posted. By water bubbles in lungs doctor meant to say there is fluid in lungs suggestive of pulmonary edema. It suggests that patient is still in critical condition. As patient had suffered massive heart attack its pumping capacity goes down and blood gets congested in lungs which causes water content to move from blood vessels into lungs causes respiratory distress for which Ventilator is necessary. So your patients condition is still critical. Hopet his helps."}
{"_id": "000003412", "text": "Dear user first I feel your worry about that problem and I know you are confused now and want to find solution, but there are items you should know.........allergy to antibiotics doe snot be diagnosed and confirmed from your history of taking it and rash appearance as there is always misdiagnosis of allergy to antibiotics...if you had taken antibiotic in the past and develop rash it denote mean you are allergy it may be because of infection or other causes..............so you should be confirmed to have allergy or not through tests........skin test is very helpful for that we inject intradermal dose of antibiotic detected, and we repeat the test for that ...........you did not mention in your words that you had skin test for these Chat Doctor. .......if you think that you had symptoms or confirmed diagnosis of allergy in the past it doe snot mean you are allergic now............allergic reaction to"}
{"_id": "000003413", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of hypertension and heart disease is more. Left sided chest pain, dizziness, blurring of vision etc. are seen in hypertension and cardiac diseases. So better to consult doctor and get done 1. Blood pressure monitoring 2.  ECG 3. 2d echo. All these are needed to rule out cardiac cause. If these are normal then acute gastritis can cause similar symptoms. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Start proton pump inhibitors. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000003414", "text": "Hello. Psoriasis is a possible diagnose to consider. There are different types of psoriasis, one of them is inverse psoriasis. Inverse psoriasis, the lesions occurs in large folds"}
{"_id": "000003415", "text": "Hi, Thanks for posting in Chat Doctor. I have read your description and understand your concern. What problems you are encountering with itching sensation in the vaginal region could be an inflammation of the skin. Kindly do the following to overcome it. 1. Wash the area with mild antiseptic solution like Salon twice daily. 2. Take Tablet. Levocetirizine once a day to control itching. 3. Apply Aureomycin with HY Chat Doctor."}
{"_id": "000003416", "text": "Hello -The right side of the brain could cause symptoms on the left side of the body. So, tingling on the entire left side of your body that is new is a bit concerning, and I would discuss this with your doctor ASAP. While it may not be related to your old stroke, it could be a symptom of a possible new one. Migraines are probably not related to your stroke.  A migraine could rarely cause the symptoms of tingling as well."}
{"_id": "000003417", "text": "DearWelcome to ChatDoctorWe understand your concerns went through your details. I assure you everything is fine. You know blood travels through veins and arteries. You will be able to feel pulses wherever thick arteries are available. Head, neck, shoulders, arm, wrist, thigh, stomach sides, knee, calf, feet etc. are areas where which arteries are present. You could feel the pulsation at all these places. If you obsess with these pulsations, you will become anxious and your heart beat increases due to the anxiety. Please donor misinterpret it. Your doctor told nothing is wrong with you. Accept it and be happy. Take care.  If you still need my assistance in this regard, please use this link. http"}
{"_id": "000003418", "text": "Hi Dear Welcome to the Chat Doctor, Every medicine has got some or the other side effects. Side effects should be weighed with the beneficial effects of the Chat Doctor.  Then they should be used accordingly. Rubired is an iron product, necessary for the blood production, Gemcal is calcium suspension. Helps in bone maturation. Cypon is an appetite stimulant not much recommended as it causes some sedation to the baby. Hope the query is answered. Thanks"}
{"_id": "000003419", "text": "Hi and welcome to Chat Doctor .... Spiramycin has activity against Chlamydia trachomas, Toxoplasma Gandhi..... Toxoplasmosis (treatment)Tobramycin is used as an alternative agent in the treatment of toxoplasmosis during pregnancy. {10} Pyrimethamine and sulfadiazine combination is considered to be more effective than tobramycin.however its side effects are little as compared to the other regimen.....yes you have optimum chances of pregnancy after clearance of infection..."}
{"_id": "000003420", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. Attitude can be changed with experiences. They automatically change when you suffer from the previous experiences. Now you are suffering, worrying, therefore the attitude is supposed to change. You are worried and pitying self. You are dissatisfied with your life. That is why you are thinking about suicide. Dissatisfied minds always are like that. This lasts very short period. Then you shall realize such worries are of no use. Then attitude changes. Attitude changes according to main three factors. 1. Environment. 2 Education and 3. Experience. Other that these, If you sincerely want to change your attitudes, it changes. Find a personality development trainer. 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."}
{"_id": "000003421", "text": "Hi, as you mentioned with your difficulty in breathing with is increasing as days are passing. So let us understand first the mechanism of breathing. Respiratory system is the only source of providing oxygen to the body as, oxygen is the fuel need for the human life to survive. Also, due to smoking the respiratory system has become weak and there is no such medicine to make it strong or recover again. What can heal with medicine is the symptomatic help for removal of secretions or infection. Since you been smoking also, an added disadvantage has occurred to the respiratory system by weakening the alveoli. Alveoli is the place where the exchange of gases between the respiratory system and blood takes place. In short, it's the place to purify the blood. Also, as you are 64, your muscles of the respiratory system has also got weaker. What need to provide the best help to the respiratory system is to improve the capacity of the lungs which will help you avoid breathless and also improve the quality of blood in the body. I will advise you to do regular breathing exercises which will help improve the strength in the respiratory muscles and the lung tissues. Also doing meditation will help control the brain activity as brain regulates the involuntary control of the respiration. For making the ease of the respiratory system it is advised to perform regular breathing exercise to keep the functionality of the lung to the optimumregardsJay In Chat Doctor."}
{"_id": "000003422", "text": "Greetings. Welcome to Chat Doctor, and thank you for your question. I understand your concern. Lisinopril is a safe and effective Chat Doctor.  Normal blood pressure standardized worldwide is"}
{"_id": "000003423", "text": "Hello and welcome to ChatDoctorSince you do have a thyroid problem, this could be the main cause of hair fall. Do continue the treatment as advised. You may most probably have to continue this life long to keep the levels in normal range. This will also help your skin and hair. Other causes to consider are age, genetic, any lifestyle or residence change, stress, any history of recent illness like typhoid, any chemical procedures, etc. You can start on supplements daily like Collinear. This needs to be continued at least for 2-3 months along with proper thyroid medication. Apply Recite hair oil to the scalp at night. Do consult a dermatologist as well, to assess your type of hair loss and to assess the results. They may also suggest some routine blood tests if required. Once your hormonal levels are normal you will notice improvement in hair growth as well, but it will take time. If medical methods do not work at all for you, certain new surgical procedures can be considered such as PRP.hair transplant etc., as will be advised by your consulting doctor after observation, if and when required. Hope this helps."}
{"_id": "000003424", "text": "Hallow Dear, I feel you should get certain medical knowledge which will clarify many of your doubts and also get some important messages. Firstly, she should not have instituted termination of pregnancy by abortion pills without Gynecologists advice. These medicines are prescription medicines and should be taken with appropriate prescription and advice; lest the risk of many complications. Now regarding her ?fresh pregnancy"}
{"_id": "000003425", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain, chest tightness, pressure, belching, burping etc. Along with Chat Doctor.  1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals.4. Quit smoking and alcohol if you have these habits. 5. Keep 2 - 3 pillows under head in the bed to prevent reflux. 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."}
{"_id": "000003426", "text": "This entire problem can be cured permanently without any operation, and it is true. For more details please mail me on \\\"bharat80_shah@yahoo.com\\\" so that I will give you details of certified Nutritionist (doctor) who will give you solution after checking your all reports. I am engineer and working in pharmaceutical company as Manager. My intention behind this write-up is to give me self-satisfaction by providing and helping people to get permanent cure from such lifestyle diseases."}
{"_id": "000003427", "text": "Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, you probably over strained your muscle, you need to 1 Put warm compresses at the site of pain2 avoid positions that cause it3 Take Paracetamol SOS and apply diclofenac cream at the site of pain hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks."}
{"_id": "000003428", "text": "Hi, I have read your query & understand your concern.  Your girlfriend is taking contraceptive pills Holstein 24 Fe regularly, at the time of sex you had taken precaution in form of with Chat Doctor. . All This thins suggest sufficient of protection & there seems to be no chance of conception.  You are concerned as she did not start her menses while on placebo pills. This can be due to psychological stress leading to hormonal disturbance. / with"}
{"_id": "000003429", "text": "Hello, AKT - 4 kit is meant for treating tuberculosis, but you should wait for its effects. As tuberculosis is a chronic disease, he relieve takes time and most of the patients have to take it for one year or even more. Please remember to take this kit regularly as your doctor has advised you. You can not afford to miss even a day. Please be assured that if tuberculosis has been diagnosed then it is certain that you will get appreciable relief. Please take plenty of water and proper food. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000003430", "text": "Hi. Thanks for your query and an elucidated history. . Sexual intercourse a couple of days ago can not cause pregnancy related symptoms like you have - bottom of your belly keep hurting now and then. This must be either dye to scar or most probably due to Cystitis as a part of urinary tract infection - UTI or PID-Pelvic Inflammatory Disease. I would advise you to take an opinion and examination as well as tests of urine and blood and ultrasonography of the abdomen. This will help to get a proper diagnosis and treatment"}
{"_id": "000003431", "text": "Thanks for your question on Chat Doctor. In my opinion you should first get done ECG to rule out cardiac cause for your chest pain because smoking can cause cardiac damage. If ECG is normal than no need to worry much for cardiac cause. Chest pain and shortness of breath in smoker can be seen in pulmonary causes like bronchitis. So consult pulmonologist and get done chest x-ray and PFT (pulmonary function test) to rule out bronchitis. For the treatment, smoking cessation is the primary thing. You have to quit smoking as soon as possible. You may also require inhaled bronchodilators. So consult pulmonologist and discuss all these."}
{"_id": "000003432", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It is likely to be infection. After colonoscopy only infection can give you a pain. I also suggest you to take a injectable antibiotic and then visit to the hospital immediately. You can take tramadol tablet under your doctors' guidance for pain. But thereafter hospitals visit is necessary. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."}
{"_id": "000003433", "text": "Dear patient you seem to have lumbar canal stenosis may be due to disc prolapse. Diagnosis needs to be confirmed by MRI of the lumbosacral spine with screening of whole spine. It is very sensitive and specific for diagnosis of spine pathology. Please get it done from radiology center nearby you. Meanwhile, start tab regain x 75 mg one at bedtime along with tab attract twice a day. If MRI report is abnormal you need to consult spine surgeon with report."}
{"_id": "000003434", "text": "Hello and welcome to ChatDoctorIt sounds like you have developed an allergy. Was there any history of taking any new medication, or applying anything prior to the rash? Any history of long sun exposure? Any food or Chat Doctor.  You can start applying Clobetasol cream lightly twice a day foe 7-10 days and observe. Also take antihistamine like Exocet 5\\u00a0mg for the itching. Check for spread of the rash or new ones appearing. If there is no improvement do consult a dermatologist and consider infection as well. A biopsy of the leathery area maybe one if needed as advised. Hope this helps. While on treatment, avoid any items which you are generally allergic to and do not scratch the area. Use a mild soap."}
{"_id": "000003435", "text": "Hello, Thanks for posting your query. Strictly use Higher (Diclofenac) as you have been prescribed by your physician. Never self-medicate or adjust your dosage yourself. A typical dosage is twice a day, once in the morning and again later in the evening. Always medicate after a meal and wash down with a full glass of water. For best results, try to always dose at the same time(s) each day. If any side effect persist or worsen, contact your physician. Possible side effects may include"}
{"_id": "000003436", "text": "Hi, Thank you for posting your query. Your symptoms require investigations to confirm the diagnosis. Regarding a valve leak, you would need to see a cardiologist and undergo an echocardiogram to confirm the diagnosis. In addition, you should also see a neurologist, and undergo an EEG and MRI brain to confirm or exclude a seizure or any other internal brain problem. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/"}
{"_id": "000003437", "text": "Hello, I can understand your concern. Adenoids are lymphoid tissues in child Chat Doctor.  Usually, this lymphoid tissue is reduced in size and disappears on its own as the child ages. However, sometimes that is not the case the tissue persists which causes breathing difficulty, speaking difficulty, snoring, abnormal development of teeth, mouth breathing, frequent ear infections etc. Unfortunately, medicines cannot cure it and the only permanent solution to all the above-mentioned problems is surgical removal of this lymphoid tissue which has not disappeared on its own. It is a very common surgery performed in child"}
{"_id": "000003438", "text": "Hello, I had gone through the case and found that if there is angioplasty has done then might be pain present due to insertion of femoral vein, but this is very rare. There might be other cause like-Slip discMuscle spasmSciatica nerve pain. For slip disc diagnosis go for vertebral X-ray.Meanwhile, take painkiller and muscle relaxant gel for local application. Take rest. Hope my answer will be effective for you. Thanks"}
{"_id": "000003439", "text": "Hello Welcome to Chat Doctor. Your BP of 116/59 is optimal and should not cause you these symptoms. Medications in the group of Systolic also have an additional beneficial effect of lowering the heart rate. But in some percentage of population, the heart rate becomes too low with these medications. Hence, I advise you to check tour heart rate and do an ECG. If the heart rate BOH manually and on ECG are lower than 55 systolic should be stopped and substituted for another medication. If heart rate is greater than 55 per minute then you must record your BP regularly to see if it Chat Doctor.  If BP remains low then systolic can be speed. Wishing you good health. Regards"}
{"_id": "000003440", "text": "Hi Food particles or saliva is aspirated into the lungs while tube feeding. This will be unnoticed but can cause serious pneumonia. Your Grandpa who is coughing now May have aspiration pneumonia. Get a Chest Day and rule out pneumonia.  You can prevent aspiration pneumonia. Make him sit upright during feeding and for 1 hour after feeding is stopped. If it is difficult to sit, keep the head of the bed elevated at least 30 degrees."}
{"_id": "000003441", "text": "Hello, I think you these are related to your shoe or footwear and the medium u walk. Correction of gait and also having flexible footwear should solve your problem. Your endurance levels look good by history only thing is troubling which I see is the footwear. Try walking barefoot and see if the pain comes. If pain doesn't come then your footwear has issues. And if it comes then the foot muscles need some exercises. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000003442", "text": "Hi, Thanks for writing in. Yes, this does sound like an allergy. It is often difficult to identify what you are allergic to apart from things like seafood which cause allergies in a lot of people. The white marks could be healing skin (since you said you had a pretty bad reaction last month). I would suggest you have Tablet Cetirizine 10 mg once a day for 2-3 days, and you should be fine. Hope this helpsRegards"}
{"_id": "000003443", "text": "Hi, I had gone through your question and understand your concerns. There are a number o patients with epilepsy resistant from anti-epileptic Chat Doctor.  Certain focal epileptics with localization on temporal lobes of the brain are subject of treatment by surgery, (Functional Neurosurgery). The patients that may have benefit from this type of surgery are selected carefully from Neurologists and Functional Neurosurgeon, so I suggest you to visit a center whose specialty is in Functional Neurosurgery. 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."}
{"_id": "000003444", "text": "HI, I understand your question & concern.  At 37 weeks, baby starts depending down in pelvic cavity. That is why mild contractions of uterus & a bit more jelly like vaginal discharge are common at this stage of pregnancy. Delivery is occasionally possible so early. Better to rule it out with internal check up by your obstetrician.  Diarrhea with jelly like substance in stools suggests infection. Also, mild abdominal pain throughout day might come from bowel infection. Please consult your doctor & get proper medication for diarrhea.  Take plenty of water with sugar/ pinch of salt in it Or ORT powder in water/take rest.  Thanks."}
{"_id": "000003445", "text": "Hello, I have gone through your query and understood the concern. It is very unfortunate that your pregnancy terminated with an ectopic. The risk of another ectopic pregnancy increases 20 times with a history of one ectopic. In other words, 1 out of 10 women can have a recurrence. If there are two or more ectopic pregnancies in the past, this risk becomes 50 %. However, normal pregnancies can happen in about 60 percent. Thus, I would suggest going for another pregnancy after sufficient gap and monitoring the pregnancy very carefully right from the early days. Serial serum beta-ChatDoctor titles are recommended and if there is an abnormal increase, an ectopic can be suspected. This, combined with serial sonograms can help in the diagnosis in addition to the detection of the early symptoms as you are already experienced. Hope this helps."}
{"_id": "000003446", "text": "HelloIncreased ALT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, fatty liver, altered lipid profile,autoimmune causes etc. You may need few more investigations like routine hologram, random blood sugar, lipid profile, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily to my patient for three months. It helps in regeneration of liver cells. It is good that you are not taking alcohol. Get well soon. Take Care Chat Doctor."}
{"_id": "000003447", "text": "Degree understand your concerns went through your details. Please understand masturbation is normal, natural and never unhealthy. Masturbation cannot lead to impotency or any other sexual problems. Your masturbation habit cannot adversely affect your child bearing ability. Therefore, don't worry about that aspect. But I suggest you to reduce the masturbation frequency to three or four times a week because masturbation is energy consuming. If you masturbate at the present rate, your energy will be very low, you will not be able to do other day-to-day duties like studying, exercise etc. As a result you will be anxious, as you are feeling now. If you reduce your masturbation to three or four times a wee, it will never affect your sexual life. It cannot cause any dermatological problems. It cannot cause any health issues except anxiety. No other side effects. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000003448", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having post infectious bronchitis or lung infection. Both of them are common after upper respiratory tract infection (sinusitis) and cause similar symptoms. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray to rule out lung infection. 3. PUT (pulmonary function test) for the diagnosis of bronchitis. You may need higher antibiotic (if it is lung infection) or inhaled bronchodilator and inhaled corticosteroids (if it is bronchitis). Don't worry, you will be alright. But first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003449", "text": "Degree understand your concerns. You are diagnosed with anxiety disorder and you're slipping into depressive disorder now. Be very careful and informed. Time and again it has been proven that medication alone cannot cure depression and anxiety. You need yoga, meditation and psychotherapy. Yoga and meditation helps in streamlining body metabolism and thinking process. Psychotherapy help you streamline lifestyle. Consult a psychologist and yoga therapist for further advice. Wish you speedy recovery."}
{"_id": "000003450", "text": "Hello, Prediabetes can be treated with lifestyle modification such as"}
{"_id": "000003451", "text": "Laryngoscopy is a procedure done by specialist till your neck level or upper respiratory level to view the larynx and surrounding area for problems like voice change, hoarseness of voice, dyspnea, irritation cough etc. It can not affect back spine practically. There is possibility that his spine was extremely weak due to osteoporosis and due to some improper posture while doing the procedure spine came under pressure, and he started having the problem. Burning sensation and pain in back shows damage to either soft tissue near the spine or damage to spinal nerve or disc at that level. However the conformation can be done by MRI of affected spinal level. Based in result here you have to take opinion from spinal surgeon or orthopedic doctor on further treatment planning. Boost the patient with calcium and vitamin D as directed by doctor. In severely damage spine here doctor may ask for surgical correction also. In that case you can also take secondary opinion and go ahead with needed treatment. After this consult a physiotherapist for rehabilitation part and also take suggestion in posture as well spinal exercises which will help the patient further to improve strength and stamina of spine. You can also use hot pack at home for some more relief and soothing effect on soft tissues. Take care."}
{"_id": "000003452", "text": "Hello. I have been through your question and understand your concern. Meningiomas of the orbit are benign conditions, but carry the risk of compressing the optic nerve causing decreasing the visual acuity, like in your case. If such eventuality is progressing, then there is a clear indication of surgery to remove the meningioma. Maybe the vision in your right eye will not return completely normal, but for sure it will not get worse, which seems a concrete possibility if left untreated. I definitely recommend the surgery at this point. Hope this helps, please feel free using MHC for further questions"}
{"_id": "000003453", "text": "Hi, Thanks for writing to Chat Doctor. You should consult the same counselor again for this problem if possible. This might be due to of his compulsive phenomena.CBT with pharmacotherapy will really be quite helpful for him and as well as for your healthy relation. You did not have mention whether he was prescribed any medications, is he taking it or not and what kind of sessions took by that counselor. In OCD, initially pharmacotherapy is very helpful and for maintenance, cognitive and behavior therapy has an excellent result. Hope I have answered your query,"}
{"_id": "000003454", "text": "Hi Welcome to Chat Doctor . I have gone through your query and can understand your concern. Decreased body temperature is common after sweating & this might be symptom of excessive sweating & doesn't denote any problem. Tooth decay doesn't cause decreased body temperature and sweating. You should visit a dentist for treatment of dental decay, if you have them to prevent any dental complications.  Decreased body temperature and sweating is commonly due to systemic conditions like low blood sugar, excessive sweating, low blood pressure, etc. so you should visit physician, if problem persists & blood tests may be required for diagnosis. In meantime, you could take acetaminophen & Chat Doctor. Don't worry you would be finessing your query is solved."}
{"_id": "000003455", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, don't worry painful bump can be due to sinus opening present due to Periodontal problem or Periapical Abscess due to carious tooth.  You should consult dentist and go for investigations IOPAxray and go for treatment, periodontal problem Go for Scaling and root planning.  If periapical access go for Root canal treatment if needed. Hope this will help you."}
{"_id": "000003456", "text": "Hello, That bump on your knee cup is suprapatellar bursitis, a collection of fluid in the bursa due to overuse or inflammation or friction kneeling down often, praying or profession position. I think you should go to the doctor to aspirate it with needle and put an elastic bandage. If you don't aspirate, there is a chance of infection. Wish you quick improvement. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003457", "text": "I think you need to have a good diagnosis.  Trembling fingers/hand when attempting to write or use writing implement is more likely ESSENTIAL or ACTION TREMOR not Writers Cramp.  However, a neurological examination can tease these things out if you see someone.  Treatments are vastly different depending upon the diagnosis.  If you'd like to discuss this in more depth please write to me at"}
{"_id": "000003458", "text": "Hello, Welcome to Chat Doctor. Your problem less likely due to only hormonal imbalance. At this age hormonal imbalance cause increase stress in life. Which can precipitate psychiatric illness like in your case. In BPD patient frequently have mood swing and depressive symptoms. BPD is treated by mood stabilizers, antidepressants and antipsychotic medicines. Hope you are already on treatment. Same time you need to wait for treatment response, as medicine take 3-4 weeks to show improvement. Wish you good health and all the best.http"}
{"_id": "000003459", "text": "Hello. Thanks for writing to us. The pain on the right side is likely to be due to musculoskeletal origin. It could be due to an injury to the area or a muscle spasm in the area. He needs rest, hot fomentation, painkillers and muscle relaxants for relief. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http"}
{"_id": "000003460", "text": "Hi. Thanks for your query and proper history. To think of the commonest causes first, the cause of the pain in the stomach near your belly button can be intestinal infection. As you have a history of small cell lung cancer 3 years ago, the secondaries from this cancer can be present in the lymph nodes of the mesentery and can cause similar pain. This can be confirmed by ultrasonography, tests of the blood, urine and stool and a physical examination by a Surgeon, the treatment will depend upon the findings. Till then complete a 5-day course of an antibiotic with metronidazole, probiotic and activated charcoal with anti-spasmodic tablets wherever necessary."}
{"_id": "000003461", "text": "His suppose you are from India and this is ghar I Khan. I think whatever she is doing is due to insecurity deep down. It is good that you love to stay in your inlays home. If one of you keep some patience and try to look AR others view point, before jumping to any conclusion, things are likely to improve. Try to observe 2-3 things, don't say anything which can hurt others, never raise your voice, maintain eye contact, remember to praise where appropriate, even if it is a minor issue, TAKE CARE & HOPE FOR A GOOD SAS BAKU RELATIONSHIP Chat Doctor."}
{"_id": "000003462", "text": "Hi Mam, Welcome to Chat Doctor, I understand your query and concern. Excess weight gain in your case can be treated with strict diet and good physical trainer. I advise you to avoid fat foods and fried foods. Eat oats, fruits,vegetable salads regularly for dinner. Regular exercise for 30 min under supervision of physical trainers is helpful. Anti obesity Chat Doctor. I advise you to get an ECG,2 D Echo to confirm the diagnosis. Consult your cardiologist for expert management. Post your further queries if any, Thank you."}
{"_id": "000003463", "text": "Hello, Thank you for writing to us, As you had described I could found that you may have some injuries or something like jerk or anything. But as you are not described that from when this problem you are facing. So that first is to take rest. Because it allows injured tissue and even nerve roots to begin to heal, which in turn will help relieve lower back pain. However, more than a few days of rest can lead to a weakening of the muscles. So, if by resting it not happens than you should have to concern doctor. Suggestion -Take rest if not solved, Concern good physician with your query they will help you after check up physically. Hope you will found details helpful. Thanks &"}
{"_id": "000003464", "text": "Hello and welcome, Scanty menses indicate that most likely the endometrium was affected. Unfortunately the chances of pregnancy for endometrial tuberculosis are very low. Only 5 - 10% conceive. I understand that you are trying for a baby, but it is best that you do know the chances of a successful outcome. As of now, I suggest that first a tubal patency test must be done to check if the tubes are open as TB damages the tubes. If they are open then estrogen patches can be used to help the endometrium to grow. If repeated closed is used then it also further thins the endometrium, so closed is not recommended for more than 6 cycles. I prefer to combine it with an GUI procedure if tubes are open. For the long term if these measures fail then surrogacy using your own ovum is an option as you can have your own child with it. Hope this was helpful. Thanks for the query. Feel free to ask more. ChatDoctor Badge"}
{"_id": "000003465", "text": "HiT hanks for your query at Chat Doctor. I understand your concern and situation. I would like to tell you not to worry. You must visit a physician and get any discharge or skin scrapping testing done for gram staining, microscopy for fungal elements and culture sensitivity for aerobic and anaerobic bacteria. Take treatment based on antibiotics' sensitivity results. It seems to be Chat Doctor.  Get treatment done and problem will resolve."}
{"_id": "000003466", "text": "Hello, Unfortunately, there is not too much to be done in this clinical situation. Stenting can be tried in case there is no presence of myocardial infarction, but now the damage seems to be done.  Anyway, I would like to directly review her test reports, in order to be able to give a more professional opinion.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000003467", "text": "Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As the x-ray and video x-ray is performed which shows some sort of anatomical changes in the bone position looking for the further management will be possible. Kindly meet up a physical therapy, as with videotaping there ankle joint can be made stabilize. Using an android is also the another option. Performing guided physical therapy exercises for strengthening the muscles around the joint should help regain the mobility of the ankle joint. As it is a weight-bearing joint it needs a proper strength and stability. Recovery can be slower than expected as she is 60 Years old. In my clinical practice most geriatric cases respond well to physical therapy. RegardsJay In Chat Doctor."}
{"_id": "000003468", "text": "Hi, Trigestril is similar to the pill trefoil in action and the usage. The pill should be started on the first day of the census. The first tablet that should be taken should be from the first red tablet area. The tablets should be taken at roughly the same time daily and should be taken within 24 hours of the previous tablet. After the first tablet, you should continue taking the tablets in the order given by the arrows on the pills cover.http"}
{"_id": "000003469", "text": "Hi dear, I have gone through your question and understand your concerns. The symptoms you are having are suggestive of pregnancy. Sometimes the ovulation is delayed and hence the conception is delayed. In this scenario, the urine pregnancy test comes positive a bit delayed. I will suggest you to get a repeat urine pregnancy test after one week to confirm the diagnosis. Hope you found the answer helpful. Wishing you good health. Chat Doctor."}
{"_id": "000003470", "text": "Hi, Thanks for writing in. Kidney transplant is a common surgery now, and it is done in most cities. The transplanted kidney should be from a matching donor and this is a voluntary donation in India. Buying or selling kidneys is illegal. The coast of the transplant is for surgery and recovery. This is around 3 to 5 lakhs Indian rupees. It can be higher if there is any problem. Please know that even after kidney transplant the person should be on long time medicines which will cost few thousands of rupees every month. The native kidneys are not disturbed during kidney transplant. The new kidney is put in the pelvis. Effectiveness of kidney transplant is based on many factors including primary cause of kidney failure, age of the patient, immunity and host graft rejection and the surgery. Many kidney transplants are successful on patients getting dialysis. Usually kidney transplant is done before 60 years of age. If patient is healthy then it can be done at 61 years of age after getting clearance from ethical board. Please do not worry."}
{"_id": "000003471", "text": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). It may be acid peptic disease or recurrence of pancreatitis. So I will advise you to visit a Gastroenterologist who will evaluate you and treat accordingly. Meanwhile, for pain you may take a proton pump inhibitor and an analgesic containing tramadol and acetaminophen. I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon."}
{"_id": "000003472", "text": "If your son has had lichen plans for a year, it's better to do a biopsy and confirm it because it can be diagnosed specifically by biopsy of the lesion, a simple procedure. Once the diagnosis is confirmed, It's simple to manage with antihistamines to stop the itchiness and if large lesions derogate will surely help .as long as it is limited to skin and not involved oral mucosa, flagyl is not needed."}
{"_id": "000003473", "text": "Hello, thanks for using Chat Doctor. I had gone through all the data you have posted. As you father was a cardiac patient and h/o pulmonary edema (water in lungs) he might be on ACE inhibitor (Angiotensin converts enzyme) which can cause persistent Chat Doctor.  Allergic cough starting at 64 yrs and persisting for 1 month is rare. We need more details like CBP report or chest x-ray if it was done. Take tab. Montelukast +fexofenidine 1-0-0 for 3 days and spy. Corex 2 tsp two times a day. If cough persists, discuss with your doctor and try to change ACE inhibitor to ARB. Hope this helps."}
{"_id": "000003474", "text": "I read your question carefully, and I understand your concern regarding side effects. It would have been useful if you had mentioned also the tablet dosage, there are different Sine met tablets with different concentration of its components, so hard to judge how high a dose is what you have been prescribed. Sine met is not a curing Chat Doctor.  So not taking it won't have any effect on disease progression, it is safe. You won't have the desired effect though. Also skipping it doesn't mean you won't have side effects after the other two dosages (if you have any side effects at all). So I wouldn't skip this dose, only if you experience side effects can you lower the dose, but not by skipping one dose but by taking say 1/4 tablet 3 times daily. I hope to have been of help."}
{"_id": "000003475", "text": "Dear friend, thank you for your consultation.it seems that you have a low pressure in comparison to your age. And the sudden bout of lightheaded, dizziness all these are because of sudden fall in pressure. But from my day to day clinical practice I am telling you your back pain has nothing to do with your fall of pressure. So I think your blood pressure profile is not normal, and you should go for a complete clinical examination and necessary investigations to know the cause. For this you can take suggestion from your GP also.my best wishes for you, thank you."}
{"_id": "000003476", "text": "Hello dear, What your wife calls mild stroke is most probably not a stroke. It is Bells palsy rather. In stroke mostly(unless it is a poutine stroke which also impair eye movements), there is only facial deviation and blinking of eye is not affected. Please take her soon to a neurologist as early treatment with antivirals and short course of steroids enhance the recovery significantly. Even if it is stroke, early treatment is must for recovery and to prevent recurrence. I hope it helped."}
{"_id": "000003477", "text": "HelloThanks for query. Your daughter has severe pain in kidney area and ultrasound scanning and CT revealed HY Chat Doctor. This is suggestive of presence of obstruction of the ureter in middle portion of ureter. In the majority of cases it is due to the impacted stone in the ureter. This can be confirmed by doing radiological tests called Intro Venous Paleography.(MVP). Consult Urologist for evaluation and get the I.V.P done under his supervision. You need to confirm that her creatinine levels are normal before going for I.V.P. Further treatment will be decided by him and will depend upon the results of test, position of stone and degree of obstruction."}
{"_id": "000003478", "text": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that shivering may be a sign of anaphylactic shock or infection. For this reason, I recommend bringing him to the ER for a physical exam and some tests"}
{"_id": "000003479", "text": "Hello, Yes, it is possible. You are having vigorous coughing and chest pain on inhalation. These are commonly seen after aspiration of a foreign body like sunflower seeds. So better to consult pulmonologist and get done chest x-ray and bronchoscopy. If both these are normal then no need to worry about aspiration of sunflower seeds. Bronchoscopy is not only diagnostic, but it is therapeutic also. It will remove a foreign body if it is in the lungs. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003480", "text": "Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the CT report you have mentioned. This report is suggestive of brain damage caused by age and smoking. So his delirium is due to brain damage. His breathlessness is due to COPD (chronic obstructive Pulmonary disease) caused by smoking. So give him inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Smoking cessation should be done as soon as possible. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks."}
{"_id": "000003481", "text": "Hi welcome to Chat Doctor... You have taken full dose of vaccine..... Your antibody title is more than 10 according to your history, so you are safe from hepatitis b infection.... Still your liver enzymes value slight elevated... So for that repeat liver enzymes study after few days along with bag detection to rule out bag positivity ...(chances of positivity less likely as you are immune)Also check your fresh antibody title report ... If title between 10 and 100 than booster dose given ... Take care. Advise"}
{"_id": "000003482", "text": "In my opinion you should stop worrying. For immediate relief have some painkiller along with a muscle relaxant for 3-5 days depending upon the pain and symptoms and have proper bed rest for a week. Do not lie down on soft mattress use hard one instead, Do not strain your self or over exert. U can also apply some good anti-inflammatory painkiller gel on your back. If the pain increases do some hot fermentation locally"}
{"_id": "000003483", "text": "Hi, dairy have gone through your question. I can understand your concern. He should not go for surgery with blood thinner. He should stop blood thinner, and he should take antagonist of that blood thinner. It K is also helpful. Consult your doctor and start treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003484", "text": "Hello, Your probable diagnosis"}
{"_id": "000003485", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint persistent sore throat along with yellow mucous can be due to number of causes like chronic upper respiratory tract infection, sinusitis, post nasal Chat Doctor. . I would suggest you to consult an Otolaryngologies or a Pulmonologist and get evaluated and a thorough clinical evaluation and investigations like sputum culture, throat swab culture, chest x-ray and blood tests can help in diagnosis and treatment will depend upon the cause. You can be advised a course of antibiotics, anti-inflammatory painkiller, decongestants, Multics, warm saline gargles, steam inhalations and use a humidifier in your room. Chew vitamin C pellets and suck throat lozenges. Hope this information helps. Thanks and regards."}
{"_id": "000003486", "text": "Thank you for following up. It seems he has allergic cough. I suggest-1. Hypoallergenic diet-avoid chocolate, nuts, flavors food, strawberry,honey, lots sweets etc.2. Antihistamines(Cetirizine, Allegra) can be used according to age for 10 days.3. Ambroxol 2 mg/kg/day, divided for 2 times for 5 days4. Check blood test, do throat culture and sensitivity to antibiotics.5. Steam inhalations6. Rince gurgle with Chlorhexidine.7. Zincovit 1 tablet for 1 month.8. Charcoal 1 tab/10 kg for absorption of allergens Take care Chat Doctor."}
{"_id": "000003487", "text": "Hell. Welcome to Chat Doctor forum. HEPATITIS -B is a series and devastating health issue in INDIA. There are 45 million cases in INDIA and are ranked after china. Chronic HBV infection - 4% of population. It is a serious issue in sense of economics, infectivity,cirrhosis and cancer.3/4 of HBV in India is through mother baby transmission. Natural history of HEP-b depends upon the host immune response. Vigorous immune response results in acute hepatitis(ALT more than 400) and it results in either death or in 95% cases recovery.5% cases become carrier, cirrhotics,cancer etc. Get yourself investigated for Lots, ultrasound abdomen and HBV- DNA. If ALT raised then get a liver fibrosis or biopsy done. Treatment available is in form of viral suppressive like ENDEAVOR, TENOFOVVIR AND TELMIVUDINE and IMMUNOMODULATORS like PEG- IFN. BE in touch with your Gastroenterologist for the guidance and treatment. Thanks and good luck."}
{"_id": "000003488", "text": "Hello ! I read your question and understand your concern. In my opinion the symptoms you describe may be related to postpartum depression. It is a very common disorder affecting women after delivery. The repeated analysis and MRI are another argument in favor of this diagnosis. This is not a neurological problem, but a psychiatric one. I would recommend you to bring her to a psychiatrist, to examine here and to choose the best antidepressant for her. I am sure she will get better after starting an antidepressant. She has anxiety too, and here twitches in the body and the gastric pain are related to that. An antidepressant in effective against anxiety too. Hope to have been helpful! Best wishes,"}
{"_id": "000003489", "text": "Hello........ Thanks for your query. Delusions and hallucinations are only two of the symptoms of schizophrenia. There are other symptoms like apathy, emotional indifference and disorganized behavior. A patient usually does not have full insight into his symptoms in a psychotic illness like schizophrenia. If you are insistent, I would suggest a second opinion from a second psychiatrist after a detailed evaluation. Wish you good health. Regards Chat Doctor."}
{"_id": "000003490", "text": "Thank you for posting query at Chat Doctor. Noted that you have complete resolution from HCV infection after treatment. At present, your treating physician prescribed steroids. He maybe NOT knowing your HCV history. Exogenous steroids decrease immunity and may cause reactivation of HCV infection.i advice you to take a second opinion from your treating hepatologist. Though low dose steroid may not increase HCV RNA tier but it's better to avoid taking steroids .you may take anti histamine medication to counter the rash, hope to answer your concern. Wish you good health. Any further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor."}
{"_id": "000003491", "text": "Hi thanks for contacting Chat Doctor... Noted here all his symptoms is because of depression... Stress induce panic attack can lead dyspnea... You have to try to fill his brain with positive thoughts..... Motivate him in study and work.... Endulge him in some activity like sport. Avoid situation that lead stress. If needed behavioral therapy given by psychiatrist..... Antidepressant Chat Doctor. . Enough sleep and exercise taken.... Take care."}
{"_id": "000003492", "text": "Hi you had a minor accident injuring your right shin about 15 yrs ago, and you feel indentation on your shin which is increasing now. At that time you were told that you have nerve damage. In my clinic practice, for this kind of unilateral swelling with previous history of injury, I will investigate on the lines of Deep Vein Thrombosis, by getting a color Doppler as a first step. Also, I would give you compression stockings, anti-inflammatory painkillers and limb elevation for a few days."}
{"_id": "000003493", "text": "Hello, As most foot correction cases need to be helped with the insoles as they help to avoid the abnormal transfer of the weight to the joints and leading to the abnormal anatomical position of the bones. If the orthopedist has advised for the same I will recommend undergoing the same. Also, along with this doing hot water fermentation and feet muscle strengthening exercises is advised to activate the muscle groups which aren't activated and leading to abnormal weight transfer to different angles. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000003494", "text": "Hi ! Good evening. I am Chat Doctor answering your query. With the history of trauma, possibly the lump near your eyes is a hematoma (collection of blood) due to the hit. This might take at least three weeks for it to get absorbed by the tissues. If it does not, then you might have to consult a general surgeon to rule out any chances of a continuing accumulation of blood, or an organized hematoma, which might require some kind of intervention. The hematoma might reduce with aspiration and a pressure bandage for the present, but one can not rule out recurrent accumulation of blood in it. Therefore, it would be better not to do any invasive procedure on it without any definite medical indication. I would rather suggest you to get it clinically examined by a general surgeon in your area for proper management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000003495", "text": "HI, thanks for using Chat Doctor Vaginal yeast infections can be itching, and they are associated with a white-yellow discharge. There are oral tablets that can be used to treat this infection that would not depend on whether you were having your period or not. The main one is fluconazole 150\\u00a0mg. Only one dose of this medication is taken. This is the best option since you are currently menstruating. It should be available at your local pharmacy though you may need a prescription. I hope this helps"}
{"_id": "000003496", "text": "Hi welcome to Chat Doctor... You have history of gall bladder surgery .... You are having pain while urination... So it could be stone somewhere in urinary tract or acute urinary tract infection .... The infection could be secondary to surgery . Investigate your case with ....1. Urine routine microscopic examination. (First initial portion of urine is discarded and urine collected early in morning)2. Urine culture only if needed 3.USG abdomen 4.CRP You need to give full course of antibiotic along with urinary alkalinize like potassium citrate ... Avoid excess spicy foods .... Take care Advise"}
{"_id": "000003497", "text": "Hi. Thanks for your query and an elucidated history. Yes, you are right, the concern of cancer of the colon has to be investigated immediately by having colonoscopy after a good preparation and also to have the CT scan of the abdomen and hip joints to whether the two problems are related or not. It is possible that the cause of the pain on the right side of the abdomen be due to colitis or co. Pain in the left hip looks to be a different problem as it is there for 2 months. A good physical examination by an Orthopedic Surgeon and a CT or MRI can help to get a proper diagnosis. During such a problem it is always better to have an early diagnosis."}
{"_id": "000003498", "text": "HI, thanks for using Chat Doctor Persistent coughing can result in pain in the muscles and other soft tissues in the chest. It can also cause discomfort in the throat. You can use an oral anti-inflammatory painkiller to help relieve the pain that you are experiencing. This includes medications such as ibuprofen, Catalan, Voltaren, naproxen. One of these can be used, it should be available over the counter and should be used on a full stomach. I hope this helps"}
{"_id": "000003499", "text": "Hi welcome to Chat Doctor... Here you are taking correct treatment for typhoid fever.... Swollen throat suggest there might be pharyngitis associated. ... Chest pain could be from bronchitis or from muscular pain secondary to typhoid . Just now continue given treatment and maintain HY Chat Doctor. . If symptoms increasing than digital chest x-ray done....Meanwhile, avoid heavy fatty diet . Avoid excess spicy foods .... Fried food taken less... It is better to take small meal with frequent interval... Fruit juices taken more .... Maintain HY"}
{"_id": "000003500", "text": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion we should first rule out cardiac cause for your chest pain. So get done ECG. If this is normal then no need to worry about cardiac cause. Uncontrolled asthma is the cause for your chest pain. And your burping can be due to HERD (gastroesophageal reflux disease). HERD can cause poor control of asthma. So In your case control of HERD and asthma is needed. So consult pulmonologist and start inhaled treatment for asthma and proton pump inhibitor for HERD. Once your asthma and HERD is control, your chest pain will also be subsided.Don't worry, you will be alright."}
{"_id": "000003501", "text": "Hello, Thanks for your query. Nausea or vomiting may be side effects of the general anesthesia or I.V. sedation.  Nausea may also be caused by motion sickness during your ride home, prescribed antibiotics, pain medication, and swallowing blood. As you talk and eat more during recovery, you may notice bleeding that comes and goes or taste blood throughout the day.  This is common.  Rarely will you need to use gauze.  If a clot has formed above the level of the gum tissue, and it is bleeding continuously, carefully wipe excess clot away with gauze, push clot back into the socket site, and hold direct pressure over the site for five minutes. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000003502", "text": "Hi, Thank you for posting your query. The level of physical activity would depend on the status of your spine. If your TB has healed and the spine/vertebrae are stable, then, there is no problem in doing exercises. This can be confirmed by doing an MRI scan of the spine. Please discuss this issue with your treating doctor. I am sure that with one and a half years of good treatment, your disease would have healed, and you should be able to start exercises. 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/"}
{"_id": "000003503", "text": "Hello, Enlarged liver, is it with fatty changes? ?, if yes please get your other parameters also checked such as sugars, thyroid, cholesterol levels, as these might cause fat accumulation in the liver, and these changes are reversible with proper treatment, diet and exercising, but if u have only enlarged liver with no fatty changes, please don't worry, it will not cause any harm, as anyway you are going to be on regular follow with your doctor for hepatitis B treatment, serials scans at regular intervals such as once in 3 months or 6 months is enough. Hope I could help you. Thank you."}
{"_id": "000003504", "text": "Hello and, Dementia is the loss of memory. Dementia will not interfere with walking or any other physical activity. Dementia is characterized with inability to memorize things, objects, conversation, people, etc. The loss of memory can be for things in recent past or for very old memories. The urine infection would have cleared away with the antibiotic treatment. Inability to walk can be due to some other cause, e.g. muscular problems. You need to consult an orthopedic for clinical evaluation to know the cause of inability/difficulty to walk. Thanks and take care Chat Doctor."}
{"_id": "000003505", "text": "Hello, Welcome to the magical world of health care, I went through your query, and Steroid medication (corticosteroids) is the preferred treatment for polymyalgia rheumatic. Don't suddenly stop taking steroid medication unless a doctor in charge of your care tells you It's safe to do so. Suddenly stopping treatment with steroids can make you feel very ill. Some people are prescribed immunosuppressant medication, such as methotrexate. This is used to reduce or suppress the immune system (the bodies defense against infection and illness). It may be helpful for people with polymyalgia rheumatic who have frequent relapses or don't respond to normal steroid treatment. Your doctor may recommend painkillers, such as paracetamol, or non-steroidal anti-inflammatory Chat Doctor. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks."}
{"_id": "000003506", "text": "Hello, Thanks for the query, Please note that these MRI findings should be interpreted with caution as these finding are commonly seen in patients with back pain. The treatment for such patients largely depends upon the clinical signs elicited by a neurologist. If there is pain alone, the patient will improve with medications and physiotherapy. But if the patient has neurological deficit along with pain, he/she may benefit with surgical removal of the disc which is causing the problem. The cause of the problem is degenerative changes in the disc bones and muscles and ligaments. Hope this helps Best wishes Chat Doctor. Chat Doctor .com/doctors/"}
{"_id": "000003507", "text": "Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would advise you not to have food from outside to prevent any kind of intestinal infections like meiosis which might cause colitis resulting in such pain. Also, I would advise you for an ultrasound of whole abdomen which would either confirm or rule out a left sided ureteric colic with radiation of pain to back and to left leg. Further management would depend on the reports of investigations. Till then, you could go for an antispasmodic and a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000003508", "text": "DEAR OVERTHINKS FOR CONSULTING AT ChatDoctorI UNDERSTAND YOUR CONCERNPALPITATION BEFORE SEIZURE CAN POINT TOWARDS CARDIAC CONDITION BUT It's NOT A COMPULSION BUT YOU REQUIRE A EVALUATION BY ECG AND ECHO SO THAT THE UNDERLYING CAUSE CAN BE FOUND.YOU ALSO NEED TO BE STARTED ON ANTIEPILEPTICS AFTER CONSULTING YOUR NEUROLOGIST AND MAY REQUIRE A MRI AS WELLHOLE I HAVE ANSWERED YOUR QUESTION. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS"}
{"_id": "000003509", "text": "HI. Read the history carefully. It says the pain is sharp- 2-5 minutes-increases on stretching-dull pain around scrotum and so on.... As your investigations are negative I would think of a muscular cause and may be an entrapped nerve causing the sharp pain and referred to the scrotum. I would advise undergoing the high resolution ultrasonography of the abdominal wall; mark down the site of pain when you get an attack. This will help for a pointed investigation."}
{"_id": "000003510", "text": "Hi ! Good morning. I am Chat Doctor answering your query. With your history, it is typical of a sebaceous cyst with a black dot on it, which discharges a smelly cheesy material on squeezing. This is a benign cyst without any fear of turning into a malignancy. However, to prevent other complications like recurrent infections, abscess formation, it is advisable to get it operated and send it for a histopathological study to confirm the diagnosis. If I were your doctor, I would refer you to a general surgeon who after examining you physically and a preoperative check-up, might advise you to get it operated soon. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000003511", "text": "Hello, Your symptoms could be related to gastroesophageal reflux. For this reason, I recommend taking a PPI (omeprazole, pantoprazole, etc.) and see if it helps improve your situation. If it does not help, I would recommend going to the ER for a physical exam and some tests"}
{"_id": "000003512", "text": "Hello, thank you for consulting with Chat Doctor. As you are mentioning that your husband is suffering from a medical condition, in which he gets blisters on his gums. If it is so recurrent, then you should consult a good oral medicine specialist. But still you can use steroids, but it should be used after consulting a good specialist, as here we cannot diagnose the condition. For proper treatment you should visit him and get it properly examined. Hope it will help you."}
{"_id": "000003513", "text": "You appear to be right. He could be having infection in the seminal vesicles. You should convince him to get a Culture test done of his Urine and Semen. Also get a Urine RE/ME test done. With the results you will get to know what infection is there, and it will also tell you what antibiotics to start. Meanwhile, you can start him on Tab Nitrofurantoin 100\\u00a0mg thrice daily till you get the test results. This medicine should be given for at least 10 days. Take care. Chat Doctor."}
{"_id": "000003514", "text": "Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to Costco Chat Doctor.  I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. If the symptoms continue, see a rheumatologist. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!"}
{"_id": "000003515", "text": "Hello.thanks for trusting the Chat Doctor doctors for your health related queries.I can understand your condition but don't u can get pregnant. As u told that URS n your husband reports are normal... right. So there are more chances of getting pregnant. U haven't give information about it medication so that i couldn't comment on this. With the above discussion u can try out my suggestions-1. Relax. don't worry. U can get pregnant.2. Do coitus as much than possible during fertile period (it is from 10-16th day of cycle). Because during this period there is high chances of getting pregnancy.3. Visit to nearby infertility specialist. He/she can help you. Good luck. Regards- Chat Doctor."}
{"_id": "000003516", "text": "Dear patient hip arthritis is likely possibility. Diagnosis can be done from X-ray of the pelvis with both hips anteroposterior and frog leg views if it is advanced. Mri of the right hip may be needed for early stage disease. If X-ray is normal and MRI is showing arthritis changes it means disease is early and replacement can be delayed. If X-ray changes are obvious total joint replacement is the best option. It is very rewarding surgery with excellent results. Prosthesis shelf life is also long nowadays and long term studies are also available. Other option is joint fusion which is absolute procedure and gas poor results."}
{"_id": "000003517", "text": "Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. My opinion-IN the given situation, You seem to be having-either- HERD with feel of someone sitting in chest/ and or/ Acute Bronchitis with back / chest pains. Bronchospam with acute bronchitis is giving compression feel in chest. As Chest X-ray and ECG is normal-Cardiac pains are ruled out. Rule out other causes of chest pain and back pain, after check up and investigation before treatment is taken. Dos suggested-Consult Family and if need be- Surgeon doctor. Rule out causes of HERD with acid reflux causing chest and back pains. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http"}
{"_id": "000003518", "text": "Hello, Low sodium or potassium levels can create anxiety, weakness and dizziness etc. As your symptoms bear a temporal relation with low potassium, I think you should discuss this with the doctor who is giving you the medicine. There are other choices available in market which donor cause significant reduction in potassium while also prevent its rise at the same time. So, it will be wise to consult this with the treating team and not stop the medicine on your own. Even high potassium level is dangerous and should be balanced. I hope the reply is useful for you."}
{"_id": "000003519", "text": "Thanks for sharing your health concern with us!well, it is just an infected sebaceous cyst or an enlarged lymph node and not to worry much for this. You have to press ice-cubes or cold compress and take some broad-spectrum antibiotics like erythromycin; if not relieving within 7 days then consult some surgeon for aspiration /excision of the material inside; never poke it as this may invite infection! All the best!"}
{"_id": "000003520", "text": "Hello, Thanks for posting in Chat Doctor. Premature ejaculation is a common problem. Do not worry. Yes as you said it depends on your mind. You can practice what we say is start and stop method. In this method when you reach height of climax, and you think you are going to ejaculate you should stop and let the urge ejaculate go away. Once it goes away you can start again. This is most safe and best working method for premature ejaculation. Once your body gets used to it is will long later without ejaculating. I hope I have answered your query well. Thank you"}
{"_id": "000003521", "text": "Hello, It looks from your details that you may be suffering from radiating pain in your lower limb. This type of pain may be most probably due to stretch or compression of sciatic nerve at your hip or at back. I will suggest you following - 1. Avoid climbing to hill for few days.2. Do rest. Keep a pillow under your legs whenever you do the rest.3. Check your posture.4. Avoid any type of forward bending activity. You may wear a lumbosacral corset for few days. If this does not relieve the problem then you should consult to your doctor. In that case he may prescribe an MRI spine to rule out problem. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000003522", "text": "Hi thanks for contacting Chat Doctor. You had past history of typhoid .... So this time it could be typhoid if bacilli not cleared .... For typhoid confirmation you can do tidal test or blood culture.... If typhoid positive then definite like antibiotic given.... Small bland diet taken at frequent interval. If typhoid negative then it could be chronic gastritis .... H.pylori has to be ruled out by urea breath test..... If weight loss and diarrhea present then intestinal tuberculosis and then inflammatory bowel disease ruled out.... For that endoscopy examination with subsequent biopsy needed. According to cause treatment done...Meanwhile, low fat diet taken... Non veg food and junk food avoided for few days ... Cooked oatmeal help in soothing effect... Heavy meal avoided... For detail history and subsequent investigation consult gastroenterologist. Take care. Chat Doctor."}
{"_id": "000003523", "text": "Dear patient What is your age? And for how long you are having back pain? If It's for long duration and not relieved with medications it should be investigated.  First with X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities such as spondylosis and spondylolisthesis.  Next is MRI of lumbosacral spine with screening of whole spine to rule out canal stenosis and disc prolapse. So visit radiology center nearby you and get it done. Till then continue your pain medication. If report shows abnormal findings consult spine surgeon nearby you."}
{"_id": "000003524", "text": "Thanks for consulting at Chat Doctor. Though your baby looks absolutely normal to you, but abnormalities in his liver function tests have prompted your doctor to advise live biopsy. Liver biopsy is essential for histological assessment of liver and serve as a significant method in assisting clinicians in therapeutic management decisions. Liver biopsy can diagnose homeostatic liver diseases, stenosis, vascular abnormalities, infectious diseases, and infiltrate or storage diseases, autoimmune hepatitis etc. and accordingly your doctor will decide further course of treatment."}
{"_id": "000003525", "text": "Hi, This trivial MR on echo is a normal finding. Doing an angiography depends on the symptoms of the patient and associated ECG changes. Your husband has many risks factors for heart disease like male gender, smoker, hypertension and high cholesterol. If he has symptoms like chest heaviness on exertion or has ECG changes than angiography is advised. Alternative to it is a stress Echo or CT Coronary Angiography. If any of them shows problem than also he has to undergo angiography. As per me if he is not having any acute heart event than its better to do stress echo first. Hope it was helpful. Let me know if I can assist you further."}
{"_id": "000003526", "text": "Dear friend, greeting. I understood your problems..... I know your liver is injured and congested with inflammation . As reflected by your elevated liver or hepatobiliary enzymes.... Plus you are a diabetes ... You need to avoid any Chat Doctor. . Please do keep a track of your liver enzymes and blood glucose levels . Keep checking your HbA1c every two months with LFT and lipid profile. You can take some heat protective"}
{"_id": "000003527", "text": "Hi. This can occur due to an acute problem in the abdomen. The most probable causes are ;Peritonitis meaning inflammation of the membrane covering the abdomen within inside. There is a possibility that there is a perforation of intestine or a severe process of inflammation is going on in the lower abdomen like enteritis. I would advise to"}
{"_id": "000003528", "text": "Welcome to Chat Doctor. I appreciate your concern for the rusty nail injury. A puncture wound doesn't usually cause excessive bleeding. Often the wound seems to close almost instantly. But this doesn't mean treatment isn't necessary. The rusty nail injury you sustained can be dangerous because of the risk of tetanus infection. If you have had a tetanus shot in the past five years you need to take a booster dose of Injection Tetanus toxic within 48 hours of the injury. Hope this answers your query."}
{"_id": "000003529", "text": "Hello! Thank you for the query. If the appendectomy was performed by laparoscopy there is no other way to use staples. This is normal procedure, and such staples are harmless for pregnancy. You can imagine that every irritating thing in abdominal cavity is very quickly surrounded by momentum and separated from the rest of abdominal contents. Moreover, staples are made from materials that are not causing inflammation in human body. Hope this will help. Regards"}
{"_id": "000003530", "text": "Thanks for using Chat Doctor. Read your query. The signs and symptoms which you have mentioned, suggests the infection in the tooth socket which will require immediate consultation with the dentist. I would advise you to visit your oral and maxillofacial surgeon as immediately as possible and get it checked, followed by the radiograph for better evaluation. If needed the dentist will Chat Doctor. Do warm saline gargling. Do not apply hot bag on the external surface. Visit your dentist soon. Thanks and regards."}
{"_id": "000003531", "text": "Hi, In my opinion that could be cervical disc herniation due to a Chiara malformations which is very rare, while cysts, ganglia, aging, over lifting heavy objects, vigorous movements are more common. For my patients I recommend x-rays, MRI for proper diagnosis and evaluation but for now some hot massages with topical muscle relaxants, physiotherapy and yoga and some bed rest will be fine. Please consider positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask."}
{"_id": "000003532", "text": "Good Day, and thank you for being with Chat Doctor ! Gross blood in the urine is always a red flag for us urologist. You will need to get a kidney bladder ultrasound or a CT scan to rule out Genitourinary malignancies. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at"}
{"_id": "000003533", "text": "Hi, Actually the temple itself maybe a small insect bite or a bruise you got while sleeping or such. Topical gels or antibiotics application from 2 to 3 times per day will be enough if not you may need a doctor to physically check you up. The twitches and throbbing sensation is usually due to your stress with your daughters condition nothing more if it persists some B12 vitamin supplements will make them decrease. Hope everything goes ok with the brain surgery which when done successful. I believe you will feel ok. Hope the above information helps you. Let me know if I can assist you further."}
{"_id": "000003534", "text": "Hello, I understand your concern and would explain that his high blood pressure and high heart rate could be related to anxiety.  For this reason, I would recommend you to closely monitor his blood pressure values in the next days.  If his blood pressure values are above the normal ranges (125/85\\u00a0mm Hg) most of the time, I would recommend consulting with his attending physician and discussing starting antihypertensive therapy and a beta blocker. Otherwise, I would recommend trying to focus on his anxiety. In this regard, Yoga and meditation can help.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003535", "text": "Degree understand your concerns went through your details. Growth is related to many factors including genetics and nutrition. If you follow a healthy life pattern, your bones will be able to grow naturally without any external problems. Penis growth is also the same story, but there is no hereditary angle to it.  But in that case, you don't have to worry. Even a penis with an erected length of two inches will be able to satisfy any women in the whole world. Size never matters in sex, passion matters. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000003536", "text": "HelloThanks for query. Your brother is a victim of Chronic Renal Parenchymal disease (CRF) and needs Renal Transplant. His wife is being investigated for compatibility for transplant and her HLA I and II tests have been detected not have common antigen .HLA I add II testing are highly specific test to determine the outcome of renal transplant and risk of rejection of transplanted kidney in recipient after surgery. Since your brothers wife and brother have no common antigen and her GFR being 75 the chances of success are very high and can go ahead with surgery. Chat Doctor."}
{"_id": "000003537", "text": "The pain is different for the two situations, sitting / pooing. If you think he is in pain the moment just before pooping then it's a probably an analysis fissure from constipation and warrants SYVICOL if you think the pain is always when he sits on it, then he probably has an injured coccyx, and this is confirmed by an x-ray. These injuries take a long time to heal because of its position. And warrants avoiding constipation as well because it will induce pain to that region, so SYVICOL isn't a bad idea after all. , it needs time to heal, but I recommend an X-ray first I hope this helps"}
{"_id": "000003538", "text": "Hello! I read carefully your query and understand your concern. If you don't have upper abdominal pain, heartburn,nausea, vomiting,weight loss, and you are eating well without problems I think your stomach is fine. This pulsating sensation in your stomach may due to your anxiety because when you are in stress your heart beat faster, the pulse increase and blood pressure in major body arterial, such as abdominal aorta and your neck arteries, is elevated, and you might feel this like a pulsating sensation on stomach and neck. Despite this I suggest consulting a physician, so he can do a physical examination and evaluate if this pulsating sensation is objective(he can feel this by palpating/touching your abdomen) or it is just your sensation. If this is due to anxiety you will feel better after the confirmation of your doctor. Hope my answer has helped. Take care. Chat Doctor."}
{"_id": "000003539", "text": "Hi, You seem to have developed lesions of satyriasis rose. It presents with oval round lesions especially over the trunk lesions. Most of the lesions are small, but there is always one prominent big oval lesion. It is a self limiting disease with new lesions appearing every few days. May take turn two months for complete recovery. You may apply rod topical steroid if you have itching. See a nearby dermatologist for confirmation of diagnosis and further management. Chat Doctor."}
{"_id": "000003540", "text": "Hello and welcome to Chat Doctor.First I would like to inform you that you have not mentioned the reference rang for bun of your test result, because it varies from one lab to another. Ideal range for bun is 7-21 mg/DL. An elevated BUN in the setting of a relatively normal creatinine, which is your case, may reflect a physiological response to a relative decrease of blood flow to the kidney without indicating any true injury to the kidney. So, in your case you are advised to take plenty of fluids orally to increase blood volume. Best of luck."}
{"_id": "000003541", "text": "Hi, Emergency contraception taken at the time of the intercourse would help to possibly prevent pregnancy, should it be the fertile period. Once conception and implantation has occurred, there is no medication to prevent it. Abortion, medical or surgical is the only way out. Please confirm pregnancy through blood test or urine test followed by a trans-vaginal sonogram to see the status of the pelvic organs. See a specialist for further help if confirmed. Hope you find this information useful. Take care."}
{"_id": "000003542", "text": "Hi welcome to Chat Doctor You might be suffering with Acid peptic disease, it is aggravated by taking stimulants like alcohol, tea,coffee, smoking etc., take home medicine NUN VOICE 200; daily 10 pills before going to bed for 6 weeks. For potbelly, do Yoga Exercises like Panama - two minutes each, Atom Film [Breathe IN through First Nostril - Keep SECOND Nostril closed Release FIRST Nostril and breathe OUT through the SECOND nostril - alternate this and try a sit erect]"}
{"_id": "000003543", "text": "1) your sister is suffering from stage-4 liver failure due to cirrhosis associated with impairment in renal function2) episode of blood containing omitting is also due to liver failure3) she need care-taker at home as such episodes are difficult to manage without presence of proper personal. In addition, there might be possibility that she require repeated admissions to ICU due to worsening of condition."}
{"_id": "000003544", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern, this could be non-specific type of complain and might be due to some functional elements if I would be your doctor then I would treat you with \\\"Tab Amitriptyline with Diazepam twice in day then reduce to once in day after a week\\\" try to keep your tress level low if this fails to respond then see the physician, hope this information helps you have nice day."}
{"_id": "000003545", "text": "Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns today. The combined oral contraceptive pills are if taken as per instructions are very effective (>99%) in preventing pregnancy.  So if you are taking the pills correctly, you should not worry about pregnancy. As you know no method of contraception is 100 % effective. If at all there is method failure and pregnancy occurs, then you usually miss your periods after the pill packet. Don't worry. Home pregnancy test is not affected by the pills. I hope this is helpful. If you have further concerns, I will be happy to answer. Best wishes, Chat Doctor."}
{"_id": "000003546", "text": "Hello, Thanks for the query to Chat Doctor. Forum. This is right that hemoglobin level is low 9 gm/ DL. The cause of concern is that it came down from 14 to 9 gm / DL. May be due to any disease in the stomach as you are complaining that there are nausea, light-headed, fatigue, but remember that all these symptoms may be due to low hemoglobin level. Gastric disorder, Worm infestation, Intestinal disorder, All these above-mentioned may be a cause of lowering hemoglobin. Get in blood for C B C, E S R, blood dysplasia. Consult a hematologist and get his opinion. Stool & urine examination play an important role."}
{"_id": "000003547", "text": "Dear friend. Thanks for sharing your concern. Sometimes some canals remain unexplored, or by periapical route the infection is introduced into the canal, when incompletely saturated, without apex seal. This leads to reinfection in the canal. It can be very well treated again by opening and reentering the canal. Therefore please visit your dentist with your previous x-rays and get yourself evaluated. The small abscess which you have mentioned in the history can also be Chat Doctor.  Meanwhile, do warm saline rinses. Hope it helps. Thanks. Take care."}
{"_id": "000003548", "text": "HelloYour findings suggests enlarged prostate. Since you are not responding to usual medical treatment, I suggest for surgery. You may need TURN(Trans urethral resection of prostate). It is a surgical procedure that cuts a section of prostate. You may need hospital stay for 1-2 days. Prior to surgery, you may need detail work up like latest ultrasound, urine RE/ME, PSA estimation etc. Get well soon. Take care Chat Doctor."}
{"_id": "000003549", "text": "Thanks for your question on Chat Doctor. In my opinion you should first get done chest x-ray to rule out chest infection and pleural effusion. Since your mother is having pancreatic cancer and on chemotherapy, chances of lung infection are high because chemotherapy makes person immunosuppressive and more prone to infection. Another possibility is malignant pleural effusion due to spread of tumor in pleurae. So better to rule out all these by chest x-ray first."}
{"_id": "000003550", "text": "Hello pascal, Thanks for posting your query in Chat Doctor forum. Usually post extraction of wisdom tooth is associated with fever, headache,ear and jaw pain. But all these symptoms lasts for 2 weeks. Chat Doctor. IN your case, since the headache and sinus infection lasts even after 7 years of tooth extraction, chances of nerve damage or sinus penetration has to be ruled out. I would suggest you to consult an oral surgeon as well as ENT specialist to rule out the cause of toothache. Meanwhile, maintain good oral hygiene. Avoid anxiety and stress. Hope this helps."}
{"_id": "000003551", "text": "Hi, Have you had other test for infertility done? Some couples have more than one problem and all need to be looked into. We would need to do a sperm count, your tubal function, and pelvic ultrasound. If some specific factor is identified it can be treated. If you do have PCs, it can be seen on the ultrasound and /or hormonal tests, we can give you egg forming medications like camphene. If known cause is found, and you have been trying for 4 years now, you could consider IVF, after analyzing all factors. Hope this helps. Regards."}
{"_id": "000003552", "text": "Thank you for the query. By your description the child seems to be suffering from allergic cough and conjunctivitis. Or he may be suffering from worm infestation which may also present with these symptoms. These conditions are treatable. Treatment goes for a long time especially for allergy and need to be repeated. For which patience is required. Kindly discuss these possibilities with his doctor. Delay is not advisable. It definitely does not seem to be a habit to me."}
{"_id": "000003553", "text": "Welcome to Chat Doctor .1. Sub mandibular swelling, occasional pain - suggestive of sailoadenitis (salivary gland obstructions due to stones / stricture.2. In this case if you are my patient - I would have examined first, and ask for an ultrasound neck and submandibular region - helps to find out the nature of the lesion, origin and extensions. 3. Other possible causes can be lymph nodal engagement.4. Take an appointment and get the needful test (ultrasound) done.5. Nicotine do cause intro oral causes of obstruction - strictures and so on. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000003554", "text": "Hihope this msg finds u in good health. I have gone through your complaints and understand your concern. From the history.I feel if u have done all ct scans and X-rays and if they are normal. .u might have strained your groin muscles.iliopsoaswhich is pretty common in such type of injuries you need is good rest and physiotherapy later on Hope this answers your question. If u have any follow-up queries, dont hesitate in getting back to me anytime thanks Take care god bless"}
{"_id": "000003555", "text": "Welcome to Chat Doctor .1. Lump with pain most possible cause could be infective etiology.2. Othere possible causes of lump in the neck regions could be vascular malformations, lipomas and lymphomas.3. If you are my patient I would have examined the lump and ask for an ultrasound lump - to find out the nature of lump, its origin and its extensions.4. Depending on size the treatment will be a course of antibiotics to small incision and Chat Doctor. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000003556", "text": "Cellophane you for trusting ChatDoctorDear yes there is a possibility of you squire infection it is called travelers diarrhea.80%caused by bacteria that also enterotoxigenic ecol. If your cramps server and getting loose stools then you need to consult physician. Usually sufficient HY Chat Doctor.  If symptoms not improved use tab.of lox ornidazole twice a day for five days. Please consult your doctor if symptoms not improved. Take care"}
{"_id": "000003557", "text": "Hi, Thanks for posting your query. You have presently normal GOT and SGPT. These two enzymes indicates liver status. These two enzymes originate from liver. Out of these two, SGPT is very liver specific. You have positive Bag, and it indicates that you are suffering from hepatitis B. Though you have hepatitis B but normal GOT/ SGPT indicates dormant stage of hepatitis B and you don't need any medication right now. Anti-HBs shows immunity level after vaccination by hepatitis B vaccines. Anti-HBs must be above 10 mid/ ml. You should also get for hepatitis B vaccination, if not done previously. You should go for regular check up with regular GOT/ SGPT analysis every 6 months. Take care,"}
{"_id": "000003558", "text": "Hello, Thank you for consulting with Chat Doctor. Actually when there is infection in the tooth which has spread to the apical region of tooth causes an abscess and swelling in the gum region of the tooth. And when this infection becomes chronic in nature this pus tries to come out and causes a pinpoint white area on the red swelling of gums. This condition will be well diagnosed in an X-ray. So better you should visit your dentist nearby and get a root canal treatment done of the tooth. Hope it will help you"}
{"_id": "000003559", "text": "HelloUltrasound findings suggests chronic renal disease. It is evident by small size kidneys, poor cortico-medullary differentiation. You need clinical correlation and further investigation. Investigations include routine hologram, complete renal function test(serum urea, creatinine,creatinine clearance, GFR,serum sodium, potassium,calcium, chloride,bicarbonate, phosphate,24 hour protein excretion), urine RE/ME. You may need diet restrictions and medicines after full investigations. Vesico-ueretreic reflux should also be tried to correct as it is underlying cause. You should consult urologist. Get well soon. Take Care Chat Doctor."}
{"_id": "000003560", "text": "Hi, dairy have gone through your question. I can understand your concern. There is slight difference between circumcision and frenuloplasty.  In circumcision the foreskin is removed.  Frenuloplasty is somewhat plastic surgery.  You should go for examination to know which is best for you. Then you should plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003561", "text": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause of painful lump in buttocks-In your case the cause of the lump, is traumatic hematoma with tissue edema. Cold Compresses. Antibiotics to prevent infection of hematoma, NSAIDs-tabs 1 x 2 times a day, Aspiration of the mass, when it liquifies and compression bandage to reduce as soon as possible. Consult ER Surgeon if his services are available nearby. This advice is based on the facts from the history you give and needs further clinical check. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N."}
{"_id": "000003562", "text": "Hi, primal N and metformin alone will not solve your problem. You have to take medicines for inducing growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for next 2 to 3 days.  Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Hope I have answered your question. Regards Chat Doctor."}
{"_id": "000003563", "text": "Hello, If your fracture is completely healed then this plate can be removed. At the time of surgery knee Rom can be improved with the help of manipulation and surgery. Some time release of fibrous tissue can be done.it will help in movements also. If there is any further advise is needed then you can send your present x-rays to me. I hope this answer will be helpful for you. Let me know if there is any other followup questions. Thanks"}
{"_id": "000003564", "text": "Hi I am Chat Doctor. .  In my opinion if medical treatment by painkillers, physiotherapy, topical gels massages, muscle relaxants, steroid injection fail for 6 consecutive months I recommend for my patient to try spinal manipulation followed by minor endoscopic interventions to free nerve compression and herniation which maybe enough for some patients others may need spinal fixation and plating surgeries are needed for permeant treatment and to prevent its recurrence.  Sometimes early treatment and diagnosis are life-saving and doing it earlier is better than doing it after going in an ambulance when no other choices you have so I suggest you take more than one neurologist opinion for doing a surgery and if you needed it I recommend you go for it and don't worry nowadays surgeons are more developed and such operations are done daily. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask."}
{"_id": "000003565", "text": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you it may be a hangover effect, sometimes a particular food taken on previous day also causes such a symptom, or it may be a food poisoning. But in all cases you should maintain HY Chat Doctor.  If such symptoms continue you can think about taking bromine tablet. Half tablet is enough for correction of your symptoms. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you."}
{"_id": "000003566", "text": "Hi, Welcome to Chat Doctor .GUI is a safe procedure.  It takes 15\\u00a0mins to d it. It is done without anesthesia.  Furthermore, it is painless procedure with little pain when cervix is held. So don't worry it is completely safe procedure. This increases chances of conception.  Here sperms are washed and processed, and healthy sperms are placed in uterus. So problem of ascend and any reaction towards sperms is solved. Hope I have been helpful. Regards Chat Doctor."}
{"_id": "000003567", "text": "Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the CT report you have mentioned. In thorax, it is showing pleural thickening and bands. These are healed lesions from previous pleural effusion or pleurisy (inflammation of pleura). No treatment is required for this because they are scarred, inactive lesions. In liver, you are having fatty infiltration. This means that you are having higher body fat. So try to reduce weight and stay fit and healthy. Start exercising and dieting. Avoid alcohol Because this can also cause fatty liver. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003568", "text": "Hi, I had gone through your question and understand your concerns. These symptoms you prescribe are seizures and your brother needs a consult with a local neurologist, a EEG study and treatment with anti-epileptic Chat Doctor.  Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions."}
{"_id": "000003569", "text": "Degree understand your concerns went through your details. First you should not relate your masturbation habit and chest and back pain. There is no direct relationship between those. Indirectly, the anxiety and apprehension related to masturbation can result in body pain obsession. Masturbation is normal, natural and safe if practiced in moderation. Over and above, it does not cause any health problems except anxiety and obsession, if your knowledge about the masturbation is poor. You may be a fit boy. Stop obsessive or having negative thoughts about masturbation. A person who is above 20 can masturbate twice or thrice a week if he is healthy. You may consult a sexologist or psychologist for counseling. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000003570", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have painful and sensitivity in front tooth don't worry, as you are 8 month pregnant also.  See during pregnancy inflammation of gingival occurs, don't worry I will suggest you Apply ointment Series or do sensory toothpaste for sensitivity.  Do chlorhexidine mouthwash 2 times daily. Do warm saline gargle two - three times a day.  After delivery, you consult dentist and go for scaling and root planning. Hope this will help you. Wishing you good health."}
{"_id": "000003571", "text": "Hello, Thanks for writing to us. Initially, cause of inflammation has to be evaluated clinically by a dentist. Get thorough scaling done. If there is deep caries, get root canal treatment done. Pus has to be Chat Doctor. Take amoxicillin along with analgesics. If there is periodontal infection, root planning has to be done. Meanwhile, brush and floss your teeth daily. Maintain oral hygiene well. Hope these suffices."}
{"_id": "000003572", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern the liver enzymes are very fluctuating one some unknown cause could change value of these enzymes even certain diet also changes the value of these enzymes here you have a history of malignancy, so this could be a cause of change of liver enzymes value, you need to correlate this with the clinical condition, hope this information helps you, take care and have nice day."}
{"_id": "000003573", "text": "I would have liked to know your age and what cancer did your father and grandparents die from. Certain types of cancers of the colon and rectum do have a hereditary component and the risk is further compounded by alcohol abuse and poor dietary habits. The good news is that the type of bleeding you have described is most commonly due to hemorrhoids particularly in the young age group. However, there is only one way to find out whether you have cancer or not and that is to show it a surgeon or cancer surgeon who will examine your anus and rectum in the old and remove your dilemma."}
{"_id": "000003574", "text": "Welcome to the ChatDoctorIt seems that your baby has cutaneous hematoma. Hematomas are the most common tumors of infancy and usually are medically insignificant. The vast majority of infantile hematomas do not require any medical or surgical intervention. They gradually improve with age. In case, you feel that the hematoma is leading to problems such as breathing problems, vision obstruction or significant disfigurement, then you may consult a surgeon. Treatment options for clinically significant hematomas include the following"}
{"_id": "000003575", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out pneumonia (lung infection) in your case. So get done chest x-ray and sputum culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. By this we can achieve speedy recovery with appropriate antibiotics.  Chat Doctor."}
{"_id": "000003576", "text": "Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns. Birth control pills started on any day need 7 days to be effective. So if you have taken the hormone pills of Genet correctly each day, you are definitely protected across the non-hormonal tablets on this new packet. Ginet is more than 99% effective in preventing pregnancy. But there is a very small possibility of method failure. So if you miss your period you need to get the pregnancy test done. I hope this is helpful. If you have any further concerns do contact me through Chat Doctor."}
{"_id": "000003577", "text": "Hi, Thanks for using Chat Doctor. You are having Major depressive disorder. But one should also rule out bipolar mood disorder and personality traits. You should consult the psychiatrist as soon as possible. Doctor, after making confirm diagnosis, may start anti-depressant Chat Doctor.  You may also get benefit by counselling and psychotherapy sessions to improve your self-esteem. Meanwhile, you can also do stress management and relaxation therapy like yoga or meditation for better control over stress. Thanks."}
{"_id": "000003578", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, pimple is not caused by the Guardian at all. But mouth ulcer can be caused by it. Giardia stick to the intestine lumen and suck the nutrition particularly fat and vitamins related to it. So ulcer can occur because of nutritional deficiency. You should take the complete treatment for the Guardian. Otherwise, it will recur and cause infection again and again. It is transmitted by Eco oral route means either the food or water is contaminated with such parasite is consumed by you causing the infection to you. I advise you should maintain hygiene in the future otherwise contaminated food causes infection again. In order to combat such effect you should take multivitamin particularly the vitamin A and others. This will help to treat the ulcer. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."}
{"_id": "000003579", "text": "Hi. After carefully reading the history you have provided, your problem looks to be severe costo-chon Chat Doctor.  The abdominal muscles start from this area so the edema and resultant pain travels to the abdominal area too. The exertion during the sex can instigate the edema and the pain.  Be specifically see for the painful-tender area. This will confirm the diagnosis. I would suggest the following treatment.-Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur.-Anti-inflammatory medicines in full dose as per the weight.-Steroids if required for its strong anti-inflammatory role.-Las ix to reduce the edema. This sort of treatment helps all my patients. And should help you too."}
{"_id": "000003580", "text": "Hi Welcome to Chat Doctor. I understand your query and concern. Rapid heart rate and Dizzy spells can be a definite feature of heart rhythm disturbances. Irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way. Few Chat Doctor. I advise you to have a complete 24 hr holder ECG which can accurately determine the cardiac conduction abnormalities."}
{"_id": "000003581", "text": "Hi, I hope your relative is well, the polyps in the gallbladder is a rare entity, usually diagnosed incidentally, however, it has a high risk of conversion to a malignant neoplastic process. The decision as to how to handle it will vary according to the size of the polyp and the presence or absence of Lithuania within the gallbladder.1. Polyps less than 10 mm can be managed conservatively.2. Polyps between 10 mm and 20 mm in the presence of litotes should be managed by cholecystectomy.3. Polyps greater than 20 mm regardless of the presence or absence of Lithuania in the gallbladder should be surgically resolved. As mentioned previously, this should be handled in this way at the risk of development of gallbladder cancer."}
{"_id": "000003582", "text": "Hello, The redness and puffiness is due to irritation from Detail. Usually, we do advise rinsing the eyes with cold water for the first couple of days.  Yes, the symptoms will get reduced in the following days, do not worry about that. With regard to chlorosis, try to put the Chat Doctor.  Do not worry unnecessarily, everything will settle. Try to be more cautious next time. Put the dangerous detergents or objects on places high enough not to get reached by the small child. Hope I have answered your query. Let me know if I can assist you further. Wish you the best recovery."}
{"_id": "000003583", "text": "Hello. Thank you for asking at Chat Doctor. I went through your history. Recurrent runny nose, cough, sore throat etc. are usually due to allergies. I would suggest you to take daily regular montelukast & levocetirizine for 1 week. As you have asthma since childhood, and you are also had difficulty in breathing, I would suggest you to get a test called Spirometry with post-bronchodilator reversibility test done. This will help to know your lung function as well as status of your asthma. Although montelukast will help in asthma, depending upon results of spirometry, you may need regular inhaled corticosteroids. I would also suggest regular breathing exercises and avoidance of smoke-dust-air pollution as much as possible. Regarding heart murmur, Echocardiography will be helpful to know structure and functioning of your heart. Hope this will be helpful to you. Wish you best of the health. Regards."}
{"_id": "000003584", "text": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are quite distressed by your recent problems. Feeling exhausted and having shakes could be due to a variety of causes. Psychological problems such as depression, anxiety, etc. could be possible causes. Medical problems like hypoglycemia, anemia, other nutritional deficiencies, etc. also have to be considered. So, the first step in management of this problem is to have a proper evaluation. Only if the correct cause is identified, then further treatment can be planned. So, I would advise you to consult a doctor in your place for a detailed evaluation and further treatment. Wish you all the best."}
{"_id": "000003585", "text": "Ok, this site is not for finding a doctor, and certainly not for scoring narcotics. This illustrates several issues connected to the development of narcotic existence so very well I question if it is a plant or a fake.1) the Chat Doctor. 2) Taking narcotics at one level of pain then isn't enough when the pain goes up (like broken foot and ankle) and then one gets stuck if one is already at the highest dose that is going to be given. Then3) doing progressively more illegal things which make one more likely to do more illegal things.4) with progressively more"}
{"_id": "000003586", "text": "Hello, The symptoms can be due to causes other than canker sores or like bulbous pemphigoid. The explanation is not looking like a canker sore. Yes, it is correct to advise that you need to consult an oral surgeon and get evaluated. A clinical examination, CBC and a repeat biopsy can be done for confirmation. Also, continue gargling with magic mouthwash, apply chlorohexidine gel and a steroid gel-like Analog in Or abase and take vitamin B complex supplements. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003587", "text": "Hello, THX to contact us. I understand your concern. If I am your doctor I advise you to give him an Albendazole tablet 400 mg single dose at nighttime. This single dose regimen clears her from the infection. As per your symptoms it is obvious that it is not tape worm. Tape worm or Tania Saginaw or soleum is very big worm only its fragments comes out of the body which is square. The observed worm in the stool of your parents is slender, so the possibility of tape worm is ignored. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease."}
{"_id": "000003588", "text": "Hello dairy understand your concerned have taken the emergency contraceptive pill on the same day of unprotected sexual intercourse. It is highly effective in preventing the pregnancy if taken with in 24 hours. It has 95-97% effective in preventing the pregnancy. Nausea, dizziness, breast tenderness, bloating are due to hormonal imbalance caused by the day after pill. Pill also cause delay in the period by the 8-12 days.Meanwhile, avoid stress, take healthy diet, Chat Doctor. Hope this may help you Best regards"}
{"_id": "000003589", "text": "Dear I can understand your concern. I would like to inform you that ear infection with dizziness and loss of appetite all can be caused by viruses. Apart from hearing, ear also helps in maintaining balance and coordination. Any infection to that part of ear can cause dizziness also. Red rash over your cheeks can also be one of manifestation of viral infection. All this will slowly resolve. If problem persists please contact your physician. Hope this will help you. Thanks for contacting Chat Doctor."}
{"_id": "000003590", "text": "Hi there, Thanks for writing your query, Wisdom tooth is the last tooth to erupt in the oral cavity and often its eruption is associated with symptoms like pain and discomfort in eating, difficulty in opening mouth, swelling in the jaws and cheek bite.  Wisdom teeth are often tilted in position and impacted in the bone, gums overlying the tooth usually undergoes inflammation, shows pain and swelling known as peritonitis.  I would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or Betadine.  You may need to get an OPG radiograph done for you which will show the exact position of the tooth, consult a dentist and get the tooth extracted surgically.  Continue with the course of antibiotic Augmenting 625\\u00a0mg along with analgesics like diclofenac two times daily for 3 to 5 days.  I hope this helps, take care."}
{"_id": "000003591", "text": "Hi, As you said, you suffer from psoriasis vulgarism. You must be aware about psoriasis that it is a controllable disease and there is no complete cure. So, some factors like stress, disease anywhere in body, trauma, Chat Doctor. .etc. might precipitate the disease. In your case, it has relapsed. Do not worry. You take may methotrexate 15 mg per week, 5 mg 12 hourly 3 doses. And you may take accretion cap 25 mg daily at night, under observation of doctor. Regular blood tests may be done. After control of disease, you may reduce the dose of accretion to 10 mg per day. And also apply steroid with salicylic acid point on the lesions. I hope you got my answer. Thanks."}
{"_id": "000003592", "text": "Hello, The symptoms seem to be related to parochial which is a nail infection. I suggest using cold compresses for local application. I also suggest using anti-inflammatory medications such as Ibuprofen to relieve the inflammation. Furthermore, I recommend using an antibiotic cream for local application such as Newsprint cream. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000003593", "text": "Hi there. Thanks for your question at Chat Doctor. You should get medical help at earliest if back pain radiating to thighs persists. If you had pulled your muscle, the pain would most likely be restricted to your back and would not radiated your limbs. On the other hand back pain after lifting weights associated with pain radiating to limbs, suggests disc related pain. The physician in ER can do simple tests to differentiate between the two. Either way you should get medical help. Hope this helps. All the best. Regards.  Chat Doctor."}
{"_id": "000003594", "text": "Hello . Welcome to Chat Doctor . Friend I read your query and Syrup Pot rate MB6 is known to help in prevention of kidney stone as Kidney stones are more common for recurrence if not in diet and medications . How to use"}
{"_id": "000003595", "text": "Hi thanks for asking question. Here you have released your Stone. According to history provided by you, it doesn't seems to be hernia like case... You can simply have gastric indigestion problem or simple functional bowel disease. You gave not mentioned CT report. Just now main problem problematic is constipation. For that laxative can be taken. Chat Doctor. Fruits like apple, banana and wheat bran or whole grain can be taken that are rich in fiber. Avoid gas forming food like cabbage, cauliflower etc... Chamomile in tea can be useful. I hope your concern is solved... Take care...."}
{"_id": "000003596", "text": "Dear patient ligamentum flavor thickening itself is painless. Pain happens when thickened ligament compresses underlying spinal cord and nerve roots. You said ligamentum flavor is thickened at T10 level then why fusion surgery was done at T7 T9?  Thickening was diagnosed in MRI after surgery? Please give detail history of surgery and diagnosis so that I can guide you better. If pain is there even after surgery then your operating surgeon will be in better position to solve your problem."}
{"_id": "000003597", "text": "Hello, I can understand your concern. You are right in your assumption that you have developed an allergic reaction to some substance that you are not aware about. You should start taking antihistamine such as Levocetrizine 5 mg (Exocet) or Loratadine 10 mg (Forfeits) once a day for about 5-7 days. This will reduce the swelling and will make the red bumps disappear. After about 10 days to 2 weeks time, go for a blood test for allergy. This test will show what substance you are allergic to so that you can avoid exposure to it in the future. If the antihistamines do not help, then it is not an allergic reaction, and you should see either a dermatologist or a dentist for examination of your lips and further investigations to diagnose and treat the condition. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best,"}
{"_id": "000003598", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No, accessory ribs are not that common. Even if they are present, they are mostly asymptomatic and accidental finding on chest x-ray. Symptomatic accessory ribs are uncommon. Surgical removal of those accessory ribs is the only treatment option. So better to consult cardiothoracic surgeon for surgery. First get done CT scan. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks."}
{"_id": "000003599", "text": "Hi. Morning sickness is most common during the first trimester but can occur during any phase of the pregnancy. As for the diarrhea or bowel irregularity, this can also occur during any phase in pregnancy but as long as it does not lead to deny Chat Doctor. Other symptoms of thread worm include insomnia, bed wetting, itching around the anal region, bed wetting, skin infection, etc. Diarrhea is usually not a symptom associated with thread worm, although it can occur, it is not due to the thread worm. You can choose to visit your doctor and get examined, but in my opinion it seems unlikely. Also make sure you ask your husband to help with taking care of your daughter, and also use separate restrooms. Best wishes."}
{"_id": "000003600", "text": "Hello NaghmaThanks for your query. Please understand that Egg is immunoglobulin G which is elevated in response to an old infection.The values of Egg do not indicate any recent infection. To know whether you are positive for Rubella and CMV, you have to get IG M test done, which is immunoglobulin M, which is indicative of a recent infection, if it is elevated. If your IGM levels are increased, you need to avoid pregnancy till you are vaccinated against Rubella and immune to it. Your current values do not mean anything, they merely indicate that you are already immune against the diseases. Please get IG M tests done, and if negative, you can definitely proceed for pregnancy after proper pre conceptional counselling. Take care."}
{"_id": "000003601", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Better not to give any Over the counter (OTC) Chat Doctor.  This can be dangerous. In my opinion, you should take him to the pediatrician and get done 1. Clinical examination of respiratory system 2. Chest x-ray. By history and description, possibility of lung infection (pneumonia) is more. So chest x-ray is needed for the diagnosis of pneumonia. He may need higher antibiotic intravenously to control fever and cough. So don't give any OTC"}
{"_id": "000003602", "text": "HelloThanks for query. You have swelling and induration of Left testis and have done ultrasound scanning of scrotum and been diagnosed to have Orchids. Orchitis is an infection of testicle and is always associated with sever pain and other urinary symptoms like burning urination, fever etc. The other most common cause of swelling of the testicle without pain is Testicular Tumor. You need to consult qualified Urologist for clinical examination to confirm the diagnosis. He may advise for 1)Testicular Biopsy to rule out malignancy of testis 2) MRI of scrotum. Chat Doctor."}
{"_id": "000003603", "text": "Hello, I need to know more about the symptoms, like precipitating factors, factors that increase pain etc. There are two possibilities in you, one is gastritis and second is due to smoking.  Mostly it's a gastritis and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks.  Secondly, it may be due to smoking, as it causes damage to lungs. This pain frequently but not always increases on deep breathing and coughing etc. Treatment is reducing the smoking and if hurting a lot then needs NSAIDs like ibuprofen 500 mg or diclofenac 50 mg on whenever needed basis. Get back if you have any doubts."}
{"_id": "000003604", "text": "Hi, Please note that some cardiac holes called septal defects close by themselves. Some when small cause defect only in infections, anemia or pregnancy. Large defects cause symptoms as repeated chest infections, decreased height and cardiac failure as a breathing problem etc. Such things can be evaluated by chest x-ray and stress echocardiography easily. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003605", "text": "Hi, Panic disorders during pregnancy tend to make more concerned about pregnancy & the disorder itself. You are already having CBT & get good response. Please some relaxation techniques which will help you.  The chest pain on left side & palpitation can not be heart trouble. As the site of pain there is different.  To satisfy yourself . Get yourself examined by a cardiologist.an assurance from him will satisfy you . & this will remove your symptoms too.  Thanks."}
{"_id": "000003606", "text": "Hello am sorry for your husband and his situation. He suffers from DM, pneumonia , three surgeries, and today he is not responding. How was the sugar blood level? Did he previously smoke a lot? Because in persons witChatDoctororbidities and smokers too, the pneumonia (which is the inflammation of the lung tissue) is more aggravated in a smokers' lung. He is recovered in ICU ward with these problems. In my opinion the coma might be from DM or sepsis due to pneumonia too. I wish a fast recovery for your husband. Thank you Chat Doctor."}
{"_id": "000003607", "text": "Hi, Welcome and thanks for posting your query to Chat Doctor. After reading your query it appears to be due to the closest possibility of \\\"Urticaria\\\". This is a condition caused by bursting of allergy producing cells known as \\\"mast cells\\\". As the chemical inside them is released causes the kind of rash which you mentioned. Kindly follow the suggestions below"}
{"_id": "000003608", "text": "Hi. By what you quote I feel that it could just be a passing viral illness. But if the nose bleeds recur again or if his behavior is altered you need to consult a physician. Bad headache associated with vomiting / reeling sensation of the head / unconsciousness/ seizures / ENT bleeds is an indication for evaluation. As there is nose bleed - I suggest you consult your pediatrician for this as soon as possible. Regards -"}
{"_id": "000003609", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out arrhythmia (rhythm disturbances in heart) because this can cause Fluttering and twitching sensations in rib cage. So consult doctor and get done 1. ECG 2. 2d echo 3. Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. Sometimes, stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. And lose some weight. This will cause subjective wellbeing and treat your fatty liver too. Don't worry, you will be alright. But first rule out arrhythmia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003610", "text": "Hi, welcome to Chat Doctor. Zyloric and Eurostat, both are prescribed for high uric acid level in blood. Febuxostat is better alternative to pyloric with less allergic side effect. So, continue with Eurostat for at least 3-4 months and then check uric acid level. It is necessary to continue this tablet if someone has recurrent attacks of gout. Maintain adequate HY Chat Doctor. I think this would be helpful to you. Best wishes. TC."}
{"_id": "000003611", "text": "Hi and welcome to Chat Doctor.  As a Urologist and kidney transplant surgeon, I can understand your anxiety. Diet is very important in renal failure patients.1. Salt restricted to 5gm/ day. No added salt while eating food.2. 40gm protein/ day. Avoid red meat totally.3. 2000 calories / day in an adult, but adjusted according to body weight.4. No fresh fruits or coconut water, as they're potassium rich.!!5. Fluid intake should be strictly, urine output plus 400 ml/day. If you've any other doubts, send a direct question, in my name. Chat Doctor.  Manga."}
{"_id": "000003612", "text": "Hi, Welcome to Chat Doctor. If you have gastrointestinal symptoms like loose stools or vomiting then the chances of the pain you have to be due to appendicitis can be possible. Since you have history of burning micturition the chances of urinary bladder infection being the cause are more. You may have to be placed on antibiotics to get rid of the symptoms you have>do consume lots of water and Cranberry juice as this will reduce the load of the infection. Wish you good health."}
{"_id": "000003613", "text": "Hello! Thank you for the query. Your symptoms are most likely caused by stones in the bile ducts. Adhesions which has appeared after the surgery are also possible. I suggest you to have blood work, liver tests (AST, ALT,GTP, AP), amylase, bilirubin, urine amylase and abdominal ultrasound. If stones will be found, ERCP procedure will be necessary and will cure these conditions. If no findings in these tests, abdominal CT should be performed to see if the pancreas is fine and if there is no other things inside the abdominal cavity. Hope this will help. Regards."}
{"_id": "000003614", "text": "Hi. Thanks for your query. Good explanation of the findings. Hard lump-skin moves- 3 years.IT is possibly coming from the bone as Osceola/ or a lipoma, appears hard here as it is in the confined space / The best way to get a correct diagnosis is HRCT scan of the area and FNAC. The decision to whom should be contacted depends upon the CT scan findings. IF feasible, get this operated. It is better to get this removed (excised) for 2 reasons.1> your get rid of the disease and 2> you get the histopathological diagnosis-makes you tension-free"}
{"_id": "000003615", "text": "Thanks for your question on Chat Doctor. Metastatic appendicitis adenocarcinoma is the malignant tumor involving appendix. It is rare tumor to occur. But very aggressive in nature. It spreads by blood and lymph nodes. And presentation is similar as you mentioned like abdominal pain, vomiting etc. And this can be diagnosed only on histopathology examination. And this give rise to metastases in liver, lungs etc. So metastatic appendicitis adenocarcinoma means malignancy of appendix which has spread in liver, lung and other distal sites. It is not a good malignancy.  Life expectancy is less than 1 year only."}
{"_id": "000003616", "text": "Welcome to ChatDoctorGood Date pain while lying on the stomach may be caused due to an inappropriately healed incision site. You need to get an ultrasound to rule out disorders which can cause these symptoms. Get your vagina swab tested for infections like pelvic inflammatory disease. Regarding the breasts, how far along from your delivery are you. When did you stop breastfeeding. You may need to get checked for hypothyroidism and prolactin level as these can cause milky secretion. You could be having a urinary tract infection for which you need to get your urine tested and be on appropriate antibiotics. Get tested by a Gynecologist and follow his/her advice."}
{"_id": "000003617", "text": "Hi. Thanks for your query. Read your history and understood your problem. The most probable reason for such of pain in left side of abdomen which gets intensified while passing urine and relieved by urine flow can be"}
{"_id": "000003618", "text": "HelloThanks for your query, based on the facts that you have posted it appears that you have low back pain, testicular pain which suggests presence of stone either in kidney or ureter. Please consult qualified Urologist for clinical assessment and get following basic tests done to confirm the diagnosis.1)your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.2)Ultrasound scanning of abdomen to rule out presence f urinary stone, Please take broad spectrum antibiotics like \\u010ceferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria."}
{"_id": "000003619", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged posterior auricular lymph node due to reactive hyperplasia or tuberculosis.  Or you may have some cyst like sebaceous cyst or Desmond cyst or some abscess.  You should go for examination. If needed to take a course of antibiotics.  If you lump doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003620", "text": "Hello, I have gone through your query. Thanks for using Chat Doctor. Basically hyperthyroidism can lead to mild hypertension. And BP reading of 130/90 and 127/86 are marginal and you don't need any treatment for that. Inderal which is being given to you would control this level. Usually treatment of hyperthyroidism lasts for about 2 years. Looking to your present reading you just focus on hyperthyroidism along with salt restriction and follow healthy lifestyle. My best wishes Chat Doctor."}
{"_id": "000003621", "text": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Following are the lifestyle situation which causes heart issues.1. Age (age more than 55)2. Strong family history3. Stress and anxiety4. Type A personality5. Hypertension and diabetes6. Obesity and dyslipidemia7. Sedentary lifestyle etc. Since you are active and doing exercise, I don't think they will post pone surgery. Toe surgery is done mostly under local anesthesia.  So no Hardin it. Better to consult cardiologist after surgery. At present no need to worry much. Get done surgery."}
{"_id": "000003622", "text": "Thanks for your query. I have gone through your query. Nothing to be panic, keep an eye on your child for any changes like rashes or vomiting or any discomfort. If you find any of these symptoms then immediately consult a pediatrician and get it evaluated. If you don't find any symptoms then nothing to worry. Be careful from now on wards with your kid regarding Chat Doctor. I hope I have answered your query. Take care"}
{"_id": "000003623", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having gastritis and HERD (gastroesophageal reflux disease). Your symptoms are typically worsening during ovulation and menses (stress related) and after eating food. So all these favors gastritis and HERD more. So follow these steps for better symptomatic relief. 1. Avoid stress and tension, be relaxed and calm. 2. Avoid hot and spicy food. 3. Avoid large meals, instead take frequent small meals. 4. Start pantoprazole tablet on empty stomach. 5. Quit smoking and Alcohol if you have these habits. 6. Go for walking after meals. 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."}
{"_id": "000003624", "text": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. If you just had this problem Acutely, it might be due to sore throat. If this is a chronic problem, this requires further investigations like"}
{"_id": "000003625", "text": "Hello the pain you mentioned arises in the flank and moves forward resembles to renal pain and as u stated that you had urinalysis which contained ABCs which are actually dead white cells referred as pus cells signify renal infection. However you did not mentioned the actual no. of the ABCs as they may be insignificant to yard a positive culture or if u had performed the culture and sensitivity test after using Cipro and then u can get the false negative result. However for the current pain you are having which is more likely to renal pain I would recommend you to increase your fluid intake. Repeat urinalysis and perform an ultrasound pelvis and ultrasound PUB, thanks with regards Chat Doctor."}
{"_id": "000003626", "text": "HelloYour findings may suggest tubercular infection in right upper lobe. You are rightly suggested to take medicines for six months. Generally antitubercular medicines sterilizes tubercular bacteria in two- three weeks, so it is incapable to infect other persons. You should take extra precaution during first month like don't get very close to other persons and avoid kissing etc. Cover your mouth during cough. These will prevent spread of bacteria to other persons. Take healthy and nutritious diet. Get well soon. Take Care Chat Doctor."}
{"_id": "000003627", "text": "Hi there ~ All that you mention in your history for your husband, including exposure to ticks, an alcohol problem, family history of heart attack, physical stressors and recent chest pain along with exposure to varnish and his inherent non-modifiable risks of being a middle-aged male are contributing factors to his hypertension (high blood pressure).  I believe that using relaxation strategies like breathing exercises - Panama, yoga, meditation, regular scheduled activities as well as exercises are helpful with the high blood pressure.  These are nonmedical interventions.  Modification of lifestyle including diet is one part and using medications is another.  It is always helpful to seek the expert advise of a qualified doctor or your family practitioner in regard to any persistent problems. I hope this helps.  Take care and have a good day !"}
{"_id": "000003628", "text": "Hello, I have gone through the query and understood your concern. As per your sonogram, the follicles do not seem to have ruptured, considering their size. It is essential for a follicle to release the ovum to enable fertilization. Phaeton can be used safely and is useful to prepare the endometrium. You have to establish ovulation. This can be done by measurement of the basal body temperature, ovulation studies and enhanced by hormones. Your chances of conception are good as you have good follicles. Hope this helps."}
{"_id": "000003629", "text": "Hi...you can give with either water or milk. It all depends on the palatability of the kid - that means you can try both and continue with what the kid likes - for example if she likes it with milk - then continue with milk or otherwise - water. Other home-made food options will be - 1. Deal and rice well cooked and made into a oatmeal along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal oatmeal preparation with additional ghee added. Remember certain principles like -1. Add one food material / cereal or fruit per week. This will be useful because if he develops vomiting or diarrhea, we will know what to avoid.2. Add vegetables and fruits made into a paste surely to avoid constipation.3. Do not add too much sugar as it may cause diarrhea. Regards -"}
{"_id": "000003630", "text": "Knucke area is peculiar in the sense that the knuckle joint is just beneath the skin. Therefore any seemingly superficial skin injury in the knuckles especially open wounds is of concern to us orthopedic surgeons' BEC there is a high likelihood that bacteria and other foreign body can easily penetrate the joint and be left there. This injury can be easily missed out and be treated as a superficial skin wound. Skin can heal but if there is continued swelling here are possible causes you have an infection of the tendonoryou have an infection of the join tor you have an infection of the boner lastly it can be an abscess BEC of retained bacteria just underneath the ski nits very less likely to injure a bone(fracture) via table saw injury...bones are strong against slicing forces so less likely. Bones are more often injured via bending twisting or crushing."}
{"_id": "000003631", "text": "Hi ! Good evening. I am Chat Doctor answering your query. Even though the EPT could be negative, I would suggest you to go for a serum Chat Doctor estimation and an ultrasound of abdomen to confirm or rule out with certainty an unsuspected pregnancy. Apart from that an ultrasound would also give the treating doctor the latest information on your endometriosis. I would suggest you to anyway consult a gynecologist for a clinical examination and related investigations for a definitive diagnosis, and further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor"}
{"_id": "000003632", "text": "Hi, thank you for providing the brief history of you. As you been in a wheelchair and going through your history I can understand that it is a painful thing to have so many issues and ignorance by the physician. As in my clinical practice we offer the best care and time to queries of the patients, may not be so important according to us but for a patient it is important as the patient is desperate to know how his future is going to be. As you are currently under a physical therapy and also diagnosed with MS. I will advise you to understand that MS is something different to deal with the medication as all Chat Doctor. Regain the functions and also will help the body to reproduce its own internal medicine. In many cases of MS in my clinical practice we have a team approach to help the patient and never ignore the smallest query by patient or a symptom too. In case you need any more assistance I will surely be present to help you. Never give up as many MS cases in my practice I Have seen recovering when a team approach is provided. Also, you can have a look to a YouTube channel of pfizernews and there many doctors have spoken about how better an MS can be handled and fought as well.  This is just a single example. As we understand your queries and request you to keep undergoing the physical therapy and make a deep communication between you and the medical team. If you have any queries you can ask me and I will be happy to help you. Regards Jay In"}
{"_id": "000003633", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion there is very less possibility of cancer in your case. But better to rule out this at early stage. So consult dermatologist and get done biopsy of the lesion and send it to the histopathological examination to rule LUT cancer. This is the best way to diagnose cancer if present. So get done biopsy and diagnose this."}
{"_id": "000003634", "text": "Hi. From your description I feel the child must be suffering from a viral associated wheeze. Obviously an underlying cardiac disease also has to be ruled out. Her coexistent genitourinary infection might be a cause of fever but the cause of cyanosis and breathlessness is usually cardiorespiratory problem. If you have any further questions in this regard I would please to clarify.  Chat Doctor. S. Sri Vichy Chennai"}
{"_id": "000003635", "text": "Well don't worry it's a common response to IV insertion after removing the iv cannula it takes a while for the small hole in your veins to plug up or close during these time some blood escaped to the surrounding tissue hence the bruisingitll feel sore yes but rest assured you would be fine the pain is caused by phlebitis (inflamed vein) which is just a healing response of the vein after a puncture wound in this case a needle warm compress can help since it would improve the circulation in the area thereby improving the healing response and washing away the pain chemicals"}
{"_id": "000003636", "text": "Hi. Thanks for your query. The pain in this area with a swelling on one side can be due to an abscess or symphysis diastase as you rightly thought about. The only way to get a proper diagnosis is by clinical examination by an Orthopedic Surgeon, and/ or MRI (MRI is safe in pregnancy). The treatment will depend upon the diagnosis. IF an abscess - needs a nice course of pregnancy-safe antibiotics and anti-inflammatory medicines. If dialysis- anti-inflammatory may be sufficient. Gynecologists opinion about an early Caesarion section can also be sought if the problem is severe."}
{"_id": "000003637", "text": "Hello, Welcome to Chat Doctor, As you are diagnosed to have Mono infection, which is caused byEpstein-Barr virus (ABV) is very common and usually occurs in childhood and early adulthood. ABV is a contagious infection that spreads from person to person.ABV is the cause of infectious mononucleosis and the symptoms are fever, sore throat, swollen lymph nodes in the neck, and enlarged spleen. The symptoms like nausea, vomiting and diarrhea are very much rare with ABV infection. Because of reduced immunity you may all these weird symptoms. Individuals with ABV infections requires1. Adequate rest 2. Plenty of Fluids3. Corticosteroids to treat significant swelling in the throat4. There is no specific medicine to treat ABV infections. Thank you."}
{"_id": "000003638", "text": "Hi I did review your concern and question. Your lower back pain can be due to multiple reasons. I would advise you to consult a rheumatologist for complete evaluation including-xray, cbc, esr, crp-MRI spine,HLAb27 if required afterwardsFinding the right cause is important to start right treatment in back pain About the bruise you need to be investigated for CBC, platelet count and coagulation profile. Also, both back pain and bruise can be related with respect to an autoimmune phenomenon. I hope this helped me know if any more questions or concernsWish you best luck ahead"}
{"_id": "000003639", "text": "Hi, your child had an operation for Aortic valve regurgitation. Now he has bilateral pleural effusion. This condition is a bit worrying because effusion could be due to the inability of heart to completely pump the blood out. This leads to back pressure and effusion. Get an Echocardiography done to get a view of the current status of aortic valve function along with ejection fraction. If you live in a high tubercular endemic zone, get a Koch work up in form of an ESR and a contour test. Also, consult your cardiologist. Thanks and regards."}
{"_id": "000003640", "text": "Thanks for contacting Chat Doctor with your medical questions am sorry to hear that your son has chicken pox and that the rest of the family is now exposed. The chicken pox virus is extremely contagious and at this time the entire family has been exposed and if they never had chicken pox will probably get it. For the child Chat Doctor.  For the adults it could be more serious. It is possible though that you and your husband had chicken pox when you were child"}
{"_id": "000003641", "text": "Hi, you had laminectomy 15 years back, Now suffering from the lower back pain, taking diazepam 5 mg, Now you are suffering with dizziness, altered gait. Tests done every thing is normal. You are suspecting it to be due to the diazepam.  There could be another reason, like atherosclerosis, ischemia of the brain, or something of that sort. I advise you to consult a neurologist for diagnosis. Thank you."}
{"_id": "000003642", "text": "Hi, Thanks for writing in to us. Sorry to hear about the cancer your friend is fighting. Blood cancer might occur in many types and the patient symptoms vary. The new blood cells are produced in bone marrow. It is possible that the bone marrow in your friend is producing immature cells and this prevents formation of normal blood cells. In this way there is no new blood cells that are normal and all the cells released from the bone marrow are immature. For this reason he requires blood transfusion regularly. It is unlikely to be hemophilia which is a disease in which blood does not clot, and the patient has blood loss. Gene therapy and stem cell research is still going on with research trials in selected countries. This information of the availability of any trials and if your friend can participate will be known only if you contact any cancer research center in you place and give them detailed information about his illness and blood counts. Immune modulator therapy and bone marrow transplant might work and this needs detailed discussion with his doctor. Please do not worry."}
{"_id": "000003643", "text": "Hi. Thanks for your query. It is good that you did Tidal test for typhoid and this is equivocal. It looks that you are either a traveler or eat out of the home. You should get investigations for other causes also as the test is equivocal meaning can be positive or negative. I would advise you the following"}
{"_id": "000003644", "text": "Hi, Welcome to Chat Doctor, I have read the query and understand the problem. Sweaty palms with fever should be evaluated further. As you said you had been treated with typhoid, so you should go for tidal test for follow-up testing and check the which tier is showing. Other tests also be done like routine blood counts, thyroid function tests and urine examination to detect any infective the underlying cause. However, most excess sweating is due to excess sweat glands or their hyper-stimulation. That causes can be skin infection (bacterial or fungal) lead to replicate themselves and create bad odor,sometimes genetic or bad hygiene. Here are some tips to stop this sweating. Always take balanced diet and Chat Doctor.  Avoid tight-fitting clothes rather wear loose clothes. Wear cotton material clothes and avoid synthetic silk. Bath with antibacterial soap like detail, savlonUse antiperspirants and deodorants together like aluminum chloral"}
{"_id": "000003645", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Due to strong family history of ischemic heart disease (HD), high blood pressure and high cholesterol, you are at high risk of development of HD or other heart diseases in the future. So better to follow these steps. 1. Strict control of blood pressure is needed. So take your antihypertensive Chat Doctor.  Get done regular (monthly) blood pressure monitoring with doctor. 2. Strict salt restrictions in diet is needed. 3. Avoid oily and fatty food. 4. Do regular aerobic exercise like running, cycling, swimming etc. 5. Avoid stress and tension if you are having stressful life. 6. Get done regular lipid profile, ecg, 2d echo and stress test once a year. 7. Start lipid lowering agents like atorvastatin or rosuvastatin. 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."}
{"_id": "000003646", "text": "Hello, Thank you for using Chat Doctor. I read your question and understood your concern. You may have plantar fasciitis, so I recommend you to use custom-made shoe inserts with arch supports. Also check your osteoporosis as you may need calcium and vitamin D medication. Diabetes affects also the nerves of the legs, so you take medication for neuropathic pain such as LYRICS. Non weight-bearing exercise and sport such as swimming, water Derby and stationary bike is good for you to lose weight but not walking nor jogging."}
{"_id": "000003647", "text": "Welcome to the ChatDoctorI have gone through your question and understand your concerns. Your child seems to be suffering from motor delay which can be due to mild cerebral affection due to premature birth. Don't worry. She seems to be progressing well in social, emotional and cognitive development. Fine motor skills and gross motor skills are a bit delayed but with good physiotherapy, they may improve over time. Ayurvedic massages are also useful. Hopefully this will help you. Take care"}
{"_id": "000003648", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, at your age (58 Yeats), arrhythmia (rhythm disturbances in heart) can cause similar symptoms. Arrhythmias like atrial fibrillation, atrial flutter, supra ventricular tachycardia etc. can also cause skipping beats. So better to get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). You may need anti arrhythmia Chat Doctor.  Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003649", "text": "Hi, Thanks for writing in. A black spot on the kidney requires detailed evaluation It is important to know the exact report details of the MRI which was done. The concept of black and white appearance on MRI scan is not specific at all times. There are many images taken during MRI scan and structures might appear black or white depending on the image sequence. If her doctor has pointed it out as an abnormality then it is to be followed up closely and in detail with the help of additional investigations. A complete kidney function test might help to know if she has any kidney function which might be related to the compression fractures at the back. However, the routine tests are normal and therefore doing other tests might help. If it is a cyst in kidney then there is no concern. Please do not worry."}
{"_id": "000003650", "text": "Hi Their understand your concern for your health and I would like to tell you that a heart function of 25% is quite low which need to be evaluated thoroughly to find out the cause of such a low LV function. For that your cardiologist may advise you to go for a coronary angiogram to check the status of your heart vessels which could be the most important cause of your low heart function.No not going to involve heart surgery at this point of time. And one more important thing is to STOP SMOKING (IF YOU DO).I wish you good health"}
{"_id": "000003651", "text": "Hello, Based on your description of your complaints, you seem to be having venous insufficiency of your lower limbs. This commonly in layman term is called as venous insufficiency of lower limbs. That is the veins of lower limbs usually pump the blood from lower limb to heart, after injury to lower limbs or due to any other because they become weak or loos there ability to pump blood back to heart completely. This results in them becoming thick or engorged and sometimes these small veins look bluish and enlarged. These changes are usually seen when you do a color venous Doppler and arterial Doppler of lower limb. Sometimes these discolored veins also are seen after taking some medications. In most cases, the treatment will be exercises and compression stocking application of lower limb. I would request you to consult your doctor again and ask him to clear your doubts. Wish you a speedy recovery. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003652", "text": "HiT hanks for your query with Chat Doctor, as you mentioned you have already taken antibiotics there is no need to take antibiotics again and again which is not god for general health where one can develop Chat Doctor. Anyways coming to your problem I think you have an open canal where the food can lodge in canal leading to pain with secondary infection. I would suggest you to visit your dentist for further completion of the treatment under aseptic conditions. Fever is also because of secondary infection only. Blood in the saliva may be due to remnants of pulp nothing to worry but as mentioned complete the treatment if it is not done, Hope this helps you"}
{"_id": "000003653", "text": "Hello, Well, some signs you should be a concern to are inflammation of the tattoo which means tattoo may be hot when you touch, it is more redness than normal, it hurts to you a lot when you touch, and you find your eyebrow tattoo inflated then you must be worried. Other signs you may take into consideration may be scratching of tattoo or unusual pain. About the soreness you mention, alone with no other sign it is not a problem and Vaseline will help. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003654", "text": "HelloThanks for your query, based on the facts that you have posted it appears that your husband has acquired Gonorrhea after having sex with other woman which was treated with antibiotics.However, during his recent visit your Chat Doctor. This is known fact that infection remains dormant for a couple of months and recurs again without any sexual contact especially if the Gonococcal infection is incompletely and treated"}
{"_id": "000003655", "text": "Hi, Usually, high blood pressure patients start tolerating high BP. If your mother is not having any major symptom besides high BP, let her take her medication and physical rest. She must avoid all physical and mental exertions for the next 3 or 4 days. Even morning walk should be avoided for the next 3 or 4 days. Ask her to avoid tea, coffee and alcohol also. Ask her to relax. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003656", "text": "Helpfulness of pelvi-calyceal system may indicate obstruction in Chat Doctor. It may be calculus, PUJ obstruction etc. Since ultrasound of PUB doesn't mention any calculus, other causes should be searched. You may need MVP(intravenous paleography).MVP is important in assessing PUB obstruction, function of Kidneys etc. You may need some intervention depending upon findings. Empirically you are rightly advised to take plenty of water. CT biography may be needed after evaluation. Get well soon. Take Care"}
{"_id": "000003657", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, you have mentioned that your friend has abdominal pain, No, gums infection can't lead to diverticulitis, for that you should consult Physician, But your friend should go to dentist and get oral prophylaxis done, Poor oral hygiene lead to growth of bacteria in oral cavity which can cause many gingival and periodontal problems, Hope this will help you.  Wish you good health."}
{"_id": "000003658", "text": "Welcome to Chat Doctor. 1. The history and symptoms suggest the most possible cause is hair follicular infection / inflammation in the first place.2. The next possible cause could be abscessed with collection of the infective material / pus with in.3. In both cases I would recommend you not to interfere the lump by scratching, pressing as in that way you will increase the infection and complicate the condition.4. At this point I maintain local hygiene, clean the area with antiseptic liquid - soft and gentle. And need a course of antibiotic therapy that will heal the infective process. 5. If the lumps are big and complicated stage, it may need a small incision and Chat Doctor."}
{"_id": "000003659", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have small child with swollen cheek and discoloration of teeth, don't worry this can be due to carious tooth having Pus formation.  As there is no any ayurvedic treatment you should consult dentist and go for restoration if possible, if cant be restored go for extraction of tooth.  Hope this will help you.  Wishing you good health."}
{"_id": "000003660", "text": "HelloThanks for query. Bumps on shaft of the penis are mostly Sebaceous Cysts. Penile skin is rich in sebaceous glands hence more prone to get this cyst due to accumulation of sebum beneath the skin. Normally they fade away without any treatment .but need to get excised in Toto if you get infected or increase inside. Consult qualified Surgeon for clinical assessment and further treatment. Chat Doctor."}
{"_id": "000003661", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These are high liver enzymes findings but still not critical, so I don't think it is necessary to postpone treatment if you ask me. However, you should consult it with doctors who prescribed this specific treatment. You should also take Sylvain for liver protection and avoid alcohol completely. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor."}
{"_id": "000003662", "text": "Thanks for your query, I have gone through your query. Some people vomit or feel like vomiting when they brush their teeth. This is because the toothbrush that contact with the back part of the oral cavity. This, in turn, activates a persons gag reflex, thus causing the person to instinctively throw up. When the bristles contact the soft palate you will feel like vomiting. Nothing to worry, while brushing you need to be sure of not contacting or stimulating the palatal mucosa with the brush. I hope my answer will help you, take care."}
{"_id": "000003663", "text": "Hello, If you have regular 28-30 day cycles and have missed a period, you should get investigated further since the home pregnancy test is negative. I would suggest a serum beta-ChatDoctor title assay along with a trans-vaginal sonogram. If pregnancy is excluded, you need further investigations like hormonal profile, general check up, blood counts, urinalysis etc. In the absence of pregnancy, a missed period could mean hormonal imbalance caused by several factors like sudden weight changes, stress, infections or certain medications and once everything is clarified, a period may be induced. Hope this helps."}
{"_id": "000003664", "text": "Hi and welcome to Chat Doctor. It sounds like stomach issue. All this is caused by high acid secretion which is found in gastritis, HERD or hiatus hernia. These disorders can cause such difficulties, and you should do gastrostomy to evaluate this. Symptoms that are experienced in such conditions are pain and tightness in upper stomach, bloating, breathing difficulties, heartburn, feeling of lump and sore in throat, gurgling sound in throat, fatigue and loss of appetite. Symptoms are aggravated after meal, long sitting, leaning forward, stress and anxiety. In the beginning this is treated by changing dietary habits. You should avoid alcohol, coffee,smoking, fats and fast food, carbonated Chat Doctor.  1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise. Second option is pancreatic disorders, you should do certain tests to verify is there any kind of pancreatitis. Wish you good health."}
{"_id": "000003665", "text": "Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply"}
{"_id": "000003666", "text": "Hello. Thank you for asking at Chat Doctor. I went through your history and would like to know more about you like - a. Did you have such episodes in past? b. Did you have fever? c. Did you have headache? At present, I would like to make suggestions for you as follows"}
{"_id": "000003667", "text": "Welcome to Chat Doctor I have gone through your query and understand your concern. You are having neuropathy both hands. It may be due to compression of your nerves in cervical spine region due to compression of nerve roots. You have not mentioned your age to judge the cause of disease. You may need your MRI of cervical spine to see compression. Other causes of neuropathy such as thyroid disease and diabetes should be ruled out by proper investigation. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"_id": "000003668", "text": "Hi, Welcome to Chat Doctor. After going through your query I think your You are suffering from chronic sever backache. Treatment of back pain exercises and analgesics (diclofenac). Sometimes strong analgesic(such as attract three times a day after meals) is required. Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation can be taken. You need to do MRI TO RULE OUT DISC PROLAPSE and other causes. I think your query answered. Welcome to any follow-up query"}
{"_id": "000003669", "text": "Dear patient you are suffering from bronchitis, a chest infection caused due to recurrent sore throat and tonsillitis. You need to improve your bodies immunity. As decreased body defenses leading to recurrent sore throats and tonsillitis. Take high amounts of proteins and a tab of lime every day. Get a chest x-ray done and start a course of antibiotics by consulting a pulmonologist personally. I advise you to get your tonsils removed as they are the primary source of you repeated infection. Undergo tonsillectomy. Best of luck, take care."}
{"_id": "000003670", "text": "Hi.noted history of lump on the arm. It could be a fibrous (fibrous tissue formation), lipoma (fatty deposit) or a cystic formation. It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Other diagnostics and management will be directed accordingly. If it is any of the benign lesions mentioned above, definitive treatment is surgical excision and antibiotic treatment. Hope this helps. Good day!!~ Chat Doctor."}
{"_id": "000003671", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are having recent travel history, possibility of either lung infection or bronchitis is more for your symptoms. Your symptoms like headache, dizziness, weakness, nausea and breathing difficulty are common in both of these conditions. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. You may need antibiotics, inhaled bronchodilators and inhaled corticosteroid. So first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000003672", "text": "Thank you for the question. For lose motions ORS and water is definitely needed.This medicine as you said has good effect on motions. Medicines do have other effects too. These medicines are bad to taste, also it leads to metallic taste which obviously the toddler is unable to explain but expressing it in the for of vomiting. Infection will take some time to resolve along the time color of motions will change.In the meantime you can give the child medicine on empty stomach and offer something immediately after it, so he does not continue with after-taste of the medicine, stop vomiting. Have patience."}
{"_id": "000003673", "text": "Hi... If I were your treating doctor then. I would like to know the details of injury sustained.in detail.as of now with details available with me. I would suggest you to ice up the injured area...keep it compressed with a compression bandage.keep icing your calf muscles ...if possible slowly knead her calf muscle so that it help her in relieving spasm and associated stiffness which be an indirect cause of her knee pain...Don't hang your foot keep it elevated...from foot to mid-thigh...with a pilot... Take it easy on your activities don't try to bear weight and keep attempting movement to check if it is painful. Once these episode gets over.and heal completely I suggest you to have a good ankle glute rehab program... balance and proprioceptive program for 6 weeks... Hope this is helpful for you. Kindly revert in case you need further clarification...."}
{"_id": "000003674", "text": "Hi & welcome.Seafood is an important source of Omega-3 fatty acids which have liver protective action. It can be either in form of fresh, canned or frozen sardines, salmon, mackerel, tuna, trout, blue mussels, calamari, etc. Fish oils like Cod liver oil also contains a good amount of Omega-3 fatty acids hence can be consumed. Along with seafoods listed above eat plentiful amounts of raw fruits and vegetables, especially dark green leafy vegetables and orange, yellow, purple and red colored fruits and vegetables as they contain various vitamins, anti oxidant substances which protect the liver. Avoid taking spicy foods, cigarette smoking, fatty meals, etc. Hope this answers your query."}
{"_id": "000003675", "text": "If you or your child has an earache that is often accompanied by a stuffy or runny nose and a sore throat and fever, it is likely that the ear pain is due to an ear infection. Medicine for Ear Infections To ease the pain of an ear infection, your doctor may recommend a pain reliever, typically acetaminophen or ibuprofen, which also helps reduce a fever. Aspirin should be avoided in child Chat Doctor."}
{"_id": "000003676", "text": "Dairy understand your concern. You have been diagnosed to have depression. And you are under medication. Time and again it has been proven that medicines alone cannot cure depression. Change your lifestyle using psychotherapy. Change your body metabolism and way of thinking through Yoga. Decrease your pace of life through meditation. Consult a good psychologist and yoga master soon. Wish you speedy recovery"}
{"_id": "000003677", "text": "Hello, If your pain is with swelling and in both lower limbs than there are some other reasons for that like"}
{"_id": "000003678", "text": "Hi, thanks for using Chat Doctor Sneezing and nasal discharge are normally related to allergies. Treatment would involve avoiding the allergens if they are known and the use of medication. Montelucast is effective for allergies and is also used in asthma. A topical nasal spray would also help to reduce your symptoms, examples are alone, escort, Flonase, avamysYou would need a prescription from your doctor. I hope this helps"}
{"_id": "000003679", "text": "Thanks for your query, I have gone through your query. The pain in the tooth could be because of tooth infection or gum infection. The tooth can become loose secondary to bone loss or any cyst or benign tumor. Consult an oral physician and get the OPG done to rule out the above said causes. If it is a tooth infection get it treated by root canal treatment. If it is gum infection get your teeth cleaned once. If it is a cyst or tumor you need to get it removed surgically.I hope my answer will help you. Take care"}
{"_id": "000003680", "text": "Hi, Thanks for writing in. Masturbating with olive oil containing dead ants will never lead to bleeding from penis. Please be reassured that the olive oil had nothing to do with the bleeding symptoms. It might be that you have done rough and violent masturbation. There can be injury to the soft tissues of penis and urethra. This can cause small lacerations in the wall of urethra. When more force is exerted, this will cause bleeding during masturbation as the soft tissues are engorged with blood and blood vessels are dilated. Please avoid masturbation for 3 to 4 days and use lubrication while doing it gently."}
{"_id": "000003681", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. As you already know that your girlfriend is an anxiety patient and undergoes treatment and been prescribed with Federal, you must make her aware and motivate her not to Chat Doctor.  Consumption of any form of alcohol increases the anxiety symptoms and treatment mostly fails. Please correct her. As her boyfriend, you can only do that. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000003682", "text": "Hello dear user! I have gone through your query and understood your concerns! Thank you for sharing them on Chat Doctor. We can't be sure that these symptoms you are experiencing now indicate heart failure without doing some examinations. Usually swollen ankles and feet are found in heart congestive failure, but in these cases, feet and ankles are more swollen in the evening and less in the morning. Kidney problems, diabetes, thyroid problems etc., may lead to similar symptoms. So to determine the real cause of these concerns I would recommend you to do some examinations to let us know more about your health.- Blood pressure monitoring-Blood sugar and lipids-Urine test, proteinuria- Liver enzymes, and kidney function indicators (creatinine, urea)- ECG-Heart ultrasound examination and cardiologist consultation doctor may ask for more examinations if he sees reasonable. After we get these results well be able to determine your condition and treat it accordingly. Feel free to ask us again on this website. I hope this answer was helpful to you! Please kindly rate it as helpful and write a short review about your experience with me! I would appreciate that a lot. Thank you and best regards! Chat Doctor."}
{"_id": "000003683", "text": "Hello there, Root canal treatment is done on the infected or decayed tooth to remove the infected pulp tissue and to relieve the symptoms of pain and sensitivity permanently by devitalizing the tooth. Any remnants of the dental pulp or the tooth nerve tissue present in the root canals leads to pain and discomfort.  Analgesics like ibuprofen will relieve the pain temporarily, once the root canals are disinfected and filled with permanent canal sealing material and the procedure is completed pain is relived permanently.  So get the treatment completed as soon as possible followed by crown coverage of the treated tooth. I hope this helps, take care."}
{"_id": "000003684", "text": "Hii Tiffany, You are currently suffering from irregular period and hormonal imbalance. So need to investigate properly to rule out pathology. Do Blood for FSH/LH, Prolactin level. You have to regularize period with medicine. Pregnancy is possible only if ovulation and sexual intercourse occur in correct timing. Do sex in missionary position. No use of contraception. Also avoid stress, tension and anxiety. Do light exercise. Take healthy diet and sleep well. All the best. For more detailed suggestion, mail me.....soumenmmch@gmail.com"}
{"_id": "000003685", "text": "HiT hanks for choosing Chat Doctor for your query. Since TB is highly contagious disease, the close contacts of a person with pulmonary (lung) tuberculosis are prone to develop infection because TB spreads by Chat Doctor. Visit the treating doctor for the skin testing like Contour test. You will have to take Isoniazid tablet once daily for 6 months or Isoniazid and Rifampcin once daily for 3 months. This will prevent you from TB infection. This preventive treatment should be given to all family members including the housemaid and servants. I hope your query is being explained.Feedback in this regard is highly appreciated."}
{"_id": "000003686", "text": "Hello, Cannot say in your particular case, and it all depends on specifics like how much brain edema and what organism is infecting the brain. Bacterial infections severe enough to cause coma are generally fatal by that point even with the best care.  Likewise, infection with amoeba are usually fatal by the point of brain edema.  But neither of these are 100%. Soonest antibiotic as possible. Lowering brain swelling with steroids, or diuretics or hyperventilation or medical coma would be urgent. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000003687", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should consult pulmonologist for your husband. Here is having chronic HERD (gastroesophageal reflux disease) which is causing bloating, heartburn, chest pain etc. This chronic HERD can cause asthma and breathlessness due to chronic reflux in the lungs. And they will cause shortness breath tiredness etc. So consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. He will need inhaled bronchodilator and inhaled corticosteroids. Control of HERD is also important. So avoid stress and tension, avoid hot and spicy food. Continue Prilosec. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks."}
{"_id": "000003688", "text": "Hello! Thank you for the query. It would be much easier to answer your question knowing at least pain location. Also, the type of laparoscopic surgery (gallbladder removal?) is important. Back pain and abdominal pain can be caused by gallstones, stone in the bile ducts, pancreas inflammation or urinary tract infection. I assume that you have gallbladder removed. If the pain is connected with nausea, dark urine, whitish stool, a stone in the bile ducts can be the reason. If you have any frequent urinating, burning while urinating, urinary tract infection can be the reason. I suggest you to have some tests done. Abdominal ultrasound, blood work, urinalysis should be done at first. Hope this will help. Regards."}
{"_id": "000003689", "text": "Hello and welcome to Chat Doctor, An abdominal pain with cramps may not be necessarily due to infection. Is there associated diarrhea, vomiting, etc.? If yes then these symptoms can be due to an intestinal infection. The treatment for amoebas is metronidazole. Ciplox is for bacterial infection. It is advisable to consult your doctor before starting any medication.In the meanwhile you can take a painkiller and anti-spasmodic- dicyclomine for the cramps. Take light food and avoid fatty and spicy foods. Thanks and take care Chat Doctor."}
{"_id": "000003690", "text": "His understand your concern.295 spectrum has many phases and for treatment it is necessary to go in detail about all symptoms that you have. The medicines are mixture of both anti-psychotic and antidepressant. If you have more psychotic symptoms than require dose adjustment, and it can only possible when we know all history since beginning.Revert with detail or consult the best psychiatrist in a town for further assistance. Thank you."}
{"_id": "000003691", "text": "Hello there I have read through your question and burning pain in the calf is an indication of nerve compression. Since it is in the lower leg it may be happening at the level of spine. I would advise you to get an MRI scan of the spine done. In the meanwhile try and avoid sudden bending movements or lifting heavy weight s. Try doing stretching exercises. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing Chat Doctor."}
{"_id": "000003692", "text": "Hi, This type of pain is peculiar of two conditions, L4 nerve root compression or perineal nerve compression syn Chat Doctor.  If not then it may be because of stress fractures or vitamin D deficiency. All you need to do is to get a thorough clinical examination done as the information you have provided is not enough to reach a diagnosis. Take care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000003693", "text": "Degree understand your concerns went through your description. I suggest you not to worry much. You have not given your age. With no other symptoms pertaining to STDs, that part should not be suspected. The odor during intercourse is normal and is due to intercourse itself. The soreness could be due to lubrication problem. Get to your gynecologist and get a confirmation about this lubrication problem. Use of proper lubrication should clear the problem. Hope this answers your query. Available for further clarifications. Good luck. Merry Christmas."}
{"_id": "000003694", "text": "Hi there. Welcome to Chat Doctor. I have read your query. Do you have any pain in your hips while moving them around or walking ? Are any of your legs short ? It appears got could be having a fixed flexion deformity of your hip due to possible hip problems. You need to avoid lifting weights and minimizing stair climbing. Kindly consult your Orthopedic surgeon in this regard as investigations like X-ray or MRI may be needed to confirm. I hope I have answered your query. Thanking you."}
{"_id": "000003695", "text": "Hi Diane, The reason for the pain could be a pinched nerve, the one supplying your legs. Once a nerve is pinched at its origin from the spinal cord, the symptoms may be felt along its course too. This pinching can be caused due to many reasons and to find the reason you would have to get an MRI scan of your lower back or the lumbosacral spine. The frozen shoulder and this pain radiating to knee and foot are not related. Provided the MRI scan shows the reason for the pain, it can be managed with medications and physiotherapy and in case it doesn't help, you would require a surgery at a later stage."}
{"_id": "000003696", "text": "Hello, Thank you for posting on Chat Doctor. From your description, It's difficult to put forward a definitive diagnosis. I would thus suggest you to consult a dermatologist for proper management, or alternatively you can post pictures to me via direct query so I can help you in a better way. Given the history of Hypothyroidism and sudden development of itchy rash I would like to put provisional diagnosis of Urticaria or hives.It's an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up. You may have to go for specific tests like patch test, food prick test, IGE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various antihistamines for long duration(at least 3 months) with or without oral corticosteroids. For non-responding cases there are many other Chat Doctor.  Hope this will take care of your condition. Kindly spare some time to rate my answer and"}
{"_id": "000003697", "text": "Hi missed beats or pauses in cardiac beating can be because of many factors it can be because of electrolyte disbalance, or it can be an arrhythmia for few seconds, or it can be av blocks.advicedHolter monitoring -a Holder monitor is a portable device for continuously monitoring various electrical activity of the cardiovascular system for at least 24 hours, any arrhythmia or cause of missed beat or pauses will be recorded in it, according to its report we can further progress to electrophysioogical studies to rule out and treat the cause. But initially a 2d echo and holder has to be done"}
{"_id": "000003698", "text": "HI, I understand your concern.  Cervical mucus changes throughout menstrual cycle. So it can indicate fertile days.  Cervical fluid is scanty / Chat Doctor. Becomes sticky & creamy before being fertile.  *. When it becomes watery & egg white type fluid.it's an ovulating & more fertile stage. Ovulation is mostly on the last day of most fertile type cervical fluid.  For conception to have sex 3 days before & 3 days after ovulation is recommended.  * LH surge home test also helps in knowing ovulation.  Thanks."}
{"_id": "000003699", "text": "HI, Dear,Thanks for the query to Chat Doctor. I understood your concerns about the choking cough which is unrelieved with 3 doctors. Dear, your doctors are doing there efforts and that's the limitation of the treatment for asthma currently. I would suggest to -Try simple tips for the reliefa-Reduce the work stress and take 7-8 hrs sleepb-adequate fluid intake band, frequent liquid meals mainly.d-stool check and urine check out the infective cause leading to stress your body.vapor -Steam inhalation 2 -4 times a day. Call back for special tips to my Chat Doctor clinic for the followup of 2-3 myths. Hope you could come out of the ASTHMA-if it is really an asthma diagnosis. Hope this would help you to plan the treatment with Your family doctor. Wishing you early recovery. You are always Welcome for further query to Chat Doctor in this regard. Have a Good Day...!!"}
{"_id": "000003700", "text": "Hi, I understand your concern. The chances of pregnancy are there as the timing of insertion was late. Also, if it is inserted late, a backup contraceptive method is advised for next 7 days as it takes 7 days to begin functioning. So this is unfortunate. However, in midcycle there is no way to confirm pregnancy. Having said all this, I want to inform you that symptoms similar to pregnancy may occur with implant too. So the best way out now is to get a urine test for pregnancy. If it is negative, these symptoms are more likely due to Implant. In that case they tend to settle in a few months. If urine test is positive an ultrasound will be needed to confirm the location of pregnancy. So get a pregnancy test done and decide future plan according to the results. Hope I was able to help you. Thanks for using Chat Doctor. I would be happy to answer any further queries. Have a nice day."}
{"_id": "000003701", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes you should take care of the things which you are sharing with him. Staphylococcus bacteria are maintained in the livestock like dog in your case and can be transferred to the humans with sharing. Many a time these bacteria can be MRSA strain. These bacterium are highly resistant to routinely prescribed Chat Doctor.  So you should keep distance with the pets. You can wash him regularly. If its necessary you can use antibiotics soap to bathe him. Do not share bed with him. Its food utensils should be washed and kept separated. Once infected these bacteria can cause variety of infections that include skin, respiratory and other infections. I will be happy to answer your further concern on bit.ly/"}
{"_id": "000003702", "text": "Well with successive abortions and connected medicines, changes in lifestyle and food habits may be culprit for bringing weight gain. It may also owe to hormonal changes. Best advise in my opinion is to avoid multiple abortions. Ayurveda medicine which is safe, diet with negative caloric intake, walks/ jogs are important for you to manage weight. Ayurveda medicines such as Arogyavardhini, Anchor GGUL and Median GGUL and Trial in powder form or decoction are few suggestions which may be used even with it without hormonal disbalance. Selection should be left to Ayurveda doctor to be decided as per history and given conditions. Hope it enlightens you. But in no case use hormonal or toxic weight shredders in your own interest."}
{"_id": "000003703", "text": "Hi, dairy have gone through your question. I can understand your concern. Colon cancer is curable in early stage.  In early stage of cancer when cancer is restricted to colon only then we can remove that part of colon.  After surgery chemotherapy should be taken.  In later stage it is not curable.  Surgical resection and end to end anastomosis is the surgical treatment of choice.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003704", "text": "Hi. If the pain and soreness is so much even after a week, it would be wise to undergo an ultrasound to see the exact nature of the lesion, collection, muscle damage and all. Usually it takes about 3 weeks for a good recovery if there is no attendant complication; already one week, only two weeks to go. Take an opinion of an Orthopedic Surgeon. Follow the advice and medicines as per his advice as he is going to have a direct clinical examination."}
{"_id": "000003705", "text": "Hello dear, thanks for your question on Chat Doctor. I can understand your husbands situation and problem. He is having cough with expectoration for 2 weeks. These are symptoms of tuberculosis. He is also having suspicious opacity on chest x-ray. This makes tuberculosis more likely. Get done sputum examination for AFB (acid fast bacilli).  If this is positive then he is having tuberculosis for sure. He can also get done CT thorax and bronchoscopy for further confirmation of tuberculosis. So better to consult pulmonologist and discuss all these. Tuberculosis is 100 % curative, so don't worry about it."}
{"_id": "000003706", "text": "I read your question carefully, and I understand your concern. It is unclear though what do you mean by feeling to have a concussion, what symptoms do you have to make you think that. The presence of the dent is not indicative of concussion, it is an external manifestation, doesn't provide any information on what is happening inside the brain. Speaking in general it is possible for concussion symptoms like headache, fatigue, lack of concentration, sleeping difficulties etc. to last for several weeks even months. To say whether that is your case though as I said you should provide more information. I remain at your disposal for other questions."}
{"_id": "000003707", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Usually liver enlargement may indicate some types of hepatitis or fatty liver diseases and in most cases it doesn't require any specific treatment.  If this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are the most common causes and in this case medical evaluation is required. Also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. You need to check your viral markers and do liver biopsy if necessary. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health."}
{"_id": "000003708", "text": "Thanks for your query, I have gone through your query. It is advisable to get an opinion if you have any family history of breast cancer. If it is a small lump, it goes in favor of benign lesions like lipoma or fibrous. Nothing to be panic, Consult a good oral maxillofacial surgeon and explain your problem, he will examine and give a right suggestion whether to consult a gynecologist or you can go ahead with extraction. No need to go for biopsy, you can get an ultrasound or FNAC done to confirm the diagnosis. I hope my answer will help you, take care."}
{"_id": "000003709", "text": "Degree understand your concerns went through your details. This has to be Post Traumatic Stress disorder (PTSD). Depression and associated symptoms are common with PTSD. Usually calming medicines, psychotherapy, relaxation therapy, yoga and meditation are used combine to treat such cases.  Still for your confirmation you can approach a psychologist for a detailed assessment of the case. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000003710", "text": "Hi, at this age most common is diaper rash or nappy rash.- you can apply ointment of Calamine on the affected area and all the area of skin that comes in contact with diaper before applying diaper.-Avoid rubbing excessively while cleaning the affected area.-Use soft wipes for cleaning rather than any rough cloth.-If the rash is persistent, in spite of this ointment and if the rash spreads to different areas, visit a pediatrician for clinical examination.other probability that it could be dermatitis .this requires special management."}
{"_id": "000003711", "text": "Hello, Your symptoms point towards Orchids like testicular inflammation. For that, you have been prescribed a non-steroid anti-inflammatory Chat Doctor.  You can be prescribed antibiotic course as well for seven days. After five to seven days of pain continues than urine routine microscopic examination and USG local part should be done for further work up.  Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000003712", "text": "Hi, dear I have gone through your question. I can understand your concern. You have dizziness and vision problem.  It may be due to anemia or low blood pressure. You should check your hemoglobin and blood pressure.  You should also go for ophthalmological examination to rule out any local cause. Then you should take treatment accordingly.  For anemia, you should go for complete blood count and peripheral smear examination and anemia profile.  It will give you exact cause of anemia. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003713", "text": "For modern treatment it d 400 - 800 IU daily is to be maintained and adequate slight. If you think beyond that, Ayurveda's rich calcium medicines such as Prajwal pistil, paprika chasm, Must Pistil, Sitopaladi herbal powder, kumarkalyan RAS, Gilroy sat, Prajwal panchamrit, etc. not only provide rich calcium and it d but also help in absorbing nutrients by correction of metabolism. The ratios are set according to present condition of the child. Duration of treatment is generally long. Some liquids like ARVINDASAV etc. are also directed to be given. Soup of bones/ joints of mammals like sheep and goats are traditionally given in South Asian countries esp India and Pakistan, Bangladesh. This is called Harry soup in local North Indian language and is rich source of calcium and it d. Cod liver oil is another source. Fatty fish, mushrooms, beef liver are excellent sources. Selection should be as per clinical presentation and could be everything of above or partial combos. Hope its answer to your question. For any further query or treatment pl feel free to contact through direct question."}
{"_id": "000003714", "text": "Hello and welcome to Chat Doctor forum, I would like to inform you that root canal treatment has nothing to do with the knee surgery. You can continue with your appointment for knee surgery. In fact your dentist might have prescribed antibiotics to you, so kindly follow that prescription. I will advise you to visit your dentist soon, as the infected tooth needs to be treated.I hope this answer was useful, i wish you good health."}
{"_id": "000003715", "text": "Welcome to ChatDoctorDont worry. As all the tests are normal except a thickened bladder wall, I would suggest a voiding cystourethrogram (CUG) after 2-3 weeks to rule out posterior urethral valve. Posterior urethral valves (Puts) are the most common congenital obstructive lesion of the urethra and a common cause of obstructive myopathy in infancy. Postnatally, definitive treatment is simple and involves transurethral ablation of the offending valve."}
{"_id": "000003716", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern, let me tell you something you can not measure your own blood pressure even if are a doctor, because this procedure makes you little conscious and this won't give accurate result moreover the sphygmomanometer is also matter if you are using electronic device then this is not authentic, the accurate reading is only possible with Hg instrument, in my opinion you should go to see the doctor, and stop worrying about this, have a nice day."}
{"_id": "000003717", "text": "Degree understand your concerns went through your details. If the information given here are correct, you are just having disappointment because of your educational backwardness. Suicide will not help you. Instead, your suicide will trouble your loved ones more. Concentration and attention span are the same. You will be able to watch an entertaining movie continuously for hours. You are able to concentrate on that movie because that is entertaining. Furthermore, you are unable to concentrate on your studies because, it is not entertaining or interesting. Make it interesting. There are a lot of techniques available for \\\"effective learning\\\". If you need more of my services in this regard, please post a direct question to me with every detail. I am glad to serve the purpose. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000003718", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint you are being given a combination of appropriate medications that includes antiviral medication, painkillers, numbing agents etc. Singles is caused by Herpes Zoster virus and at times it can invade the nerve and cause severe pain. But in case if the pain is still not relieved you should consult an Oral Surgeon and get evaluated, and he can do further investigations like blood tests, oral swab culture and also an MRI Scan to rule out the exact cause of the problem and will be treated accordingly. You can be advised other neurotic painkillers like Carbamazipine, Gabapentin and injectable painkillers to relieve pain. Hope this information helps. Thanks and regards. Chat Doctor."}
{"_id": "000003719", "text": "HelloThanks for query. You have doubt about the length and size of your penis being small. The length of the penis in flaccid state has no significance at all, it is the hardness of the penis on erection that is important from the point of view of sexual satisfaction of both the partners. The woman vagina on arousal is capacious enough to accommodate hard erected penis of the length of 4 inches without any pain. Consult qualified Urologist to measure the length of your penis both in flaccid state and on erection. This will help to allay your anxiety. Chat Doctor."}
{"_id": "000003720", "text": "Hello. Thanks for writing to Chat Doctor. I read and understand your question very well. I try my best to help you. As you have taken treatment for leptospira and your bilirubin is just above the normal value. I tell you that during your treatment you have taken Chat Doctor.  Do not worry about this. This will turn to normal level after a few weeks. Nothing to worry about this. If you have additional symptom appear than consult a good physician for this. Thanks and Regards."}
{"_id": "000003721", "text": "Hi, there are many other causes are there, tiredness is not only due to lac of sleep. You may have anemia or vitamin deficiency or hypoglycemia or may be some other health problem so that you feel that tiredness. Consult your doctor and investigate for that. You should go for Hemoglobin, CBC, IT B12, blood sugar. Also if you have any other complain that investigate for that. And then take treatment accordingly. You will definitely get benefits. Thanks for using Chat Doctor."}
{"_id": "000003722", "text": "Hi Shamanic,your ultrasound needs to be redone again. Bulky uterus with distortion usually means that there is an anatomical defect like fibroid etc. There is no mention of that in the report. So the main thing here is how severe the distortion is. If your periods are regular, there may be a small chance but with severe distortion, there are high chances of miscarriage. I would suggest that you repeat the ultrasound."}
{"_id": "000003723", "text": "Hi, Thanks for your query. Firstly the pain under the left side of the rib cage may be due to Gastritis(Inflammation of the stomach). I advise would be to avoid spicy and greasy food. Prescribe proton pump inhibitors like omeprazole. A gastrostomy will help in the diagnosis. Secondly it may be due to pancreatitis(Inflammation of pancreas). Stop smoking and alcohol if any. Blood tests like serum amylase and lipase will help in the diagnosis. Thirdly kidney stones. X-ray of the PUB will help in the diagnosis. Antispasmodic for pain. Increased intake of water is advised. The size and site of the stone determines whether the treatment is medical or surgical. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000003724", "text": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Primary immunological deficiency or primary immunodeficiency disorder being you are genetically having a weak immune system. At present, it seems you have more of an autoimmune disorder.2. Do this autoimmune disorder, antigen antibody reaction and complement activation and hemolysis is occurring.3. Cause of hemolysis needs to assessed and particular antibody needs to be removed through apheresis. 4. steroids or other immune suppressants are necessary to reduce further antibody production. Hope it helps. Any further queries, happy to help again."}
{"_id": "000003725", "text": "Hello, Thanks for letting us know your health concern. Since her ovulation status is unpredictable owing to irregular periods, the best way out in the current scenario is to get the estimation of the serum beta-ChatDoctor titles now. If positive, you have to see a specialist for further management. If you do not wish to retain the pregnancy, preliminary investigations like blood counts, urinalysis are done and a trans-vaginal sonogram to locate the gestation sac and the age of the pregnancy and go for an induced medical abortion under surveillance. If negative, it is mostly due to the hormone imbalance which needs to be corrected. Hope this helps."}
{"_id": "000003726", "text": "HI Thanks for posting your query.  It seems like the pain is either coming from your testicles which could be due to infection or there might be a stone in your urethra (tract from where urine comes out) I advise you to get Ultrasound Abdomen pelvis and scrotum and Urine routine tests done and revert.  You can take Anti-spasmodic Chat Doctor.  Any clarifications feel free to ask. Happy to answer. Regards."}
{"_id": "000003727", "text": "Hello and welcome to Chat Doctor. As a Urologist, let me assure you, stage 4 kidney failure is irreversible. Diet must be observed strictly, but, it cannot reverse the failure. Diabetes itself affects the kidneys, causing diabetic nephropathy. You must be careful to avoid more than 6gm salt/day, 40gm proteins/day, avoid extra potassium forming fresh fruits, coconut water, and oily fried foods. Have green leafy vegetables, and egg white. Check your B.P. regularly and take all medications as advised. If you've any doubt, send it as a direct question to me, for expert opinion. Chat Doctor.  Manga."}
{"_id": "000003728", "text": "Hi, Methylprednisolone is a steroid. Do take it as prescribed by your consultant. The information regarding oral or IM formulation is missing. Irrespective of that, it is highly unlikely that you can attribute the vague symptoms you are mentioning to methylprednisolone after 3 months. You need to be evaluated further for other causes if you have significant dizziness. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003729", "text": "Thanks for your question on Chat Doctor. In my opinion you are having muscular pain mostly. But better to rule out lower respiratory tract infection (LETI) first, as LETI can be seen as infective complication of any gynecological procedure. So get done chest x-ray to rule out LETI. If this is normal than your rib pain is mostly due to musculoskeletal cause. Try to follow these steps for better symptomatic relief.1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site."}
{"_id": "000003730", "text": "Hi, Thank you for the query. White painful spots on your gum represent authors ulcer. Usually ulcer in any area of the mouth is painful and as you said it's near to your lip there is possibility of more pain when you Chat Doctor.  Take multivitamin tablets, and you can apply denote local anesthetic before taking food which will reduce the pain. If the pain is unbearable then take an analgesic. Hope this would help you. Thank you"}
{"_id": "000003731", "text": "Hi, Good Morning. I am Chat Doctor. S.CUTS -super-specialist- From India-attending your health query to Chat Doctor virtual-online Clinic--I studied your query in-depth and Understood your concerns.-In my opinion -Remedy would be-a-Consult a Surgeon-who find out the cause of it-? Gall bladder disease? Hepatitis-as mass is under right ribs and increases while sleep and presses on your breathing.-b- I would advise -CXR/USG /MRI to fix the cause of the painful lump?c-To distinguish from the back pains, trial treatment with Tb NSAID -if pain reduces-possibility of back pain ?related to spine is more. IF the pain remains still, possibility of Liver / Gall bladder/ Lungs disease-is more.-Wish you early recovery. Wellcome for any question if it worries you still."}
{"_id": "000003732", "text": "Hellooo...having gone through your query I can say that it can be due to some fungal infection mostly and also vitamin deficiency in the diet....so nothing too much to work...stop having too much spicy food...then Chat Doctor. .take vitamin B complex or multivitamin tablet for two weeks...apply antifungal topical application to your tongue....brush twice daily....do chlorhexidine mouth rinse.above all reduce any stress and tension...tension is cause of most diseases...be happy....have a healthy day!!!"}
{"_id": "000003733", "text": "Hallow Dear, If you recall about the fertility period, it is about 10 days around the day of ovulation and the day of ovulation is 14 days before next expected menses. Your cycles are of 32 days. Hence day 18 would be the day of ovulation. You had unprotected intercourse on that day; so that intercourse is most likely to be responsible for this pregnancy. Moreover, the other unprotected intercourse you had with someone else was just 3 days before the expected menses. It is most unlikely to have the egg still alive till that day since the egg has life of only 24 hours. So, in my opinion, the person with whom you had sex on day 18 should be the father of this child. Still, if you want confirmation, may be for legal purpose, you may opt for DNA test. I hope this helps you."}
{"_id": "000003734", "text": "Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment. Type of pain. Burning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting would be others implying nerve source for pain. Location of pain. There is a lot to this. First, if something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it \\\"hit a nerve\\\" would be a possibility. Sick nerves are MULTIPLE areas and tends to be the TIPS of the nerve not the whole nerveWhat hurts. Moving a particular way that triggers the pain tells what is hurting. Specifically it can distinguish outward structures like skin, muscles, tendons, joints from deep structures like organs and nerves. OF course if EATING or COUGHING triggers pain then that would imply structures involved with those activities are sore (esophagus or Lung)."}
{"_id": "000003735", "text": "Sunburn over top of feet would not usually have pain on the soles. The pain in feet may be radiation from above top of feet but not to the extent as told by you. Its arthritis of foot bones or bony spurs is causing pain. It's a chronic condition which doesn't go easily. Combining foot exercises and medication for pain is the answer. Sunburn on top of foot is to be managed by different anti sunburn measures."}
{"_id": "000003736", "text": "Hello dairy understand your concernSpotting is not due to pregnancy. Intercourse on the first day of the period does not cause pregnancy. At this time, ovulation has not been occurred and so no fertilization will occur. Spotting could be due to hormonal imbalance, birth control pill use, endometrium/cervical dysplasia, cervices, polyp. If it continues in future then consult the gynecologist and undergo vaginal examination, USG scan, PAP smear to rule out the causes. Avoid stress, take healthy diet, do regular exercise and maintain proper pelvic hygiene. Hope this may help noncontact Chat Doctor for further health query Best regards"}
{"_id": "000003737", "text": "Hello.thanks for posting your query. Acne can be quite distressing. You need to follow a routine of cleansing, sunscreen, creams daily. Cleanse your face with detail cleansing lotion for acne prone skin thrice daily. Sunscreen needs to be used daily, Neutrogena would be a good choice. Creams would be"}
{"_id": "000003738", "text": "Hi, Thanks for writing in. Knee pain can be treated in following ways without taking oral anti-inflammatories.1. Doing physiotherapy exercises under supervision at first and then on her own.2. Applying ointments containing combination of muscle relaxants and painkillers gently over painful areas twice a day.3. Sprays are also available and give intermittent relief to knee pain.4. Applying a heat pack over the knee might give relief for a while.5. Using a knee cover can make her comfortably move around.6. Opioid pain reliever and steroid injection might help control pain."}
{"_id": "000003739", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since you are smoker, possibility of either bronchitis or lung infection is high. Smokers have poor lung defense, so infections are common in them. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray to rule out lung infection. 3.  PUT (Pulmonary Function Test) to rule out bronchitis. You may need antibiotics, antihistamines and inhaled bronchodilators with inhaled corticosteroid (ICS). So consult doctor, first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000003740", "text": "You have not mentioned anything about the lab investigations that were done for you. Were any samples/swabs collected from you? Was the causative organism determined? What are the results of the antimicrobial sensitivity tests? If none of these were done, and you were prescribed antibiotics just on the basis of a physical examination, then you should definitely see another doctor. Just taking one antibiotic after another without ensuring if the antibiotic is capable of attacking the causative bacteria will not help you. The lesions on your gums and lips are probably a fallout of prolonged antibiotic treatment."}
{"_id": "000003741", "text": "Hi. Welcome to Chat Doctor . As per your complaint the symptoms of recurring high fever seems to be due to Epstein Barr virus infection leading to Infectious Mononucleosis. It can also cause sinus infection and inflammation that can be a potent cause for gum pain as the maxillary sinus lies close to the upper jaw teeth. It is a viral infection, therefore antibiotics will not cure it as they are meant to cure bacterial infection. I would suggest you to consult an Otolaryngologies and get evaluated and a thorough clinical evaluation and investigations like PNS view x-ray or MRI scan can help in diagnosis and treatment can be done accordingly. You can be advised a course of antiviral medications like Acyclovir, Val acyclovir, Acyclovir etc., anti-inflammatory painkiller like Ibuprofen, decongestants like Pseudopod Chat Doctor. . You can also be advised decongestant nasal sprays containing Xylometazoline or Oxymetazoline. Avoid spicy and chilled foods. Do warm compresses around nostrils. Hope this helps. Regards."}
{"_id": "000003742", "text": "Hello and thank you for answering in Chat Doctor. Despite your clinical situation you need to do some test as"}
{"_id": "000003743", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. These mood swings are not of regret. Tegretol is, in fact, particularly useful for people who experience multiple mood swings. You are going into negative mood sometime somehow. That is it. Why do you want to relate it to medicine which is given to you by a qualified doctor? Such things happen when we do not have faith in our doctor. Have faith. He shall not do anything to hurt you. If you have this feeling with the present doctor, change to an experienced acceptable one. Mood swings often occur due to many reasons. One among them is apprehension. Another reason is just by sitting idle and not doing anything and worrying about self. Understood? Do your job with passion and involve yourself in it. 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."}
{"_id": "000003744", "text": "Hello, I have gone through the query and understood your concern. On an average, pregnancy can occur within three months of removal of the copper IUD. Return of fertility is very soon after removal of the device. If you had normal sexual intercourse during the intervening period after removal of the IUD, you should exclude/confirm pregnancy through a HPT or the blood test. HPT should be done 3-7 days after the period. A trans-vaginal sonogram can give you a clarity on the cause. If pregnancy is negative, you should suspect a transient hormone imbalance which usually is self-corrective failing which, you should see a specialist. Hope this helps."}
{"_id": "000003745", "text": "HelloThanks for query. Your sperm analysis is well within normal range of WHO standards of semen parameters like sperm count, motility .percentage of active motile sperms and morphology of the sperms are concerned.However, presence of 5-6 sperm cells is suggestive of active infection either of Seminal Vesicle or Prostate. You need to take broad spectrum antibiotic like Doxycycline along with anti-inflammatory Chat Doctor. Repeat your semen analysis after one month. You should not have problem to impregnate your wife once your infection is cured."}
{"_id": "000003746", "text": "Your age please? When was the injury? Undisplaced fractures of pubic bone are best treated with bed rest for 3-6 weeks. This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Hypertension, Diabetes or any other metabolic disorder. Any way you may try---.  Looking Plus (Mankind) [Diclofenac 100\\u00a0mg +Paracetamol 350\\u00a0mg] 1 tab.  OD & SOS. X 5days.--. Calcified plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water.--. Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.--. Do mild exercises for Back & Hips, --.(Take help of a physiotherapist or visit WWW. Chat Doctor. Com). Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again. (phone.91 9810012688)Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed). For emergency treatment visit the nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the answer.-Wish you a quick recovery & good Health."}
{"_id": "000003747", "text": "HiT hank you for asking Chat Doctor. I have gone through your query. Your husbands' problem can be due to carpal tunnel syn Chat Doctor.  In such case splinting the hands straight will be helpful. Also avoid hands getting cold. Keep warm. Better to check his vitamin b12 levels and if it is low taking it will be helpful also. Giving massage is also good. If there is no improvement then consult an orthopedic surgeon. Hope this may help you. Let me know if anything is not clear. Thanks."}
{"_id": "000003748", "text": "Hello, You mention the sister has symptoms of back pain. The ultrasonogram has shown that the right kidney is grossly enlarged (normal 9-11\\u00a0cm, but 16\\u00a0cm in her case). The DTPA genogram shows an obstructed Chat Doctor.  In a symptomatic patient it is always better to go for surgical treatment. Unfortunately there is no medical treatment for this condition. It can be explained in a simple mechanical example where in the out flow pipeline is blocked and there is enlarged kidney as a result of the pressure built up. If you can remove the blockade then it will help at this stage especially because the relative function of the kidney despite being HY"}
{"_id": "000003749", "text": "Hi. Thanks for your query and an elucidated history. Your main complaint is not able to keep food in stomach, and you have to rush to the bathroom after food. This is not related to the gall bladder problem and hence not solved by the gall bladder removal. The causes of such a problem may be either of"}
{"_id": "000003750", "text": "Hello there, thanks for using Chat Doctor. From what you've described, it seems like your baby has furunculosis or a small abscess. It should settle on its own and if it is very painful, causes fever or large, may require an incision to Chat Doctor.  I would advise you to wait and match unless he develops spots around his mouth or under his nose, in which case he will need antibiotics.  Another thing to keep in mind is that if he gets fur uncles often, he may have a bug called Staph aureus in his nostrils or armpits and will need a decolonization regimen with mupirocin ointment in both nostrils for 7 days, and a chlorhexidine body wash for 10 days. Hope this helps you."}
{"_id": "000003751", "text": "Hi thanks for asking question. Noted she has stage 4 cancer with widespread metastasis. So as liver metastasis is present hypoalbumnemia can be there with sodium and water retention lead edema feet. Take low salt diet. Diuretic can be taken. Less fatty food eaten... Continue with chemotherapy and other Chat Doctor. Prognosis not good in your case as tumor already metastasize. So take care of her till survival."}
{"_id": "000003752", "text": "Degree understand your concerns went through your details. From the given details it is evident that you are troubled with depression, anxiety and obsessive Compulsive Disorder. Your chronic sinusitis multiplies your state of affair. Please consult a psychiatrist and a physician for treatment. Please do not delay. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000003753", "text": "My dear friend, If your cycles are otherwise regular, the missed period should point initially at the possibility of pregnancy. Moreover, you are having nausea, fatigue and sore nipples. The other symptoms you have mentioned are not specific to and most unlikely be due to pregnancy. If you have done your pregnancy test 2 weeks after missed period, it is most unlikely to give false negative results. Still, I would suggest you to get ultrasonography done. At this stage, it should provide you direct visual evidence of the fact. During ultrasonography, please request the doctor to have a look at the ovaries and the thickness of the endometrium (uterine lining). This will help to arrive at some diagnosis of the missed period. If you are not pregnant and the ultrasonography does not show any abnormal finding (and even if some abnormal findings are noted), you may get your reproduction hormonal profile done"}
{"_id": "000003754", "text": "Hi, dairy have gone through your question. I can understand your concern.You're flushing of face may be due to your hemochromatosis.  Phlebotomy is the treatment of choice. It should be done on regular interval to reduce the iron load, Iron creator like deferasirox is useful to reduce iron level. You should also go for ultrasound abdomen and liver function test. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003755", "text": "Hi, Vertigo can be as severe as keeping someone in bed, however, there are ways to determine the likelihood of such a symptom by performing neurological and neuro-ophthalmological testing.  If you take her to an Neurologist or Neuro-ophthalmologist they will be able to properly evaluate her to tell whether there is an organic substrate to her complaints vs. psychogenic causes. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003756", "text": "Hello, You can be prescribed tamsulosin medicine to relieve urinary symptoms due to prostate enlargement. Meanwhile, you have to investigate with PSA estimation in serum as well for further work up. If PSA fall within range than you can start finasteride as well for reducing prostate size. If medicine working than no need for surgery. I suggest you consult urologist for detailed evaluation. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003757", "text": "helloThanks for query. You are known diabetic and getting cracks in your foreskin after sexual intercourse. At the outset you have to ensure that your diabetes under control. The cracks in foreskin are mostly due to repeated fungal infection that is common in individuals with diabetes. Please take antifungal medication like Fluconazole twice daily for 5 days and topical antifungal cream like Candid for local application.If you get repeated episodes you may need to get circumcised. Chat Doctor."}
{"_id": "000003758", "text": "In fever her blood pressure will remain little high. Here I suggest visiting a euro physician. He can check with the symptoms related to brain as well cervical spine too. He may ask to take ct brain and MRI of brain too. I suggest go ahead. Taking early precaution is better than cure. So visit a doctor as early as possible. Also keep check on blood pressure for time being and if its remaining high then need to start blood pressure controlling medication also. Along with this I suggest doing regular exercise like walking and cycling to have good warm up and tinning in body. This will also help to control blood pressure. If your problem is related to neck muscles then you can also take some help from physiotherapy treatment and exercise for neck muscle strengthening. You can also use hot pack on painful area to have some more pain reliefTake care."}
{"_id": "000003759", "text": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that Parkinson disease can cause autonomic dysfunction including these changes in body temperature. Unfortunately there is no treatment or cure for this disorder. These symptoms are caused by a progressive degeneration of the brain cells in this region. I agree with your doctor that heating pads would help relive your symptoms. Avoid staying in fresh or cool places would help too. Hope you will find this answer helpful! Best wishes,"}
{"_id": "000003760", "text": "Hi! Thanks for writing to us and sharing your health concerns regarding multiple unexplained, hard, painless lumps in different lymph node regions of your body. When a person comes to my clinic first I examine him/her if these are matted lymph nodes or not and then I go for FNAC/BIOPSY TEST from at least two different nodules which are larger! In such cases I think of few possibilities like"}
{"_id": "000003761", "text": "Hello! Thank you for the query. Sudden, strong back pain is very characteristic for kidney stones. The pain usually radiates to the groin or even a leg. Such strong pain appears because a stone moves through the ureter and irritate it. Sometimes it can stick. In such case, urine blockage can destroy the kidney. Morphine and Codeine are not a good medicine in case of smooth muscles spasm pain (like kidney pain). It's because morphine causes this muscles additional spasm. So she should rather be prescribed smooth muscles relaxing medicines and if it won't help, Pteridine instead of morphine. I suggest her to consult urologist instead of waiting for CT and consider biography. Hope this will help. Regards."}
{"_id": "000003762", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having stress and panic disorder related HERD (gastroesophageal reflux disease). So first consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Once your stress and panic is treated, your HERD and burping will also subside. For quick relief in burping at present, do following things. 1. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. 2. Take pantoprazole and levosulperide combination twice daily on empty stomach. 3. Go for walking after meals. 4. Quit smoking and Alcohol if you have these habits. 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."}
{"_id": "000003763", "text": "HelloRabbit biting never causes rabies, rather canine family, if bite someone then there is chance of getting rabies .2nd point is that usually within animal dies, if it is rabid, but your pet rabbit is roaming in your house and playing (while rabid animal never play).3rd point fatigue weakness, anorexia poor sleep are not symptoms of rabies. Anxiety in your case is due to tension, so no need of worry. I am writing the symptoms of rabies, so that you will be 100 % sure that you are NOT HAVING ANY RABIES. Symptoms are"}
{"_id": "000003764", "text": "Hello, Large adenoids and tonsils are the usual cause of a children snoring. Because you mention disturbance of sleep and breathlessness, obstructive sleep apnea, which is another cause of snoring, should be considered. Signs of this disorder include"}
{"_id": "000003765", "text": "Welcome to ChatDoctorLarge hard mark on shin must be keloid which means hyperreaction of skin during healing if wound that may be minor scratch. Keloid sometimes remains as it is or decrease gradually. In escort intralesionally decreases size of keloid. Other lumps that you have described must be lipomas/fat lumps which does not require any treatment unless they are rapidly increasing or cosmetically looking bad. Regards"}
{"_id": "000003766", "text": "Hi, Welcome to Chat Doctor, If she is healthy otherwise and eating well with no fever, then it can be something like allergic bronchitis. The discomfort in chest is due to recurrent coughing which is a usual possibility in this age group child Chat Doctor.  You need to get this cough treated. Her chest needs to be examined for any for abnormal respiratory sounds, only then a proper medication can be decided. As of now at home you can give her steam inhalation, plenty of warm water to"}
{"_id": "000003767", "text": "Hello, I read your problem, as you said you have bleeding gums, this red bulgur might be because of the same reason. This bleeding gums may be due to many reasons like poor oral hygiene, vitamin-c deficiency etc. So I will suggest you please visit your dentist first as soon as possible and go for complete oral examination and go for thorough scaling after that wait for 10-15 days and note the progress whether the problem is resolving or not, if you will get the relief, it will be because of poor oral hygiene and after that visit your dentist in each 6 months for regular dental check-up and if needed go for scaling otherwise not. If you does not get relief even after scaling you should visit to your physician and go for complete blood examination and should rule out the cause after that take a treatment accordingly. Nothing to get worried. Take Care. Chat Doctor."}
{"_id": "000003768", "text": "Hello, At this age, blood coming in semen MUST BE TAKEN SERIOUSLY. The problem may be inside the prostate gland or testicles or there may be some infection or injury. Consult doctor immediately as you need examination of your testes and the prostate gland.  Semen examination and urine test are needed. Ultrasound examination of the prostate and the scrotum are required.  Further, tests depend on the results of these tests. Treatment depends on the cause.  Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000003769", "text": "Thank you for your query. Dementia is a chronic progressive illness, in which a person gradually starts losing his memory (particularly recent memory, that associated with his day-to-day life) along with at least one other higher mental function like judgement/ planning/ executive functions etc. gradually there is change in personality and behavior, with the person becoming incapable of maintaining his activities of daily living by himself in later stages. Popular medications to manage dementia are Donepezil (Acetyl Cholinesterase inhibitors), Meantime (MDA antagonist) etc., given for managing memory and cognitive symptoms. Also sometimes atypical antipsychotics like Quetiapine, Olanzapine, Risperidone etc. are given to manage aggression and behavioral problems. Among these, Donepezil can cause itching. The restlessness (moving head, arms, legs constantly) can be due to a condition called akathisia, caused by mostly antipsychotics. The facial grimaces may be due to a condition called Tardive dyskinetic, another side effect of antipsychotics. The exact cause of the given symptoms, can however, only be clarified after a thorough assessment of the exact medications that he is having, both prescription and OTC, and their duration of use. Also, physical examination is of utmost importance in this case, as observation of the movements in necessary for diagnosis. I would suggest you to consult a Psychiatrist with all your current medications for the same and reduce the OTC medicines as much as possible. Hope I've been able to satisfy your query. Please feel free to contact me for any further clarifications if needed. Best of luck."}
{"_id": "000003770", "text": "Hello ! I read your question and understand your concern. I would like to know the name of the Chat Doctor.  In my opinion the symptoms you describe may be related to a possible Transient ischemic attack, which is caused by a low blood flow to the brain or a seizure, a type of Epilepsy. I don't think the injection has been the cause. Because a Transient ischemic attack can be preceded by hypertension. I would recommend a brain MRI, a cardiologist consult to find out the causes in case of a possible transient ischemic attack. An EEG would be very helpful in case of a seizure suspicion. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes"}
{"_id": "000003771", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. The most probable reason for lumps on your fathers body is lipoma. These are growth of fat cells in a fibrous capsule under the skin. Generally these lumps move on application of slight pressure by finger. These lumps are harmless and are not cancerous growth. The cause for there occurrence is unknown, but they are hereditary in nature. They do not required any treatment until they cause any problem like pain and continues growth or change in shape. I would suggest you to to consult doctor or surgeon for proper examination to rule out and malignant growth. Doctor may perform physical examination, order biopsy or ultrasound to confirm diagnosis. Doctor may recommend there surgical removal, liposuction (as they are made up of fats) or steroid injection. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000003772", "text": "Thanks for your question on Chat Doctor. I can understand your concern. I have gone through ECG report you have mentioned. No need to worry much for this ECG report. Left atrial abnormality can be seen as an accidental finding without any symptoms. So if you are asymptomatic then nothing to worry about this abnormality in ECG. But if you're really want to confirm this then 2d echo is needed. So get done 2d echo to rule out all fear. If echo is normal then no need to worry about employment add other issues. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003773", "text": "HelloThanks for query. Pain in left testicle with pain in left loin could be mostly due to one of the following three reasons.1) Stone in the lower end of Ureter 2) Varicocele. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis .1) Routine urine test 2) Ultrasound Scanning of abdomen and scrotum3) Color Doppler study of Scrotum. Further treatment will depend upon the results of these test and final diagnosis. Chat Doctor."}
{"_id": "000003774", "text": "Hi and welcome to Chat Doctor. It isn't usual to discover breast cancer in this age. Also, most lumps are benign(95%), usually adenoids which very rarely become malignant. Lump can be evaluated by ultrasounds and biopsy, but considering her condition I think this isn't something that should worry you right now. It can't be harmful and dangerous for her life. The most important now is to facilitate her recovery from stroke. Wish you good health and good luck."}
{"_id": "000003775", "text": "Hello thanks for the query. Having unprotected intercourse while your period is going on, results in very low chances of pregnancy. Also, how long ago did you remove the Nearing ? It is normal for the menstrual pattern to be altered a bit after removing or inserting the Nearing, as it is a hormonal contraceptive. So, please wait for a week or two, and if you still do not have a period, please go for a home (urine) Chat Doctor pregnancy test. If that is negative, consult your doctor to find out the cause of absent periods. Please switch over to any preferred method of contraception again, if you do not desire a pregnancy. Take care."}
{"_id": "000003776", "text": "Hi there. Your symptoms are suggestive of muscle spasm. The main treatment required is taking adequate rest to relax these muscles. So try taking bed rest for a couple of days. Avoid bending down or lifting heavy weights. Apply topical analgesic ointment over your back and some short wave diathermy under a physiotherapist might help. This sort of pain can occur when your muscles have been getting fatigued over a long time. Also check your vitamin D levels as well. Low vitamin D levels can cause muscle cramps and spasms. Take plenty of fluids."}
{"_id": "000003777", "text": "Hello welcome to Chat Doctor regarding your query you both have tried for a baby, but not successful,In majority of cases the defect lies in the female only... Consult infertility specialist and for your self undergo semen analysis.in that they observe the count and motility.both are extremely for fertility.regarding your wife menses are normal,,,,then hormonal tests,mostly they were also come as normal...they will do follicular studies. Then they test for fallopian tubes patency test,if they are blocked or closed, then they will try to open them. Infertility specialist will help you in this regard. Hope you are satisfied with my answer. Have a baby shorthand you Chat Doctor."}
{"_id": "000003778", "text": "Thanks for your query, I have gone through your query. The ca or crown cannot be put if 60-70%of the tooth structure is lost. If the bone support is fine and tooth has 50% crown structure, then it can be fixed with a cap. Even if the cap has come with some tooth structure, we can try to save the tooth by doing a custom post with resin material.  Ethics or law says, we can try our best to save the natural tooth. I hope my answer will help you, take care."}
{"_id": "000003779", "text": "Hi. Thanks for your query and an elucidated history. If it is just going to toilet 3 times in the morning, nothing much to worry. But you say there are undigested vegetables and tiredness, lack of enthusiasm, you need a treatment. The present treatment you mentioned is one of the best regimens, you can slowly with Chat Doctor.  Well, if your Doctors have diagnosed this as a case of an IBS, there is no specific treatment. Yet to add"}
{"_id": "000003780", "text": "Hello, The possible causes for split stream urine are"}
{"_id": "000003781", "text": "Hi, Thank you for your query. I can understand your concerns. Your swelling of legs is due to congestive cardiac failure consequent to the underlying cardiac condition causing chronic atrial fibrillation. Surgical ablation of AF might have been done as a stand-alone procedure. Diuretic will reduce swelling and If you take in the morning, it will not at least disturb your sleep due to frequent toilet visit.The effect of diuretic lasts or approximately six hours. Regards"}
{"_id": "000003782", "text": "Hi, The pain is most probably caused due to a pinched cervical nerve. As we age the cushion disc between the vertebrae becomes more dedicated and Chat Doctor.  This can sometime compress the nerve and cause pain at the part it supplies. You will need to see a Spine specialist and get an MRI of upper back done, and a hard cervical collar can certainly help with your symptoms provided the MRI has shown the cause. You can also take over-the-counter"}
{"_id": "000003783", "text": "Hi, It is not a sign of elevated blood pressure at night, you should check your kidney function, if it is normal, then you shouldn't worry. And is you suspect that you have high blood pressure at night, you can have 24 hour ambulatory blood pressure monitoring done and find out what is your blood pressure at night. Hope I could help nourishing you good health In case of further questions don't hesitate to ask"}
{"_id": "000003784", "text": "HI, I have read your query & understood your query.  Actually at 28th week. Baby movements increase (in 2nd pregnancy). So the muscles of uterus get stimulated frequently & Braxton hicks contractions increase in number.  Similarly, as the baby grows there is more stretching of uterus .as a result cervical secretions tend to increase.  * Still 2 of your symptoms bother me.  Spotting you had & also pain with Braxton hicks. Braxton's hicks contractions are not painful any time.(it can be some problem with amniotic fluid/ decent of baby down & may cause premature delivery.)  * So I advise you to your treating gynecologist, get examined & start with the treatment advised.  Thanks."}
{"_id": "000003785", "text": "HelloWelcome to Chat Doctor Dear patient, acute rhinosinusitis generally results from allergy or infections most commonly viral infections but may be super added with bacterial or fungal infections and most of the time the episode resolves with in 10 days but may sometimes extend up to 4 weeks and a blood tinged nasal discharge during sneezing can happen due to forceful blowing and inflammation that may cause rupture of small blood vessels of nasal mucosa but still it will be better if you consult an ENT surgeon who can examine you and can also get some tests like X-RAY PNS or CT scan PNS done to rule out some other cause of bloody nasal discharge besides rhinosinusitis like polyps or tumors Wish you speedy recoveryThanks Chat Doctor."}
{"_id": "000003786", "text": "Dear Shellfishes! Hello. I understand what you are going through. Its difficult sometimes to handle people with mental illness. By the description you have given, its quite obvious that your mother is suffering from serious mental illness probably psychosis. However, you failed to mention her age and since when she is having these symptoms. Most of the countries have laws pertaining to in-voluntary treatment of people with mental illness. Maybe you can contact your police or a local psychiatrist who can guide you regarding the local legal matters and procedure for forced hospitalization. Such patients can harm others or sometimes themselves. Until you take some help, you be careful with her and take care of her properly. Hope I am able to solve your concerns."}
{"_id": "000003787", "text": "Hi, Welcome to Chat Doctor. You are suffering from Tina courts or ringworm infection, and also it is recurrent. I suggest you get a skin testing for fungal culture and antifungal susceptibility. Then you get a prescription for appropriate antifungal based on the test results from a dermatologist. This treatment should be continued for at least 6 months to prevent recurrence. Few tips to avoid recurrence"}
{"_id": "000003788", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000003789", "text": "Hi, thanks for using Chat Doctor Harris contains hydrochloric acid. Bleach also contains a form of hypochlorite. Inhalation of the fumes from these agents can result in coughing, chest pain, burning, gagging. You would need to a well ventilated area. The symptoms should resolve on their own during the course of the day but if you notice any worsening you should seek medical attention. I hope this helps"}
{"_id": "000003790", "text": "Hi welcome to Chat Doctor forum.  Thanks for asking a question to Chat Doctor. Forum.  Your 7-year-old daughter is suffering with epigastric pain of abdomen, more in the morning and night before bed.  It appears to be due to indigestion due to new foods, gastric irritation due to more spicy foods, worms in the intestines, or urinary tract infection, rarely may be due to lactose intolerance. Etc. I advise you to consult a pediatric specialist for diagnosis and treatment, you may need to get the stools' examination for reducing substances, or cysts and ova.  Wishing for a quick and complete recovery.  Best regards."}
{"_id": "000003791", "text": "HiT his looks like a grade 3 tear of the hamstrings. Need a compression bandage and ice with pain medications and touch down weight-bearing with a pair of crutches for the first two weeks. After this period with the pain and swelling decreasing start active stretching exercises to straighten out the knee. If not progressing as expected an ultrasound exam will help to search for other causes like a bakers' cyst rupture etc. for which the treatment will essentially be the same"}
{"_id": "000003792", "text": "Hello, If you have missed your period, I would advise you to go for a home pregnancy test, as you could be pregnant. Sometimes there is increased watery discharge if you are pregnant. If the test is negative, you need to go for a gone check up to rule out local infection and a few tests after consulting your doctor as if you both are trying since a year then you need to go for a few tests to rule out and cause for infertility either in you or your guy. Don't worry, take care, All the Best."}
{"_id": "000003793", "text": "Hi.dear ants., Thanks for choosing Chat Doctor., CETAPHIL...cleansing lotion.contains no soap lotion., will give good effect., But it is not sufficient for treatment., So go for ....1) Tab. Isotretinoin 20 mg daily morning times for 2 months.give 1 month break.again start with same medicine., (ACUTRET-Reddys)2) DECLINE cream., topically 2 times., (Camila)3) Take plenty of vegetables and fresh fruits., ok.thanQ3)"}
{"_id": "000003794", "text": "Thanks for contacting Chat Doctor I am sorry to hear that are displeased with the size of your penis. Since you are now 20 years old you have reached full maturity. The size of your penis will not change at this time. There are no known treatments medication or supplements that help improve the size of your penis. Hope this answers your medical question. Please contact us again with your health care concerns and questions"}
{"_id": "000003795", "text": "Dear patient If there is scoliosis and needs to be corrected current line of treatment is fixation with pedicle screws and rods. They can be inserted with minimal incisions in a technique called minimal invasive spine surgery (MISS). This technique uses minimal incisions and with navigation available for pedicle screws surgery takes much less time and less blood loss. Please discuss this options with your spine surgeon."}
{"_id": "000003796", "text": "Hi, Thanks for writing in. A 5.3 inches penis on erection is normal. Penis can grow naturally till 21 year age. As you are 24 years therefore there will not be any more growth in length of penis due to natural methods. You have reached your adulthood and for further growth you may apply certain techniques like Keels exercises or Jelling which is to be done carefully. Please avoid frequent sex and masturbation. Doing masturbation more than once a day is not good. Please do meditation for 30 minutes each day and that can cause more mental relaxation which will raise your concentration levels. This will help you to enjoy sex in a better way and without side effects."}
{"_id": "000003797", "text": "Dear friend, welcome to Chat Doctor. I am deeply concerned about her critical status. With all these problems together and liver failure, and if pancreatic cancer has spread to in testings and liver (I suppose), prognosis (outlook) is not good. Pl. be advised by your treating team if anything definite can be done, or they feel that it needs only palliation due to advanced nature. If palliation is advised, I think, with all these disorders, you should agree to comfort measures, in consultation of your treating team of doctors. Ny sympathies with you. God bless. Take care and keep me posted on your progress."}
{"_id": "000003798", "text": "Hello, Thank you for consulting with Chat Doctor. Iron deficiency does not cause this kind of pigmentation, it can be possible that these are racial pigmentation, means in some people they are present since childhood and there is nothing to worry about it, as they do not cause any problem. But keep observing them, if in future there is problem in them then go for the examination and treatment. Hope it will help you."}
{"_id": "000003799", "text": "Dear parent, fever , cough and loose stools in a child suggests acute gastroenteritis mostly viral because of multi system involvement. U can use paracetamol and cough syrup. Please give him SYR zinc 2.5ml or 10\\u00a0mg once daily for 10\\u00a0days and oral rely Chat Doctor.  It takes 48hrs to 72hrs for everything to settle down. Meanwhile if the child is not taking orally, not passing urine, excessive cry or irritability please consult nearby hospital."}
{"_id": "000003800", "text": "Thanks for your question on Chat Doctor. I can understand you problem and worry. You can follow these steps for better control of diabetes in your husband.1. Diet modification. Avoid sugar in everything like milk, juice etc. Eat more and for LE green leafy vegetables.  Give him high fiber diet. High fibers can give you feeling of full stomach, so further food intake can be avoided. Avoid large meals, instead give him frequent small meals. Avoid high calorie diet like oily, cheesy food.2. Regular aerobic exercise in the form of brisk walking, jogging or trade mill. Go for walk after meals. This will increase metabolism and reduce post meal sugar spike.3. Take insulin regularly.  You can also give long acting insulin (24 hours action) to prevent daytime fluctuations and provide glycemic control throughout the day."}
{"_id": "000003801", "text": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern, and would explain that your symptoms may be related to an autonomic neuropathy. Have you measured your blood pressure lately? A low blood pressure or orthostatic hypotension could explain this clinical scenario. I recommend consulting with your GP for a careful physical examination, a chest x-ray and some blood lab tests"}
{"_id": "000003802", "text": "Hello, It can be fungal infection of superficial skin over scrotum. The antifungal cream or powder can be applied over that.  If you post a photo of lesion than further comment will be easy. Wear loose cotton cloths and avoid tight clothing. If no improvement then consults nearby dermatologists for detailed evaluation. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000003803", "text": "Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Your cholesterol and particularly LDL which is the bad cholesterol is on the higher side. It is probably due to stress and recent weight gain that you have mentioned. I suggest that you immediately go in for some lifestyle changes like"}
{"_id": "000003804", "text": "Hi and welcome to Chat Doctor. Yes, but it is not likely that this blockage would happen after so many years. These findings can be elevated in any liver disease including viral hepatitis, cirrhosis or infections. Most common cause is fatty liver, and it is treated by certain medicines and diet. You need to regulate your blood sugar and lipids. Avoid alcohol, fatty food, fried food, certain Chat Doctor.  Regulate body mass. If there is fever and pain under right rib cage, you should do some tests to rule out cholangitis.  Wish you good health. Regards"}
{"_id": "000003805", "text": "Thanks for your query, I have gone through your query. The pain can be because of the inflammatory response secondary to the trauma to the lymphatics. It can also be because of the Chat Doctor. The sensitivity particularly when air enters that area is because of the exposed dentin of the next tooth to the extraction site. Nothing to be panic. Continue the same medicines. You can take painkillers like diclofenac 50\\u00a0mg BID with a serratiopeptidase tablets. For the sensitivity, you can use desensitizers like strontium chloride. Apply over the teeth and leave it for a minute and brush your teeth with normal brush. Do it twice daily, for a week. I hope my answer will help you, take care."}
{"_id": "000003806", "text": "Hi, Thanks for posting in Chat Doctor. I understand your concern. It appears from your description that you are having delay in ejaculation rather than premature ejaculation. Premature ejaculation means getting ejaculation soon after inserting penis into vagina, most often within a minute of sexual activity. Since you are able to ejaculate during masturbation, things are fine and normal with you. Delay in ejaculation could be due to lack of proper sexual stimulation or Aurora and due to apprehension or anxiety. Spend more time during foreplay to get enough stimulation. Penetrate slowly and relax in between while having intercourse. Use proper lubricant to achieve good lubrication. You must remember that every sexual activity doesn't always end up with ejaculation. Gradually, you should be able to overcome it and perform normally. Hope the information provided would be helpful. All the best.  Chat Doctor. S., MBBS., MD."}
{"_id": "000003807", "text": "Hi, I am Chat Doctor.  It is an incidental finding. If the development of your child is normal, mild dilation of bilateral lateral ventricles can be normal, and is not of much significance. So if every other thing is normal, I do not think it is cause of concern. 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 questionsTake care."}
{"_id": "000003808", "text": "Hello, and I hope I can help you today. Fertomid is a type of fertility medication used help to cause ovulation in women who have trouble getting pregnant. Because you did get pregnant (even though you had a miscarriage), unless you have been trying since then for over a year and been unable to conceive, the Fatimid medication will not likely increase your chance of pregnancy significantly. Therefore, even if you forgot to take some pills, you still have a significant chance of pregnancy as you are still very young, especially if you have regular menstrual cycles. If you and your husband have not been trying to conceive for more than a year on your own, I would not recommend using any fertility medication.  Using Fatimid for more than four menstrual cycles can actually reduce your risk of pregnancy, as it decreases the effect of estrogen on your uterine lining. 80% of healthy couples will conceive within one year if they are having regular (at least 2 to 3 days per week) intercourse without contraception. One in 10 pregnancies will end in miscarriage, which means that 90% of the time couples will conceive a perfectly healthy pregnancy after a miscarriage without any form of medical treatment. So in summary, missing the Fatimid tablets this particular month will not likely affect your chance of conceiving this cycle if you already ovulate naturally.  I strongly recommend trying to get pregnant naturally for one year before using any type of fertility medication, as your body has proven that you can conceive even though that pregnancy did not work out. I hope that I was able to adequately answer your question today, and that this additional information was helpful. Best wishes,"}
{"_id": "000003809", "text": "Hi, I have gone through your question and understanding your concern, it is common to have this kind of soreness and discomfort after stress fracture. If I were your therapist, I would recommend you exercise therapy along with some ligament strengthening exercises, because after fracture the exercises which we do they only strengthen the muscle not ligaments. Ligament only get strength with stabilizing exercises. I would recommend you to go for this therapy program which includes, hot fermentation for 10-15 minutes around the affected area, start with some stretching for ankle muscle (in all movements of ankle)per stretch hold for 7-10 minutes and repeat it 5 times per action, just stretch up to pain starts just stretch in limit. After that go for stabilizing exercise like stand with both hand support and try to balance on affected leg just for 1-2 minute and repeat it for 5 times. Apply ice after every that, so it will not cause any pain after treatment. Start this with patience and I hope u will get improvement."}
{"_id": "000003810", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are not having chest infection. It is mostly bronchitis. You had exposure of chemical (paint material). On inhalation of this chemical, inflammatory reaction is seen trachea and bronchi. This causes bronchitis which in turn causes coughing, tightness in chest, catarrh, sore throat etc. So better to get done PFT (pulmonary function test). It will not only diagnose bronchitis, but it will also tell you about severity of the disease. Inhaled treatment is the best treatment for bronchitis. Don't worry, you will improve with inhaled bronchodilator and inhaled corticosteroids. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003811", "text": "Hi, Polycystic ovaries do respond very well to treatment and conception is seen in most of the cases. Only, the prior assessment should strictly adhere to a protocol and this includes a complete hormonal study including thyroid status, insulin resistance, serum Prolactin and RHEAS levels, tubal patency tests and trans-vaginal sonogram. Induction is usually done in ascending doses with regular monitoring for a maximum of up to six cycles. Addition of Metformin to reduce insulin resistance has shown to be beneficial in many cases to help ovulation and conception. Please have timed intercourse, maintain a healthy weight and a healthy diet. Hope this helps."}
{"_id": "000003812", "text": "HI, Welcome to Chat Doctor, I read your query and I appreciate your concern regarding this issue. If I will be your treating doctor I would advise you to- Take Defense Chat Doctor. - I would start you on amoxicillin/clavulanic acid 625\\u00a0mg thrice a day for 7 days. (It is a prescription medicine, so you need to visit the nearest doctor to get it)- Take acetaminophen for pain & fever-Take hot water in a cup, add 1 tablespoon salt in it. Perform gargles (mouth wash) with it three times a day for at least 3 days. It will give soothing effect.- Take boiling water in a pot, put your head over the steam and cover whole with a sheet. Take deep breaths in it.(Avoid getting closer else it might cause burn). Do this twice a day.AVOID"}
{"_id": "000003813", "text": "Hi, Thanks for the query. I understand your concern.  Your pregnancy like symptoms negative pregnancy test suggest irregular periods due to hormonal imbalance.  You have to get investigated with USG pelvis for polycystic ovaries, ovarian cyst, thyroid function tests. serum FSH ALH.... consult a gynecologist for pinpointing the cause followed by specific treatment... your cycles would resume normal ovulatory pattern.  Tube testing if needful)would be performed to confirm tubal patency.  Side by side semen analysis of your husband would be tested to confirm normality.  With 3very thing normal you can plan for baby... you would succeed soon.  Thanks."}
{"_id": "000003814", "text": "Hi madam, welcome to Chat Doctor, I understand your problem, maybe this all is happening become of your weakness or low hemoglobin, so, please check once, if its low, then start iron sucrose in weekly once, for 10 weeks, for present u have to use paracetamol 650 thrice a day, for 5 days, .... for your gastric use pantoprazole+levosulpride tab before breakfast for 3 months... take some green leafy veges, Chat Doctor. . Hope u satisfy with my answer, thank u"}
{"_id": "000003815", "text": "Hi.welcome to Chat Doctor.I understand your problem. Since you work in a software company hair loss in your case may be due to stress and lack of sleep.my opinion is that,1.avoid stress.2.have adequate sleep of about 8 hours in a day.3.take nutritious foods.4. Chat Doctor. 5.take iron and multivitamin tablets once daily in the nighttime. Thank you. Hope my answer will help you. Feel free to ask your questions."}
{"_id": "000003816", "text": "A leaking in one of the heart valve is a common finding in elderly patient because of calcium deposition at that level. The amount of regurgitation might vary, and the majority of the patients have only a mild problem. If the problem worsens, symptoms of heart failure might occur, like shortness of breath or swelling of the legs, and they can be managed by increasing the amount of water tablets in most of the cases. I hope this helps."}
{"_id": "000003817", "text": "Hello, Thanks for consulting Chat Doctor, Read your query, as you have loss of appetite, lethargy, nausea, weakness this can be due to side effect of local anesthesia, nutritional deficiency, Chat Doctor.  For this I will suggest you to take proper sleep of 8 to 12 hours, don't take stress, take proper nutritious healthy diet, take soft diet, you can also start with vitamin B12, folic acid supplements by consulting with your doctor.  If your weakness, nausea and itching continues for more than 24 hours you can report back to your doctor to evaluate for hemoglobin, malnutrition. Hope this will help you.  Wishing you good health."}
{"_id": "000003818", "text": "Hi...your son seems to be going through a viral illness. You are right in giving paracetamol. ITIS usual in viral illness to have body pains and especially of the limbs. But only thing which you need to look for is - his activity when there is no fever and if he is active when there is no fever, you need not worry. If the fever doesn't settle in another 48 hours or if his activity is getting depressed or if his limbs are getting a reddish rash kindly consult your pediatrician. Regards -"}
{"_id": "000003819", "text": "Hi welcome to Chat Doctor. You must understand that liver is the chemical factory of the body that processes all that we eat. So if it is affected, we must reduce its work load by eating very small amounts at a time, more frequently. We must also eat foods that are easily digested, and give the liver plenty of sugar so that it does not have to work to produce sugar from the glycogen stored within it. So give your daughter very small frequent non-oily meals, and more of fruits and sweetened juices till she is better."}
{"_id": "000003820", "text": "HelloThanks for query. Twitching sensation or discomfort in loin could be due to kidney stone and needs to be ruled out. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine 2) Ultrasound scanning of abdomen and pelvis. Further treatment if required will depend upon result of these tests and final diagnosis. Chat Doctor."}
{"_id": "000003821", "text": "Hello, When too much Sega builds up underneath your foreskin and because you sweat a lot or don't wash your penis regularly the possibility of odor is common. It can create smelly white chunks that can cause bacteria to grow. If left untreated, your penis can become inflamed or infected. Wash your penis daily and keep it neat and clean and Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003822", "text": "Hi. Thanks for your query and an elucidated history. I have read your history and understood your problem. History of hepatitis noted. Since you developed pain in abdomen after the hepatitis with burning sensation this is more likely to be due to gastritis or an ulcer. I would advise in such a case the following"}
{"_id": "000003823", "text": "Thanks for your question on Chat Doctor. In my opinion you are having viral infection. You're all symptoms are typical of viral fever. But I still advice you to get done CBC (Complete Blood Count) to rule out bacterial causes of fever and malaria. And flu shot has protection for one year only. The influenza virus changes its morphology annually. So new vaccine has to be taken every year. So in my opinion, since your vaccination protection is over, I think you are having viral fever only. So first treat your viral infection with plenty of fluids, multivitamins and anti-inflammatory Chat Doctor.  And then get done your flu vaccination."}
{"_id": "000003824", "text": "Welcome at Chat Doctor I have gone through your query and being your physician I completely understand your health concerns.... Alcohol do cause increase in MCV.... But in my opinion you should get your it b12 levels along with folate levels measured. Since deficiency of these two gives this picture too.  Meanwhile, stay calm and meet hematologist... Hope your query is adequately answered Regards Chat Doctor."}
{"_id": "000003825", "text": "Hi. Thanks for the query. If you have a tooth infection and there is pain then probably infection has deepened to the level of nerves leading t nerve inflammation and pain. Yes you can take Reflex but in place of Aspirin Ibuprofen will be better. Keflex will help in reducing infection while Ibuprofen is a painkiller. Warm saline gargles will not cure the infection so getting the tooth treated is a must. So my suggestion is to consult an Oral Physician and first get an x-ray of the tooth done. If the nerves are also infected then better to get Root Canal Treatment of the tooth done. Hope this helps. Regards."}
{"_id": "000003826", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. OCD is a mental disorder and not a disease. Normally mental disorders do not need medicines as cure. You need to ascertain your past to find the reason for your OCD. There has to be a trigger. Find out and once the trigger is found treatment with the help of psychotherapy becomes easy. Cognitive Behavioral Therapy (CBT) has been proven to be very useful in treating OCD even without medicines. You can consult a clinical psychologist for further advice. ORP lease 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. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000003827", "text": "First thing is that any X-ray abnormality needs to be evaluated. The best test is to see if you have a previous X-ray and compare. If it is a new abnormality then further testing needs to be done. If your PPD was clearly positive then tell them, and it may not benefit to repeat a PPD. But sometimes it is mildly positive, and it becomes more positive later, in that case it may help. But do tell your doctor that your PPD is positive."}
{"_id": "000003828", "text": "Hello dear. First you should know the exact cause of bleeding. It can be due to some blood abnormality (like low platelet count, coagulation abnormality), due to prostate tumor growing in bladder or new cancer of bladder or due to radiation effect. Discuss these factors in detail with your doctor. An MRI of the pelvis may be done. If it is due to radiation effects then you can go for hyperbaric oxygen therapy. Regards"}
{"_id": "000003829", "text": "Thanks for your question on Chat Doctor. Mucus production is normal physiological response to any injury to the lung. Injury can be due to anything like1. Organism (infection)2. Inflammation3. Allergy4. Foreign body etc. So we have to identify the cause first. If allergy is the cause for this than complete avoidance of allergen is needed. Anti-allergic Chat Doctor.  So I vice you to first consult pulmonologist and discuss these."}
{"_id": "000003830", "text": "Hi, The itchiness of scalp may be due to seborrhea dermatitis most probably. The lesions in thighs and buttocks may be related with this problem. Exact cause is not known. Yeast like satyriasis oval may be responsible. Stress, worries and anxiety might exacerbate the disease. The hair loss can occur in seborrhea dermatitis. You consult dermatologist for firm diagnosis. He might give antifungal like ketoconazole, antihistaminic like levocetirizine and steroids in tampering dose. And he may advise applying mild steroid lotion on scalp and cream on thigh and buttock lesions. And shampoo the scalp with ketoconazole containing shampoo. Avoid stress and worries. Have patience for the good result. I hope you got my answer. Thanks."}
{"_id": "000003831", "text": "Hello. Thanks for using Chat Doctor. From the description of your symptoms this can be related to your previous diagnosis of appendicitis. This condition presents with diarrhea, however apart from these symptoms other symptoms to look out for are fever, chills and vomiting. This could also be viral gastrointestinal infection leading to diarrhea since this can also provoke inflammation of appendix. Complete blood test and ultrasound would be able to rule out the appendicitis apart from clinical diagnosis. You should revisit the ER again and have your full abdominal checkup done. Feel free for further queries. Regards."}
{"_id": "000003832", "text": "Hello, Asthma is only one of the causes for a breathing difficulty. There are other causes related to the heart, the lungs, blood, fluid retention, anemia, embolism etc. A lung function test (spirometry) will help in diagnosing asthma and some other lung diseases. In asthma, a albuterol inhaler relieves the acute symptoms whereas steroids are more beneficial for prevention. Aspirin can make asthma worse. So it is important to have your symptom diagnosed correctly, and then the appropriate treatment can be advised."}
{"_id": "000003833", "text": "Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. U seem to have compressed a nerve in the neck somewhere that might be causing radiating pain. Possibility of a cervical disc prolapse, or an injured nerve is likely. I suggest you get a X-ray of neck and that region as well as an MRI and Nerve conduction velocities to find out the exact cause. Physiotherapy, analgesics,anti-inflammatory Chat Doctor. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless."}
{"_id": "000003834", "text": "Hello First I will advise doing x-ray and rule out any unicortical fracture in your finger. According to your history it looks that there is possibility of injury to soft tissue due to injury. If you are having swelling and pain you can strap your finger to get proper rest to joint. And apply cr\\u00eape bandage for support and compression. Use ice packs to reduce swelling, inflammation and pain. Physiotherapy with ultrasound and Tens will help you, For early healing you can take Tab Colin [it C] and antioxidant with anti-inflammatory [Tab enzymic plus]. If there is no relief them you may need to consult doctor again. 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"}
{"_id": "000003835", "text": "Hi Welcome to ChatDoctorI have gone through your query regarding low level of potassium. It hapent due to imbalanced food and less water intake. Potassium is an important mineral vital for the regular functioning of all of your bodies cells, tissues and organs. An adult needs about 3,500 milligrams a day. Potassium, along with sodium and chloride, helps make electrolytes, which help to form body fluids. Eating healthy for heart health can actually help and prevent and improve high blood pressure save heart attack. Gulping on only medicines will not help in getting permanent relief unless you follow regular, disciplined lifestyle and change food habits from much of carbs , fast, fried foods, tea, coffee, alcohol, smoking to natural simple nourishing diet full of essential nutrients and supplements like lemon, ginger, garlic , Aloe vera. Potatoes and bananas are especially good sources of potassium, which also is found in many meats, milks, fruits, vegetables, and fibrous whole grains. , coconut water. And Regular exercise yoga, deep breathing, proper rest & sound sleep Avoid worry, mental stress, anger constipation at any cost , All if followed sincerely, regularly will strengthen your immune site which gives resistance from diseases for happy, healthy disease free life Hope this helps solve your query Take care All the Westmont hesitate to come back if any further query."}
{"_id": "000003836", "text": "Hello, I have studied your case and I think that you are having cervical spondylitis. In this condition there is nerve compression in neck with radiculopathy in hand. For pain, you need to follow these steps.1. Intermittent cervical traction is most helpful. You can arrange that home or visit a physiotherapy center for this. You need to take traction for at least three weeks.2. Avoid using very high pillow or keeping neck in same position for long time. You can use soft cervical collar.3. Tablet Pregabalin M one daily at nighttime.4. If pain is not controlled with above measures you can take Me Chat Doctor. MRI is needed in severe cases resistant to all above measures.  I hope these steps will be helpful for you. Let me know if there is any other followup questions."}
{"_id": "000003837", "text": "HelloThanks for query. Based on the facts that you have described the small lump that you have on foreskin since one year is most likely to be a Sebaceous Cyst, However the diagnosis can be confirmed only on clinical examination in person. You need to consult qualified General surgeon for clinical examination .he would be the best judge to decide need for it to get it excised along with sac (in Toto). This is a simple surgery done as an out patient procedure and offers permanent cure. Please do not worry this is definitely not HIV. Chat Doctor."}
{"_id": "000003838", "text": "Thanks for your query. I had gone through your query and understand your concern. Brief answer"}
{"_id": "000003839", "text": "Thank you for writing in Chat Doctor. The said gentleman has 3 problems all three of which are incapacitating and without much treatment options. A delicate balance has to be achieved in order to reverse the changes. Again the prognosis depends upon the severity of the disease processes. The lung problem is due to to be Chat Doctor. Overall the prognosis in the said case is not satisfactory. Regards"}
{"_id": "000003840", "text": "Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you need to get X-rays done to see the condition of your patella, the knee cap bone, moreover there is a possibility that your patella would have had some fracture, and what you feel now is callus as a result of healing of the bone. I hope that answers your query. If you want any more clarification, contact me back. Thanks"}
{"_id": "000003841", "text": "Hi, thanks for using Chat Doctor The pain is likely related to soft tissue injury to that area. It may have occurred due to the heavy lifting that you were doing. If you have no history of allergies or problems with anti-inflammatory painkillers then you can consider using them for pain relief. These would include medications such as ibuprofen, aspirin, Catalan, Voltaren, Celebrex. These should be used on a full stomach to reduce any irritation to the stomach. If the pain continues despite using the medication appropriately then you should consider a visit to your doctor. I hope this helps"}
{"_id": "000003842", "text": "Hi, dairy have gone through your question. I can understand your concern. Your ESR is high.  It is a matter of concern.  There are many causes of high ESR.  Tuberculosis, infection, anemia, autoimmune disease, paraprotienemia, malignancies all can lead to high ESR.  You should consult your doctor and search for the cause of high ESR.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003843", "text": "Hello, Avoid Nonvegetarian diet after Typhoid fever because Nonveg food is difficult to digest, and gastrointestinal system is weak after Typhoid fever am I giving you brief idea about diet that should be taken after fever1. Avoid food from outside 2. Avoid fatty/ fried spicy food for few days3. Take homemade freshly prepared light food like chapati, Dalian, curries, Fruits etc4.plenty of fluids.5. Vegetable juice. Carrot, cucumber, and green leaf vegetables juice well to provide the basic nutrients (Homemade freshly prepared)"}
{"_id": "000003844", "text": "For mucositis, make him do gargles with Xerox sachets. 1/2 a sachet in a glass of water twice a day. He may also do frequent gargles as much as possible with a pinch of sodium bicarbonate and a pinch of common salt. For pus secretion, you may have to take broad spectrum antibiotics like ciprofloxacin. If pus is persistent a pus culture should be done to determine the antibiotic which is susceptible. Clean the wound area with warm saline or Betadine solution. Apply newsprint powder."}
{"_id": "000003845", "text": "Symptoms of liver cancer airtight loss (without trying) Loss of appetite Feeling very full after a small meal Nausea or vomiting An enlarged liver, felt as a mass under the ribs on the right side An enlarged spleen, felt as a mass under the ribs on the left side Pain in the abdomen or near the right shoulder blade Swelling or fluid build-up in the abdomen Itching Yellowing of the skin and eyes (jaundice) Regards Chat Doctor."}
{"_id": "000003846", "text": "Hi, happy to help you on your health concern on part of Chat Doctor! In the present case of subcostal swelling or lump, if I were your consulting physician, I would just consider a possibility of hernia before anything else and would suggest USG of the region for confirmation! However, as per your description, it could be some other lump like lipoma, neurofibroma, cyst, dermatofibroma or even lymph node! Therefore, try to avoid constipation and straining while defecation and reduce weight... If you are still worried, please get examined by a surgeon or get some FNAC like cytological examination or revert to us. Hope you got your answer. Please feel free to write to us if any more queries. Wishing you the best health!"}
{"_id": "000003847", "text": "Hello there, This complaint of heel pain indicates that you might be suffering from plantar fasciitis. Treatment comprises if you are wearing high heels foot wear, change it to soft chap pals, change of activities as you are dancer you might need to rest for a couple of weeks, anti-inflammatory medicine. Get a consultation with orthopaedician, you might also need a X-ray of foot for evaluation. Thank you"}
{"_id": "000003848", "text": "Hello, The USG scan showing normal cardiac visibility at 6 weeks gestation and multiple separations indicate to chorionic hemorrhages which is a matter of concern. With bed rest and taking pregnancy supporting hormone (progesterone -- as per advice of treating gynecologist) would help. Please don't worry. Follow the advice properly and go for repeat scan after 12 days to confirm. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003849", "text": "Hi, dairy have gone through your question. I can understand your concern.  She may have hematoma or other vascular tumor.  You should go for examination.  If needed go for ultrasound study.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003850", "text": "Hello, As the history mentioned heartburn and tightness in the chest at age 40 I do not want to panic you with anything unusual. This might be acidity but still on a safer side taking an ECG or ECHO should be on a precaution basis to rule out the cardiac pathology. The only reason to mention this is that you mentioned ankle swelling. Ankle swelling occurs due to lack of venous return and this only happens when there is weakness of the cardiac muscle to pump out the excess metabolic waste. It might not be the case as well, but an assessment of the same can make us tension free. Taking to bowel and constipation I will tell you that this may even lead trouble for the venous return and one needs to get rid of it. Having castor oil or having any acidity medication should help ease of the system. As you mentioned the symptoms I feel you are entering the 40th year and menopause can be anywhere close by. Having a lack of bone mineralization is also common. Doing some regular blood and urine routine should be of great help. Also, try doing regular slow weight-bearing exercise and this should help to manage the metabolic functions to stay optimum. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000003851", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Most common cause for chest pressure is stress and anxiety. But better to rule out cardiac diseases first because he is taking NTG (nitroglycerin) for chest pain. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. 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."}
{"_id": "000003852", "text": "It's not herpes but a kind of friction reaction caused because of extra and frequent wiping of nose post rhinorroea or running nose. You should concentrate on treating running nose. Wipes will reduce. Friction will reduce. The rule is avoided the cause of ailment. In the context if you use herbal approach, it will be far better and cure permanently. Chiara Habitat and Shading oil for running nose and for scabs Atari oil is unprecedented cure formulas in classical Ayurveda which we try on our own patients. Yes, get your sugar level checked too. We can help you more through Chat Doctor if need be or any Ayurveda doctor can. Hope it will help you."}
{"_id": "000003853", "text": "Hello dear, As per your narration it seems that you are having peripheral neuropathy like symptoms. It can occur due to many reasons like diabetes, vitamin deficiency, vasculitic, toxin, Chat Doctor.  You need a proper evaluation and investigation. You need to consult a neurologist. Some investigation like nerve conduction study, blood investigation and if needed nerve biopsy may be done. As for treatment, in many cases symptoms improve and recovery occurs, but prognosis depends upon cause. Hope you found the answer helpful. Wishing you good health."}
{"_id": "000003854", "text": "I appreciate your concern and asking on Chat Doctor. 1. The common side effects of Addie (methylphenidate) include irritability, reduced appetite and sleep disturbance. The side effects of Fret (fluoxetine) include nausea, bloating, dyspepsia and sometimes restlessness. It can sometimes lead to lowered sodium levels in the elderly, seizure and stiffness in muscles but these are rare effects. The duration of treatment is generally in months to years, and you need to discuss with your treating doctor. I hope you find it helpful."}
{"_id": "000003855", "text": "Hello, Thanks for choosing Chat Doctor for posting your query. I can understand what you are going through. In a contemporary society virginity is given a very high importance. That the reason you are worried as you have been a part of this culture. Would you have thought of the same way if you were in US or UK culture? You need to visit a psychiatrist who can help with some ventilation about the current event. May be discussing this matter with your husband will also help you in case he is very understanding.  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"}
{"_id": "000003856", "text": "Hi, It seems like you are too worried. It is quite common to have subtle asymmetry between two sides of our body parts on close observation. As your doctor said, it is because of the difference in amount of fat tissue beneath skin on both sides. The pain is caused by undue pressure. This an extremely rare site for cancer in child Chat Doctor.  Since he is totally asymptomatic and your doctor has reassured you after examining, you need not worry, just be relaxed. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000003857", "text": "Dear Madam, I understand your problem. You must have undergone some trauma to your front teeth several years before root canal treatment was done.That's the reason for the resorption of the teeth and color change. Your dentist has attempted saving the tooth since it's not mobile and it's savable. Now the bleeding might be because of the gum problem surrounding the tooth and the veneer. They would have attracted food and plaque which resulted in inflammation of gums and in turn bleeding. Just clean under the gums around that tooth with a dentist and take antibiotics. Nothing to worry about this bleeding and the lifespan of your tooth. Hope your query is answered. For further queries pleased hesitate to contact back. Thank you."}
{"_id": "000003858", "text": "Hi, many thanks for the query! To prevent recurrent stone formation, you need to do- Metabolic workup of 24 hrs urine sample, Sr. PTH, Sr. Calcium, Sr. Uric acid. As per the reports, appropriate dietary instructions can be given. If your Sr. Uric acid is raised, then uric acid synthesis inhibitors like allopurinol can be started, urine alkalizing agents with your Urologists opinion. Zerodol contains diclofenac, that may cause more acidity, gastric problems as side effects if taken without antacids. Take diuretics, antispasmodics (dicyclomine, Chat Doctor. If your stones are causing obstruction to urine outflow, viz. lodged in ureters, they will cause back pressure changes in the form of HY"}
{"_id": "000003859", "text": "Hello Welcome to Ask a Doctor service I have reviewed your query and here is my advice. It is not the medication causes the tiredness, but it may be the general debility causes the tiredness, low hemoglobin may be the cause of tiredness and these need to be ruled out, care need to be taken for healthy diet and some extra vitamin supplements. Hope I have answered your query, let me know for further assistance."}
{"_id": "000003860", "text": "Dear patient you have suffered blunt trauma to chest, shoulder and lock jaw which I think is serious problem. Don't take this lightly and get yourself examined from emergency services personnel.  I would like to advise radiograph of chest and skull to rule out bony abnormalities. Also lock jaw required urgent treatment and reduction. Also, you are getting headache which might be due to head injury.  If you get vomiting or convulsions kindly do CT scan of skull plain SOS contrast. All the best."}
{"_id": "000003861", "text": "Hi first of all the X-ray will never give such findings you mentioned. This must be the sonography report. You didn't mention the in findings of left kidney. The changes in right kidney do suggest some problem with kidney like maybe presence of infection (pyelonephritis)or changes of chronic kidney disease. These findings need to be interpreted in accordance with your detailed history, symptoms, signs and relevant investigations like urine routine, Rats. Please consult your doctor for the same. Regards"}
{"_id": "000003862", "text": "Hi, Yes, it is not advisable to two or more antidepressants together. 1. Taking bu pron along with talons may increase the risk of seizures, which may rarely occur with either medication.  In addition, bu pron can increase the blood levels of Escitalopram, which may increase other side effects. 2. Bu pron and Walker may increase the blood levels and side effects of Norton. You may need a dose adjustment or more frequent monitoring by your doctor to safely use these medications.  Contact your doctor if your condition changes, or you experience increased side effects. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000003863", "text": "As you have mentioned in your history that you are suffering from RA as well as your age is 69 years, both the factors have its own impact as far as back pain is concerned. You just have to take calcium supplements like tab shall 500 mg or tab toscal-gem once daily after meals along with some painkiller like tab kilos or tab attract twice daily after meals with tab rant ac or tab carotid twice daily before taking meals. As you are too old I suggest you to take painkiller not on regular basis but only when your back pain is unbearable or disturbing your routine activities. Apart from these you can also use voting gel or relax gel for local application. It is also quite beneficial in relieving back pain and provide you some comfort."}
{"_id": "000003864", "text": "Thanks for posting you query to Chat Doctor .this is a viral fever caused by hemorrhagic group of viruses. Viral feet usually went off spontaneously after 5-7 days, but you should maintain good hogan, HY Chat Doctor. Further, take him to investigation Complete blood count it will indicate platelet level as its low level responsible for rashes and bleeding. Continue with Allegra and Cronin but if condition goes worse immediately consult medicine specialist. Hope you are satisfied with my answer.  Feel free to communicate if any query.regards,"}
{"_id": "000003865", "text": "Hello, Thank you for trusting Chat Doctor. AS you mentioned most probable cause of those changes on the MRI is the microvascular ischemic changes, one option of preventing further deterioration is aspirin 80 mg one pill per day, it is proven to be protective for different health issues for aging individuals, please check with your treating doctor the possibility of taking that, plus if you have any health issues which might contraindicate using it. Hope that helped."}
{"_id": "000003866", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you are wearing bridge in front region where you are experience a pain don't worry it can be due to Periodontal problem may be there is Periodontal pocket formation.  You do is apply ointment Gum paint on painful area of gums. Consult dentist and go for Curettage if there is periodontal problem. Hope this will help you."}
{"_id": "000003867", "text": "Hi, Thanks for posting on Chat Doctor. After reading your symptoms I feel that you need to incorporate certain things in your daily schedule"}
{"_id": "000003868", "text": "Hi, The rash that started on ear fold following to between the breasts and buttocks is indicating a probable fungal infection. However, atomic dermatitis is also to consider. You should see a dermatologist and run skin scrapping examination under microscope to determine the right diagnosis. For the moment, I can only advise you to apply HY Chat Doctor.  Keep good local hygiene. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003869", "text": "Hi, welcome to Chat Doctor. Since, headache is occurring when child comes to home from school, he could be suffering from tension headache, weak eyesight or refractive error, or the child has got common cold. In my opinion, you should give ibuprofen syrup 15 mg/kg for headache and get the eyes examined by an ophthalmologist for refractive error. Revert with above reports. I hope this will help you. Take care."}
{"_id": "000003870", "text": "Thanks for your query, I have gone through your query. The erythema nodosum can be secondary to certain Chat Doctor.  Consult an oral physician to rule out the cause of erythema nodosum. You can get the implant placed if there is no defect in the bone and sufficient amount of bone is present. You need to take CT or CBCT to see the amount of bone present and density of the bone. I hope my answer will help you take care."}
{"_id": "000003871", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely visit to the hospital and rule heart related diseases because your symptoms are commonly seen with heart diseases. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. You are also having sleep disturbances, so this can cause stress and anxiety, and they then cause all the symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003872", "text": "Hi!! I understand your concern regarding hair loss, but we first need to find out the cause and then treatment can be started accordingly. Common causes I have encountered in my patients are male or female pattern baldness, hair loss due to thyroid disorders, anemia, any long ailment or intake of certain medicines. You will have to undergo certain tests like serum iron, TSH and serum ferritin levels. The treatment can be started once we are sure of the cause of hair loss. Hope this has solved your query."}
{"_id": "000003873", "text": "Hi, thanks for briefing your history. If you have persistent swelling of the feet than you need to check with vascular surgeon and get your vasculature checked. This can be done by Doppler scan. It will help to look into the veins and arteries to see any possible blockage for swelling. Along with this you can try doing HY water fermentation and do ankle toe movements as well which will help reduce swelling. After hot water fermentation I recommend keeping the leg above the level of heart over the pillow to Chat Doctor.  Also, an x-ray if guided to be taken for any possible old fracture if any Present. With the grace of God I wish you a speedy recovery."}
{"_id": "000003874", "text": "Hello. Thanks for writing to us. The constant pain under the rib cage on the left side could be due to a musculoskeletal inflammation, gastritis, hiatus hernia, or a cardiac cause. Inflammation of the lungs also needs to be ruled out after a proper examination. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http"}
{"_id": "000003875", "text": "Hello, Bipolar disorder responds greatly to sodium valproate 250\\u00a0mg twice a day and build up to 1500-200\\u00a0mg daily dosage (as required by the patient to remain stable). Quetiapine is also a mood stabilizer but the dosage you are taking is very low. It should be increased up to 300-500\\u00a0mg or more (till 900\\u00a0mg) for effective response. One should also get some basis blood tests-liver, kidney function tests, blood counts, TSH, Sr. Calcium and lipid profile. It is good to monitor weight- as all of these Chat Doctor.  Do follow a healthy dietary region from the start to remain healthy.Don't worry, you will surely get better with proper meds and correct dosage. Wish you good luck."}
{"_id": "000003876", "text": "Dear friend,first there is no such relationship between diarrhea and low back pain. And as FAS your back pain profile is concerned, your past trauma you experienced while playing is doing havoc on your backbone. We have a large nerve namely by sciatic nerve which goes down from hip to our two legs. So, weak muscles of back are causing pressure on this nerve .that is precisely why you are feeling weak in your legs .due to same reason taking rest causes our back muscles and nerves ralax.to reduce the pain you should start back muscle strengthening exercise regimen. Also stop lifting heavyweight putting pressure on back.don't lean bent forward too much unnecessarily."}
{"_id": "000003877", "text": "Hi, If you are having recurrent syncope, then first medical and behavioral therapy is tried. If there is no response, then one can think of pacemaker. During giddiness or impending syncope, following maneuvers should be tried, Leg-crossing with simultaneous tensing of leg, abdominal, and buttock muscles, Hand grip, which consists of maximum grip on a rubber ball or similar object, Arm tensing, which involves gripping one hand with the other while simultaneously abducting both arms. Plenty of oral fluids and increase in salt intake may also help. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003878", "text": "Hello, You may have got minor fracture in foot. We need to do X-ray of the involved foot anteroposterior and oblique views to rule out fracture. If report shows fracture below knee slab needs to be applied and visit to orthopedic surgeon nearby your area is needed. Limb needs elevation on two pillows. Avoid weight-bearing on involved foot. If X-ray is normal apply cold compression with ice packs, keep limb elevated. Apply cr\\u00eape bandage. Visit to orthopedic surgeon for detailed clinical Examination is recommended.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003879", "text": "Hi... Thank you for consulting in Chat Doctor. I have few questions for you -1. Has your son stopped bed-wetting at certain age and again started having it2. If so at what age he stopped and when did it started he had never stopped bed-wetting form birth...you can try some behavioral changes which I can elaborate after proper history and interaction with you, but the effect will not be immediate, but it will be permanent. If it's a recurrence after attaining nighttime control, I suggest you see your pediatrician to rule out pathological causes like urinary infections or Voiding dysfunction. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000003880", "text": "Thanks for your question on Chat Doctor. In my opinion it is PTB (Pulmonary Tuberculosis). Since TB is airborne infectious disease anyone can get the infection from TB patient.  And 1 year stay in TB endemic area is sufficient to get infection. Tb bacilli have high affinity for upper and middle lobes as oxygen tension is high in those area and TB Bacilli need oxygen for growth. So any upper and middle lobe lung lesion should first be investigated for TB. The tests done for this are1. Sputum for AFB2. Bronchoscopy and BAD(Bronchi Alveolar Lavage) analysis for TB3. CT Thorax if your sisters sputum report is negative you can still diagnose TB by doing Bronchoscopy with BAD analysis and CT THORAX."}
{"_id": "000003881", "text": "Respected user, hi I evaluated your query thoroughly.*You are not having simple musculoskeletal chest pain it's the underlying definite pathology giving unbearable chest pain.*You require Expert Clinical assessment, parameters correlating with the problem & then after finding the exact cause of pain, it's management is possible not before that. Hope this clears your query. Thanks for using Chat Doctor & keeping trust in our medical services. Wishing you fast speedy recovery from the same. Regards. Bye Dear take care."}
{"_id": "000003882", "text": "Hi, thanks for using Chat Doctor If possible you should have allergy testing done to determine what you are specifically allergic to. Allergy testing can be done as skin tests or as a blood test, they can check for allergens in your environment, foods, medications, chemicals. This would allow you to eliminate what is causing the allergic response. It is important to avoid mental stress, over tiredness, alcohol, tight clothing as all of these are thought to cause or worsen the rash. You may require long term treatment with a non Chat Doctor. I hope this helps"}
{"_id": "000003883", "text": "Hello Rigoberto. I just have gone through your query. First never take your children problem for granted. By doing this you unintentionally are losing her faith in you. Always listen to your child and try to help her as much as you can. Try to believe in your child in her every single concern.Anyhow, as you said that she suffered 2 times from severe earache due to cold. I would suggest you to please get her ears checked from a good ENT specialist in your area. Only after that we would be able to judge what is wrong with her. There might be infection leading to pain, or any blockage or only earwax might be troubling her. I hope this helps you."}
{"_id": "000003884", "text": "Ho, due to the fall there has been an injury to the rib cage, a sprain or maybe fine hairline fracture.  However, be reassured, for rib fracture is always treated conservatively, and it heals on itself, so the pain will go of it some days.  You may take an OTC analgesic if needed, however don't overdose and don't take it for long periods.  Lastly if there is severe backache, do get screening test of spine done, as that is something we should not miss.  The pain on bending down is nit cardiac and due to rib only as in this position all the ribs come near to each other aggravating pain.  Hoping I could help Regards Chat Doctor."}
{"_id": "000003885", "text": "Hi, It may be contacted allergic dermatitis most probably. However, consult the dermatologist for the perfect diagnosis and proper treatment. There may be some allergens responsible for the disease like soap, detergent, perfume, house dust, house dust mite, pollen, clothes... so on... As there is pregnancy, you should avoid oral treatment. Apply mild steroid cream. And avoid contact with suspected allergens.  Hope I have answered your query. Let me know if I can assist you further.  Take care.  Chat Doctor."}
{"_id": "000003886", "text": "Hello, As per my surgical experience, the pain is related to possible gravels or calculation in the kidney or ureter; constipation may be in relation with intestine motility-related or else. Though there is relief with plenty of liquids, it has turned back, which narrate the need for an ultrasound of the abdomen & pelvis to find out the cause and treat in accordance with that only. Primary relief with cranberry sachet or pills and analgesic as dicyclomine or diclofenac if no history of Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003887", "text": "Hello there....your dental surgeon is absolutely right....when you have the wisdom tooth very close to the nerve, at the time of its removal, there is some amount of pressure that exerts over the nerve (called neuropraxia). This cause reversible loss of sensation on that side of the lip and skin of face...but the tongue is supplied by a different nerve called lingual nerve...in few patients the nerve is located very close to the bone level where the tooth is present. Any injury while removal of the tooth will result in the same phenomenon....you experience all the symptoms you have mentioned...there are no medications at this point of time....it takes a weeks time for some patients...and years for some others...it would get restored at some point of time...don't worry.... keep consuming lots of water to avoid Chat Doctor. ..."}
{"_id": "000003888", "text": "Hi, Since you have already had rubella, you are immune to it. So you do not need to take the Kanamycin (Tobramycin) which is usually given when found to have TORCH infections. Phaeton and Naturalist are both progesterone are not required in your case, as cause of your previous abortion was rubella not hormone deficiency. Folic acid is the only Chat Doctor. It prevents brain and spine defects in the baby, and is taken up to 12 weeks of gestation. Hope this helps. Regards."}
{"_id": "000003889", "text": "Hi dear, The mucus cyst can occur due to various reason like biting, accidental rupture of salivary gland, adjacent teeth causing chronic damage or cheek biting. It has no connection with shakes. Treatment is based upon the severity of the mucous cyst. Sometimes cysts may not require treatment and will heal on their own over time. Superficial cysts heal in very short times. But there are other treatment options available for severe cysts like laser therapy, cryotherapy and intraluminal corticosteroid injection. So I would suggest you to consult oral surgeon for proper treatment. Doctor may use a scalpel or laser to remove the salivary gland. Local anesthesia numbs the pain. Marsupialization is also one of the treatment option. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000003890", "text": "Hello Welcome to Chat Doctor After an angioplasty there is a 5-7% risk of a restenosis or narrowing of the stents till the first six months. Since you have undergone the angioplasty only 5 months ago, this can be a possibility, and you must undergo evaluation for the same. Please do an ECG and a treadmill test which can suggest stent narrowing. Please visit your cardiologist with the above results. If the cardiologist clears you, please do a pulmonary function test to see whether this is more of a breathing issue than a cardiac one. Wishing you good health. Regards"}
{"_id": "000003891", "text": "Hi, I had gone through your question and understand your concerns. A possibility may be Occipital Neuralgia from compression or neuropathy of occipital nerves. I suggest you to consult a Neurologist and discuss this option too. 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."}
{"_id": "000003892", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that this may not be bacterial infection, but this could be allergic cough with acid reflux disease, if I would be your doctor then I would treat you with the following medicines, 1) Tab Levocetrizine 10 mg three times in day 2) Tab Omeprazole 40 mg once in day for few weeks, no need to worry about this every thing would be alright soon, have a nice day."}
{"_id": "000003893", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint as you have fallen from stairs leading to landing on the right knee and in case if you are able to put weight over your leg while walking then one thing is clear that there does not seem to be bony fracture and is most probably soft tissue injury. The swelling can be due to accumulation of inflammatory fluid at the injury site due to soft tissue inflammation secondary to injury. Other causes of severe pain and discomfort can be due to injury to Anterior Cruciate ligament [ACL injury] or Meniscus tear. I would suggest you to consult an Orthopedic and get evaluated and a thorough clinical evaluation and x-ray as well as MRI can help in diagnosis and treatment can be planned accordingly. In case soft tissue injury without any tear of meniscus or ligaments you can be advised to continue taking anti-inflammatory painkillers like Ibuprofen or Naproxen, continue icing and elevation and limit movement. In case if there is meniscus or ligament tear you can be advised to apply an analgesic ointment and brace it with a knee cap or crape bandage. In case of fractures or extensive wear and tear immobilization by placing a cast can help. Hope this information helps. Thanks and regards. Chat Doctor."}
{"_id": "000003894", "text": "Hi, Whatever the blood pressure readings given by you, all are absolutely in normal range. Blood pressure and heart rate rises in response to any type of physical exertion as in your case. It takes variable time to stabilize heart rate & blood pressure after exercise. Why are so concern about your blood pressure? I want to know-1) Do you have high BP problem, if yes then on which medications.2) Any other associated illness like diabetes or cholesterol problems.3) Family history of high BP, diabetes, cholesterol problem. If you are a healthy adult then check your BP at least once in 3 months, do OG TT, Lipid profile once in a year."}
{"_id": "000003895", "text": "Hi, Thanks for posting in Chat Doctor. I understand your concern. Sore throat could be caused due to mild bacterial infection. It can affect tonsils and cause tonsillitis. It can present as difficulty and pain during swallowing. You need not worry much about it as it can be cured. Kindly take the following measures"}
{"_id": "000003896", "text": "Hi. You are on the right tract of diet and medicines. Please take a course of tablet Sanitizing 150 twice daily and tablet Risperidone 10 mg at 8 hourly duration. (6am- 2pm - 10 pm. ) Sucralfate has to be taken 3 SF at 3 hourly duration and particularly on empty stomach to cover the stomach mucosa. Avoid oily and spicy food. The most important factor that everyone forgets is"}
{"_id": "000003897", "text": "Hello, I would explain that memory loss is not related to coronary stents.  It could be a sign of dementia. For this reason, I recommend performing a brain MRI and consulting with a neurologist and performing some cognitive tests in order to investigate this possible issue.  Regarding disability, it is important to evaluate the severity of your memory problems, in order to judge the degree of disability. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003898", "text": "Hello, As per your clinical history is concerned, please follow like this"}
{"_id": "000003899", "text": "Degree understand your concerns went through your details. Sperm quantity and viscosity depends on many factors like stress, HY Chat Doctor.  Low viscosity, color etc. never determines the health of sperm cells. Therefore, don't read too much into this. Secondly, there are many fluids which are mixed with your sperm while it comes out of your penis. The thickness is determined by these fluids. The wetness on your trousers could be due to involuntary leakage of semen, urine or other liquids. Keep your these parts clean and"}
{"_id": "000003900", "text": "Your concern is very valid as the description that you have given is that of a slow growing tumor. It does not seem to be malignant as of now based on the long history and slow growth. However, even benign tumors can undergo malignant conversion if left untreated. The best way to ascertain this would be to undergo a biopsy from the lesion. This can be done easily on out patient basis with a thick bore needle under local anesthesia. The biopsy report will conclusively state the nature of the lesion, and you can take it from there."}
{"_id": "000003901", "text": "Thanks for your question on Chat Doctor. Lymphoma is very aggressive malignancy and life-threatening too. And risk is high when patient is old age and having advanced stage malignancy.  Your father is having both risk factors, age 91 and stage 3 disease. So he is at high risk for mortality. And lymphomas are highly sensitive to chemotherapy. With single dose lymphoma start regression. So we should start chemotherapy as soon as possible once patient is diagnosed with lymphoma. So no need to wait, start chemotherapy.  Without chemotherapy survival rate is very low, less than 1 month."}
{"_id": "000003902", "text": "Hi Thereafter going through your query I understand your concern. I would like to tell you that BP more than 140/90 needs to be corrected. Healthy diet and routine exercise is a very good addition along with medication to control your BP. Carry on with both as of now, if in future your BP gets normalize with your lifestyle modifications and medication then you can taper off Camphill taking your GP's advise into consideration. Kind Regards"}
{"_id": "000003903", "text": "Hi, She is having acute gastroenteritis. I guess she is not having fever, and the stool is not blood stained. Just give her ORS solution (around 10ml / kg after each stool, in small frequent sips) and syrup zinc sulfate for 14 days (2.5ml once a day if she is below 6 months and 5ml otherwise). In such cases, I used to give a probiotic also for 5 days. If not getting well in 2-3 days, we may need an antibiotic too. Meanwhile avoid sugary items, fruits and juices till recovery, this can increase diarrhea. If she develops Chat Doctor."}
{"_id": "000003904", "text": "Hi their total hip replacement is indicated when your pain becomes so severe that it interferes with your daily activities and when common pain medications have failed to help relieve the pain and your hip function has becomes useless because of pain. All pain treatment modalities must be exhausted before thinking of doing a total hip replacement, and we like doing it for patients older than 50 years of age. A younger person might require a hip replacement when all other treatment options have failed to alleviate pain. Pain in the knee can be coming from a hip problem but your knee need to be examined as well by a doctor."}
{"_id": "000003905", "text": "Hello, I can understand your concern and think of two possibilities for the grayish line you have described on the front teeth. Firstly, if you took iron supplements during pregnancy or after childbirth, it may have entered the children bloodstream in uterus or through breast milk. The front teeth are developing in the uterus and matures in bone during initial months after birth, which may cause development of such lines. However, if this was the case, the line should have been present when the tooth erupted into oral cavity. As she has history of falling, it is quite a possibility that she may have damaged her front teeth. The teeth may not break or crack, but the pulp inside the tooth may have died making the tooth appear dark. Invariably, this pulp would be infected and should be treated as the tooth is going to stay in oral cavity till your daughter ages 8-9 years. If this is the case, then she might need to go for lumpectomy procedure for the affected teeth. One more possibility is presence of plaque on the teeth due to inadequate oral hygiene and lack of proper tooth brushing. This can be removed by ultrasonic scaling procedure performed by the dentist In any case, I would recommend you to visit a dentist for examination of the line as confirmed diagnosis can be made only after physically looking at the teeth and the line you have described. If it is developmental, then no treatment is needed, and it will be gone with the milk tooth shedding. In case of any other reason, treatment will be required as described. I hope this information helps you. Thank you for choosing Chat Doctor. Take care. Best,"}
{"_id": "000003906", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, secondary infection in Tina infection can cause MRSA. I advise you to do your blood sugar and HIV test done as it can cause such a severe fungus infection. In usual persons' immunity can prevent the further Tina infection to spread. If you are having some favorable condition than only such severe infection can be spread. I also suggest you to get MRSA test done. Please do swab from the infected part and get its culture and sensitivity done. In case of MRSA testing by this method can help you a lot. Please maintain good local hygiene and optimum blood sugar, as only this much can cure half of your problem. Please wear cotton clothes more as this can have low infection potential. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."}
{"_id": "000003907", "text": "HelloThanks for posting at Chat Doctor. You seem to have urinary tract infection due to the stent removal and instrumentation. Also while removing the stent, there is always some local trauma leading to bleeding, which is causing your blood in urine. A urinary tract infection can take about 7-10 days to subside. But since you are still having fever spikes despite being on antibiotics, please do a urine culture test to see what organism is causing the infection. It will help us also establish whether that organism is susceptible to your antibiotic. Antibiotics can be changed according to culture and sensitivity reports. Wishing you good healthRegards"}
{"_id": "000003908", "text": "Hi, i don't know what blood test were done from the details provided.I would ask you to get a coagulation profile and abdomen and pelvis ultrasound scan done firstly.this may give us some idea.we need a detailed history along with above reports.causes of heavy bleed needn't always be a cancer.causes could be.infectionpolypsfibroidsTB etc so donor worry.there are more chances for it to be not a cancer.hope my answer helps you if you have any more queries I would be happy to answer."}
{"_id": "000003909", "text": "Hi Dear, Understanding your concern. As per your query you have symptoms of hair fall and Dan Chat Doctor.  I would suggest you to consult dermatologist for proper examination. Doctor may prescribe medicine like financial, minoxidil serum, vitamin supplement like omega 3 fatty acid. For pimples on back you should apply calamine lotion and aloe vera gel as it will prevent itching as well. Hope your concern has been resolved. Best Wishes,"}
{"_id": "000003910", "text": "Hello Kimberly.Goa, greetings from Chat Doctor .com. I have been through your case scenario and would like to know your other co-morbid conditions. Rarely people with diabetes or early neuropathy may have such similar complaint. Also, you may not have proper sleeping habits, and might suffer from temporary nerve palsies. If it gets better as day increases then it can be attributed to the temporary nerve palsy. However, if you are seeing your symptoms are gradually increasing It's better to consult with your primary physician.  Hope I have been able to clear your doubts. Take care."}
{"_id": "000003911", "text": "Hello, You have symptoms of the abscessed tooth with cystic swelling which is mainly due to a severe tooth infection, and it reaches the tips of the root and form abscess and cyst. So you should visit the dentist or oral and maxillofacial surgeon once and doctor my order bite test or order x-ray of that particular tooth to check the extent of infection and treat it accordingly. For now, what you can do is continue applying Travel or clove oil as they are helping you in relieving pain. As far as antibiotics are a concern you can take ampicillin or amoxicillin as it will help in decreasing infection and only after this other dental procedure of RCT or extraction can be done. I would suggest doing warm saline rinses or baking soda rinses 3-4 times a day, they will be very helpful in relieving symptoms. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000003912", "text": "Hello, I really appreciate your concern. You can not be pregnant due to three reasons"}
{"_id": "000003913", "text": "Hello, I appreciate your concern. From what you've described, your pediatrician was absolutely right in saying that it is a collection of vessels, called a hematoma, and is not rare (seen in 5 to 10% of babies). She was also right in saying it shrinks around two to five years of age (50% disappear by 5 years of age and 90% by 9 years). Answers to your questions"}
{"_id": "000003914", "text": "It sounds like you have an abscess. Since it is getting worse, you should see a doctor to open it up and Chat Doctor.  Usually this cures an abscess and antibiotics aren't necessary. However, if the infection is spreading out into the skin (cellulitis) then antibiotics might be necessary to keep the infection from going into your blood. Go to urgent care or emergency and get this taken care of soon. Hope this answers your query."}
{"_id": "000003915", "text": "Your lower back pain could be related to the compression fractures or from local inflammation that developed late. There are a few options for managing this pain1. I would recommend a repeat X-ray of the spine to exclude any changes in the bones since the original fall (since the last X-ray was one month back its possible things have changed since then)2. Physical therapy is often very helpful and can be tried3. In terms of medications, you could try Acetaminophen (Tylenol) 325-650 mg every 4-6 hours as needed. Do not take more than 3,000 mg of Acetaminophen over a 24-hour period. You can also try Ibuprofen (400-800 mg three times a day with food)- it has an anti-inflammatory effect. Do not take Ibuprofen if you have a history of chronic kidney disease, bleeding from your gut or severe reflux. Since the X-ray will need to be ordered and interpreted by a physician, I recommend you see your primary care doctor too."}
{"_id": "000003916", "text": "Hello and thank you for your question. The type of tick, a deer tick, that causes Lyme disease is very small and usually just falls off without becoming embedded. The larger dog ticks are the usual ones that get embedded. They may cause Rocky Mountain Spotted Fever but no Lyme disease. You would need to check with your doctor to see what kind of tick she thought this was. It is possible for Lyme disease to cause muscle pains, but usually it is muscle pains all over not just in an isolated muscle group. If you have fevers or severe pain then see your doctor again or go to Emergency. Thank you for using Chat Doctor."}
{"_id": "000003917", "text": "Hello! Thank you for the query. In this location such lump can be an enlarged lymph node or some benign skin lesion like sebaceous cyst. IN case of enlarged lymph node the pain usually indicates inflammation of them rather than a cancer. Sebaceous cyst can give painful lump which gets swollen and reddish when inflammation is present. I suggest you to have an ultrasound of this area done. In case of lymph nodes biopsy should be done. If it's a sebaceous cyst, it should be removed. Hope this will help. Regards."}
{"_id": "000003918", "text": "Hi thanks for asking question. Pain while breathing could be by pneumonia like condition. Chest x-ray useful for it to search for consolidation... If consolidation seen tuberculosis also has to be ruled out by sputum examination... You can have bronchitis that also can lead pain.x-ray useful for it. You have not mentioned x-ray finding.... If you have asthma case then also by allergen bronchospasm can lead pain...auscultation done to heard rhonchi....Meanwhile, avoid smoking and CBC done.... Take care...."}
{"_id": "000003919", "text": "Howell come to ChatDoctorThank for asking Your query being appreciated, taking hormone for contraceptive is not the option just to avoid the pregnancy, but it is better to try something else rather than hormone to avoid the unwanted side effects like weight gain and others, with condition like MS it is better to avoid taking hormone preparation even with hypertension it is better to stop taking the hormone tablet, or you can discuss with your doctor hope this information helps."}
{"_id": "000003920", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases as your reports are normal. You are improving with acid reflux treatment, so possibility of HERD (gastroesophageal reflux disease) is more. Along with Chat Doctor.  1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Quit smoking and Alcohol. 4. Keep 2-3 pillows under head in bed to prevent reflux. 5. Go for walking after meals. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003921", "text": "Hi, dairy have gone through your question. I can understand your concern. Treatment and prognosis depends on type of cancer. Your baby has kidney cancer with metastasis in brain, so it suggests poor prognosis irrespective of type. Complete removal of cancer cells from body is the Karin treatment. Prognosis and life expectancy also depends on grade, stage and other co morbid condition and overall health status.  Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003922", "text": "Thanks for query.CA125 is not specific for epithelial ovarian cancer and is elevated in other benign and malignant conditions, including menstruation; endometriosis; pelvic inflammation; liver, renal, and lung disease. It is also elevated in 6% of women who do not have epithelial ovarian cancer. So there is no reason to worry based on ca125 levels. The thing you should be concerned more is ASCIIs(fluid in abdomen).we may get a hint of diagnosis after CT report. But final diagnosis in such scenario is generally made by staging laparotomy. Discuss with you gynecologists. Regards"}
{"_id": "000003923", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Leukemia patients are having lower immunity. And this is even lower I'd patient is on chemotherapy Chat Doctor.  Since chances of opportunistic infections are very high. GI (gastrointestinal) tract is common site for such infections because of poor food habits in these patients. So appropriate dietary habit is must for maintaining good immunity. 1. Give patient homemade, freshly prepared food. 2. Avoid junk food, outside food and stale food. 3. Give patient high protein diet including milk, eggs etc. Protein supplements are also good. 4. Patient should take multivitamin and antioxidants tablet. This is to improve immunity. 5. Give patient fruit juices, vegetable salads etc. Hope I have solved your query. Wishing good health to your patient. Thanks."}
{"_id": "000003924", "text": "Hello and welcome to Chat Doctor. As a Urologist, let me advise you to get examined by a Urologist. From your description, it appears to be a recurrence of the previous mass of kidney, or a similar mass.  After check-up, you'll need to have urine and blood routine tests, including creatinine, sugar,LFT, ultrasound scan of abdomen, and most likely a contrast CT(CENT) scan of the abdomen, with a chest X-ray. According to reports, further treatment will be advised. You're welcome to send a copy of the reports to me, for an expert opinion. Chat Doctor.  Manga."}
{"_id": "000003925", "text": "Hello have gone through your query. According to your description I was a case of bone spicule. SHARP EDGES"}
{"_id": "000003926", "text": "Dear idiotic changes are a report of brain hypoperfusion which in most cases is caused from chronic illness such as arterial hypertension, mellitus diabetes or dyslipidemia. So if you want to treat the brain problem first you have to treat those disease. Aspirin is needed at a dose of 100-300\\u00a0mg per day. Brain protector such as paracetamol 1000\\u00a0mg per day or meantime 20 mg per day starting from 5 mg per day and rising the dose each week.Don't hesitate to contact me for further advice, wishing you all the best"}
{"_id": "000003927", "text": "HiDe pending on cause of leg pain, medicines are prescribed its better you contact beach area doctor to assess your pain cause and refer or recommend pain meds. Ketorolac tabs are effective for pain relief and so is tramadol. Wonder if you can get these prescribed soon, otherwise buy OTC Advil or Alive tabs for twice daily after meals. Refrain swimming or strain, do icing or hot packs whichever suits. You may inquire your doctor for your desired meds. Or injection. But I'd advise your doc. Should be left to prescribe without prompting as clinical examination of leg may give clue to him to prescribe more specific med.to treat causeThanks"}
{"_id": "000003928", "text": "HelloWelcome to ChatDoctorThanks for posting your query. I understand your concerns. You continue the antibiotic and complete the course for 5 days. If the fever doesn't subside, you need to change the antibiotics to WiFi. Also continue taking paracetamol thrice daily. Keep watching if there is any discharge from the wound. Keep the area clean and Chat Doctor. Hope you are happy with the answer. Thank you"}
{"_id": "000003929", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, pain in wisdom tooth can be due to infection in that tooth that is due to carious or Periodontal abscess or due to smoking also it is bad to health.  Oral white precancerous and cancerous lesion occur due to smoking. So you should quit this habit and consult dentist and go for oral examination, if it is due to infection caries or periodontal problem then go for treatment.  Do warm saline gargle two - three times a day. Hope this will help you."}
{"_id": "000003930", "text": "Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you are finding swelling in the left supraclavicular region and also discomfort in the left shoulder you should undergo a thorough clinical Musculoskeletal assessment. Post which is needed you be advised for the x-ray to see bony position to understand better. Usually, due to shoulder pathology the supraclavicular region might get disturb as the clavicle is directly involved in the shoulder. Also, it doesn't look much big thing and can be corrected with simple treatment. Also, with simple physical therapy and graded exercises you should be fine. RegardsJay In Chat Doctor."}
{"_id": "000003931", "text": "Dear user, Thank you for writing to Chat Doctor. I understand your concern for premature ejaculations. Gabapin medicine commonly causes Imbalance, Dizziness, sleepiness and fatigue. It is very less likely to cause changes in libido, ejaculation disorders, and difficulty in orgasm. I suggest you to quit it for at least 10 days and see whether premature ejaculation improves. If it is so, it is likely that it is due to Gawain. You may consult your treating doctor and discuss this with him. There are different treatment methods for premature ejaculation. Some are as follows"}
{"_id": "000003932", "text": "Hello, Thanks for consulting ChatDoctorRead your query, as you have painful wisdom tooth this pain can be due to carious tooth, or impacted causing infection peritonitis or periodontal abscess. For this I will suggest you to consult oral surgeon for oral examination and investigations Iowa X-ray of region of wisdom tooth to rule out the cause of pain. In meantime do warm saline gargle two - three times a day, you can also apply stolen gum pain on region of wisdom tooth. Hope this will help you."}
{"_id": "000003933", "text": "Hi, thank you for quarry. As you mentioned your condition and symptoms no need to worry about anything without sexual intercourse no disease is going to be transferred to you hepatitis and HIV only transfer through sex not on touching or kissing. The second thing is secretions coming through penis it's also a natural process each and every man produce this secretion during erection, although some have more some less. So no need to worry about your both conditions. Hope the answer will help you. Feel free to contact for your health related issues. Wish you a good health."}
{"_id": "000003934", "text": "Hi, dairy have gone through your question. I can understand your concern. You want to conceive by surrogacy. Breast milk bank is available. The milk bank collect the breast milk from mother who is over producing it, and it supplies the milk to the lady who are unable for breastfeeding. You can search on internet for location of breast milk bank in Delhi. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000003935", "text": "Hi, There is absolutely no harmful effect of masturbation. There are only myths about it. One can do it whenever he / she wants. But remember, anything in excess is not useful. If you are addicted to it, it can divert your attention and may cause loss of concentration in studies, works and family life. There is nothing wrong. Get relaxed. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000003936", "text": "Hi, I am sorry for the current health issues you are going through. Having knee pain might be due to arthritis or after having a history of trauma locally. As the pain is going on for 2 months, then, I advise discussing it further with orthopedist about running X-ray of knee to evaluate any possible damage. For the moment, I can advise to"}
{"_id": "000003937", "text": "Hi, Thanks for the query. I understand your concern.  The changed range of blood pressure she has is suggestive of conceptional hypertension. She needs a second opinion for her treatment... with preferably at least 3 BP readings at different time of day to confirm need of medication.  Edema feet she has needs to be further checked with albumin in urine (which is suggestive of preeclampsia) ...she needs rest(physical psychological), treatment for urine infection if any & treatment of antihypertensives to keep blood pressure in control.  Please consult a gynecologist for proper guidance.  Thanks."}
{"_id": "000003938", "text": "Hello, Thanks for the query to Chat Doctor. Forum. I think you are somewhat confused as the pain on the left side just above pubic area means pain in abdomen not in stomach. Anyhow, the possibilities may be of, Any kidney stones which may present such type of pain with desire of defecation and frequent urination. For this purpose you need to get an ultrasound abdomen and kidney areas. Loss of appetite, lack of energy are due to sharp pain. I suggest you to consult a physician and get an Ultrasound of abdomen (left). Get in blood as well urine tests. Good luck."}
{"_id": "000003939", "text": "Episodes of tachycardia which are not related to physical exertion may occur in cardiac arrhythmia, pheochromocytoma, anxiety, panic attacks, autonomic instabilities, congenital heart diseases etc. Your son is 19 years old now, so I presume that he was not having any congenital heart problems. Your doctor suspected arrhythmias therefore he put your son on 24 hour heart monitoring. But during that monitoring had your son suffered episodes of tachycardia, if not then that monitoring will not help as in cases of arrhythmias heart activity can be absolutely normal in between the episodes of arrhythmias. Ask your doctor for 24 hour heart monitoring repeatedly till it captures episodes of tachycardia. Also ask your doctor for investigations like echocardiography, catecholamine excretion tests etc."}
{"_id": "000003940", "text": "Dear welcome to Chat Doctor, and thanks for choosing us. I understand your concerns. Firstly, I would say you should be cautious but don't worry too much. You have most probably got hepatitis, which is inflammation of liver cells. In the beginning it is reversible. However, I would like to know following your general health like weight, blood pressure, age would advise following to heal your liver 1 healthy and balanced diet2. Less animal proteins for 3 weeks and then continue as per your habitat know about possible disease in future you need to do following1 liver function test at least once in three months till you get normal reports. Then you can do once in six months2 immediately report to your doctor if you get pain in abdomen, fullness in abdomen, yellowish urine, yellowish skin, extreme fatigue. I hope my reply will help you. Please write to us or me for more questions. I wish you good health. Kindly rate this reply. Thanks"}
{"_id": "000003941", "text": "Hello! Welcome on Chat Doctor ! Your symptoms are not indicative of any neurological disorder. Arthritis can not be excluded. For this reason, I would recommend consulting with your GP and performing some blood lab tests (complete blood count, PCR, sedimentation rate, Rheumatoid factor). Further tests may be needed, depending on the above test results. Hope you will find this answer helpful! Best wishes,"}
{"_id": "000003942", "text": "Hi, Thanks for writing in. Usually a nasogastric tube will not be damaged due to radiation therapy. The tube is made of chemically inert material that does not get affected when radiation passes through it. Radiation has to be given if your oncologist feels that tumor has to be reduced in size after chemotherapy with devoted and cisplatin. Nasogastric tube is a simple tube that is a passage of liquids from mouth through throat and esophagus and in to the stomach lumen. It does not get affected though you might have a slight discomfort when they put it inside. This will help to provide feeds regularly. Please do not worry."}
{"_id": "000003943", "text": "Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. Aortic dissection can get to quite a dangerous situation if it's progressing continuously or if it is leaking. Indeed, its only cure is surgery cant be treated with medication and can get dangerous for life if left untreated. It involves opening the chest by vascular surgeon and repairing the torn part of the vessel .usually the torn part is resected and then the normal ends of the remaining artery are joined together, if a big stump of artery has to be taken out then putting some vessel at its place is considered, but this is very rarely done.It's a major surgery which can lead to any outcome, but usually doctors weigh benefits over risks. And in case of a bad dissection. Benefits are always more in getting the surgery done. If done well, patient usually ends up getting saved. Yes it might take 2.3 months to get out of effects of surgery and with time a person can get back to near normal life. I hope this answered your question, if you have more feel free to ask. Regards."}
{"_id": "000003944", "text": "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 think you need to see a doctor. Backache with hyperaesthesia (increased pain on touching), means that there is some problem going on inside the back that may be affecting the nerves arising from the back. The compression of the nerves can cause severe pain, that often radiates to the lower limbs. Or may cause tingling or numbness. She may need an MRI and followed by physiotherapy 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. Please do understand that some details could be extracted from a detailed history and examination. 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."}
{"_id": "000003945", "text": "Hello, I have studied your case with diligence. Yes this can be lupus with reactive arthritis. Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have sucChatDoctorplain? Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? NSAIDs, Awards (disease-modifying anti-rheumatic Chat Doctor.  These include methotrexate and sulfasalazine. 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"}
{"_id": "000003946", "text": "Hi, thanks for providing the brief history of you. Since you mentioned you have swollen ankle and feet, first need to understand what is your age? Secondly suspecting a clot in the veins if you have such thought in mind than you can meet up a vascular surgeon and undergo a Doppler test for finding if any is present. If there is a clot the vascular surgeon will help you for the same. For time being before coming to any conclusion you can try this conservative treatment of dipping the feet and ankle in hot water and then keeping it elevated over a pillow to allow the metabolic waste to Chat Doctor.  And perform some simple ankle toe movements and straight leg raise while lying down. It will help to reduce swelling as well. If you are obese than you need to look for reducing the weight. On the other hand, specialist are always there outside close to you to diagnose and help you with your medical illness. Do not get self diagnosed or self-medicated and later take a tension of the same. With the grace of God I wish you a speedy recovery"}
{"_id": "000003947", "text": "Hello Thank you for trusting Chat Doctor Your suffering from pulmonary embolism?? What risk factors you have??  Your doctor may be given low molecular weight heparin. Then you can continue tab. Warfarin mostly for 6\\u00a0months. INR should maintain between 2-3. Other tests you may need. Doppler of lower limbs. Pt /INR Protein C and S Factor 5leiden mutation Anti thrombi 3levelEcho and ECG for cardiac morphology and functioning. D-dimer. Please consult your doctor he may advise correct dose of tablets depending on your blood tests."}
{"_id": "000003948", "text": "Hello, I have studied your case and I think that it can be because of two reasons. First it can be due to Heimlich procedure where pulling you and then sudden jerking can cause your muscles spasm in back. Other cause can be torn in esophagus that causes radiating pain in back. I would suggest you to take rest, apply hot water fomentation and voting gel local application.  If this pain increases, or you feel that there is increase problem in swallowing of food then I would recommend you to show it to gusto surgeon.  I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks"}
{"_id": "000003949", "text": "Hi Dear, Welcome to Chat Doctor Team. Understanding concern about your health. As your two tooth had been pulled and you feeling sensitivity or tenderness in area around those tooth, need not worry about it. It's nothing serious, the space around the tooth from where two teeth have been extracted is empty now, and it causes deposition of bacteria, food particles. These bacteria keep on accumulating and improper brushing in that area builds them up which causes sensitivity, itchiness in that area and that is the reason your tongue keeps on going in that area due to pressure built due to bacterial deposition. Hard bump on the roof could be because of any sharp tooth in lower arch which keeps on irritating upper arch as this is very common occurrence after extraction. What you need to do is maintain proper hygiene of your oral cavity. Brush at least twice a day. Use flossing interdentally to remove debris. Visit your nearby dentist for cleaning of your teeth. Get the sharpened edges trimmed. Apply colonel in the sharp bump area it will go away. Hope your concern has been resolved. Get well soon. Best wishes,"}
{"_id": "000003950", "text": "Degree understand your concerns went through your details. I suggest you not to worry much.  Though the information you gave is not enough to make a correct diagnosis, I think that you have a health condition named bipolar disorder. Please consult a clinical psychologist or psychiatrist to get proper diagnosis and proper treatment. You need psychiatric treatment. Please get on with it. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000003951", "text": "Hi and welcome to Chat Doctor. It would be easier if you've posted the exact liver enzymes findings. Its elevation is common found in many disorders must most usually is alcoholic, viral, autoimmune or toxic liver damage. The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar and alcohol of course. If ultrasound didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor.  Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. Liv 52 is helpful but only if associated with these measures I've mentionedWish you good health."}
{"_id": "000003952", "text": "Hi there ~ It is unclear to me as to what the chronology of your symptoms were, except for the fact that there was something that happened a month ago in your sleep that worsened your symptoms.  I am unclear of what the details of the \\\"panic attack\\\" in you sleep was, however there are various sleep disorders that may cause you to have anxiety symptoms during the day.  I recommend that you see a psychiatrist as soon as you can, with your parent/guardian.  Furthermore, I hope this helped. Take care."}
{"_id": "000003953", "text": "**1. Throat infection is/are commonly viral in origin, as such you should consult with medicine specialist or ENT surgeon for examination [to look for particular area] and evaluation. [regarding any foreign substance in the throat region] 2.  Initially take complete antibiotic course [to prevent secondary bacterial infection along with decongestants and anti-inflammatory medicines. 3. Gargles three times in a day [gargle with warm spinach juice], voice rest, stop smoking. Avoid sour, curd/ yogurt, cold Chat Doctor. . Take multivitamin supplements. Boil 2 spoons of yashtimadhu churn in 4 cup water till 1 cup remains. Filter it and add4 spoon honey to it and"}
{"_id": "000003954", "text": "Hello...thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about.can you get pregnant if u maintained an elevation position.right.well.my answer is- YES, u can pregnant if u maintained an elevation position after sex, but the ejaculation should occur inside the vagina. Ejaculation inside the vagina is more important thing. At least some amount of ejaculation should occur inside the vagina. As u told that your husband liquid is come out from the vagina, but u didn't give info regarding the amount of ejaculation. Whether your husband ejaculate outside the vagina or only some amount of this is ejaculated. So it is difficult for me to comment on this. With the above discussion u can try out my suggestions-1. Ur husband try to ejaculate inside the vagina, it gives better result.2. If your can't able to ejaculate inside the vagina, then u can try GUI (intrauterine insemination), in this the husbands' semen directly injected inside the womb, so that chances of getting pregnancy is high.3. If u r in hurry then visit nearby infertility specialist. He /she can help u. I hope the above information is useful, informative and helpful for u.regards- Chat Doctor.  I pray the God that u will be blessed with a cute n healthy baby as early as possible.hopefully TWINS)"}
{"_id": "000003955", "text": "Hi, I understand your concern and would explain that this lump could be related to an infection or an inflammation cyst. The fact that the dimensions are getting smaller is very reassuring, but her clinical situation is really concerning. That is why, I would recommend going to the ER for a physical check up and some tests"}
{"_id": "000003956", "text": "Hello thanks for asking from Chat Doctor for your health related queries can understand your concern. Repeated head trauma can result in memory problems. You have mentioned that you had 5 concussions and have headache daily along with problems in memory. The memory problems have been confirmed by tests in school also. Though it is not common to have memory problems in school going child Chat Doctor.  Get your imaging investigations like CT scan done to rule out any evidence of trauma to brain. Medicines like Donepezil, Semantic can help to reduce the progression of traumatic memory loss. Visit a doctor for help. Thanks, I hope this helps you. Take care"}
{"_id": "000003957", "text": "The child is having Type 1 DM, in such cases, child might be going into Diabetic Nephropathy where children kidneys are going into failure. That is the reason for massive proteinuria. This might later lead to swelling of whole body and worsening of condition. Mood swings are due to hypothyroidism occurring due to Hashimoto. Your next step is to get a KFT done. Take children BP and start the child on tab Enalapril. Get a funds examination routinely done and get and Ultrasound Doppler done for kidney blood flow."}
{"_id": "000003958", "text": "After pulmonary vein isolation procedure for many time snit common that patient will have feeling of palpitation (extra heart beats) on and off for few weeks. And this goes away with time and with internal scar tissue healing. Here if she has similar feeling then Don't worry. But if she is having pain in neck with high blood pressure then do check with your doctor since again. Any way I am sure after the procedure she must be under observation for time being, and these symptoms will get over in this time. If not then take a secondary opinion too with one more cardiologist. But as of now give her a symptomatic treatment. Take care."}
{"_id": "000003959", "text": "Hi ! Good morning. I am Chat Doctor answering your query. It might not be possible to opine on this lump without a physical examination. I would advise you to take an appointment with a general surgeon, and get it assessed by him for a proper diagnosis and treatment. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000003960", "text": "Hello. Elevations of liver enzymes(GOT and SGPT) and cholesterol are not worrisome, but triglyceride levels probably should be treated with medication by mouth (fenofibrate is the most commonly used Chat Doctor. About the diet you must avoid intake of alcohol and fat products (bakery products, fried foods, pastries, red meat). Please consult your local doctor for a prescription. I wish you good health.(If the answer has helped you, please indicate this)"}
{"_id": "000003961", "text": "Hi, Thanks for writing in. Dizziness can also occur due to stress related anxiety or overflow of emotions. However, before saying that your symptoms are due to anxiety, the following other causes of dizziness and nausea must be evaluated. Short duration of dizziness can also happen due to decreased blood flow from heart to brain. When it happens, the blood flowing through the vessels from heart to brain might have a reduced flow. These are by the carotid and vertebral arteries on either sides. This is more significant when you are standing upright and doing any moderate to heavy physical activity. You might require a CT scan or MRI scan of the brain. The best way to analyze if the reduced blood flow to the brain is causing your dizziness is by doing a carotid and vertebral arteries Doppler ultrasound. It will show the flow of blood from the heart to the brain and if it is adequate. Clinical examination of inner ear and vestibular system in the ear is also required. For this you might have to consult the ENT specialist. After clinical examination if there is suspicion of inner ear problems then detailed investigation is required. It might help to do an Electronystagmography (ENG) or videonystagmography (VNG) done to record abnormal eye movements while the head is placed in different positions or your balance organs are stimulated with water or air."}
{"_id": "000003962", "text": "Hi, As the pain is radiating in nature and not coming down with the medicine you're taking. I will advise to get checked of the cervical spine. As a nerve root entrapment will be the cause for pain to not stop. Using cervical collar will be good.  Post that hot water fermentation to the neck and then shoulder. Wait and see if pain level Chat Doctor.  If so then static neck and shoulder stabilization exercises to be looked out for. You should do well with 2-3 weeks of time. Hope I have answered your query. Let me know if I can assist you further. Jay In"}
{"_id": "000003963", "text": "Hello. Thank you for your question and welcome to Chat Doctor. I carefully read your query. As I am let to understand, coronary angiogram was performed. Well, there are different strategies on treating a narrowed or totally blocked coronary artery. It would be really helpful to see the full report and the film. However, I am going to try to ad Chat Doctor.  First, there is angioplasty and stenting of the artery. If the time from onset of a severe, different from others, episode of chest pain to angioplasty is less than six hours, then the benefits on the heart muscle is the highest. I am, of course, referring to a totally closed coronary artery which caused an acute myocardial infarction. If there is a significant blockage to the main artery, and I am assuming that this is the left main coronary artery or the very beginning of the left anterior descendant artery, then the strategy of coronary artery bypass grafting (CABG) provides more benefit in aspects of lifespan and symptom ameliorating. If this is a blockage in the proximal or midden portion of the LAD artery, then angioplasty and stent placement would be the appropriate strategy, with safety and effectiveness."}
{"_id": "000003964", "text": "Hello dear, The symptoms as mentioned in your post is indicative of neural damage due to compression secondary to the back strain. Symptomatic relief will be obtained with the help of cervicogenic agents like It B12, It B6 & Folic acid. If symptoms still persist, then you need to get an MRI of the spine to detect the degree of compression. Further step of management to be decided based on it. So, kindly consult a Neurologist & get a proper clinical examination done including nerve conduction studies. There is no need to worry, you will be fine. Wishing you a good health. Take care."}
{"_id": "000003965", "text": "Hello and welcome to Chat Doctor, I read your question carefully, and I understand your concern. Please, do not worry. 24 hour urine metanephrines are tested to rule out a Chat Doctor.  Pheochromocytoma is a catecholamine secreting tumor which presents with high blood pressure, headaches palpitations and sweating. Negative test results rule out phechromacytoma as the cause of hypertension. Low metanephrines in the urine indicates a"}
{"_id": "000003966", "text": "Hi, Do not jump at the conclusion that you might need surgical intervene. You seem to be facing constipation issue. Are you a complete non-vegetarian or known alcoholic? Focus on fiber diet for the next 2 weeks and get lactulose syrup - Cupola. 5ml or 1 spoon twice a day morning and evening after breakfast and dinner, and you should be fine. Avoid standing for too long. If you face gastric issues as well as take Pantoprazole twice a day morning and evening. Hope you will get well soon."}
{"_id": "000003967", "text": "Hello, There are many treatments other than opioids that you can try to help with the pain.  In particular, there are some antidepressants that can help with pain as well, such as duloxetine, that might be a good choice for you.  So I would suggest discussing this with your doctor, and hopefully, that can help some with both your pain and your feelings of depression. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000003968", "text": "Hi, Can you send me a picture for a better assessment? From what you said, this may be a manifestation of skin allergy (atomic dermatitis), which can have intermittent exacerbation depending on climate and environmental allergens. This is a chronic disorder which is difficult to cure completely. Applying a moisturizing cream regularly after bath will offer some help. During flareups, this will need topical steroids and anti allergy Chat Doctor.  Kindly keep regular followup with a dermatologist. Sometimes, an allergy skin test followed by desensitization or avoidance of the particular allergen if feasible will offer long term remission. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000003969", "text": "Thanks for your query, I have gone through your query. The swollen gums could be because of the gum infection secondary to the deposits. The infection could have aggravated by the trauma caused by the chocolate while eating or from some other food items or while brushing. Nothing to worry, consult an oral physician and get your teeth cleaned and maintain the oral hygiene after that. Do saline gargling morning and night. I hope my answer will help you, take care."}
{"_id": "000003970", "text": "HelloYour findings suggests mildly enlarged liver with fatty changes in liver. Fatty liver is a reversible condition. Obesity and sedentary lifestyle are its common causes. Other causes of hepatomegaly with fatty changes are hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. I suggest routine hologram, random blood sugar, urine RE/ME, renal function test and liver function test. You may need to take few medicines after evaluation. You may need to change your diet and lifestyle. You should a go for brisk walk regularly. Findings also suggests multiple calculi in both kidneys. It is important to estimate nature of calculi because treatment varies witChatDoctorposition of calculi. You may need conservative treatment initially. Other treatment options are lithography etc. It is also important to assess function of kidneys. Get well soon. Take Care Chat Doctor."}
{"_id": "000003971", "text": "Hi and Welcome to Chat Doctor, OTC painkiller Paracetamol can help you.  Take pain medicines (ask your doctor which ones you should use). The doctor may treat you with antibiotics. Add more fiber to your diet. Eating more fiber can help prevent future attacks.  If you make a few simple changes in your lifestyle, you may not have diverticulitis again. Continue using heating pad.  Wish you speedy recoveryThanks"}
{"_id": "000003972", "text": "Hi. Thanks for your query. With the history of trauma a week ago and painless, symptom-less swelling in the Costco Chat Doctor.  IT has appeared sudden, it is possible a small blood vessel ruptured in an already traumatized area. If the hematoma is not tight, it is painless. I do not think there is anything to worry as about. This can be confirmed by ultrasonography and / or aspiration. If confirmed to be hematoma, it can be left alone, or just add an anti-inflammatory medicine for a few days."}
{"_id": "000003973", "text": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment of the armpit lump-In my opinion the lump under the armpit is not resolving as its with perifolliculitis with boil and is unripe with only pointing head, rest is hard painful lump. At this stage you should consult ER Surgeon and treat it with anti-inflammatory and antibiotics and hot fomentation which would reduce it fast and would vanish in 5 days time. If it grows still ER surgeon would treat it by Surgical Chat Doctor. Please avoid poking that lump. Consult your ER Surgeon if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day."}
{"_id": "000003974", "text": "Dear Vishal, Fertab is a medicine containing Camphene citrate which induces egg release from the ovary (ovulation). Hence, if you want to consume these pills for induction of ovulation, you should take them before intrauterine semen instillation (GUI - Injecting the sperms). The protocol should be as follows"}
{"_id": "000003975", "text": "Hi, thanks for sharing your health concerns with Chat Doctor!  As per your description, yes, you better consult the same surgeon as only knows the thorough history of your ailment! It is unfortunate to get infected repeatedly both for the patient and the surgeon; there must be some interfering factor in the line of treatment... Now it just needs debridement of the wound to convert it to some raw wound so that it heals as naturally as possible! 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."}
{"_id": "000003976", "text": "HI, I understand your concern.  - Its good that your wife does not have urinary problems, but raised TLC suggests infection anywhere in body. So a thorough check-up by gynecologist/ general physician & investigations as per need - should be done _ A repeat blood smear examination by pathologist to exclude any abnormal form of cells in it is needful * If there is nothing wrong in both the points. Be relaxed. As.  Raised TLC count in pregnancy is due to raised pregnancy hormones (Estrogen, cortisol).  Thanks."}
{"_id": "000003977", "text": "Hi, Thanks for using Chat Doctor. Sudden sharp pain with vomiting may be due to acute gastritis, acute GE or obstruction. Since you have right side abdomen pain the chance of duodenal ulcer is more. I hope there is no blood or green fluid in your vomits and not suffering from fever. If your bowel movements are normal. Take tab pantoprazole with metoclopramide and tab. Dicyclomine. Since you got your gall bladder removed and if symptoms persists take your doctors' opinion once. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards"}
{"_id": "000003978", "text": "Degree understand your concerns went through your details. I suggest you not to worry much.  For your knowledge, insomnia is just a symptom. You need to investigate further to know the clear causes of your insomnia. Then you shall know the reasons for your memory loss. Please consult a neurologist. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000003979", "text": "Hi... Thank you for consulting in Chat Doctor. Looks like everything is related to viral illness. 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 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\\u00a0mg/kg/dose (maximum ceiling dose of 500\\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000003980", "text": "Hello, Any undue position will exert pressure on the surgical site and cause pain. Take rest and work moderately. Postoperatively infection is always a possibility it you are not given a good cover of antibiotics. Burning and pain during micturition indicates infection and not the strong smell alone. Do a urine routine and urine culture and sensitivity to arrive at a diagnosis. Consult your doctor for more help."}
{"_id": "000003981", "text": "Hello, In my opinion you need a dental exam to determine the source of your discomfort. Decay will get larger with time and can cause an infection. The spread of an infection can make other teeth hurt. All fillings will wear and decay can get underneath.  Pressure sensitivity can indicate a problematic tooth. Infected teeth can rise and cause a change in how you bite. This could give you a headache."}
{"_id": "000003982", "text": "Hello and welcome. Thanks for sharing concern. Oral sub mucous fibrosis can be treated by giving intraluminal steroid injections and continuous follow up is required. You can meet any oral and maxillofacial surgeon in your city of choice, as it is curable.Also, please discontinue habits like tobacco chewing or smoking(if you have).for pain in TMJ you can take Coquitlam SOS. Also an x-ray can give you the exact picture of your TMJ.Therefore, it requires visit to oral surgeon for evaluation of present state, and accordingly it can be treated. This should help, for further doubts please let me know. ThanksTake care."}
{"_id": "000003983", "text": "Thanks for sharing your problem here in this forum... There are multiple causes of swollen lump on the side of the neck.proper history and examination is required to give you the exact diagnosis...in your case there is long history, so it may be some lipoma or salacious cyst...lymph node may occur but if there is some chronic infection...I will advise you to see your surgeon to give you exact diagnosis and treatment...hope you got your answer...thanks Chat Doctor."}
{"_id": "000003984", "text": "Hi, A lot depends on your age. A women sage at after 37 years, does reduce chances of getting pregnant naturally, and at that age if not conceived after 6 months of trying for a baby, a gynecologist should be consulted. Do start taking folic acid, and also know that 8 to 18th day of the cycle is the most fertile period. Healthy lifestyle and avoiding smoking and alcohol also helps. Hope this helps. Regards."}
{"_id": "000003985", "text": "Hi, Welcome to Chat Doctor, This symptom you mentioned are very commonly seen in this age group child Chat Doctor.  One such episode which is not too severe and is relived by junior Landon every 2-3 myths is not a matter of concern. If I were your pediatrician, I would have given albendazole just to take care of any stomach bug. Gt his diet regularized and make sure he never misses breakfast. A discipline in his dietary habits will sort out his issue to a great extent. Take care."}
{"_id": "000003986", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. But vaginal spotting can be the early symptom of local recurrence. You had completed your chemotherapy since November 2013. So not on any treatment for 12 months. This duration is sufficient to produce recurrence at local site. So wait for CA125 and PAP smear result. You may need CT abdomen and PET scan to rule out local recurrence."}
{"_id": "000003987", "text": "DearWelcome to ChatDoctorWe understand your concerns went through your details. I am sorry to say, your grandson do not need any medical treatment, but needs corrective behavior. I suggest you to consult a psychologist who can provide your grandson with values and health counseling. As far as heart burn is concerned, physical exercises and right food will be enough. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000003988", "text": "At first presentation one could guess it as HD (Ischemic Heart Disease) but then pain is there for a year, no aggravation. I would advise you to start deep breathing exercises and start getting Cap Arjuna for controlling heart beats and restoring normal supplies to heart muscles. Liquid Arjunarishta should also be added. These are safe, no side effects, no interaction with other Chat Doctor.  Anxiety issues will also be cared with these. Ideally an ECG should be done for assessment. For local pain issues pl. use application of local muscle relaxant like Rumply liniment over chest and shoulder area. Pl contact again for further advise after ECG etc. But above med may be started as of now. Pl make sure to follow doctors advise. You should have done cold patches too at that time. Hope it's helpful."}
{"_id": "000003989", "text": "Dear friend. Thanks for sharing your concern. Swelling and pain are indicative of infection.it is required to start a course of antibiotic for faster recovery.Also, antiseptic mouth rinsing is suggested. Also, you can do warm saline rinses too. If you are not satisfied with your present dentist please go for second opinion and also ask for a day to see if any other root pieces are left in place, as they can further aggravate the condition. Presently maintenance of hygiene by following above measures is a must and simultaneously starting a course of antibiotic is also necessary. Hope it helps. Thanks. Take care."}
{"_id": "000003990", "text": "Thanks for your question on Chat Doctor. I can understand your concern. You're all symptoms can be due to heart diseases like heart failure or coronary artery disease (CAD). You are also having hypertension and hypothyroidism. Both of them can increase risk of heart diseases. So first get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about major heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So better to avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000003991", "text": "In most probability the pain which would increase or decrease with SRM movement is local in origin and NOT heart, so be reassured.  I believe the kind of pain you describe and the circumstances in which it has occurred, is mostly probably due to a nerve compression as a result of position you took during the nap.  It would resolve in a day max, some warm compress will help, may take a single tab of paracetamol 650 mg SOS, which is perfectly safe in pregnancy.  Regards Chat Doctor."}
{"_id": "000003992", "text": "Hi, Thanks for writing in. It is important to know the complete MRI report details before coming in to a differential diagnosis to your problem. Whatever it is, a big cyst that is causing shift of midline structures inside the head of more than 4 mm must be treated so that pressure does not build up. Increased intracranial pressure can affect the functioning of your brain and can become serious. Please discuss your condition with your scan reports and consult a neurosurgeon immediately. Hope this helps."}
{"_id": "000003993", "text": "Hi, Repeat a urine pregnancy test. If it is negative now, then you are definitely not pregnant. Regarding HPV, the infection does not hold much significance in a 50-year-old women, who has been sexually active before. I would like to know if you have had regular cervical smears and when was your last cervical smear. If the previous smears have been normal, you need not have any concern about HPV. The symptoms you have listed could be a part of vasomotor symptoms of menopause, consider Hormone replacement therapy if you have no contraindication to it. Hope his helps. Regards."}
{"_id": "000003994", "text": "Hi thanks for asking question. Noted you have habit of smoking. This type of stabbing pain can occur if pleura is inflamed or infected. So pleural effusion also can lead such pain. Chest x-ray in lateral decubitus procedure is done. Treated accordingly. Here pleural affection may be secondary to pneumonia like infection if fever and cough also present. Chest x-ray can reveal consolidation. Let me know you smoker can have more chance for interstitial fibrosis.X-ray will be useful. If still causes not clear ECG can be done for cardiac causes. If still no cause identifiable then it might be Costco Chat Doctor. Wish you good health. Regards;"}
{"_id": "000003995", "text": "HI, Dear,Thanks for the query to Chat Doctor.1-I have studied your query in depth.2-DEar,IN my opinion, the hard lump in the palate, is due to the lymphoid enlargement or due to the salivary gland cysts of the palate.3-Allergic aggravations with associated infection and inflammation, is the cause for its recurrence with the URI /or allergic URI attacks.4-Treatment would be -cetirizine / and or antibiotics under cover of surgeon.4-a-I would advise you to consult surgeon or Ent-Surgeon, who would treat it by-antiallergics and antibiotics and NSAIDs.5-Hope this would solve your query to your satisfaction.6-Wellcome for more queries to me On Chat Doctor.7-Thnks once again for your inquisitive query. Have a Good Day.!!"}
{"_id": "000003996", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Her symptoms are suggestive of either uncontrolled hypertension or coronary artery disease (CAD) or heart failure, because all these cause chest pain with radiation to arm. ECG can be normal even with the disease in some patients. So better to consult cardiologist and get done 1. Blood pressure monitoring to rule out high BP. 2. Trade mill test (stress test) to rule out CAD. 3. 2d echo to rule out heart failure. 4. Coronary angiography if required to rule out CAD. So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks."}
{"_id": "000003997", "text": "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. Exact percentage will be different for every patient as every one has different conditions and different scenarios in your conditions the is more than 50% chance that it can work as one of your ovary is pretty much fine you DNT need to worry about it, you will cocaine many ppl do just keep on trying if first attempt fails try again .... I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegards."}
{"_id": "000003998", "text": "Hello. Thank you for asking at Chat Doctor. I went through your history. I would like to ad Chat Doctor.  If your tablet (Infinair5/10) controls your symptoms adequately, you can continue taking at alternate days for long time. However, if it does not adequately control your symptoms, I would suggest you to take it daily.2. Infinite has 2 contents"}
{"_id": "000003999", "text": "Hello and welcome to Chat Doctor, A clinical photograph of the lesions is required to know the character of these lesions. I understand from your description that the clots that you have mentioned are actually bruises. Bruises usually occur after trauma. If there is no history of trauma, then these bruises could be due to disorders of platelets or disorders of coagulation factors. Thus, I suggest you to get platelet counts, coagulation tests-PT, apt along with peripheral blood smear examination. These investigations will determine the possible cause of bruising. Thanks and take care Chat Doctor."}
{"_id": "000004000", "text": "Thanks for asking question I have gone through your query. Your ten-month-old daughter had 2 episodes of UTI in last 2 months and was treated with both IV niacin and other oral medicine. First I want to tell the \\\"DO NOT WORRY\\\". IF was your treating pediatrician I would advise you for some test(like ultrasonography etc.) to role any structural abnormality that may because of recurrent UTI. Here is some advice that can prevent future UTI1. Get rid of constipation if present2 wiping from front to back may prevent stool bacteria to contact with urinary system opening 3 cranberry juice (50-100 ML per day)is help to prevent UTI4 Frequent diaper change prevent soiling of stool Answer for your query about root cause is that. There is no specific list of cause but those kid who have structural abnormality in urinary tract have frequent (that will be seen by ultrasonography),female child more susceptible for UTI, I want information from you about report of culture and sensitivity. So that I can see which bacteria are causing and which is appropriate Chat Doctor."}
{"_id": "000004001", "text": "Hello;welcome to Chat Doctor The cyst in the ultrasound needs to be differentiated to see if it is benign or hemorrhagic cyst ;also whether you have pain or now is important. Please consult a Urologist and get examined. He will prescribe the needed medicines and if it is a simple cyst it may reduce in size or resolve completely in 2-3 weeks but if it does not then the Urologist will tell you regarding further management. Thanks"}
{"_id": "000004002", "text": "Hi, Welcome to Chat Doctor forum.  As you describe the glands of the malignancy may not be visible, in a short span of time and all at once, they could be a result of the infection in the breast.  Any how to be on safe side, it is always better to have the examination, immediately.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have resistance against the infections.  Wishing for a quick and complete recovery. Thank you."}
{"_id": "000004003", "text": "Hello thanks for the consult at Chat Doctor. It could be lock jaw involving TMJ.it belongs to TMJ disorders. Do you have the habit of night grinding?? Did you have a recent cough and cold, since your lymph node is swollen behind the ear?? Regarding treatment for that lock jaw and popping, give rest to the TMJ. Avoid eating hard food. For night grinding habit, you could get a night guard. Take treatment for cough and cold with medicines such as antibiotics and analgesics. Kindly consult an oral physician for a check-up and treatment.also visit a TMJ clinic in your area. Hope it helps.take care..."}
{"_id": "000004004", "text": "Hi, Left sided abdominal pain is commonly due to constipation, gastritis, IBD (Crowns and ulcerative colitis), kidney stones. Take antacids and Pantoprazole. For colic pain take Spasm Procyon (combination of Dicyclomine, Paracetamol, Tramadol), when discomforted. Get physically examined and get done USG, PUB, colonoscopy, MRI, CT along with CBC, urinalysis, liver function tests. Bad breath is usually due to poor oral hygiene, it is a sign of gum disease (periodontal disease), Chat Doctor.  See a dentist. In the meantime take vitamin C and gargle with Listerine mouthwash.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004005", "text": "Hello, Welcome to Chat Doctor, Have seen your query, as this is an allergic reaction the doctor has prescribed him the appropriate nebulization therapy, but maybe there seems to be an associated bacterial infection which could have precipitated with lowered immunity due to the allergic cause, hence will advise you to kindly re-visit your doctor for further advice, and he may need added antibiotics to subside the underlying cause. Thanks"}
{"_id": "000004006", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern, the tubercular infection need be confirmed by means of all the possible investigation, even if you need second opinion, go for that, the differential diagnosis need to be taken under consideration, for the symptomatic relief you can take the Tab Diclofenac 50 mg sustain release once in day, hope this information helps you have nice day."}
{"_id": "000004007", "text": "Hi there! There are broadly 2 kinds of fungi which could infect skin. One type needs keratin to grow like Trichophyton or epidermophyton because of which it tends to grow on Skin Nails n Hair where Keratin is abundant. These do not grow inside the body. While Candida can grow on skin and inside the body too. Mostly moist areas like Groin, Vagina etc. For nail infection especially toenails the medication needs to be taken for a long time because the Chat Doctor.  Hopefully this helps."}
{"_id": "000004008", "text": "Hello! Thank you for the query. If this lump is located under the skin bone growing is rather not the best idea. Lumps in such location are usually benign lesions. It can be a sebaceous cyst. Due to an infection, the cyst gets larger, very painful. Sometimes lymph nodes are located in mentioned area. The best way to find out what it is an ultrasound. In case of infection, it should be incised and Chat Doctor. Blood work should be also done to see the level of WBC. Hope this will help. Regards."}
{"_id": "000004009", "text": "Hi, Thanks for writing in. It is important at what stage the cancer is progressing in your relative. Moderately differentiated cancer is the grading and tells that the cell multiplication is neither too aggressive nor to slow. It is progressing and can be treated as it has been confirmed. First it is important to know if the cancer can be operated and this is important. AN early surgery limits the disease but chemotherapy and radiation have to be given for better cure of the patient. While surgery is important to remove the tumor, chemotherapy and radiation will stop the disease from getting out of control. Regular ultrasound and CT scan should be done for a few years to follow up and check for any spread of disease to liver and lungs. Any spread has to be confirmed early and treated on time. Please do not worry."}
{"_id": "000004010", "text": "Hello, and I hope I can help you today. Is understandable to be nervous about having a lump in your breast at any age. You are correct in your knowledge that breast cancer under the age of 30 is extraordinarily rare, however any lump in the breast that is present for more than short period of time really should be evaluated. It is not recommended that mammograms be performed in women who are breast-feeding because the calcium in your milk can sometimes cause abnormalities on the mammogram that mimic cancer. However, ultrasound, a diagnostic test similar to that which are baby got while you are pregnant, can be performed on your breast to see if the lump is the cyst, or a solid mass. A specialist in diseases of the breast would be a reasonable person to see for this evaluation if your GUN doctor is not willing or able to properly examine you and refer you for the ultrasound. However, I do want to reassure you that most palpable lumps found in women who are pregnant or breast-feeding are due to some clogging or other issues of the milk glands and are rarely associated with cancer. I hope that I was able to adequately answer your question today, and that my advice was reassuring. Best wishes and good luck,"}
{"_id": "000004011", "text": "Thanks for your query, I have gone through your query. The swelling in the cheek and jaw can be because of the wisdom tooth infection(Peritonitis or periodontal abscess leading to cellulitis). Nothing to be panic, Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole (if you are not allergic). Do saline gargling. I hope my answer will help you, take care."}
{"_id": "000004012", "text": "Welcome to Chat Doctor I am Chat Doctor and I will be helping you with your query have gone through your question. It appears to be enlarged lymph node in the cervical region. Lymph node enlarges in response to infection in the head and neck region. Chances of lymphoma is rare as the duration is short, and single lymph node is involved. In lymphoma there are additional symptoms like weight loss, lethargy. If it bothers you much, lymph node biopsy followed by its histopathology, which will give a clear-cut diagnosis. I hope that my answer will help you. Do rate it, if you like it. Regards"}
{"_id": "000004013", "text": "You may be suffering from a condition called TRIGEMINAL AUTONOMIC CEPHALIC (Tags) and more specifically, what we literally call JABS AND JOLTS types of headaches.  There is a specific treatment for this type of pain, but first it must be verified that this is indeed the case and that usually means filling in a HEADACHE DIARY or LOG for a period of time in order to find out more about these sudden fascinating pains and to also find out if you may be having any other types of headaches that go along with what you're already describing.  Please rate this a 5-STAR ENCOUNTER and write me at"}
{"_id": "000004014", "text": "Hi, Welcome to Chat Doctor. Stage 4 ovarian cancer is not curable. Ovarian cancer is a dangerous cancer because it is asymptomatic and is often not diagnosed until it is in its advanced stages. Between 2000 and 2010, the rates of diagnosis of ovarian cancer have remained relatively stable, with a decrease of less than 1 percent annually in the number of women diagnosed. The mortality rate and life expectancies have remained stable. For stage IV ovarian cancer, the 5-year survival rate is 17.5%. Take care."}
{"_id": "000004015", "text": "Hi thanks for contacting Chat Doctor. You have diagnosed with positive hepatitis b infection.Head also positive means virus multiplying.... In viral hepatitis our immunity play role in eliminating virus.... So healthy and balanced diet taken with low fat.... Refined food, junk foods, non veg restricted.... Some good food for liver taken like ....-carrot -papaya -dandelion -lemon juice -onion -spinach etc..... Fruits taken more..... One tsp crushed carom and cumin seed with water can be taken daily..... Avoid alcohol... If Bag positive more than 6 months than chronic infection is there for which regular follow up then needed with good dietary habit... If chronic active stage occurs then antiviral Chat Doctor. Hope I have solved your concern. With keeping this in mind consult gastroenterologist."}
{"_id": "000004016", "text": "Thanks for your query, I have gone through your query. The pressure feeling in the teeth can be because of the gum infection secondary to crowded teeth where the oral hygiene maintained is difficult. Nothing to be panic, you can consult a government dental hospital or educational institute, where the treatment will be done free of cost. You need to get the teeth cleaned, and you have to get the teeth aligned properly with the help of braces or orthodontic treatment. I hope my answer will help you, take care."}
{"_id": "000004017", "text": "Thanks for your query. I have gone through your query. The toe injury can be treated with a course of antibiotics like amoxicillin and metronidazole (if you are not allergic). The purple color can be because of the ecchymosis or bleeding secondary to injury. The liquid coming out from the wound can be pus secondary to infection. Nothing to be panic, consult a general physician and get it evaluated. I hope I have answered your query. Take care"}
{"_id": "000004018", "text": "Hi, dairy have gone through your question. I can understand your concern. You have history of ovarian cancer.  However, it was stage 1c. So it has very good prognosis. You have already gone through salting oophorectomy.  So no need to worry. Your CA 125 level is increased.  You should go for ultrasound abdomen or ct scan of abdomen.  If you find any mass then you should take treatment accordingly. If you don't find any mass then repeat your CA 125 level every month.  Till it goes below 5. Then you should repeat every 3 month. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004019", "text": "Hi, From what you have mentioned, you seem to be having symptoms of depression. During depression, negative thought predominate our consciousness. I would recommend you to consult a psychiatrist for detailed evaluation of your condition and appropriate management. You would need treatment with anti-depressants like Escitalopram/ sertraline, etc. The medications will take time to act, and you will have to be patient for the response. You can also start exercising daily. Cognitive behavior therapy is another option you can try if someone trained in it is available in your area. Hope this information was helpful. Best wishes."}
{"_id": "000004020", "text": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. If she is positive for Bag, never do unprotected intercourse. Hepatitis B is notorious for transmission via sex. It transmits more frequently than that of HIV. Avoid unprotected intercourse. Take the right treatment otherwise there is chance of chronicity. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor.  Thank you. ChatDoctorInfectious diseases specialist."}
{"_id": "000004021", "text": "Hello, Welcome to Chat Doctor, There are many things that could cause the skin to itch. Several types of inflammatory conditions of the skin, allergic reactions, and sometimes bacterial, viral or fungal infections can cause rashes on the skin of the arm pit. You have to undergo complete evaluation by a professional for proper diagnosis and treatment. The remedy would be related to the proper diagnosis. If you had a fungal infection causing your itchiness than an antifungal cream would be helpful. If you had an inflammatory dermatitis causing your itch, then a steroid cream may help. Thank you."}
{"_id": "000004022", "text": "Hello, Your symptoms seem to be related to the injury. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using ice compresses for local applications. Furthermore, I recommend maintaining a splint to prevent further damage and don't overuse the wrist for some days. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000004023", "text": "Hi!welcome to Chat Doctor! Haemoglobin level 3.5 means severe anemia. There are many types of anemia, and each is thought to be caused by a different factor. Iron deficiency (due to poor diet or blood loss), vitamin deficiency (due to poor diet), chronic disease, genetic disorders, certain medications, all can cause anemia. Many patients suffering from fibromyalgia also have concurrent anemia. Because anemia symptoms, like fatigue and loss of concentration, are also found in fibromyalgia syn Chat Doctor. Hope this helps! Take care!"}
{"_id": "000004024", "text": "Hello, Welcome to Chat Doctor, As your sister was bitten by confirmed rabid dog for which she was given a shot of antirabies vaccine and the passive immunization after a span of 5 days following the death of the dog. The ARAB (Human rabies immunoglobulin) helps to destroy the rabies virus at the bite site. She needs to take the vaccine as per the schedule on days 0,3,7,14 and 28. The ARAB which is given only once to provide the passive immunity, but the active immunization with antirabies vaccine should be continued. So I suggest you to complete the antirabies vaccine as per the schedule and don't take any risk with this disease which is 100% fatal, but it is 100% preventable. Thank you."}
{"_id": "000004025", "text": "Welcome to Chat Doctor .1. Where exactly the lump you have not mentioned clearly.2. But your history suggest pain less lump with the history of vascular pathology seems like lymph nodal enlargement.3. Vascilar pathology itself can not be ruled out.4. In this case an ultrasound examination of the lump will gel to find out the nature of the lump its source and extensions.5. Lymph nodal enlargement is seen due to localized or systemic infection / inflammation, so you need to treat the cause first before the lump. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000004026", "text": "Hi welcome to Chat Doctor forum. You are 21 years old and got married last year only. More over you are a P.C.O.D patient. So don't get tense about conceiving. Mental tension is one thing that promotes infertility besides other factors. More over there is no ovulation, so it may take time for your desire to come true. Anemia is also one of the causes of irregular periods, and infertility.  Regarding Yasmin tablets, they are birth control pills, but they will also help for treating P.C.O.D by suppressing the cysts. So you can use the pills without any doubt.  Besides I advise you some nonmedical procedures as Diversion procedures yoga, meditation, reading books, hearing music, and if interested gardening.  Take more of green leafy vegetables, pulses, sprouts, egg, milk, meat etc. to improve blood, and general health necessary for all deeds.  Wishing for a fruit full recovery, and thanks for calling."}
{"_id": "000004027", "text": "Hi welcome to ChatDoctorI gone through your query asking remedy for bump on head after injury. Dear there is nothing to worry about. Apply hot pack 2-3 times a day It should be only hot that can be tolerable . Feeling a hard lump under a recent bad bruise can be concerning. The good news is that in most cases of bruising, these lumps are not a cause for concern. Bruises are an injury to the soft tissues under the skin. Blood collects at the location of the injury, and initially causes the distinctive red and blue coloring under the skin. As the bruise heals, it may turn yellow, until it finally resolves after a few weeks. Applying heat after that helps the body absorb the old blood quicker, which speeds up the healing process. Take turmeric powder a spoon with a cup of hot milk at bedtime and in BF ROR instant relief Take Homeopathic Ledum 30 /2 Chat Doctor.  Apply 2-3"}
{"_id": "000004028", "text": "Hello and thank you for asking As you prescribe the situation of your child I understand that he is under treatment for allergic asthma. And you say that even with this continuous medication his complaints are still evident. This is called uncontrolled asthma.Maybe there is an allergic agent that do not let the treatment be effective. Is the treatment taken in the exact way? Does your son have food allergy too? Does he have a reflux from his stomach? I think that this treatment is ok. If I was his doctor I would rule out any other causal agent before change the treatment. Thank you Chat Doctor."}
{"_id": "000004029", "text": "Hi, as you mentioned the symptoms of numbness you need to be little slow in first getting what the cause is. as the medical fraternity is trying to figure out the cause. Also, The CNS has two kinds of tissue"}
{"_id": "000004030", "text": "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. In fibromyalgia, there is no quick fix solution. Several medicines have to be tried and antidepressants are the most popular. Amitriptyline is one of the common Chat Doctor.  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"}
{"_id": "000004031", "text": "Hi...this seems like a chronic pain abdomen. I would like to know if there is any family history of stone in the kidney or gallbladder. I am asking because he is having pain on the right lower side and especially when he's going to restroom. If this is, so please evaluate in these lines, apart from this you need not worry as already the ultrasound abdomen and ct scan are normal. Regards - Chat Doctor."}
{"_id": "000004032", "text": "A Patient with primary complex can eat all the things there is no contraindication for any type of food. Primary Complex occur due to contact with person with tuberculosis. You should avoid contact with a tuberculosis person. Contact survey of all the adult person should be done so that person with tuberculosis can be identified. Diet rich in protein and fat should be given to child. It increases immunity of child. You should give full cream milk, oats, Chat Doctor.  Have a nice day."}
{"_id": "000004033", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x-ray. 3. PUT (pulmonary function test). You are having uncontrolled upper respiratory tract infection (URI).  And this can lead to lung infection (pneumonia) and bronchitis. So chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. So consult pulmonologist and first diagnose yourself and then start appropriate treatment."}
{"_id": "000004034", "text": "Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs or nonspecific multiple symptoms like this, 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 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\\u00a0mg/kg/dose (maximum ceiling dose of 500\\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards -"}
{"_id": "000004035", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern as you said here that you are experiencing the tickling sensation in your scrotum then this could be delusive phenomenon just similar to the hallucination, the epididymis is the internal structure of whole scrotum and that does not cause anything like that try to forget this every thing would be fine, and no need to worry about this, hope this information helps you, take care and have a nice day."}
{"_id": "000004036", "text": "Hi, I have gone through your medical history carefully and understood your concerns. The itchy and warm outside vagina might be due to possible vaginal yeast infection. Apart taking oral antifungal medication, I highly recommend applying an antifungal cream locally into your vagina. Can discuss this further with your doctor. I also advise to"}
{"_id": "000004037", "text": "Hi, Thanks for writing in to us. Bilaterally pacified mastoid air cells mean that the air containing spaces within the Petrus temporal bones which are located behind the ear are showing some fluid collections. This can happen when there is an ear infection which causes seepage of fluids into these mastoid ear cells. It requires an examination by the ENT specialist. The details of your tumor surgery would be required to know if the autonomic dysfunction disorder, gait disorder, memory loss, tremors are due to after effects of the surgery. Periventricular white matter is the white matter areas in the brain which is found next to the ventricles or fluid containing spaces. This can mean that there is seepage of the cerebrospinal fluid in to the white matter and if you are an elderly person then this is acceptable. It is a variant of the degenerative changes in the elderly people."}
{"_id": "000004038", "text": "Hello, I have studied your case. Due to compression of nerve root there can be tingling numbness in your arm and pain.  I will advise you to MRI cervical spine for better diagnosis. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care."}
{"_id": "000004039", "text": "Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions for you"}
{"_id": "000004040", "text": "Hello, I have studied your case. You said that you have torn ligament in the knee, but you did not mention if you have taken any treatment for it or not. Because if you have not received any treatment than you are going ti have pain in knee joint and also very high chances of developing knee arthritis. So I would recommend you to visit a doctor who specializes in knee ligament management and get his opinion. If he says that you need any surgery than you should go ahead with this. If you want than you can share your MRI or x-ray report with me. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks"}
{"_id": "000004041", "text": "Thanks for using Chat Doctor. Read your query. Signs and symptoms mentioned suggests chronic gingivitis, which usually presents with bleeding of gums while brushing, hard deposits with stains, bad breath and many others.(green deposits are calculus with stains)I would advise you to visit your local dentist at the earlier and have his teeth professionally cleaned. Check for any infections. Follow the post instructions by using proper method of brushing and maintaining a good oral hygiene. Use chlorhexidine mouth wash for a while. Hope this was helpful. Thanks and regards."}
{"_id": "000004042", "text": "Hello dairy understand your concernSorry to say there is no any way to conceive with bay boy. It is depended on the chromosomes of sperm that fertilize the egg. There is 50 % prediction for the baby boy. There are two types of sperm, one carrying the X chromosome, and one carrying the Y chromosome. The type of sperm that fertilizes the egg, and determines what sex the baby will be (X for a girl, and Y for a boy). No way/solution to conceive with baby boy. It is gods gift. Do not believe in any myth. Avoid stress, take healthy diet, do intercourse in fertile phase of the period with full penetration, Chat Doctor. Hope this may help noncontact Chat Doctor for further health query Best regards"}
{"_id": "000004043", "text": "HI, I understand your concern.  Average size of gestational sac at 5 weeks is 2-3 mm.  After IVF assessment of the embryo size with USG alone is not considered reliable blood Chat Doctor levels are more confirmatory . As proportional Chat Doctor levels with trans abdominal detection of an embryo is sufficient to assess pregnancy by IVF in early weeks.  Please don't worry follow your doctors instructions & be positive.  Thanks."}
{"_id": "000004044", "text": "Hello Flag! Welcome on Healthcare magi! Your symptoms (dizziness when standing up) are typical of orthostatic hypotension, which could be related to antihypertensive therapy. For this reason, I would recommend to temporary stop taking losartan or lisinopril and monitor your blood pressure. A head Up Tilt test would be needed to investigate for orthostatic hypotension. Regarding the leg swelling, it is not a common adverse effect related to the Chat Doctor.  For this reason, I recommend performing further tests to investigate for the possible causes"}
{"_id": "000004045", "text": "Hello Thanks for posting here. I have gone through your description. Your mitral valve area of 1.5 8cm2 is classified as moderate. Patients with Moderate MS with symptoms should undergo a valve replacement. Your symptoms are only palpitations. You must get an EKG done to see whether you have irregular heart beats called atrial fibrillation which is common in mitral stenosis. Treatment for atrial fibrillation can be given if required. Aortic valve also has moderate leakage so surgery not advice at this point. Your LA size and aorta size are normal so again no indication for surgery. I suggest you be on lanolin, diuretic tablets and other medications at present. Yearly 2d echo must be done to see the valve stenosis and to evaluate ejection fraction. You MAY require surgery at some point of time. But heart surgery is to be done only when it's the right time and not as a preventive thing. Yes both the valves can be changed during the same surgery. I do not know about the cost of two valve replacement abroad, in INDIA it is about 3-5 lack depends on where you are doing it. The life expectancy after a successful valve replacement is more than 20 years, but it has to be done at the hands of a good surgeon, so please don't compromise on the cost. REGARDS"}
{"_id": "000004046", "text": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should repeat the urine culture and sensitivity testing. As you have vaginal bacterial infection it is likely that Proteus Mirabilis in culture is because of contamination. If you find same organism again in urine we can say you have urinary tract infection. Please continue your previous medications as per doctors advice. Chat Doctor. Please maintain the local hygiene it helps clear infection fast. I will be happy to answer your further concern, you can ask me on bit.ly/"}
{"_id": "000004047", "text": "Thanks for your query. An eosinophil is a type of white blood cell. Eosinophils are produced in the bone marrow and are normally found in the bloodstream and the gut lining. Common causes of high eosinophil counts are parasitic infections, asthma,hay fever & allergies to Chat Doctor.  Though the list of causes is exhaustive it is good idea to repeat the counts after 2-3 weeks before proceeding for further work up."}
{"_id": "000004048", "text": "Cough, fever, sneezing, phlegm may suggest upper respiratory infection. Medications like paracetamol and decongestants may relieve symptoms. Teething itself does not cause diarrhea but causes few loose stools which are due to excessive salivation reaching gut due to gum tenderness and swelling of teething. This also results in baby putting unhygienic tethers, objects etc. in their mouth resulting in infection. For few loose motions which are not causing child deny Chat Doctor."}
{"_id": "000004049", "text": "Hello dear, Warm welcome to Chat Doctor.come have evaluated your query thoroughly.* There are many reasons for the lung function problems, and the management depends upon the root cause.* You need expert opinion of Pulmonologist for which you have to go Doctors in India - Pulmonologist - prefer area nearby you.  Or can have assistance with our expert customer care dedicated team crews. Hope this will help you for sure. Regards."}
{"_id": "000004050", "text": "Hi, I can understand your concern regarding your husbands symptoms. From what you have mentioned, it is quite possible that your husband is having a depressive episode. To link it with stroke is a bit difficult. Usually, post stroke depression starts within 2 years. In your husbands case, it has been 4 years. It may be possible but less likely. In any case, he would need treatment. You should seek a psychiatric consultation for him. Treatment with anti-depressant like Escitalopram will be effective. Hope this information was helpful. Best wishes."}
{"_id": "000004051", "text": "The characteristics of the pain you describe are compatible with musculoskeletal pain. It is characterized by a localized pain that can be exacerbated by cough, respiratory movements of the chest wall, movements of the superior members and palpation of the painful point, which will present with tenderness and, eventually, with a muscle node. Musculoskeletal pain varies in intensity and duration. It can be mild or very intense with impairment of daily life activities. It can last a few hours even if untreated or last many days, weeks or months. A localized, long-lasting musculoskeletal pain that does not resolve after the use of traditional analgesics and anti-inflammatory Chat Doctor."}
{"_id": "000004052", "text": "Hello! Welcome on Chat Doctor ! I understand your concern and would explain that the first episode seems to be caused by a TIA (transient ischemic attack), which is related to temporary occlusion of brain blood vessels. The second episode is related to a pinched nerve from a wrong position during sleep. Considering the first episode, I would recommend consulting with your doctor for a physical check up and some tests"}
{"_id": "000004053", "text": "Thanks for your question on Chat Doctor. I can understand your friend s situation and problem. Honestly speaking, pancreatic cancer is having very poor prognosis. Loss of urine control suggest spinal cord involvement. So better go for MRI spine to rule out spinal metastasis. If spinal metastasis is present then she is having stage 4 pancreatic cancer. Stage 4 pancreatic cancer has life expectancy of less than 1 year. So better to first rule out spinal metastasis in your friend s case."}
{"_id": "000004054", "text": "Hi. As per your case-history your probable diagnosis is fungal infection. My treatment advice is-1. Maintain proper hygiene-bath twice daily, wash clothes in hot water, keep clothes and your belongings isolated from other family members.2. Don't use detail, it won't work.3. Use clotrimazole cream twice daily and take cetirizine tablet for itching.4. If it doesn't clear in 15 days then consult a dermatologist for further guidance. Thanks. Chat Doctor. B.B.S, D.D.V.L"}
{"_id": "000004055", "text": "Hello, May be your suffering from bloating of stomach or right renal pain or pain originating from liver. Just stop the syrup and see weather bloating and pain getting relived or not. If relieved then okay otherwise, take tablet Cyclops twice a day for three days. If symptoms not improved please consult with your physician he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000004056", "text": "Hi, Seeing her age, pain and MRI report I think there are few medicines like Glucosamine + Chen Chat Doctor. Which decreased joint inflammation and lubricates joint, so there will be a decrease in joint pain. Beside medicine, she should avoid squatting, cross leg sitting and climbing stairs. Need to start physiotherapy after consulting doctor. If this too does not help need to take advice from Arthroscopic surgeon. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004057", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No need to urgently visit emergency room. You can wait and visit your doctor tomorrow. Stress is the biggest risk factor for hypertension. Other risk factors are old age, family history, high salt intake, diabetes, dyslipidemia etc. So first avoid stress and tension, be relaxed and calm. Consult your doctor and get done blood tests to rule out diabetes and dyslipidemia. Strict salt restriction in daily is needed. Don't worry, with antihypertensive Chat Doctor.  No need to worry about much. Consult your doctor tomorrow and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004058", "text": "Hi, This looks to me like so called postcholecystectomy syn Chat Doctor.  Symptoms include systemic symptoms such as sweating and heat sense but also dyspepsia, nausea, and vomiting, flatulence, bloating, and diarrhea, Persistent pain in the upper right abdomen. Some individuals may benefit from diet modification, such as a reduced fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods. Postcholecystectomy syn"}
{"_id": "000004059", "text": "Thanks for your query, I have gone through your query. The red lesions over the palate could be secondary to the use of inhalers. It can cause candida infection over the palate(fungal infection). Or it can be a herpetic infection or recurrent authors dermatitis or allergic dermatitis. Consult an oral physician and get the above said conditions ruled out. If it is candidiasis then you have to take topical antifungal like candid mouth paint. If it is authors ulcers then you have to take topical steroids like triamcinolone acetone (0.1%) 4-5times daily for 1 week. If it is viral infection then you have to take topical anesthetic and analgesics like Anabel gel for the pain. Do saline gargling. I hope my answer will help you, take care."}
{"_id": "000004060", "text": "Hi, Thank you for posting your question here I will try to answer it to the best of my abilities. I recommend you see an obs and gone specialist, she can prescribe you with proper hormone replacement medication that should help get your period back to normal, they can also run an ultrasound to check if there is anything wrong with your ovaries. This would just be standard procedure to check if everything is okay with you, nothing to worry about. I hope this answered your question."}
{"_id": "000004061", "text": "Hi I understand your complaints. In my routine work I see several patients with this concern. This kind of pain that you prescribe have several lung factors. The inflammation of pleural space may cause this. The Costco Chat Doctor. Pneumothorax (air in the pleural space) is another factor. So my opinion is that you should some tests to explore the lungs as listed"}
{"_id": "000004062", "text": "Hello As you mentioned that your mother is having inflammation on her right side chest ? It is not clear whether this inflammation is on the chest or in the chest. It is coincidence that pain occurred with cold water .2nd point is that painkiller only help in pain, but don't cure disease. If this inflammation is outside and on the chest may be due to infection and may be mastitis or frunculosis or any abscess. Only physical examination will find out the cause. If it is in the lungs may be due to consolidation or pneumonitis or due to effusion in lungs. Diagnosis can be confirmed by X-ray chest. But still I would like to say please upload complete report so that diagnosis could be established. Good luck."}
{"_id": "000004063", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Cystic aroma is very notorious for the infection. I advise you should do culture and sensitivity from the discharge. And once the report is received you can take the treatment accordingly. Conpleteing the treatment makes you free from the infection. Good hygiene maintenance is utmost important for the housing of the surgical site. Please do regular Chat Doctor.  It plays good part in treatment. UPI can use detail and Betadine followed by polypoid ointment application. Wear a cotton undergarment as it is helpful in treating the infection. Please avoid excessive sweating over the part. I will be happy to answer your further concern on bit.ly/"}
{"_id": "000004064", "text": "Hi, Causes can be skin infection (bacterial or fungal) lead to replicate themselves and create bad odor,sometimes genetic or bad hygiene. Most excess sweating is due to excess sweat glands or their hyper-stimulation. Here are some tips to stop this sweating or its odors.1) If you have eczema or dermatitis or allergy then first take proper antibiotics or antifungal as per your dermatologist opinion.2) Always take balanced diet and Chat Doctor.  3) Avoid tight-fitting clothes rather wear loose clothes.4) Wear cotton material clothes and avoid synthetic silk.5) Bath with antibacterial soap like detail,savlon6) Always clean groins, twice or thrice with brush during bathing.7) Use antiperspirants and deodorants together like aluminum chloral"}
{"_id": "000004065", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Advent is having combination of amoxicillin and clavulinic acid. Ideal dose is 625 mg three times a day. So better to take it thrice daily. Twice daily dose is insufficient and hence chances if partial or incomplete recovery are more. So better to take it thrice daily. If she is having vomiting then better to take advent after meals or some food. Also give her antacid and anti-emetic combination prior to meals. These will help in subsiding vomiting. So give her thrice daily, don't give advent twice daily. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks."}
{"_id": "000004066", "text": "Hi, Thanks for your query. I have read your query & I understand your concerns. From what you describe it appears to be implantation bleeding most likely. Hence, I advise you to stay relaxed and continue the medication till your beta Chat Doctor blood test. It appears you have implantation bleeding after embryo transfer, and soon you will get good news of pregnancy on your blood test day. All the best. I hope I answered your query. I will be available for any followup queries you have.  Chat Doctor."}
{"_id": "000004067", "text": "Hi, Thanks for posting in Chat Doctor. I understand your concern. The current exposure is a risky one, and it falls in category 3. Hence, a complete course of Raipur needs to be completed along with the local wound care. As per WHO recommendations, One dose of the vaccine should be administered on days 0, 3, 7, 14 and 30. Hence, kindly complete the course of the vaccine as per the prescribed schedule. Hope the information provided would be helpful. All the best."}
{"_id": "000004068", "text": "Hello, Melasma is a kind of hyperpigmentation seen mostly in females of middle age and is dictated by hormones and sunlight. I can understand your dilemma. Though the treatment is challenging but with proper regimen good results can be achieved. Usually the treatment is divided into clinic based treatment and home based. At clinic, I suggest series of chemical peels like Glycol, Lesser, TCA with or without microdermabrasion. At home, you can apply cream containing comic acid, albumin, etc. and vitamin C serum for maintenance. Use high SPF sunscreen on regular basis. Use glycolic acid based face wash. Hope this will take care of your issue. Chat Doctor."}
{"_id": "000004069", "text": "Hello, It may be due to peripheral neuropathy. For further assessment you may require complete hologram, vitamin levels, MRI neck and back, nerve conduction studies after spine surgeon consultation. Further treatment mainly depends upon the underlying condition. You may require detailed evaluation to rule out any other possibilities for vitamin deficiency, nerve compression. You may require tablet pregabalin and multivitamin after consultation. Continue physical therapy Hope I have answered your query... Let me know if I can assist you further. Chat Doctor."}
{"_id": "000004070", "text": "Hi Welcome to Chat Doctor . Please see that borderline kidney function with diabetes should be taken seriously. You should have disclosed your blood urea and serum creatinine level. As Metformin is safe at up to creatinine 1.8 and your BP should be maintained below 140/90 and blood sugar should be below 140 mg / 100 ml. If your serum creatinine level is higher than 1.8 and GFR is low then you should go for insulin or Dynagliptin as it is safe in kidney impairment. If you have any further query then you can come back to Chat Doctor I will definitely help you and guide you appropriately. With Regards Chat Doctor."}
{"_id": "000004071", "text": "Hi, Probably you are having a panic attack. It is characterized recurrent and unexpected intense fear. To diagnose panic attack a patient should have 4 out of the following 10 symptoms"}
{"_id": "000004072", "text": "Hey. Welcome to Chat Doctor. Mild renal abscess is best treated by Intravenous antibiotics, for a duration of 1-2 weeks depending on the response of the patient. If your mother is on Intravenous antibiotics then that is well and good. Please wait till the course of antibiotics is completed. Once when the course is completed, you can get a ULTRASOUND done to see the improvement. For fever, try to take Paracetamol tablet- 650 mg, every 8th hourly after food, in case she has no known allergies to it. Please wait for few days more. Hope I have answered your question. If you have any questions, then I will be happy to answer it. Take good care of your mother."}
{"_id": "000004073", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, we should definitely rule out heart diseases first. Because you're all symptoms like shortness of breath, cough, pounding of heart, missed beats etc. are characteristic symptoms of heart diseases. So consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Holder monitoring (24 hours continuous recording of ECG) 5. Stress test (trade mill test). You will need cardiac supportive Chat Doctor.  Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004074", "text": "Hi, Thanks and welcome to Chat Doctor. Probably your daughter is suffering from Bronchial asthma. Some babies, it will revert to normal by the time they are 15-16 years old. But some it remains as a lifelong problem. This occurs due to hyper reactive air ways exaggerated by some triggers. It is not due to immune deficiency. Hope this answer will serve your purpose. Please feel free to ask anymore queries. Chat Doctor. V. Subrahmanyam."}
{"_id": "000004075", "text": "Hello, You may have swelling in the bladder or uterus or kidney. Sometimes you may suspect kidney stone, also in that blood in and white blood cell appears so when the stone comes down from kidney to bladder through the ureter. You may have radiating pain in the backside of the rib cage. You need to consult a urologist and get a sonography done to confirm the diagnosis. Hope I have answered your query. Let me know if I can assist you further. Hemang S Jane"}
{"_id": "000004076", "text": "Thanks for the elaborate history that you have given us, will need one more information if you use Tobacco in any form, Cigarettes or Chewing. Your BMI (body mass index) calculate it with this link http"}
{"_id": "000004077", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Constipation (stool backed up) can not because upper chest pain. Upper left chest pain is mostly due to heart and lung diseases. So consult internal medicine doctor and get done ECG and chest x-ray. If both these are normal then no need to worry about heart and lung diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks."}
{"_id": "000004078", "text": "Hi, welcome to Chat Doctor. Looking to your history, I would like to advise you that first discuss with your nephrologists regarding the cause of kidney failure. Raised S. creatinine can be due to acute (reversible) or Chronic(irreversible) kidney failure. Both have different treatment approach. Do basic urine report, Urine protein quantification and sonography. Dialysis is not a treatment to decrease S. creatinine. It is artificial support for the lost kidney function. So, don't get panic. Do stepwise approach to kidney disease and determine its nature. You can get back to me also with above reports and other detailed reports that you have done. I think this would be helpful to you. Best wishes. TC. Chat Doctor."}
{"_id": "000004079", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some inflammatory lesion in your vagina.  It causes white discharge and back pain.  You should go for pap smear examination to search exact cause and rule out cervical cancer.  For ovarian cancer you should go for ultrasound abdomen and CA 125 level. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004080", "text": "Welcome to Chat Doctor .1. The most possible cause is ductal Eurasia (blockage of the ducts). The greenish discharge is due to the bacterial infection coincide with the blockage.2. Post lactational ductal Eurasia also seen when sudden stoppage of breastfeeding.3. The above causes may cause inflammation of the breast / mastitis.4. If you are my patient, after examination sent for an ultrasound breast (to evaluate the nature of the lump, its source and extensions)5. Depending on findings' treatment may be simple antibiotic course to incision and Chat Doctor. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000004081", "text": "HelloSildenafil citrate (Viagra) is used for erection of penis.However, it is not clear in your history, what do you want. As you mentioned that you are now 20 years old and erection is a common thing, while when penis is erected naturally testicles (balls) become tight, so need not worry. Still you think you have any problem without any hesitation consult a psychiatrist and get his opinion as physical examination is very important. Good luck."}
{"_id": "000004082", "text": "Hi Welcome to ChatDoctorI have gone through your query and can understand your concern for your daughters' health. Her all tests as you described are more or less normal, except lymphocytes count-61 -is high and neutrophil count - 35 - is low An increase in lymphocyte concentration is usually a sign of a viral infection (in some rare case, leukemia are found through an abnormally raised lymphocyte count in an otherwise normal person). A high lymphocyte count with a low neutrophil count is called neutropenia, might be caused by lymphoma. I, Chat Doctor.  Not much time should be wasted. There are ways and means for every problem. So take action. Worry meanwhile, Take care of diet -it should be nourishing containing all essential nutrients -fiber, protein, vitamins, minerals in natural form -fruit, green leafy veges.ginger, garlic, bitter gourd and juice all anti oxidants help ill viruses and bacteria son mass basis. To keep metabolism on right path to increase the strength of immune system, take all supplements full of antioxidant serve as antibiotics. Eucalyptus naturally kills specific types of fungus, bacteria and viruses. Grapefruit seed, extract, cumin, cinnamon, oregano, rosemary, basil, nutmeg, pepper, anise, also can be used as a natural antibiotic, antiviral will naturally increase immunity. To keep metabolism on right path to increase the strength of immune system, take all supplements full of antioxidant serve as antibiotics. Coconut water, Aloe vera juice 20 ml + 2 spoons of AMLA juice twice -great antioxidants help increase immunity & kill bacteria on mass basis. Lemon juice with water twice before meals, Turmeric powder, level spoon with a cup of hot milk at bedtime. All these antioxidants maximizes natural minerals so that your body has the raw materials it needs, to do what it was designed to do. To kill bacteria on mass basis. And help increase immunity count. Physical activity in order to renew healthy cell and rebuild itself, so you should make exercise a lifelong commitment. Do 30 mins walk/ exercise - from head to toe, yoga, Panama - deep breathing, Kapalbhatti / Laughing aloud. Proper rest, meditation & positive thinking, to detoxify your system to accelerate the process of recovery. . Contipation is the mother of all illnesses so is mental stress /worry /anger The condition is REGULARITY further suggest you not to worry and take action fast. Proper medication , & Above regimen will surely gradually, help you to lead happy worry free healthy life ahead Magnets &"}
{"_id": "000004083", "text": "Hello, Welcome to Chat Doctor .com, and thanks for sharing your concern with us. As you mentioned that these red flushes are dependent on which side she's sleeping on so Such red flush are just contact reaction due to sleeping position which is not of much clinical significance and will resolve on its own. If any fever, pain, swelling, warmth around area develops then contact your healthcare providers. I wish you good health. Best Chat Doctor. OMAR"}
{"_id": "000004084", "text": "Hellothanks for query no friend your symptoms do not suggest a nerve damage...maybe you are having some periodontal problem in lower front teeth... you should visit a dentist and get an x-ray done for the affected area to make clear diagnosis. Scaling and root planing is advisable...a periapical infection is also possible... you can go for warm saline rinses 3-4 times a day and also take vitamin B and vitamin C supplements once daily... maintain proper oral hygiene... take plenty of fluids and avoid freezing Chat Doctor. .  Tightness and clenching of jaw can be due to extraction of third molar, so you can take some painkiller in combination with a muscle relaxant bout only after consulting your dentist...thank you"}
{"_id": "000004085", "text": "Dear Patient, this repeated swelling at the site of previous burn could very well be infection, as the skin under that area would have been avascular or less vascular and thus can harbor infection easily. The best you can do is to clean it with chlorhexidine solution, and consult your doctor for a short course of antibiotics, this may take some time but will heal, moreover if the skin is not proper than in that case it would be better if you get it replaced with the help of plastic surgeon. Thanks"}
{"_id": "000004086", "text": "Hello, Liver enzymes may be raised because of various causes. In your case some may be more possible but in every case it requires evaluation of the cause.  Most common causes of such liver derangement are Alcohol, Viral hepatitis, Non-alcoholic fatty liver disease, Chat Doctor.  Gamma GT is most commonly raised due to alcohol intake and in case you take alcohol, you need to keep control over it. If you don't take it, you need following tests"}
{"_id": "000004087", "text": "Hi thanks for asking question. During asthma attack air way get narrowed, so compensatory increase pulse along with sweating. You are taking nebulization also. Start former pump 2 times a day regularly, it will decrease need for nebulization. Avoid smoke. Do yoga. After 3 to 4 months if no attack of asthma comes then gradually will decrease frequency of pump 1 time and finally on salbumatol SOS.Don't worry."}
{"_id": "000004088", "text": "Hi, Thanks for the query. In IVF embryo can be grown to certain stage outside. But after that it should be inserted into uterus and finally endometrium is needed for its growth. So, as your doctor told it may be difficult to continue a pregnancy. You once go for ultrasound. Ultrasound helps in finding out the endometrial thickness. If there is sufficient endometrial thickness left and if it's undergoing cycling changes there is some possibility. If total functioning endometrium was removed, the chances of pregnancy are somewhat less. Take care."}
{"_id": "000004089", "text": "Hello and welcome to Chat Doctor, A painful lump on the chest which shows discoloration can be due to a number of causes. It can be due to hematoma, nevus, melanoma, etc. Pain in the lump can be due to nerve involvement. Is the lump red-purple in color? This is suggestive of hematoma. Is the lump brown-black in color? In that case nevus or melanoma can be suspected. You need to consult your doctor for clinical examination and relevant investigations. A fine needle aspiration (FNA) is the first line of investigation. This is an office procedure in which cells are sampled with a needle. The cells are sampled, stained and examined under the microscope. This test will tell about the origin of the lump and its character. The further management will be decided by the result of this investigation. Thanks and take care. Chat Doctor."}
{"_id": "000004090", "text": "Hi welcome to Chat Doctor. I have gone through your question. Your follicles are rupture on time that's good. But if you didn't get histosalpingography. HSG then do it to rule out tubal blockage. Theni would advise trying with natural method (fertile period) on alternate days. If not getting success then go to gynecologist for further management plan like GUI intrauterine insemination IVF invited fertilization. Hope I answered your question. Would be happy to help you further. Take care."}
{"_id": "000004091", "text": "Thanks for asking in Chat Doctor forum I understand your concern.  But you are completely normal and nocturnal emission is a natural phenomenon and is not a disease/problem to treat.  If anyone do not discharge semen by any method (masturbation/ intercourse)then the body itself tries to replace old sperms with new one by this method.  So, do not worry as it is not a problem at all. All the best.  Hope you understood what I meant."}
{"_id": "000004092", "text": "Hello! Welcome on Chat Doctor! I understand your concern, as it is a difficult clinical condition. But, unfortunately there is not too much to be done. I would recommend performing a lot of physiotherapy, in order to help increase the blood flow in your leg muscles. I would also recommend starting Gabapentin or pregabalin. These Chat Doctor.  You should discuss with your doctor on the above treatment options. Hope you will find this answer helpful! Wishing all the best,"}
{"_id": "000004093", "text": "Hi, Thanks for your query. Seems that you are suffering from cervical spondylitis, the giddiness & the sensation of loss of balance in her case is termed as CERVICAL VERTIGO. This is generally a benign condition and is usually self limiting. The general treatment guidelines for her condition is as follows -Use a soft cervical Collar"}
{"_id": "000004094", "text": "Hi I am Chat Doctor. .  In my opinion I agree with your doctor the cysts itself does not cause pain but if swelled or increased in size could cause some nerve or vascular compression symptoms like sciatica which causes your burning sensation of your back and legs.  It can cause muscular or ligament weakness which I think happened with your right ankle.  In most of the cases they may need no treatment, symptomatic treatment with Advil tab when needed may help.otherwise the only permanent treatment is surgical excision which I think you won't need unless your case became more severe. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask."}
{"_id": "000004095", "text": "Hello, Thanks for posting your query. First it would be good if you recognize the cause. Like whether he has problem with his studies or friends or love matter you try to ask him when he is calm. Also teach him odd consequence of such behavior. Besides make him read good books like teachings of Vivekananda which would teach them many things. Initially try to solve it at home and if not later you can consult a doctor. Hope I have answered your query. Wishing you good health."}
{"_id": "000004096", "text": "I really think you should get an MRI of the brain. From that description, it is really difficult to say what you may have. Neither can be ruled out-seizure nor transient ischemic stroke (lets call it ministroke). I frankly think I would have favored the diagnosis of partial seizures with generalization more than the other. But the latter diagnosis cannot be ruled out and is a significant diagnosis if true. I would suggest testing an MRI, EEG, Carotid DopplerThese may help differentiate the conditions Best of luck Chat Doctor."}
{"_id": "000004097", "text": "Hi, A common cause of pain of this nature is indigestion but as you have had no relief from Tums then this may not be indigestion. Your description of the pain suggests to me that you should be assessed by a doctor and a more detailed history taken. There is a possibility this may be a pulled muscle in your chest but you didn't get any relief from Alive. I think the doctor needs to rule out a clot in your lung which is very rare but can produce pain of this type. Chat Doctor."}
{"_id": "000004098", "text": "Gallstones are solid accumulations of the components of bile, which occur when the components of bile are not in correct proportion to each other. A gallstone blocking the outlet from the gallbladder usually causes acute gall bladder infection, so that bile cannot get out. The bile can become concentrated and infected, causing the condition. Chronic gall bladder infection occurs when the gallbladder walls have become permanently damaged by repeated attacks of acute gall bladder infection. Rare causes of gall bladder include severe burns or injury, massive systemic infection, severe illness, diabetes, obstruction by a tumor of the duct leaving the gallbladder, and certain uncommon infections of the gallbladder including bacteria and worms. To treatment includes removing the gallbladder, either immediately after diagnosis or after the patient has improved. Occasionally, patients witChatDoctorplications require surgery immediately after diagnosis. Patients who have infection with no gallstones have about a fifty percent chance of death if the gallbladder is not quickly removed. If the patient has other serious medical problems that may increase the risks of gallbladder removal surgery, the surgeon may decide to leave the gallbladder in place.  In this case, an operation called a cholecystostomy may be performed to remove obstructing gallstones and Chat Doctor."}
{"_id": "000004099", "text": "Hello. Thanks for writing to us at Chat Doctor Poison ivy would have most likely caused Irritant Dermatitis. Irritant dermatitis due to toxins or chemicals is usually associated with burning sensation; is sharply defined Or limited to the areas of contact, red to deep red; blistering, oozing/weeping being part of the irritant dermatitis. Take an OTC oral antihistamine e.g. cetirizine 10 mg once daily. If I was the treating doctor I would have asked you to use a moderately potent topical steroid, twice daily for a few days. That would help it resolve faster. Topical steroids are prescription products, and therefore I suggest you to contact your doctor for the needful. Regards"}
{"_id": "000004100", "text": "Hello, If K wire is prohibiting your movement at knee then removal after union will surely regain your power at your knee. After removal your doctor will teach you some exercises which will be range of movement and strengthening exercises. Although it may take some time, but it helps in gaining range of movement as well as power. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000004101", "text": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Your symptoms are more of psychiatric disease rather than organic disease like pulmonary, cardiac or gastrointestinal disease. So better to consult psychiatrist first. Get done counselling sessions. Try to discuss your worries and find out stressors in your life. Also start working on its solution. You may require Chat Doctor.  So avoid stress and anxiety. Be relax and calm. Don't worry, you will be alright."}
{"_id": "000004102", "text": "Thanks for asking your query completely understand your problem surely cough can cause fractures in ribs, and pneumothorax also but if you are having pain in chest now also you should get a chest X-ray done and consult a pulmonologist who can see the chest X-ray and guide you best. As root of all this castle is cough so u need to take some medications for controlling your cough, and for that cause needs to be sorted out, and for this you should get a sputum myogenic culture and other blood investigations done .if cough is severe along with yellow phlegm a course or antibiotics such as lifetime should be taken for a week thanks /regards feel free to ask more questions may goes bless you with good health"}
{"_id": "000004103", "text": "Thanks for your question on Chat Doctor. I can understand your concern. You should immediately consult neonatologist and get done clinical examination of your child. This is not normal to have coughing and bleeding from nose and mouth. This can be life-threatening. There are many causes for this. Common causes are lung infection, pulmonary hemorrhage, bleeding disorder, coagulopathy etc. Your baby needs thorough clinical examination and investigations like blood reports, chest x-ray, x-ray of paranasal sinuses. So don't wait at home, rush to neonatologist. Hope I have solved your query. I will be happy to help you further. Wishing good health to your baby. Thanks."}
{"_id": "000004104", "text": "Dear Sir/Madam have gone through your query and read your symptoms. This is pathetic, nowadays open coil MRI are becoming reality and your surgery is postponed for two months because of this, the thing that can be corrected by surgery is not manageable by medicines, so please do not be overdependent on analgesics and get yourself operated early. I hope that answers your query. If you want any more clarification, contact me back."}
{"_id": "000004105", "text": "Hi, Thanks for the query. I can understand your concern. Though there was no penetration, sometimes the spermatozoa ejaculated around the vagina may move inside because chemical attraction. Generally with single act there is around 8% chance of pregnancy. If you were around the period of ovulation at that time the possibility of pregnancy further increases. If you are still in 72hrs period after intercourse, better to go for emergency contraceptive pill. If 72 hours over after the act, you may need to wait till your expected date of periods and if you miss your expected date, please go for urine pregnancy test once to rule out the possibility of pregnancy. Hope I have answered your query and I will be happy to answer any further follow-up queries. Take care."}
{"_id": "000004106", "text": "Dear, Thanks for your query. Post radiation effect does cause the symptoms you described. You need to be on less spicy foods and more fiber foods. I wonder why you are again on chemo unless your doctor observed that there was recurrence or there was metastasis. There are chances of post defecation bleed also in due course depending upon the dose of radiation you received. Only symptomatic management is helpful in such cases. Constipation has in any way to be avoided by using laxatives in consultation with your doctor."}
{"_id": "000004107", "text": "Hello, Bulging cervical disks anatomically are unrelated to double vision therefore, if you are having headaches that are being accompanied by the double vision I would be concerned for a different process that could be going on.  Having said that it is possible that the bulging disks themselves could be resulting in some contribution to the headaches. However, I would also expect to hear something about painful radiating pains from the neck into the shoulders and top portions of the arms and maybe even a stinging pain that goes down to the base of the thumbs.  I'd also expect to hear some things to do with numbness and tingling into the upper extremities.  If none of that is present then, I may still keep the Neurosurgeons appointment.  However, I would ask to be sent to a NEUROLOGIST ahead of that May appointment with the surgeon, so they can properly evaluate you for something causing the headaches OTHER THAN the bulging disks.  You may still find something that is surgically amenable to fixing but at least it may not be cervical disks that could potentially stay where they're at and avoid neck surgery which has its ADVANTAGES. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000004108", "text": "Hi. I can understand your concern. Swelling on face when there is tooth Infection is commonly seen when there is spread of Infection to the soft tissues leading to cellulitis. If there is pus formation below the root tips If the tooth leading to abscess, it can also be a cause. So my suggestion is to get her clinically checked along with x-ray of the tooth. If there is Infection causing swelling then higher antibiotics can be advised followed by treatment of the tooth for permanent resolution. If it is due to reaction to antibiotics then antibiotics can be changed. Hope this helps. Regards."}
{"_id": "000004109", "text": "Hi, you have pain i your buttocks on sitting, which sometimes goes to your left foot. Your pain will be classified as Sciatica since pain occasionally radiates to foot. In my opinion you have a slipped disc causing this kind of pain. I suggest that you take painkillers, muscle relaxants and pregabalin + physiotherapy. If pain does not improve in 7-10 days then go for MRI Back and consult an orthopedic Surgeon."}
{"_id": "000004110", "text": "Hello, Thank you for consulting with Chat Doctor. It can be possible that because of these vinegar chips, there might be an ulcer on the floor of the mouth below the tongue. And now because of this ulcer you have this weird feeling. So better that you wait for some time if it does not heal within 1 week then you have to visit a good dentist or send the photograph of the lesion. Hope it will help you."}
{"_id": "000004111", "text": "Hi welcome to ChatDoctorDear Asthma is a very common respiratory disease, it affects the trachea and bronchial tubes by becoming inflamed and plugged with mucus. It can be triggered by allergies, air pollution, respiratory infections, emotions, weather conditions, This causes the airways to narrow, restricting the amount of air going to the lungs, and makes it very difficult to breathe. You are on antibiotics and prednisone and inhaler. It is a matter of concern though, but should not worry, there are way to get rid of this problem. What you need to do is, to detoxify your system by modifying your lifestyle and food habits and increase your immunity .1. Moderate exercise , walk, Yoga, Panama - Deep Breathing - slow to fast, Bhraamarri, Tri-band , Kapaalbhati will strengthen your heart, chest and lungs, in fact whole body .2. Diet plays very important roll in maintaining your over all health. 3. Include all essential nutrients - fiber, vitamins, minerals and supplements full of antioxidants and Use extra-virgin olive oil as your main fat. Increase intake of omega-3 fatty acids Vitamin B6 and Vitamin B12 are very important nutrients to treat asthma decreasing the inflammation in the lungs. Vitamin C Is needed to fight infection, increase the amount of oxygen and reduce inflammation. Lemon juice and AMLA are the best source of it C. Eat organically grown fruits and vegetables as much as possible. Take a level spoon of Turmeric Powder in a hot goats milk at bedtime. It is containing natural antibiotics. Take crushed ginger, garlic with a little salt, a T spoon, before meals. Avoid protein to 10 percent of daily caloric intake. Replace animal protein as much as possible with plant proteinAvoid milk and milk products, substituting other calcium sources. Avoid processed foods carbs, sugar, fried, fast foods, Tea, coffee, alcohol and smoking, stress, sleeplessness and Constipation all will produce biochemical and metabolic conditions in your body that will decrease your immunity. So avoiding is definitely the first step in the right direction to detoxing the body, boosting the immune system. Always Chat Doctor. 4. Yogic Punjab -"}
{"_id": "000004112", "text": "Reduction of spaces of intervertebral disc joints, arthritis of spine joints, compression of nerves and in turn pain, spasm, irritation in the area where nerves supply, is probably what causes you such symptoms. It is imperative to know the cause. Management and treatment of any joint involvement is similar. To know the cause x Ray of AP and Lateral view of spine (of concerned area such as lumbar, sacral etc.) is sufficient. Treatment part is anti-inflammatory and analgesics, physiotherapy, Yoga, deep breathing etc. are important. Avoidable are lifting weight, bending, exertion etc. Even if safe herbals are used to strengthen spine muscles to keep the gap, x Ray report is necessary for assessment. Hope it helps."}
{"_id": "000004113", "text": "Hi, dear. I have gone through your question. I can understand your concern.  You may have hematemesis.  It means spitting of the blood.  You many have some injury in upper tract or esophageal varies. You should go for ultrasound abdomen and endoscopy examination and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004114", "text": "Hi and thank you so much for this query. I am so sorry to hear about this devastating diagnosis. I can understand your pain and the quest for answers and a treatment option that can take her out of this. The main treatment for ovarian cancer is surgery and chemotherapy/radiation therapy are complementary. Unfortunately, you report she is unwell for surgery at this time. I would believe this is the only best remaining option for her. I hope this helps. Furthermore, I wish her the best of possible outcome."}
{"_id": "000004115", "text": "Painful heart palpitations after exertion suggest that certain area of your heart might be getting less blood supply as compared to what is needed. Plus the associated radiating pain in left arm and leg also point towards the same. However, in some cases, palpitations might also happen due to some anemic disease where cardiopulmonary reserve is low. Consult a cardiologist and get your ECG, ECHO and Stress TMT tests done which will rule out any serious cardiac disease. Also, as you father suffers from angina, there is a slight increased probability of you suffering from the same."}
{"_id": "000004116", "text": "Hi, Thanks for writing in. I would like to tell you that in people with calcium oxalate stones, calcium restriction is NOT NECESSARY. To prevent further stones, I would recommend the following steps"}
{"_id": "000004117", "text": "Dear Rousseau, Mostly painful nodules anywhere in the body are non-cancerous and the inflammatory condition has to be given the first thought. You may be having infected thyroid cyst. Get ultrasound examination done or needle aspiration done to find out what is the problem. Even a secondary deposit from the primary breast cancer will not be painful. Your primary physician will guide you through, and you need not work as regards cancer. Truly, Chat Doctor.  Ticku"}
{"_id": "000004118", "text": "Hi...by what you say I feel that your kid might be having a recurrent viral illness. I will explain to you how a viral illness behaves so that you can be more confident. 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 at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards -"}
{"_id": "000004119", "text": "Hello. Thank you for contacting Chat Doctor. To lighten your skin tone the most important thing is reducing your exposure to the harmful UV rays of sunlight. For that I would recommend covering skin using a wide brimmed hat or any other such clothing article.Also, daily application of sunblock is suggested,vitamin C creams and tablets are beneficial in lightening the skin tone without any harmful side effects. Maintaining a good HY Chat Doctor.  I hope this answers your question. Please feel free to contact Chat Doctor again if you have any concerns. Wishing you good health."}
{"_id": "000004120", "text": "Thanks for asking I have gone through your question. And understand your concern just one vomit is not cause of concern, You should try after some time, hopefully she will accept it.  And there is no cause of concern it is not passed good motion one day.  If the baby vomit again then you can give spy ondansetron 0.15\\u00a0mg per .that will check her vomit.  If the vomit not stop after the medicine you can see doctor hope I answer your question"}
{"_id": "000004121", "text": "Hi there, Do not worry at all, if at 8 weeks the baby is fine and fetal heart is ok it means that the baby is fine. At this early if any harm had to be caused it would have resulted in abortion, but since your fetus has a good heart rate you need not worry. Anxiety about the x-ray can lead to a lot of stress, and will affect you adversely. Since the ultrasound is normal you can be rest assured that every thing is ok. Continue taking Folic acid and get anomaly scan at 20 weeks. Hope this helps. Regards."}
{"_id": "000004122", "text": "Hi Welcome to ChatDoctorThis is Chat Doctor.  Whosoever comes in your life, he should be person of substance , Beauty and youth are not to stay forever but character does stay forever. Wheatish skin is considered to be good in India . I am not aware of ALADI Keenan oil which you have mentioned but I would suggest you--Take Gram FLR 2 -3 spoons, Honey 1 spoon ,2 spoon turmeric powder and 2-3 spoons curd or lemon juice Mix well. Apply on your face, neck, arms and feet rub it into the skin, Let it"}
{"_id": "000004123", "text": "Thanks for your query, I have gone through your query. The pain will go in 5-7 days after extraction. Dull pain will be there till you get the sutures removed. The problem while rinsing mouth that is water coming through your nose could be because of the frontal fistula that is communication between oral cavity and maxillary sinus, It is a complication of extraction of maxillary third molar. If the problem persists still, then consult an oral maxillofacial surgeon and get it treated. I hope my answer will help you, take care."}
{"_id": "000004124", "text": "Hello, Thanks for writing in. The fact that you had marina coil earlier too and got it replaced rules out any adverse reaction to the coil itself. You could also get an ultrasound scan to be sure that the coil is in place. Since you have had kidney transplant, your immunity may be little weaker than in normal individuals. Fungal infections are not picked up on routine sexually transmitted infection tests. This can result in fungal infection in your vagina which is causing the irritation. I suggest you apply some antifungal medication as suggested by your gynecologist. Hope this helps."}
{"_id": "000004125", "text": "Hi thanks for contacting Chat Doctor. First of all elevated liver enzymes can simply be due to fatty liver.USG and serum cholesterol estimation done for it. If you have fever, abdominal pain and body ache Like picture hepatitis ruled out by serum viral markers. Elevated liver enzymes can be by excess alcohol Chat Doctor. It can lead fatty liver, cirrhosis like damage. For cirrhosis USG and serum albumin useful. If you have history of heart problem or muscular problems then also enzymes can get elevated. I hope your concern solved. You have done scan lets see what comes. Take care."}
{"_id": "000004126", "text": "Cellophane You for contacting Chat Doctor. Pain is due to post-traumatic effect. It will take some time to get back to normal state. In the meanwhile I would suggest you following things"}
{"_id": "000004127", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst or soft tissue tumor.  You should consult your doctor and go for fine needle aspiration cytology. It will give you exact idea regarding cause. Then you should take treatment accordingly. Don't take any medicine in pregnancy without doctors advice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004128", "text": "Sir, in spite of lifestyle modifications if you still BP on higher you need to take medication s, maybe previously you were on group of commonly used Chat Doctor.  I will suggest you to start within telmisartan 40 mg once a day a see the response after a week, and as needed we will titrate the medication.  It would have been more helpful if you had given the name of meds you're already taking, so I could adjust them for you. Regards"}
{"_id": "000004129", "text": "HiT hanks for posting on ChatDoctorThe pain you describe may not be caused by Lyme disease as you were treated for this condition 3 years ago. Even though Post-treatment Lyme Disease Syn Chat Doctor. Fibromyalgia may explain your pain. As time passes, fibromyalgia becomes very painful and disturbing as people with this condition are known to be too sensitive to stimuli including pain as the illness evolves. Treatment options for this condition may include"}
{"_id": "000004130", "text": "Hello, thank you for writing in to Chat Doctor. Starting a period with the help of medicines is alright and there's no reason why you should wait for trying to conceive after it. Feel free to try. Just that after missing a period and medicinally starting it, you might not be able to spot your ovulation for a couple of months (your period may/may not take time to get regular). But if you really want to start having kids, that shouldn't stop you from trying. Good luck!"}
{"_id": "000004131", "text": "Degree understand your concerns went through your details. You have not given your age here. Any size penis can provide great pleasure for the man It's attached to. An estimated 95 percent of penises are average size (3 to 5 inches flaccid, 5 to 7 inches erect). Very few are significantly larger or smaller. When women have been surveyed about what they want in a lover, they consistently mention attractiveness, kindness, caring, listening, sense of humor, and shared interests and values. Not the size of penis! Forget enlargement products. They are expensive and they are cynical frauds. There are certain natural ways to enhance size. Flaccid or erect, size depends on the amount of blood in the organ. Less blood means a smaller penis. Stop smoking, exercise regularly, Lose the pot-belly, eat less meat and cheese, Embrace meditative relaxation and don't be anxious about penis size. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000004132", "text": "HelloAsthma, airways hyperresponsiveness that is secondary to inflammatory airways' disease that results in recurrent or chronic episodes of wheeze (as you have), shortness of breath, chest tightness, cough early in the morning. Asthma is caused by certain allergens such as mite, dust, humidity, sudden fall & rise of temperature, pests, pollen, molds smoking, hay fodder. So this information will be helpful for you that ASTHMA is not a contagious or infections disease. This is an allergy related disease."}
{"_id": "000004133", "text": "Hi, I had gone through your question and understand your concerns. Osteotome and Bowman PTH are both trade names for a medicament called Tripartite used to treat osteoporosis/ osteopenia (mineral bone loss) and prevent bone fracture. Osteoporosis is diagnosed with imaging techniques (DA) and only after that can be started treatment for this condition. 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."}
{"_id": "000004134", "text": "Thanks for your question on Chat Doctor. Normal myometrium is homogeneous in nature and is having normal uniform thickness. But it becomes heterogeneous and abnormal in 1. Infection2. Malignancy presence of Newtonian cysts are just incidental finding.  They are a benign cyst only. The worrisome part in your report is heterogeneous with diffuse abnormal endometrium. Better to consult gynecologist and get done biopsy to confirm the diagnosis."}
{"_id": "000004135", "text": "HI, thanks for using Chat Doctor Erectile dysfunction is a common problem. Normal erectile function requires the following factors"}
{"_id": "000004136", "text": "THANKS FOR YOUR QUERY. To encourage in studies you may follow the mentioned steps"}
{"_id": "000004137", "text": "Hai, MRI is a high definition advanced investigation tool which help in finding the problem comparing to the ultrasound. Ultrasound can reveal a cyst. Depends on the resolution of the machine and reader it will vary. May be cyst developed between the episode of your last ultrasound and MRI.unless cyst cause pain or discomfort it is hard to rule out. Commonly found during incidental or routine investigation. Thank you hope I answered your query"}
{"_id": "000004138", "text": "Welcome to Chat Doctor .1. These symptoms are seen when there is a nerve compression or indenting on the chord.2. But your symptoms are not that severe, a simple back exercise will help to get relief from the pain.3. Try for few weeks on daily basis, lie on a flat bet and maintain position always.4.If it does not work, get an x-ray to see the bony pathology. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000004139", "text": "Hi, If burning sensation is marked cream may be stopped and follow up with prescribing doctor or a dermatologist should be done. Retinoid and Acetone may cause these side effects. Meanwhile, OTC analgesics like acetaminophen can be used for anti-inflammatory response or pain suppressants unless the lesion s reviewed again. Hope I have answered your question. Let me know if I can assist you further. Wishing you a speedy recovery."}
{"_id": "000004140", "text": "Hi Your lower gums have been of the same color and nature from starting or have they started appearing like this from few months or years like this ? If they are from starting like this, they can't be pathological, so nothing to worry about. But if they have recently appeared like this, then it can be due to gingivitis or periodontitis or some blood disorder or due to some Chat Doctor.  If so ID the case, then go for an oral check-up to your nearest dentist and rule out all possibilities. If it's the gingivitis or periodontitis, scaling (cleaning of teeth) will help, if required gum surgery can be done also. If other reasons, then you have to go for their treatment. If It's just from starting, and you want them removed for esthetic purposes, go for laser treatment and your gums will be normal in no time. Wishing you good health with best regards"}
{"_id": "000004141", "text": "Hi Post mastectomy, there is chance of lymphedema of corresponding upper limb with swelling and pitting. IF it gets infected, it will become red or purple with local rise of temperature. Please give her good antibiotics, if possible two,anti-inflammatory medicines. She should keep her limb elevated. It will come down. But, the edema if at all due to breast cancer will be there. You should see that no injury occurs in that as it may lead to infection. Wish her speedy recoveryRegards"}
{"_id": "000004142", "text": "Hello Danish, Hope your wife is taking appropriate treatment for asthma (steroid inhalers) and hypothyroidism (thyroxine tablets). No supplement can substitute the correct treatment. Was your wife forced to take all these supplements because she was not getting adequate relief with prior treatment? Regarding safety of these supplementsnutrilite triple guard - it is claimed to contain extract of the plant Echinacea, a Central American herb.  This plant is claimed to boost immunity and thus prevent common cold.  Your wife is suffering from asthma, not common cold.  There are reports of worsening of autoimmune disease after taking Echinacea So your wife should stop taking this product. You may try Tulsa leaf if available. Must be cheaper than Echinacea nutritive daily - it contains 24 vitamins and minerals similar to the multivitamin tablets available over the counter (like codex CZS, polygon CZS, sure at, recoil etc.). Will not be harmful. She may continue to take it Bio C - it contains 250 mg vitamin C the daily requirement is 60 mg only you are already getting 90 mg from nutritive daily.  So unnecessary Siberian ginseng with ginkgo Balboa - they claim it improves mental sharpness Not necessary for your wives current disease. I would suggest you give priority to optimal treatment than spending thousands on supplements. Consult a pulmonologist and endocrinologist. Also discuss regarding possibility of sleep apnea"}
{"_id": "000004143", "text": "Hi Welcome to Chat Doctor forum.  You are having tickling, and itchy sensation in the kidney area. If it is outside may be the skin infection. If from deep in side, it may be related to the ascending and descending colon irritation, lastly may be due to gastric irritation.  Stopping the alcohol and consulting the doctor are different things, so go on reducing the alcohol till you stop completely.  Besides, you can consult a surgeon for diagnosis and treatment. You may need to have M.R.I, for diagnosis.  Avoid taking milk, milk products, wheat, and barley.  Take more of green leafy vegetables, pulses, sprouts and protein rich food to support the medicines.  Wising for a quick and complete recovery. Thank you."}
{"_id": "000004144", "text": "Hi... Thank you for consulting in Chat Doctor. At this age you can start giving Carla stage one rice or Nestum rice stage 1 etc. All are same in calories and energy. Only thing is palatability which is subjective for each kid. Other home-made food options will be - 1. Cereals and rice well cooked and made into a oatmeal along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal oatmeal preparation with additional ghee added. Remember certain principles like -1. Add one food material / cereal or fruit per week. This will be useful because if he develops vomiting or diarrhea, we will know what to avoid.2. Add vegetables and fruits made into a paste surely to avoid constipation.3. Do not add too much sugar as it may cause diarrhea. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000004145", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. But since you are having age more than 60 years, diabetes, obesity etc., better to rule out heart related pain first. So get done ECG and 2d echo. If both these are normal then no need to worry about cardiac diseases. Musculoskeletal pain is more likely in your case. So avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Lose some weight and stay fit. Apply warm water pad on affected areas. Take painkiller and muscle relaxant Chat Doctor.  Don't worry, you will be alright. But better to first rule out heart related causes. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004146", "text": "Hello dear Leia Barriers, warm welcome to Chat Doctor.come have evaluated your query in details .* This is due to lower respiratory tract infection.* As there is difficulty in breathing, I strongly recommend to immediately consult your doctor before the infection flares up. Hope this will help to clear your doubt . Wishing you fine recovery. Always welcome for any further assistance anytime. Regards ."}
{"_id": "000004147", "text": "Dissection of aorta is rare but a k own side effect of DVR, and yes it's a life-threatening condition, however if the surgeon have adequate exposure of operative field it may be managed.  A pre procedure 2 d echo even if normal, it doesn't rule out the possibility of dissection as it's a procedure related complication.  However, if m very sure the doctors must have tried to salvage your father after dissection was noted, as no surgeon would like to lose his patient.  Hoping this would help bring some closure.  Regards Chat Doctor."}
{"_id": "000004148", "text": "Hi, Thanks for writing to us. Itching and rashes could be due to urticaria, eczema or scabies. While eczema and urticaria will respond to oral antiallergics and steroids, scabies would require oral ivermectin and topical permethrin. As you are not having any response with cyclone 20 mg, please revisit your doctor. Your doctor might increase your steroid dose or might add better oral antihistamines. Hope this helped."}
{"_id": "000004149", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma or something else. You should go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004150", "text": "Hello, I will advise you to get indulge in regular aerobic exercises as this will improve your endurance and also avoid the night pains. Having calcium and iron in the diet form should help as well. Usually, in females of your age due to menstruation there will be excessive loss of HE in the form of blood loss and will take time to recover. In fact, by the time, it recovers it again comes down due to the next cycle. So the body is always weak.  Having a good consumption of water, calcium and iron content diet and simple aerobic exercise should help you get rid of symptoms. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000004151", "text": "Hi, initially your child had fever and loose stools, but now there are no loose stools and fever is below 100 degree Fahrenheit. With his suggest that your child is improving, fever is defined as when temperature of body increases above 100 Fahrenheit. If it remains below 100 Fahrenheit then its normal. I think you should continue the same treatment, if fever increases above or loose stools occur then you should get the giant Re examines by doctor. In that case antibiotic needs to be started. Take care."}
{"_id": "000004152", "text": "HelloThanks for your query, based on the facts that you have posted it appears that your husband has undergone Ureteroscopy and D. J stenting for removal of ureteric stone and since then has fever which is not responding to antibiotics. This is what is called as Urosepsis and known to occur in few patients after getting treated for ureteric stone. Since his urine culture is negative for bacteria, and he has been on Meropenum for almost one month you may opt to change the antibiotics to simple like Ciprofloxacin and Nitrofurantoin for 2 more weeks. Ensure he Chat Doctor. Hope this will get resolved soon."}
{"_id": "000004153", "text": "Hi thanks for your question. You have been treated for bladder cancer. The symptoms you are having all could be part of your bladder cancer treatment. Most probably you have received chemo and radiotherapy after surgery for treatment of bladder dance. Radiotherpy causes what is called as tradition cystitis, which gives bladder pain and other symptoms. Acidity could be due to analgesic (painkiller) which you have taken for pain. I would suggest you to consult your treating surgeon, who may examine to rule out complications of chem radiotherapy and may prescribe you appropriate treatment Hope this answers your question."}
{"_id": "000004154", "text": "Hi thanks for your kidney. Though the size of stone is not too big that it cannot pass of its own but chances that it will pass of itself are less since it is embarked in kidney tissue. If not removed it can increase in size and can damage the kidney.Don't worry this stone what you call it as time bomb can be removed and you don't have to live with it. Consult a urologist who may be able to remove it microscopically. Hope this answers your question."}
{"_id": "000004155", "text": "Hi ! Good morning. I am Chat Doctor answering your query. Though it it is not intended to frighten you on the subject, if I were your family physician, I would advise you to take him to your vascular surgeon immediately without delay to rule out any possibility of various complication which the aortic aneurysm could give rise to with altered prognosis with such blood pressure reading. It might not be possible to give any further opinion on this over net without seeing the patient. I hope this information would help you in discussing with your family physician/treating doctor in further management of your fathers' problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000004156", "text": "Hello, Thanks for sharing your health concern with us. I would like to know if you had the pregnancy confirmed. If so, the onset of bleeding could either mean a threatened or inevitable abortion and care should be taken. If you have not confirmed, it could be a natural period. Vermin has not been shown to cause any untoward effects in pregnancy. However, any medication should be used with precaution in pregnancy. Hope your query has been answered. Take care."}
{"_id": "000004157", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, coughing can cause tachycardia (high pulse rate) and fluttering feeling in heart. Coughing is commonly due to upper or lower respiratory tract infection. And tachycardia is common in infection. Coughing itself causes strain and exertion to the body. So all this cause tachycardia. So better to consult doctor and get done clinical examination of respiratory system and chest x-ray to rule out lower respiratory tract infection (LETI). You need antibiotics, antihistamines and anti-inflammatory Chat Doctor."}
{"_id": "000004158", "text": "Thank you for asking Chat Doctor. My name is Chat Doctor. I would like to get Fresh ct scan brain plain and EEG brain. Also blood valproate level... If she is not responding to above medicine then switch her on to Tab. Levetiracetam 500\\u00a0mg twice or thrice according to frequency of seizure. Also give Tab. Carbamazepine 200\\u00a0mg thrice a day...I hope your wife will be seizure free within some months. Hope this may help you. Let me know if anything is not clear. Thanks."}
{"_id": "000004159", "text": "Hello, As the history don't mention any fall than the tail bone will have no fracture. Due to nerve root entrapment at the L5-S1 levels, there will be a weakness in the gluteus muscles.  Due to which there will be excessive pressure over the coccyx. Leading to inflammation and pain. I will advise you to use piles pillow to avoid pressure over the coccyx bone/ tail bone.  Post which I will advise for some icing. Along with this, core stability exercise, spinal muscle strengthening exercises, hip muscle strengthening exercises, lower limb Strengthening exercises.  All of this will help to reduce pain and inflammation. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor."}
{"_id": "000004160", "text": "Consultant at his best can advise operating. But if the deformity is not likely to affect her future, please avoid operation. For pain if you give her Turmeric powder 1/2 tsp in warm milk or warm water every day, she will start recovering from pain, sprain, internal trauma, any other cause of pain in foot. Its safe, side effect less and can be taken for long duration. You may even apply turmeric on foot after mixing in clarified butter. It's a good application to remove pain, swelling, inflammation etc. But it stains the fabric. So be careful. Orally Shirt capsule or Aha GGUL tablet can be obtained (common in India) 1BD for 4 weeks. It will benefit her 100%."}
{"_id": "000004161", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Brown phlegm with chest pain is more suggestive of lung infection. So better to consult pulmonologist and get done chest x-ray. If chest x-ray is showing lung infection (pneumonia) then she should be admitted and start Intravenous fluid and antibiotics. So don't wait at home. Consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks."}
{"_id": "000004162", "text": "Thanks for your query, the pain in the temple region and the cheek could be from myofascial pain syn Chat Doctor. .these two can get aggravated by stress...so be tension free...you can take an analgesic with muscle relaxant(flexion Mr) twice daily for 3 days and proximal 20 mg twice daily for first day and once daily for next 4days...you can give hot fomentation over the muscle...if the pain persist then consult an oral physician to rule out any tooth related disorder.with regards"}
{"_id": "000004163", "text": "Hi welcome to ChatDoctorForum. As you have described follicles are up to the mark, so you are treated for enhancing the ovulation. So that fertilization may take place. So he asked to have sex. Expecting that ovulation may take place in coming 3 days. So the chances of your becoming pregnant are ample. don't get nervous about becoming pregnant. Tension makes every physiological deed delayed. Anaemia and hypo protinaemia also may cause infertility. So I advise you observe some diet recommendations take green leafy vegetables pulses sprouts egg meat fruits and juices to warm up physiological activities. Thank you."}
{"_id": "000004164", "text": "Hi, Thanks for your query. From description, it seems to be soft tissue injury. You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory Chat Doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000004165", "text": "Hi there, Thanks for using Chat Doctor. Obesity, diabetes mellitus, high cholesterol are some risk factors for gallstones. So you need to reduce weight if you are obese. You need to check your blood glucose and cholesterol levels. If these are high, medications are to be taken to control their blood levels. These measures would to some extent prevent the development of new gallstones. You can also take UCA (USO delay Colic acid) which to some extent may prevent development of new gallstones. As far as the gallstones that are already present, they are large stones and there are no medications to dissolve large stones. The only definitive treatment for large stones is surgery. Is this answer helpful?"}
{"_id": "000004166", "text": "Dear friend, thank you for your consultation. See sometimes in the low back area due to fungal infection a discoloration like splotchy occurs. You under the supervision of your dermatologist can apply steroid cream. And independently a low back pain is also very mucChatDoctormon among our patients. For that you should start doing regular physiotherapy for strengthening back muscles; like flexion exercise. But remember these two signs, if started simultaneously, then you should go for a detailed clinical examination and added x-ray and ultrasonography of that region. These complete evaluation will really help you to know the real cause of your said symptoms. I sincerely believe you will be ok in coming days.my best wishes. Thank you."}
{"_id": "000004167", "text": "Dear, We understand your concerns went through your details. You don't have to worry about your masturbation habit. Masturbation is normal and natural. Masturbation cannot cause any physical or mental problems if your habit is within limit. Semen leakage during night (night fall, nocturnal ejaculation) is also a normal and automatic process. This process is natural and automatic, and therefore you cannot control it. But again, there is no health issues regarding your semen leakage. It is just the accumulated semen, that is leaking. These two issues, masturbation and semen leakage cannot cause any memory problems, weak body, weak erection etc. But if your knowledge about the above facts are wrong, you might have anxiety related symptoms and that is what you are suffering now. Please consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000004168", "text": "Hithroat inflammation can be due to acid laryngitis. Please start on proton pump inhibitors like pantoprazole or omeprazole, added with antacid syrups like genus or sucrafil.in combination these two reduce the acidity, as well as the symptoms of reflux disorders. Rest with left lateral head end elevated position, to prevent the reflux. Avoid stress, oily, heavy foods. If not reduced please consult the gastroenterologist to find the exact cause. All the best take care"}
{"_id": "000004169", "text": "Hi. Thanks for your query. Read the history in detail and understood your problems. Pains in the right and left rib area, top of belly for one year, Doctors trying to tell this as gall stones, stomach ulcers, blamed pregnancy, X-rays and blood tests and ultrasonography all normal, MRI refused. The probable cause of such a pain with negative ultrasonography can be\\\"Prolapsed discs in the thoracic region. You need an MRI of the spine. Another reason can be Costco Chat Doctor.  MRI helps here too. You are taking so much of codeine in spite you have a small baby. Be careful before taking any medicines as you may be breastfeeding."}
{"_id": "000004170", "text": "Hey Betty, generally in a normal individual the rate you describe is well under normal range and need for be treated.  However, for your grandfather.  I would suggest you to maintain resting in 60s and with exertion in 90s.  You may optimize the rate limiting Chat Doctor.  Also subclinical worsening of congestive failure or COPD may increase the resting and with exertion rate, so make sure he has regained extra fluid In total just optimization of the meds he is already on would do the trick Regards"}
{"_id": "000004171", "text": "Degree understand your concerns went through your details. Sperm production happens whenever you are sexually excited. If your body is producing sperm, your body is responsible to throw it out also. Because sperm is a waste product for body, body throws out throw its own means. Those are automatic processes, and you do not have any control over it. Your present problem, 25 minutes sperm leakage, episode could have happened only once and that is not at all worrisome. Maybe you are exaggerating what happened. What leaked could be your urine. Don't expect that to happen again. You are just 14. Don't unnecessarily dwell and be obsessive into these matters. Please concentrate on your education and career. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000004172", "text": "HelloThanks for your query, based on the facts that you have posted it appears that your son sustained a trivial injury over groin and private parts and now has painful urination. Most likely this is due to trivial injury to penis. Since he does not have any bleeding from urethra There is nothing to be worried about. Please give him broad spectrum antibiotic like \\u010ceferin along with anti-inflammatory Chat Doctor."}
{"_id": "000004173", "text": "Backache, one of the commonest problem facing mankind, is the price we are paying for having developed erect posture. It can be very distressing for the patient and confusing for the doctor, more so, when all the relevant investigations are normal. One important point to consider is that pain is a subjective phenomenon. A mother can go through the apparently traumatic childbirth without much problem, while at other times, she may not be able to tolerate even a small injection. That is the effect mind has on the pain sensation. When one is depressed, medically unexplained pains are common. Solution lies in understanding and accepting the problem and tackling depression by pharmacological or other means. Human body is not just a machine, it has a mind of its own."}
{"_id": "000004174", "text": "Hello, I have studied your case. Yes this may be side effect of lyrics. This medicine may take some time so that your bodysuits it. You can again start with low dose. You may need to do MRI spine again to see for nerve compression If your new MRI shows disc bulge with nerve compression then surgery may help. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. 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 TENS therapy will help. 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."}
{"_id": "000004175", "text": "Hello Thank you for trusting Chat Doctor Dear no specific diet plan for fibromyalgia, but studies suggest that low Magnesium may be to aggravate symptoms, fibromyalgia diet should include fresh fruits and vegetables, whole grains, healthy fats, low-fat dairy, and lean protein, such as chicken or fish. Choose fresh, whole foods high in fiber and low in added sugars, such as"}
{"_id": "000004176", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have enlarged cervical lymph nodes. It can be due to reactive hyperplasia of lymph node, tuberculosis, lymphoma or metastatic carcinoma. However mostly it is due to reactive hyperplasia due to infection. You should go for examination, and you should take a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Don't worry about acute lymphoblastic leukemia. It presents with very high blood count and many blast cells in blood and easily diagnosed by routine complete blood count test. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004177", "text": "Welcome to Chat Doctor I have gone through your query and understand your concern. This question of your is posted in free question section, so I want to clear you that you have to pay nothing for this. You got accident due to which you may have got injury to spinal cord due to which you may be having numbness in the part lower to injury and back. Mecobalamine is helpful in reducing numbness. Multivitamin and trace elements supplements are of use. Further medical advice can be given by seeing your investigation such as x-rays and MRI. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care."}
{"_id": "000004178", "text": "Hello Thanks for posting at Chat Doctor. Your symptoms do not look typical for early heart attacks. It seems to be more like hyperacidity and burping sensation coming from your esophagus (food pipe) causing shooting pain in the chest and going upwards into the neck and coming out through the nose. Please take a course of antacids for 14 days. If still you continue to have the symptoms, please do a treadmill test in which you are made to walk on a treadmill while your ECG is continuously being monitored. This will help us evaluate if there is any cardiac involvement also. Wishing you good healthRegards"}
{"_id": "000004179", "text": "Hi, How bad is Chat Doctor.  5 gallons could be fatal. 1 325 of Tylenol is safe. It takes ten times that at one time to be bad for the liver. So, it is safer than water. In each case, having taken a gallon or a Tylenol yesterday isn't going to make taking it again today unsafe. So, the Tylenol issue won't accumulate. On the other hand, there are a lot of reasons not to overtake narcotics. You can get used to them in a few days and then they don't work as well because you've gotten used to them. It is equally true that if you don't have any pain, you don't know when to take them.  The other feature the nurse is correct about is that they start working only about 40 min after you take them. Their peak effect is like at 90 min. So, if you wait on the pain, you will have a lag before relief. But there are also reasons to wait. The nerve block wears off pretty suddenly. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004180", "text": "Hello & welcome, Bleeding after removal of wisdom tooth can be due to dislodgement of the clot which is formed in the extraction socket.  Here the clot might have been removed due to sneezing & if it is so, then you should take your daughter to the dentist. He will replace the gauze pack & bleeding will definitely be stopped.  She should take care of the wound by not doing any gargles as it may dislodge the clot again.  Use of ice pack application externally may help in the situation to reduce the bleed. Ask her to swallow any bleed if it comes & not to spit. Take care."}
{"_id": "000004181", "text": "Hello, Most probably it will be a minor contusion or thin fracture following the trauma.  As a first line management, you can take analgesics like Paracetamol or Diclofenac for pain relief. You can also apply ice compresses for symptomatic relief. If symptoms persist you can consult an orthopedic and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000004182", "text": "Hello, Welcome to Chat Doctor. In Psychiatry, to start any treatment it is important to know problem about the after detailed assessment. It is also important to treat co-morbid conditions and complications. Obsessive compulsive personality disorder frequently associated with OCD and Depression. For Obsessive compulsive personality disorder cognitive behavior therapy is helpful. Wishing you good health and all the best.www.99doctor.com"}
{"_id": "000004183", "text": "Hi. Thanks for the query. As per your complaint swelling around the injection site that has become hard can be most probably due to accumulation of blood under the skin due to broken blood vessel. At times there is Hematoma formation that can take even months to resolve. Hematoma is a harmless tumor like mass formed due to spillage of blood from ruptured blood vessels leading to accumulation of blood into the soft tissues forming a lump. I would suggest you to do alternate warm and cool compresses over the swelling. Take pain relievers like Ibuprofen as they also have anti-inflammatory action. Keep moving the arm to avoid stiffness. In case if there is no improvement in another 115 says or if the symptoms worsen consult a Local Physician and get evaluated. Hope this information helps. Regards."}
{"_id": "000004184", "text": "Hello, I have studied your case. Pain can be associated with disc of spine or associated cardiac illness. Usually nerve compression can't be seen on x-ray you may need MRI for this.  There may be age related spondylitis but if there is any nerve compression then that may need specific treatment. I will advise you to do MRI instill 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. Gabapentin can help to reduce pain. 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."}
{"_id": "000004185", "text": "Hi, Welcome to Chat Doctor. I understand your concern regarding fatigue and myalgic after tick bite fever. Such illness is associated with generalized muscle pain and fatigue which takes few weeks to recover. I suggest you alter your exercise regimen to a less vigorous routine and do not over exert yourself. I also suggest a high protein low fat diet to get your body rejuvenated after the illness. Adequate amount of water is required per day to maintain HY Chat Doctor. I assure you will regain the strength in a few weeks time. Wishing you a speedy recovery. Thanks."}
{"_id": "000004186", "text": "Hello dear thanks for your query at ChatDoctoryour doctor might have advised nebulization with bronchi dilator, because the spray you used might have caused irritation and constricted the respiratory system.airport is not a bronchi dilator it is corticosteroid used in allergic and asthmatic conditions, no need for that Chat Doctor. Take nebulization as doctor prescribed if you're having discomfort, otherwise no need for that also, it will resolve on its own in some time. Regards"}
{"_id": "000004187", "text": "Dizziness and vomiting can be stress related. Your particulars like qualification, job profile, marriage could be helpful in deciding your diagnosis, so please write those details. Other associated symptoms like mood, abnormal behavior, problems in day to activities. Whether these symptoms are proceeded by some stressful situation?? What are the medications you have been prescribed by the doctor who told you it was stress related?"}
{"_id": "000004188", "text": "Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the x-ray report you have mentioned. This report is absolutely normal. Nothing to worry about infection or mass or polyp or other sinus anomaly. Mild DNS and hypertrophied inferior turbinates can not cause many symptoms. But if he is symptomatic like sneezing or nasal blockage etc. then he will need antihistamine and decongestant. Otherwise, nothing to worry about this report. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks."}
{"_id": "000004189", "text": "Hi there ~ If your problem is the ability to not get orgasm and feel like that is related to unafraid it might be wise to go off of the medication.  However, I assure you that you will get better and reach orgasm when you stop taking the medication.  I however feel like there is more to the story than just the medication.  You should consult a psychiatrist who can take a complete history and make your problem better including your OCD.  I hope this helps. Take care and have a lovely day !"}
{"_id": "000004190", "text": "Hi, dear. I have gone through your question. I can understand your concern.  It may be some swollen lymph node due to some acute infection.  Or some other inflammatory lesion.  Don't worry about that.  It's not any serious lesion.  Consult your doctor once and go for examination. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004191", "text": "Hi, Regarding your concern, I would explain that your symptoms could be related to epilepsy or any possible adverse effects caused by your current therapy. I would like to know your actual therapy and doses. The abnormal EEG is related to the seizures. But, I would recommend performing a brain MRI and some lab blood tests to investigate for the possible causes (complete blood count, blood electrolytes, thyroid hormone levels, kidney and liver function tests). Also, the plasma levels of your antiepileptic Chat Doctor."}
{"_id": "000004192", "text": "Hello, Thank you for contacting me at \\\"Ask a Doctor\\\". I will try to answer your question to the best of my ability. It sounds as though you might be correct.  It is possibly a small hematoma and over time this should resolve spontaneously.  If you have some stiffness in the area, then I would apply some local heat.  Do not worry about it, as I think it will probably resolve in due course. If your symptoms worsen or the swelling starts to increase in size, then I would certainly pay a visit to your primary care physician. I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions. Best wishes, A Chat Doctor."}
{"_id": "000004193", "text": "Hello. Thanks for writing to Chat Doctor. I read and understand your question very well. I try my level bet to explain you. As you have pain while breathing, it may due to rib infection, pneumonia, obstructive disease, or it may be due to injury to your ribs. I suggest you take X-ray of chest AP and Lateral view to rule out causes. Also advise taking ibuprofen for pain. If symptom persist than consult a good physician. I hope my advice will help you a lot. Thanks and Regards. Chat Doctor."}
{"_id": "000004194", "text": "Dear friend, welcome to Chat Doctor. I feel sorry for the entire episode. Was his BP high or low to need heavy doses to control?if it was remaining low, it is not a good sign. Also I need to read the actual scan report to answer more specifically. Can you load it here?due to the damage to the brain due to trauma, one becomes unconscious to variable levels of coma and for variable periods. Regaining consciousness depends on many factors. And your treating neurosurgeon will be the best person to tell you the prognosis (outcome). You can freely discuss with him likely outcome. I hope to have answered your query satisfactorily. Take care, and please keep me informed of his progress. Good Luck ! May I request you to rate your experience here before you close. Thank you."}
{"_id": "000004195", "text": "HelloThanks for query. Based on the facts that you have posted I would state that you have sustained injury to your frenulum while penetrating vagina while having intercourse for the first time. It is mainly due to a band of adhesion that exists between frenulum and glans penis. Consult qualified General surgeon or urologist for clinical examination. You may need to undergo surgery of Frenuloplasty. This is a simple surgery done under local anesthesia as an out patient procedure and offers permanent cure and helps to have enjoyable sex for rest of the life. Chat Doctor."}
{"_id": "000004196", "text": "Hi.where is the cyst located?if it is enlarging, symptomatic, interfering with your function and is bothering you, it is best if you consult with a general surgeon for medical and surgical management. Your case and management is elective. You need not go to the ER. it can be managed on out-patient clinics. it's not an emergency, but you need to have a sense of urgency in regard to the consultation since its starting to interfere with your daily function. Hope this helps. Good day!!~ Chat Doctor."}
{"_id": "000004197", "text": "Hi, thank you for providing the brief history of you. As you have a gym injury this needs a thorough clinical examination and post which proper guidance of the exercises under a Physical Therapy. You need a sports physical therapy who can help you assist in your injury. It can be a muscle pull or a ligament Injury. Maybe an MRI will be needed to understand later the type of effects. Also, you can contact"}
{"_id": "000004198", "text": "Hi, Thanks for your query. After going through your suffering, it seems you have developed muscle spasm (cramp). The cramps are caused by hyper excitability of the nerves that stimulate the muscles.  Chat Doctor.  A simple way to prevent cramp is-1. Warm up and stretch your calf muscles before running stretch your calf muscle before going to field 3-4 times and each time holding for 10-15 seconds. 2. Talk to qualified trainer for proper running form and footwear.3. You may run in a heel-toe pattern and avoid letting the balls of your feet hit the ground first.4. Stay properly HY"}
{"_id": "000004199", "text": "Sir your total cholesterol is on the higher side, which you should try bringing to less than 100, and the LDL cholesterol less than 130. Low HDL cholesterol is the good cholesterol, it being more than 40 in a male and 50 in female is good to have, so 78 is excellent, and it is due to healthy lifestyle you described.  Now to bring your total to normal I would just suggest you to Cut on fats, less red meat, egg while, cut on oils and pure carbs.  Rest continue with exercise.  So your heart risk with the value of cholesterol you describe is minimal.  Do repeat the test after 6 months to see the change.  Regards Chat Doctor."}
{"_id": "000004200", "text": "Hello, You need to undergo one blood test for beta-ChatDoctor and TVS scan to rule out conception at the earliest. In exclusion of pregnancy, other reasons are hormonal imbalance, stress, ovarian cyst, vaginal/ pelvic infection etc. You need to consult with gynecologist following initial test reports. Take suggestive measures accordingly. Maintain genital hygiene properly. Take healthy diet & Chat Doctor.  Take some antacid to reduce acidity. Good luck."}
{"_id": "000004201", "text": "Hi, Thank you for quarry, As you mentioned your sugar level its too high patient may go into diabetic coma on such high sugar level if sugar level is not in control it causes its complication in each and every organ of the body so controlled your sugar level. You 1st must understand about it two types of diabetes Type 1 and type 2.in type 1 diabetes always required insulin because body is not producing insulin.in type 2 only resistance develop which may increase with medication. You must check with a diabetalogist and proper dosage of insulin or metformin adjustment required. Do daily exercise, stop alcohol and smoking, reduce fat, rice,salt, canned juices, sweets and bakery product. Close monitoring of Sugar level along with proper follow up with your Chat Doctor. Wish you a good health."}
{"_id": "000004202", "text": "In my opinion you are undergoing a stressful relationship. As you rightly said you attires do things to attract the attention of your husband, but it goes otherwise, and he gets more irritated with you. You are trapped in a vicious cycle where you are unable to find a way out. I would recommend you to go to a therapist who can do analysis of your situation more objectively and help you to overcome the situation."}
{"_id": "000004203", "text": "Welcome to Chat Doctor .1. The possible causes are lymph nodal enlargement.2. Lymph nodal enlargement is seen in cad if any infection / inflammation / underlying systemic causes / malignancies. 3. There are chances of inflammatory changes localized with the inner were due to constant irritation to the skin, if possible use softer ones for a wile, until it gets healed.4. Visit a doctor and get examined, if necessary doctor may ask for an ultrasound scan. Which will help in identifying the nature of lesion, and extensions. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000004204", "text": "HI. This looks to be most probably be due to urinary tract problem like infection or a stone on the left side. Another possibility is of left sided colitis. Another one"}
{"_id": "000004205", "text": "Hi Kaye! Good afternoon. I am Chat Doctor answering your query. As per the history narrated by you about the swelling on the back of your friend, this seems to be a slow growing lump, which intermittently gets inflamed giving rise to pain. The common such swellings could be a Desmond, a colonial cyst, or a sebaceous cyst. However, it needs a physical examination of the lump and so, I would advise you to get it clinically assessed by a general surgeon along with related investigations for a definitive diagnosis and proper management. Till then, he could go for an anti-inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000004206", "text": "Hello, Welcome to Chat Doctor, Is is not safe to take this medicine for long time. In case of emergency use it is ok otherwise not. This medicine have many side effects after consuming for long time. Homeopathy has a sure solution for asthma. You can be free from this medication too without any side effect. Homeopathic treatment is based on total understanding of patient on physical and mental level. And that's why detail history of patient is needed for proper homeopathic treatment. Your problem can be cured permanently with homeopathy. So consult to good classical homeopath nearby you or contact us. Have a better health."}
{"_id": "000004207", "text": "Hello, Welcome to Chat Doctor, Asthma is condition where there will be hyper responsive by reached bronchial tree following exposure to an irritant. The irritants may be microorganisms, food, dust, mites, pollen and chemicals, exposure to any of these to which you are very sensitive will stimulate the mucosal cells of respiratory tree to release histamine and causes narrowing of the bronchioles and produces the symptoms of asthma. If you are able to identify the triggering factor which is causing these symptoms, you can avoid those and prevent the occurrence of the episodes. You can identify the allergens by undergoing skin prick test and find out the allergen and try to avoid them. Thank you."}
{"_id": "000004208", "text": "His have gone through your complaintsYour sonogram report says that collapsed gall bladder with a couple of gall stones. Nothing to worry unless you develop jaundice, severe pain at right upper abdomen & fever. If you develop any of these symptoms please consult Doctor immediately. As you are saying small stony there is possibility of coming down to bile duct causing obstructive jaundice. Gall bladder stones are well visualized when it is distended. Best is gone for scan in fasting. Before night avoid fatty meal. Thank best regardsVasundhara"}
{"_id": "000004209", "text": "Degree understand your concerns went through your details. Usually anger is due to irritation. Irritation can be due to frustration or disturbance from others. Stress is another factor with which people do become short-tempered. Over and above, a sort of low self-esteem and low self-confidence also triggers anger and aggression. Before advising the method to deal with the client, we would like to know more information about the client. We need to assess the dept of the clients anger. Is it just anger as an emotion is anger disorder? Proper assessment of the client would provide the necessary insight. Emotional anger and aggression can be approached with the help of anger management therapy and slight lifestyle changes with awareness. Anger disorder, most probably, could require treatment with the help of a psychiatrist and psychotherapy. I strongly suggest you to advise your friend to consult a psychologist personal or online. The problem can be cured, for sure. If you still need my assistance in this regard, please use this link. http"}
{"_id": "000004210", "text": "Hi there, welcome to Chat Doctor, thanks for your question. The initial treatment for back and leg pain attributable to disc degeneration would include"}
{"_id": "000004211", "text": "Hello, There are two possible diagnoses"}
{"_id": "000004212", "text": "Hi, thanks for sharing your health concerns with Chat Doctor!  If I were your treating Doctor for this case of multiple body lumps, I would like to go for some biopsy/FNAC test from the axillary or knee swellings as the thyroid goiter is there for so many years; it might be a bad disease like malignancy or lymph nodes! Therefore, no wastage of time.... I suggest you to go for an FNAC and CT scan of the region (s) for confirmation and to relieve your concerns! 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."}
{"_id": "000004213", "text": "Hello misunderstand your concerned did ejaculation early due to excessive sexual stimulation. It may be occurred if you did sex after long time of abstinence from sexual activity. So I think you have done not any problem, If problem persist you have to consult the urologist or psychiatric to exclude the medical and psychiatric cause after proper investigations. Doctor give you following advice"}
{"_id": "000004214", "text": "HAI, Shingles you will have burning sensation, pain. Redness and vesicles. The symptoms may likely to persist for more than a week. It is a self limiting disease in an immuno-competent person. Tablets of Acyclovir in adequate dose along with painkillers, Antibiotics to control secondary infection and vitamins are necessary. You have to put appropriate Chat Doctor.  Otherwise, sometimes you may likely to suffer from a condition called as Post Herpetic Neuralgia. That is even after healing of the lesions, symptoms of pain and burning will persist for months together. So immediately consult your dermatologist and get cured soon."}
{"_id": "000004215", "text": "Thanks for the question. So your sons mother-in-law has three main issues. She is unable to walk due to tumors has bleeding catheter. She has low WBC count. Whether she will be able to walk in future can only be told by a scan of the spine. If it has shown no major fracture, she might walk after treatment. Bleeding from the catheter needs to be investigated whether it is due to low platelet counts or due to heparin therapy, Low platelet counts will require platelet transfusion and if it is due to heparin then heparin needs to be stopped for few days and plasma transfusion and vitamin K has to be given. For low WBC growth factors will be required. Antibiotics are also required to prevent any infection in between. Hope this solves all your queries. Regards"}
{"_id": "000004216", "text": "HIT hank for asking to ChatDoctorJust do not worry every thing will be okay ! This is not the indigestion but could be acidic problem and will come around soon with the Omeprazole 40 mg and the domperidom start this tab, just one tab at evening time at least for six weeks, one more thing which is very important and that is to keep your anxiety level very low no stress at all, try to sleep well eat more alkali food no smoking to alcohol no coffee before bedtime, you will definitely go to have a good result have nice day."}
{"_id": "000004217", "text": "Child not able to speak at the age of 5 yrs raises a serious issue with him. He might have a neurodegenerative disease or problem with his cognitive function or mental status. Enchephobol(Pyridine which is similar to pyridoxine) is a neuroprotective Chat Doctor.  This helps to improve the cognitive function of brain along with memory boost with improvement in verbal and logical reasoning and mental quotient.it's a good supplement to improve mental status. I suggest get an MRI brain to rule out any serious neurodevelopmental disorder."}
{"_id": "000004218", "text": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern, and would explain that your blood pressure values are above the normal ranges. But this could be just an episode of high blood pressure, related to a big amount of salt intake or anxiety. I recommend you to closely monitor your blood pressure, different times during the day for the next week (in sitting position, after 15 minutes of total relax) and report these values to your GP. You need to perform a complete check-up"}
{"_id": "000004219", "text": "Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a toe infection. I suggest to use HY Chat Doctor.  I also suggest using an antibiotic cream for local application such as Newsprint cream. I suggest covering it with a sterile bandage. If the symptoms does not improve you should see a surgeon. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!"}
{"_id": "000004220", "text": "Chest tightness and difficulty breathing are normal symptoms of Anxiety disorder but its also normal symptoms for Asthma. I would get heart palpitations (irregular heart beat), and shooting pains through my chest and arms. The only way to find out if you have asthma is to take the medication for a test run. If you feel better after using it, then its just that. The doctor can also put you on a test run of antianxiety medication for a week or so. It's best to just give it a try to find out what you have, because anxiety and asthma are difficult to diagnose by having tests done. As for the type of anxiety medication you should try, I would recommend Effector XR, or something similar. You can ask your doctor. I wouldn't recommend Zoloft as it can make you depressed. It is possible for one test to come back differently than another. It can all depends on a lot of different factors. I hope this helps a bit."}
{"_id": "000004221", "text": "Hi, I would suggest the following tests to start with"}
{"_id": "000004222", "text": "Thanks for your query, I have gone through your query. The infection could be periapical granuloma or cyst. After root canal treatment if the infection does not subside then the root tip of the tooth has to be removed(discectomy) with retrograde filling. If it is a cyst then nucleation of the cystic lesion has to be done. Consult an oral physician and take a radiograph to rule out the extent of the infection and later decide the management part. I hope my answer will help you. Take care."}
{"_id": "000004223", "text": "Hithanks for your query can feel your concernsCyprodiol is contraindicated in pregnancy advise you to have a pregnancy test immediately and if you are pregnant, then stop taking these tablets.I also advise you to take iron supplements and folic acid after consulting your doctor, as hemoglobin of 9 is also low. Improve your diet. Add meat, vegetables and fresh fruit to your diet and also dewormwishing you a speedy recovery am available for your help regards Chat Doctor."}
{"_id": "000004224", "text": "Hello, Low platelet count occurs due to low platelet production or increased destruction of platelets. An enlarged spleen leads to increased destruction of platelets in peripheral blood. Thus, the cause of decreased platelets in your peripheral blood is enlarged spleen. In such a situation, surgical removal of the spleen helps improve platelet counts in your peripheral blood. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004225", "text": "Hi and welcome to Chat Doctor. It may be both, but also it may be signed of fatty liver or acute liver damage sue to viral hepatitis or alcoholic hepatitis. You need to check other liver markers such as bilirubin and ALP to have complete diagnostic picture and also liver ultrasound is required. False positive results are not common, and protein shake will rarely cause liver enzyme abnormalities. Wish you good health. Regards"}
{"_id": "000004226", "text": "His have gone through your question. You are saying that 2 gall bladder stones are there.no symptoms as of now. But you didn't mansion what was told for elevated bilirubin and how much it elevated & how were the other liver parameters. If you have elevated bilirubin due to hepatitis and not due to gall bladder stones, nothing to worry much. If the raised bilirubin due to stones causing calculus cholecystitis better is to go for surgery of gallbladder. If you have any queries regarding it happy to answer you. Thank with best regardsVasundhara"}
{"_id": "000004227", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, you have small lump on bottom jaw don't worry this can be due to periodontal problem due to deposition of food debris. Consult dentist and go for investigations IOWA X-ray if there is periapical pathology then go for Root canal treatment, if there is periodontal problem then go FPR Scaling and root planning.  Do warm saline gargle two - three times a day. Hope this will help you. Wishing you good health."}
{"_id": "000004228", "text": "Your description is incomplete as word gastric is not indicating exact problem, whether there is indigestion or flatulence or hyperacidity or pain or gastritis is there or is there formation of any gastric ulcer etc. The medicines you are using are in majority are antacids and immune boosters. Worms are main reason for abdominal upset. Yes you must treat them, and can use medicines for worm eradication."}
{"_id": "000004229", "text": "Hi welcome to Chat Doctor. I understand your query and concern. High blood pressure with Left ventricular hypertrophy should be evaluated for Dilated cardiomyopathy. Best treatment for elevated blood pressure is through Chat Doctor. Before that adequate management and work up is needed. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful."}
{"_id": "000004230", "text": "HelloThanks for your query, based on the facts that you have posted it appears that your external urinary meats is swollen and red since few days and have burning while passing urine and ejaculation is painful. This is most likely to be due to inflammation of urethra or Urethritis. Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like \\u010ceferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria."}
{"_id": "000004231", "text": "Thanks for your query, I have gone through your query. The bleeding, swollen gums and pain could be because of the gum infection like pregnancy gingivitis. It is common in pregnancy, nothing to worry it's because of the hormonal changes and deposits over the teeth. Consult an oral physician and get your teeth cleaned, because it should not cause further infection. It is a non-surgical procedure, you can get it done. But do not take any medicines by your own or without any prescription. The growth or ulcer could be a myogenic granuloma that occurs in pregnancy. Nothing to worry you can take topical anesthetic and analgesics like Anabel gel for the pain. After delivery you can get it removed surgically. Do not take mouthwash containing chlorhexidine and antibiotics like tetracycline. You can do saline gargling and maintain oral hygiene. I hope my answer will help you, take care."}
{"_id": "000004232", "text": "Hi. Thanks for your query and an elucidated history. The indication for the severe lower abdominal pain and loss of appetite may be"}
{"_id": "000004233", "text": "Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor.  I have read your question completely, I understand your concern and will try to help you in the best way possible. Yes doctor was right deep wounds who usually need a stitch should not be left open they catch infections. According to your history you seem to be having an infected wound in which there is ongoing infection. I hope you are taking antibiotics suggested by the doctor regularly. This wound is not healing and still bleeding because when there is infection and inflammation in the wound it delays the healing process, as infection settles down healing will start to speed up automatically. I would suggest you to take care of your wound, keep a good hygiene, don't let it get wet, take antibiotics regularly, if you were my patient I would have suggested you to take Augmenting 1 gram twice a day, I hope you are already taking antibiotic. For pain, you can take Tylenol or Broken. Daily cleaning and"}
{"_id": "000004234", "text": "HiT hanks for your query at Chat Doctor. I understand your concern and situation. I would advise you not to worry so much as the doctor might have evaluated the patient. You must give him paracetamol or Advil, tepid sponging and if itching then cetirizine. Monitor temperature. Get routine mammogram and serological test for tick borne fever. Depending upon the results antibiotics may be started. Hope I answered your query Chat Doctor."}
{"_id": "000004235", "text": "Hello, I can understand your concern. The first possibility from your description of the swelling and location seems to be presence of authors ulcer or canker sore. However, these ulcers are very painful, and you are not having much pain which negates the possibility. Secondly, the location you have described has a minor sublingual salivary gland. If this gland or duct passing saliva is traumatized due to some reason, it can develop a swelling. This swelling usually hurts while eating and otherwise does not hurt. Thirdly, it could be a cyst developed in the area. Cysts are fluid filled cavities that are lined by the epithelium or a small lining of cells. Cysts are painless unless infected. However, it is very difficult reach a diagnosis until the swelling is examined. I would advise you to visit a dentist for the examination of the swelling regarding its texture, exact location, symptoms, color and size. You might have to go for blood test and biopsy. Based on the examination and test results, diagnosis can be made and management can be advised. I hope this information helps you. Thank you for choosing Chat Doctor. Take care. Best,"}
{"_id": "000004236", "text": "Hello, As a physician, as you have sudden sharp shooting pain in the anus, my probable diagnosis is anal fissure or fistula or hemorrhoids or trauma. Can I come to know whether you have blood in stool or complaints of constipation? I will suggest you to consult with surgeon for per rectal examination. That will give a clear-cut diagnosis. I will suggest you to apply An ovate ointment locally and tablet Solo. I will also suggest you to review here with detailed history or consult with the surgeon. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004237", "text": "Hi Anil Safari, Welcome to Chat Doctor, and thanks for your question... Irrational fear, false beliefs, paranoid ideas, hearing voices, etc. are indicative of a type of psychiatric problem called psychosis. Now, psychosis can be due to various psychiatric illnesses or sometimes, due to medical causes also. Such psychiatric illnesses may include delusional disorder, severe depressive disorder, schizophrenia or late-stage dementia. Sometimes, sudden onset of psychosis in an elderly person can be due to a primary medical cause or a brain pathology. Certain medication like steroids, can also result in the development of psychotic symptoms. You need to take her to a psychiatrist who will be able to assess her in detail to determine the probable cause for these psychotic symptoms. If he suspects any medical cause or brain pathology, then she may have to undergo a few tests and maybe, a brain scan to detect any such causes. Treatment will also depend on the nature of the cause. For example, if she has a primary medical pathology, then that has to be treated first. If her psychosis is part of a depressive disorder, then she may require anti-depressants, in addition to the treatment for the psychotic symptoms. If it is part of a delusional disorder or schizophrenia, then anti-psychotic medication would be the primary line of treatment. All the best. -"}
{"_id": "000004238", "text": "Hi, Welcome to Chat Doctor, Shivering and Jerking in a 1-week-old baby with no other possible causes can be due to a couple of things commonly - low sugar levels in the blood and low calcium. I would suggest the baby to be breastfed more aggressively every 2 hourly. That's the best you can do at home. I would suggest you to consult a pediatrician, so that the moments can be witnessed, and appropriate blood tests can be done before any medical therapy is initiated. Sometimes these subtle moments can be normal in a neonate. Hope the info helped. Take care."}
{"_id": "000004239", "text": "Hi, From history it seems that there might be having developing abscess over that region. This can be due to ingrown hair follicle infection and part remained more wet due to perspiration and less airy. Her might require one course of antibiotic and anti-inflammatory medicine course for 5 days. Once abscess is formed, it might require incision and Chat Doctor. With antibiotic medicine there are all chances of clearing the infection. Ok and take care."}
{"_id": "000004240", "text": "Hi yes natural remedies used to relieve pain from keloid. Baking soda along with HY Chat Doctor. Lemon juice can be applied over affected area because it contains it c which act as antioxidant. Today aloe vera gel getting popularity as it moisturize the skin along with decreasing inflammation. Honey application also heal it. Keloid is become of excess fibroblast proliferation which is inhibited by applying garlic. Take vitamin A containing foods like carrot, papaiya etc."}
{"_id": "000004241", "text": "Hi, Thanks for writing in. It is important to know the age of your husband to comment on his blood pressure. Any person over 70 years will have blood pressure up to 150/ 90 mm Hg. Therefore, if his blood pressure is 168/ 100 mm Hg then he surely has hypertension and this requires attention. The light headdress and fatigue might be due to hypertension and also probably if your husband is recovering after passing the kidney stone. Please provide him adequate amounts of fluids and juices so that any other smaller stone stuck anywhere along his urinary tract might be passed out. Medicines need to be given to control his blood pressure. If his blood pressure is consistently high then please discuss with his doctor and try and know if he is taking any medicines which might increase the blood pressure. Shoulder tip pain might be due to indigestion. Please do not worry."}
{"_id": "000004242", "text": "I read your question carefully, and I understand your concern. Regarding your first question, yes it is normal to wait for a week or so, it doesn't change much in the tumor evolution while careful planning can change the outcome. As for your second question, it is a hard one to answer. There are many types of brain tumors, some more aggressive some less. So each of them carries a different prognosis. That will be better determined after the surgery and the biopsy results. I hope things work out for the best."}
{"_id": "000004243", "text": "HelloThanks for query. You have been diagnosed to have a stone of size of 9 mm in your kidney. It is very optimistic to expect the stone of size of 9 mm to pass down spontaneously . The best option is to get it fragmented by a procedure called Extra Corporeal Shock wave Lithography(ESL). This is simple procedure and does not require hospitalization nor anesthesia and is carried out as out patient procedure and gives very good results. Chat Doctor. ."}
{"_id": "000004244", "text": "Cellophane you for your query. It appears that you have an ovarian cyst in the left ovary. Without looking at the ultrasound report, it is difficult to say what is causing it. It could be simple follicular cyst. However, since you are having a history of irregular cycles, it could also be an endometriosis cyst or a hemorrhagic cyst. I need to have further details of the scan done. Please consult an Infertility specialist. You might need to have a diagnostic laparoscopy to evaluate and / or treat the cyst, as well as assess patency of your fallopian tubes. Meanwhile, have your husbands' semen analysis also done. Take care."}
{"_id": "000004245", "text": "Hi. The stomach virus is said to have caused this if all the relevant investigations are normal. You have to get the following investigations"}
{"_id": "000004246", "text": "Hello, Welcome to Chat Doctor, The history and symptoms suggest me that you may be having some infection in the nipple of your breasts. But to confirm what exactly it is you need to subject yourself for physical examination. I would suggest you to undergo CBC to know whether there is any infection. For your symptoms I would suggest you to follow1. Apply hot fermentation to the affected nipple.2. Oral Ibuprofen, to reduce the pain.3. Oral antibiotic like Tab Autoclave, 625\\u00a0mg, twice daily for five days. Thank you."}
{"_id": "000004247", "text": "Hello!  Welcome on Chat Doctor !  It is less likely that your symptoms are related to the bulging disc. Anyway, I would like to know if you have any skin changes in the feet. What is your past medical history? Do you suffer from diabetes? Coming to this point, I would recommend consulting with your GP for a physical exam and some tests"}
{"_id": "000004248", "text": "Hi, Thanks for your query. I have read your query & I understand your concerns. 1) You have low live sperm count in your report. It is called oligospermia. This is a condition where there are no sperms in the semen. 2) You have to do following blood tests"}
{"_id": "000004249", "text": "Hi, During normal delivery all pelvic girdle ligaments get stretched resulting in post delivery pain/aches. I would strongly advise you to wait for 6 weeks as they usually subside with simple painkillers. Please make sure that the painkillers you use are safe during lactation. Ask your gynecologist for the same. If the pain increases or persists after 6 weeks you must visit your physician or an orthopedic surgeon. Regards"}
{"_id": "000004250", "text": "Hi thanks for contacting Chat Doctor... Noted you have jaundice with high Sept.... Do you have alcohol habit??? If yes then over Chat Doctor. ...and so these values... Avoid alcohol if having habit.... Second if you are obese and no alcohol habit then non-alcoholic steatohepatitis might be the cause .USG done for it.... Thirdly for rule out viral hepatitis viral marker study like Bag detection done by ELISA.... As you have jaundice you definitely having one of the above liver cause.... If no cause identifiable and if sore throat with lymphadenopathy present then CBC done with serological study to rule out infectious mononucleosis.... Consult gastroenterologist for detail examination..... Take care."}
{"_id": "000004251", "text": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms seem to be related to a musculoskeletal disorder. I would recommend having some rest for some days. Holding a cervical collar may be helpful. For the pain I would recommend taking painkillers like ibuprofen, coupled with a muscle relaxant like Flexeril. Your symptoms will improve gradually. If the problem persist, I would recommend consulting with your doctor for a physical exam and a cervical spine X-ray study. A cervical spine CT scan may be needed. Hope you will find this answer helpful! Best wishes,"}
{"_id": "000004252", "text": "Hello, Can't possibly know if it is serious without an examination. And, inflammation occurs after the injury and increases. This causes accumulation of tissue fluid (swelling) the swelling causes the joint to be (temporarily mostly) deformed by the tissue fluid and less mobile.  The tissue fluid distorts the area and makes it pull. Warm water causes resorption of the fluid. Elevation moves it out by gravity and deep water submersion pushes it out. So, warm water soak in deep water such as a pool usually helps fairly quickly. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000004253", "text": "Hi thanks for asking question. Here are few possibilities in your case.1. First you might have generalized viral infection of liver and kidney that is hepatitis and glomerulonephritis. So respectively elevated liver enzyme and protein in urine. 2. It is advisable to do ultrasound examination and serum viral marker to rule out viral hepatitis.3. If symptoms not decreasing with symptomatic management and empirical antibiotic then biopsy done to rule out secondary amyloidosis like condition.4. Lastly still cause not clear and enzymes elevated then liver biopsy done to rule out other causes. Wish you good health. You can consult physician for further work up. Chat Doctor."}
{"_id": "000004254", "text": "Hello! Welcome to Chat Doctor. Yes, your concern is very true. Before we label it as IBS, it is important that we have ruled out all other possibilities. Gluten sensitivity, lactose intolerance should be ruled out. For IBS, stress needs to be relieved. Yoga & meditation help a lot. Avoid late night meals, hot/spicy food, alcohol. Hope this information is useful to you. Wish you a healthy life. Thanks. Regards."}
{"_id": "000004255", "text": "Degree understand your concerns went through your details. Please understand, masturbation is normal and natural, even animals masturbate. In any way, masturbation cannot affect your health directly. Therefore, the stagnation in your growth during the current year, cannot be linked with your habit of masturbation. Please do not link these two because such linking could cause unnecessary anxiety and obsession. You will grow in height. You have time up to the age of 22. Before that, any period, you will experience a phenomenon called growth spurt. During growth spurt, you will grow by almost 3 to 4 inches within a year. Concentrate on your education please. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000004256", "text": "Hello Brain CT scan findings are absolutely benign. There is only soft tissue swelling noted in left temporal region, it is trauma related, and it will resolve with time. You may need analgesics only. It is good that brain parenchymal are absolutely normal. There are signs of sinusitis in maxillary and ethmoid sinus. Sinusitis treatment is both conservative and surgical. Treatment can be planned after consulting ENT specialist. Get well soon. Take Care Chat Doctor."}
{"_id": "000004257", "text": "Hello, Here we need to evaluate for the cause. Do you have any other disease like any chest pain, or history of heart attack? Although hyperventilation is can cause these symptoms we still need to evaluate the cause. For this you'll need one holder monitoring. If its showing some abnormalities then further test will be guided accordingly. Also, are you taking any Chat Doctor. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004258", "text": "Hi, Thanks for writing in. Please re confirm the condition of your cousin as vascular dementia instead of vestibular dementia as mentioned. Vascular dementia is caused by reduced blood flow to the brain because there is a problem with the blood vessels that supply it. Parts of the brain become damaged and eventually die from a lack of oxygen and nutrients. However, unlike other forms of dementia, many cases of vascular dementia can be prevented. Once vascular cognitive impairment progresses to vascular dementia, the disease can only be slowed down, not stopped. Medicines may help control some symptoms. It is important to know the cognitive impairment and as you have mentioned that his mental acuity is impressive, I think he will not have many problems if taking regular medications."}
{"_id": "000004259", "text": "Hello dairy understand your concerned you have done sex once your period will delay by more than 7 days then urine pregnancy test will give true positive test. But Condom was not broke then no chance of pregnancy. If your period will not come then it could be due to hormonal imbalance and ovulatory dysfunction. It can be induced by progesterone pill. But no chance of pregnancy if you did sex 7 days after delayed period. Avoid stress, take healthy diet, Chat Doctor."}
{"_id": "000004260", "text": "Hello! Thank you for the query. Night sweats can always indicate a cancer. However, it does not have to be stomach cancer. As she has COPD I assume she smokes. Nausea and reflux indicates some digestive tract problems. And she is 53. Such age gives increased risk of colon cancer. He should have chest CT, abdominal CT (pancreas should be checked), upper GI endoscopy and colonoscopy performed. Full blood work, CEA, CA 19.9 CA 125 should be done as well. Hope this will help. Regards."}
{"_id": "000004261", "text": "Hi, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate Chat Doctor. Meanwhile, you can follow these measures"}
{"_id": "000004262", "text": "Hello! Welcome to Chat Doctor!  Thanks for writing to us, I have studied your case with diligence. Physiotherapy like ultrasound and TENS will help in early healing of torn ligament. I will advise doing MRI ankle for soft tissue involvement if pain remains persistent. Till time, you can continue physiotherapy and also use supportive splint or brace. You can start tab tender for early healing of ligament consulting your doctor. 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"}
{"_id": "000004263", "text": "Dear Noel, Thank you for posting your question to Chat Doctor. From your description above I can't quite understand how severe your acne is, if you have only white spots, or black spots and nodules as well. Anyway, I want to reassure you that acne is a very common problem that almost every teenager can expect to experience to some degree during the adolescent years, and that with the years it may go without the need of treatment, if its in mild severity. Some advises that may help are"}
{"_id": "000004264", "text": "Hi Welcome to Chat Doctor. I understand your query and concern. Yes definitely your symptoms are suggestive of AF due to undue stress and anxiety. . Increase in heart rate is known to alter the blood supply to the brain leading to impaired function in a transient way. Few Chat Doctor. I advise you to have a complete 24 hour holder ECG which can accurately determine the cardiac conduction abnormalities. Monitor your blood pressure and heart rate."}
{"_id": "000004265", "text": "Hi, hey dear. No need to fade up. You are a tough guy, and you are living with TOF without taking any treatment suggest you have very high moral. Treatment option of polycythemia are somewhat difficult, chemotherapy can help you. But till you search other options you should go for phlebotomy. Phlebotomy is the most easy and economic treatment for polycythemia. Consult hematologist and take treatment accordingly. Thanks for using Chat Doctor."}
{"_id": "000004266", "text": "Hi, thank-you for providing the brief history of you.a thorough musculoskeletal assessment is advised. As you have pain in feet this can be due to one of the possible reasons and needs a thorough assessment.1. Increased uric acid levels2. Calcaneal spur3. Plantar fasciitis4. Disc degenerative changes. After a thorough assessment we can come closer to the cause and the treatment will be guided according. With simple medication and physical therapy most cases recover and get maximum functional ability. In my clinical experience we get patients with such feet pain and post thorough assessment treatment is planned and majority responds well to physical therapy. RegardsJay In Chat Doctor."}
{"_id": "000004267", "text": "Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  You are having pain lower abdomen, and bleeding since 3 weeks, when a polyp is removed, and marina is fitted. G.P.prescribed period delay tablets for three weeks. Still no use. It is not fresh blood.  It appears to be the infection, and bleeding made it still worst. Marina is expected to control bleeding, still you have its means it is something.  I advise you to consult a cynic for diagnosis and treatment. First you get the marina removed, then the doctor may give you some antibiotic.  Don't worry you will be fine with this.  Best regards."}
{"_id": "000004268", "text": "Hi. I can understand your concern.  Chronic cough is commonly seen in bronchitis and lung infection. Since your chest x-ray is normal, no need to worry about lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000004269", "text": "Hi greetings from Chat Doctor White blood cells or leukocytes are the cells of the immune system. They protect the body against the foreign materials and infections.  Reduction in white blood cell count leads to weakened immune system, as these cells are an integral part of the immune system. A person with low white blood cell count is at higher risk of bacterial, fungal and viral infections due to a compromised immune system. The infections of gastrointestinal system, lungs, throat and bladder are some typical examples of low white blood cell count infections. When you notice the symptoms of infection due to leukemia, you should immediately consult the doctor. Complete blood count and absolute neutrophil count are the commonly recommended tests for the diagnosis of leukemia. Sometimes, a bone marrow examination is suggested by the doctor for an accurate diagnosis. Besides that have a balanced and nutritious diet. Add more fresh fruits and vegetables to your diet. Avoid all junk and fast foods. Thank you"}
{"_id": "000004270", "text": "Treatment of elevated hemoglobin levels is phlebotomy (blood-letting). The goal of phlebotomy is to keep the hematocrit around 45% in men and 42% in women. Initially, it may be necessary to do phlebotomy every 2 to 3 days and remove 250 to 500 milliliters of blood each session. Once the goal is reached, maintenance phlebotomy can be performed less frequently. A commonly recommended medication for the treatment of polycythemia is called HY Chat Doctor."}
{"_id": "000004271", "text": "Hi welcome to Chat Doctor... I can understand your concern.... You have dyspnea on walking few distances....as well as flutter ... Consult her immediately as it is suggestive of cardiac cause ... It could be arrhythmia or cardiac failure like case ..... Investigate with. ... Your blood pressure checking ...2D echocardiography .... Holter monitoring if needed.... According to cause treatment given with diuretic or other suitable Chat Doctor. ... Examine calf muscles. If swelling present DVT induce pulmonary embolism suspected .... D dimer estimation done for it ... Take care"}
{"_id": "000004272", "text": "If your natural skin type is fairer, and you have got darker due to tanning then you can follow the following instructions for getting your natural skin color.1. Try to avoid going out in direct sunlight from 11"}
{"_id": "000004273", "text": "Thanks for your question completely understand your problempleuritis means inflammation in the pleura, that can cause pain definitely but if its pleuritic may be associated with effusion also, cause has to be figured out. Pleuritis can be caused by tb, pneumonia and many other causes. As u r in third trimester of your pregnancy u can have a chest X-ray done after discussing with your bog. Rest and best u can do now is having tablet paracetamol 500 for pain."}
{"_id": "000004274", "text": "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-Midcycle Ovulation pain with Vaginal Spotting and Severe pain in lower belly/ hip and back. I would suggest waiting and watch. If pain persists, then you should have assessment from Your Gone doctor. If the pain does not persist, you should not worry. But if persists, I would suggest having second opinion from ER Gone Doctor.USG would confirm the above diagnosis and would rule out other possibilities also. Hope this reply would help you to plan further treatment with your doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS"}
{"_id": "000004275", "text": "Thanks for your question on Chat Doctor. In my opinion you should first get done biopsy of the thyroid nodule (largest). Recurrent thyroid nodules and multiple lung nodules indicate cancer mostly. So for tissue diagnosis biopsy and histopathological examination is must. Thyroid cancers especially papillary cancer is notorious in lung spread and causing hyperthyroidism.  So your supra ventricular tachycardia can be due to this only. So first get done the diagnosis by biopsy than start treatment accordingly."}
{"_id": "000004276", "text": "Hi, Thanks for asking the query, I would like to tell you that wisdom tooth extraction is not a simple procedure and often associated with post extraction complications like pain, swelling, difficulty in mouth opening, numbness, fever, malaise. You don't worry about the symptoms they will subside after sometimes. Follow the post-operative instructions given by the Dentist properly. Take lukewarm saline and antiseptic mouthwash rinses. Take complete course of antibiotics and analgesics. Maintain a good oral hygiene. Take care."}
{"_id": "000004277", "text": "Hi, Does he have any other symptoms like cough, nasal discharge, throat pain, ear ache or abdominal pain? Recent onset fever usually indicates an infection somewhere in the body. If no associated symptoms as mentioned above, this may be a viral fever which needs only paracetamol, plenty of fluids and bed rest for few days. If fever is not coming down by 4th or 5th day, or he is lethargic, we need to investigate to find out the cause. In such cases, after examining throat and ear. I used to order a blood routine test, urine microscopy and ESR/CRP to decide further. Your doctor will guide YouTube care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000004278", "text": "Dear serve understand your concerns went through your details. Depressive disorder is a chemical disorder. First you should differentiate between depression and disappointment. Disappointment also manifest symptoms which could mimic depression. Please provide more details for diagnosis. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000004279", "text": "Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. You should write your age. MRI scan has the best resolution and far better, than CT or ultrasound scan. Anyway, dont worry about a black spot on kidney, seen on MRI scan. Most probably, they may be meaning a cyst, which is a fluid filled swelling. Such cysts are normally seen in many people and of no significance. You can safely wait for 6 months and repeat an ultrasound scan then. If you've any doubts, you may send them to me, as a direct question. Chat Doctor.  Manga."}
{"_id": "000004280", "text": "Hi, You have described of feeling physically and mentally fatigued along with low mood and anxiety. These are also hampering your life to a great extent. You haven't specified for how long are you having these problems, but I assume from what you have told, that it is there for more than few years. I assume your physician had diagnosed you with chronic fatigue syn Chat Doctor.  Your symptoms suggest you to be having a mood disorder, either depressive episode or dysthymia, rather than CFS. I would prefer to give you an antidepressant like tablet Bupropion. This shall be prescribed only after getting detailed information about your previous medical and psychiatric problems, and psychiatric problems in your family. So please Consult a nearby psychiatrist and live a happy fruitful life."}
{"_id": "000004281", "text": "Hello, I would be happy to help you with your question. In the setting of a negative pregnancy test at the time of a missed period, the chance of pregnancy remains very small.  It is also possible that the test was just done too early based on some minor irregularity in terms of when you ovulated.  Here is what you should do"}
{"_id": "000004282", "text": "HI, thanks for using Chat Doctor Inhalation of certain cleaners can affect possibly significantly affect the respiratory system with chest pain, shortness of breath. If the symptoms are severe then it would be best to visit your doctor as soon as possible in case oxygen supplementation is needed. If they are not severe, then this may not be needed, and you can continue to monitor. In addition to monitoring your symptoms and placing yourself in a well ventilated area, there is no other home management unless you are an asthmatic and need to use your inhalers. I hope this helps"}
{"_id": "000004283", "text": "Hi Raja, FSGN is focal segmental glomeruli nephritis which in turn caused by many diseases like diabetes, viral infection and some autoimmune diseases but the treatment and prognosis is depending on its grade and underlying disease, most of the time it will progress to chronic renal disease which requires hemodialysis along with disease suppressive treatment. When it progresses to end stage renal disease renal transplantation is the treatment. Take care"}
{"_id": "000004284", "text": "Hi, Thanks for asking the query, Painful lump can be because of either due to gingival abscess due to accumulation of bacterial plague and calculus deep into gum pockets of front teeth , it can be due to periodontal abscess from the infected tooth, it can be authors ulceration , or block of salivary gland vesicle. I suggest you to get a complete clinical examination of the tooth by the Dentist. Take an OPG x-ray. Chat Doctor.  At home maintain a good oral hygiene. Use chlorhexidine mouthwash gargles twice daily. Take vitamin supplements . Hope this helps out. Regards..."}
{"_id": "000004285", "text": "Hi prashantithanks for coming to ChatDoctorAsthma is graded into controlled, partially controlled and uncontrolled based on the frequency of the symptoms. As per your symptomatology it seems to be uncontrolled or partially controlled, so it needs to step up your therapy...you have to change your inhaler....you may opt for formoterol and budesonide combination which will be your controller as well as reliever medication since its onset of action is within 3-4 minutes... Asthma except for your acute severe asthma is not a medical emergency... Your symptoms of anxiety and palpitation can be due to excessive intake of albuterol...so needs changing of inhaled medication. Meet your doctor and best wishes"}
{"_id": "000004286", "text": "Hello, thanks for your query, sequence of sneezes, running nose, itching in ears, itching in roof of mouth, blackness under eyes are the symptoms of allergic rhinitis. It is best prevented by not to expose to cold, dust, not to consume ice creams, fridge water, curd. Best street meet is Adams(fluticasone) nasal spray twice daily, tab. Monte- LC (montelukast+cetirizine once daily at bedtime. All the best. Take care."}
{"_id": "000004287", "text": "Hello, There are a varied list of causes of the symptoms u mentioned. But what is more annoying to you?You\\u2019re non muscle gain as u said can be due to nutritional or organic causes. But your weight for height is OK, so cant be nutritional but can be absorption defects due to varied causes or any organic causes which requires thorough examination. Regd. Anxiety it can be hyperthyroidism, but we require other symptoms which is not given here. But TSH being normal can be unlikely.others causes leading to it must be ruled out. Regd. Low sexual desire, are u on any other Chat Doctor. But looking from far away, I opine that the case is non-organic. Instead of brooding over getting diagnosed, kindly do yoga for 3-4 hour daily or running 4-6 km daily, endorphins and corticosteroid s will be released which causes reversal of all your symptoms and increases your sexual appetite, I am sure that u will reply positively after 1 month by following the precious advice."}
{"_id": "000004288", "text": "Hello, I understand your concern. I am Chat Doctor, Infectious diseases specialists, responding to you. It is look like sexually transmitted infection. I suggest you to do Grams staining from the lesion to check which organisms have caused this ulcer. Thereafter you can take treatment according to which bacteria have caused you the infections. I will be glad to answer your further query. Thank you for your contact to Chat Doctor. Wish you the best health. Thank you, ChatDoctor."}
{"_id": "000004289", "text": "HelloThanks for query. You are detected to have non-functioning kidney due to mostly congenital PUB obstruction and headed for removal of kidney (Neurectomy). There are 1.8 % of general population having only one kidney from birth. The donor who donates his kidney or recipient who receives kidney during kidney transplant are both living normal life with only one kidney. In both the situations they are not declared to be disabled Do not worry having only one kidney does not make person disabled. Chat Doctor."}
{"_id": "000004290", "text": "Thank you for posting your query. Increased SGPT reflects hepatitis. Most likely, it might be due to empirical. However, you may get a viral serology done for Hep B and Hep C .if other causes of hepatitis are ruled out, then the enzymes would return to normal values in around 4 weeks (more or less). So you may recheck your enzyme after 3to4 weeks. Abstinence from alcohol is advice as you are already observing. Wish you good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor."}
{"_id": "000004291", "text": "Hi thanks for contacting Chat Doctor...... Here your chest pain most probably from referred chest pain secondary to acid reflux.  . For that take pantoprazole capsule to reduce acidity .... Chat Doctor.  ... Avoid excess spicy foods .... Heavy meal restricted .... Caffeine, chocolate like LES relaxant avoided . Put pillow below head while sleeping . Avoid smoking . Reduce weight if obese .... Stress test will help in rule out your cardiac health .... No need for worry ...go with stress test as mentioned by your doc... If than needed EKG or echo done. . Take care"}
{"_id": "000004292", "text": "Hi, How are you? I am sure your doctor meant your \\\"He\\\" is low meaning your \\\"hemoglobin\\\" is low. Thisessentially means you have anemia which is very easily treated with nutritional supplements. Being deficient in \\\"Hep B\\\" is definitely good as this means you do not have hepatitis B infection. I would advise you to get vaccinated with hepatitis B vaccine to protect yourself against future risk of acquiring hepatitis B infection. Hoipe this helped and have a great day."}
{"_id": "000004293", "text": "Thanks for posting your query at Chat Doctor. Your daughter is suffering from a respiratory tract infection. The dose of paracetamol is 15 mg/kg/dose which is same as 4ml of P250 syrup which should be given at least at interval of 3-4 hrs. You can give her the doses accordingly. The dose of augmenting is unrelated, and you need not worry. Apart from these measures, I would insist you to go for cold sponging with water at room temperature and that should help in reducing the temperature. I hope that would help. Feel free to revert with further queries if any."}
{"_id": "000004294", "text": "Hi, welcome to Chat Doctor. Looking to your history, it seems that you are recurrent kidney stone former. It requires evaluation to determine the cause for kidney stone formation. Do basic urine report with culture, S.creatinine, venous bicarbonate, S.calcium IPTV and 24 for urinalysis for stone with stone chemical analysis. Maintain adequate HY Chat Doctor. Consult nearby nephrologist, or you can get to me also with reports. I think this would be helpful to you. Best wishes. TC."}
{"_id": "000004295", "text": "Hello & welcome to Chat Doctor, I had gone through the case, I want to know your family history of diabetes, hypertension, thyroid problem. Do you have any symptoms and sign of this problem right now like headache, obesity, rising of blood sugar etc? I will advise you to do Panama(ANULOM-BELOM) exercise for 15 minute daily for 1 week and then major your blood pressure, definitely your problem will resolve. If not then you have to consult the doctor for hypertension, who can advise you medicine, correct diet pattern and more exercise for it. Hope so your problem will resolve. Thanks & Regards Chat Doctor."}
{"_id": "000004296", "text": "Hi, Your symptoms suggest hormonal imbalance, and probably you are suffering from polycystic ovarian disease which is a common cause of infertility. Your neuropathic cycles and the fact that you conceived following depot injection go in favor. In such a case, natural conception is rare, and you need assistance. I advise you to see a gynecologist who can investigate you properly and put you on the necessary treatment. Your miscarriage could have been due to progesterone deficiency (likely in your case). Wish you good luck."}
{"_id": "000004297", "text": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that this palpitation is related to rhythm issue. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. They cause premature heart contraction that it's not a normal one. It house a fluttering sensation, palpitations,difficulty in breathing deeply, anxiety. This extra beats might be sporadic and difficult to catch. So, it might happen to have normal electrocardiogram and experience palpitation. This is nothing to worry about if it happens once a wile. But, if it starts to bother you and interferes in your daily life than I would recommend you dome examinations to find a possible cause. Extra beats might happen because of stress, excessive coffee consumption or pathologies like anemia, hyperthyroidism, electrolyte imbalances, cardiovascular disease. So, I would recommend a cardiac echo, a full blood analyze to exclude anemia, hyperthyroidism, electrolyte imbalances and a holder rhythm monitoring to see your rhythm tendency. Only after this we can better judge what we are dealing with and how to treat it. Hope I was helpful. Best regards, Chat Doctor."}
{"_id": "000004298", "text": "Hitraumatic injury to the neck can have chances to cause injury to the cervical vertebrae or compression of the nerve roots those are painful spasms under stress painkillers can be of temporary help MRI is the ultimate investigation to see the extent of the injury. Better to use soft cervical collar to immobilize the spine & prevent further injury. Please meet a neurophysician or neurosurgeon take care"}
{"_id": "000004299", "text": "Hello Jan, Your long-standing history of discoid lupus becomes significant here, and I presume you are on some treatment for your psoriasis/arthritis with an immunosuppressive agent. The common ones (at the start) are HY Chat Doctor. The painful lumps could either be your discoid worsening or some form of urticaria vasculitis that needs to be excluded. For the time being, you can either increase the steroid use (if you are on steroids) or start using a long-acting antihistamine like fexofenadine 180\\u00a0mg twice daily until you have seen your Lupus doctor. Thanks."}
{"_id": "000004300", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that pain in gums and teeth after deep cleaning and placement of crowns even after 4 days is not a normal finding. If the treatment was appropriately done, then the pain and discomfort should have subsided by now. There is a possibility that either the area is infected still or there are nerve exposures in the crowned teeth if they are not pre-treated with root canal treatment before the crowns were placed. You need getting re-checked by consulting your dentist and getting evaluated and a thorough clinical evaluation and investigations like x-ray of the painful areas can help in diagnosis and treatment can be done accordingly. In case if there is infection, a course of antibiotics and painkillers will relieve. In case if there is nerve exposures, then the crown will have to be removed and the teeth needs to be root canal treated and once the pain completely subsides replacing the crown needs to be done. As of now you can take anti-inflammatory painkiller like Ibuprofen and also take a soft diet. If pain is severe you can take Tramadol or Motorola. Take soft diet. Hope this information helps. Thanks and regards. Chat Doctor."}
{"_id": "000004301", "text": "Hi, Masturbation has nothing do with impotence or infertility in the future, so straight answer to your question is No. it doesn't responsible for not having child Chat Doctor. 4 times in a week is a normal frequency, so you need not worry, still if you can control it to 1-2 times a week that would be better. Pain in the testes mighty be related to trauma or injury during masturbation, Infection like Epididymitis or epididoorchitis, Varicocele, Hernia or HY"}
{"_id": "000004302", "text": "Hi, Welcome to Chat Doctor. Microcytic hypodermic anemia is usually seen in iron deficiency anemia. In this condition bodies iron stores are depleted and red blood cells which require iron do not get sufficient iron and form weak cells which get destroyed easily. Blood transfusion will help for acute anemia but if the main cause of anemia is not treated, anemia can recur. So if he is diagnosed with iron deficiency anemia, then he should be prescribed adequate iron supplements and dietary changes which include iron rich foods. Long term low dose aspirin can cause low platelet count. I suggest you get a prescription for iron supplements and change his diet to include green leafy veggies, fruits and iron rich foods. Thanks."}
{"_id": "000004303", "text": "Hello saw your query on Chat Doctor...your ultrasound test report states the presence of cortical cyst in upper pole of right kidney which is less than 3 cm in size in diameter. Presence of cortical cysts are usually seen as an incidental finding in many patients and I do mention these findings on daily basis and should not be worried as such. However a point of caution should be given when there are signs of complexities within the cyst if any which we call as complex cyst. This point has not been mentioned by you whether it is a simple cyst or complex cyst. It should have been stated by your radiologist. If it read a simple cortical cyst then according to me there is no reason to worry. Simple cortical cysts usually do not cause any pain and hence do not explain your problem of lower Abdominal pain as such. Get yourself clinically evaluated by your local physician for diagnosing proper cause of the pain. Thank you and I hope your query is answered...if you have any more query you can contact us."}
{"_id": "000004304", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yeast infection recurs only when you have some condition favoring its growth. I advise you should test for the HIV and diabetes. These is the two most common cause of the recurring yeast infections. Diflucan also available as an oral pills over the counter. But in my advice you should take it under your doctors' guidance. Please maintain good local hygiene by frequent cleaning and Chat Doctor.  You can also apply local ointment of clotrimazole while doing the"}
{"_id": "000004305", "text": "Hello, and I hope I can help you today. Anyone who has unprotected sex is at risk for pregnancy. However, many women can also experience irregular cycles and hormonal imbalances after discontinuing Depo-Provera. Some women do not resume normal monthly cycles or ovulation for even up to year. So it can be difficult to rule out pregnancy if you have irregular cycles after taking Depo-Provera. Unfortunately, pregnancy related symptoms can vary widely between women and actually most women do not have any symptoms of pregnancy at all before a missed menstrual period. Furthermore, many women experience psychological symptoms of pregnancy due to unconscious fears or desires. So I would suggest that you do a urine pregnancy test, so that you know for sure what is going on. If you do not desire pregnancy, I would suggest that you select an alternative method of contraception because even if women do not get periods regularly they still can be at risk for pregnancy. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes,"}
{"_id": "000004306", "text": "Dear friend, I think your assumption is partly right. Your fall on shoulder has affected both the muscles and nerves located in this region.a muscle tear because of trauma can cause long-lasting pain while lifting any weight or while moving your hand per se. Also the tremor you are facing can be due to local nerve injury. An unresolved nerve injury causes local pain or tremor at the end of a stretching movement. So, please take some rest, do physiotherapy to heal those torn muscle. Also I suggest, an investigation on nerve conduction should be done to know if any nerve has been injured in those areas. Thank you."}
{"_id": "000004307", "text": "Dear Anglo are on regular medication for Type2 Debut your last fasting is 170 and PP is 250. You won't explained about your BMI, cardiac status, smoking and alcohol status. Kindly go through once HbA1C test which is average of last three months. You also check your Blood pressure. If HbA1C is more than 7 then go to your physician its need to change Chat Doctor.  And need some exercise like walking ...kindly upload HbA1C report, height and weight and blood pressure before changing"}
{"_id": "000004308", "text": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. Based on the facts of your query, you seem to suffer from-Lump due to hydrated Cyst of Morgan of Testes-which is a vestigial Appendage / also known as Appendix of testes -present on top of testes.USG would confirm or rule out this lump cause. Other causes could be Spermatocyte/ Vasectomy lumps etc. and would suggest having Second Opinion from Surgeon who would physically examine and verify other possibilities of such a painless lump in testes. Hope this 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"}
{"_id": "000004309", "text": "Hello, As the history mentioned you have had a sports injury and reoccurring of the same. I will advise you first take rest. Because most time people will use ice to reduce swelling and ice is also acting in reducing pain by which most people feels that the injury is healed, and they take up the call for movement. I feel you need to first immobilize the part involved in the injury. Dip feet in hot water and then elevate it using the pillow while lying down. After 3 days you can see if the pain and swelling is persisting, if so than an x-ray will be of good choice to rule out any fracture. If the fracture is not present then only it will be a muscular injury which will take about a week or so to heal. But to undergo the game again, one needs to get assessed the overall strength of the muscles involved from a qualified physiotherapist, so reoccurrence of Injury do not happen. Hope I have answered your query. Let me know if I can assist you further.  Jay In Chat Doctor."}
{"_id": "000004310", "text": "Dear mister, there is no any prevention but changing lifestyle as you said so just keep watching for your lipids levels and follow dietary guidelines. The most blood delivery to liver comes from portal vein (75%) and the other from hepatic artery 25% so even significant chronic developed thrombosis of artery wouldn't have some serious consequences. Despite it, you should try to prevent further formation of atherosclerosis not only in this area but also in all other especially in heart and extremities. Also, you should avoid risks that cause liver damage such as alcohol, some medications and viral hepatitis.  Wish you good health,"}
{"_id": "000004311", "text": "Hi, I hope I can reduce your fears with some information. Ring worm can be spread from cats to humans.  It does cause an irregular reddish or pinkish ring which can change shape a bit over time a bit always looks like a ring. It is not more dangerous to have ring worm around the navel. An antifungal cream will help.  Use it for at least 2 weeks.  Fungi can be tenacious and take a while to go away. Try to expose the area to light and air and keep it Chat Doctor.  About poison ivy"}
{"_id": "000004312", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have lump under left armpit and is painful at times which seems to be due to infected lymph node. It could be an inflamed gland, lipoma and cystic structure. As it is spreading and is growing this is something more alarming. I would suggest you to consult general practitioner for proper examination. Doctor may order blood test and ultrasound to confirm the diagnosis. Doctor may prescribe antibiotics (amoxicillin) for at least 10 days along with anti-inflammatory Chat Doctor.  Doctor may also order biopsy and fine needle aspiration cytology and can start treatment after proper examination. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000004313", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Your symptoms are seen after eating, so possibility of HERD (gastroesophageal reflux disease) is more. But better to rule out heart diseases first, because all these symptoms are commonly seen in heart diseases. So first get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. You are mostly having stress induced HERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain. So avoid stress and tension. Be relax and calm. Take proton pump inhibitors. Avoid large meals, instead take frequent small meals. Don't worry, you will be alright, but first rule out heart diseases. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000004314", "text": "1. ANXIETY due to pain of Gastritis could result in Tachycardia, otherwise can't think of any other reason causing rapid heart rate.2. Because you have a light Barrett syn Chat Doctor. 3. could be possible Castro esophageal reflux disease (HERD) due to lax lower esophageal sphincter (LES) resulting in reflux of acid back. (reflux esophagitis)4. Avoid foods which are difficult to digest like oils and fats, which make stomach to release more acid, avoid tea, coffee,smoking, alcohol,sour foods (pickles, tamarinds,vinegar, curd)5. Fibers are necessary in the diet as they help in the digestion.6. Eat slowly, avoid haste, chew properly and avoid over eating.7.check stool for worms, hemoglobin for anemia, ultrasonography of gall bladder, gastroscopy for H. Pylori infection"}
{"_id": "000004315", "text": "Well it's all about how individual body reacts to the situation. Apparently it will be difficult to blame on anyone as everyone in medical will surely try to help each patient to their best ability. Try meeting the respective specialist for her problem and take an advice if she can perform some small simple exercises under guided physical therapist. She will be surely helped and get ease of symptoms. Kindly don't get over anxiety and keep your self calm. Focus on to solve the problems which can ease your mother and her symptoms. Thank you"}
{"_id": "000004316", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of hormonal imbalance is more in your case but better to get done ECG first, to rule out heart diseases as a cause for your chest pain. If ECG is normal than no need to worry about cardiac diseases. Chest pain, abnormal menstrual cycle, bruising, lump on feet etc. are seen in hormonal imbalance. So better to get done hormone levels like estrogen, progesterone, FSH, LH etc. If hormone levels are normal than sometimes stress and tension can cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004317", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Since your all cardiac reports are normal, we should definitely rule out lung diseases (bronchitis) for your symptoms. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. If PFT is showing obstructive defect then you will need inhaled bronchodilators (formoterol or albuterol). If PFT is normal then no need too much. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004318", "text": "Thanks for your query, I have gone through your query. The severe tooth pain and swelling is because of the tooth infection. Nothing to be panic, you can give him a course of antibiotics like amoxicillin and analgesics like ibuprofen(if you are not allergic). Do not give any hot fomentation over the swelling. Do saline gargling. You need to take radiographs to confirm the diagnosis. I hope my answer will help you, take care."}
{"_id": "000004319", "text": "Hi, Can you mention how the infection was diagnosed? Is there any itching or discharge from or discoloration over vulva/vagina? For diagnosing urine infection, culture is the best test. Usually here, urination is not only frequent, but painful or burning too. There can be fever and lower abdominal pain also. If frequency persists after treating urine infection, we have to look for other causes like candidiasis, worm infestation or excessive water intake. Kindly get back to your pediatrician if the symptoms persists despite limiting excess fluid intakeTake care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000004320", "text": "Hello, Thanks for your query. It seems that you are having back pain. Your query is truncated. Can you describe your symptoms in detail, so that I am better able to help you? In the meanwhile I can suggest some lifestyle changes"}
{"_id": "000004321", "text": "Hi, Your notes are very clear. So it is very easy to answer. If she has been taking birth control pills regularly as per the instructions then it is > 99% effective in preventing pregnancy. There was no need to take Corvette. Since you have taken Corvette to The chances of pregnancy are almost nil. Taking Corvette on top of her regular medicine is not dangerous. The only side effect is that her census may be delayed for a week or so. I hope I have answered to your satisfaction."}
{"_id": "000004322", "text": "Hello, If the pain is triggered by arm and neck movements, it would indicate a possible musculoskeletal pain. In such a case, there is no need to go to the ER and ibuprofen coupled with some rest can help improve his situation.  If the pain is not triggered by neck and arm movements, I would recommend going to the ER for a physical exam, a resting ECG and cardiac enzymes.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000004323", "text": "Hi, These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection or urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you good health. Kindly regards,"}
{"_id": "000004324", "text": "Hello, As per your clinical history, is concerned please follow like this-1) Do a clinical examination by your doctor [ENT] and do few investigations like this to confirm [CBC with differential, nasal endoscopy, and MRI scan]2) Discuss with your doctor about antibiotics [Doxycycline] and decongestants tablets and sprays. Do follow lifestyle modifications like this-1) Try to avoid upper respiratory infections. Minimize contact with people who have colds. Wash your hands frequently with soap and water, especially before your meals.2) Carefully manage your allergies. Work with your doctor to keep symptoms under control. Does blood differential count every month?3) Try to avoid cigarette smoke and polluted air. Tobacco smoke and other pollutants can irritate and inflame your nasal passages.4) Use a humidifier. If the air in your home is Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004325", "text": "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. Basically, vagina contains various bacteria and other microorganisms.  Due to war.TH and moisture of vagina and natural increase in the moisture during pregnancy a typical smell can be found during pregnancy. I will suggest use of Lactated vaginal wash alternate days at the time of Bath. Also, Clindamycin vaginal tablets one at night for 7 days will be of help.  Keep private parts clean and"}
{"_id": "000004326", "text": "Hi, thank you for providing the brief history of your husband. As he has already undergone the spinal fusion at L4-L5 levels, and recurrent surgeries of the back it appears that the lumbar disc are not in good shape. Also, the MRI indicates the nerve root injury and needs a thorough examination. Besides, post surgery if he is not relieved of pain than the surgery couldn't help him due to muscle weakness which keeps on leading to nerve root compression. Also, to Control the symptoms of numbness, tingling and pain you can arrange a meeting with a physical therapist and undergo Therapeutic ultrasound therapy and TENS therapy for pain relief. Besides, exercises will help but before undergoing any exercises the surgical neurological assessment is advised. As the pain is chronic in nature instant recovery cannot be expected as well. Kindly keep the patience and meet up the surgeon to discuss further. In my clinical practice, such cases with spinal surgeries respond well to physical therapy. And slow, steady recovery is achieved. RegardsJay In Chat Doctor."}
{"_id": "000004327", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query pus from extraction socket is not good it can be due to infection in socket. For this you should consult dentist and go for Irrigation of socket and zinc oxide eugenol pack if your extraction socket has infection. Follow post-operative instruction given by your dentist. Take proper course of medication prescribed by your dentistConsult dentist for visual examination of socket. Hope this will help you."}
{"_id": "000004328", "text": "HelloThanks for query. Your brother has been detected to have stone in the mid-ureter and D. J stent has been placed in his renal unit to felicitate stone to pass down easily without any pain. The fever with chills that he has is mostly due to inflammation of ureter (Urethritis) or primarily due to infection. He needs to get his urine culture done to trace out the organisms causing this infection and to know the antibiotic sensitivity. Please give him broad spectrum antibiotics like Definite along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure he Chat Doctor. To keep your urine dilute This will help to control dysuria. Do not worry his will get resolved once the stent is removed."}
{"_id": "000004329", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your all blood reports are normal, we need to rule out cardiac diseases and Pulmonary causes for your whole body edema. Congestive cardiac failure (CCF), cor pulmonale (Corp) and Pulmonary embolism can cause edema a breathlessness. So get done ECG and 2d echo to rule out CCF and cor P. Get done CT Pulmonary Angiography to rule out Pulmonary embolism. Diuretics and isotropic Chat Doctor.  Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000004330", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint vomiting and mild diarrhea can occur during teething but in case if there is severe diarrhea and vomiting and bad smell then it can be probably due to infection in stomach, and it needs to be evaluated by a Pediatrician. A slit or depression on the gum in the teething stage is due to tearing of the gum to facilitate tooth eruption and although the tooth is not showing up you should wait and watch for about a month so that the tooth can erupt. If there is pain in the gums then applying numbing gel containing Lidocaine can help. Do cool compresses over the gums. Feed her with a soft diet if she is above 6 months and along with it maintain a good oral hygiene to prevent infection. Hope this information helps. Thanks and regards. Chat Doctor. ."}
{"_id": "000004331", "text": "Hello, and I hope I can help you today. Unfortunately, the reason you are no longer menstruating regularly at age 48 is because do not have many viable eggs left in your ovary anymore. Once you stop menstruating for a full year, you are considered in menopause. There is no way to undo menopause nor is there a way to conceive naturally if you no longer produce eggs. Even a fertility doctor will not be able to make you ovulate if you no longer have viable eggs. Therefore, women in your situation can only conceive through in vitro fertilization, with another women eggs use as a substitute for your own. There are medications that you can take that may help you to menstruate however these will not make you ovulate nor help you to conceive. So in summary I am sorry to tell you that once you are in menopause natural conception is not possible by any means. You may continue occasionally to have menstrual cycles, and you may consider seeing a GUN who may be able to do hormone tests to confirm your diagnosis. I hope that I was adequately able to answer your question and that this advice was helpful Best wishes,"}
{"_id": "000004332", "text": "Hello and welcome to Chat Doctor, High white blood cell (WBC) count is due to infection. Infections cause an increase in WBC counts. A differential count is required to know the type of infection -bacterial or viral. A high ESR is not specific for any disease, but it is elevated in chronic inflammations. Fever with enlarged lymph nodes and elevated ESR is an indication for conducting investigations for a malignant lesion e.g. lymphoma. Thus, consult your physician for aspiration cytology from the lymph node. Aspiration will detect the cells in the enlarged lymph node and thus, help to determine the cause of lymph node enlargement. Definite treatment will be started once diagnosis is confirmed. Thanks and take care Chat Doctor."}
{"_id": "000004333", "text": "Hi. Thanks for your query. Self diagnosis is the most dangerous thing that you can do. Since you have a problem of pain in left lower abdomen for a month with increase when you have to use bathroom or on getting up. Taking probiotics alone may not help. I would advise you the following"}
{"_id": "000004334", "text": "Hi, thank you for providing the brief history of you. A thorough neuromuscular and musculoskeletal assessment is advised along with MRI of shoulder joint. As you have been told for a shoulder joint replacement, this is the very less performed or planned replacement. Also, the decision of the orthopedic surgeon is totally depending upon the clinical signs and symptoms along with the bone strength. Prior to shoulder joint replacement one needs to understand the basic requirements of the post surgery progress. As the line of action in any musculoskeletal injury is as follows - medication, physical therapy, steroid, physical therapy.  If this line of action fails then a surgery is planned. Prior to surgery there are measures need to be taken - the muscles of the supporting joints should be in grade 4+ as post surgery the muscle strength Chat Doctor.  Also, this surgery or any surgery is a major one, but if the proper pathways are taken than surgery might not be needed or the post surgery recovery is outstanding. As mentioned, I will recommend undergoing physical therapy, no matter it may take a little longer but physical therapy can help you regain the strength in the muscles and also may help to avoid surgery. Also, if you are planning to undergo the surgery make sure you have a good range of motion of the shoulder joint and also good muscle Strength of grade 4+. As post surgery this will make a difference in your recovery process. As per my clinical experience, most surgery cases of the shoulder joints are discarded as physical therapy has helped to the maximum. Proper assessment and planning can help avoid the surgeries to the greater extent. Always to understand that this original joint is the original and artificial is artificial. The choice is always left to patient. RegardsJay In"}
{"_id": "000004335", "text": "Hello. Thank you for writing to alopecia errata usually presents as smooth, bald patches of hair loss, most commonly over the scalp. Other areas like beard, mustache, eyebrows etc. may also be involvedTreatment of choice is intraluminal injection of a depot steroid preparation e.g. triamcinolone acetone. New hair that regrows is fine and light colored, initially, however, they grow into normal looking hair. Other treatment modalities are topical steroid lotions; topical minoxidil; tinctures etc. All of these have a role in treatment of alopecia errata, and therefore it depends on the treating doctor what he/she prefers to start with. You have been given a topical steroid during day and a tincture for night application by your treating doctor. These topical medications are absolutely safe and there are no side effects of these. The oral form that you have been asked to take is Camisole, which is an immunomodulator. Levamisole has a role in treatment of alopecia errata since alopecia errata is due to imbalance in the local immune environment. Levamisole may cause side effects like an unusual feeling of discomfort or weakness and some patients may find it hard to tolerate. Regards"}
{"_id": "000004336", "text": "Hi. Thanks for coming to Chat Doctor.compere are many great Neurologists in Bangalore. It really depends on which part of the city you are looking in. If you ask my opinion though, you can't go wrong by going to SIMIANS. That is the place where the Neurologists are constantly seeing new patients and that is where they get to brush of their skills the most given the number of patients they see. So if you are looking for a good experienced Neurologist, I would suggest you head to SIMIANS. If you want to look somewhere else in the City, let us know, and we can help you find someone. Hope this helps. Come back if you need anything else. Take care! Thanks for coming to ChatDoctor.com"}
{"_id": "000004337", "text": "Hi, Thanks for posting your query. You are most likely suffering from acute bacterial sinusitis or allergic bronchitis with secondary bacterial infection. You should consult with internal medicine specialist and pathologist simultaneously and should go for thorough check up. You should go for complete blood count, absolute eosinophil count and IGE level for detection of allergic reaction. You should also go for x-ray PNS and chest for better diagnosis. Furthermore, you should take complete antibiotic course, Multics and anti-allergic medicine for complete recovery. Take care,"}
{"_id": "000004338", "text": "Hai, as I have gone through your semen report your motile sperm count and total count is normal and as per Kruger criteria"}
{"_id": "000004339", "text": "Hi, Thanks for writing in to us. Splenomegaly is a common complication of cirrhosis. Many cirrhotics have platelet counts in the 60,000s. It is not something to worry about. And it doesn't need to be treated. You have plenty of platelets to properly clot your blood. Blood flows from the spleen...through the portal vein...then through the liver. Scar tissue in the liver (cirrhosis) can interfere with that blood flow, causing pressure to build up in the portal vein (portal hypertension), and the spleen to enlarge (splenomegaly). As the spleen enlarges, it traps platelets. (The amount of platelets in the bloodstream is reduced because the spleen is busy trapping them). So usually people with cirrhosis end up having a problem with portal hypertension and an enlarged spleen, and a reduced platelet count in the bloodstream. As time goes by, the liver may try to repair itself by growing new cells. If there is a lot of scar tissue already present the new cells grow between scar tissue (and result in abnormal nodules). The nodules and scar tissue further interfere with blood flow through the liver. So over time people with advanced cirrhosis can end up having a problem with more and more abnormal nodules and scar tissue forming which interferes even more with blood flow through the liver which makes the spleen continue to enlarge, and the platelet count continue to Chat Doctor. The splenomegaly is usually not reversible. Please go for regular medical follow up. Hope this helps"}
{"_id": "000004340", "text": "Ho there, I can understand your concerns. I believe your gel contains Darlene, if so then it's quite common to have some redness, irrtation and Chat Doctor. Therefore, I advise my patients to start with it as following night for one hour on ye affected areasSecond night for 2 hrs Third night for thread fourth night for four fourteen after this period apply it overnight and the wash your face with a soap free face cleanser(Nivea) in the day. It can also make your skin more sensitive to sunlight so liberal use of a sunblock of Minimum SPF 30 is advisable throughout the day. As far a scar are concerned then please see your dermatologist and discuss the options of Microdermabrasion and chemical peeling to lighten the scars, they are very effective. I hope you'll find these answers helpful. Thanks a lot and all the best."}
{"_id": "000004341", "text": "Hi there ~ I am glad you are on the forum, and it seems like you have a lot on your mind ~ a lot of metaphysical and philosophical nature.  You also seem to be suffering from depression and anxiety, as is evident from the language you use.  However, this can only be determined by speaking with you and taking an entire history for which I suggest that you use a qualified counselor and / or a psychiatrist.  Take care and I hope this helped !"}
{"_id": "000004342", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern, looking to the given history here I could say that it is the allergic condition and beside the antihistamine no need to take the other medicine particularly antibiotic, this won't work here, simple general management could bring the good result and that includes salt water gargling, away from the underlying cause, hope this information helps you, have a nice day."}
{"_id": "000004343", "text": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be a cyst (a sebaceous or a gelatinous type), a fibrous or a lipoma. These lesions can occur anywhere in the body and have the tendency to recur.  Management (medical and surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor."}
{"_id": "000004344", "text": "Hellos doctor said that your son is having asthma, so I want to explain to you that, what is asthma. Airways hyperresponsiveness that is secondary to inflammatory airways' disease that results in recurrent or chronic episodes of wheeze, shortness of breath, chest tightness, &/or cough particularly at night or in the early in the morning. This hyperresponsiveness causes bronchoconstriction, hence cough and cold. Usually, dust, mite, fine dusting powder, sudden fall & rise of temperature, pollen molds are predisposing factors of asthma. When such type of case visit my clinic I prescribe them to take montelukast+ albuterol tablet (1/2 is sufficient for your son) one or two in day depending upon the condition of patient. Hot coffee and steam inhalation also provide relief in such cases. When your child will attain 14-15 years age these attacks will subsides. Good luck."}
{"_id": "000004345", "text": "Hi, I have gone througconceptionur question. Yes, the treatment given to you is completely fine. Austen and duphastone are progesterone which supports the pregnancy by making uterine environment more favorable for conception and fetus. Progynova is estrogen which is given for the growth of uterine endometrium. Metformin is given in PCs TO improve the glucose metabolism and hence increase the chances of conception. Ovacare also helps in conception. I would suggest you to get your urine pregnancy test done if your periods are delayed, and do add folic acid tablet to your treatment, as it prevents the development of congenital anomalies in the fetus. Hope you found the answer helpful. Wishing you good health."}
{"_id": "000004346", "text": "Mid-line disaster in most of the cases reverses back. You are not clear in what exactly was done with dental lasers. No dentist can fix any gap between the teeth using lasers. What I feel is that the gap was fixed witChatDoctorposite resin restoration which requires a light cure gun at the end, and you are confused with the light cure gun as dental lasers. Coming back to your query, if the resin restoration has come out then one can easily redo it in a single sitting. Thanks and Regards"}
{"_id": "000004347", "text": "Hello! Welcome on Chat Doctor! I carefully read your question and would explain that your symptoms seem to be related to inflammation (like temporal arthritis) or Migraine with Vertigo. That is why, I would recommend performing an Anglo MRI (with gadolinium enhancement) and inflammation tests (PCR, ESR). You should know that Anglo MRI can give a lot of information on your cerebral arteries and the blood flow in them. Hope you will find this answer helpful! Kind regards,"}
{"_id": "000004348", "text": "Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to a pulled muscle. I suggest using a muscle relaxant such as Baclofen three times a day. I also suggest using a magnesium supplement for muscle relaxation. Furthermore, I also recommend warm compresses for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor."}
{"_id": "000004349", "text": "Hello and welcome to Chat Doctor, A high leukocyte count can occur in a number of conditions. Infections and leukemia are the most common causes of raised white blood cell count. A white blood cell count of 14.5 is more suggestive of infection rather than leukemia. Infection can be bacterial or viral. In order to assess the type of infection, differential count needs to be done. Thus, I suggest you to post the differential count to know the type of infection. Leukemia are usually characterized by very high white blood cell counts, however, leukemia can occur with lower counts also. Thanks and take care Chat Doctor."}
{"_id": "000004350", "text": "Hi There After going through your query I understand your concern. I would like to tell you that possibilities of acid Reflux/HERD more than a heart disease is there if you don't get breathless, palpitation with chest pain. It's advisable for you to avoid junk and spicy food to get relief and can use over the counter antacids also. Also get an ESG and Echocardiography done as a routine cardiac check up. Hopefully this will answer your query. Kind Regards Chat Doctor."}
{"_id": "000004351", "text": "Hi. I can understand your concern. Chronic cough is commonly seen in bronchitis and lung infection. Get a chest x-ray done if it is normal, no need to worry about lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000004352", "text": "Hi, Were you using contraception all these years to avoid pregnancy? Since your periods are perfect, in all probability you are ovulating regularly. You are slightly overweight. A normal BMI increases the chances of conception.  It will be excellent if you can reduce around 5 Kg weight. IF you and your husband smoke, you must quit smoking. It is important to have intercourse at least three times in a week to improve your chances of conception. Have one tablet of folic acid daily. If you don't conceive within 6 months of trying for pregnancy, you must consult Gynecologist for baseline subfertility tests (hormone assay and fallopian tube patency test for you and semen analysis for your husband). Based on the results of investigations treatment can be planned. I hope I have answered to your satisfaction."}
{"_id": "000004353", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. You can take the opinion of the second doctor. Usually with the single operation all the sperm will go on. But as you have still non-motile sperm that means you have not been performed with good surgery or there may be some problem in the surgery conducted. Once you check with second all your doubts will be clear. Please be aware as this can make you pregnant. Appropriate contraceptive measure is must till we receive clear report from the lab showing no sperms in the system. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor"}
{"_id": "000004354", "text": "Hi and welcome to Chat Doctor. It may not be related to procedure, it can be caused by any allergen and most common this is certain food or environmental factor. Also, it can be Tylenol allergy as well so try to stop this Chat Doctor.  If not, then you may need steroid medicines or stronger antihistamines. If there is breathing difficulty. Chest pain or dizziness you should visit doctor as soon as possible. Thanks for the query. Regards"}
{"_id": "000004355", "text": "Hi thanks for contacting Chat Doctor....First don't worry. I will explain to you the condition.... It is type of inflammation of glomeruli in which menial deposit present along with glomerular basement membrane thickening....First control high blood pressure with ACE inhibitors like April.... It will do renal protection also.... Second antiplatelet agent like dipyridamole and corticosteroid as anti-inflammatory useful. The new method of the best treatment is to suppress complement activity by Ocrelizumab like Chat Doctor. .... If edema more diuretic given.... Approx 50% patient develop renal failure in 10 to 12 year Consult nephrologists and discuss all this with him. Take care."}
{"_id": "000004356", "text": "Thanks for putting your query up at Chat Doctor. Scarlet fever is an infectious disease which most commonly affects child Chat Doctor.  Symptoms include sore throat, fever and a characteristic red rash. Scarlet fever is usually spread by inhalation. There is no vaccine, but the disease is effectively treated with antibiotics. If rashes and fever have gone you need not worry about the rest. The eczema needs to be kept in control by the use of steroids. Hope that helps. Feel free to revert with further queries if any."}
{"_id": "000004357", "text": "Hi and welcome to Chat Doctor. Thank you for your query.  I understand your concerns and I will try to help you as much as I can. I am HPB surgeon and my advice is to have surgery before next pregnancy. Polyps are not concerning at this point, but these may cause symptoms such as pain and nausea and later in life it may become malignant. In pregnancy, usually gallbladder stones may be problematic a dpolyps less likely, but it is better to operate it now when she is fit and you than later in life when it may be more difficult to do surgery. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health."}
{"_id": "000004358", "text": "Hi heartlands for your question at Chat Doctor. The pain associated with foot and ankle injuries usually subsides in 2 to 3 days with analgesics medicines, rest, ice application and a compressive bandage. If the pain persists after 48 hours, it suggests slightly more severe form of soft tissue for bony injury. If you have any pain when you stand or walk on your injured feet, it suggests severity of injury and warrants further work up which will include an X-ray at the least. But you are not expected to have pain on standing or walking in mild injuries. Such pain should suggest you to take your injury seriously to avoid long term ligament related pains. Hope this helps All the best. Regards. Chat Doctor."}
{"_id": "000004359", "text": "Hello thank you for writing us here. That's interesting I must say. It's because your ulnar nerve (funny bone) behind the lateral epicondyle of humerus is hit, which causes tingling sensation throughout your arm which is because of gamma motor fiber activation which somehow stimulated your vagus nerve causing vasovagal syncope and because of that you fainted. I'm not sure if there's any medicine for this. All you can do is avoid hiring your funny bone or other possible stimuli like tickling. God bless you Best regards, Chat Doctor."}
{"_id": "000004360", "text": "Hi, Welcome to Chat Doctor. PCs occur due to hormonal imbalance. So you are suggested to continue your Chat Doctor.  Along with this I suggest you to start metformin which helps in combating insulin resistance which is seen in PCs after consulting your doctor. Get your follicular study to know you are ovulating or not. If you are ovulating you can try naturally for 3 months. If not ovulating then you are advice to take ovulation inducing"}
{"_id": "000004361", "text": "HI, Thanks for the query.  I understand your concern.  In pregnancy all maternal body including heart are overworked. that's why heart rate is increased. & It's possible to hear heart sound by pregnant mother.  Even the intestines are affected by pregnancy hormones, making them slow in movements. This results in slow emptying in bowels, bloating. On exerting pressure on left side of upper abdomen under the ribs, causes still more pressure in abdomen/ chest cavity, leading to pain discomfort.  Thanks."}
{"_id": "000004362", "text": "HelloThanks for asking question on Chat Doctor. You have not provided full liver function(LFT) test details, hence very difficult to interpret. As your physician said to watch my impression is that could it be ? Gilbert syn Chat Doctor.  As per your details of mass of blood vessels - I think it could be hematoma, which may not necessarily require treatment. As you don't have symptoms chances of it being normal are high. But for me, I would require your full LFT and ultrasound details to give any comment. Take care."}
{"_id": "000004363", "text": "Hi, Firstly congratulations on becoming a mother and sorry to hear you are having pain. Coming to the point of you history, let's consider this, that since you deliver a child there will be a weakness in your abdominal region by which the muscles are not able to stabilize the spine and getting nerve trapped leading to pain in the lower limb.  This is one of the common symptoms which most female go through post delivery. Doing some exercise to improve the quality of muscle strength and stabilizing the spine would be of great help. Also, some lower limb exercise will be of additional benefits.  Strengthening exercises doesn't mean doing crunches or using weights or gyms. Some basic mat exercises will be of great help for now. Coming to wrist problem as this is also a common one I feel you need to do small hand muscle strengthening exercises using some hand grip strengthening equipment which is available online and can be purchased. Rest assured if you follow some basic exercise in mat itself will help resolve much of the symptoms and this is definitely not a major condition to worry about. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000004364", "text": "Hi, happy to help you on your health concern! In the present case of solitary neck swelling or lump, if I were your consulting physician, I would just say you, nothing to worry! As per your description, it is benign harmless lesion like a lymph node or a sebaceous cyst! The reason behind an enlarging lymph node could be head/neck/throat/ear infections, tuberculosis or even malignancy! A sebaceous cyst, when infected, gets enlarged! Take caution not to get injured there as this might invite infection. If you are still worried, please go for an FNAC test for confirmation. Hope you got your answer. Please feel free to write to us if any more queries. Wishing you the best health!"}
{"_id": "000004365", "text": "Hi, Thank you for the brief history of you. As reading the history, have you undergone both sides replacements. Also, post replacement have you undergone physical therapy. Most hip replacements heal, as they will be provided by calcium supplements and other medicines to provide faster healing. Undergoing a physical therapy will help to improve the strength in the muscles and reduce the swelling. Since the swelling is the common feature this cases represent, advising a physical therapy is of the choice. Also, as your mobility is reduced, the swelling is but obvious due to the low cardio endurance and mobility of the muscles and joints. You can discuss the same with the physician, as most cases seen by me recover by post physical therapy sessions and the possible near normal mobility is regained. RegardsJay In Chat Doctor."}
{"_id": "000004366", "text": "Hi there ~I understand your concerns.  I believe that you will have a higher risk of hiving blood clots and since you have 5 brain aneurysms the likelihood of having a stroke are very high.  I hope you have let you neurologist or the doctor that changed your medication know.  Hope you consult a doctor for a second opinion with all your test reports and investigations as soon as possible.  Wish you all the best at health. Take care and have a lovely day!"}
{"_id": "000004367", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of rhinitis is more in your case. Despite nasal surgeries, you still have symptoms. So possibility of rhinitis, mostly allergic is more in your case. So try following things for better symptomatic relief. 1.  Avoid dust, pollen, pollution, chemicals etc. 2. Start combination of antihistamine and anti-allergic Chat Doctor.  3. Start intranasal spray containing steroid. 4. Take steam inhalation 5-6 times a day. Your breathing will mostly improve with all these. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000004368", "text": "Hi dear, first masturbation is totally normal and don't have any relation to acne. Even if it has, it should decrease acne in fact, as masturbation decreases the level of testosterone temporarily. So don't worry about that. Coming to your treatment, use Darlene gel 1% in night and clindamycin gel in day. This u must continue for at least 3 months even when acne not there. U might get a longing relief. Thank u"}
{"_id": "000004369", "text": "Hi... Thank you for consulting in Chat Doctor. What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for babies of this age group to pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. When the baby takes milk, the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastronomic reflex. Do not worry. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000004370", "text": "Hello No doubt both of you are perfect and healthy. You mentioned that your husband is having sperms count 20 million with 50 % motility. Your height, weight and age all are up to standard for pregnancy. Let me explain about the scientific proof about INFERTILITY, please note down. Studies suggest that normal fertility is associated with SPERM counts of >48 million/mL, WITH A MOTILITY OF >63%, with 12 % exhibiting normal morphology. Whereas FERTILITY is seen with SPERM counts of You didn't use any contraceptive pills, so this is a good thing i.e. no imbalance in hormones. You mentioned that there is 20 million sperms, but please mention total or / mL. Also mention volume of semen. Hope this information will helps. So consult infertility specialist and get his opinion. Good luck."}
{"_id": "000004371", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. The description, if it is correct, describes the symptoms of obsessive thoughts. You can not yet properly diagnose it as OCD because this is the beginning stage. You are worried and obsessed with the thoughts of those balls harming your health and that is the reason why you are having these negative thoughts. Nothing to worry. Even if you swallow those small magnets, they shall come out through your evacuation. They cannot harm you. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000004372", "text": "Hi and welcome to Chat Doctor Thanks for posting your query here. Endometriosis is presence of endometrial tissue in other than uterus. It may present in ovaries, tubes, peritoneum or cervix. Endometrial tissue is the cause for menstruation in the uterus. It is the periodical shedding of endometrium which results in monthly menstruation. Hence, whatever the tissue is, because of hormonal effect it sheds off. If it is in ovary the endometrial tissue along with blood collects and forms a chocolate color fluid filled cyst. The definitive treatment is excision of the tissue. It depends on the site and extent of the tissue. If it is not operable the treatment consists of hormones. Shatavari is an Ayurveda medicine. It's a time-honoured medicine. It gives wonderful results. For endometrial bleeding it works. Because you have a scattered endometrium it effects all the tissue. Same like danger. Hence, both the mode of therapies is the same. But I suggest you to follow either one treatment. Because both the therapies effect by the influence of hormones. Hope this is helpful to you Regards"}
{"_id": "000004373", "text": "Hi! Thanks for writing to us describing kind of unusual clinical situation of lump in neck and behind the knee.! Here are some possible explanations to these"}
{"_id": "000004374", "text": "Hello, Thanks for writing here. From the information you are having either scabies. Since you have already been to dermatologist, it will be better to continue the treatment. Only thing is applied permit cream to whole body a single application. Apply full cream at one time only and do not leave any area. This will kill itch mite, but itching will still persist for 10 to 15 days for which you need to continue other medicines. Hope this will help you. Take care."}
{"_id": "000004375", "text": "Hello and thanks for consulting Chat Doctor. I have read your query and yes it can be due improperly erupted wisdom tooth. If the wisdom tooth is completely or partially impacted and causing pain and food lodgment then it's better to get it removed.Meanwhile, you can do certain things"}
{"_id": "000004376", "text": "Welcome to the ChatDoctorI have gone through your question, and it seems that your daughter has suffered a severe musculoskeletal injury most likely a fracture. You should immediately take her to an orthopedic surgeon for proper clinical examination and management accordingly. They may advise you for the X-Ray leg to look for injury or fracture. I would recommend you to splint the part by a board to help in transportation to hospital. You may give her acetaminophen or ibuprofen tablet for pain relief. Hopefully this will help you. I would be happy to help you out in any future health related questions. Take care"}
{"_id": "000004377", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Recurrent pulmonary embolism is seen with hypercoagulopathies. It is group of genetic diseases where blood clots form easily and cause complications like pulmonary embolism (PE), DVT (deep venous thrombosis), portal vein thrombosis, heart attack etc. So consult hematologist and get done protein C, protein S, homocysteine, anti thrombi 3,calcium levels. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks."}
{"_id": "000004378", "text": "Hi dear, I have gone through your question and understand your concerns. Disc degeneration can lead to nerve pressure and damage. If she is not having any neurological deficit or any bladder or bowel complaints, then she can take bed rest and get the surgery done in post delivery period. However, if any of these symptoms appear, then she should get the surgery done immediately. Hope you found the answer helpful. Chat Doctor."}
{"_id": "000004379", "text": "Hi, AMH stands for Anti-Mullerian Hormone. AMH is produced directly by the ovarian follicles and therefore AMH levels correlate with the number of astral follicles in the ovaries. It has been documented that women with lower AMH have lower astral follicular counts and produce a lower number of oocytes (eggs) compared with women with higher levels.AMH levels do not change significantly throughout the menstrual cycle, and it usually decreases with age. Healthy women, below 38 years old, with normal follicular status at day 3 of the menstrual cycle, have AMH levels of 2.0 - 6.8 NG/ml (14.28 - 48.55 pool/L). High levels are found in patients with Polycystic ovaries. Now, in your case AMH is low suggesting that your egg count is less. AMH cannot be improved by medication. Therefore, I would suggest you to start your treatment at the earliest with an infertility specialist rather than waiting for natural conception. Your doctor will explain the best mode of treatment to get you pregnant at the earliest, based on your other test reports. All the best."}
{"_id": "000004380", "text": "Hi, Injection methylcobalmin contains only Vitamin-B!2. Vitneurin Injection contains a combination of vitamins thiamine (Vitamin-B1), pyridoxine (Vitamin-B6) and methylcobalamin (Vitamin-B12)) commonly prescribed to treat their deficiencies. Whereas methylcobalamin contains only Vitamin-B12 and is commonly prescribed as a supplement in patients with vitamin B12 deficiency and in those with diabetes and other painful naturopathies. It may be taken if you have symptoms suggestive of only Vitamin-B12 deficiency. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004381", "text": "HI, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns about the treatment for a painful lump on the buttock of your husband. This is because of the Boil with black hematoma due to friction of lump between the butt cheek. Worry as this lump are infectious in nature and spread to nearby area in the butt cheek. Treatment --As the lump is already shrunken, I would suggest you to Consult an ER Surgeon and get the physical examination and his Second Opinion on it, who would Chat Doctor. -Tab-Antibiotic(like Ofloxacin +Ornidazole) with prescription from your doctor.-Anti-inflammatory (like Diclofenac) for 5 days time.-And Surgical"}
{"_id": "000004382", "text": "Hello, Alcohol dementia and Panic disorders may be due to Excessive Chat Doctor.  The process of acquiring knowledge and understanding through thought, experience, and the senses (cognitive skills), memory and learning are affected because of this excessive alcohol. Positron emission tomography (PET) is useful in certain diffuse brain diseases such as those causing various types of dementias including Alcohol dementiaWith best wishes"}
{"_id": "000004383", "text": "Hi, Occasion wet Chat Doctor.  Over masturbation however can lead chronic fatigue. I suggest you to rule out other causes of fatigue like anemia by complete blood count. If it comes normal then also investigate with serum calcium estimation, SEPT, GOT estimation and urea, creatinine estimation. Underlying because specific treatment is priority. Before playing sport eat some energy rich fruits like one or two bananas.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004384", "text": "Thanks for your question on Chat Doctor. I can understand your concern. You are having hypotension with bradycardia (slow heart rate). This is commonly seen with heart blocks. Your symptoms like dizziness is also seen with heart block. This is block in conduction of heart. So impulse generated in heart is not able to traverse properly and so heart pumping is poor which results in hypotension and bradycardia. If not treated promptly, this can be life-threatening. So consult cardiologist and get done 1. ECG 2. 2d echo 3. Holder monitoring (24 hours continuous recording of ECG). You will need pacemaker insertion on the basis of type and severity of heart block. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004385", "text": "Thanks for your question on Chat Doctor. You are having blunt chest trauma. And there are few complications of blunt trauma which can cause such symptoms. These are1. Pulmonary contusion2. Rib fracture3. Pneumothorax4. Muscular injury. So better to get done chest x-ray to rule out above causes. If chest x-ray is normal than it must be muscular pain. So try to follow these. Avoid strenuous exercise. Avoid heavy weight liftingAvoid bad postures in sleep. Take good painkiller and muscle relaxant. Apply warm water pad to pain site. Wear chest belt for minimal mobilization of affected area."}
{"_id": "000004386", "text": "Hi. Thanks for your query and history in details about obesity, painless swelling above belly button. If this swelling is painless and if it is reducible and gets popped pout on coughing and straining, this is a para-umbilical hernia. Loosing a lot of weight will make to appear more prominent. I would advise you to get this confirmed by examination by a General Surgeon and get operated if advised so. You can also discuss the measures to be taken for reducing weight and about Bariatric Surgery."}
{"_id": "000004387", "text": "Hello, First, the elderly should avoid falling as much as they can because they usually have osteoporosis. Second, after falling she should do a plain X-ray to ensure that she does not have a bone fracture. Normally after trauma the edema occurs, and it gradually decreases with the treatment. Moreover, if she had hypertension or diabetes or other chronic illnesses, the recovery would delay for a while. Finally, your mother should take antibiotics for possible infection (penicillin), Aspirin twice a day after meal, vitamin D (Alfacalcidol 0.5)one tablet every other day for one week then one tablet per week for one month, besides Chat Doctor.  The healthy diet and avoiding prolonged bed rest are crucial for her. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000004388", "text": "Hi dear, I have gone through your question and understand your concerns. Bleeding in early pregnancy can be due to threatened abortion, or chorionic hemorrhage, or due to any local lesions in cervix and vagina. If the ultrasound is completely normal, then your doctor should do an internal examination to rule out any local lesions in cervix or vagina, which can cause foul smelling bloody discharge. Hope you found the answer helpful. Wishing you good health. Chat Doctor."}
{"_id": "000004389", "text": "Hello dear, The bump formation after fall is due to accumulation of fluid & blood, and it is called Hematoma. The blood cells accumulated are eventually broken down and absorbed in the body. But this is a slow process & takes times to disappear completely. Till that time, symptomatic relief is obtained by analgesics, ice compression & adequate rest. If it still persists or there are any other associated symptoms like fever, vomiting, dizziness, loss of consciousness, convulsions, etc...then it will be better to consult your Physician. Under such circumstances, a CT scan of brain will be needed to rule out any pathological cause for symptoms. Wishing you a good health. Take care."}
{"_id": "000004390", "text": "HIT hanks for using Chat Doctor Forgetfulness at age of 70 years, is towards dementia and in that case, he needs some neurologist consultation. You need medication like donepezil or cementing, that would help him slightly. Some patients get such kind of auspiciousness in dementia, it is part of dementia. For erratic or abusive behavior, he takes low dose antipsychotic after psychiatrist consultation.  Thanks"}
{"_id": "000004391", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Your son needs to be evaluated for high grade fever and heart pounding. So better to consult pediatrician and get done blood reports, ECG, chest x-ray to rule out cardiac and lung related diseases for his symptoms. He needs antibiotics and other supportive Chat Doctor.  So take him to pediatrician. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks."}
{"_id": "000004392", "text": "HI, Dear,Welcome to Chat Doctor. Based on the facts and data of your query, You seem to have a complex problem of 2 entities -a-Painful lump under the rib-which seems to be sebaceous cyst with reactivated infection of the cyst / or could be due to the fibromyalgia from the pelvic chlamydia infection which you seem to have over last few days.b-Genitourinary infection causing pelvic wellness/dull ache indicative of -cystitis/ urethritis/ with prostatitis due to chlamydia-with which you are diagnosed lately. This is STD disease and needs to be detailed and thorough follow-up treatment with Dermatologist doctor.c-Cancer Fear Psychosis with obsessive anxiety-as your mother died lately with Cancer. Check with your psychiatrist, who would resolve it by proper medicines. In the above scenario, you need to be very cautious and take the needful treatments for the varied health issues you have. Hope this reply would help you to resolve your sever anxiety. 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"}
{"_id": "000004393", "text": "Hello, Have you undergone ECG and treadmill test as well. If treadmill test is also normal then no need to worry.  It can be due to gastritis and reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated?  You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week.  Hope this helps you and get back if you have any doubts."}
{"_id": "000004394", "text": "Hello and welcome to Chat Doctor forum, Thank you for posting your query here, According to the treatment being provided to you by your dentist it seems to me more like an allergic reaction. But if it does not go away after 7-10 days of treatment, kindly visit your dentist again. We might have to do some tests to rule out the exact cause. Kindly follow the instructions given by your dentist.I hope this answer was useful.I wish you good health take care"}
{"_id": "000004395", "text": "Hi, Welcome to Chat Doctor. The rushes on your face that you have mentioned could be a condition called \\\"Rosacea\\\". This is a chronic skin condition which is described as redness (or rushes as you said) of facial skin. There are numerous triggers that may cause rosacea such as sun, stress, exercise, skin care products, alcohol, hot or cold weather etc. etc. Rosacea may also present with pimples at times. It is usually just a cosmetic skin condition but may affect the eyes at times. You can visit a dermatologist for further evaluation and treatment. There are oral and topical medications that help control the redness and acne(pimples) along with maybe a slight change in lifestyle if required to avoid the triggers. I hope this helps. Take care and be healthy. But, it maybe cosmetically"}
{"_id": "000004396", "text": "Hi, Thank you for posting your query. The main symptoms of Parkinson's disease are motor"}
{"_id": "000004397", "text": "Hi welcome to Chat Doctor. Forum. don't worry you didn't use the medication for which your infection is sensitive. You are not expected to use steroids, which suppress the infection. Then again it flares. When you get a boil you get the pus tested for culture and sensitivity. Which give you an idea of antibiotics to be used in order of sensitiveness. For allergy avoid brand of soap powder, and some foods like fish and brinjal. Use green leafy vegetables, fruits.  Chat Doctor.  Thank you."}
{"_id": "000004398", "text": "Hello and welcome to Chat Doctor forums. It's not ok to have pain and swelling persisting for 2 weeks after trauma. There is a very small bone called scaphoid in our hand. It can get fractured and can result in similar symptoms. This fracture is not visible in X-ray taken on first 2 to 3 days. So my advice is to visit another good Orthopedic doctor and let him take a X-ray again. This is very important as the fracture scaphoid if present should be treated ASAP as it can lead to some bad complications if left untreated. Hope this discussion will be helpful to you. Have a great day."}
{"_id": "000004399", "text": "HI, Dear,Good Evening from INDIA, and Thanks for your query to Chat Doctor. I studied your query in-depth and understood your health concerns. Cause of the lump on your shoulder-In your case it -is -mostly a-Sebaceous Cyst ? Or Boil with low infection. Treatment -a-I would advise--Tab-Anti-inflammatory for 5 days,-Antibiotics x 5 days -as the lump peels of ?due to mild infection in it. -If no relief it may need excision by ER Surgeon. This would help you to resolve your issue. Welcome for any further query in this regard. Wishing you earlier recovery. Good Day. With Regards Chat Doctor. N."}
{"_id": "000004400", "text": "Dairy understand your concern.Maybe you are at your maximum height of stress. You are 60, and you witnessed a death of brother and mother is terminally ill also. Most probably you are realizing that your fate would also be something like that. But is it true? This is the time you should have full faith in god. He created you, nurtured you, developed you etc. and when he wishes, he will take you with him. That is the truth. Truth is always bitter, and now your trying to deny the truth, worry about future, health etc. Forget all. You are now good. But nobody can say what is tomorrow. Why worry about what you are not certain or about what you cannot control? Be happy now. That's all. Bible says"}
{"_id": "000004401", "text": "Hi, I went through your query and can understand what you must be going through. Depression is a very distressing disorder and the fact that you are contemplating ending your life indicates that it is severe enough. You should initiate treatment for depression without any delay. You can consult a psychiatrist for the same. Treatment with anti-depressant Chat Doctor.  You should also discuss your problems with your family members or someone close to you. It will make your feel better a relaxed. Exercising daily also helps in relaxing oneself. I do hope that I was able to help you with your query. Best wishes for a speedy recovery,"}
{"_id": "000004402", "text": "Hi, You might be having tennis elbow on the left side. Tennis elbow is also known as lateral epicondyle inflammation and tenderness over the lateral aspect of the elbow is usually a sign. This is usually due to inflammation at the extensor muscle of elbow on the outer aspect of humerus. It is different from rotator cuff tear. Diagnosis is clinical examination and treatment is local Cortisone injection. If three injections are not helping you MRI of the elbow should be done. Local injection of platelet rich plasma is a very useful treatment. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004403", "text": "Hello! Welcome on Chat Doctor ! Your symptoms could be related to a pinched nerve, although not typical. For this reason, I recommend consulting with your GP for a physical exam and a nerve conduction study. Some blood lab tests (complete blood count, PCR, sedimentation rate) for inflammation or infection are needed. If these tests result normal, there is nothing to worry about. Hope you will find this answer helpful! Best wishes,"}
{"_id": "000004404", "text": "Thanks for your query, I have gone through your query. The Nor co 5-325 can be given every 6 hourly, do not take more than 6-8tablets in a day. It might result in adverse effects and addiction. If I am your treating doctor, I would suggest you to go for combination of diclofenac 50\\u00a0mg BID and serratiopeptidase. Complete the course for a minimum of 3 days, the pain will come down. It will not come down by just one dose. I hope my answer will help you, take care."}
{"_id": "000004405", "text": "Hi, Thanks for posting your query. Do you have difficulty in breathing/ cough/ chest pain? Do you have pain aggravation after eating meals? Do you have acidic belching/ abdominal heaviness? You pain location suggest some kind of chest pathology while association with vomiting suggests gastric problem. You should consult with internal medicine specialist and should go for thorough check up. You should go for chest x-ray, endoscopy, serum amylase along with liver function test. You should take proton pump inhibitors along with prokinetics for improvement of symptoms. Take care,"}
{"_id": "000004406", "text": "Hello have not mentioned in which part of body on left back hurts and burn, but I suppose you are referring to head as your question is about brain cancer so my advice is dependent on this presumptions symptoms do not occur VIN brain cancer so does not seem to be a Brian cancers there is history of accident BRAIN MRI is required to rule out Bain injury and then consult neurosurgeonLocal ice pack treatment is tried if no cut or wound It may help even notate care Chat Doctor."}
{"_id": "000004407", "text": "Hi and thank you so much for this query. I am so sorry to hear about what you experienced trying to help the stray dog. With you well vaccinated against rabies, there is no fear of contracting the disease again and there should be no need to get a new rabies injection now. How is your tetanus vaccination status if it is not up-to-date, please try to update it. Also, deep scratch wounds may require antibiotics for treatment. Do not hesitate to contact your doctors on this. I hope this helps. I wish you well. Thanks for using our services and feel free to request for more information if need be."}
{"_id": "000004408", "text": "Hello, I would like to know whether the cysts in your kidney and spleen were there prior to your cyst aspiration. As your cyst was only aspirated and not removed, it is highly likely to have some residual fluid collection. If there has been a considerable reduction in symptoms, you can wait and watch otherwise it would be advisable to get a second opinion. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004409", "text": "Dear serve understand your concerns went through your details. Usually sperm is never milky white. It has to be yellowish white or shadowy white. The brownish color could be due to the presence of blood in the semen. Do not panic. That is normal. If this reoccurs, do consult a doctor in person. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000004410", "text": "Hi, thank-you for providing the brief history of you. As by reading the history I can understand that it is not a RA or a OA factor. Neither its is a muscle strain nor ligament sprain. As per me, it is more of a lumbar spine disc degenerative changes as per the aging process. Taking an MRI scan will help understand the spine pathology and if any disc prolapse, protrusion, herniation is there can be understood. This comes in mind by the classical symptom of radiating pain as in this condition due to nerve impingement there will be a radiating pain and also motor control weakness. Regards Jay In Chat Doctor."}
{"_id": "000004411", "text": "Hello. Thank you for asking at Chat Doctor. I went through your history and understand your concern. I would like to make following suggestions to you in reply to your queries"}
{"_id": "000004412", "text": "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 Quertle other possible options that you have are as follows1. Surgical remedies2. Physiotherapy3. Pregabalin/gabapentin4. MethylcobalaminI 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. Please do understand that some details could be extracted from a detailed history and examination. 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."}
{"_id": "000004413", "text": "Ys these are allergies and allergy can develop at any time in any age with any substance it can develop from soaps shampoo oils cream ointment gods clothes and body application materialpsolone is not good you can start with anti-anti allergic tab with application of antiallergic ointment daily can get blood serum tests for specific antibodies for various allergens treat according to report with Chat Doctor."}
{"_id": "000004414", "text": "Hi, I could not get you completely. Twice in a --- you masturbate. If you masturbate twice daily then you should do it lesser. If it's twice a week or month then it is alright. Varicocele does not usually cause problems. What is the grade of your Varicocele on Ultrasound of scrotum. The major problem it causes is that it can lead to decrease in sperm count. I suggest you get a Semen analysis done to see if all is ok. If it is then I don't think you need to get operated for the Varicocele and if there is a problem in the analysis report then you can consider surgery for the Varicocele. You can send us the report if you get it done. You can contact me by leaving a Direct or Specialist query. Take care, Chat Doctor."}
{"_id": "000004415", "text": "HelloThanks for query. You have been detected to have renal mass on left side while being investigated for discomfort in Left loin. It is utmost important to get further investigations done to know the nature of mass.(Whether Benign or Malignant)Please consult qualified Urologist for clinical evaluation and get following tests done to establish diagnosis.1) Intro Venous Paleography (I.V.P).2) Contrast Ct Scan of Kidney Ureter and Bladder (PUB)Further treatment will depend upon final diagnosis. Chat Doctor."}
{"_id": "000004416", "text": "Hi, Thanks for your question. I don't think the medicine you are on, or have had could have caused this period problem. You have not provided the details of your test results & from the medicine you are taking I have guessed that you may have an ovulation problem (since you are on metformin, are unable to conceive & have delayed periods). So, my suggestion for you is to register yourself at a good fertility clinic with your partner & get yourself fully evaluated. Once a cause is found you may be offered a specific treatment which may be ovulation induction in your case. Wish you best of luck"}
{"_id": "000004417", "text": "Hello, Welcome to Chat Doctor. You are affected by a disorder in which iron accumulates in brain and other cells. It is due to mutation in gene called FTL gene. Please avoid intake of iron supplements. At present, there is no absolute cure for Neuroferritinopathy. You need physiotherapy and NSAIDs for painful joints. Adequate calorie intake is necessary. Only symptomatic management is currently available. Do all necessary investigations like Ferritin level in blew, MRI brain etc. Consult with your family doctor and Neurologist as well as genetics expert to have a better management and followup. Hope this helps. Take care."}
{"_id": "000004418", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of viral upper respiratory tract infection (URI) is more. But better to rule out pneumonia because you are having fever and Chest pain. So get done chest x-ray to rule out pneumonia. If chest x-ray is normal then no need to worry about pneumonia. Viral URI is more in your case. So Chat Doctor."}
{"_id": "000004419", "text": "Hello. Thanks for writing to us. The lower back pressure that you are feeling could be related to a muscle fatigue due to a recent viral infection or mild deny Chat Doctor.  Most of the time this can be taken care of by taking mild painkillers having plenty of fluids and fresh fruits orally. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http"}
{"_id": "000004420", "text": "Thanks for your question on Chat Doctor. I can understand your concern. We need to first rule out cardiac cause for your symptoms because you are smoker, obese and having age more than 50. So you are at risk for heart diseases. Get done ECG and 2d echo. If both are normal than no need to worry about cardiac diseases. You are mostly having HERD (gastroesophageal reflux disease). Smoking, obesity and old age are known risk factor for HERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning chest pain. So avoid stress and tension. Lose weight and quit smoking as soon as possible. Avoid stress and tension. Avoid hot and spicy food. Start proton pump inhibitors and prokinetic Chat Doctor.  Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000004421", "text": "Hello ! I read your question carefully and understand your concern. I think your symptoms are very likely to be migraine. The blurring vision and numbness in your arm and hand are migraine aura, common symptoms preceding migraine headache. I don't think that there is a connection between your ear troubles and your migraine attacks. Two attacks per month are not too much. I would recommend treatment with Sumatriptan or Sumatriptan within the first symptoms preceding headache. These Chat Doctor.  If your attacks become more frequent, you should consult with a neurologist, have a good physical examination and other tests to rule out other causes. A prophylactic treatment may be initiated in that condition. As for your ear you should consult with an ORL specialists, if the pain persists. Hope to have been of help! Greetings,"}
{"_id": "000004422", "text": "Hi, thanks for writing to Chat Doctor. Based on the description, I think that you have suffered Acute lumbosacral strain. The general treatment guidelines are as follows -* Give adequate rest to the inflamed area making it to heal and recover* Avoid involving in activities that produces pain* Ice packing for 10 minutes once in 2 hours* Moist heat application over the affected area* Analgesic & Muscle relaxant medications as needed. If you don't find any relief with the above measures, a detailed clinical examination along with appropriate investigations are needed to establish a diagnosis. Hope this information is helpful. Good day"}
{"_id": "000004423", "text": "Hi and thanks for the query. Pains in the lower right side of the abdomen can really mean so many things. What has to be suspected and ruled out is acute appendicitis? Others include kidney stones, UTI etc. Taking tramadol and Tylenol may only mask the true picture of this condition and make it more difficult to assess and treat time. Also, if it is caused by an infection, they in no way slow down the progress of this infection but gives you a false feeling of no pains. Because it is getting even worse and gradually been aggravated by breathing, I will suggest you see a doctor and get evaluated. We should have an idea of what is wrong or rule out potentially dangerous causes before settling. So much information is lacking right now. Hope this helps. Wish you good as you get this pain evaluated and appropriately treated. Chobufo, MD!"}
{"_id": "000004424", "text": "Hi, There is no medicine or brace which is likely to help you in correcting bow legs at this age. If bow legs are troubling you then get them corrected surgically corrected-only the deformity and not the joint part. It will help you in reducing the joint damage also, and now we have methods where you do not have to in bed rest also. Please discuss with your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000004425", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Anxiety can cause HERD (gastroesophageal reflux disease). And this can cause gives feeling of chest tightness, nausea, breathlessness etc. So follow these steps for better symptomatic relief.1. Avoid stress and tension, be relaxed and calm. Consult your psychiatrist for counseling sessions. You may need anxiolytic Chat Doctor. 2. Take pantoprazole tablet on empty stomach twice daily.3. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals.4. Go for walking after meals. You will mostly improve with all these in 1-2 weeks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004426", "text": "Hello, welcome to Chat Doctor. Multiple attempt to cut wrist and suicidal tendency points toward severe psychiatric illness like depression and psychosis along with some personality disorder related traits. Some time because of lack of insight it is difficult to bring patient in treatment. Many times in severe cases, along with counseling Chat Doctor.  As he is having suicidal ideation, then urgent and involuntary treatment may be needed in his case. For help, it is better to visit nearby psychiatrist. Wish you good health and all the best."}
{"_id": "000004427", "text": "Here you have told you have symptoms like heart burn, heaviness in eye, back pain and weakness. This all symptoms could be related to with Chat Doctor. You have also mentioned you take some medication. But your explanation is not clear which medication it is and for what it is, as well you have not informed about your previous medical history so specific guideline is not possible but can suggest in general as bellow. First you consult a doctor and do your blood test for complete blood count, vitamin B, calcium check. Then also go for ECG. Now based on report if anything gets detected follow treatment. If all reports are normal then you need to visit a Castro neurologist because it can be related to gastritis. And let him examine. Again as per his evaluation follow treatment. Now if that is also normal then visit an or tho and get your self examine for back pain and take treatment as per his advice. Here for normal back pain I suggest physiotherapy is a good option of treatment. In last, I suggest you to change your lifestyle and food habits. Do not eat spicy food. Maintain your food timing. Have good break fast, average lunch and minimum dinner possibly at or before 8"}
{"_id": "000004428", "text": "Hi, dairy have gone through your question. I can understand your concern. Your mother has brain cancer and operated multiple times.  She also took radiotherapy.  Now she has complications like meningitis. Her symptoms are due to meningitis. She should go for CSF examination.  Then she should take intravenous antibiotics accordingly. Continue her radiotherapy according to advise.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004429", "text": "Degree understand your concerns went through your details. There are no treatment available to reduce the size of penis and testicles. There are many quacks out there who eyes your money and could give you false promises. Do not fall prey to them. Penis size is purely genetic. The length could vary according to masturbation but not more than plus or minus 5 millimeters. Shrinkage is also natural but not due to masturbation. Slackness and hanging could also natural but not due to masturbation. Therefore, I suggest you to ignore these genetic aspects and concentrate on your sports. You may consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000004430", "text": "Hello, and I hope I can help you today. The bumps you likely are feeling on your cervix are most likely Nathan cysts rather than polyps.  Polyps are fleshy soft growths that are just out pouching of the normal glands that line the canal of the cervix.  It would be difficult to feel them, and they usually cause irregular bleeding or bleeding after sex.  They do not cause infertility (uterine polyps can, but those are not the same and are not possible to feel because they are inside your uterus. Nabothian cysts are just blocked mucus glands that can feel like knobby bumps on the cervix.  They also are not harmful and do not interfere with fertility. Both of these findings on your cervix can be seen on a spectrum exam, so a GUN doctor would be able to tell you what you are feeling if they looked inside you. Also, regarding the position of your cervix, this also has no bearing on fertility and does not change from month to month, so you do not need to check your cervix regularly especially if you have a yearly gynecologic checkup. Regarding BBT charting for conception, your temperature goes up AFTER you ovulate, so I recommend not checking it anymore if you know around when you ovulate in your cycle and just have sex every other day from the time your period finishes until you feel premenstrual symptoms.  Some women only have sex after their temperature goes up, and they miss the actual time of ovulation. So there is no reason to suspect you will have problems conceiving, and you do not need to be treated for this because it is a normal finding in many women.  80 percent of couples will conceive within a year.  If you have been having sex at the right time and it's almost a year, it might be wise to have a GUN exam and a hormonal evaluation, and also have your fianc\\u00e9 get his sperm count checked, as 50 percent of the time it can be a male factor. I hope I was able to answer your question and that my advice was helpful. Best wishes and good luck with your pregnancy plans,"}
{"_id": "000004431", "text": "Hello, as all your test are normal. You can try clomped citrate for infertility. You have to mark your ovulatory period and try conceiving in that. Take treatment properly and consult gynecologist for infertilitysiphene tablets 100\\u00a0mg are generally well tolerated, and side effects are usually related to taking high doses.  Side effects include"}
{"_id": "000004432", "text": "No steroids this happens in the patients of milk allergy in any diseaseifwe give antibiotics immunity go down and allergy increases get blood serum test for specific antibodies for milk wheat potato and canyon go for sublingual immunotherapy to increase immunity mean while stop milk and diary no mustard coconut walnut groundnut almond oils olive forapplicationolive for cooking no soaps ointments creams shampoo containing milk and nut scan continue montage till the results an after results post for next guidance"}
{"_id": "000004433", "text": "Hi, Thank you for posting your query. Parkinson's disease (PD) is a degenerative disease of the brain, and it requires medications lifelong. Despite medications, the disease continues to get worse in severity leading to disability. Syn dopa (levodopa) is the main medication used for treating PD, as it provides dopamine (which is deficient in brain of PD patients). Postural giddiness-giddiness that occurs on standing-is a common side effect of syn dopa. To avoid this, she should be sitting up slowly, from a sleeping posture, and then try to get up slowly and walk. If she still has side effects, the dose of syn dopa may be reduced. Best wishes, Chat Doctor."}
{"_id": "000004434", "text": "Hi there. Welcome to Chat Doctor. I have read your query. Do you have any back pain ? What is your age ? It appears you could be having muscle spasm as a result of nerve pinching due to possible disc prolapse Beside the pain is radiating to your foot from the thigh. There are various causes for the same but if you are having back pain as well, it is imperative to get evaluated for disc problems in your spine and any problems in the hip like arthritis. Kindly avoid lighting heavy weights or bending forward. Eat healthy. Stay stress-free. Consult your Orthopedic surgeon in this regard for a thorough examination and evaluation of your problem. I hope I have answered your query. Thanking you."}
{"_id": "000004435", "text": "Hi, Thank you for posting your query. I have noted your symptoms as well as the MRI spine findings.First, I would like to reassure you that there is no need to worry about your numbness. Numbness would gradually improve over time, especially if the nerve compression due to the disc bulge is not severe. If you can upload the MRI report, it would be more helpful. 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/"}
{"_id": "000004436", "text": "Hi! Tanya, welcome To Chat Doctor forum, Probably you have developed folliculitis due to procedures like waxing or shaving of leg hair. This then eventually leads to dark spots. You can apply retinoid cream at night over the spot. You can also use combination cream of glycolic acid and HY Chat Doctor. These would gradually bleach the marks to normal skin color, but take long time to work. If these things don't show good response then you can go for lasers. The best laser would be a Q-switched Nd"}
{"_id": "000004437", "text": "Hi there. Thanks for the query. Since after the injury you are not getting worse but progressively better, it is a good sign of only temporary neuron loss. This means recovery will take place. Regarding 100% recovery, it is highly difficult t comment because this depends very much on your original disability stats. If the grade of disability is lesser the chance of full recovery is excellent. It is best to stay positive and do daily exercise to increase the strength of your muscles very gradually and not forcefully. Wishing speedy recovery."}
{"_id": "000004438", "text": "Hi dear, I have gone through your question and understand your concerns. Depo proverb has the side effect of irregular spotting or prolonged amenorrhea. If your pregnancy test is negative, then the pregnancy is ruled out. I suggest you not to worry as it is the side effect of demo shots and will slowly get normalized. Hope you found the answer helpful. Wishing you good health. Regards Chat Doctor."}
{"_id": "000004439", "text": "Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. This kind of pain can be due to one of the following"}
{"_id": "000004440", "text": "Yellowest congestion with ear pain can be due to some viral infection causing upper airway inflammation and involvement of lung (bronchiolitis). Upper airway infection is associated with blockage of ear tube and thus ear pain. If child is feeding well, there is no breathing problem and sleeping well you can observe the baby at home. As this is mild bronchiolitis, and it can be managed well at home. Give her antiallergic like chorpheniramine with nasal decongestant like phenylephrine. Nasal saline Chat Doctor. Continue feeding and if you notice any breathing or feeding difficulty consult your pediatrician. Regards"}
{"_id": "000004441", "text": "Hallow Dear, It seems from the medicines that have been prescribed to your wife that she is having Polycystic Ovarian Syn Chat Doctor.  In this condition, the eggs from the ovary are trapped within the ovary and they're not released; hence any cysts are formed. This leads to irregularly delayed heavy menses with infertility. This condition also is characterized by high insulin and high male hormone levels. Due to this, there is obesity, hair on unwanted areas like face, chest, abdomen, legs, etc. Medicines like Metformin and/or MYO inositol help reduce the levels of these hormones. For achieving pregnancy in such cases, some medicines have to be given for releasing eggs from ovary (induction of ovulation). To start with, usually Camphene citrate is used. This medicine can be used for maximum 6 cycles. If it fails to give desired results, BMG/Chat Doctor combination may be tried. Concomitant use of Metformin and/or MYO inositol give better results to Camphene citrate. Valet Tablet contains L-Methylfolate, Myo-Inositol, and Vitamin D3 as active ingredients. Therefore, it helps to achieve ovulation by Camphene citrate and usually does not have any ill side effects. However, this medicine should be given along with Camphene citrate. In addition to the medicines, please pay attention to her weight and BMI. Please maintain her BMI under 23.9. I am sure this will clarify your concepts about the treatment she is receiving and the ideal treatment for such condition."}
{"_id": "000004442", "text": "Hello, Thanks for your query. The description suggests that you have lumbar disc disease with radiculopathy. The initial management for this problem is conservative by following means"}
{"_id": "000004443", "text": "Good day, and thank you for being with Chat Doctor ! It means that because of previous infection the upper part of your sons' kidney is not functioning very well. I suggest repeating the same scan 3 months after and if infection is still present, it should be managed properly. I hope I have answered your question satisfactorily, and please consider a 5-Star rating for my answer. Thank you very much."}
{"_id": "000004444", "text": "Hello, The symptoms that you are describing can be caused by rapid breathing (hyperventilation) with or without low blood calcium. Is it possible that you were breathing heavy (like sometimes one does when nauseated) before these things started at that particular time.  Heavy breathing reduces carbon dioxide levels in blood and irritate nerves to cause these symptoms. These are transient and are relieved sometime after the heavy breathing is stopped. It is also a good idea to get you calcium levels checked. Good luck."}
{"_id": "000004445", "text": "Welcome to Chat Doctor. I have gone through your question. For hormonal imbalance you should get treatment for it first according to my advice. As hormonal imbalance will interfere in fertilization, implantation and in pregnancy also. Contraceptive pills are prescribed to regularize the cycle. So consult gynecologist and take his/her advice for it. Hope I answered your question. Would be happy to help further. Take care."}
{"_id": "000004446", "text": "Hi, Welcome to Chat Doctor, I had gone through your question and understand your concerns. As per your details, 8 days old fever should be evaluated with blood test, X-ray chest. In case of viral fever, fever spike goes every 6 hours, better to give Tylenol every 6 hourly to prevent fever induced fits. Kindly evaluate with pediatrician, as already he is on antibiotic. Hope, I have answered your query, all the best, take care."}
{"_id": "000004447", "text": "Hi, swollen feet may be due to kidney, heart problem. In malignancy diminished protein also responsible for this, you have to get a routine blood biochemistry report to have an idea. The cancer has almost spread to diffuse area of body, sorry to say, life expectancy is not good, it may be in months. But proper palliative care can relieve the symptoms and give a better quality of life. Consult a palliative care specialist."}
{"_id": "000004448", "text": "Thanks for your question on Chat Doctor. I think you are having HERD (gastroesophageal reflux disease). Stress is one of the Major risk factor for HERD. It is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause the symptoms. So along with antacids you should follow these too for better symptomatic treatment.1. Avoid large meals, instead take frequent small meals.2. Avoid hot and spicy food.3. Avoid stress and anxiety.4. Go for walk after meals.5. Keep 2-3 pillows under head in bed.6. Avoid smoking or alcohol if you have these habits.7. Lose weight if you are obese."}
{"_id": "000004449", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Sudden onset bronchospasm due to either stress or allergy can cause similar symptoms. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If PFT is normal then no need to worry about lung pathology. Rarely Pulmonary embolism can cause sudden onset chest tightness and breathing difficulty. So if PFT is normal then get done CT Pulmonary angiography to rule out Pulmonary embolism. If this is also normal then possibility of stress and anxiety related symptoms is more. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. But better to rule out above-mentioned causes. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004450", "text": "HelloThanks for query. Based on the symptoms that you have, I would state that you have Chronic infection of the Epididymis and Testicles (Chronic Epididymo-Orchitis). You need to consult qualified Surgeon for clinical assessment and get following basic tests done to establish diagnosis .1) Routine urine test and Urine culture 2) Ultrasound Scanning of Scrotum. Taking appropriate antibiotics as per culture report along with anti-inflammatory medicines like Diclofenac and Serropeptidase twice daily will help to eradicate infection.ensure to Chat Doctor."}
{"_id": "000004451", "text": "Hi, As per information provided by you, your mother 89 years of age is having nausea and vomiting after more than 10 hours following PET scan. I do not think this is due to any adverse reaction to the PET scan as such. Still going by her age and that she has vomited 3-4 times, I suggest you take her to your hospital and get her examined by doctors. We don't know, but she may be going in for deny Chat Doctor. Take care"}
{"_id": "000004452", "text": "Hello and welcome to Chat Doctor. As a Urologist, I can understand your anxiety. You should write your age, sex and reports of the diagnosis. If the kidney stone is more than 6\\u00a0mm,take medicine for dissolution of stone. How was a diagnosis of renal t.b. made. Did you get urine-AFB c/s positive? If the stone is much larger and affecting the kidney, go for an ESL or PCNL. Chat Doctor.  Avoid dairy products in diet. If you've any doubts, send it to me, as a direct question with all reports."}
{"_id": "000004453", "text": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are worried about your habit of pulling out hair and eating the hair follicles. It's good that you have been able to realize that you are not able to control this behavior and have decided to seek help. From the description of your symptoms, you appear to be suffering from a psychiatric disorder called TRICHOTILLOMANIA. Here the person compulsively (i, e, repeatedly and without control) keeps pulling out hair and some may even ingest the pulled out follicles. This is classified as a compulsive disorder. Since your problem appears to be very severe and distressing, I would advise you to seek professional help immediately. There are effective treatment options - with medication as well as psychological therapy which can help you overcome this problem. So, please consult a psychiatrist at the earliest. Wish you all the best."}
{"_id": "000004454", "text": "I don't know what to say to a question like this.  You marry someone because you love them.  Tomorrow is promised to no one.  She won't be able to have child Chat Doctor.  Can you live with that?  She may be cured one day and then again she could die. You could get hit tomorrow by a bus...or you could get cancer...what are your chances of surviving?  I doubt very much God lives on yahoo and has an answer for you, so you decide if you love this girl and want to be there for her or move on and let her be."}
{"_id": "000004455", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your query white coating over the tongue after using inhaler that might be containing Steroid can be due to Yeast infection over the tongue known as Oral Thrush. It can cause inflammation of tongue and gums leading to pain and soreness. As the white coating is gone that means infection is resolving there can still be inflammation of tongue and gums leading to pain and soreness. Nothing to worry, start gargling with Statin mouthwash to resolve the residual infection. Gargle with numbing mouthwash containing Lidocaine. Take vitamin B complex supplements daily. Suck ice pops and do cold water rinses.in case of no improvement consult an Oral Physician and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor."}
{"_id": "000004456", "text": "Hello, The causes of pain below ribs are"}
{"_id": "000004457", "text": "Hi.you are trying for conception and have used ovulation induction with camphene citrate. And your follicle size is not up to the mark, it should grow at least 18\\u00a0mm for using Chat Doctor. .you have tried only one cycle with camphene, you can try 2 more cycles with camphene with increased doses, see your infertility specialist for the dose calculation for you.since you have POD, even that will have effect on ovulation, that needs to be corrected first before going for ovulation induction.have you undergone preliminary hormonal tests, 2nd day FSH, LH, Ultrasound scan. TSH, AMH.?see an infertility specialist for this.all the very best,"}
{"_id": "000004458", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of vast legal attack is more likely. You are mostly having viral upper respiratory tract infection (URI) which is causing blocked nose and cough. This viral infection can also provoke vast legal reaction upon prolonged standing in sun bed. So better not to do such activity when you are having any symptoms like cough, cold.  Chat Doctor.  Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004459", "text": "Hello, You did not mention how your doctor diagnosed that you have TB lymphadenitis. Generally, after FNAC lymph node we diagnose TB lymph node. And most of the time we do not get AFB Bacilli in that smear. According to the recent TB guideline, TB lymphadenitis comes under regime I treatment if you have no history of TB or any incomplete ATT treatment. In that case, you have to take two months of four Chat Doctor.  In short, this is called 2 HAZE. It is called Intensive therapy. Then again examine your size of lymph node if the size does not reduce significantly then one month more intensive HAZE therapy. After that switch over to maintenance therapy of two"}
{"_id": "000004460", "text": "Hi, pus cells 0-2 in stools is completely normal finding, and you need not worry about any infection. A 3-month-old child can pass medium to semisolid stools and in a frequency of 6-8 times a day, even more, without any intestinal bug. Colour of the stool can be greenish to yellowish. At present, your child appears to be completely normal and you don't have to load him with oral medications which will only make his condition worse. Thanks and regards."}
{"_id": "000004461", "text": "Hi, Thanks for writing in. Cancer is a difficult condition to treat and osteosarcoma is a bone cancer that proliferates quickly and gets out of control. The fact that there is cancer spread to the lungs shows that the patient is having advanced disease and in a lot of pain. Chemotherapy might control the cancer progress but cannot cure the patient of the illness. A patient should be fit enough to accept chemotherapy else there is sufficient risk in giving chemotherapy and that might cause more harm to the patient than intended. There are cases when the patient is unable to tolerate chemotherapy. Please discuss in detail with her treating doctor and provide supportive care and pain relief to her. Please do not worry."}
{"_id": "000004462", "text": "Hello, You need to see neurologist for this sooner. Your symptoms arise suspicion of transient ischemic attack or desalinating disorder like multiple sclerosis. Doctor is very likely to repeat the MRI and get a contrast study done. Last year MRI hyperintensity can be infarct, desalinating plaque or even focal infection. Interval change in this hyperintensity can help doctor to know what it is. Regards."}
{"_id": "000004463", "text": "Hi Their understand your concern for your mother and I would like to tell you that your mothers' heart function is low, and these medicines will decrease the workload on her heart and will support it. After long term use of these Chat Doctor.  But yes the regular use will surely slow down the disease process. Its also advisable that she should consult her cardiologist every 6 months for evaluation and medicine review. I would also like to suggest restricting her daily fluid intake to less than 1.5 Liters and reduce the dietary salt intake. May God Bless"}
{"_id": "000004464", "text": "HelloThanks for your query. The mild spotting and cramps around day 14 definitely point to an ovulation bleed. You would be having follicular monitoring and ultrasound in this cycle, so you easily know what is the cause.Also, you should see an Infertility specialist for your problem, as there are various causes of infertility. Your basic hormonal tests, semen testing of your partner, your tubal patency tests and ability to ovulate are some cardinally important issues. These should be thoroughly evaluated.Their is no reason in this era of ART (assisted reproductive technology) why anybody should be childless. Do not lose hope and keep consulting a specialist. All the best for this cycle."}
{"_id": "000004465", "text": "Hai Bernard, As from your quote pus cells in your semen analysis indicates some sort of infection. Infection also disturb the quality and quantity of semen. In this case semen culture needed. Advise to a have safe and healthy sex life. Consult a family physician and a get counseling for healthy sex life. Because unprotected sex will transit infection from one to one. Regarding your count I advise you to add some food items in your daily food intake that will result in increase of quality sperm and total outtake foods like Almond, cashew,Hanna, soyabean, peanut in your daily food intake. Take wheat, jaggery, black gram, and DAL prepared with ghee. Take diary product like milk, yogurt,cheese, butter etc. Add fig, dates,spinach green leafy vegetables, ragi, folic acid containing fruits and vegetables. If you eat non-vegetarian take meat (lamb) twice in a week. Avoid fried, junk,caffeinated Chat Doctor.  Be HY"}
{"_id": "000004466", "text": "Hello! Welcome to Chat Doctor. Thanks for your query. Since you have a long history of allergy, and you feel that taking fish oil will precipitate allergy, you should avoid it and take other supplements such as walnut, Sardines and soybeans. These supplements are rich sources of omega -3 fatty acids. Because the psychological feeling of allergy about the fish oil could probably cause problems. For your blood pressure reduce your salt intake, do walking or cycling daily and if possible you can practice meditation. Check your blood pressure after practicing these lifestyle modifications after 2 weeks. If your blood pressure is high consult a physician for hypertensive medication prescription. Consult a general physician and take further suggestions. Wish you a good health. Thank you."}
{"_id": "000004467", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. The details you gave here is not enough to provide a proper diagnosis. You have mentioned seizure disorder, OCD, ADD (no diagnosis). I request you to consult a clinical psychologist who shall be able to make your son undergo psychometric tests to diagnose these problems. Once diagnosed, medicine as well as psychotherapy should be started. You should work with your psychiatrist / psychologist for better result. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000004468", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some malignant mass in the retro peritoneum. Your FNAC report of rare epithelial cell does not indicate anything. You should go for Ultrasound guided biopsy of that lesion. It will give you some idea about diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004469", "text": "Brief Endoscopic retrograde cholangiopancreatography (ERCP)Detailed Answer"}
{"_id": "000004470", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Recurrent pneumothorax is seen most commonly with cystic lung diseases. So better to get done HRCT thorax. HRCT is needed because chest x-ray and lung functions can be normal in many cases. Pleurodesis is the treatment of choice for recurrent pneumothorax. In this, two pleural layers are made to adhere to each other's by talc. So there will no potential so ace in the future for pneumothorax to develop. So consult pulmonologist and get done HRCT thorax and Pleurodesis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004471", "text": "Hello, Welcome to Chat Doctor, As you were bitten by a dog which is known to transmit rabies, which is 100 % fatal, but it is 100% preventable by proper and adequate treatment. As you were a bit on 19-10-14 and taken first shot on the same day, remaining shots to be taken on following days over the deltoid muscle. Day 0- 19/10/14\\u00a0Day 3 - 22/10/14\\u00a0Day 7- 26/10/14\\u00a0Day 14 - 2/11/14\\u00a0Day 28 - 16/11/14. The anti rabies vaccines should be taken of aforementioned dates. Thank you."}
{"_id": "000004472", "text": "Thanks for your query at ChatDoctorEBV belongs to herpesvirus family. It is often self limiting but virus persists for life. It is associated with cancers and HIV, autoimmune diseases. I suggest you take investigations to rule out these diseases. There is no specific treatment for lymph nodes in such cases. I suggest you get an ultrasound guided FNAC done and get examine for cytology, gram stain and ZN stain to rule out chronic infections like tuberculosis. Your WBC is OK no need to worry. Get ABV PCR repeated. Follow up with investigations. Take care!"}
{"_id": "000004473", "text": "Hi there... See first how can u see its hypoglycemia without even doing a sugar test... Hypoglycemia is said we blood sugar is less than 55\\u00a0mg/DL with symptoms like sweating palpitation tremors or sometimes if severe may lead to unconsciousness or convulsions. But usually it occurs in diabetic patients on medications. I think your symptoms are mainly due to disturbed sleep cycle. Though get your blood sugar and hemoglobin level checked. Take care."}
{"_id": "000004474", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Since you are having history of ASD (atrial septal defect) repair, we should first rule out heart related diseases for your symptoms. So first get done ECG and 2d echo. If both of these are normal then no need to worry about heart diseases. Other causes are asthma, stress or anxiety. So consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). If both of these are normal then no need to worry about asthma. Sometimes, uncontrolled stress and anxiety can also cause similar symptoms especially in teenage. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright. But first rule out heart and lung diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004475", "text": "HelloYour findings suggest small simple cyst in upper pole of right kidney. Simple renal cysts are generally age related developmental finding, and it only requires follow-up ultrasound. Renal cysts may require treatment if there is pain, increase in size of cysts, infection etc. You are rightly advised that there is nothing to be worried about, Pain may be due to some other reasons. You may need proper clinical evaluation and conservative treatment. Get well soon. Take Care Chat Doctor."}
{"_id": "000004476", "text": "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 feel that his problems is the fumes that they worked with. It is possible that the respirators they were using were not so tightly applied. In this case, the fumes may have entered his lungs. Some of it is easily absorbed via the skin as well. Once they are in the circulation, it takes time for the body to clear them as some of them really attach to the blood components and do not budge until the blood is gradually replaced by the body. I would agree with the doctors because the examination would be normal. However, a blood electrophoresis test may help them find the defects. I suggest some fresh air and high concentration oxygen breathing. 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"}
{"_id": "000004477", "text": "Thank-you user for your query. I understand your concern. As per your query all I want to suggest is that diabetics may develop leg cramps as in diabetes there happens weakness of muscles mostly in legs and forearms. For this you can start taking methylcobalamin 1500 mcg daily, and it should be continued for at least 15 days continuously. You should also start taking calcium in form of tablets daily and vitD3 60,000 IU once weekly. Kindly mention how many units of insulin you are taking. So far as your chemotherapy is concerned 5 years ago, well it may also cause pain in legs as chemotherapy reduces the potassium in body thereby causing leg cramps. For this I should have asked you to consume banana but since you are a diabetic, so I can't ask that. Start having high protein diet in form of soybeans, you may also consume fenugreek seeds as well. If at all pain worsens then tablet of diclofenac potassium can do your work. But you may consult any endocrinologist for your diabetes and any hematologist to check for your All too. God bless"}
{"_id": "000004478", "text": "Thanks for your question on Chat Doctor. LATE is left atrial enlargement. Left atrium receives blood from Pulmonary arteries. This is oxygenated blood. From left atrium, this oxygenated blood will go in left ventricle and from here it goes in aorta and different parts of body. So any obstruction in this flow of blood can cause left atrial enlargement. Following are the causes for this. 1. Mitral stenosis 2. Mitral valve incontinence or regurgitation. 3. Dilated cardiomyopathy. So get done 2d echo to rule out causes for LATE."}
{"_id": "000004479", "text": "Hello, The increased fluid in the bowels is because proper bowel preparation was not done before sonography.  I mean they didn't give you any laxative to clear the bowel. Its normal finding. The increased cortical echo texture of kidneys per se may suggest some kidney injury. Bilateral renal artery Doppler (one kidney which has increased echo texture may have some blockage in flow) and S. Creatinine and maybe comprehensive kidney function test should be considered.  However, I would like to point out that none of the above may cause pain post meals. A plain antacid like cesium 40 mg once a day in morning before breakfast should be taken for 6 weeks. Antibiotic metronidazole can be taken for 5 days if you are in India / Africa. Let me know if any further clarification is needed. Regards Chat Doctor."}
{"_id": "000004480", "text": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1) First do not panic. 2) As you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. If you have unprotected sex act in this period, then she stands chance to get pregnant. You can get ovulation study done from day 10 of the cycle. This will help to know the day of ovulation.  You can simply opt for unprotected sex act in and around the day of ovulation, or opt for GUI - intrauterine insemination, on the day of ovulation. 3) Also, you can get her post menstrual HSG - hysterosalpingography done, to know about the patency of the fallopian tubes. 4) Please get your semen analysis done to know about the quality and quantity of sperms. With normalcy of these reports, most of the couples conceive within 8 to 12 months.  5) I will suggest that she should opt for a healthy lifestyle as you have mentioned that she is a bit weak. Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet.  Chat Doctor.  Avoid deep-fried foods, bakery products and refined sugars. Use of vitamin B 12 and Folic acid supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. I hope this answer helps you. Thanks."}
{"_id": "000004481", "text": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Liver enzymes can be elevated due to intake of wine, or it may due to some other cause like"}
{"_id": "000004482", "text": "Hello, Recurrent cold and chest congestion in child Chat Doctor.  So better to consult a pediatrician, and get done a clinical examination of the respiratory system. He will need inhaled bronchodilators (formoterol or albuterol), an inhaled corticosteroid (ICS) (budesonide or fluticasone). Combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) is also beneficial. Intranasal steroid (fluticasone) spray is also helpful for cold. Don't worry, he will be alright with all these. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004483", "text": "HelloWelcome to Chat Doctor. Paternia tablet contains active ingredients' lycopene, coenzyme Q-10, zinc and l-carnitine. These agents are known to improve sperm motility and morphology. These tablets are to be taken for 3-6 months 1 tablet twice a day to show some effects. However, the efficacy is not confirmed in clinical trials. There are almost negligible side effects. I hope these tablets work for your husband. Thanks"}
{"_id": "000004484", "text": "Hello, It's almost clear that you are having relapse of depressive illness & it is not just bupropion with Chat Doctor. You may try green tea, eat more fruits and green vegetables and go for more walks and become social. But if the symptoms increase then you should start anti-depressant as- delaying meds will only make illness more severe and difficult to treat. It may have happened that the bupropion was stopped before completing the normal course of medicine. Whenever the patients stop the"}
{"_id": "000004485", "text": "Hi, Thanks for the query. I understand that you shifted to a new pill from Northam. Since you had a period on 30, you should have started the new pack of pills from day 3 of the periods. You started it a little late. So it was advisable to use a backup contraceptive method like condoms during the first 7 days. Day 12 of the cycle cannot be considered a safe day, so chance of pregnancy are not very high but not zero. Also since you have been using Northam, the return to fertility after the Chat Doctor.  But there is no way to be absolutely sure. If it is less than 72 hours since intercourse, you can try plan B and continue your pills. This will reduce the chances of pregnancy significantly, and you need not worry then. Hope this was helpful. Thanks for using Chat Doctor. ChatDoctor BagdeConsultant Obstetrician and Gynecologist"}
{"_id": "000004486", "text": "HelloWelcome to ChatDoctorI would suggest you to get your root canal completed as soon as possible otherwise it will become very difficult to save your teeth. It will lead to abscess formation & will take even more time.Meanwhile you can take some analgesic & antibiotic to escape from pain. You can also place clove oil dipped cotton pellet in your teeth for temporary relief. Take Disregards Chat Doctor."}
{"_id": "000004487", "text": "Hai, Bad breath is one of the symptom of acidity. First treat your acidity and your bad breath problem will be resolved. Management for Bad breath"}
{"_id": "000004488", "text": "From the complaints your mother has its suggests a post-traumatic gloss. Gloss is formation of a scar with dense fibrous tissue and the neurons die after the injury. It is a slow process, and it can lead to memory loss and headache and slowness of speech. Please consult a neurologist, and he can examine her full neurological status and prescribe you euro stimulators and other Chat Doctor. Take care"}
{"_id": "000004489", "text": "Peripheral neuropathy you're suffering from is due to which problem. Do u have diabetes?along with B complex tabs, I suggest you also to have tabbed prothioden 0ne tab twice daily northeast once before going to bed.You're saying that u have pain in right lower limb. Is it associated with back pain? Is there any history of fall/trauma? U may be having lumbar disc disease. Kindly consult a near by neurosurgeon for your problem"}
{"_id": "000004490", "text": "Hello! Thank you for the query. Tampon is not a natural thing. So you insert something that does not belong to your body. Sometimes it can cause an irritation or even an inflammation of the uterine or urinary tract infection. Pain while inserting a tampon can be also a symptom of uterine cancer. With urinary tract infection you may also have frequent urinating and burning while urinating. Uterine infection can give bad smelling discharge. I suggest you to consult gynecologist, have transvaginal ultrasound. Urinalysis should be also done. Hope this will help. Regards."}
{"_id": "000004491", "text": "Instead of heading to ER, better head for an or tho. It is clear case of cervical disc syn Chat Doctor.  IVD space reduced, reason may be trauma, degeneration etc., emanating nerves compressed and pain radiates to shoulder. Some traction may be given for few days. Cervical collar for support may be given. Few physiotherapy exercises after pain subsides. Some painkiller 1 SOS may be necessary sometimes. After you recover from acute phase, learn Yoga postures, for few minutes practice a day and live comfortably after. Hope it helps you."}
{"_id": "000004492", "text": "Tumors that rapidly increase in size over a short period of time with associated enlarged cervical lymph nodes are usually malignant. If a patient had presented with these features in my clinic, I would have advised a FNAC of parotid swelling and an MRI scan. FNAC (fine needle aspiration cytology) of parotid swelling will give a diagnosis if malignant cells are seen. MRI scan would give better tissue contrast and involvement of deeper lobe or facial nerve (which traverses through parotid gland). I hope it helps. Please discuss it with your doctor."}
{"_id": "000004493", "text": "Hi, Dear thanks for the query to Chat Doctor. Cause -for-a-the lump on lower back -a clinical check is required from your family doctor as the information from the query is non-commentable as its incomplete and very vague. Plz call back again with more information. And I would love to help you out from the complex query worrying you. So check up with family doctor and update that clinical check up data to me ASAP. Hope this would help your worry to take proper steps for health. Wellcome again if you have any more query in this regard. Have a Good Day."}
{"_id": "000004494", "text": "HIT hank for asking to ChatDoctorWhat ever the parameters you gave here is nothing to do with the swelling of your finger and this condition can be treated according to the pathological changes taken placed either infection or gangrene, or any systemic disease and these all are demands clinical examination, total count is more important than these parameters, take care and have words with your doctor, or get it clinically examined your finger, meanwhile this can be treated symptomatically with the following Chat Doctor. 1) Ibuprofen 400 mg twice a day this will reduce the swelling but still the final diagnosis need to be confirmed, have nice day."}
{"_id": "000004495", "text": "Hallow Dear, It seems your wife had ectopic (tubal) pregnancy which had to be managed surgically. It is a good sign that in spite of tuberculosis she had conceived. This proves that her tubes are patent. It is likely that her uterine lining has been damaged by tuberculosis. She is on an anti-tuberculosis treatment. Macorm Plus contains Rifampicin(600\\u00a0mg) and Isoniazid(300\\u00a0mg). These medicines are used for treatment of tuberculosis. Just 2 months treatment is not sufficient; she will have to take at least 6 to 9 months anti-tubercular treatment before she is completely cured of tuberculosis. Please do not think of pregnancy for her till she is declared completely cured of tuberculosis. She will be cured; Tuberculosis is a disease which can be completely cured when treated in time, scientifically and completely. Please follow your physicians instructions religiously."}
{"_id": "000004496", "text": "Hello, I suppose your echo was normal, if it was then we can consider it as innocent murmur. Marijuana will not affect this murmur, but even if you consider it using occasionally it's very difficult to craving and one usually progress to abuse. Also, addiction is associated with high risk behavior and psychological issues like impairment in school or work function, giving up of previously enjoyed social and recreational activities, and use of cannabis in potentially hazardous situations, that is, while Chat Doctor.  So it is always better to refrain yourself from this, and you are too young. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004497", "text": "Hello dear, The symptoms can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). So, kindly consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY Chat Doctor. And also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care."}
{"_id": "000004498", "text": "Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should not worry. It never causes harm. Not Shaking the bottle never harms you. Vaccine is for the protection purpose. So if someone won't shake it, its effect are lowered, but it never harms you. You can check the title of the antibodies circulating in the blood of you to check the effectiveness of the vaccine administered. And accordingly if the further action is required can be taken. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor.  Thank you. ChatDoctorInfectious diseases specialist."}
{"_id": "000004499", "text": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Hepatitis B can be transmitted by Sexual Encounter with the infected person.Also, with contaminated blood. If you had no relationship with him till now, there are very fewer chances that you would have contracted Hepatitis B. Get Bag tested. If you are negative, then get Vaccinated for Hepatitis B. This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy"}
{"_id": "000004500", "text": "Good evening Rebecca. Well knowing your past history of lupus and sudden spiking of blood pressure, do consult a rheumatologist as soon as you can. I won't suggest you wait too long. With lupus, we do know that Disease flares are expected. With spiking blood pressure, it is mandatory to see that it is not affecting your kidneys. Renal involvement can present as a rise in blood pressure initially. Consult your rheumatologist urgently and meanwhile get your blood counts, urine routine checked. Hope the information was useful."}
{"_id": "000004501", "text": "Hello, Since the option was thought to be causing serious adverse effects, I think to that it should be stopped gradually. I think you can monitor your sons seizures frequency after stopping option.  If no increase in frequency then I think there is no need to add another AED. If there is an increase Kendra, for example, is a possibility. Discuss with the Neurologist for these issues. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000004502", "text": "Dear-thanks for using our service and will try to help you with my medical advice. Back pain with bleeding could be secondary to kidney stone, pyelonephritis or bladder infection. Other possibility as cervical or ovarian lesion should be considered too. You need to have a urine sample for urinalysis and culture to find out if it is coming from the urinary track. If this comes back negative, you will need to see your gynecologist for further evaluation. Cooper T IUD can be irritating the cervical area and be the reason of your pain and bleeding. I hope my advice will be helpful. Feel free to contact me for any medical advice Chat Doctor."}
{"_id": "000004503", "text": "Thanks for your question on Chat Doctor. In my opinion we should rule out arrhythmia in your case. As arrhythmia causes irregular heart beats which in turn gives feeling of tickling something in chest. And coughing produce legal stimulation (parasympathetic) which is slowing the heart rate. So you feel better after coughing, this indicates possibility of arrhythmia more. So get done1. ECG2. Holder monitoring (24 hours recording of ECG)If both are normal then no need to worry much for cardiac cause. Stress and anxiety may be the cause. So avoid stress and tension. Be relax and calm."}
{"_id": "000004504", "text": "Hi, I think you should go for evaluation first.  Do a thyroid profile and APA profile too. Talk to your doctor regarding this.  These tests can help you know the cause of abortions.  You can take some extra medicines like progesterone, aspirin and heparin as soon as you get to know about your next pregnancy.  You can conceive naturally. In IVF, they will know about the quality of embryos, so chances of abortions are less. But you can give a try to conceive naturally also. Hope I have answered your question. Regards Chat Doctor."}
{"_id": "000004505", "text": "Hi, Thanks for writing in. The problem can be vitiligo, Idiopathic mutate hypomelanosis etc. Hypopigmentation would need long period of treatment with photosensitizing Chat Doctor. Without actual visualization of the skin it is not possible to comment on nature of pigmentation.  Visit a dermatologist for proper examination and diagnosis who can also provide you some clinic based procedure like surgery and laser.  Hope this helps. Regards"}
{"_id": "000004506", "text": "Hi welcome to Chat Doctor forum, The laser treatment sometimes cause purple patches on the skin up to some time and slowly go away. If it is long since you had laser treatment it could be some allergy on that hand may be due to some allergen on that hand like watch strap, bangle or something of that sort.  I advise you to consult a physician for diagnosis and treatment, He will try to find out the allergen and advise you to avoid some such things which are allergic to you.  Besides I advise you to follow some diet recommendations as avoid taking fish, other seafoods, and brinjal.  Wishing for a quick recovery, and thanks for calling."}
{"_id": "000004507", "text": "Hi, Anti-TB medications are generally well tolerated by most patients however acne can occur as a side effect of vitamin one of the anti-TB medications that you have been taking. Other common side effects of anti-TB medications include orange colored urine, saliva or tears, redness and itching of the skin in sunlight, peripheral neuritis, joint pains, flu like symptoms, and liver injury. You must report to your doctor if you develop symptoms of liver injury like fever, right upper abdominal pain, vomiting, and jaundice. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000004508", "text": "Hello, Thanks for the query to Chat Doctor. Forum. As you mentioned that the there is running nose, few days ago diagnosed as an eczema. In my opinion eczema and running nose is due to allergy and this is a precursor of asthmatic allergic bronchitis. Usually I have seen that that patient develops bronchoconstriction, cough, runny nose itching over face (mild) . All these symptoms are very common and in my opinion not a cause of concern. Only a potent bronchodilator Chat Doctor. I don't prescribe antibiotics to my patients. Only anti-allergic and bronchodilators are sufficient. In my opinion consult a physician and get a treatment. When your child will attain 14-15 years, he will get rid of these symptoms due to sex hormones. Good luck for your little one."}
{"_id": "000004509", "text": "Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. Most of the people sense the heart beat as normal and understand this and accept it as a normal, physiological phenomenon. Some people, like yourself, sense this as a pathological phenomenon. I understand that. Every minimal change in perceived \\\"physiological\\\" or normal functioning, is interpreted like pathological things. This is a cause for anxiety or fear (situational anxiety) in these people and may or may not be followed with a panic attack due to one questioning him/herself \\\"am I going to die?\\\" \\\"What is wrong with me?\\\" etc. Every time we assume a lying down position, our heart, that beats by vibrating our chest wall, comes closer to a certain area of the rib cage. If lying on the left side it is so close to the chest wall that can even vibrate the bed you are lying on. All the other symptoms you mentioned are triggered by the anxiety attack you have, because all types of anxieties have one thing in common"}
{"_id": "000004510", "text": "DearWelcome to Chat Doctor understand your concerns went through your details. I suggest you not to worry much. This is not what you are worried of. You may be physically aged. But mentally you are still strong enough. Your running business and your intellect shows that fact. The reason behind your low concentration could just be over strain and stress. Take developments calmly and you shall see the difference. Take rest and give rest to your brain. Exercise regularly and energize your body and mind. Rest will take care of itself. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000004511", "text": "Hi, You can apply minoxidil cream (Romaine) directly on your scalp, it helps hair re-generation. To avoid itching you can take non-sedating antihistamine (Levocetrizine), one SOS before application. Finasteride (Alopecia) is a daily pill that you should take under a consultant. It slows down hair loss while promoting new hair growth. Yes, Ni sim gives hair regrowth solutions to both men & women. It neutralizes DHT (dishy Chat Doctor.  Take adequate mineral, protein & vitamin. Autoimmune condition, Alopecia create has no cure, it causes rapid hair loss.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004512", "text": "Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be hi Chat Doctor.  These lesions usually occur on the underarm, especially after shaving or plucking and/or usage of deodorants with strong chemical contents. Hair follicles get infected. Inflammation and subsequent abscess formation may occur.  Medical (proper antibiotic regimen) and surgical (excision or incision and"}
{"_id": "000004513", "text": "Welcome to Chat Doctor, In view of the fact you have diabetes, you might be developing a form of \\\"neuropathy\\\" a painful condition of the nerves. Topical application of ointments containing Capsicum (red pepper) has given some of my patients' relief. If overweight, lose the weight. Try not to sit too long. Use a sacral or social tuberosity support cushion to help alleviate the weight on joints as you sit. The doctor can properly evaluate you and if it is nerve pain, there are medications to help with that as well. Best Wishes to You, Kathryn Shatter, MS, RDN"}
{"_id": "000004514", "text": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that it is the case of typhoid. You have to continue with the treatment. It will take a month or two to recover. Meanwhile, do not eat heavy diet eat more in frequency few in amount. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you."}
{"_id": "000004515", "text": "Hi, Thanks for the query. I understand your concern.  Actually you should have waited till complete cure confirmed by treating doctor. A good nutrition needful dietary supplements for having good health & resistance was desirable.  Still never mind... as you have already conceived... you can do all the things even now....take needful treatment as per your treating doctor&gynecologists advise.  Go for regular pregnancy check up investigations advised. Take the treatment advised regularly.  Avoid contact/exposure to any infection.  Thanks."}
{"_id": "000004516", "text": "Hi, Yes, there is a high risk of side effects on its prolonged use. Betnesol (dexamethasone) is a potent steroid commonly prescribed for the treatment of various inflammatory conditions. On prolonged use this much dose of Benson forte may cause thinning of the skin and bones, increased blood sugar, cataract, peptic ulcer, abnormal hair growth, stretch marks, weight gain, lethargy, impaired kidney functions and increased risk of infections.  I advise you to consult your treating doctor if you experience the side effects as listed above so that he can prescribe an alternate effective but a safer medication or a possible dose reduction of Benson. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000004517", "text": "1.any history of protein loss or nutritional disorder?2.any emotional/physical stress?3.treatment of this condition is long term because due to disturbed immune system, duration of treatment is not proportional to the extent of the skin involvement.4. Copper level is 29 (units??), as it has different parameters with different Physicians.5. Avoid oranges, sweet lime, excessive sour, salt and fermented food/fruits.6. Use of medicated oils and Malayan Nikita (Immunomodulator) will result in better improvement, consult with your Physician there."}
{"_id": "000004518", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases because your extensive cardiac work up is normal, and you are too young (23 years) for heart diseases. Also, no need to worry about lung diseases as your chest x-ray is normal. Sometimes, musculoskeletal cause can also cause left sided chest discomfort. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Apply warm water pad on affected areas. Take painkiller like ibuprofen if required. Avoid stress and tension if you are having stressful life. 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."}
{"_id": "000004519", "text": "Hello, Cannot say in your particular case, but generally, it is the function that is the indicator of how serious the knee problem is.  So, difficulty in straightening out, fluid distending it, it's moving in the wrong direction are some of the indications that something is broken.  The instability can predispose to even more damage because the knee moves in an uncontrolled way. Small problems still might be fixable with surgery like a loose tendon or a chip falling off of cartilage. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000004520", "text": "Hello Caroline, every pathogen is contagious. Pseudocodes is no exception. The infectivity and transmission mode may differ between pathogens though. Pseudocodes in particular can be transmitted by touching surfaces exposed to it, like the patients body or objects the patient handled. What you can do is to make sure there is clean air in the room, use gloves and avoid unnecessary contact with the patient and any object. Washing your hands afterwards is very important. Pseudomonas infections can be difficult to treat so you've got to take the aforementioned measures. I don't mean to scare you though, because in most cases - even if pseudocodes colonizes your body - you won't get sick. I hope I've helped! You can contact me again, if you'd like more information or clarifications. Kind Regards!"}
{"_id": "000004521", "text": "HelloWelcome in Chat Doctor. Regarding your query for constant cough and cold to your 3+ years old child, though you are giving him ayurvedic medicines for increasing immunity. Considering all aspect of medical history, suspicion of asthma in your child by your family doctor I would like to tell you that asthma is an allergic disorder, and it has got familial history as well. My suggestion is that you should consult a pulmonologist and first diagnosis should be confirmed by pulmonologist after that doctor will tell you about what to do and what not to do for your child to prevent or minimize the episodes. Probably above answers your query. Regards."}
{"_id": "000004522", "text": "Hello dear Vinay Kumar, warm welcome to Chat Doctor.come have evaluated your query for your brother inlay thoroughly.* Precautions to be followed-Allow him plenty of liquids to maintain HY Chat Doctor. - Prefer to provide soft, light, bland digestible diet.- Avoid spices, junk food, non veg, oily etc.- Requires rest for certain period depending upon the severity.- Must keep all hygienic precautions to prevent spread to family members as wash hands thoroughly after washroom use, before eating.  Avoid sexual intercourse if active.- Regular follow up with doctor. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards take care."}
{"_id": "000004523", "text": "Hi, I had gone through your query and understand your concerns. This is a common problem experienced by women taking birth control pills. Wat you are taking is a combined pill(levonorgesterl and ethinylestradiol) which contain both estrogen and progesterone. It will take 90 days(3 months) to restore your normal ovulation and periods, once you stop the pills. So hopefully you will have ovulation by mid-March and bleeding by last weeks of march. And be warned that this can vary from person to person. So don't do unprotected Sexual intercourse, as you can still become pregnant these days, if sperm reach your uterus. 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 questions. Wishing you good health."}
{"_id": "000004524", "text": "Hello, It is certainly not healthy to have bleeding gums especially after you just cleaned your teeth. Bleeding gums is a serious symptom of gum disease that you should add Chat Doctor. You should always have a regular checkup with your dentist to see your overall dental condition. He therefore can treat you if he sees anything wrong with your gums. Do not attempt to self-medicate, it is much safer if you consult a doctor and inquire have the condition checked."}
{"_id": "000004525", "text": "Hello dairy understand your concerning sperm analysis"}
{"_id": "000004526", "text": "Hello, As you told that your father is a known the case of a diabetic. In a diabetic patient, it is very hard to treat simple infections. And, if proper care is not taken, amputation may be needed (worst case scenario) so my advice, please take your father to a surgeon as soon as possible. He will do proper Chat Doctor.  And make sure blood sugar level is under control. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004527", "text": "Hi I can understand your concern....Don't worry. Hepatitis A resolved with time. Here are few suggestions for fast recovery... Take low fat diet. Trans fat diet like baked pastry, burger, pizza, non veg food avoided. Use very much less oil in cooking. And only good oil like sunflower oil breadfruits taken more. One tsp papaya seed with lemon juice good herbal remedy. One tsp crushed cumin seed with water taken daily. Green leafy veg salad included in lunch and dinner. Avoid alcohol.... Continue with ursodeoxycholic acid... Hope your concern solved... Chat Doctor."}
{"_id": "000004528", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart related diseases as your ECG is normal. Possibility of bronchitis is more. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease. And treatment is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS) on the basis of PFT report. Inhaled treatment is the best treatment for bronchitis.  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."}
{"_id": "000004529", "text": "Hi. Thanks for your query. The colonoscopy can give rise to immediate complications of perforation, peritonitis and septicemia. Colonoscopy can not give rise to the long term effect after 4 weeks as you have. It is possible that the preparation for colonoscopy, laxative misuse might have disturbed the intestinal flora causing all the rumbling and pain in the abdomen. As you have not mentioned, I take the colonoscopy report is normal as is CT scan report. Take a course of an antibiotic and metronidazole. Add pre and probiotics to the prescription. Avoid all the foods and beverages which you must have noticed by this time to increase your abdominal problems. A treatment on the basis of suspected IBS- Irritable Bowel Syn Chat Doctor.  Please remember, and you must have observed that when you do not have stress your problem with IBS is reducedChange of lifestyle. I think maybe you are not coping with something. Vacation outside your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once, boss. If the change of routine helps, the necessity of medicines is"}
{"_id": "000004530", "text": "Hello, I don't think that the medicine for your elevated blood sugar is causing the pain in your groin area.  I suggest continuing your medicine for the sugar and have your groin area evaluated with the urologist or any general practitioner to evaluate for possible inguinal hernias.  The doctor will do a complete physical examination on the area and might request for an ultrasound. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000004531", "text": "Hi, Thank you for posting your query. It is unfortunate that his pain has not completely settled even after about six months of rest and physiotherapy. Pars fracture pain is unlikely to persist for this long. Also, L4-5 disc degeneration pain should get better with physiotherapy. So, I would suggest further evaluation with bone scan and may be a local epidural injection for pain relief. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"}
{"_id": "000004532", "text": "Hello and welcome to Chat Doctor. As a Urologist, let me opine, that your scan report shows, 1. A 7\\u00a0mm stone in lower part of Right kidney.2. A 6.5 mm stone in the upper part of Left kidney.3. The right upper part of tube Chat Doctor.  This will need treatment, as they're large. The right ureteric stones must be cleared first, as that side kidney is blocked, and kidney function will be affected. This can be done with endoscopic surgery.(URS-lithotripsy). If you've any other doubts, you may contact me with a direct question."}
{"_id": "000004533", "text": "Thanks for asking your question completely understand your problem no need to panic but need is to consult a pulmonologist and to come to a diagnosis after some investigations needed like ECG, spirometry, chest X-ray. This type of breathlessness and chest pain can occur in bronchial asthma, pulmonary embolism and many other diseases. So better to get yourself checked.thanks/regardsfeel free to ask more questions may god bless you with good health"}
{"_id": "000004534", "text": "HI, thanks for using Chat Doctor In addition to the allergy medication that you have been using, you may need a topical steroid nasal spray. This would help to reduce your nasal symptoms such as swelling, runny nose, congestion. Examples are Flonase, rhinoceros, escort, adnexa prescription may be needed. In addition, a topical decongestant such as normal saline or striving would also be helpful. These would be available over the counter. I hope this helps"}
{"_id": "000004535", "text": "Hello. Thank you for writing to the cream that you kept on using for 4 years contains a super potent topical steroid i.e. clobetasol propionate 0.05%. This strong steroid is not recommended for face and never for such a long duration. Two weeks is the upper limit for it if in case it has to be used on face. Potent topical steroids can cause side effects like acne, skin thinning, sun sensitivity, persistent redness and telangiectasias (steroid induced rosacea), hirsutism etc. on regular use. The skin problems that you experience right now are part of the side effects that I just mentioned.Your skin would be sensitive and would turn red, specially in sun and would also feel Chat Doctor. I suggest you to use a broad spectrum sunscreen throughout the day to protect your skin from sun. Reapply sunscreen every 2-3 hours whenever outdoors. At night, you may use a non-comedogenic moisturizer. Topical immunomodulators e.g. pimecrolimus, tacrolimus have a role to play in steroid induced rosacea and can be tried after discussing with a dermatologist. Your skin would take some time to recover back and sunscreen and moisturizer is all that is recommended, right now. Regards"}
{"_id": "000004536", "text": "HI, thanks for using Chat Doctor I am sorry that your father is unwell. It is possible that the black spot that was seen represents a mass or defect in the bone. If the mass on the kidneys is malignant, it is possible that the black area on the bones represents spread to that area. The mass on the kidney would be sent to the lab for analysis to determine if it is benign or malignant. You and your father should speak to his doctor. I hope this helps"}
{"_id": "000004537", "text": "Hi, thanks for writing to Chat Doctor. As all modalities of treatment have failed to provide you complete relief from pain, the next available option is surgical decompression. As you rightly said, endoscopic surgery is a better option than conventional open procedure. Endoscopic discectomy offers early return to your activities and generally, no bed rest is needed after this procedure. But, it has to be done by a surgeon having adequate experience in that field. Hope this information is helpful. Good day"}
{"_id": "000004538", "text": "Hello namaskarbrief answer surgery is recommended for hernia repairDetailed answer am glad to know that your clinical profile is improving very rapidly like down gradation of fatty liver from grade 3 to grade 2. Hernia may get complicate as time passes so it's better to get it operated as earlier possible you may start getting the all those symptoms you mentioned.I tried to keep it simple for you, feel free to ask for follow regards"}
{"_id": "000004539", "text": "Hallow Dear, Prolactin levels between 25 - 30 NG/ml are within normal range. Therefore, your prolactin levels of 21 NG/ml are within normal range. You do not have to take any treatment to bring down prolactin. If all your tests are normal, please get your husbands' semen examination done. Also try to find out the patency of your tubes and the normalcy of the uterine cavity by hysterosalpingography and Laparoscopy. If all these are normal and still you are finding problem in conceiving, you fall in the category of unexplained infertility. Such cases may require Artificial Reproduction Techniques. Initially you may start with Intrauterine Insemination. Please report to an Infertility Consultant."}
{"_id": "000004540", "text": "Hi and welcome to Chat Doctor. Thank you for your query.  I understand your concerns and I will try to help you as much as I can. As I see from these findings, there is only slightly elevated GOT and SGPT and if you don't have any other symptoms and signs, this is not concerning finding. The findings are fine.GOT and SGPT are sensitive indicators of liver damage or injury from different types of diseases or conditions but only when elevated more than 60. This still can be normal finding or indicate mild fatty liver or medications intake that damage liver slightly.  So I would not recommend any further diagnostic tests. All you need to do is to repeat test in 4 weeks and if there is increasing trend of Lots then ultrasound should be done. Also, have easier dear and avoid alcohol. If such findings persist then beside fatty liver, other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases may be considered but as I said, at this point this is not concerning sign. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health."}
{"_id": "000004541", "text": "Hello, and I hope I can help you today. Calcium supplementation during pregnancy is helpful, as women use calcium to make breastmilk for the baby. Vitamin C is an important part of normal healthy diet as well. However, the type of calcium or of vitamin C really doesn't matter as they all are effective and safe supplements for pregnant women. The most important type of supplement that a woman requires during pregnancy is that of folic acid. Woman must take at least 400 mg folic acid per day to help prevent certain types of birth defects. It may be easier to just buy prenatal vitamins. Prenatal vitamins usually have all the required vitamin and mineral supplements essential for healthy pregnancy in one tablet.  There is no need to take additional supplements unless specifically prescribed by the doctor. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes,"}
{"_id": "000004542", "text": "HelloAvapro contains irbesartan. It is an antihypertensive. Though it may be hematologic in some patients but usually it doesn't cause high liver enzymes. Nexium contains omeprazole, and it is not expected to cause hepatotoxicity. Endep is also not expected to cause shaking sensation in body. You may have had elevated liver enzymes like ALT, AST. Increased ALT and AST may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need few more investigations like routine hologram, random blood sugar, viral markers, lipid profile, ultrasound of abdomen. You may need to take tablet ursodeoxycholic acid 300 mg twice daily for three months. It helps in regeneration of liver cells. Get well soon. Take Care Chat Doctor."}
{"_id": "000004543", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Cough of more than 2 weeks duration seen in bronchitis and lung infection. Get a chest x-ray done if it is normal, no need to worry about lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Vomiting could be due to gastritis. Take lots of liquids.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000004544", "text": "Hi. Thanks for the query. Chat Doctor. . Yes, it is true that Recast infusion can increase the risk of osteoporosis and to get the teeth extracted you should get off the dose of Recast for at least 3 months.Also, if you wish to get the Dentures, first of all the teeth should be removed followed by complete healing of the bone and gums and then only if there is sufficient bone then denture can be placed. As of now for"}
{"_id": "000004545", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of aspiration of foreign body in lungs is more. Sunflower seed in airways and lungs causes irritation and inflammation. So it can cause infection and granuloma formation. This can cause future complications also. So better to consult pulmonologist and get done bronchoscopy. It is endoscopic examination of airways and lungs. It is not only diagnostic but therapeutic also means if seed is their then we can remove it through bronchoscopy. Furthermore, it is done under local anesthesia with mild sedation (midazolam). Furthermore, it is not painful or cumbersome procedure. So repeat don't worry about it. It is necessary in your case so get it done. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004546", "text": "Hi. History of a miscarriage followed by pain in the lower abdomen can be due to intestinal obstruction. You say your ultrasonography report is normal. This means it excludes the Ovarian cyst, Salpingitis, lymph node enlargement, cystitis, enteritis and so on. IT is better to go for Contrast enhanced CT scan of the abdomen, enterocolitis, Diagnostic Laparoscopy for diagnosis and may be for a treatment."}
{"_id": "000004547", "text": "Hello dear, I understand your concern. The cal pol is the safest Chat Doctor. It is prescribed for fever, any non-specific muscle or joint pain in pregnancy. It can be taken with the prescribed dosage with no harmful effects to the fetus. But I suggest you to rule out the cause of fever and get the cause treated along with symptomatic treatment. The blood counts might be need to do to rule out any infection.Also, as there is leg pain any signs of cellulitis like swelling, redness etc. should be checked for, and I hope that was done. Once the cause is diagnosed and treated it will subside. Take adequate fluids up to 2-3 liters per day to prevent deny"}
{"_id": "000004548", "text": "Hi, Yes, itching is a normal phenomenon. It occurs because of continuous friction and because of the healing process, .there is nothing to worry about You need to keep cast boot for 2-3 weeks and then gradually shifts back to normal. Avoid overstretching after the removal of cast boot. Yes, you can walk with cast boot, but only indoors. Prevent hanging your legs and keep them elevated whenever possible. Take care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000004549", "text": "Hi, Welcome to the ChatDoctorBrief. History is incomplete, I would appreciate if I would know some answers of my questions. Detailed answer.... Since first I want to know that how did you get to know that your child has bilateral ear infection and viral infection. As in ear infection there can be discharge from ears, decreased listening, pain in ears etc. I would also like to know whether your child is having runny nose, red eyes, or cough. So your child can be treated accordingly. I would be happy to hear you further. Chat Doctor."}
{"_id": "000004550", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem.You're all symptoms like chest pain, tightness and left arm pain, after exercise suggest need for investigation to rule out cardiac cause. Your age is not supporting cardiac cause, but symptoms are strongly suggestive of cardiac cause. So better to get done1. ECG2. 2 d echo3. Stress test (trade mill test)To rule out cardiac cause. If all are normal then no need to worry about cardiac cause. But cardiac cause should be rule out first in your case."}
{"_id": "000004551", "text": "Hello have read your query. There is possibility of lumbar canal stenosis leading to symptoms. I will advise you MRI spine. In lumbar canal stenosis there is narrowing of spinal canal leading to burning sensation. Epidural steroid shot may help you. Physiotherapy like ultrasound and matrix therapy may help you. I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care."}
{"_id": "000004552", "text": "Loose motion or diarrhea in infants occurs primarily due to viral cause, although it can also be caused by certain bacteria. Unless associated with bloody stools, no management of the cause is required. All you need to do is to give ORS so that the salt and water balance is maintained. Prevention of deny Chat Doctor.  Eco norm contains beneficial bacteria replenishing which helps in correcting the diarrhea. Continue giving it for a few days. Also give SYR Zirconia (contains zinc) for a few days. No other medication required. Just give proper nutritive diet and things will be fine in no time."}
{"_id": "000004553", "text": "Hello, You need to get an extended panel of allergens tested to know what your allergies are. This can be done in the form of skin tests (but you need to stop all your current medications for 2 weeks) or get a blood test done (stopping medicines is not necessary), called specific IGE test. You have allergic rhinitis/asthma, and vaccination (which is called allergen-specific immunotherapy) can be done only after the allergens are known. This immunotherapy can be done in the form of injections or Chat Doctor. Many patients find they can stop all medications (allergy medications), while other patients find that they work much better than they used to before. You have to get in touch with your local allergist to discuss the above options. Best Wishes."}
{"_id": "000004554", "text": "Degree understand your concerns went through your details. Masturbation has no direct side effects. Masturbation is healthy, natural and is a normal adult procedure. Almost everyone across the globe masturbate and get sexual pleasure. But in your case, at your age, masturbation twice a day is not advisable. You can do it thrice a week safely. Otherwise, your wrong knowledge about the negatives of masturbation can make you anxious and health obsessive. May be because of this health anxiety, you are experiencing the premature ejaculation. Don't worry. You will be able to do well sexually after marriage. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000004555", "text": "Hi, In her age if she takes her medications regularly, follows healthy lifestyle she has all chances for good life expectancy. So you should encourage her not to get disappointed, take her medications, eat healthy food, low in animal fat and salt, exercise regularly. It is very good, that she stopped smoking. Hope I could help nourishing you good health In case of further questions don't hesitate to ask"}
{"_id": "000004556", "text": "Hello and welcome, this can be an ulcerous condition called authors ulcer.it can be treated with tab.flanzen-10\\u00a0mg;3 times daily for 3 days and tab.wysalone-5\\u00a0mg-3 times daily for 3 days. Please discontinue any oral habits like tobacco or pan chewing if you have any;as it can lead to burning mouth and limited mouth opening called oral submucous fibrosis-osmf. Please add vitamin-b containing food to your diet. Hope you get well soon. Always clean your mouth after every food intake. Use soft-bristled tooth brush and tongue cleaner to clean your teeth."}
{"_id": "000004557", "text": "Hallow Dear, I would have appreciated had you mentioned what type of coil you have got in your body. There are two types of coils - copper coil and hormonal coil. In fact hormonal coil reduces the vaginal discharge. Copper coil is known to increase vaginal secretions in some cases. In fact at the age of 47, vagina is more Chat Doctor.  Increased vaginal secretion is from the uterus and mostly due to the reaction of the uterus to the copper coil inside. However, the possibility of infection should not be ignored; however it will more likely cause yellowish foul smelling discharge. Vaginal infection (bacterial vaginosis) also causes increased mucous discharge. Increased discharge due to bacterial infection will require a course of antibiotics treatment. If the coil is the source of infection, it needs to be removed.  Please report to your Gynecologist to find out an evidence of infection and treatment if it is found. If the coil is making you so uncomfortable, you may get it removed and opt for other suitable contraceptive method more suitable for you with the advice of your Gynecologist. I hope this helps you."}
{"_id": "000004558", "text": "Hi, dear. I have gone through your question. I can understand your concern. You may have some cystic lesion like Desmond cyst or may have some adnexal skin tumor.  You should go for excision biopsy and then go for histopathological examination. Then take further treatment accordingly if needed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004559", "text": "AFTER GOING THROUGH YOUR BRIEF CASE HISTORY, IT IS NOT CLEAR WHAT IS THE CAUSE OF LIVER PROBLEM IN YOUR SON.IT BECOMES EASY TO TREAT THE DISEASE ONCE YOU KNOW THE CAUSE.SO I WILL SUGGEST YOU TO DO VIRAL MARKERS FOR HEPATITIS B AND C.ALSO I FEEL EXACT DIAGNOSIS CAN BE MADE BY LIVER BIOPSY.SO IT IS ADVISABLE TO CONSULT HEPATOLOGIST AND GET IT DONE. I HOPE MY OPINION WILL HELP YOU TO DECIDE FUTURE COURSETHANKS Chat Doctor."}
{"_id": "000004560", "text": "If the child has history of Hashimoto thyroiditis, and history of skin allergies, This condition could be due to the same problem. Hashimoto is associated with Subcutaneous candidiasis, vitiligo and alopecia and other epidermal dysplasias. These bumps could suggest another allergic reaction to any antigen, or it could be due to a dermal infection(? Fungal). I suggest you consult a dermatologist and by that time, give her tablet Atari one tablet daily. Thanks and regards"}
{"_id": "000004561", "text": "Hello, Welcome to Chat Doctor, The history and symptoms of your mother suggest that she may be having some allergic manifestations and viral infection. As your mother is having these symptoms for more than one week, she should be evaluated thoroughly. I would recommend her to undergo lab investigations like CBC and absolute eosinophil count (AEC). The results of these investigations will help us to make a proper diagnosis and to manage the case. For the present symptoms I would suggest her to follow1. Oral antihistamine2. NSAIDs to control the fever.3. Apply Calamine lotion. Thank you."}
{"_id": "000004562", "text": "Hello! Thank you for asking on Chat Doctor! I understand your concern, and would like to explain that when facing with low blood pressure values, the two main points to investigate are"}
{"_id": "000004563", "text": "Hello No doubt, you developed influenza 8 years ago. Now having so many complications and symptoms, may be due to the after effect of that disease (8 YEARS AGO) . At present, you are having so many symptoms but by merely reading these symptoms, it is very difficult to establish any clear-cut diagnosis. In such cases I advise my patient to take montelukast+ albuterol tablet, once or twice in day (although most patient respond to once a day and normal dose is also once in day) . Since this is a prescription Chat Doctor. Since breathlessness (asthma type) caused by bronchoconstriction, so you will get complete relief. But you are also having stiffness in joints, blurred vision, short term memory loss, so once again consult a physician and get his opinion. Good luck. As you mentioned that you took Flagyl and tetra and got relief, so this shows that all these symptoms may be due to gram -ve bacterial infection. Get in blood for culture and"}
{"_id": "000004564", "text": "Hi, Thanks for writing in. A sample diet for your father who is stage 4 cancer patient is given belowEarly Morning cup of tea (sugarless) with 2 plain biscuits like Marie or Thin arrowroot or RuskBreakfast2 Maratha with curd (no sugar) or 2 plain Otis with egg/ paneer or 2 idles with chutney/samba or 1 bowl of PMA or Fatimid mornings or a whole fruit (apple or guava)LunchSalad with Otis (2 to 3) or rice (1 bowl) with DAL/ samba and a cup of vegetable. Occasionally you can add some light fires in lunch. Non veg can also be added (2 pieces) or an eggAfternoonTea/ juice/ milk (sugarless) with 2 biscuitsDinnerSame as in lunch with slight variation. Dinner should be lighter than lunch"}
{"_id": "000004565", "text": "Hi you have not described your nature of work but reading your summary I think that you do a lot of work on computer. In my opinion this pain has its origin in neck and when the muscles are stretched, esp on one side(R in your case) then muscles go into spasm and pain starts. I will prescribe Painkillers, Muscle relaxants and Neck Exercises for 10 days and would control your pain only by exercises later. If there is no relief in 10 days then I would get X-Rays of cervical Spine and treat accordingly."}
{"_id": "000004566", "text": "Thanks for consulting at Chat Doctor. Your son if suffering from cough since 5 years and is on inhalers and medications for Asthma. He had transient relief for 3 months when he was prescribed steroid nasal spray. Causes of chronic cough in child Chat Doctor. Relief by steroid nasal spray suggest that your child is probably suffering from Allergic Rhinosinusitis along with Asthma. I think for proper treatment your son needs to examined by ENT specialist and Pediatric Pulmonologist. Investigations like CT PNS, Pulmonary Function Tests, Tests for Allergens etc. can help in diagnosis."}
{"_id": "000004567", "text": "Hello, I would be happy to help you with your question. This is not typical for a birth control pill start.  It might be related to irregularity in your cycle that existed before your started the pill.  I really cannot tell based on the limited information provided.  In your case, I would recommend"}
{"_id": "000004568", "text": "Hai.looks like your into post-traumatic stress that too with such major problems. The problems what u have mentioned can be due to new intracerebral changes affecting the motor areas of the brain especially the speech, appetite,memory area please meet your neurologist to go ahead for a ct brain or MRI brain to rule out any cause you have more likely chance of suffering from a small stroke in these areas, due to your be Chat Doctor. Good luck"}
{"_id": "000004569", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about cardiac chest pain as his angiography is normal. Chest Heaviness, chest pain are seen with acid reflux also. So tell him to follow these steps.1. Avoid large meals, instead take frequent small meals. Avoid hot and spicy food.2. Avoid stress and tension, be relaxed and calm.3. Take pantoprazole tablet on empty stomach twice daily.4. Go for walking after meals. Keep 2-3 pillows under head in bed to prevent reflux.5. Quit smoking and alcohol if he has these habits.Don't worry, he will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks."}
{"_id": "000004570", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. Erection problems can have many causes. These include"}
{"_id": "000004571", "text": "Hi. Thanks for your query and an elucidated history. The bumps can be due to reaction to chickenpox vaccination, or it appears more to be due a condition called pyoderma which is common in this age group. Continue antibiotic treatment. Send pus or secretions form the wound for gram staining and culture and sensitivity. You may please apply liquid Provide Iodine to the affected parts so that the skin is made sterile, and the spread may be avoided. Give multivitamin syrup too. Consult a Dermatologist just to confirm it is pyoderma and to get a prescription for the medicines."}
{"_id": "000004572", "text": "HelloWelcome here. I can understand your concerns. There are certain kits available in the market which can give you the idea about your ovulation. If your cycle runs between 27 and 34 days, your ovulation may range between days 13 and 20. Start testing with kit on day 11 and continue until day 20 or so. Days between 13 and 20 would be most fertile for you. Have unprotected intercourse within these dates. If this doesn't works, then you can consult your nearest doctor for further examination. Hope this helps. Thanks."}
{"_id": "000004573", "text": "You have not mentioned your age which is very important in case of back pain. For treatment of severe lower back pain you can take some painkiller like biozobid-plus or ultracet-mr only when the pain is worse or disturbing your daily work along with some calcium supplements like shackled or toscal-gem once daily. Do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advise you to sleep on plain surface."}
{"_id": "000004574", "text": "Hello, During infection (mild or severe) there will be a high count of white blood cells with increased neutrophils. Whenever there is an infection, there will be the elevation of glucose (only when are diabetic). My suggestion is, please have these tests, first, fasting blood sugar and postprandial sugar levels (your age is not mentioned in the query). Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004575", "text": "Thanks for your question on Chat Doctor. In my opinion you should get done bilateral venous Doppler study of lower limbs to rule out Deep Vein Thrombosis (DVT). As most common cause for lung clots (pulmonary embolism) is DVT. And you need to take blood thinner medicines after diagnosis of pulmonary embolism. You are having constant shocking pain also. All these favours' possibility of DVT. So better to consult vascular surgeon and get done venous Doppler. In this test flow in veins is checked and any obstruction due to thrombosis is there or not can be picked up. So get done this."}
{"_id": "000004576", "text": "Hi and thank you so much for this query. I am so sorry to hear about this chronic kidney disease that your mother has and the need of frequent dialysis. Increasing the interval of her dialysis sessions would just make things worse by causing a sharp rise in the creatinine levels again. The best way forward is to strongly consider her for renal transplant as this is the single and most effective treatment of this condition. Dialysis does help in the short run but very unlikely to be an excellent method for long term purposes. I think her diet is too restrictive, and the doctors should consider increasing her daily calories. I hope this helps. Furthermore, I wish her well."}
{"_id": "000004577", "text": "DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERN. YES LOSARTAN IS SAFE FOR HYPERTENSIONSEEING YOUR TREATMENT, YOUR PHYSICIAN HAS STARTED TREATMENT SUSPECTING YOU TO HAVE ANGINA THINK YOU NEED TO CONSULT A CARDIOLOGIST URGENTLY. GET A ECG AND IF POSSIBLE A ECHOCARDIOGRAPHY DONE DID NOT UNDERSTAND THE POINT WHY YOU WERE STARTED ON SOLO 650I SUGGEST YOU TALK TO YOUR PHYSICIAN WHY YOU WERE STARTED ON YOU NEED TO DESCRIBE YOUR SYMPTOM IF You're SUFFERING FROM DIFFICULTY IN BREATHING, BREATHLESSNESS, ANY SWELLING IN LEGS, ANY HISTORY OF CHEST PAIN. SO THAT I CAN HELP YOU IN A MORE DETAILED WHOLE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS"}
{"_id": "000004578", "text": "HiT hanks for writing to Chat Doctor. Holding for some more time before ejaculation doesn't cause problem in motility of sperms. Don't worry about that. You should start treatment for PCs. I would suggest you to reduce weight which is main factor. With that if cycles are irregular you should start cops. Metformin tablet also should be started by your doctor prescription.  I also suggest you to undergo follicular study to know you are ovulating or not and what is average day of ovulation so that you can plan accordingly. Hope I have been helpful Regards Chat Doctor."}
{"_id": "000004579", "text": "Hi, Thank you for posting your query. Your symptoms are suggestive of pre-syncope, where the blood supply to the brain is reduced for a short while. The predisposing conditions include exhaustion, tiredness, lack of sleep, hunger, fever, etc. There is no need to worry. You can consult your GP and get a general evaluation done. Low hemoglobin (anemia) should also be excluded. I hope my answer helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/"}
{"_id": "000004580", "text": "Hi! Good morning! Welcome to Chat Doctor!!!  How are you/Brief answer"}
{"_id": "000004581", "text": "Hi Forum. It is not the age to think so much of the health. As you didn't have insurance you are thinking so much about your health. If you are ill your boat Chat Doctor.  You must be having minor ailments like gastric irritation anemia etc for that you need to go to a physician for diagnosis and treatment. Besides advise you to follow some diet recommendations as avoid taking more of spiceschillies junk fewer and oily foods.  Take more of green leafy vegetables pulses egg meat milk fruits juices and seafoods to build up general health and mental health and wellbeing. Try to follow some diversion procedures as reading and reading because you are in studying age. Thanks for calling."}
{"_id": "000004582", "text": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. It appears you are possibly having megaloblastic anemia. It B12 deficiency commonly leads to increased MCV, anemia and leukemia.2. It B12 serum assay will confirm it. Multiple systemic symptoms suggest nutritional deficiency rather than oncology problem.3. However, do get a bone marrow biopsy done to rule out any malignancies in blood. Hope it helps. Any further queries, happy to help again."}
{"_id": "000004583", "text": "Hello, I have studied your case and I think that he needs an x-ray of the back to see if there is any loose implant or any infection which is causing this. There is no need to rush to emergency, but you should visit doctor in next available OLD.  I hope he is not taking any heart medicines or any other tablets. These may also cause such bruising. Let me know if there is any other followup questions. Thanks"}
{"_id": "000004584", "text": "Hi, Thanks for the query. As now your tubes are patent and normal you can plan for pregnancy now. Usually the effect of fibroid son fertility depends on the size and position of the fibroid. As you are having small sized fibroid that may not affect the fertility and pregnancy as told by your doctor. So you track your ovulation and plan unprotected intercourse around that period, which will increase the possibility of pregnancy. Regular antenatal checkups and ultrasound examinations are needed during pregnancy. For more details you can ask me through"}
{"_id": "000004585", "text": "Hello.I suggest u to better stop the prednisone spy as its elevating ESR because it is a steroid and reduces immunity and so stop it and observe only with Atari spy.if your child is feeling God then u can stop the medicine .if still problem exists, consult pediatrician.rashes usually are allergic and cause need to be avoided and should be found by u at home.was all things are causing this rash need to be avoided for your child at home.so take care and avoid the allergen ."}
{"_id": "000004586", "text": "Hi Nadia;welcome to Chat Doctor Your level of SGPT is mild high YES you have correctly noted that it is because of cholesterol medicine. These medicines do produce changes in liver function & so the SGPT & liver profile needs to be monitored. The only thing I would suggest is to consult your doctor & he may advise you to stop the medicine or may change it as you may require medicine for your cholesterol take care thanks"}
{"_id": "000004587", "text": "Hello, Fractures which extend into the joint cavity can cause severe pain due to associated arthritis. As first line management, you can take analgesics like paracetamol or diclofenac for pain relief. If symptoms persist you can consult an orthopaedician and plan for a steroid injection to the joint cavity. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000004588", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about side effects by inhalers. Actually inhalers are very safe in long term use. They act locally and directly on lungs without going to blood. So inhalers don't act on other organs like kidney, heart, liver etc. So no systemic side effects by inhalers. You should also rinse your mouth after inhaler use to prevent oral complications. Also do pulmonary rehabilitation (deep breathing exercises and chest physiotherapy) for better symptomatic relief. So don't afraid of long term inhaler use. They are safe. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004589", "text": "Hi ! From your history, the first diagnosis to exclude is a pelvic inflammatory disease, which may give rise to pain and cramps in the lower abdomen apart from low grade fever along with nausea and dislike for food. You have to get a routine urine test done and a culture sensitivity test if advised by your treating doctor who may also advise you for an ultrasound abdomen. The upper abdominal pain could be due this as well, or may be an independent entity. You may go for an antacid, a proton pump inhibitor and if not relieved may go for a review by your family physician. Wishing you an early recovery."}
{"_id": "000004590", "text": "Hi there. Firstly the cause of such severe pain needs to be investigated as it is not advisable to take too many painkillers. Pain on movement is mostly muscular in origin. Kindly get a X-ray of the painful area done. Kindly get a complete Arthritis panel blood test. Get these evaluated by an orthopedic. For the time being taken some anti-inflammatory and analgesic like Nicosia MR Take a cough suppressant. Tramodol tablets can also be taken if pain is not being controlled by the above. I hope my advice has helped Good luck"}
{"_id": "000004591", "text": "HIT hank for asking to ChatDoctorIt is not infection neither related with your tooth problem, but it may be the hypersensitivity reaction to some elements may food, right now our aim is to rid out of this reaction and for that you need to take the second generation antihistamine and the levocetrizine would be a choice you need to take this tab, 10 mg three time in day will come around and if it does not go away with this then steroid would be needed for that discus it with your doctor have nice day."}
{"_id": "000004592", "text": "Hi welcome to ChatDoctorI have gone through your query regarding elevated white and red blood cells. I can understand your concern . Dear, you have not given your age nor your blood count of your test. Abnormal, high or low, reading of counts can be indication of some grave problem and gives us warning against diseases So beware and mind it Prevention is better than cure Magnitude of the survival advantage from improved nutrition, can even be greater than the magnitude of the treatment effects being targeted in current clinical Chat Doctor.  Your doctor has given you to recheck in 2 months time. I would like to suggest you to modify your lifestyle for enhanced of your immune system, side by side your physicians' guidance to fight the imbalanced blood counts, is one of the most effective treatment options in my view . Avoid processed foods carbs, sugar, fried, fast foods, Tea, coffee, alcohol and smoking all will produce biochemical and metabolic conditions in your body that will decrease your immunity, so avoiding is definitely the first step in the right direction. Detoxing the body, boosting the immune system . One of the important strategies to achieve healthy body is a diet rich in fresh, raw whole foods. More of high Fiber, protein, fruit, egg fish, fish oil for Omega-3, green leafy veges. To keep metabolism on right path to increase the strength of immune system, take all supplements full of antioxidant serve as antibiotics. Raw garlic, gingerCoconut water, Bitter gourd juice 25-30 ml Lemon juice with water twice before meals, Turmeric powder, +a spoon of almond oil level spoon with a cup of hot milk with B/F & at bedtime, goats milk preferButtermilk with lunch Algebra juice 25 ml +AMLA juice 2 spoons Physical activity in order to renew healthy cell and rebuild itself, so you should make exercise a lifelong commitment, but never overdo. Do 30 mins walk/ exercise - from head to toe, yoga, Panama - deep breathing, Kapalbhatti / Laughing aloud. Proper rest, meditation & positive thinking, to detoxify mind & body & give immunity to your system, to accelerate the process of recovery. The condition is REGULARITYAbove regimen will surely gradually, help you to lead happy, worry free, healthy life ahead Many have been benefitted by These therapies which slow the growth of bacteria and kill on mass bases. Get an appointment with YOUR DOCTOR AFTER 2 MONTHS ANS SEE THE DIFFERENCE and review your reports please .HOPE THIS HELPS SOLVE YOUR QUERY Take care All the best. If any doubt mail at"}
{"_id": "000004593", "text": "Hi your husband had fall, hurt his shoulder badly and is now waiting for replacement. In my practice, if shoulder is hurt very badly then it is better to replace it rather than trying to fix it, and it is an acceptable method of treatment. After shoulder arthroplasty we expect relief from pain as a major benefit. Some exercises will be required and depending on exercises it may take about 2 months to recover adequately."}
{"_id": "000004594", "text": "HI, thanks for using Chat Doctor It sounds as though you may have depressed mood disorder. This is diagnosed if a person has at least 5 of the following for at least 2 weeks"}
{"_id": "000004595", "text": "Hello Drafter reading the case details provided by you, I would like to tell you that yes its true that probably your heart function have deteriorated over a period of time that's why you are having fluid accumulation in your lungs. As you have entered your 60s so it's better to upgrade from just a PACEMAKER to a CRT-P Or CRT-D as it will help synchronize your heart rhythm which finally improve the heart function (LVEF) and also prevent sudden cardiac death due to some arrhythmia. Good Luck"}
{"_id": "000004596", "text": "Thanks for query. Latex allergy may be of three types irritant contact, allergic contact, immediate gallery reaction. The most serious reaction to latex. It can show up as rhinitis, conjunctivitis (pink eye), cramps, hives, and severe itching. It is rare, but symptoms may progress to include rapid heartbeat, tremors, chest pain, difficulty breathing, low blood pressure, anaphylactic shock. As you are saying that it happens overtime you wear latex gloves. If the reaction subsides on its own.it might be of allergic contact dermatitis .try avoiding those and use alternate latex free gloves. If you do not have rapid breathing and rhinitis(running nose)you would not need EPI.antihistamines would do well. Regards"}
{"_id": "000004597", "text": "Hello, i have gone through your query and understand your concern. If you had any intercourse, then you might be pregnant. Because you are having all the signs of early pregnancy i.e..1. Light pink discharge- it may be due to implantation bleeding2. Breast tenderness3. Headache, cramping and back pain are usual symptoms in early pregnancy. Progesterone with Chat Doctor. Thus please check Urine pregnancy test (HPT) to rule out pregnancy. If it is negative, then it may be a with"}
{"_id": "000004598", "text": "The dizziness when you sit up can be explained by or tho static hypotension.  It is mostly due to the antihypertensive meds you are taking, fluid deficit status are more rarely autonomic dysfunction caused by sleep itself. The blood pressure falling transiently when you move again gravity i.e. Sudden sitting or standing from sleeping position explains your symptoms.  So I recommend reviewing your medication and try finding the culprit"}
{"_id": "000004599", "text": "Hello, I can understand your concern it would be very helpful if I could see some pictures of your scalp.hairless maybe due to excessive ironing or using different products, avoiding it can help to reduce it. You may have halogen effluvium of female pattern hair loss.hairball may be due to lack of nutrients like iron or proteins in body, it may also be due to deranged thyroid levels. So to rule out halogen effluvium I would advise you to get your he, serum ferritin and thyroid levels tested.it may be genetic too. Application of minoxidil and oral biotin once a day can really be helpful to you. Hope it would help. Thank you"}
{"_id": "000004600", "text": "Hello thanks for asking from Chat Doctor for your health related queries can understand your concern. It is usually not common to see memory loss or cognitive decline at your age, so there is no need to worry about that. Most of the individuals of your age with memory problems have anxiety or mild depression. Sometimes low Vitamin B12 levels also results in such symptoms of forgetfulness. I would advise you to get your B12 levels checked to find out the exact cause of your symptoms. If B12 levels come low then start taking Multivitamin supplements and this would help in improvement of your symptoms. If everything come normal then visit a psychiatrist for evaluation of your symptoms. Forgetfulness in day to day task could occur due to anxiety or mild depression. Your sleep is normal, but such symptoms could be stress related. Low doses of antianxiety Chat Doctor. Thanks, hope this helps you. Take care"}
{"_id": "000004601", "text": "Pain may have increased because of massage make sure massage pressure should not be very soft and from upward direction. Always keep a pillow under your calf muscles do ankle toe movementdonot scratch your clot area if any imitation occurs rub the area very softly use ice packs for your clot and painful area. Do burgers exercises this will help in reducing pain and swelling as well if occurs. Wear cushion supported shoes. Maintain your body weight."}
{"_id": "000004602", "text": "Hello dear, Sure I would like to help you out. Paralysis can be due to a variety of causes and depending on cause, it takes time to heal, partially or completely, again depending on the cause. Paralysis due to brain lesions like stroke, may take days or months or even more than a year to recover. Paralysis due to spinal cord like myelitis may take days or weeks to recover. Compressive spinal cord disease may require surgery for cure. Nerve disease like acute polyneuropathies may take weeks or months to recover. Please be precise, may be then I can help better."}
{"_id": "000004603", "text": "Hi, Thank you for posting your query. It is unfortunate that you have neuropathic pain, and in addition, severe musculoskeletal pan too. You would first require a detailed evaluation to establish the cause of pain. For this, you would need to see a rheumatologist. Pain and swelling in hands could be related to mixed connective tissue disease. This can be confirmed by blood tests and X-rays. There are good medications available to treat this condition. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/"}
{"_id": "000004604", "text": "Hello thanks for consulting at Chat Doctor,four main methods of managing saliva control problems"}
{"_id": "000004605", "text": "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. 1) First do not panic. 2) apply pressure with clean cloth or cotton swab at the bleeding point.  Once bleeding stops after 3 to 4 minutes, you can apply local antiseptic ointment.  3) Skin tag near vaginal opening is normally seen in many women, but please get it confirmed from your doctor if tag near anal area is not a thrombosed pile Please take care not to pull out these ski. Tags. I hope this answer helps you. Thanks"}
{"_id": "000004606", "text": "Dear kcpocknellwelcome to Chat Doctor.Please do a UPT (urine pregnancy test) which u can do it at home by ourself. If It's positive, then the spotting (brown discharge) which your getting is because of the implantation of the placenta in the uterus, which means there's further development of the fetus is happening in the womb. This has to be good news for you"}
{"_id": "000004607", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult dermatologist and get done clinical examination of your skin lesion. Following are the possibilities in your case for skin lesion. 1. Bentham (cholesterol infiltration in skin). You are having high cholesterol level, so possibility of this is high. 2. Radiation induced skin damage 3. Cutaneous spread of uterine cancer. So consult dermatologist and discuss these possibilities and first diagnose yourself and then start appropriate treatment. You may need skin biopsy for the diagnosis."}
{"_id": "000004608", "text": "Hello, Well, in your case there may be a liver damage and different types of diseases or conditions may cause it. The next step is to look for certain liver damage and most common cause is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, ultrasound, bilirubin levels, and tumor markers should be additionally done. Then appropriate treatment can be started. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004609", "text": "Thank you for posting your query. I can understand that you had Chikungunya in 2006. It would have been excellent if you had given me the current symptoms or problems you are facing. Let me help you. Chikungunya is caused by chickungunya virus as you have correctly pointed out. The symptoms include fever, muscle aches, joint pain, rash to name a few. It can be diagnosed by serological tests like ELISA and RT-PCR. Currently, there is no specific treatment. It is treated symptomatically, like for fever paracetamol is given. Do not panic. Visit any government or private hospital, visit the medicine OLD and get your debts cleared Feel free to post any other question."}
{"_id": "000004610", "text": "Dear patient thank you for your question. You seem to have a condition known as Prolapsed Intervertebral Disc or Misdiagnosis"}
{"_id": "000004611", "text": "HI, thanks for using Chat Doctor It is understandable to be concerned. Food is obviously important for survival but if she is receiving enough fluids via iv to prevent deny Chat Doctor. The response to infection can be more severe with aging and whereas a UTI would not cause significant harm in a younger person, it can be harmful for an older person especially at your mothers age. If she responds to the antibiotics, does not develop any complications and is kept well HY"}
{"_id": "000004612", "text": "Hi, Decreasing sex libido is common at this age due to low testosterone level., Remember that sex is an art and not merely mechanical action. So it requires preparing him for sex by,1, exciting sex talks, verbal, fantasy.2, have kissing, pushing,3, wear sex exciting clothes or your husband likes clothes more exciting,4, create quite and exciting atmosphere.5, see sex videos and porn sites.6, go for changing sex positions, This will give him sexual excitement, and you will enjoy sex. Ok and take care."}
{"_id": "000004613", "text": "HiT hanks for posting your query on Chat Doctor. I appreciate your concern for the cat bite in fact scratch by its claws. It is unlikely to transmit the rabies virus, if any. Rabies virus is found in the brain and the salivary secretions of these animals. So a cat bite by animals teeth with saliva is more likely to transmit the virus if the animal is found to be carrying the virus. But in your case you had scratches by the animals claws resulting in bleeding, so it is unlikely to result in the transmission of the virus and hence no chance of getting the rabies. What you need at the most is cleaning of the wound with soap and water or antiseptic like Provide and a booster dose of Injection Tetanus toxic and maybe you need a course of appropriate antibiotic from the doctor. Hope this answers your query. Kindly rate this answer, if you are convinced."}
{"_id": "000004614", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely rule out cardiac cause for your left sided chest pain. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Uncontrolled asthma can also cause similar kind of pain with breathlessness. So better to consult pulmonologist and get done PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You may need longer acting bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) for better control of asthma. Avoid stress and tension, be relaxed and calm. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004615", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Sudden onset sharp chest pain, sweating and tingling in arms are commonly seen with heart diseases like coronary artery disease (CAD). Holder monitoring (24 hours continuous recording of ECG) is for arrhythmia (rhythm disturbances in heart). CAD can not be picked up by this. So despite normal Holder report, you should definitely get done 2d echo and stress test (trade mill test) and coronary angiography (if required). If all these are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. But better to first rule out CAD. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004616", "text": "Hello, Basically ovulation occurs 14 days before expected date of regular period. But it may differ with irregular period. GA is calculated from 1st day of LMP (in your case 17th Sept) to till date of wk.USG scan not able to give detailed fetal profile in early wk. Gestational sac and fetal pole are visible on TAS on 6wk and 8 wk respectively and on TVS 4wk & 6 wk respectively. So consult with your gynecologist and take advice to smooth Antenatal Period. Be well."}
{"_id": "000004617", "text": "His appreciate your concernLooking at your history it might be either axillary abscess or lymphadenopathyplease visit your doctor for detailed examination and battery of blood test like complete blood count and Erin my opinion a course of antibiotics will be required in axillary abscessMaintain a good hygiene in armpit and surrounding body areas Hope I have answered your question you can ask for follow-up good luck"}
{"_id": "000004618", "text": "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."}
{"_id": "000004619", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son have symptoms of diarrhea and nausea which seems to be due to acute gastroenteritis and electrolyte imbalance in body. It could be due to poor immunity and increased susceptibility of getting infected. Need not to worry.  I would suggest you not to panic at all. You should start treatment witChatDoctorbination of fluoroquinolones and ornidazole. Visit gastroenterologist once and get it examined and start treatment after prescription. You should get intravenous fluid administration as well. Avoid hot, sharp and spicy food. You should take banana on daily basis and light food.  Chat Doctor."}
{"_id": "000004620", "text": "Hi, Thanks for your query. Numbness in the hand and toes indicate that there is some sort of neurological disturbance (impaired conduction of nerve impulse) in the involved nerves. This may result due to compression of the nerve at some level during its course or may also result due to some systemic diseases. A detailed clinical examination and few investigations like EMG & Nerve conduction studies are needed to establish a correct diagnosis of your problem. I suggest you to consult a Neurophysician and follow the advice. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000004621", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Chest pain, tiredness, lethargy, loss of energy etc. can be seen in Pulmonary causes like bronchitis, lung infection, tuberculosis etc. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection and tuberculosis. PFT is must for the diagnosis of bronchitis. You may need antibiotics, anti-tubercular Chat Doctor.  If all these are normal then no need to worry about Pulmonary causes. But better to get first rule out Pulmonary causes. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000004622", "text": "Hello, if the doctors have told you that 1 kidney is fully damaged then there is nothing you can do to save the specified kidney. However, the other kidney according to your doctors is partially damaged which I can figure out is repairable. And a person can lead a totally normal life with only 1 functioning kidney. As you have not specified any other details about the reports or presenting complaints of the patient It's difficult for me to comment exactly on the problem or comment over the outcome. With the given information and to my best knowledge I can suggest following with the doctors and get the partially damaged kidney to work normally, and the said patient can lead life normally. Thank you"}
{"_id": "000004623", "text": "Hi, dear. I have gone through your question. I can understand your concern.  You may have some abscess in your breast.  It is common after injury or intervention. You should consult your doctor and go for incision and Chat Doctor.  Then take complete course of antibiotics according to your doctors' advice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004624", "text": "Thanks for your question on Chat Doctor. I can understand your concern. It is very difficult to understand conclude about having cancer or not. But 1 cm nodule in lung should definitely be investigated for lung cancer first. Lung cancer like squamous cell carcinoma and Aden carcinoma can present as nodule and shadows in lungs. So better to consult pulmonologist and get done 1. CT thorax 2. Bronchoscopy and BAD (bronchoalveolar lavage) analysis 3. CT guided Biopsy from the nodule. 4. Blood tumor markers. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks."}
{"_id": "000004625", "text": "Hello, I have studied your case. Yes this can be permanent nerve damage. Physiotherapist will help you better to learn more exercises in proper protocol. An ULTRASOUND EXAMINATION of the involved area or an MRI scan will establish the nature of pathology. Blood investigation will help you like CBC, CRP, and ESR. 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."}
{"_id": "000004626", "text": "Hi, Thank you for your query. It appears that your daughter developed a viral infection as upper respiratory tract infection and the rash has followed the infection. It shall take some time before the rash will disappear. Both Atari and Capon will not change the rash. I hope I have answered your query to your satisfaction. Wishing your daughter an early recovery.  Rajiv K Khandelwalhttp"}
{"_id": "000004627", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. Your problem of sexual desire is not a problem at all. That is common, For a person whose wife is away and could not be active in sex. So many people come across such a scenario. Seldom use illicit means. They learn to adjust. For the second problem you mentioned here, please understand that the base of any happy married life is trust. There could be so many occasions in married life where both can suspect partner. Trust and Judicious disposal of suspicion is the way to keep worries away. Please trust your wife. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000004628", "text": "Hi, I had gone through your question and understand your concerns. Sif you can't push it back or there is redness of the skin overlying hernia or there is pain and fever in progressive trend, then you need to see doctor urgently since it may indicate incarcerated hernia which require surgical operation as soon as possible. If these things are not present then you can treat it by laying down and taking painkillers and try to push hernia back after you relax. However, I suggest planning surgical repair of hernia in future since it may just become larger and cause more pain than it can't be cured with any other treatment but surgery, so you should consult abdominal surgeon in short time. Do write back to me for any further clarifications, I am always available to help. Best wishes."}
{"_id": "000004629", "text": "Hello Mr. Patel, I can understand your concern for your son. However, doctors at Chat Doctor advise patients regarding their ailments. If you want any opinion or advise regarding the health of your son, we can provide it to you. If you want an appointment of a doctor, you should follow the usual procedure of calling the doctor's office and take an appointment. We are sorry for not being helpful to you that way. Best,"}
{"_id": "000004630", "text": "Hello,1) Small to moderate sized bruising on liver surface (up to 40% of total liver surface area) considered as either grade I or II liver injury.2) Such bruising can be treated without need for any surgery considering patients condition is stable during days of observation and size of bruising is not increasing during these period.3) This period of observation varies from patient-to-patient and from injury-to-injury, but roughly he needs to be hospitalized for minimum 7-10 days and after discharge from hospital he need to bed rest for another 2-3 weeks"}
{"_id": "000004631", "text": "Hi thanks for contacting Chat Doctor She has Hepatitis b since one month. For that bed rest done . Take lots of fluid in firm if mainly fruit juices ex...papaya or grapes juice . Avoid physical exertion and alcohol. Fried food taken very less. One tsp licorice with honey can be taken.... Udiliv tablet can be given.... For piles take stool softener. Avoid straining at stool. Anal warm water site bath can be taken... Avoid excess spicy food. Local Betadine ointment can be applied... Hope your concern solved... Follow up is necessary esp. Viral Parker for Bag after six months.... Chat Doctor."}
{"_id": "000004632", "text": "Hi welcome to Chat Doctor.... Noted you have chest pain...and known case for asthma...... So you might have repeated bronchoconstriction by asthma that is allergic response.... You are treated with antibiotic for infection. Now your asthma might need maintenance inhaler by foretell plus budesonide low dose inhaler.... Asthma like allergic condition here is cause for chest pain... If needed chest x-ray and PFT done.... If dyspnea severe nebulization can be given. Take care..... Chat Doctor."}
{"_id": "000004633", "text": "Hello thanks for asking from Chat Doctor for your health related queries can understand your concern. The symptoms like exhausted feeling, poor concentration etc. can occur due to persistent stress or mild depression. But some medical causes should be ruled out to make diagnosis of stress as cause of these symptoms. Low vitamin B12 levels, poor nutrition, iron deficiency anemia, hypothyroidism, hyper cortisol levels etc. are common medical causes that should be ruled out for these symptoms. Please consult a doctor for proper evaluation and investigations. Vitamin B12 supplements, Omega-3 Fatty Acids tabs help to reduce these symptoms and are very useful. If symptoms persist then visit a psychiatrist for treatment. Thanks, Hope this helps you. Take care"}
{"_id": "000004634", "text": "Hello It is very common in Psychotic Disorder to have muttering or self talking behavior. She is having restlessness and disturbance in sleeping and due to this she is remembering past incidents. I will advise you to please visit her psychiatrist for proper medicine for sleep. Risperidone is a good Chat Doctor.  But as she is having improper sleep please visit psychiatrist. Espazine is also an antipsychotic"}
{"_id": "000004635", "text": "Hello there I have read through your question and would like to tell you that headache can be attributed to a high blood pressure. I would advise you to get your blood pressure monitored for one week and if it continues to be above 130/90 you should consult your physician for a complete blood work up and start an antihypertensive. If hypertension is ruled out, we may have to look for neurological causes like tension headache or migraine. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing Chat Doctor."}
{"_id": "000004636", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint the symptoms of formation of recurring bumps and blotches over the body seems to be due to allergic reaction to any unknown allergen, and it needs to be thoroughly evaluated and investigations to rule out allergies like Last Test, Patch Test and Food challenge test etc. can be done to rule out the exact cause of allergic reaction as antibodies against the specific allergen is formed in the blood of the individual and preventing exposure to the allergen can help. An immunotherapy can also be instilled by an allergist to reduce the severity of allergic reaction. As of now you can take anti-allergics like Levocetrizine or Ben Chat Doctor. . Limit sun exposure. Hope this information helps. Thanks and regards."}
{"_id": "000004637", "text": "Hello dear. Understand your concern. Look, birth control pills are available in 4 types.1)combined pills, have 2 hormones in same dose in every 21 pills.2)physic pills, it contains different dose of hormones in 2 or 3 phases.3)mini pills, contain one hormone in same dose in 21 pills.4)newer pills, contain hormones in same amount in 21 pills. So you have to consult your doctor, check your tablets. You are safe from pregnancy, but it could be done hormonal imbalance which could do other side effects, also increase chance of failure. Hope this will guide you.thanks. Chat Doctor."}
{"_id": "000004638", "text": "Welcome to Chat Doctor, Naturopathy & Yoga Treatments for Psoriasis Fasting"}
{"_id": "000004639", "text": "Hi, thank you for providing the brief history of you. As you had a fall in bathroom post which you had bruises, vomiting, nausea etc. you need a thorough clinical Neurological examination. As many a time due to fall there will be an internal bleeding in the brain leading to such symptoms. Getting a Neurological examination will be on a positive side and will be beneficial to avoid any further symptoms. In my clinical practice most cases are Neurologically assessed and MRI of Brain is performed to see the possible soft tissue Injury. Many a time they respond well with simple symptomatic medication. Regards Jay In Chat Doctor."}
{"_id": "000004640", "text": "HI. If you are elderly, nothing to worry about. This is a process of coating of the internal layer of the aorta by atheromas plaques and are found in many patients without any symptoms. This may be taken as an aging process provided you do not have any medical issues. If the integrity of the aorta is normal, just forget about this. If you are still bothered, consult a Cardiologist who would ask you to undergo few tests like blood lipid profile and may advise you to take some medicines like statins to reduce this."}
{"_id": "000004641", "text": "Hello. Thank you for asking at Chat Doctor. I went through your query and would like to make suggestions as follows"}
{"_id": "000004642", "text": "Hi, Welcome to Chat Doctor. I doubt it is herpes as herpes lesions usually occur in crops and are fluid filled. I am suspecting a boil or fur uncle in the genital area. Burning sensation while passing urine indicates urinary tract infection. You also give a history of white discharge which is suggestive of vaginitis. Following are suggested"}
{"_id": "000004643", "text": "Hello, A very thorough medical history is absolutely necessary before any dental treatment. A blood thinner such as Coumadin affects the bodies ability to clot. This is the initial stage of healing required after an extraction. If the clot is disturbed, delayed healing may occur. A Chat Doctor.  I routinely take my patients off blood thinners including aspirin. If there are high risk conditions, I refer to the oral surgeon specialist. All doctors and specialists should consult, discuss risks and agree to treatment. Premedication for dental treatment, especially extractions, is necessary after knee replacement surgery. An antibiotic such as Amoxicillin should be prescribed. I suggest a consultation with an oral surgeon. Factors such as the amount of tooth in bone and risks need to be considered. Surgical complication risks will also need to be considered when choosing a location. I hope this is helpful, and thank you for your inquiry."}
{"_id": "000004644", "text": "Hello and Welcome to Chat Doctor, I have gone through your query. The white spot surrounded by redness that you referred to seems to be a surplus which contains pus within. It might be discharging or if not you can take a sterile needle to prick it to relieve the pressure within the tooth. This will also lower the intensity of Pain. The surplus suggests that your tooth is infected and most probably there is periapical lesion as well which will be seen via X-Ray. Yea you can take the medicine as the same has no affinity with the Chat Doctor.  Your Tooth might need a Root Canal in this Case as the infection can only subside for some days or week by medicine and it(pain) will recur. You might be needing an X-Ray of the involved tooth to see the extension of infection, so the dentist can see whether the tooth really can be saved with root canal or should be extracted. I suggest you to visit the Dentist and get the tooth treated. Thanks and"}
{"_id": "000004645", "text": "Hi, Thank you for posting your query. There are two issues here-1. Whether we should do surgery for meningioma?2. The appropriate dose of dilation. Meningioma can only be treated by surgery. There are no medicines to make it disappear. So, if the tumor is large or is in a critical part of brain, or it is growing in size, we should do the surgery for meningioma. The correct dose of dilation (phenytoin) is 5 mg per kg body weight. So, if your weight is about 60 kg, then, you should be on 300 mg per day-either 100 mg three times daily, or 200 mg pm and 100 mg am. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"}
{"_id": "000004646", "text": "Hi, Thanks for posting in Chat Doctor. Toxic is indicated for booster injection only for persons 7 years of age or older against tetanus. Injury in any form which has an open wound or penetrative is an indication for taking injection as it carries a risk of contacting tetanus. Ideally it needs to be taken within 24 hours after an injury to be more effective. However, one injection would offer protection for a period of 6 months. Hence, if your mother has only an abrasion of the skin without any penetrative wound, then there is no absolute necessity to take the injection. It can be managed by cleaning the wound with antiseptic and applying antibacterial cream. Otherwise, with penetrative wound, it is a must, along with taking other measures. Hope the information provided would be helpful. All the best."}
{"_id": "000004647", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have reactive lymph node enlargement due to some infection. So it increases in size at time of infection and gradually subside. If it recurs then you should take a course of antibiotics. If it does not respond to treatment then biopsy diagnosis is advisable. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004648", "text": "Hi, I had gone through your question and understand your concerns. It is known today that pre-ejaculate has only minor number of sperms, so there are only rare cases where living sperm can be presented in the pre-cum and conception subsequently possible. If you urinated before it then chances for it are negligible. However, the only way to rule it out for 100% is to do pregnancy test to ease your mind. But as I can tell you, pregnancy is really not likely under these circumstances. 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."}
{"_id": "000004649", "text": "Hi, I have gone through your query. White patches are usually suggestive of fungal infection. Since you have VIN 3 years back, problem with melanocyte cannot be ignored. But VIN is localized to vulgar region. Lesion needs to be clinically examined and may require tests, if needed. I advise you to consult a dermatologist for further opinion or can send picture of lesion with other symptoms. 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"}
{"_id": "000004650", "text": "Hi and thank you so much for this query. I am so sorry to hear about bruises. I am happy to hear you were able to take on the cancer battle and have been in remission for 4\\u00a0years. Furthermore, I think what you term bruises are small bleeds on the skin. Furthermore, I will suggest that you get your clotting system evaluated. A full blood count would tell us whether the platelets are in good number or not. This can open the door to different possible causes. Also, You need proper interviewing and examination before testing to gather more information. Talk to your primary healthcare doctor for this. I hope this ad Chat Doctor.  Thank you so much for using our services, and please feel free to ask for clarifications if need be. I wish you the best of health."}
{"_id": "000004651", "text": "Hallow Dear, Contraceptive medicines are hormones containing Estrogen and/or Progesterone. These pills can prevent the pregnancy if taken regularly throughout the cycle. Some high dosage emergency contraceptive pills may help to prevent the pregnancy if taken within 72 hours of the unprotected intercourse. However, these sorts of pills cannot terminate the pregnancy once the conception has occurred. Primal N is Progestational medicine and will not be useful to avoid pregnancy if conception has already occurred. If you have missed your period, please get pregnancy test done on the overnight morning first urine sample after about a week of the missed period. Alternatively, you may opt for Beta Chat Doctor test on the blood to detect the pregnancy. If you are not pregnant, some progestational medicine like Prom ult N or Every for 5 days will help you get the with Chat Doctor.  However, if you are pregnant, Medical termination of pregnancy will help you terminate the pregnancy safely and effectively and within legal frame up to 7 weeks of pregnancy (if you are in India). After the results of the pregnancy test(s), please report to your Gynecologist without wasting time. I hope this helps you."}
{"_id": "000004652", "text": "Hi! Good morning. I am Chat Doctor answering your query. As it might not be possible to advise you rightly over the net on your problem without a personal physical examination, I would advise you to consult your family physician or a general surgeon in your area for a clinical assessment FNA further needful. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000004653", "text": "Taking into consideration your past history of surgeries and the various findings followed by recurrence of symptoms I would suggest you to undergo the following tests1. CBC2. BUN\\u2019S Creatinine, S Electrolytes3. Urine examination4. USG of the kidney, ureter and bladder5. IPI am sure that the above investigations will help in determining the exact status of your renal system which will enable one to decide the further course of action."}
{"_id": "000004654", "text": "Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. F.  You are pregnant of 5 weeks, you had mild bleeding, and cramps in the lower abdomen. You had intercourse before that of course it has nothing to do with it.  Your problem is called threatened abortion, so you should be concerned about it, otherwise there will be a possibility of inevitable abortion.  You are advised to take absolute bed rest, and intercourse is prohibited completely.  I advise you to consult an obstetrician for confirming the threatened abortion, and preventing the inevitable abortion.  Wishing that everything will be fine.  Best regards."}
{"_id": "000004655", "text": "A cyst in the ovary can mean a number of things, one of them being cancer. In order to have some idea of its nature, you need to get a blood test called CA-125. If It's raised, then there are chances that it harbors cancer, and you need to get the cyst removed. If it is normal, and the cyst is not increasing in size on serial monthly ultrasounds, and if there is no solid area within the cyst on the ultrasound, then you have nothing to worry about."}
{"_id": "000004656", "text": "Welcome to Chat Doctor I have gone through your query and understand your concern. You are likely to be got benefited by surgery of spinal fusion with or without bone grafting. However, final decision depends upon surgeon on seeing your x-ray and MRI report. Other methods which can be beneficial can be applicable of lumbosacral belt so that fewer movements occur at lumbar spine. Physiotherapy by back exercises are of use. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care."}
{"_id": "000004657", "text": "Thanks for your question on Chat Doctor. I can understand your concern. You are having hemoptysis (blood in sputum). And common causes for hemoptysis are lung infection (pneumonia, tuberculosis), bronchitis, lung cancer etc. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed for lung infection and cancer. PFT is must for the diagnosis of bronchitis. You will need antibiotic and inhaled treatment on the basis of reports. If you are a active smoker then you should quit smoking as soon as possible. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004658", "text": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that it is important to perform a careful differential diagnosis of different causes that may lead to your symptomatology. Have you suffered from high blood pressure before? What is your past medical history? I recommend you to closely monitor your blood pressure different times during the day (in sitting position after 10 minutes of total relax) and refer those values to your attending physician. Do you have other symptoms like chest pain, difficulty breathing? I would also recommend performing some tests, besides a careful physical examination"}
{"_id": "000004659", "text": "Hi, please get a check-up with your treating doctor. The pain may be due to some other reason. A clinical check-up and investigations may be needed to find out the cause and treatment to be taken accordingly. Tuberculosis may relapse, but it can only be diagnosed with appropriate tests and the treatment to be taken as per schedule. Hope your wife is not having tuberculosis again and be well soon with treatment."}
{"_id": "000004660", "text": "Hello, As medicine is given should be helpful to her. You should even try to make her do simple exercises which will help her muscles to become active and do correction of the same. In aging, this is possible to have some abnormal changes in the muscular system and with exercise, things can become close to normal again. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000004661", "text": "Hello, I had gone through the case and found that if you have history of stone then you must go for ultrasound of whole abdomen. Renal stone pain never aggravate with breathing and burping never occur due to stone. It might be due to week digestion causes burping. So After the ultrasound take proper treatment. Avoid alcohol because it creates stone and liver cirrhosis. Take antacid for burp. Hope my answer will be effective for you. Thanks"}
{"_id": "000004662", "text": "Hi welcome to ChatDoctorIf your ultrasound and colonoscopy is normal. Do not worry. Also get upper GI endoscopy to rule out any gastric ulcers. Take antacids like tab. Omeprazole 20\\u00a0mg once daily before breakfast. Avoid hot liquids and spicy foods.take3-4litres of water daily. Consult your doctor for expert management. Get genetic screening or APC gene mutation to know future risk of cancer by consulting your doctor. Thankyou"}
{"_id": "000004663", "text": "Hi there ~I understand your concerns.  I believe that you might need to consult both a psychiatrist and a psychologist if you feel like you are having all the symptoms your describe.  You might fit into a diagnosis of Depression, Bipolar Disorder or PTSD depending on the kind of symptom presentation you have when you meet with and interview with a psychiatrist and a psychologist.  Treatment may be two pronged, both medications and therapy.  I wish you the very best in your recovery. I hope this helps.  Take care and have a lovely day!"}
{"_id": "000004664", "text": "I understood your concerns, first we need to confirm that you have muscular or kidney colic pain? Pain may be nerve related also...... In most types of neuropathic pain, all signs of the original injury are usually gone and the pain that one feels is unrelated to an observable injury or condition. With this type of pain, certain nerves continue to send pain messages to the brain even though there is no ongoing tissue damage. Neuropathic pain (also called nerve pain or neuropathy) is very different from pain caused by an underlying injury. While it is not completely understood, it is thought that injury to the sensory or motor nerves in the peripheral nervous system can potentially cause neuropathy. Neuropathic pain could be placed in the chronic pain category, but it has a different feel then chronic pain of a musculoskeletal nature. If you have stone related colic pain you can take dicyclomine paracetamol combination."}
{"_id": "000004665", "text": "Respected Sir, hi I evaluated your query thoroughly.It's your child's immune system weakness that leads to recurrent cough. Follow certain steps at home for long term benefits"}
{"_id": "000004666", "text": "Hi ! Good morning. I am Chat Doctor. On the diarrhea front, I would advise you to avoid eating from outside if you do to rule out any intestinal infections. If I were your doctor, I would advise you for a routine stool test for ova and cyst, a routine blood test like CBC, ESR, Blood sugar, and special blood tests like LFT, Bag, HIV, and a thyroid function tests. If all the tests are normal and non-reactive, then I would not hesitate to refer you to a gastroenterologist for an endoscopic evaluation of your gut and a possible tissue biopsy to arrive at a diagnosis. An ultrasound of abdomen might also prove to be helpful. The lesions in your legs could be due to some allergic manifestation which has responded to the anti histamine"}
{"_id": "000004667", "text": "Hello, Thanks for posting your query on ChatDoctorYou developed an allergic reaction to the dye and an angioedema due to the same. You require taking an anti histamine preferably the second generation type without sedation. Avoid any home remedies and creams. Eat a wholesome diet, relax and sleep well. You would get well soon. In future, you should avoid the dye that caused you the reaction. If you ever want to use any dye in the future you should apply it over a small area on the body and see if it produces any reaction before using it on your scalp. Take Care"}
{"_id": "000004668", "text": "HI. Thanks for your query and an elucidated history. It is very rare for such a large and hard lump to be developed on the chest of such a small boy of just 4 years. This may be diagnosed only by an ultrasonography, FNAC to start with. I would suggest you to consult a Pediatric Surgeon or a General Surgeon and get this removed under General Anesthesia. This will benefit us by two ways"}
{"_id": "000004669", "text": "Hello I appreciate your concernLooking at your history this could be an STD or allergy due to collection of Sega under surface of foreskin if you can upload me a photograph or complete medical history related to exposure to unprotected intercourse in my opinion you should visit your doctor for check up and a battery of tests like swab culture or KOH fixation test have plenty of fluids class foreskin regularly with antiseptic solutions regards"}
{"_id": "000004670", "text": "HI, thanks for using Chat Doctor It is possible that you have a viral infection though bacterial infection may need to be ruled out if the symptoms persist. Viral infections can present with fever, loss of appetite, fatigue, headache and dizziness. Your doctor can examine you to determine the likely infection causing your symptoms. Treatment depends on infection present, but general management would consist of"}
{"_id": "000004671", "text": "His had gone through your query. You seem to have multiple medical problem. Psychiatric co-morbidity is common in long physical illness. Yes clonazepam can be used to reduce stress and anxiety. Clonazepam is anxiolytic medicines. It is also useful in sleep problem. SSRI is advisable in PTSD. In SSRI paroxetine and Escitalopram can be useful. Avoid alcohol and methadone for better health. Both can worsen anxiety and precipitate psychological illness. Need to consult psychiatrist and discuss your illness for further evaluation. I hope I have answered your query. Thank you."}
{"_id": "000004672", "text": "Cellophane You for contacting Chat Doctor. You are having allergic reaction from something. I would suggest you following things"}
{"_id": "000004673", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult pulmonologist and rule out lower respiratory tract infection (LETI - pneumonia). Your symptoms (brown sputum, chest tightness) are commonly seen with pneumonia. Your symptoms are not improving after 2nd round of azithromycin (z pack). So get done chest x-ray. Chest x-ray is must for the diagnosis of pneumonia. You may need higher antibiotics, bucolic and expectorant (N acetyl cysteine) Chat Doctor."}
{"_id": "000004674", "text": "Hi, Thanks for writing in. I think your husband has got ultrasound and specific urine tests done for assessment of kidney function. In my opinion, 300 can be 300 mg to the upper limit of proteins normally excreted by an individual and 5000 refers to 5 grams of proteins found in his test results. Please remember that this is only an estimation, and it is best to refer to the actual report and make conclusions. A blood pressure of 180/ 108 is high, and it is important to rule out a condition called renal artery stenosis in people having high blood pressure. In this condition, there is narrowing of blood vessels entering the kidneys and this causes release of chemicals that shoot up the blood pressure. This can be confirmed by doing a renal artery Doppler test which will show any abnormal blood flow in his kidneys. Please consult your doctors and get a renal artery Doppler scan done after recommendation."}
{"_id": "000004675", "text": "Yes, you should head back to the hospital. If you are having the same pain and symptoms you had with a previous kidney infection in this same pregnancy, it is likely that your infection is back. Pyelonephritis, or a kidney infection, is more common in pregnancy than in the general population. As you know, it can cause serious pain, fever and other symptoms. More importantly, pyelonephritis has been linked to preterm labor. It is important that you go back to the hospital. If your infection has returned, it can be treated again and help give your baby more time."}
{"_id": "000004676", "text": "Hi. Thanks for your query. The hot pad put on any part of the body takes away the pain by increasing the local circulation and carrying away the substances that cause pain. So the cause can be anything. The bloating is definitely suggesting the intestines have a problem, and to top up my the problem you have taken the laxative. This can enhance the problem by its action. I would suggest you the following"}
{"_id": "000004677", "text": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you should first diagnose yourself for the Lyme Disease before you got treatment. You can get tested yourself with ELISA, IFS or Western Blotting to confirm the diagnosis. If you are confirmed as having Lyme disease you should take doxycycline 100 mg two times a day for 14 days to cure the disease. The causative agent Bocelli burgdorferi a treponema bacterium is very sensitive to the Chat Doctor. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you."}
{"_id": "000004678", "text": "Welcome to Ask a doctor service. I have read your query and here is my answer.  Your children symptoms are due to sore throat. He must be having fever and associated headache, backache and loss of appetite. I will suggest saline gargles. Antibiotics as tab Azithromycin once a day and tab Paracetamol for body pains and fever. Ask him to take rest for 4 or 5 days, and he will recover well. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004679", "text": "Hiwith diabetes, asthma, hypothyroidism, positive family history of heart problem & chest pressure symptoms it is better to get evaluated totally accordingly as suggested by your cardiologist.the slightest doubt in the ECG in your status is also an indication, especially being diabetic. You can go for an echocardiogram, thread mill test, or stress echocardiogram, if these are all uneventful, with no positive signs, then not to worry. Requirement of an angiogram will be decided by the cardiologist based on these tests. All the best take care"}
{"_id": "000004680", "text": "Dear friend. Thanks for sharing your concern. Your history suggest that your pulp is exposed to noxious stimuli resulting in pain. It could be the restorative material placed on it. It also signifies you have deep dental caries which is very close to pulp and infected. Earlier, it was an open infection but now after placing the restoration on it, it has become closed. Bacterial multiplication and toxins causes pains due to pressure built up there. Pain in other areas' ear, jaw etc., apart from tooth. Is called referred pain arising due to same nerve distribution there. Need not worry for now take a painkiller, visit your dentist and get a X-ray done. Also request for the removal of restoration placed on it. Pulp capping or RCT can be suggested in your case after evaluating X-ray.  This should help.thanks."}
{"_id": "000004681", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph nodes.  It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. Or some soft tissue tumor like lipoma or neurofibroma. Should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004682", "text": "Hi, Thanks for asking. I understand your concern.  Normally upper right abdominal pain is seen in pregnancy due to problems of digestion caused by pregnancy hormones.  But you seem to have severe/ unbearable pain, You need exclusion of liver disorder (infective/ blood group in compliance)/ gall bladder disorders. Sometimes heart problems/ trauma to the part with injury to bony cage./ respiratory problems, can lead to unbearable pain in the area.  I would advise a consultation of a physician followed by investigations he advises,,, to pinpoint the cause & take specific treatment advised.  Thanks"}
{"_id": "000004683", "text": "Hello, The location and movement of a pain gives clues as to what is going on, and it can be the outside muscles (which should be obvious), or the hip joint (standing on one leg and other stresses on the joint would hurt) or a lumbar disk (yanking on the nerve by extending the straight leg up or sitting the wrong way would indicate this). Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000004684", "text": "Hello, Due to compression of this nerve root there is pain radiating to your arm, leg. Diabetes and smoking leads to constriction of blood vessels leading to infection and weakness. So it is advisable to do color Doppler limb to see vascular status. Medication physiotherapy with TENS and anodyne therapy may help. For these symptoms analgesic and neurotrophic medication can be started. I will advise checking your it B12 and it D3 level. There is possibility of transient ischemic episode or stroke leading to motor weakness on arm and leg. You may need clinical examination to confirm neurological weakness, BP and other vital parameters. MRI brain will rule out stroke in case of suspicion. 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"}
{"_id": "000004685", "text": "Hello! Thank you for the query. The symptoms you have mentioned does not sound like a cancer. Bad smelly stools can be caused by pancreas disease, IBS or diet. Right lower abdominal pain if is severe can be caused by ovarian cyst or urinary tract inflammation. I suggest you to have some tests"}
{"_id": "000004686", "text": "If this happens only during this time, the problem could be more acid in stomach. Means overnight the acid causes this problem. Change your food habits, avoid late night eating, avoid high fat food and heavy dinner. Walk for a while after dinner. Stop any form of tobacco if your taking. Take antacids as when required. Take something with morning tea or coffee. Pl.see your doctor if this simple things do not take care of your problem."}
{"_id": "000004687", "text": "Hello, Heavy bleeding is known side effect of Cut. You can take tranexamic acid 500 three times a day during menses. This tablet is to be taken after food. You should take any antacid before food. Tranexamic acid causes acidity in many patients. If this doesn't relieve get your thyroid profile done. If this also doesn't relieve you can go for another method of contraception. Hope this helps.  Chat Doctor."}
{"_id": "000004688", "text": "Hello, I generally prefer to allow the implant to heal under the bone and avoid any initial loading. The single stage or unibody advantage will allow you to have a temporary crown placed for the anterior tooth immediately. Ask your dentist for additional information and the particular brand. You want to see some clinical studies for the implant that you are considering. Consider a second opinion with a periodontist. The most important consideration is bone support. You want to do everything possible to have the best surgical outcome for the implant placement. Consider a removable temporary tooth while the implant is placed and heals as an option. Icon dental implants use short implants. There are MDI Mini dental implants designed for dentures by 3M. OCO Biomedical and Fischer Dental are some implant brand names to search for more information. Thank you for your inquiry."}
{"_id": "000004689", "text": "Hello, Thanks for the query, Your sciatic nerve problem need detailed neurological evaluation which will include the clinical assessment by a neurologist followed later by MRI scan of the lumbar spine along with the pelvis and lumbar plexus and lastly nerve conduction test. All the tests will determine the cause of sciatic nerve problem, and then we will be able to guide you better. The so-called link which you feel can largely be ad Chat Doctor."}
{"_id": "000004690", "text": "Hi, The pain in your tailbone area, is caused by the local trauma and neuromuscular damage. It will need some weeks for the pain to heal completely. I suggest you to"}
{"_id": "000004691", "text": "Hello, Everyone builds up daily plaque that you should remove with good dental hygiene. Your diet, health, habits and medications contribute to the composition. Smoking, coffee and tea are examples of stain causing culprits. If you are not effective in getting your teeth clean, consider a professional cleaning. Consider changing dental product choices. Have a complete dental exam. I suspect a tooth with decay and the hole builds up with debris. Some bacteria can cause discoloration on your teeth as well. Your dentist can check for this and any oral infections present. Have you had a recent dental check up? Think of any recent changes that you can attribute to the timing of the build up. A Chat Doctor. Thank you for your inquiry."}
{"_id": "000004692", "text": "Hi and welcome to Chat Doctor. Thank you for your query. It is hard to find the exact cause. There can be spine metastasis, pancreatic disorder or degenerative arthritis. He should do spine MRI to rule this out. Till that he just needs some strong painkillers and physiotherapy. ALso, some surgical complications can lead to such pain such as adhesions or intra-abdominal infection. Without further testing nothing can be confirmed.Wish you good health."}
{"_id": "000004693", "text": "Hello madam. Yes you have side effects when you smoke and breastfeed.it causes-Lower milk production due to various reasons-Nicotine comes in breastmilk.yes you are feeding. Your baby with nicotine added Milan way you are avoiding smoke inhalation by baby which is Guido stress smoking is not the only option. Try meditation or walk or jog. If you can't avoid smoking then-Cut down smoke to a considerable level-Smoke immediately after you feed the baby so that nicotine content you pass in breastmilk will be less(at least theoretically)DON'T STOP Breastfeeding AS YOU ARE SMOKING.IT IS GOOD TO GIVE FEED INSTEAD OF ARTIFICIAL FEEDS.if you have any more doubts feel free to ask me."}
{"_id": "000004694", "text": "Hello, Hard, vigorous masturbation can cause friction injuries and rashes on your soft skin of your glans penis. Such injuries and rashes can cause swelling on the glans penis. If you attempt masturbation again without the rashes healing, the swelling may reappear. So take rest for around a week before attempting masturbation further. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000004695", "text": "Hi, The main concern for you is tubal blocks. If they have been identified on the HSG, they have to be treated by laparoscopic surgery if possible. So, the next step for you would be a keyhole surgery, where the surgeon will try to remove the blocks, it could be combined with a surgery called hysteroscopy, where the surgeon insert a tiny camera into the womb and sees its lining. These will guide us with further management. The TORCH values should not concern you much, because once you have got an infection it is very unlikely that you will get it again during pregnancy. And these harm the pregnancy only if you get the infection during pregnancy and not prior to that. The Egg values indicate that you had been infected and are now immune. Hope this helps. Regards."}
{"_id": "000004696", "text": "HI Thereafter going through the details provided by you, I understand your concern and I would like to tell you that as you have developed A FIB after surgery and your resting heart rate is keeping on the higher side, It's basically the A FIB due to which you heart rate goes that high during activity. No pulmonary hypertension does not contribute much to increased pulse rate, instead it is the cause of your breathlessness and sense of pressure in the chest wall. I would like to give a trial of DIGOXIN to control your resting heart rate, but its advisable that you should consult your cardiologist personally and discuss your options. I wish you Good Health"}
{"_id": "000004697", "text": "The most common reason for toes to be deformed at a young age is a tendon imbalance between the flexors and extensors of the foot. For example, having a high arch or a caves type foot, leads to the extensor tendons bow stringing and hammertoe formation. Using a custom orthotic from a foot and ankle specialist may help balance deforming forces. Others have advocated taping the toes in an improved position, but I never tape child Chat Doctor.  With a certain type of flatfoot, the fourth and fifth toes turn inward due to imbalance of intrinsic tendons of the foot. Although these may be cosmetically unappealing I would never consider surgery until all growth plates close after around 18 years of age, and usually don't ever cause negative symptoms"}
{"_id": "000004698", "text": "Hi, Thanks for query, As you get throat infection often it indicates there is infected loci in your throat most probably in the tonsil giving you trouble. Avoid fried, chillies and junk food. Quit smoking if you smoke. If there are septic foci in your tonsil get it operated. As you get throat irritation with fever chances of allergy is less. Do salt water gargle or Listerine gargle daily. Ok and bye."}
{"_id": "000004699", "text": "Welcome to Chat Doctor .1. Generally these kinds of symptoms are seen in the colonial sinus (infected hair) which can be treated easily in early stages with a course of antibiotics.2. If it gets complicated, it may cause sinus formation and fistulous opening and so all.3. You need a surgeon appointment.4.Don't ignore and leave for complications. Hope it helps you. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000004700", "text": "Hi AmarilysWelcome to Chat Doctor. Losing weight, blood in stools can relate to a cancer. H.pylori infection can cause gastritis, peptic ulcer disease, cancer. Low cell count can be due to vitamin deficiency also. Even though all these symptoms get together relate to cancer, from the information given, we cannot confirm the presence of cancer. All these symptoms can also be possible in vitamin deficiency and deficient nutrition absorption. Considering his age, he should be taken for evaluation of cancer. He should follow a complete nutritious set to get better. Take care."}
{"_id": "000004701", "text": "Welcome to Chat Doctor. Scratch by teeth nails by animals which bleeds needs immunization by rabies vaccination. Since you have mentioned that it was not a stray dog I hope that it has been vaccinated. I would like to know the exact site where teeth had scratched you. If it is located near face or palm of hands would advise you to have a vaccination injection.Otherwise, in other site last week vaccination is adequate. Thanks.regards"}
{"_id": "000004702", "text": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. Increase in AST and ALT has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, Chat Doctor.  So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile, there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight. I hope I have answered your query and this will help you. Wish you a good health"}
{"_id": "000004703", "text": "HelloThanks for query. Based on what you have narrated I would say that you I have probably sustained an injury to erectile tissue or artery that carries blood flow to penis for effective and hard erection due to Vacuum device used for lengthening penis, Your problem of erectile dysfunction is mostly vascular in origin and needs to be confirmed by doing a test called Color Doppler Ultrasound Scanning of penis . Please consult qualified Urologist for clinical assessment and get the test done. Further treatment will be decided by him based on result of this test. Chat Doctor."}
{"_id": "000004704", "text": "Chest pain radiating to arm is a classical symptom of Angina Sectors usually also associated with profuse sweating. Evaluation having showed variation in ECG suggestive of a heart attack (ST elevation) along with increased Cardiac enzymes is almost confirmatory of Myocardial Infarction (an ongoing heart attack). The next best step in case of persistent chest pain is to go through a Coronary Angiogram which will give a clear picture of the status of coronary arteries supplying the heart. Any blocks in these arteries if any will be detected and can be dealt with. If the chest pain has stopped, serial eggs and cardiac enzymes can be taken to confirm an MI (myocardial infarction) or heart attack in simple words, and then the doctor can proceed to do an angiogram or treadmill test based on the changes. High cholesterol levels might also play a part in clogging up the arteries and hypertension can also lead to damage to arteries and plaque formation. All these are additional risk factors if present in leading to a heart attack."}
{"_id": "000004705", "text": "Hi, Green colored stool and constipation doesn't seem to be related to multivitamin syrup. Multivitamin syrup usually has b complex vitamins which are excreted through urine. In my opinion, your child has stomach infection, and you should do a stool routine microscopy test. Treatment will depend on above reports probably a deforming syrup and antibiotic like of lox will be required for 3 days. I hope this has helped you. Take care. Regards - Chat Doctor."}
{"_id": "000004706", "text": "Hi, Welcome to the forum. Your symptoms could be due to disc prolapse in the lumbar area. However, it could be minor as you do not have leg pain. It could also be a mechanical pain due to muscle strain. Now, you could try analgesics such as diclofenac. If symptoms persist, you could see a doctor and get MRI Lumbar spine done. I hope this is helpful to you. You can consult me again directly through my profile. Regards."}
{"_id": "000004707", "text": "Hello dear, I understand your concern. In my opinion as the ultrasound is normal you need not worry. There are various causes for bleeding like thyroid abnormalities, progesterone insufficiency, abnormal pregnancy, bleeding from cervix etc. As ultrasound is normal the pregnancy is considered as normal. So the bleeding might be from cervix.Don't worry. It will subside spontaneously. Avoid physical strain and intercourse. Take healthy nutritional diet rich in iron and iron supplements to combat anemia due to blood loss. Best regards."}
{"_id": "000004708", "text": "Hi, Dear,thanks for the query to Chat Doctor. I studied your query in full details. I understood the concerns you have. Cause for lump on Chest-This lump doesn't have any relation with thyroid nodules, or with burping and or with scenic cell tumor of parotid gland. Assuming you are male, Mostly this lump seems to be Sebaceous Cyst. I would advise you to consult ER Surgeon, who would resolve your issue by first-hand check and information.Don't worry and things will be right after this check up. Plz don't self-medicate and increase risks and costs of your illness. Just ask query to Chat Doctor and to me. Hope this would help your query to satisfaction. Write excellent review and hit thanks if this reply helps you out. Welcome for any further query to Chat Doctor and to me in this regard. Have a Good Day. Chat Doctor. N."}
{"_id": "000004709", "text": "Hi, Thanks for asking the query, The veins which you saw are normally present but become more visible when inflamed or congested nothing is abnormal or worrisome. Most of the time the infection should decrease symptomatically and resolve in ten days. If it persists beyond that or if there is worsening of the symptoms consult your Doctor for thorough evaluation and management.Meanwhile, you can go for thrice daily warm saline gargles for faster recovery. A daily B complex multivitamin supplements would be beneficial as per Doctors prescription only. Hope you find this answer as helpful. Take care!"}
{"_id": "000004710", "text": "Hello! Thank you for the query. Pus presence clearly indicates an infection in this area. Such bump can be caused by a bug bite (as you have been camping recently). It can be also some bacterial infection due to a scratch for example. If it is not healing, and does not get better, I suggest you to consult dermatologist with this issue. Some antibiotics might be necessary to heal it. Hope this will help. Regards."}
{"_id": "000004711", "text": "There is blood circulation defect as due to long sitting pump of veins eye not able to push blood up to heart and fluids collect in legs and causes all these apply cr\\u00eape bandage after putting the legs in warm water for 20 MTS put 2 - 3 pillows ta night under leg to get blood reached to heart get dose of BP titrated as some salts of BP causes thee in allergies can take basting 10 mg OD for 3 wk till you consult specialist"}
{"_id": "000004712", "text": "Thanks for your question on Chat Doctor. In my opinion you are having scar tissue. Lung scar can be due to any past insult in the lung. It can be1. TB2. Pneumonia3. Lung contusion. Any insult in the lung heals by scar tissue. So no need to worry much about this as this is harmless. You can get done CT THORAX and bronchoscopy with BAD (Bronchi Alveolar Lavage) analysis for further evaluation of lesion."}
{"_id": "000004713", "text": "Hello, I have studied your case with diligence. If not relieved then possibility of polyarthritis needs to be considered Chat Doctor.  There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, CCP, ESR, complete blood count, HLA B27Hope 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"}
{"_id": "000004714", "text": "Best food for baby is Breast milk. So try to provide that... Others are always replacement... If you are using Nan take 30ml rewarmed water and 1spoon(inside container of Nan) powder. Always feed should be remained after feeding that means child received adequate amount of feed. Cow mild should not give. It contains high amount of solute. If u want to give cow mild never add water in milk. But give plain water in between of feeding. Sequence of the best feed in new born1.mother milk2.formula milk (Nan) 3.cow milk"}
{"_id": "000004715", "text": "Hey thanks for your faith in the Chat Doctor.I have gone through your question and understood your problem. Normal fertility is associated with sperm counts >48 million/mL, motility >63 %, exhibiting normal morphology >13 %. It is very difficult to say without read of exact report. However, normal sperm counts is important for fertility, so also motility. In my opinion either upload all detail reports of SEMEN analysis or consult an INFERTILITY specialist and get his opinion. Hope I have answered your query. If you like my answers and wish me to answer in the future, bring it to my attention"}
{"_id": "000004716", "text": "Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). You are having increase GOT and SGPT. Please also get test for Hepatitis B (Bag), Anti HCV antibody for hepatitis C, autoantibodies like ANA and SMA to rule out other causes of increase GOT and SGPT. If all these tests are negative then you are suffering from NAFLD (Non-alcoholic fatty liver disease). Treatment for NAFLD"}
{"_id": "000004717", "text": "HIT hank for asking to ChatDoctorThese are the functional problems, you better see psychiatrist, before it is too late, you must be having elusiveness, obsessive, kind of attack if not treated in time then may lead to some kind of dangerous health problem, you are saying that you felt it could be gall bladder attack (Not the right term in any way, still I took it as granted) then at another incidence you are saying that your gall bladder was removed, just think it about that, what that is proved, have good day."}
{"_id": "000004718", "text": "Hi. Your pain seems to be a muscle soreness following the activity... I suggest you to do a lot of icing on the painful area and keep it compressed with a cr\\u00eape bandage.Don't stretch your hamstrings or glute muscles for now. If pain is too worse can have an anti-inflammatory medication with GPS advise.pain should get subside in three days. Not to worry. As movement allows then slowly stretch the Hamstrings and glutes.within tolerable range...again don't push it to the limit Hope this is helpful. Kindly revert in case you need any further clarification..."}
{"_id": "000004719", "text": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be related to a thyroid dysfunction from inflammation. I recommend consulting with the endocrinologist for a careful physical examination, a thyroid gland scenography and some blood lab tests"}
{"_id": "000004720", "text": "Hi, Thank you for providing the brief history of you. As you has a history of electric shock go up you leg and now the numbness in ankle and shin region, this is a classical symptom of pinched nerve in the lumbar spine and needs a thorough assessment and an MRI to assess the level of soft tissues within the spinal column. Also, physical therapy will be of choice to improve the spine stability, core strengthening, spine muscle strengthening, lower limb strengthening. In our clinical practice, we provide evidence based treatment and the majority of patients with similar complains do have pinched nerve where they respond well to physical therapy. RegardsJay In Chat Doctor."}
{"_id": "000004721", "text": "Hi & Welcome. I can understand your concern. High level of ALT is suggestive of some problems with the liver or gall bladder. You need to do some more lab investigations like liver function tests, abdominal ultrasound scan to rule out the above conditions.Meanwhile, avoid smoking and alcohol (if you are habitual), avoid fatty and spicy foods, take small meals, increase the intake of fruits and vegetables, Chat Doctor. Hope these measures will help you in lowering the high ALT levels. Best regards."}
{"_id": "000004722", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more in your case. Your symptoms started only after your boxing practice (exertional). So chances of muscular pain is more. But better to get done ECG and 2d echo to rule out heart diseases because you are having left sided chest discomfort. If ECG and 2d echo are normal than no need to worry about heart diseases. Do following things for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. 2. Start painkiller and muscle relaxant Chat Doctor.  3. Apply warm water pad on affected areas. Don't worry, you will be alright. But better to first rule out heart diseases. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000004723", "text": "Hello, Thanks for consulting ChatDoctorRead your query as you have soft lump like swelling on tongue this can be due to sharp cusps of posterior teeth, It can be lesion due to any habit if you are having, or might be ulceration.Don't be worried so much I will suggest you to consult oral surgeon for examination of tongue and if there sharp cusps go for grinding of teeth. Do warm saline rinses, you can apply ointment like Mugel or McCoppin on tongue by consulting with your local doctor. Hope this will help you."}
{"_id": "000004724", "text": "Hello! Thank you for asking on Chat Doctor! I read your question carefully and understand your concern. Your symptoms seem to be related to anxiety. Your family history for atrial fibrillation doesn't seem to be related to your symptomatology. Has anybody besides you noticed the skin discoloration of your limbs? You are too young for such cardiac disorders. Anyway, a metabolic disorder (like thyroid dysfunction, etc.) can not be excluded. I recommend consulting with your GP for a careful physical examination and a complete check-up"}
{"_id": "000004725", "text": "Hi, Thanks for writing to Chat Doctor. It is better to go for IVF according to me. Let me explain to you why so. You have got 2 GUI failed. You are trying for last 2 yrs also. Since your all other investigations are normal it means there is problem in fertilization.  In IVF that fertilization is done outside so increased chances of conceiving. Yes you can become pregnant. But no procedure have 100% success rate. Hope I have been helpfulRegards Chat Doctor."}
{"_id": "000004726", "text": "Hallow Dear, Fertyl-M is a Camphene citrate product. It is given to induce ovulation in women who fail to ovulate normally, but have sufficient ovarian reserve of the follicles. You are very rightly taking these tablets for day 5 to day 9 of the cycle. After day 9, you should ideally submit yourself for ovulation monitoring by ultrasonography. It has got two advantages"}
{"_id": "000004727", "text": "Hi, A child 6 years of age can be taught with the help of euro rehabilitation techniques. The basal ganglia and frontal lobes are important areas of the brain. The amount of scarred brain tissue is not clear from your query. However, by starting early rehabilitation, you can try to make his life better. He may not be able to perform like a normal child his age, but then you never know if techniques like brain stem cell transplant hold a promising future for child Chat Doctor."}
{"_id": "000004728", "text": "Degree understand your concerns went through your details. If your daughter refuses to discontinue her course, please do not compel her. She is doing what her intellect says. Let her be happy and do it. You can ask her to consult a psychologist who can counsel her and teach her to cop with stressful situation and time management. In fact, she should learn it from her experience. Prolonged stress can affect her health adversely. She shows ADHD symptoms may not mean she has ADHD. Please consult a psychologist. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000004729", "text": "Hello,6th day after period is relatively safe if your previous cycle was regular. You also took Corvette as emergency contraceptive pill within 12 hrs. Here, chance of pregnancy is quite low. Vaginal bleeding after one week occurs due to with Chat Doctor.  It is a normal phenomenon. It will stop automatically. Don't be worried. Just maintain your genital hygiene. Next cycle may be delayed for 1-2 weeks due to hormonal imbalance. Do a home pregnancy test if period is delayed more than a week. Practice safe sex in the future. Good luck."}
{"_id": "000004730", "text": "Good evening, welcome to Chat Doctor, It seems that your pain is related to your intestinal problem, especially if you don't have any other symptoms related to your reproductive tract. I don't have any idea of your age, and you have not provided exact size of the ovary, but let me tell you some facts; in a woman of reproductive age ovarian size may vary slightly (e.g. your left ovary may be carrying a dominant follicle, making the adnexa look swollen). So we cannot diagnose a problem on the basis of findings provided by you. I think you should repeat your ultrasound in 6 weeks to re-assess the size of your adnexa (combined term for ovary & tubes). This will make everything clear. But anytime you feel sever pain in the abdomen you should go to the hospital. Take care."}
{"_id": "000004731", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. I think you are guiding the doctors towards bipolar disorder. Your current symptoms do have some resemblance to bipolar disorder. But there are so many other symptoms along with high and low. Also, high and low moods are extreme and mostly rungs into days, not minutes or hours. Simple mood swings, exhilaration and distress, are normal with every career oriented, successful person. Talk to your friends and they shall also tell the same story. In case if you still want a confirmation, you can visit a psychologist for a psychometric test. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000004732", "text": "Hi, I have gone through your query and I can understand your anxiety. Levonelle pills or morning after pills has common side effects like stomach upset, breast tenderness, tiredness, lower abdominal pain, irregular menstrual cycle varies between spotting to heavier flow. Your symptoms might be due to the pills, as the day of intercourse and menstrual cycle are nearby there is no possibility of pregnancy.Also, you are missing your periods for 3\\u00a0weeks, i advice you to do serum beta Chat Doctor to rule out pregnancy. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor. V, General and family physician"}
{"_id": "000004733", "text": "Here you need to understand pain is just a symptom and the cause is different. So you need to cure the cause because this pain is basically a protective mechanism of body. When there is pain we come to know there is something wrong. For your flank pain it can be due to various reasons like kidney stone, obstructive myopathy, inflammation of kidney and upper urinary tract, polycystic kidney disease, urologic disease, acute appendicitis, bladder infection, bladder cancer, HY Chat Doctor.  You can check further on your own. So to treat you first we need to know what is the cause of this pain. For this I suggest you to do ultrasound abdomen, urine test and blood report and then visit a good nephron as well urologist and take treatment as per the report and diagnosis. If you are not happy with current doctor treatment plan you can always check with second doctor. For your joint pain please specify which joint is paining and since when ? But just in general I suggest to use hot and cold pack on your joint and do take suggestion from or tho as well physio for further treatment after detail check up for joint pain. I am sure this will be useful if you follow it step by step. Take care."}
{"_id": "000004734", "text": "Hi, I have gone through your query and I can understand your concerns. The symptoms you have mentioned suggest the possibility of an enlarged cervical lymph node. Most probably it will be due to inflammation in the surrounding area. Check her oral cavity for dental caries, enlarged tonsil and oral ulcers. Start her on a short course of antibiotics like Tampico for five to seven days. Do warm saline gargles or gargling with chlorhexidine mouthwash. If the node persist despite all these consult a general practitioner and get a biopsy of the node done to rule out some other conditions like tuberculosis and lymphoma, These are rare possibilities and no need to worry that much. Hope this information helps. Regards. Chat Doctor."}
{"_id": "000004735", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, you should immediately take the antibioticsShigella Donna is responsible for causing dysentery. So alone probiotic won't work. If the antibiotics not taken immediately than it can cause severe dysentery making the condition more difficult. Please take tablet ofloxacin 200 mg two times a day, pantoprazole two times a day before meal along with probiotic capsule once a day. Please only eat hygienic food and mineral water right now and also in the future. This makes effective barrier for diarrhea in the future. Please adopt good handwashing practice. Maintain good HY Chat Doctor.  This will not make blood pressure going down. I will be happy to answer your further concern on bit.ly/"}
{"_id": "000004736", "text": "Hi, Thanks for writing in. Cancer in ovary that has spread to liver is stage 4 disease; it has limited treatment options and if chemotherapy does not show response then radiation therapy is used to reduce the symptoms. Feces in the vagina might be due to adverse effect of cancer causing a recto vaginal fistula. This is an abnormal connection between the colon wall and vagina and leads to feces matter coming out of vagina. Patient might be considered for surgical repair if general condition permits. Please consult her doctor within a day. Please do not worry."}
{"_id": "000004737", "text": "Hi, I passed carefully through your question and would explain that these episodes could be related to an electrolyte imbalance, probably caused by the diarrhea. They are not related to the tooth extraction, but the antibiotics may have caused diarrhea (which is a normal adverse effect of antibiotics).  For this reason, I would recommend giving her a lot of fluids and rely Chat Doctor.  If these episodes persist, I would recommend bringing her to the ER and performing an EEG to investigate for seizures.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004738", "text": "Hi, dairy have gone through your question. I can understand your concern. Lump in armpits can be lipoma or enlarged lymph nodes.  You should go for fine needle aspiration cytology of lump.  It gives exact idea regarding lump. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004739", "text": "Hello dear, I understand your concern. In my opinion there is nothing serious regarding your condition. The pain upper abdomen along with vomiting could be due to gastritis. Gastritis is routinely seen in pregnancy. The loose motions can also be due to any stomach infection.Don't worry. Take antacids. Avoid spicy and oily diet. Adequate fluids up to 3 liters per day and electrolyte powder are useful. Take bland diet. Antiemetics are also needed. Relax. It will subside. Best regards..."}
{"_id": "000004740", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Such severe infection can only occur if your immunity has weakened. I advise you should think of testing for your immunity. As you have tested yourself for staphylococcus you should also test its sensitivity for routine antibiotics. Please also test for MRSA testing. Taking the Chat Doctor.  If its MRSA than further treatment with mupirocin is necessary. This will clear up the staphylococcus from your body. Please maintain good living habit which includes daily bath two times a day. Good diet which includes fruits, green leafy vegetables, high protein diet. You can surely clear this bug from your semen if you take this much care. I will be happy to answer your further concern on bit.ly/"}
{"_id": "000004741", "text": "Hi, Dear,Thanks for the query from you to my Chat Doctor Clinic. I have gone through your query and appreciate your concerns of it. After in-depth study on it, In My opinion-the armpit-lump mostly is due to the lymphadenitis with lymphangitis, Which may be Lyme disease. Do the antibody test and biopsy to rule out the lymes' disease. It could simply be chronic-staph infection with fur uncle in armpit. Treatment-Before start of the treatment confirmation of the causative infection would be essential.-Antibiotics / Tb NSAIDs, /Rest and Elevation of the arm. Special Chat Doctor. Consult the physician and take the treatment on above lines Hope this would resolve your worrisome query for now. Wellcome-to my Chat Doctor Clinic for any more query."}
{"_id": "000004742", "text": "Good Day! The peripheral wedge shaped defect at the lower part of your kidney simply means that there is scar formation on your right kidney at the lower part. The most common cause of this is infection of the kidney or pyelonephritis. Unfortunately there is no treatment to repair the scar in your kidney. The restaff your right kidney still has adequate function proven by good cortical uptake.  Chat Doctor.  I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at"}
{"_id": "000004743", "text": "Hi, thanks for using Chat Doctor Since you are likely experiencing an allergic reaction to the monist at, it would be best to discontinue it. Because you did not have a response to the rifleman your doctor may want to consider a swab to confirm the type of infections and possible resistance to medication. IF this is not an option then you can consider using the alternative medication suggested by your doctor. I hope this helps"}
{"_id": "000004744", "text": "Welcome to Chat Doctor I have gone through your query and understand your concern. You are likely to be having muscular pain. Treatment of it is analgesic such as ibuprofen for pain relief. Muscular relaxant such as thiocholcoside is of help. Vitamin B and C is helpful in recovery. Rest is important in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"_id": "000004745", "text": "Hi, GTT is found in many parts of the body, including the kidneys, liver, pancreas, intestine, spleen, heart, brain, etc. So GGT alone is nonspecific Increased GGT levels can be seen in many conditions--many liver diseases, Pancreatitis, many cancers, Alcoholism, heart diseases. GGT levels may be increased due to medications also.  Smoking may also cause elevated GGT levels. So, if you have no other investigation suggestive of any diseases, no need to worry. Do not run after a single investigation which is non-specific. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.  Rammstein, General Surgeon"}
{"_id": "000004746", "text": "Thanks for your question on Chat Doctor. In my opinion, as a rule in left sided chest discomfort, wended to rule out cardiac cause first. So get done ECG and 2D Echo to rule out heart related causes. Upper limb edema with shortness of breath and left sided chest discomfort is seen in congestive cardiac failure.  So 2D Echo will rule out this. Other possibilities are anemia and thyroid related problems. So get done CBC to rule out anemia and S.TSH to rule out thyroid related causes."}
{"_id": "000004747", "text": "Hi, Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes.  Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner.  It may happen only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it.  In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. In many cases premature ejaculation gets better on its own over time.  Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation.  For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000004748", "text": "Hi, it seems that your child has probably got stomach infection. In my opinion, you should give enterogermina ampule (bacillus classic) once a day for 3 days to increase gut immunity and antibiotic like syrup of lox needs to be given for 3 days, also give ORS solution to prevent deny Chat Doctor.  Since, medication in child are given according to weight, so you should revert with exact weight of child. Take care."}
{"_id": "000004749", "text": "Hi, I read you query and can understand the trouble that you are facing. Going by what you have mentioned, you have social anxiety and can be more than that in form of generalized anxiety disorder. However, the good news is that your condition is amenable to treatment. I would recommend you to visit a psychiatrist at the earliest. Had I been your psychiatrist, I would have offered you combination treatment in form of medications with behavior therapy. The initial choice of medications would be from one of the SSRIs like sertraline. Behavior therapy would include relaxation training and strategies to overcome situation specific anxiety for which regular weekly sessions would be required. Hope this information was useful. Best wishes."}
{"_id": "000004750", "text": "Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Multiple moles in butt cheek with satellite nodules growing in number indicating nodular spread of the Melanoma via lymphatics spread. Excision biopsy would fix the cause of it. Second opinion from Dermatologist or Surgeon would resolve this dilemma. Surgeon and if need be ortho-Surgeon would help you out in this work up. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist"}
{"_id": "000004751", "text": "Hello dairy understand your concerned sperm count can not cause pregnancy. Self sex does not cause problem in the pregnancy. You should consult the urologist for you husband problem and undergo color Doppler of scrotum, semen culture to find the cause of the problem. Clomiphene citrate, gonadal F, healthy diet and regular exercise will help. Avoid stress, smoking and alcohol. Hope this may help noncontact Chat Doctor for further health query Best regards"}
{"_id": "000004752", "text": "Hi...it is better to see and diagnose the skin conditions usually. But the other possibilities could be a Psoriasis or a systemic connective tissue disorder. Skin and eye conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000004753", "text": "Hi, Thanks for writing in. Hope your husband is responding well to the chemoradiation for esophageal cancer. Let me explain the imaging findings in simple language.1. CT scan with contrast that showed he has subcentimeter nodes in the mediastinum"}
{"_id": "000004754", "text": "Hi, As this development occurred for one day all of a sudden indicates that it might be due to something insect bite causing allergic reaction to surrounding tissue producing this pain and itchiness. Another possibility of having some ingrown hair follicle producing boil or forming abscess. Wait for a day or two, if problem increases then go for one antibiotic medicine course for 3-5 days. Take some antihistamine as well. Ok and take care."}
{"_id": "000004755", "text": "Hi, It may be an infectious boil. Kindly visit a physician. The following medications may be helpful"}
{"_id": "000004756", "text": "Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your problems. From the brief description of your symptoms, it is possible that this could be indicative of a depression. However, with the limited information that you have provided, it is not possible to arrive at a definitive diagnosis. A detailed history and psychological assessment is required. So, I would advise you to consult a psychiatrist for a detailed evaluation and further help. Wish you all the best."}
{"_id": "000004757", "text": "Cellophane You for contacting Chat Doctor. From the symptoms I think you're most probably suffering from scabies. It is a skin disorder in which there is itching spread in whole family. Is itching sever at night and between fingers? I would recommend you to visit a dermatologist to confirm the diagnosis so that treatment can be started immediately. Although it is not life-threatening but may spread to people around you. Once again this disease would be confirmed by examination. I have concluded from the description you gave. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you all good health."}
{"_id": "000004758", "text": "Hello, Fatty liver and dyspepsia is not at all affecting the future child. Yes, you both can plan a baby. As per my advice before conception check your both thalassemia minor report and your wife thyroid and diabetes profile. For conceiving sexual intercourse done around 14 days of ovulation time of menstrual cycle means time between 12 to 18th day of menstruation period. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004759", "text": "Relax first, there is nothing impossible in this world if one thinks so. Keep courage and think patiently. You are not going to do anything which a sensible person does not do. You may in trouble but there is no way you should feel low. Talk to your relative or a friend because at times they will help you find way of your problem. Take deep breathes and go to an open space and have good cup of tea or coffee, and you will feel better and then with big lions' heart solve the problem. Buy"}
{"_id": "000004760", "text": "Hi and welcome to Chat Doctor. Thanks for the query. Odds are very small, but there are scientific data which confirm that estrogen does increase risk for breast cancer. This is very small increase, but this is the fact. Also, it can cause blood clotting disorders. However, it is considered that benefits of estrogen are much higher than bad effects so if there is indication for it, it should be used. Wish you good health. Regards"}
{"_id": "000004761", "text": "Welcome to HM. Most of the time it is psychological. You have done investigation to rule out organic cause. Be relax throw all material from your mindMasturbation 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 excessive think can cause psychological stress. Constant thinking and feeling of guilt of masturbation will effects no need to worry. Regarding premature ejaculation. Your anxiety and stress will affect your sexual functions is mutual act. Premature ejaculation can be treated with both psychologically and Chat Doctor. Please read on net and learn how to do stop and start method of sex is very good results. It is thought diversion method and require time to learn. Search on net to do it proper way read more on googleMasturbating before sex can increase your time proper play and understanding is neededCondition can be treated with medicines like duloxetine and mild dose of clomipramin if you required. Thank you. Happy to help you."}
{"_id": "000004762", "text": "Hi welcome to Chat Doctor forum. Your daughter aged 2.5 years age had breathing problem then she was given treatment with nebulizer, now when she got cold was given inhaler. Both are same by function depending on age the doctors prefer the type.  Inhalers are of several types, broadly bronchodilator and steroid.  Broncho dilators we should use to get relief, steroids are used only when the severity of the infection is more. Steroids are to be used rarely when ever there is necessary.  Breathing problem usually develops due to allergy, and if you could find the allergen you can greatly minimize the severity of the attack. Allergens can be traced by making a list of the things used and foods on daily basis. Note when there is cold or cough. Try to find out the things used on the day of the attack of cold and avoid such things which are common.  Besides I advise you some diet recommendations as avoid taking brinjal, fish, other seafoods, ice water, ice cream, cool Chat Doctor.  Don't allow her to play with water. Wishing for her continued good health, and thanks for calling."}
{"_id": "000004763", "text": "Hello June,I'm afraid, but i didn't have heard any case of either shoulder pain or any other bodily pain with patients taking oral contraceptives. You also have a history of pill consumption without any pain complains. It might be due to pain which is due to muscle sprain or rarely may be referred from some other sources like left breast, or left axillary lymph nodes etc. If pain is not relived then get a X-ray of left shoulder done and let it be checked by an orthopaedician !!!get well soon regards, Chat Doctor."}
{"_id": "000004764", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Usually Lung cancer is seen after the age of 40 years. But smokers tend to develop lung cancerous at younger age (30-40 years). In your case, possibility of lung cancer is very, very less. But better to get done chest x-ray first. If chest x-ray is normal then no need to worry about lung cancer. Better to quit smoking as soon as possible. Take simple painkiller like paracetamol. 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."}
{"_id": "000004765", "text": "Hello, As he has a pain in the knee which is pretty High, I will ask if he is able to bend the knee on his own in lying position and is he able to apply weight on the knee. I think he should be having more pain toward the medical side of the knee joint which could be a medial collateral ligament sprain. Also, I will advise going for an MRI as it could be a degenerative change in the joint which happens with age which might lead to changes in the soft tissue anatomy.  Doing hot water fermentation, using a knee brace, static Qua Chat Doctor.  In case is he is not diabetic than cold packs will help to reduce the pain as well. Please share the reports the next time, so we can provide the exercise prescription based on the pathology, but for now, the above-mentioned conservative management will help him reduce the pain. Hope I have answered your query. Let me know if I can assist you further. Jay In"}
{"_id": "000004766", "text": "Hi, Thanks for writing in. You have a kidney cancer which is probably in early stage. In this situation completely freezing the tumor is a good treatment option. It is called cryotherapy and in this the tumor cells are frozen and destroyed. Just like heat therapy, we have cold therapy. Considering your age at 84 years, surgery might develop complications and bleeding might be difficult to control. Surgery and neoadjuvant chemotherapy with radiation therapy is recommended for young patients, but it is important to know your general condition and if you can withstand the surgery. Cryotherapy is a safe method and will control your cancer. Please follow up regularly with your doctor. Please do not worry."}
{"_id": "000004767", "text": "Hi and sorry about what you are going through. You carry solucortel just in case you need some more steroid hormones to cope with stressful situations. The body normally increases the production of steroid hormones during stress. Because you have Addison disease, this is impossible for you and we will need the external administration of this. You may need this in situations like an accident, loss of a dear one, going through some very difficult moments, severe illness etc. Getting a new one is best from a pharmacy. However, you may use any syringe if you must use it now and there is no other way of getting around the problem. I strongly recommend that you do all to get the advised syringe as soon as possible, too. Wish you a good health. All the best in all your endeavors to get the new syringe."}
{"_id": "000004768", "text": "Hi...just elevated liver enzymes of this level of what you quote without any other associated symptoms cannot be correlated with the liver enzymes alone. Elevation of liver enzymes is of very non-specific value and does not mean anything unless it is being corroborated with other disease evidence which you query doesn't mention anything about. As of now if I were you treating pediatrician I suggest - you need not worry about this liver enzyme. Regards -"}
{"_id": "000004769", "text": "Hello Shiv and welcome to Chat Doctor. As a Urologist, i understand your anxiety.You're having kidney failure, which may need dialysis, depending on electrolytes and kidney function tests. Anemia is a result of that. Now a kidney biopsy is needed, to find out the cause of the failure. Further treatment will depend on reports. You also need to do these tests"}
{"_id": "000004770", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern if this varicocele then in my opinion this need to be repaired as early as possible to prevent further damage and anything worse happening chronic state of this disease could be having bad clinical outcome, it is all depends upon the type and status of defects and that can only be seen after opening the scrotum, take care and have a nice day."}
{"_id": "000004771", "text": "Hi and welcome to Chat Doctor.  As a Urologist, i can understand your anxiety. Whenever the stones move, they can lead to bleeding and the blood turns to clots in the bladder. Later when the person passes urine, its expelled. The pain develops, when the stones move inside the kidney. The blood causes the pink tint to the urine. Chat Doctor. Also take stone dissolution treatment. The stones must be treated after check-up with a Urologist."}
{"_id": "000004772", "text": "Hi, Mitral valve prolapse is a genetic disorder involving the Mitral valve. Treatment depends upon the severity of Mitral Regurgitation (leaking of the valve) and symptoms. If regurgitation is severe and the patient has symptoms, surgery (mitral valve repair) is indicated otherwise medical management is enough. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000004773", "text": "Hello! Welcome and thank you for asking on Chat Doctor! I read carefully your question and would explain that these episodes could be related to physical or emotional stress (anxiety). I recommend to closely monitor your blood pressure different times during the day (in sitting position after 10 minutes of total relax) and refer the values to your GP. Furthermore, I would also advise consulting with your GP for a careful physical examination, a resting ECG, a chest X-ray study and some blood lab tests (PCR, sedimentation rate, complete blood count, thyroid hormone levels, kidney and liver function tests, fasting glucose, blood electrolytes), to exclude other possible secondary causes of uncontrolled high blood pressure. An ambulatory 24-hour blood pressure monitoring (Holder) may be needed to examine better you blood pressure trends during the day. Hope to have been helpful! Best regards!"}
{"_id": "000004774", "text": "Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor.  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000004775", "text": "Hello . First as you are telling you are still having swelling so please don't try to walk and put weight on injured tissue. It will make the condition worsen. As there was twist in your ankle , in this type of injury sprain occurs. Now you should not ice on it now you should dip your foot in a bearable hot saline water. And when you lie on bed you should do only ankle toe movements in a pain free-range of motion.  This will make you free from this sprain condition. Thanks"}
{"_id": "000004776", "text": "Hi and welcome to Chat Doctor, thank you for your query. Usually pus indicate subcutaneous infection due to follcilitis, abscess or some other. Cancer is rare at this site with such manifestation especially in your age, so this is the last thing to think of. You should just visit doctor who can evaluate is it necessary to prescribe antibiotics, or it must be surgically Chat Doctor.  Also, biopsy can be done to be 100% sure about diagnosis. But I am sure that this is just lipoma or inflammation atheroma. Wish you good health. Regards"}
{"_id": "000004777", "text": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Ciplox can not prevent an episode of GBS. Ciplox can only treat the diarrhea. GBS is an autoimmune response. There are noways as such to prevent the occurrence of GBS. This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy"}
{"_id": "000004778", "text": "Degree understand your concerns went through your details. I suggest you not to worry much.  From the description you gave, I am to understand that you have some sort of adjustment problems and apprehension about speaking in public. This may not amount to classic case of anxiety. But can be categorized as general anxiety. Still need proper diagnosis. Therefore, do not jump guns. At times, you are very confident, and that is what counts. Gain confidence from those positive incidents and those experiences helps you to be bold. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000004779", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern looking to the given history here I would like to inform you that as long as the consciousness is concern or question of unconsciousness or coma is concern it all depends upon the conscious level and that is being decided after the clinical examination, and it is the score that gives the idea about the prognosis too, and this is called \\\"Glasgow coma scale\\\" you better ask the doctor, hope this is information helps you, have nice day."}
{"_id": "000004780", "text": "HelloFresh and chest pain may be due to many reasons like acidity, musculo skeletal, cardio pulmonary causes etc. You may need clinical correlation and further investigations. You may need routine hologram, random blood sugar, chest X-ray (PA view), ECG in all leads. Further investigations like ECHO may be advised after evaluation. After clinical evaluation you may be advised mammography. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor."}
{"_id": "000004781", "text": "Hello friend, Thank you for posting your query through Chat Doctor. I feel sympathy for you not because of your disease but because of your poor understanding about your disease. Lymphedema is not your disease. Lymphedema simply means the accumulation of lymph at a particular area because of poor lymphatic circulation and defective removal of lymph from the area affected. Just imagine what happens when you pluck out a bud from a plant when you really want to remove the plant as a whole. Instead of destroying the plant with its roots, you are trying to remove the buds. You will only experience further growth of more buds from more areas in the plant. Just like that you are not doing anything to remove your disease in its totality. There will be surely an underlying disease that makes you suffer from lymphedema. Approach a physician who will help you to diagnose your disease after all necessary investigations. Still a conventional medical specialist cannot offer a satisfactory answer for your queries and that is why your doctor said you need not any more go to him. Very often the removal of the plant with its roots is not possible for him. He can maximum suggest another therapy, another machine or another stockings for you. Because the root of your problem lies in your genetics and for time being conventional medicine cannot offer any genetic or constitutional treatment for you. Therefore, I can suggest confidently that you may approach an expert Homeopathic physician known to you, or you can very well get back to me with all your details. I think I can offer cure for your lymphedema. Homeopathy cure YOU and YOU only. With Best Wishes, Chat Doctor.  J. VargheseHomoeopath"}
{"_id": "000004782", "text": "Hi, Thanks for writing in. It does seem like an allergy. The tingling in the hands can be due to swelling which can compress the nerves. It's unlikely to cause tingling in your legs. As of now, you can take Tablet Cetirizine 10 mg once daily during the daytime and Tablet Ben Chat Doctor.  Also apply an ice pack on the area. Apply calamine lotion on the affected area as well. If you don't get relief in 1-2 days, please see your physician. Hope this helpsRegards"}
{"_id": "000004783", "text": "Hello, so there are stones in both of your kidneys, and you are also having pain. Homeopathic and Desi medicines will take longer to act. I would suggest you to go a urologist as you may need HY Chat Doctor. If it doesn't work then he might remove the stones by some surgical procedure if at all required which will be decided after you consult him. So for now show to a urologist and take advice from them. Thank you"}
{"_id": "000004784", "text": "Hello dear, I can understand your concern. In my opinion the chances of pregnancy are rare because you both were protected i.e., he was using condom, and you were on combined pill.Moreover, true intercourse did not occur as he did not enter into the vagina. So there are rare chances of pregnancy. And missing the pill a few days later might not affect this intercourse. If you had any unprotected sex during the missed pill time then it might pose risk for pregnancy. I suggest you to do a urine pregnancy test a week after missed period for accurate results but not before the expected period. So relax. Avoid stress and check for the period. Best regards...gynecologist"}
{"_id": "000004785", "text": "If you take painkillers it may cause hives and gout is increased in high protein diets like milk cereals get test for food specific antibodies like milk wheat potato egg rice Chaney nuts go for elimination diets start withdrawing milk and diary completely from foods your arthritis uric acid and allergies will come down in 3 wrest you avoid after food gets there may be one or 3 foods all will be solved I am sure"}
{"_id": "000004786", "text": "Hi. Thanks for your query. Noted your history of bumps behind the ears, hair line, chest and had jacuzzi and change of multiple hotels. It is obviously due to either of it as the causative agents were present. Bed bugs usually cause bites more on the extremities and trunk. If jacuzzi had caused such a problem, the things would have been all over the body. Hence, the possibility of it having die to some skin allergy of non-specific cause can be the reason. Consult a Dermatologist and see the causes and get treated if the problem does not resolve in a few days on its own."}
{"_id": "000004787", "text": "U should be worried regarding this..... Visit some good pathology lab and get you following blood levels done.... 1. Alpha Veto Protein 2. Beta Chat Doctor........ both are markers for testicular tumors....... As you're giving history of 4-5 days and hard swelling... IT MAY BE SOME MALIGNANCY.... Examination by some good oncosurgeon and blood levels I suggested and incisional biopsy is necessary to arrive at conclusive diagnosis......... Immediately consult an oncosurgeon..."}
{"_id": "000004788", "text": "Hello, I had gone through the case and found that you must go for the MRI of spine and know the exact cause of pain. Also do vitamin D3 blood test. There might be lumbar spondylosis, slip disc, herniated disc or sciatica. Take calcium once day and Vitamin D3 once a week. If pain is severe then go for physiotherapy. Otherwise, do back exercise After getting the diagnosis. Different type of exercise for different cause. But take medicine what I suggest you for 3 months. Your pain will subside. Hope my answer will be effective for you. Thanks"}
{"_id": "000004789", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Blood clots in lung is known as Pulmonary embolism (PE). It is treatable condition. So no need to worry about death. Treatment depends on severity and size of PE. If patient is critical and size of embolism is large then surgical removal of embolus is needed. But if size is small and patient is stable (maintaining blood pressure) then anticoagulants (warfarin, Coumadin etc.) and thrombolytic Chat Doctor. So no need to worry about death, take her to pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks."}
{"_id": "000004790", "text": "Hi, Your symptoms are highly suggestive of some form of stress or generalized anxiety disorder more than anything organically wrong with either the brain or the ear.  If the sounds of music bother you to an extreme extent you may have a condition referred to as biophobia which represents a persons extreme aversion to certain sounds or groups of sounds resulting in a sense of heightened irritability, stress, fear, etc. Basically, it's an extreme emotional state triggered by sonic stimuli. You could benefit from a full and complete physical examination with historical reporting of your symptoms as to when they began and if they were any different in the past but the likelihood of there being anything inside the head or ear causing the problem is almost nil in my opinion. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004791", "text": "Hello, The most important thing to know in this situation is what is her weight? If she is growing well, then she is getting enough food, even if it doesn't seem like it to you. At 6 months, she may still prefer formula or breast milk to solid foods. She will also have growth spurts and growth slow-downs that might change her appetite and cause her to have days of eating more or less. Please get her weight and see if it is OK in comparison to her last check. Take care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000004792", "text": "Hello, Thanks for writing to us. While on hormone contraception, if antibiotics are used for any purpose, the efficacy of contraception is decreased and failures can occur. If you are pregnant, you should get a definitive reading on HPT if the hormone levels are sufficient. Else, you can go for the blood test for pregnancy as this is more sensitive and specific. I would also ask you to go for a trans-vaginal sonogram to confirm/exclude pregnancy for sure and also to know the status of the pelvic organs. Further management can be planned accordingly. Hope this helps."}
{"_id": "000004793", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Blood in spitting can be due to either diseases of oral cavity or due to lung pathology. Sinus disease cause blood from nose, not bleeding in spitting. So better to first Getaway done detailed examination of oral cavity to rule out oral pathology. If this is normal then you are mostly having hemoptysis (blood in sputum). So get done chest x-ray and PFT (Pulmonary Function Test) to rule out lung infection and bronchitis. As both of these can cause hemoptysis. So better to first diagnose yourself and then start appropriate treatment. Sinus pathology is less likely in your case. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000004794", "text": "Respected user, hi I evaluated your query thoroughly.*middle chest pain has so much differential diagnosis apart from muscle ( name intercostal) pain as Gastritis, Costco Chat Doctor. *For definite comments I strongly recommend consulting with all details of pain as intensity, type, severity, frequency, duration ; associated with heart burn, abdominal burning, cramps; any breathing difficulty; work pattern;tobacco consumption;taking any"}
{"_id": "000004795", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. Masturbation do not have any adverse health or sex effects. Masturbation is natural and even animals do it. For a youngster of age group 13 to 17 masturbation every day is normal. After that also it is normal, but people get engaged in some other activities like games, education, career etc. which are more engaging and energy consuming. There are people who masturbate daily even at middle adulthood. The trouble is lack of knowledge and the anxiety arising out of it. Feeling guilty will trigger anxiety. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000004796", "text": "Thank you for posting your question. Any fever that is as high as 104, with or without hallucinations does warrant an ER visit. The hallucinations just reinforce the fact that your child needs to be taken to the ER at least to bring her temperature down as quickly as possible. Though it is quite possible that a virus may cause such possible, other causes like a bacterial infection especially a urinary tract infection should be ruled out. Although such high fever is known to cause delirium and altered sensorial in a few patients, if such behavior continues even after the fever has come down, then a brain infection also needs to be ruled out. If you have any more doubts do write back."}
{"_id": "000004797", "text": "Respected user, hi I evaluated your query thoroughly.* The pain in upper body may or may not be associated with the lung tumor* Details lacking here are - pain type, intensity, frequency, severity, radiation anywhere, exact site aggravating relieving factors - onset of pain in relation to finding of lung tumor - associated palpitations, perspiration, vertigo, cold body - all other associated symptoms of whole body as fever, weight loss, others - cough, breathlessness present - reports in details - smoking, use of abuse substances - sleep, appetite details Kindly provide with these details. Thanks for using Chat Doctor .com & giving me an opportunity to assistWishing you best recovery from the same. Regards dear take care."}
{"_id": "000004798", "text": "Thanks for the question your description it seems that your child is suffering from Seborrhea dermatitis. Such child Chat Doctor.  Usually this condition subsides by the time the child reaches two years of age. Wiping will not help. These lesions are very itchy and scratching causes flaring of the condition. Keep nails of the child trimmed, always (they grow very fast at this age). Keep in touch with your pediatrician and skin specialist."}
{"_id": "000004799", "text": "Hi, False positive pregnancy tests may be observed when medications containing human chorionic gonadotropin are administered as when performing ART procedures. Aspirin does not interfere with the results. With three consecutive positive results, you are pregnant and there should be no doubt about it, and you can get a trans-vaginal sonogram for further confirmation. Please consult your doctor for further support. Good luck."}
{"_id": "000004800", "text": "HelloYour chest X-ray findings may suggest suspicious infiltrate in both upper lobes. It may be due to infective etiology. You are rightly advised for apicolordotic chest X-ray. It is a special view to visualize apical area because apical area is overlapped by bony ribs and clavicle. Normal chest X-ray(PA view) may miss the findings. Apicolordotic view overcome this problem and its helps in better evaluation of apical areas. Empirically you may be prescribed antibiotics. You may need to follow up chest X-ray. If findings and symptoms doesn't improve then tuberculosis etc. should be excluded. Get well soon. Take Care Chat Doctor."}
{"_id": "000004801", "text": "Hello SWAT, after you have ruled out heart blockages by doing an angiography (which is the most common reason in diabetic patients) , the next is what is called microvascular disease may cause dilated cardiomyopathy.  Due to diabetes there are certain degenerative changes in the heart muscle vasculature which will cause slow deterioration of heart function causing dilated cardiomyopathy.  Medicine optimization would cause reversibility and control of symptoms.  If the EKG finding are favorable, and you have symptoms Inspire of medical therapy a form of pacemaker (cardiac resynchronization therapy) may help improve the heart function. A more detailed evaluation is needed for the same. Regards Chat Doctor."}
{"_id": "000004802", "text": "Good day. The radiation therapy given to face and neck area for tongue cancer has the following side effects"}
{"_id": "000004803", "text": "Hello, I understand your concern and would explain that it is important performing a comprehensive differential diagnosis between a cardiac chest pain and local musculoskeletal inflammation (including Costco Chat Doctor.  For this reason, I would recommend first performing a cardiac ultrasound, a resting ECG and cardiac enzyme levels. Other tests to consider would be a chest X-ray study, complete blood count, PCR, ESR for inflammation.  You should discuss with your doctor on the above tests. In the meantime, I recommend trying acetaminophen for the pain, coupled with a PPI (Omeprazole, Pantoprazole) for possible acid reflux.  Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000004804", "text": "Hello, It contains female hormone similar to progesterone. You should always know that microbes is recommended for use in pregnancy only if the need is clinically established. In your case, it has been given for maintenance of early pregnancy under specific circumstances. As it has been prescribed to you for the maintenance of early pregnancy, it is recommended to take this tablet regularly as advised. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004805", "text": "HI, thanks for using Chat Doctor The effort is a steroid and the cetirizine is an anti histamine. These medications should be adequate to treat her allergic response. There should be some improvement within 24 to 48 hours. It may not be complete improvement at that time, but it would then continue to resolve. There are no food restrictions, but she should make sure that she uses the steroid on a full stomach to avoid irritation of the stomach lining. It should be used on mornings after breakfast or tea. I hope this helps"}
{"_id": "000004806", "text": "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 queryPlease understand the following things-1. Nebulizers are for different medicines. Some medicines are steroids and others are non-steroidal medicines known as bronchodilators.2. Maybe your baby was having too much wheeze. In that case iv is a better form to give the medicine. However, I would still continue the nebulizers.3. You should not self-medicate. A baby may not need steroids which you may be giving the child because you are on it, and because you have limited knowledge of the medicines (obvious from the query)Suggest get an x-ray chest of the baby. 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. Please do understand that some details could be extracted from a detailed history and examination. 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."}
{"_id": "000004807", "text": "Thank you for query. It may be due to fungal infections. Please take following precautions. Use loose cotton clothes and inner wears. Keep area Chat Doctor. Apply antifungals like terminating which is fungicidal. Once subsides use regularly antifungal dusting powders like candid or absorb powder to prevent recurrence. Maintaining moisture free area is most important to prevent recurrence. Check if you have any diabetes. Consult doctor if it does not subside. You can get back to me for any clarifications."}
{"_id": "000004808", "text": "Hi, He had any similar episodes or any history of migraine in the past? Headache, abdominal discomfort and vomiting can suggest a viral illness or early gastroenteritis. Sometimes migraine also can have a similar presentation, although here abdominal pain is less common. Anyhow, as he is getting better now, we need not worry now. Give paracetamol or ibuprofen for pain if needed. If symptoms does not clear out in 2-3 days, kindly take him to a pediatrician. Take care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000004809", "text": "Degree understand your concerns went through your details. The symptoms you provided do correspond more or less to stress disorder. But you need to investigate more. These symptoms could also manifest in many mental disorders such as bipolar, depression, anxiety or even schizoid personality disorder. I suggest you to convince your boyfriend for a visit to a psychiatrist. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000004810", "text": "Hi there, None of the above medications, and fruit when taken so early in pregnancy are known to cause any deformity in the baby. So your wife can safely continue the pregnancy. Get her ultrasound done to know to condition of the baby, and get exact dating of the pregnancy, Follow up regularly with 11-14 weeks NT scan and 20 weeks anomaly scan. Make sure she takes proper vitamins, iron and calcium, as having back to back pregnancies may render her iron and calcium deficient. Hope this helps. Regards."}
{"_id": "000004811", "text": "Hi thanks for asking question. Noted you have hepatitis c infection. This infection acquired by contaminated syringe, needle, blood transfusion and sexual route... Herbal product in excess is not good. But the Chat Doctor. Anyhow, here in hepatitis c chances of chronic infection is more... So take care of liver by taking low fat diet. More fruits. Refined food avoided. Trans fat diet like cheese, meat, butter, junk food avoided. Avoid alcohol. One tsp cumin seed with milk useful. Papaiya good... Take care.... Clinical regular follow-up necessary."}
{"_id": "000004812", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Yes, high cholesterol can cause chest pain. In my opinion, we should rule out cardiac cause for chest pain. You are having three risk factors for heart diseases. Diabetes, high cholesterol, sedentary lifestyle. All these can lead to coronary artery disease (CAD). In early stages of CAD, resting ECG cannot be normal. So you should definitely get done 2d echo, stress test (trade mill test) and coronary angiography (if required) for the diagnosis of CAD. Strict control of diabetes, cholesterol level and weight reduction is needed. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004813", "text": "Hello and welcome to ChatDoctorI have read and understood your query hope this will helpful the history provided by you, I could say that you are suffering from SEVERE hypertension. And needs urgent treatment... I will advise you to consult your GP immediately and start taking medications.at your age Chat Doctor. .but before starting medicines you should also have renal function test and serum electrolytes levels at least... Meanwhile, you should have strict dietary salt restriction. Try to lose weight and do regular exercise. I hope this was helpful...you can reach me any time with any other queryRegards"}
{"_id": "000004814", "text": "Hello, As per your history, it may be due to nerve compression at the lumbar spine level.  For further assessment, you may require MRI back, nerve conduction studies after consultation. Till then, you can take tablet acetaminophen. Apply diclofenac gel or ointment locally. Heating pads will also help.  You may require tablet Pregabalin and multivitamin after consultation.  Do regular physical therapy. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004815", "text": "Patients who undergo cholecystectomy, frequently complain of pain in the that area after surgery, and it is known as post-choelcystectomy syn Chat Doctor.  By the looks of it, you are also suffering from the same. There are many causes for such a pain and cancer is a very unlikely cause. As you have a family history of colonic cancer, I recommend that you undergo colonoscopy to rule out any growth in your colon. A simple Ultrasound will give information regarding the liver and can rule out a cancer in that area. You should consult your doctor and discuss the further line of management with him. Hope you get well soon.TC"}
{"_id": "000004816", "text": "Hi! Good evening. I am Chat Doctor answering your query. Even though a clinical assessment is required, from your history it seems to be more like a spreading subcutaneous hematoma due to the blood not being able to clot by the action of clean injection which prevents clotting. If I were your doctor, I would first advise you to discontinue the clean injection for the time being after consulting the doctor under whose guidance it was started, and then go for all the investigations like a clotting profile, and the scan for which you were waiting. I would also start a prophylactic antibiotic in case this has to be aspirated out. All the management would depend on the reports of the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000004817", "text": "Hi, Thanks for writing in. Bellini duct carcinoma is a cancer involving the collecting duct in kidney. He is getting sufficient dose of morphine, but sometimes patients develop what is called tolerance and then the pain relief does not happen with the usual dose of morphine. Mobizoz contains a combination of pain relievers and muscle relaxants for relief from boy ache after chemotherapy. It contains chlorzoxazone 500 mg, diclofenac sodium 50 mg, paracetamol 500 mg which are helpful to reduce pain. Please give him this medicine after food to avoid gastritis. Pain and twitching can be due to the chemotherapy and usually improves over 3 to 4 weeks. Please give pain medicines only when necessary. Please do not worry."}
{"_id": "000004818", "text": "Hello appreciate your concern It could be an infected boil or a sign of STI securely transmitted infection you can upload a photograph and provide me more information like relevant medical history and since how long it has been there, I will definitely help you in the best possible way. I see patients with similar complaints in my clinic and I would advise them for a course of antibiotics under supervision with cleaning and Chat Doctor. Maintain good hygiene keep it cleans an apply antiseptic ointmentThanks for your question Best wishes"}
{"_id": "000004819", "text": "Hi, dairy have gone through your question. I can understand your concern. Small quantities of alcohol is beneficial for health.  But no definite effect on coagulation.  You can not replace the Chat Doctor.  You should go for coagulation profile.  Take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004820", "text": "Hi. If your swelling is not increasing in size and you don't have fever or any open wound to cause infection of the hematoma, then I guess you should not worry and just wait for the hematoma to be resorted naturally. I don't think an MRI would add anything additionally though you may confirm all else is normal. Take some non-NSAID analgesics like tramadol and cold fomentation for pain relief. Thank you."}
{"_id": "000004821", "text": "Hello. Thank you for asking at Chat Doctor. Symbicort make take 1-2 weeks to give its maximum effects. However, it is extremely important to make sure that it is being taken properly as you are not experiencing any improvement at the end of 1 week. I would like to suggest you to review your inhalation technique. Shaking the inhaler for 5 seconds before use, inhale it with right technique, rinsing the mouth with water without swallowing it are very important steps for using it. If they are not followed correctly, the Chat Doctor. Also, rather than using two puffs in the morning, I would prescribe 1 puff each in morning and evening. So I would suggest you to make sure dosing schedule with your doctor. Hope this will be helpful to you. Wish you best of the health. Regards."}
{"_id": "000004822", "text": "Hi Angelika, You need to take some more rest. One week, post abortion is too early to start your sexual life again. It is better to wait for at least 3 weeks before resuming the sexual activity. Have you got a check scan done post the abortion? If not, please get a scan done to make sure that there are no products of conception, remaining in the uterus.  Chat Doctor.  In any case, it is better for you to get a physical examination done by your primary care physician. I wish you get well soon."}
{"_id": "000004823", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Citrobacter kosher is always pathogenic in the body. So you should test yourself for the culture and sensitivity. Once the report is available you can take the treatment accordingly. Completed treatment should be taken. Hygiene maintenance is important tool and should be adopted. It will help us equally in the treatment as antibiotic do. Please adopt good handwashing practice. This will also help us in treatment. In alternative to taking a will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor"}
{"_id": "000004824", "text": "You have not mentioned if you are a smoker. If so, pl stop smoking as the first and most imp step. Pl start taking inhalers like Aeroflot/Former. Take another inhaler called Ti ova once a day and tab Doxyphyllin 400 MGM twice a day. A course of antibiotic like Augmenting or Aeroflot for 5 days should be taken. If symptoms are very bad take Prednisolone 20 MGM once a day for 5 days. Antacid for gastritis should be taken as gastritis can aggravate the symptoms. Chest physiotherapy and deep breathing exercises are good for COPD patient."}
{"_id": "000004825", "text": "In such conditions, Ayurveda approach to treat Data Pitta vitiation by way of herbals have been often highly successful by raising general resistance in body against such allergens as well as curing the conditions. To my own such patients, I advise starting Turmeric and Need leaves powder immediately and add Manisha herbal capsules for controlling the problem. Its harmless and safe. For further guidance you may seek consideration through direct question. Hope it helps your father-in-law too - it will."}
{"_id": "000004826", "text": "Hi, as you mentioned your symptoms, the pain cannot be related to the previous surgery of shoulder. As to which surgery was performed and for what issue makes an important here. Also, the shock nature of the pain is always referred to as the pain travelling through the nerves, when the nerve is pinched in its course or may be at its root. Taking an MRI of the cervical spine, NCV and EMG will help understand further what causes these symptoms. Also, if you can try performing neck strengthening exercises and trapezius Strengthening exercises and see for a week. If the pain level comes down then the pain is neuropathic in nature and an MRI will provide a good input. Usually with exercise things come to 99% of success. With the grace of God I wish you a good health"}
{"_id": "000004827", "text": "Hello, Your symptoms point towards this diagnosis"}
{"_id": "000004828", "text": "Welcome to Chat Doctor. Thank you for posting your query. I can understand your concern for your son. You are pretty anxious about him. Let me assure you that there is not much to worry. This lump on the forehead is perhaps a bruise only. Apply cold compress (ice packs) over that area twice a day for 4 days. It would have been great if you had mentioned his age or his body weight. Still I can help you out. If he complains of pain or cries out on touching, give him syrup paracetamol (125\\u00a0mg/5 ml) 10 mg/Kg/dose twice daily for 4 days.e.g if his weight is 20 Kg, he requires 200 mg = 8ml = One and a half teaspoon like that. It is easy. You can also take him to a pediatrician . He /she can examine him and correlate clinically. Post any other question. We will be happy to help. Have a nice day. Regards."}
{"_id": "000004829", "text": "Thanks for your question on ChatDoctor.in my opinion you are having nothing but palpitation. Fluttering dealing in chest is most commonly seen in palpitation. And after 50 minutes of treadmealeven normal person can have high heart rate. But worrisome symptom in your description is lightheadedness. These demands repeat stress test and stress echocardiography. As possibility of decrease blood supply to brain in stress which causes lightheadedness. So consult cardiologist and discuss all these."}
{"_id": "000004830", "text": "Hi, A Lymph node of that size in the arm pitfalls under the category of insignificant lymphadenopathy and need not be worried about, please. Unless he has symptoms like extreme pallor, anemia, bone pains, chronic fever for more than a month, loss of appetite and weight loss - you need not worry, please. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000004831", "text": "Hello, Thanks for your query. The pins and needles in fingertips that you are having are likely to be related to a nerve root compression at the level of lumbar spine. Other causes include injury to spinal cord, Lack of blood supply as a result of plaque formation in the blood vessels, diabetes, stroke, multiple sclerosis and underactive thyroid. Abnormal levels of calcium, potassium, or sodium in your body and a lack of vitamin B12 can also cause tingling sensations. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000004832", "text": "Hi, I don't think taking less water has any effect on your chance of pregnancy.  If you are not sure that you are ovulating or not, you can track your ovulation by ultrasound or ovulation detection kits.  If you are ovulating, you can try naturally for at least 6 months.  Be in contact with your husband every 2 to 3 days after your periods stop.  If it doesn't work, then you can try some medicines for growth of your follicles. Hope I have answered your question. Regards Chat Doctor."}
{"_id": "000004833", "text": "Dear Concerned., Thanks for writing to us. In a c/o Cerebral Arms, in addition to Cybercafe, radiological embolization as an adjunctive therapy also. The Cybercafe allows delivery of high doses of targeted radiation with sub-millimeter accuracy, such that the lesions surrounding normal brain is subjected to very minimal harm. Such accuracy is critical for preserving as much brain function as possible. Most patients experience minimal recovery time and can return to normal activities following their treatment. Depending on the tumor type, size and location, many patients need only one treatment with the Cybercafe to destroy their tumor. Before the Cybercafe Surgery., the patient will be admitted for observation, then taken for CT navigated embolisation procedure for reducing the blood supply the size of the lesion. Before a patient is treated he or she may undergo a series of tests such as MRI, functional MRI, CT, and CT angiography. A multidisciplinary team of physicians including a neurointerventionalist, neurobiologist, neurosurgeon, and stroke neurologist carefully review this data to propose the best plan. The process of embolization is done under general anesthesia. An artery in the groin is punctured and catheterized so that guide catheter is pushed up to the neck and up into blood vessels supplying the AVM. Embolus producing agents are then injected into blood vessels supplying the AVM so that the clot artificially produced will block blood supply to AVM and the same regresses in size. As an elective procedure the patient will stay for 03-05 days. The embolisation is done in stages to prevent thrombosis and hemorrhages from occurring in normal parts of the brain. After regressing of AVM lesion, adjunctive Cybercafe therapy and Radiation therapy is done to achieve total removal of AVM. Levipil 500 mg (Levitiracetam)is an antiepileptic Chat Doctor."}
{"_id": "000004834", "text": "I strongly suggest checking your blood report different parameter with also calcium and vitamin D test.  And as per the result take medication with your doctor advice.  I also suggest taking multi vitamin and multilingual supplement along with omega 3 which will help as anti-inflammatory and support for your bodies normal functioning as well for internal strength or immunity development. And if you feel too much of pain in body then can take painkiller medication for time being.  Hope this was useful for you.  Take care"}
{"_id": "000004835", "text": "Hi, dear. I have gone through your question. I can understand your concern. Post cholecystectomy pain is common finding in practice. You have few possibilities.1. Stone stucked in cystic duct stump2. Stone in common bile duct.3. Spasm of sphincter of oddi4. Peptic ulcer disease.5. Alkaline reflux. Your doctor prescribed a correct treatment, and you will have relief after some time. But if you don't get relief or symptoms worsens then you should for the gastrodusodenoscopy. Hope it will help you. Thanks"}
{"_id": "000004836", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, possibility of COPD (chronic obstructive Pulmonary disease) is high in your case. Long-standing asthmatic bronchitis can cause COPD. And you're all symptoms with chest x-ray are suggestive of COPD more. So you need to consult pulmonologist and get done PFT (Pulmonary Function Test). PFT is needed for the diagnosis of COPD. It will also tell you about severity of the disease. And treatment of COPD is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Pulmicort is inhaled corticosteroid. But better to first consult pulmonologist and diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004837", "text": "Hi... Thank you for consulting in Chat Doctor. This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor.  Unless the air comes out like burping or flatus this discomfort will be there and next time check if she is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is - 1. Do not put the kid in lying position after feeding till the baby burps out the swallowed air.2. If the baby is still crying - put in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000004838", "text": "Hi ! Good evening. I am Chat Doctor answering your query. To distinguish if it is a hernia or not, you have to reach to the ER of a nearby hospital and get it clinically assessed by a general surgeon. Hernia could give rise to discomfort in the area without a visible bulge, but can be diagnosed by clinical examination. A hernial bulge in its initial stages will also be reducible while you relax, and comes out on increased intra-abdominal pressure. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000004839", "text": "HelloThanks for your query, based on the facts that you have posted it appears that you are likely to have Inguinal Hernia However this can be confirmed only on clinical examination by a qualified General Surgeon. Please consult qualified general Surgeon for clinical assessment and further treatment. If turns out to be positive you need to get surgery of Hernia repair done.In the meanwhile take painkillers like Diclofenac or Broken twice daily. Chat Doctor."}
{"_id": "000004840", "text": "Hi welcome to ChatDoctorPain during periods is most commonly due to hormonal imbalance. Get an Ultrasound abdomen to rule out any abnormality in the reproductive tract and also get your hemoglobin checked., if normal you need not worry. Chat Doctor. Take hot fluids and listen to music during periods. You can try keel s exercises to receive uterine spasms and pain intern. Consult your gynecologist for expert management. Thankyou"}
{"_id": "000004841", "text": "Hello, I can understand your concern for the Chat Doctor.  After reviewing your query it appears to be related to the intertwine or fungal infection of the 4th and 5th toe space. It is quite common to find such kind of feature in this area due to moistness and closed area by shoes. There is more of tendency to get frequent fungal infections at this area. In my patients I generally prefer to use an antifungal creams such as clotrimazole or ketoconazole at the affected area. Maintaining a good hygiene and reduction of moistness by antifungal dusting powders helps a lot in early resolution of the area. DO not go for any parlor procedures such as pedicure or related things as can cause further proliferation. All the best."}
{"_id": "000004842", "text": "Dear Rash mi, Travel by air is safe in the second three months of the pregnancy (14 weeks to 28 weeks). After that the uterus goes on becoming more and more irritable and the risk of premature delivery goes on increasing in flight. Though, the airplanes have controlled pressure inside, the risk of preterm labor cannot be completely ruled out. So after 28 weeks of pregnancy, air travel, particularly international air travel should be avoided. The airlines also do not accept the pregnant passengers after 30 weeks of pregnancy without certificate from an Obstetrician; and my experience tells that most of the Obstetricians are reluctant to issue such certificate. If the delivery process starts on the board, there are constraints of availability of the facilities for conducting delivery on board. Moreover, according to the international rule, the problem of nationality of the baby arises for them. Of course, being Indian, you can opt for the Indian citizenship for you child, however, depending up on the aerial zone of a nation where the delivery takes place, you can opt for the nationality of that country; or the airline itself being an area of the nation to whom it belongs to, you may opt for that nationality also. This is all greatly complicated, hence the airline rules. I feel you should avoid international travel after 30 weeks of pregnancy. If you are less than that period (7th month), you may choose to travel; however do consider the date of return. If your return is within this time, you may travel. I hope this provides you a clarity in taking your decision."}
{"_id": "000004843", "text": "Hi SO sorry for your kid to have that. This happens mostly in the weaning period as your baby is getting adapted to complementary feeds. YOUR baby had Dysentery from your description which needs to be treated with antimicrobial- definite. The Most important thing is to give her plenty of ORS fluids for each stool(25-50ml/stool) to prevent deny Chat Doctor. Give her Zinc syrup 5ml for 14 days along with a probiotic like Enterogermina which are palatable. For nappy rash, please avoid diapers and apply a zinc oxide cream to keep it"}
{"_id": "000004844", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of Chat Doctor.  Need not worry. I would suggest you to do warm saline gargles. You should take cough expectorants. You should take antibiotic Levofloxacin in combination with antiallergic medication. Visit pediatrician once and get it examined. You should get chest X-ray done and start treatment after proper diagnosis have been made. Avoid oily and sharp food."}
{"_id": "000004845", "text": "Hi, Masturbation does make the nerves weak when we do it in excess. It affects the brain and the spinal cord. it's not necessary to affect your vision as such. If the optic nerve is weak already masturbation will worsen your eyes' health. A healthy diet will restore your energy slowly but steadily. You can include nuts, fruits and vegetables. It's good to consume vitamin A containing food like papaya ripened mango that will benefit your eyes. Spinach and other leafy vegetables also help you improve your vision. It's advisable to reduce your mobile or laptop using time. Once you feel restored within few months you may gradually start your sexual activity. Take care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000004846", "text": "So you are having high blood pressure and cholesterol, also diabetic so at higher for heart disease. Do u have any chest pain or heaviness especially on exertion.CRP can be elevated in any inflammation like viral illness or any infection. But if no other infection or disease is there then it points towards heart disease so if u have any chest pain or even if not you can get your stress test done. Also take proper medicine for sugar, cholesterol, blood pressure. Avoid addiction and healthy lifestyle, regular exercises."}
{"_id": "000004847", "text": "Hi, You seem to have halogen effluvium . You may be having some cause...like anemia, vitamin and nutritional deficiencies, thyroid dysfunction, stress, anxiety, worries,travelling, any other internal disease, certain Chat Doctor. .etc. Poor hygiene and poor nutrition may responsible for halogen effluvium. You consult dermatologist for firm diagnosis. To control hair fall and to improve hair growth you may take biotin 10 tabs daily for few months and apply mild steroid lotion on scalp at night daily. For hair oiling and shampoo use herbal preparations. Take treatment for few years. Have patience.for the good result. I hope this would help you. Thanks."}
{"_id": "000004848", "text": "Thanks for your question on Chat Doctor. I can understand your concern. At your age of 18 years, possibility of angina or other heart diseases is very rare. But since you are having habit of daily marijuana smoking, you are at increased risk of heart diseases. And so we need to first rule out cardiac cause in your case. Get done ECG and 2d echo. If both are normal than no need to worry about angina or other cardiac diseases. You might be having muscular pain mostly. So take simple painkiller and muscle relaxant Chat Doctor.  Quit marijuana smoking as soon as possible. It is not good habit. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000004849", "text": "Hello, yes it could be a stone which body is trying to push down but It's either big to move down or it is stuck. It's not necessary that there will be shooting pain or radiating pain downwards. It can be just a dull aching pain. As you already have history of having renal stones, it might be a possibility that you have got it again. I would suggest you to get repeat USG scan of abdomen done. And also after this treatment consult a dietitian for recurrent occurring renal stones. Thank you"}
{"_id": "000004850", "text": "Thanks for your question on Chat Doctor. As a rule, any left sided discomfort should be evaluated for cardiac cause. So get done1. ECG2. 2D Echo. To rule out cardiac cause. If both are normal than no need to worry much for cardiac cause. You may have anxiety related symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it. You may need anxiolytic Chat Doctor.  So better to avoid stress and tension. Be relax and calm."}
{"_id": "000004851", "text": "Hello, Strong chest pain that starts suddenly can be due to heart disease, and you will need to see urgently your doctor to rule this out. Your doctor will listen to your heart and lungs and will order an ECG, heart ultrasound and blood tests such as Troponin. If the doctor highly suspects a heart attack he may give you treatment before receiving the results of these tests. I hope this answers your query. I remain at your disposal for further medical assistance."}
{"_id": "000004852", "text": "Hello, Thanks for consulting ChatDoctorRead your query as you have pain in jaw due to cold wind or cold weather this can be due to some reason like it can be associated with periodontal problem, wasting disease like Attrition, Abrasion, or it can be due to Trigeminal neuralgia. For this I will suggest you to consult oral surgeon for examination and evaluation. Inmeantime maintain proper oral hygiene. Hope this will help you."}
{"_id": "000004853", "text": "Hi thanks for writing here. Depiwhite contains comic acid,vitamin C and antipollen. It is effective in treating post acne hyperpigmentation. Masque will increase penetration of the cream, you can use this, but initially do patch testing for 48 hours and then go for use since sometimes these may cause allergies. Apply only at nighttime, sunprotection is must, apply to whole face, mask can be removed in 30 minutes, you can apply cream overnight if there is no irritation. Take care."}
{"_id": "000004854", "text": "Hi welcome to Chat Doctor. I understand your query and concern. Elevated pulmonary arterial blood pressure in your case needs good control. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart, CT Brain. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. Chat Doctor."}
{"_id": "000004855", "text": "Hello, With above medications, your period will be regularized and ovulation occurs properly. Ovarian cyst will be under control but can't be eliminated and PCs symptoms will be reduced. However, chance of pregnancy is quite low on taking KRIMSON-35 as it a weak contraceptive pill. It is better you will try to conceive after completion of the treatment course. In the meantime, you will take folic acid and vitamin supplements regularly. Key treatment of ovarian cyst"}
{"_id": "000004856", "text": "Hello, Welcome to Chat Doctor, Genital wart is caused by Human Papillomavirus (HPV), which affects only the skin, and it will be localized to the wart. I would suggest your sister to apply 5% McQuade cream over the wart on alternate days for 4 months. Before application of this cream you need to apply Vaseline over the wart, and then you have to apply the McQuade cream.Meanwhile to boost up the immunity she needs to take orally capsule Lincoln, daily for 30 days. Once the wart is cleared by topical application of cream she will become free from infection. Once the wart is cleared by the topical medicines she will become will be non-infectious. During the treatment she should adopt health lifestyle like avoiding unprotected sexual activity, multiple sexual partners and going to commercial sex workers. Thank you."}
{"_id": "000004857", "text": "Dear patient The nature of injury you describe seems not grievous. But only thing that is bit of worry is blurring of vision. It would have been better if you had described the exact nature of blurring of vision. If that was just transient phenomenon then there is nothing much to worried about. But if the symptoms are ongoing then you need to consult a doctor. I don't think presence of past epilepsy has anything to do about of present set of complaints"}
{"_id": "000004858", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely. Omeprazole is antacid and effective only in gastritis related chest pain. Gastritis related chest pain is not on both side. So I think you should stop Omeprazole. Apply warm water pad on affected areas of chest. Take painkiller and anti-inflammatory Chat Doctor.  Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Wear chest belt. You will mostly improve with all these in 5-7 days. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004859", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have hemorrhoid (piles). You should take plenty of water and high fiber diet. Avoid constipation. Avoid spicy and oily food. Local anesthetic gel like lignin is helpful in pain relief.  Hot water bath is helpful. These all are conservative treatment.  If you have no relief from these then surgery is the last option.  Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004860", "text": "Welcome to Chat Doctor. 1. The symptoms and history suggest the most possible cause could be - enlarges lymph nodes.2.This lymph nodal enlargement is seen in case of any inflammation / infection, can be localized or systemic cause. 3. Other possible cause could be lumped from the breast tissue or lactational changes with dilated ducts.4. For better evaluation I would suggest getting an ultrasound examination - ultrasound will exactly helps to evaluate the nature of the lesion, its source and extensions. 5. If necessary - an FNAC - fine needle aspiration cytology to evaluate the cells involved and can be treated accordingly. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http"}
{"_id": "000004861", "text": "U have not mentioned anything about your age. From history I can assume u as female. I would like to know whether u attained menopause. If so the calcium level may be less, and it can also cause the symptoms mentioned in your question. The chances of it being bone cancer are very rare. Anyway you get your bone scan done and c whether the bone mineral density is fine. Ur basic problem is fear. U have read something from net and is worried about that. For your satisfaction and to be confirmed THT u don't have bone cancer u can take a PET Scan"}
{"_id": "000004862", "text": "Hi, Thanks for using Chat Doctor. I have gone through your available history. It seems that she has developed delusion of persecution and some sort of psychiatric illness possibly schizophrenia. You should take her to psychiatrist for detailed evaluation and management. Doctor may advise you to take anti-psychotic agents like risperidone or olanzapine or piperidine. She may also do well with insight oriented psychotherapy. I hope it will help you. Thanks."}
{"_id": "000004863", "text": "Hi, thank-you for providing the brief history of you. A thorough clinical knee assessment is advised followed by an MRI. As you have pain in the medial side of the knee, this could be related to two issues. One - medial collateral ligament injury, or Early OA knee. After an MRI will help understand the soft tissue structures within the knee joint. Also, physical therapy will help improve the knee strength and full functionality as well. In my clinical practice such cases respond well to physical therapy. RegardsJay In Chat Doctor."}
{"_id": "000004864", "text": "Hi, There does not seem to be any connection for taking pill and then having this. It seems to me that you have a prolactin. This is a prolactin secreting tumor and thus accounts for your high prolactin level. The prolactin level then causes inhibition of the FSH in some cases. Thus, you need to meet a gynecologist who needs to operate and remove the tumor or at least give you some therapy for it. You might also have some symptoms like blurring of vision. I hope this helps you. Chat Doctor."}
{"_id": "000004865", "text": "Hi, dairy have gone through your question. I can understand your concern. There are many causes of large RBC. B12 or folic acid deficiency is common cause. Alcoholism or liver disease may lead to large RBC. Go for complete liver function test. Many people have large RBC without any known causes. You should also check your sugar level. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health"}
{"_id": "000004866", "text": "Hi, First bipolar is disorder in which patient has episodes of mania and depression on different points of life. Treatment also needed change according to patient mood. Due to that it is advisable to have regular psychiatrist visit. For current assessment and treatment, you can visit psychiatrist in Delhi with treatment record, so that he can give you prescription for T-Meat-50 or its alternative. I hope this information has been both informative and helpful for you. Wish you Good Health."}
{"_id": "000004867", "text": "Hello dear. Ulcer at the edge of tongue can be due to trauma, stress, food allergy, deficiency of It B12, Zinc, etc. Management consist of"}
{"_id": "000004868", "text": "Hello, and I hope I can help you today. The greatest likelihood in your situation is that you have gestational diabetes. The majority of the time during routine prenatal care for diabetes somewhere between 24 and 28 weeks. Ketones, a byproduct of sugar metabolism being present in your urine along with sugar backs up the diagnosis. If you're test for gestational diabetes was performed more than a month ago, or if you never had one, I suggest you share these results with your healthcare provider as they may want to repeat the test. Gestational diabetes can be controlled sometimes with diet, however many women require oral hypoglycemics or insulin to control their blood sugar. This risk is increased in women who are obese or who have a family history of diabetes. So needing additional help in reducing your blood sugar during pregnancy is common and is not the fault of an inability to properly follow a proper diet. So I suggest for the benefit of the health of your pregnancy that you make an appointment with your prenatal care provider and that you discuss your results with them, they may want to do more intensive screening for diabetes and depending upon the level of your blood sugar may prescribe medications. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes for the rest of the pregnancy,"}
{"_id": "000004869", "text": "Hi First I would like to make it clear to you that arthritis has nothing to do with Bone Density increase as such. Arthritis is an inflammation of the joint causing joint pain and limitation of movements. In early stage painkillers like Ibuprofen help, but they cannot be taken for long due to its side effects. For long term, if the pain prevents you from doing your daily activities it will be better to go for Hip Replacement."}
{"_id": "000004870", "text": "HelloThanks for query. The problem of Erectile Dysfunction that you have is age related. As the age advances there is fall in serum testosterone by 1% for every year. This lowered serum testosterone is one of the factors is the cause of Ed. Other factors like senile atherosclerosis involving the blood vessels of penis leading to reduced blood flow to penis along with neuritis are important factors leading to ED. There are so may agencies and manufacturer marketing various Chat Doctor. But none of these have any scientific base for their claim. I would suggest you not to fall in such plays.Instead, consult qualified Urologist for scientific evaluation of your problem and further treatment. Taking Sildenafil or Calls on demand will help to resolve the issue."}
{"_id": "000004871", "text": "Hello dear, I understand your concerns for your father. If he has suffered a paralytic stroke, he will improve in natural course of the illness with proper physiotherapy, nutrition and medicines(antiplatelet like aspirin, statins , nootropic Chat Doctor. This thoughts' thing probably has been told to you, just as to bring stress factor down, which ultimately may help somehow in the recovery of injured neurons by the unknown mechanisms, which are not precisely defined. Moreover, beyond offering some mind relaxing techniques, it may not be under your control, so the best thing to do is regular medicines and good physiotherapy. I hope it helped."}
{"_id": "000004872", "text": "HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be most likely due to fungal infection Tina corporal. If you send a picture then it will be more helpful in identifying. A visual examination with your GP or dermatologist will help to rule out this. If you were my patient with such condition then I would recommend using antifungal ointments like terminating or fluconazole for local application and fluconazole tablet weekly once for 1 month orally. Hope this may help you. Let me know if anything is not clear. Thanks."}
{"_id": "000004873", "text": "Hi, you have to use the tablets prescribed by your doctor. As closer will cause induction of ovulation, and phaeton will maintain the luteal phase they are needed for conceiving and maintenance of pregnancy. You can follow the growth of your follicle by ultrasound examination. After using the tablets you plan that you and your husband stay together between 12th to 16th day of your cycle. By this the possibility of conception increases. Including with this you have to maintain your weight in normal range and should take good diet. Take care"}
{"_id": "000004874", "text": "Hello and welcome to Chat Doctor,vitamin B 12 deficiencies usually leads to anemia and symptoms associated with anemia like tiredness, lethargy, weakness etc. Neuronal disorders can also be associated with deficiency of vitamin B 12 deficiencies. The symptoms that you have mentioned- nervousness, light headdress can be due to deficiency of vitamin B 12. Thus, vitamin B 12 supplements are required to recover the vitamin B 12 deficiencies. Thanks and take care Chat Doctor."}
{"_id": "000004875", "text": "Hi, Thanks for writing in. It is possible that your symptoms of severe pain in the head and neck regions are due to irritation of nerve roots in the cervical spine. This is known as radiculopathy. It happens due to nerve root irritation due to slight movements including when you are asleep. This causes pressure on nerves roots and pinching of the nerves. This is followed by sudden shooting pain from the neck to the head and can also be experienced behind the eyes. Please avoid use of pillows when sleeping and sleep on a hard mattress. Avoid making sudden head and neck movements. If you feel severe pain at night then apply a little ointment containing pain reliever and muscle relaxant. Please discuss treatment available for degenerative cervical disc disease with your doctor and if surgery might help. If you are not sure of getting surgery done then please continue injections and also make inquiries about new procedures like radio frequency ablation or laser assisted surgery for a better outcome. Please do not worry."}
{"_id": "000004876", "text": "Hi, I went through your query. Gall bladder stones often cause pain along lower border of right ribs or at the right shoulder or back. Stones can also result in colicky pain and spasms s in your case. If the stone occludes the neck of gall bladder it can get swollen, and you may feel a lump. But a lump could be there for other serious causes too. But since your CT indicates no other problem it seems gall bladder stones are responsible for your symptoms. Hope this helps."}
{"_id": "000004877", "text": "Hello ! I understand your concern. I think that it may be related to your inner ear. Furthermore, I would like to know more about your ear. Have you noticed noise in your ear, or loss of hearing into the sear? Have you measured your temperature lately ? I would recommend you go to the doctor and have to examine your ear and have a routine blood test. Dizziness, fatigue, headache and fever can be caused by an infection to your ear. It may be just stress, but I recommend you to rule out ear problems first. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes,"}
{"_id": "000004878", "text": "There are good remedies in Ayurveda for stone formation in kidney urethra etc.;the touch me not plant (Patanjali in Sanskrit language)whole part is a good remedy. Alkaline oriented foodstuff is helping out clear crystal stones.(tributes terrestrial (a plant in Ayurveda if used as decoction would relieve your immediate pain. If not available ...please consult an Indian Ayurveda Physician who will help you out."}
{"_id": "000004879", "text": "HI welcome to Chat Doctor,1st of all i would like to know if you are under some specialist guidance or not? Taking any medicine has got a rationale. If your not ovulating you are supposed to take closed, if your ovum is not rupturing at a particular time u SHD take Chat Doctor(a follicular study is a God way to know if u require Chat Doctor or not). And if you are taking proverb to get your periods then take for 5 days without any gap n u oil get your periods within 3-5 days after stopping proverb(u must b taking proverb irregularly that's d reason your starting your periods in d middle of cycle!).  Start induction from 2nd day but under qualified medical supervision. Now, as u eV taken blood for long other causes of an ovulation should b sought for, n treated accordingly. So best of luck & take care."}
{"_id": "000004880", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of bronchitis is more. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid. If PFT is normal than no need to worry much. Stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. First rule out bronchitis. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000004881", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have either hemoptysis or hematemesis.  You need x-ray chest, ultrasound abdomen and endoscopy. It will give you idea regarding cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000004882", "text": "Hello, I would recommend a repeat urine routine examination and a pelvic and kidney, ureter, and bladder (PUB) scan to rule out any anatomical defect. Adequate HY Chat Doctor.  Give boiled and cooled water to the baby in warm-season about four to five ounces per day. You can always change the amount depending on the feeding of the baby. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004883", "text": "Hello Maria. As a Urologist, I can fully understand your concern. An ultrasound scan can easily detect scarring of kidneys, due ti infections. A dialysis is advised only when, theres very poor kidney function. A kidney transplant is the other option. Kidney failure causes anemia, for which, blood transfusions(3), were given. It also causes nausea and omitting, as creatinine rises in blood. Block of kidney due to stone, is another cause for the omitting. Renavive isn't advised by Urologists, due lack of scientific study. Maintain low salt, low protein diet, no dairy products, and limited fluids. If you've any other doubts, send it as a direct question, to me. Chat Doctor.  Manga."}
{"_id": "000004884", "text": "HelloWelcome to Chat Doctor Dear patients' son, as your mom is suffering from Potts spine, her low grade temperature is because of that only, though she has been taking AKT4 for last one month and generally fever stops with in one or two weeks after starting AKT4 but sometimes it may take 2 to 3 months for the temperature to subside, so you need not worry about that, her LFT report showing SGPT of 182 is a bit high and if it is more than 3 times the baseline SGPT value which is there in previous LFT then it may Warren to hold AKT 4, if previous LFT is not available, then you continue with AKT4 and get your LFT repeated after 1 week, if that shows SGPT of more than 540 i.e. more than 3 times the current value then AKT4 will need to be held till hepatitis subsided and then ATT can be reinstituted again, this will be done by the doctor who is treating her for POTTS spine. About her enlarged liver, it may be due to fatty liver which is common in diabetic patients, but may even be due to Chat Doctor. You consult you doctor who will access her LFT reports and will see if she is not developing"}
{"_id": "000004885", "text": "Hello! Thank you for your question on Chat Doctor! Regarding your concern I think that it may be caused by a second stroke, in the posterior part of the brain or a vertebral artery insufficiency. If the CT scan you did, resulted in no new strokes from the old CT scan, it means that the problem may be a vertebral artery insufficiency. It is caused by a narrowing of this artery causing low blood flow to the brain. Another cause of repeated falling may be the HY Chat Doctor.  I would recommend you to have a Doppler ultrasound of the cervical arteries and to take aspirin for the prevention of a second stroke. I would encourage you to continue with the physiotherapy. Hope to have been helpful! Greetings!"}
{"_id": "000004886", "text": "Hi thanks for the query.IUD's usually don't cause gas/ bloating. As you told you are taking coffee in the morning, that may be the cause of your problem. Having tea or coffee in morning with empty stomach increases acidity. In my opinion, there is no need of IUD removal for these symptoms and only avoiding tea/ coffee and spicy food and having cold milk along with some antacids will help you. Hope this information is helpful and informative to you. If you have further queries you can directly reach out to me on the following URL"}
{"_id": "000004887", "text": "Hello MRI findings suggests mild cerebral cortical atrophy. Generally this is an age related finding, but this is earlier in your sons' case as he is only 17 years old. Cause of mild cerebral cortical atrophy should be investigated. It may be sequel of past infection, generalized ischemia etc. You should consult neurologist. Mucosal polyp is left maxillary sinus may be due to sequel of chronic sinusitis.Long-standing infection may lead to polyp formation. Surgical removal of polyp can be considered after evaluation. Take Care Chat Doctor."}
{"_id": "000004888", "text": "Hi and thanks for question.I will suggest u that u have vascular dementia, in that case treatment will very few for memory loss. I will suggest u that u will start antidepressant which help u in mood elevation along with always keep diary with u and write down important thing in for daily activities so if u forget than u will remember from that. Second don't be so hopeless and helpless because its only due to your strokes. Thanks"}
{"_id": "000004889", "text": "Hi, Thank you for posting your query. Cognitive symptoms following traumatic brain injury (TBI) spontaneously improve over time. However, COQ 10 and omega 3 fatty acids may help (there is no hard data in literature though regarding their efficacy). Another medication that could help you is paracetamol. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"}
{"_id": "000004890", "text": "Hey. See dear, Masturbation does not cause any physical injury or harm to the body and can be performed in moderation. Yes, you should not make it an addiction or habit. In my opinion Masturbation has nothing to do with your shrank and smaller left chest. If your left chest is abnormally small when compared to the right one, then get it examined by a local doctor near you.Also, if you are feeling little weak, then concentrate on your diet, Chat Doctor.  This will keep your body fit and well. Hope I have answered your question. If you have any questions, then I will be happy to answer them. Take care. Regards."}
{"_id": "000004891", "text": "Is the antihypertensive medication a calcium channel blocker like amlodipine? Calcium channel blockers have a side effect of causing pedal edema. If you're using it please consult your physician and consultant will stop the Chat Doctor.  Caution to be kept in mind as it is not the only cause of swelling it could be due to hypertensive nephropathy or other diseases affecting kidneys which has to be evaluated."}
{"_id": "000004892", "text": "Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  Your daughter aged 16 years, has slightly higher liver enzyme. Waiting for ultrasound. Suffering from stomach pain, today on right side, since 8 months, feeling tired. Many medicines used but Invar.  She has elevated liver enzymes, but in such cases we should give treatment to other possibilities also. She should be treated for gastric irritation, lactose intolerance, worms, constipation, urinary tract infection etc. I advise you to consult a gastroenterologist for diagnosis and treatment. Furthermore, she may need to have M.R.I. besides other routine tests for confirmation.  Wishing her a quick and complete recovery.  Best regards."}
{"_id": "000004893", "text": "Hi, I understand your concern and would explain that your symptoms could be related to blood pressure fluctuations, blood glucose fluctuations or thyroid dysfunction. For this reason, I would recommend a close monitoring of your blood pressure values. Other tests to perform are"}
{"_id": "000004894", "text": "Hello, Thanks for posting your query. First the cause of toothache has to be ruled out. The causes can be- Deep dental caries. Periodontal infection. Traumatic injury. Pericoronitis. Depending on the cause, tooth has to be treated. Decayed tooth has to be restored. If decay has progressed, get it extracted. Get scaling done. Maintain good oral hygiene. Take antibiotics -analgesics as per dentists prescription."}
{"_id": "000004895", "text": "Hello, Welcome to Chat Doctor, I am Chat Doctor Your semen analysis report indicates low sperm count (normal is > 15 millions / ml or 39 million total count as per WHO 2010).  Motility is within normal limit (as per WHO 2010, normal motility is > 50%).  Morphology is within normal limit (as per WHO 2010, normal morphology is > 04%).  So, you have only low sperm count.  It is not caused by taking diclofenac.  You should take some coenzyme Q and vitamin E group of Chat Doctor.  Otherwise, you need nothing.  Regards."}
{"_id": "000004896", "text": "Hello, Welcome to Chat Doctor, As your mom underwent a surgery on her leg for the wound which was measuring around 6 inches long and 3 inches wide. You don't want to infect the wound. To prevent the wound infection I would suggest you to follow1. Keep the wound clean and Chat Doctor. 2. Injectable antibiotics like In Cipro, twice daily and In Metro, three times a day for at least three days to prevent infection of the wound and this is followed by shifting into oral antibiotics.3. Inj TT, if not taken in last five years.4. Tab Acetaminophen will help to reduce the pain and fever associated with the wound.5."}
{"_id": "000004897", "text": "Hello, I will explain to you how a viral illness behaves so that you can be more confident please. 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 at all. Once viral fever comes it will there for 4 to 7 days. So, do not worry about duration if the kid is active. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004898", "text": "Thanks for putting your query up at Chat Doctor. I understand your concerns for your 4-year-old son. Many child Chat Doctor.  Cold depresses our immunity and in the meanwhile certain viruses that are always around, do the harm. It also has an allergic component wherein non-harmful agents like dust are treated by the body with apprehension and results in cough. The tonsils which are located at the back of the neck, often become enlarged and play an important role in cough and cold. The tonsils regress with age and I guess you would have to wait till then when the tendency to catch cold would automatically come down. There is an internal connection between the throat and ear and hence during cold we often feel a pain in the ears. But that is probably not a cause for concern. There is no medicine that can change the genetic makeup of a person. I insist that you try to make your child gurgle with lukewarm water and if required give him some antiallergics after consulting your doctor. I hope that answers your query. Feel free to revert in case of further queries."}
{"_id": "000004899", "text": "Hi, Thanks for your query. Based upon your description, I suspect that you might have injured the ligaments around the ankle joint. An initial X-ray of the ankle joint is necessary to rule out any bony injury. If X-rays are negative for any fracture, then MRI scan is needed to know the status of the ligaments around the ankle joint. I suggest you to consult an orthopedic surgeon for a detailed evaluation and further management. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000004900", "text": "Thanks for using Chat Doctor. Read your query. Based on what you have mentioned, looks like it is an infection from a tooth. It is an access caused which can be either from any of your lower tooth or from your gums(periodontal access). I advise you to visit your local dentist and get a check-up done and do what is necessary treatment. For the pain u can take paracetamol or ibuprofen (if you're not allergic to medicine). Do saline gargles. Visit a dentist and get treated. Hope this was useful for u. Thanks and warm regards."}
{"_id": "000004901", "text": "Hello dairy understand your concerned you have problem in ovarian follicle maturation and rupture then pregnancy is not occurred without CCQ tablet.CCQ will help in maturation and rupture of follicle by increasing FSH & LH hormones. I would suggest consulting gynecologist and undergo USG scan and ovarian follicle study to know status of ovulatory function. You can take progesterone pill after ovulation to support implantation and early pregnancy. You can also start ova care, it helps in becoming pregnant. Use CCQ in next cycle for increase chance of pregnancy. Avoid stress, take healthy diet, Chat Doctor."}
{"_id": "000004902", "text": "Hello! Thank you for asking on Chat Doctor! The episode you describe seems to be related to a transient ischemic attack or to an epileptic seizure. What were her blood pressure values? I recommend bringing her to the ER for a careful physical examination, and some tests"}
{"_id": "000004903", "text": "Hello dear Understand your concerned should consult skin specialist nearby you. Wart is caused by human papilloma mistreatment are below"}
{"_id": "000004904", "text": "Hi, Thanks for writing in. Elevated liver enzymes has many causes. It can occur in infections of the liver and intestines. It can also be seen in those who have regular alcohol intake. Taking painkillers for long duration also causes elevated liver enzymes. Treatment medications for some chronic diseases also causes increased liver enzymes. Your test report needs to be discussed with your clinical problems as 1% to 9% of people without symptoms have elevated liver enzymes. You may need evaluation for hepatitis, cirrhosis, or fatty liver disease among other conditions."}
{"_id": "000004905", "text": "Hello, I have studied your case and your report. Yes you can do disc replacement surgery hematoma will not affect prognosis. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights. 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."}
{"_id": "000004906", "text": "Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. Coffee and other caffeine-containing beverages, like tea or energy Chat Doctor.  My opinion is that the panic you went through, only made things worse or \\\"put petrol to fire\\\", because it is well-known that also fear, anxiety, panic attack or any other psychologically enhanced situation can increase the heart rate and, subsequently, produce shortness of breath, more fear, dizziness etc. Therefore, I would recommend you to avoid large amounts of caffeine and try to have a normal 6-7-hour sleep cycle, mostly from 11 pm to 6 am. Also, be physically active and recognize this as a very healthy behavior, for at least 60 minutes a day. My opinion is that these are all the measures that should be undertaken, and no further action, at the moment. If you find this episode worrisome, and it is repeated with no known cause (because you recognize that this one is because of the caffeine), then an EKG would be in order, and, if judged appropriate by your attending doctor, further evaluation. I hope I was helpful. Take care."}
{"_id": "000004907", "text": "HelloThanks for query. You are being treated for kidney infection and passing white substances in urine since very recently. The white particles that you are passing are clumps (Muck)of disqquamated epithelial lining of mucus membrane of urinary system more from the bladder mucosa which signify chronic infection (Chronic UTI). You need to do urine culture to find out organisms causing this infection and take appropriate antibiotic as per culture report. Ensure to Chat Doctor."}
{"_id": "000004908", "text": "Hello, I have studied your case. It can be rotator cuff injury which may need MRI for confirmation. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. You may need to take rest for early healing. Also check your it B12 and it D3 in your blood. 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 disregards Chat Doctor."}
{"_id": "000004909", "text": "Hi welcome to Chat Doctor forum.  Thanks for writing to Chat Doctor. F.  As you describe you had viral hepatitis, followed by weakness and dizziness. 2 years back you had vertigo and treated with vermin 8 mg. Twice daily. You are feeling depressed, and tense.  After Infection and treatment for infectivehepatitis there will be weakness due to gastric irritation, if you get treated for that you will be fine so I advise you to consult a gastroenterologist for diagnosis and treatment.  The reason of vertigo could be of central origin as before, so you can use vermin as well till you get relief of the symptoms.  Wishing for a quick recovery, Best regards."}
{"_id": "000004910", "text": "Chat Doctor.  India, Mob - 9902596161, khals2000@yahoo.co.in In women, LH and FSH levels can help to differentiate between primary ovarian failure (failure of the ovaries themselves or lack of ovarian development) and secondary ovarian failure (failure of the ovaries due to disorders of either the pituitary or the hypothalamus). Increased levels of LH and FSH are seen in primary ovarian failure. Low levels of LH and FSH are seen in secondary ovarian failure and indicate a problem with the pituitary or hypothalamus. Consult an"}
{"_id": "000004911", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. You are obsessed with your symptoms. It is obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Exercise and be active in games and physical activities. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000004912", "text": "HelloHowever, there may be many reasons of INFERTILITY in male and female. In male azoopermia (oligospermia) is one of the most common reason and I have seen that this problem is a hereditary problem, but it is not scientifically proven. This may be the reason of delayed conception for your mother-in-law. Same reason may be in your case also, but before any judgement your husband must be examined for SEMEN analysis. You should get an ultrasound of Fallopian tube, uterus and also hormonal test for yourself. Get in complete fertility test and thereafter deal accordingly. Hope you will get good result."}
{"_id": "000004913", "text": "Hi. Thanks for your query. Pain on the left side of the abdomen just 2 inches left of belly button lasting 30 seconds, not affected by eating, but have reflux and burping with pain, Chat Doctor.  I would advise you to undergo Upper GI endoscopy and ultrasonography. Once the diagnosis is made go for the proper treatment of PPI, Antacid, soft bland diet. For 3 months and you may be fine. If no relief, CT scan and Diagnostic laparoscopy may be required."}
{"_id": "000004914", "text": "Hi Welcome to Chat Doctor. The backache in your case needs to be further evaluated since it does not resolve to standard analgesics. I advise you to get an MRI scan of your lumbar spine to evaluate any possible disc pathology like chronic disc prolapse/degeneration. This can help us to offer better and an early medical or required surgical management.IBS needs to managed with Chat Doctor. Rash behind the ear can be managed through topical antibacterial/antifungal creams, since it does not cause any systemic upset and ear discharge. Consult your doctor in regard to above. Thank you."}
{"_id": "000004915", "text": "Hi dear. I understand your concern. She has anxiety based on situation.  Need proper explanation and support psychologically. Support her. Medicines like Escitalopram or paroxetine in low dose can be useful. But before that consult psychiatrist for evaluation of her mental status. So consult and get help. Ensure proper sleep and diet. Support her. Still have a query then feel free to ask. Happy to help you. Thank you."}
{"_id": "000004916", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. You had a panic feeling during your exercise session. Instead of ignoring and going forward with daily routines, you started thinking too much about it. Yes. Everybody has health concerns. You also had. But your health concerns were actually increasing day by day. Not reducing when some clarifications were given. When doctor said nothing to worry, you had more doubts. Then you started thinking negatively and increased your apprehension and thereby anxiety. Now you are clear that you have no physical ailments. Now accept the fact and exercise, laugh at you, ignore the anxiety symptoms and learn to relax. Psychotherapy shall provide good results. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000004917", "text": "Hello, Welcome to the magical world of health care, I went through your query, and these are symptoms of problem with his brain, and the tests will only be significant when taken during the test. See a good neurologist. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. I hope a 5-star rating if you feel guided in your treatment, Thanks"}
{"_id": "000004918", "text": "Hello ! Pulmonary Fibrosis is a broad term. It can indicate a healed scar in the lung (most commonly due to treated TB in India) or it can indicate what is medically termed Interstitial Lung Disease (OLD) . In the former (post infective fibrosis) it is not a progressive disease. The latter (OLD) encompasses about 200 different causes of fibrosis and it most cases it can be progressive.  So the first thing that you should be asking your Consultant is what variety of fibrosis your parent has got and what is the exact diagnosis.  Coz the treatment for various OLD is different.  If there is any identifiable environmental or work related factor that has initiated the fibrosis then further avoidance of the factor is of utmost importance.  For few varieties of OLD steroid works while in few it doesn't.  So ask for the exact diagnosis, its extent of involvement in the lungs (whether localized or extensive, one lung or both the lungs), Ask for what all investigations need to be done to find out what OLD your parent has got, discuss the current status, treatment options and prognosis.  Ask for any lifestyle change that you need to incorporate.  Some IDs can be a manifestation of systemic disease so discuss whether it's the case in your parent, in which case the involvement of other organs also need to be investigated for in detail and treated."}
{"_id": "000004919", "text": "HelloThanks for the query to Chat Doctor. Forum. Please note down the indication for which PROTOCOL i.e. ursodeoxycholic acid is prescribed.1 Dissolution of cholesterol-rich gallstones .2 primary biliary cirrhosis .3 Prophylaxis of gallstones in patients undergoing rapid weight loss. In my opinion it will not resolve fatty liver. Get in M R I of liver and consult gastroenterologist and find out the exact reason of fatty liver and then proceed. Good luck."}
{"_id": "000004920", "text": "Thanks for the query. I think you don't need any surgery. MRI said mild narrowing of the lateral recess which may cause leg pain however it usually gets better with medicine and physiotherapy. Low back pain is generating from the bad disc. It usually gets better over a period such as few weeks (4-6 weeks). You are not a candidate for discectomy surgery. If she does not get better in next few months (unlikely) then we may have to consider doing total discectomy followed by spinal fusion or disc replacement. At present I would suggest trying medicine such as anti-inflammatory and muscle relaxants with fusion modalities like IT which will definitely improve her pain."}
{"_id": "000004921", "text": "Hi, Thanks for the query. Most of your symptoms are non-specific and can be seen in many conditions like premenstrual phase, infections etc. So you better wait till your expected date of periods and if you miss the date, then go for pregnancy test. If possible you can prefer blood test for pregnancy which will give more accurate results compared with urine test. If test comes negative, you better consult gynecologist and take treatment to regularize your cycles and for ovulation induction, which can possibly help in getting pregnancy. Take care."}
{"_id": "000004922", "text": "Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice.* This level of jaundice takes around 10-12 weeks of period for total recovery provided taken care properly.* Dietary restrictions are must for initial 6-8 weeks, then some relaxations are provided by the treating physician according to the clinical progress.* Sexual relationship has no issue with causing infection at all. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004923", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, your dystonia can cause breathing difficulty. Breathing consists inspiration and expiration. Both these are done by muscles. Inspiratory muscles expand the rib cage and allows lungs to take air in. In expiration lung recoil and expiratory muscles allow air to breath out from the lungs. So in both these activities, muscles play very important role. Since you are suffering from dystonia, possibility of involvement of muscles of respiration is high. So dystonia is seeming to be the cause for your breathing difficulty. Consult your doctor and discuss all these and start appropriate treatment."}
{"_id": "000004924", "text": "HI, thanks for using Chat Doctor There are some persons who have bleeding issues in response to demo proverb. These issues can last till weeks or months after the shot has been discontinued. There are medications that your doctor can give you to help decrease the bleeding e.g. primal. Your doctor may also suggest imaging of uterus to see if there are any other causes of prolonged bleeding such as fibroid or endometriosis. I hope this helps"}
{"_id": "000004925", "text": "Thanks for contacting ChatDoctorI am sorry to hear that you are concerned about white lumps that you have found on your penis and foreskin. This white bums are probable sebaceous cysts. These are completely benign and do not need to be treated. You do not need to be worried, and I can reassure you that these are very normal finding. Hope this answers your question. Please contact us again with your health care concerns and questions"}
{"_id": "000004926", "text": "Hello, Welcome to Chat Doctor, As you got hurt and injured your foot because of something which stuck in your shoe and lead to your symptoms. As there was a bleeding following the injury it may be a sharp object which has damaged your foot. I would suggest you to follow1. Clean the wound with the antiseptics2. Take TT injection if you have not taken in last 5 years.3. Keep it Chat Doctor.  You may require a course of antibiotics. Thank you."}
{"_id": "000004927", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that you are suffering from viral infection and seems to be most probably influenza or flu and the symptoms of cold, cough, runny nose, body aches, fever seems to be due to it. As the viral infection resolve once the virus completes its cycle and as of now you can start taking supportive treatment to relieve symptoms like take Acetaminophen to relieve fever. Take Ibuprofen to reduce pains and aches. Take decongestants like Phenylephrine, Multics like Aerosol and anti allergic like Levocetrizine. You can do warm saline gargles, steam inhalations and use a humidifier in your room. You can do saline nasal irrigation and decongestant nasal sprays like Xylometzoline. Avoid spicy and chilled foods and sip on plenty of warm water. Take sufficient rest. Hope this information helps. Thanks and regards. Chat Doctor. ."}
{"_id": "000004928", "text": "Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. It looks like there is no infection in the wound. But there is definitely a puncture in the wound contacting it with the abdomen. Because of this puncture respiratory problem is arising. I advise you to visit the nearby clinic. They diagnose the puncture and seal the puncture so that you can take the breath easily. Glad to answer your further concern. You can contact me on bit.ly/ Chat Doctor. We wish you the best health at Chat Doctor. Thank you, ChatDoctor"}
{"_id": "000004929", "text": "Hello, Your pain and swelling following trauma, requires further evaluation with x-ray to rule out fracture. Please be advised to follow-up with an orthopedic to get an x-ray done. Meanwhile, apply cold compress to the affected area, elevate the leg, take adequate rest and Ibuprofen (if not allergic) for pain. Toe fracture is treated with immobilization of toe with cast/buddy tape. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004930", "text": "Hi, from history it seems that you might be having fungal infection on the part. Due to itching there might be having some bacterial infection causing redness and swelling. Apply antifungal lotion or cream locally. If infection is more go for one course of antibiotic medicine course to control bacterial infection. Go for oral antifungal medicine course like Fluconazole. Keep local hygiene proper. Ok and take care."}
{"_id": "000004931", "text": "Seems blunt trauma that may go easily and pain will go easily. If not take 1 SOS broken adult. You may use turmeric powder in warm milk or water 1/2 tsp once or twice daily. Its natural anti-inflammatory. If doesn't stop, may be nerve is compressed. You have to take lumbar support. Don't bend. Don't lift heavy wt. As the trauma subsides (except that inter vertebral disc spaces should not have reduced), pain will go. Otherwise, physiotherapy and Yoga postures will correct you. But not during pain. Hope it helps you."}
{"_id": "000004932", "text": "Hello! Thank you for the query. This can be appendicitis indeed. For sure such pain can not be ignored, and ER visit is necessary. It may be also a partial bowels' obstruction, bowels ischemia, stomach perforation. All these diseases needs to be ruled out. Abdominal ultrasound, abdominal X-ray, blood work, urinalysis should be done at first. Some surgical help might be necessary. Hope this will help. Regards."}
{"_id": "000004933", "text": "Hellos per your description it seems that you have developed a pressure sore (or bed sore). It usually happens in chronic bedridden patients at the pressure sites like lower back, back of the heel, back of the scapula etc.my opinion would be 1. Please take care of the wound (regularly Chat Doctor.  2. Change posture frequently while you sleep. Avoid pressure over the wound site.3. You may use some antibiotics like Amoxyclav or Cephalosporin group, if the wound is infected.4. Lastly and most importantly, if you are diabetic, then please take care of your glycemic state. If the sore doesn't start healing then you should visit a surgeon (Plastic surgeon) for further evaluation and management. Thank you."}
{"_id": "000004934", "text": "Hello and thanks for writing in. For many kids with this disorder, the symptoms are so mild that they never know they have it. Those with a more severe form of the disease, need proper diagnosis and a treatment plan. Seriousness of the condition depends on the severity of this disease. Only a proper test result can say about the type and seriousness of the FWD. I would advise you to wait for the complete test result and take care of the baby for any bruises or cuts. Hope this answers your queryRegards"}
{"_id": "000004935", "text": "Antonella Persians infestation can be diagnosed by--Complete physical examination that reveal typical rash and edematous swelling of affected body parts-A careful travel history to the known endemic parts mentioned by you.-Blood examination may reveal larvae of Antonella Persians under microscope-Microscopic examination of oxidative serous fluid from the affected parts, pleural effusions can also demonstrate larvae. Treatment includes-A combination of the Chat Doctor. A follow-up is required after starting the treatment with these"}
{"_id": "000004936", "text": "Hi There I understand your concern for your health and I would like to tell you about your queries one by one1. The reliability of the STENTS depends on how well you take your medicines after stenting, how well you take the advised precautions, no smoking (if you do), adapting healthy lifestyle habits life daily morning walks, no junk or fried food, healthy diet, weight control and how your body respond to stent.2. ECG only gives a clue about blockage, accurate assessment is done by Angiography only. I wish you Good health"}
{"_id": "000004937", "text": "Hello. Thanks for writing to us. After the fall, the hematoma that formed must have been compressing the nerves causing the burning sensation in the area. Most of the time such hematoma resolves spontaneously in 2-4 weeks with rest and hot fomentation. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http"}
{"_id": "000004938", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here you do not seem to have any disease lymph node is such internal organ that can be found everywhere inside the body and some time its become fairly visible and palpable too with no specific reason and that is nothing to worry and no need to treat them in my opinion forget the lymph node and be happy, have nice day."}
{"_id": "000004939", "text": "Strategy is a good medication for ADHD and can be given to your son.  It takes a few weeks to see the full benefit so some doctors will continue the concert for the first month while building up the Strategy.  The benefit if Strategy is that it also lowers anxiety, it lasts 24 hours so once a day dosing is enough, there are no rebound symptoms as seen with the stimulant medications, and it does not suppress the appetite as much.  It might also allow you to stop the Risperdal, a medication which I personally feel should not be used for long periods of time and should be avoided in child Chat Doctor.  He will need a lot of help navigating the social aspects of life if he has high functioning autism.  What was formerly called Asperger syn"}
{"_id": "000004940", "text": "Hello, I have gone through your query and understood your concern. According to above-mentioned details, stage IV ovarian cancer overall median survival rate ~36 months and progression free survival ~17 months. As you have said debunking had done and residue has left, 5 year survival after surgical debunking with residual disease >2 CMS is ~20%. 2 year survival rate for stage III+IV disease was 60%. Hope this helped you. Thanks."}
{"_id": "000004941", "text": "Hi. Abdominal pain is very nonspecific symptom. It can be caused by organic diseases or by functional diseases. In his case it is obvious functional disorder because diagnostic tests that you have mentioned would rule out any organic disorder. At this age pain can be caused by food allergies, IBD or psychogenic. Also, any infection of respiratory or urinary tract can lead to abdominal pain. I suggest waiting and see are symptoms going to persist and getting worse. If yes then complete garment. Workup needs to be done. Wish you good health"}
{"_id": "000004942", "text": "Hello Thanks for posting at Chat Doctor. Life expectancy may vary from person to person and hence cannot be commented upon. It depends a lot upon being regular on medications and dialysis, dirty restrictions, exercise and associated factors. If you are regular with your medications and maintain a fluid restriction of 1.2 liters per day with regular peritoneal dialysis; you will do well and wish of life as well as expectancy will be good. So please stop writing about life expectancy and take proper care of your health. Wishing you good healthRegards"}
{"_id": "000004943", "text": "Hi, Thanks for writing in. Glivec is Imaging and works well in chronic myeloid leukemia. It is important for your brother to continue taking this medicine as recommended. To counter the high coast of this medicine, you might discuss in detail with the treating doctor. Depending on the stage and control of disease, this medicine dose might be adjusted so that the benefit is achieved at a dose which might be taken in a way which will be financially viable for your brother. Instead of a daily 400 mg dose, after discussion with his doctor an alternative dose might be discussed. Another method is to register with Chat Doctor.  Please consult any cancer research institute and try to know if any such trials are going on. Your brother might benefit from taking this medicine or an alternative similar"}
{"_id": "000004944", "text": "Hi, Thank you for posting your query. The most likely diagnosis in your case is migraine, where it is not uncommon to find small white matter lesion on brain MRI. If you can upload a copy of your brain MRI report, it would be useful. There are good medications available to treat migraine. For elevated liver enzymes, please consult a gastroenterologist. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"}
{"_id": "000004945", "text": "Thanks for your query, I have gone through your query. The swollen cheek could be because of the tooth infection or gum infection or arteriovenous malformation. Consult an oral physician and get yourself examined to rule out any tooth infection or gum infection, and you need to take radiograph. If there is no tooth infection then you need to get an ultrasound to rule out arteriovenous malformation. You might need a course of antibiotics. I hope my answer will help you, take care"}
{"_id": "000004946", "text": "Thanks for your query, I have gone through your query. The obstruction in the throat could be because of the foreign bodies like wire or throat infection. Consult an oral physician and a ENT surgeon, get a radiograph of the neck region, that will rule out the foreign body or wire. If it is there, then get it removed by ENT surgeon. If it is because of throat infection, Then take a course of antibiotics and do saline gargling. I hope my answer will help you, take care."}
{"_id": "000004947", "text": "Hello, I can understand your concern. As you are having this line on your lip for about 10 years, and you have already tried antifungal agents, it does not seem like a fungal infection. White line on the lip can be due to charities which can occur due to deficiency of Vitamin B12, iron deficiency anemia or allergy to some substance that you are exposed to on routine basis. I would recommend you to start having Vitamin B12 supplements and iron supplements along with including leafy vegetables in your diet. You can also take antihistamine such as Loratadine 10 mg (Forfeits) once a day for about a week to 10 days to combat an allergic reaction, if present. You should give it a month to reduce in size and intensity or disappear completely. If it does not respond to these supplements, I would advise you to go for a biopsy of the lesion as 10 years is a very long time to have a persistent painless lesion on the lip and confirmed diagnosis is necessary. You can visit an oral and maxillofacial surgeon for the biopsy. I hope this information helps you. Thank you for choosing Chat Doctor. Take care. Best,"}
{"_id": "000004948", "text": "Hi dear, I have gone through your question and I understand your concern. It is FDA pregnancy category C Chat Doctor.  But you must tell your doctor if you are pregnant or plan to become pregnant while using this medicine. As you are planning, so I would suggest not to worry about just take medication and let the infection subside and on next follow-up visit to your doctor just share with him, and he will change to category A or B"}
{"_id": "000004949", "text": "Yes chronic anxiety can cause hair loss\\\"Daily shedding of up to 100 hairs is normal. Excessive hair fall can also be due to male pattern baldness, anemia or nutritional deficiency or certain medical conditions like thyroid disorders, low serum ferritin etc. Take a nutritious and protein rich diet(pulses, milk products, eggs). Avoid routine application of gels or frequent blow Chat Doctor.  Use a sulfate free shampoo for your hair twice a week. Biotin containing hair supplements can be taken for 3-6 months. Hope this helps. Good luck!"}
{"_id": "000004950", "text": "Dear, We understand your concerns went through your details. Excess masturbation cannot in any way affects the possibility of having child Chat Doctor.  You can be assured. But in your case, 6 times a day masturbation, is harmful because masturbation consumes body energy. Body energy loss can cause physical stress. Continuous physical stress can have mental stress and anxiety. Otherwise, there is no negative effects for masturbation. I suggest you to reduce the masturbation habit frequency to thrice per week because it is the safest and healthy frequency. You should consult a psychologist for counseling and dead diction therapy. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000004951", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Cannabis is centrally acting (acts on brain) abusive substance. It causes depression of brain centers including respiratory center. Respiratory is main part who regulates breathing. So when someone takes Cannabis, his breathing becomes slow. This is therefore reason why COPD patients feel good after taking Cannabis. But this is life-threatening in long term use. Long term Cannabis intake can cause respiratory depression (no breathing) and ultimately death. It is also habit-forming agent. So better not to use Cannabis in COPD patients. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004952", "text": "Hello, The masturbation usually doesn't cause much harm on health. It is a pleasure giving the procedure.  But it should not be compulsive act, and it should remain a method for fulfill sexual desire.  The masturbation frequency is advisable to kept up to three times a week to avoid groin discomfort, fatigue like side effects.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000004953", "text": "Hello, In a patient on combustor users may present like pain and swelling of joints. It may be due to allergy or side effect to the Chat Doctor.  Pain may be due to arthritis of joints. Until examination is done it is difficult to say what it is. Please consult with your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000004954", "text": "Hello! Welcome to Chat Doctor. Bleeding gums is common in poor oral hygiene. You did not mention your general health if you are in your menopause, taking any medication etc. This is because of the debris accumulated around your teeth. This cannot be removed at home. I suggest you to see your dentist for a professional scaling. You can only reduce the symptoms in the meanwhile. Gargle with warm saline water thrice daily. If you are known hypertensive, please go for any branded mouth wash with anti-plaque action. You can choose chlorhexidine. Seeing your dentist every 6 months for a screening and scaling is advised. Maintain a good oral hygiene. Regards."}
{"_id": "000004955", "text": "Hello dear, Management of Tina courts includes"}
{"_id": "000004956", "text": "Hi and welcome to Chat Doctor. Please do not worry as you have taken the pills for a very short time. Long term use of pills means at least 4-5 years. Also, if you are attempting pregnancy, the fertile period for women with regular 28 days cycle is between day 12-18 of the cycle counting from the first day of the last period. Try sexual contact on alternate days during this period for best results. Also, ovulation detecting kits may be used to see the actual days of ovulation and contact during those days increases chances of pregnancy. If you are not able to conceive in 8-9 months of regular unprotected contact a visit to a doctor may be needed to look for any problem with conception. Hope this was helpful. Do not worry, the pills are not going to have any effect on your reproductive potential. Thanks for using Chat Doctor. Have a good day. ChatDoctor BagdeConsultant Ob GY."}
{"_id": "000004957", "text": "Hi, I think HSG is not a confirmatory test for the tubal status.  You should go for a laparoscopy to confirm that the tubes are blocked.  Sometimes HSG can be incorrect also. So, if tubes are blocked even on laparoscopy, and it is a proximal block, cannulation can be tried to open the tubes. If it cants be opened, you have to go through IVF to conceive.  Hope I have answered your question. Regards Chat Doctor."}
{"_id": "000004958", "text": "Hello thank you for trusting ChatDoctorDear in chest many part sun your cheat. The pain may be arising from esophagus, heart,lungs, muscles and bronchioles. If it is associated with food may be related to stomach and esophagus. Gastritis and gastroesophageal reflex may present like tightness and burning in chest and abdomen. If it is associated with cough, douran probably it is arising from lungs or respiratory bronchioles. If it us associated with palpitations, chest pain, giddiness it may be associated with heart. sometimes muscular pain may cause chest pain. But we need complete evaluation and follow up for this. But don't neglect the pain first we have to rule out pain not arising from heart. Then we treat as non-cardiac pain no worries. Please consult your doctor he will examine and treat you accordingly. Take care"}
{"_id": "000004959", "text": "You can try using hot pack for 10 to 15 minutes and post that apply some pain relieving ointment repeat this two to three times a day.  As well do simple knee exercise like in a long sitting position legal straight press knee down or tighten your knee and front thigh muscles hold for 5 seconds and relax.  If it relieves with this great but of not then you need to visit doctor for proper treatment management. I Hope it was helpful to you.  Take care"}
{"_id": "000004960", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Cough with frothy saliva in CABG (Coronary artery bypass grafting) patient can be due to heart failure. Actually heart failure causes pulmonary edema. And this can cause cough with frothy sputum. You are also having eosinophilic (high eosinophil count). It is seen is allergic diseases liked asthma. This can also cause cough. So better to consult doctor and get done 1. ECG and 2d echo to rule out heart failure. 2. PUT (pulmonary function test) to rule out asthma. Don't worry, with appropriate treatment, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000004961", "text": "Hi ! Good afternoon. I am Chat Doctor answering your query. From your history, and without any physical findings by your treating doctor and normal reports of all the investigations, it seems you are suffering from a condition Nostalgia fugal, a benign condition, but quite debilitating as described by you. This is not an infrequent condition, and the treatment is variable starting from anti spasmodic, calcium channel blocking agents to sub lingual nitrite during the acute episode. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000004962", "text": "HAI, at this age there can be many problems usually age related such as azaleas, Parkinson, degenerate disorders, or other age related problems. This sort of sudden episodic disorders can be in case of parkinsonism, rigidity, cold and clammy episodes, associated hysterical episodes, at the age of 85 better he should have a caretaker. U cargo ahead for a ct brain, abdomen ct or ultrasound, sugar levels, serum electrolytes, urine routine.pls take him to general physician and a neurophysician, Food luck"}
{"_id": "000004963", "text": "Tithe point is that some conditions are hereditary and other diseases are acquired. What you have told us in the query is the end result and the common complication of many conditions including post lumbar puncture. There is a possibility that you had what is called HY Chat Doctor. So you were operated. Now if you have some condition that is genetic, the offspring may have the condition. If it was acquired, like say post meningitis, it is acquired and cannot be transmitted Best of luck"}
{"_id": "000004964", "text": "Hi, I appreciate your concern for your brother and the will to help him. See in any illness, and for the fact any mater if there is hope the patient does well than if there is less or no hope. So first and foremost tell him that his miseries can be all removed if he helps in treatment and the ulcer can be got rid of, second to live we need motive, so find some motive that motivates him towards treatment, be it his marriage, having kids, having loved someone, or owning a new car or house once he is cured. I hope if you try patiently and calmly, understanding the mental status of your brother and the stress both mental and physical he would be going through, you will develop enough empathy to help him out and if he sees your efforts as true, and sincere he is bound to respond. Good luck. God Bless"}
{"_id": "000004965", "text": "Hello Saurabh, The symptoms as mentioned in your post suggest that you might be having fungal infection. Management includes"}
{"_id": "000004966", "text": "Hello! Thank you for your question on Chat Doctor! Your symptoms seem to be related to anxiety. A cardiac arrhythmia can not be excluded, even considering your young age. I recommend consulting with your family physician for a careful physical examination and some tests"}
{"_id": "000004967", "text": "Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that if you have infection with MAC or Mycobacterium Album complex infection it is very sensitive than the standard Mycobacterium tuberculosis. Treatment for Mycobacterium Album complex is short, and it will get treated earlier than Mycobacterium tuberculosis. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you."}
{"_id": "000004968", "text": "Hi. Thanks for the query. As per your complaint scratching all over the body can be due to Allergic reaction to Clindamycin while can also be due to Allergic reaction to some other unknown allergen that can be any food or skin cosmetics while detergents can also be a cause. As the most recent intake is of Clindamycin it can be probably a cause. I would suggest you to consult your treating Dentist and get evaluated, and he can change the antibiotic. In case if there is no improvement even after that then can be probably some other causes. As of now take anti allergic like Levocetrizine to relieve itching. Apply Calamine lotion. Hope this information helps. Thanks and regards. Chat Doctor."}
{"_id": "000004969", "text": "Hi, welcome to Chat Doctor community forum. Spots are usually benign lesions unless proved by a biopsy. However, few simple spots can over a period of time transform into cancers. There are few changes that occur during this transformation. Those changes are generally increase in the size of the spot, color changes, texture changes, ulceration, pain and so on. Watching closely for such changes is essential in preventing malignant transformations and deciding the course of treatment."}
{"_id": "000004970", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Usually herpes will go with the treatment. So as if you are treated with the herpes it leaves slight pigmentation. Gradually this pigmentation will go, and skin looks like normal. I advise you should start taking the acyclovir tablet under your doctors' guidance. This is the Chat Doctor. Vitamin B complex should be taken, along with the gabapentin this all will cure the problem. Please take under doctors guidance. Avoid sex or kiss during the period of treatment. Otherwise, cross infection will occur. Frequent herpes infection is the sign of the immunocompromised status. So in advice you should test for the HIV. In HIV infection patient frequently has bouts of the infection. I will be happy to answer your further concern on bit.ly/"}
{"_id": "000004971", "text": "Welcome to the Chat Doctor .com. I honor your consult here and being your expert healthcare provider I am assigned to help you further in this case. I have reviewed the details you have given. This is normal Physiology in pregnancy and nothing seems to be wrong. In pregnancy, it is normal to have discharge off and on. What happens is the mucous inside the vagina gets thicker a bit, and there are many more hormonal changes during pregnancy affecting the viscosity of the mucous secretions inside vagina. If there is no itching in or around the vagina; no smelly discharge; then it is ok. Otherwise, it may have been a bacterial or fungal infection and needs definite treatment. If you think it is bothering you a lot, kingly discuss it with your ORGAN for evaluation in person and diagnostic labs if needed. She will help you further in this regard. I am at your disposal for expert care. You may land again to Chat Doctor .com anytime you want. We are striving hard to make the forum better for you. Healthiest Regards!"}
{"_id": "000004972", "text": "Hi thanks for contacting Chat Doctor.... Noted you have chronic hepatitis ..... Your hepatitis b and c negative.... So following can be the cause......-non-alcoholic steatohepatitis-alcohol hepatitis -alpha 1 antitrypsin deficiency-Wilson disease-autoimmune condition- Chat Doctor. ... From biopsy sections IOC or special stain can be done to rule out alpha 1 antitrypsin deficiency or Wilson dz Symptom of other systems also searched for..... If autoimmune condition present immunosuppressive"}
{"_id": "000004973", "text": "Dear serve understand your concerns went through your details. Please provide your wives. Memory problems (particularly remembering recent events), reduced concentration, increased confusion, loss of ability to do everyday tasks, apathy and with Chat Doctor.  Difficulty finding the right words while speaking is considered as primary. Still, expert diagnosis is essential. Do consult a neurologist for further information and treatment. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000004974", "text": "Hey thanks for your faith in the Chat Doctor.I have gone through your question and understood your problem. Yes, it is sometimes possible to have tuberculosis, and yet test negative on the conventional laboratory test. Evidence of tubercles directly seen on DL and hysteroscopy is the best proof of genital tuberculosis.She is right to recommend anti-tubercular treatment for you, based on the directly visible evidence. It is definitely possible to conceive a baby while on AKT. Just wait for the initial two months of AKT 4 to get over. Then you can start trying for pregnancy. If the tubes are open, there should be no hitch there. There is no complication to the baby while you are on AKT 3. Hope I have answered your query. If you like my answers and wish me to answer in the future, bring it to my attention"}
{"_id": "000004975", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Hiatus hernia can cause all the symptoms described by you, so do not worry and continue your treatment as prescribed by your GI specialist. Also eat small frequent meals instead of large meals. Exercise regularly, do not lift heavy weights, keep your head end elevated by 2-3 blocks or pillows, give a gap of 2-3 hours before you sleep after your dinner. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000004976", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely ask you if you know the problem, why don't you change yourself? It shall be useful to see a psychiatrist only if you want to change yourself. If you have the self belief that you shall change yourself, then psychiatric help may not be necessary at all. You could most probably plagued with obsession. That is normal with people who are in love. The extreme situation of love is obsession. You are obsessed with your fianc\\u00e9e and that is the reason why you are being so anxious, jealous and paranoid. Don't worry. You shall change, for sure. 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."}
{"_id": "000004977", "text": "Hi, Urticaria is an allergic reaction to any substance. Sometimes, it could be autoimmune mediated. The primary line of treatment is to find the cause for urticaria, along with antihistamine tablets.  Antihistamine tablets will give only a temporary relief and does not give permanent cure.  Common causes are Chat Doctor.  Please try to find the cause and avoid the cause.  Do consult your dermatologist for undergoing proper clinical examination and for initiating the treatment. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000004978", "text": "The symptoms you describe indicate that your asthma is not controlled very well. I would recommend taking your Symbicort inhaler every day (twice a day) even on days that you feel well. Symbicort works mainly as a preventive medication, to prevent you from experiencing the troubling symptoms you describe. I would advise that you take it regularly even when you feel fine. If after doing this you are still experiencing poor asthma control, you should see a doctor to help you determine what your next best step up should be. Hope you feel better."}
{"_id": "000004979", "text": "Hi, Thanks for writing in. Sorry to hear the progress of disease in your father. In my experience with patients of lung cancer stage 4 have a survival of 2 years might be expected. Cancer is a difficult condition to treat, and every tumor behaves differently. However, we must fight cancer till the end. As it is stage 4 therefore surgery is not a treatment. Chemotherapy and radiation can be given to control the disease and prevent it from spreading in to new areas. This treatment can add few months to a year and that is significant. Parallel treatment with Buddha medicines can be given as long they do not interfere with chemotherapy or cause any side effects which will slow his recovery. Most Buddha medications are made from herbal sources. Research has shown that aswagandha has potential against cancer-related fatigue, in addition to improving the quality of life. Praying for a quick recovery for your husband."}
{"_id": "000004980", "text": "His am Chat Doctor. I have read your message. Having read your message, 3 possibilities come to my mind.1. A severe gastritis. This comes, as you said, with extreme nausea and abdominal pain, often on the left side. Since it is a gastritis, a blood work up will be normal, and the only thing that can actually help diagnose this condition is the test of endoscopy that needs to be performed by a gastroenterologist. The scans, ultrasounds and the blood works would appear normal. In such a case, Tab Omeprazole 20 mg twice a day, should help her gradually regain her appetite. The tablet will need to be taken half hour prior to any meals.2. Gastric or Abdominal seizures. This rare entity comes with the symptoms of gastritis-nausea, vomiting, abdominal pain, and sometimes headache. The patient will not lose consciousness and will not have convulsions like the traditional seizures. However, this is a diagnosis that needs to be made after examination by a neurologist, and no treatment should be started till confirmed as the antiepileptic"}
{"_id": "000004981", "text": "Hello, I would recommend re-testing for Guardian even though your mother has been treated for that. Sometimes a second course of treatment may be necessary. If Guardian has been eradicated, then there are different possibilities. A certain number of patients develop a condition called\\\"Irritable Bowel Syn Chat Doctor.  Other condition to considers \\\"Colitis\\\" which is a little more serious. Regardless, your mother should see a digestive disease specialist who can advise properly after performing some tests which may include blood, stool tests and perhaps an examination of the lining of the colon through a scope (Sigmoidoscope or Colonoscope). I also suggest avoiding dairy products and eat yogurt or buttermilk to improve the good bacteria in the intestines. Good luck."}
{"_id": "000004982", "text": "Hi, Post operation hope you had your physiotherapy and are following the advice and take he exercises properly. If not then I would recommend you to get it done as post operative you need to recondition your knee joint to prevent any rein jury. Now since the swelling has subsided but does the pain remain the same even on discontinuing Advil? Also are you able to walk and balance properly without any pain? If the answer is yes then nothing to worry about the meniscus but exercise need to be done to strengthen your muscles especially the qua Chat Doctor.  If the answer is no then you need to get yourself checked by the doctor for any rein jury (till then you are not supposed to bear weight on your knee. Take rest as much as possible and start with hot packs and ice packs alternative to promote healing). Hope this answers your query. Let me know if I can assist you further."}
{"_id": "000004983", "text": "Fibromatosis of the foot is a non-cancerous condition in which the normal fibrous tissues get thickened. The treatment is linked to the extent of problems that it is causing. If it is extremely painful or debilitating, then you should go ahead with the surgery as surgery is the only curative option available. There are 2 problems with surgery--one it is extensive as you already know and needs removal of adjacent areas, and two there are still chances of recurrence of the disease. Such is the nature of this disease. So, if you are not too troubled by the disease at present, then I suggest you can wait, else go for the surgery. There is definitely going to be some disability after the surgery which may require a splint or cane."}
{"_id": "000004984", "text": "Hello, You may be suffering from back muscle spasm instead of kidney problem. If kidney problem is there means you may observe decreased urine output, hematuria or burning micturition or renal angle pain or edema of body etc. So until examination is done it is difficult to say what it is. So get it done x-ray lumbosacral spine and get consult with your physician he will examine and treat you accordingly. Hope I have answered your queries. Let me know if I can assist you further. Take care"}
{"_id": "000004985", "text": "Hello, Welcome to Chat Doctor. I understand that you a fever associated with an itchy rash. From your history and description, the possibilities I would consider are acute urticaria and viral exanthemUrticaria presents with an itchy rash which is transient. It lasts for a few hours and disappears. It is raised and blotchy. Furthermore, it could be associated with swelling of the eyes and lips as well. Furthermore, it occurs secondary to the infection (fever) or sometimes as an allergy to a Chat Doctor.  (antibiotic, anti-fever medication, etc.). You can continue to take antihistamine like levocetrizine at bedtime for about 1 week. Viral exanthem is a rash which occurs as a part of the fever. It is in flush with the skin, starts on the face and spreads downwards. It is usually non-itchy, but sometimes can itch. Furthermore, it clears spontaneously within 5-7 days. Hope this helps you. Take care."}
{"_id": "000004986", "text": "HI, thanks for using Chat Doctor It would be best to see an allergist for additional testing. You may also want to expand the profile to include other types of foods, environmental allergens and medications. It is possible that your symptoms may be related to chronic urticaria-the recurrence of hive/urticaria for 6 weeks or more. There are a number of different possible causes including(1) physical causes (pressure, cold, sun, water, heat, exercise, pressure to the skin, stress), (2)associated with other illnesses-lupus, thyroid disease, infectionWhen you are reviewed by your doctor and additional testing done then it is possible the cause may be found. I hope this helps"}
{"_id": "000004987", "text": "Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. In stage 3 kidney disease, the fluid intake depends on the urine output. Urine output +500 ml, is safe normal intake This advice is given everywhere. Restricted salt and protein intake in diet, is the other advice given. He must avoid fresh fruits and coconut water as well. Regular check of He, creatinine, and electrolytes is very important. If you've any doubts, you may send me a direct question, with all reports. Chat Doctor.  Manga."}
{"_id": "000004988", "text": "Hi and thanks for the query, It would be interesting to do a control X-ray for two main reasons. Firs the treatment might be inefficient, diagnose common causes of poor response to usual antibiotics like pulmonary tuberculosis, indirect signs of asthma and exclude any localized pneumonia, abscess or pleural effusion. A repeat clinical evaluation coupled with this X-ray and a complete blood count, a sputum examination to exclude TB should be quite sufficient to make a definitive diagnosis. I suggest you book an appointment with your primary care physician or pulmonologist if need be for a proper clinical evaluation. Thanks and best regards. Luchuo, MD."}
{"_id": "000004989", "text": "Hello! Welcome on Chat Doctor ! You should know that tremor is not the main typical sign of Parkinson disease. A thyroid dysfunction or anxiety could be the cause of tremor. Anyway, I recommend consulting with a neurologist for a careful physical exam and performing some tests (complete blood count for anemia, thyroid hormone levels for thyroid dysfunction, blood electrolytes for possible imbalance) to exclude other possible causes. A DAT scan would definitely help exclude Parkinson disease. Hope you will find this answer helpful! Kind regards,"}
{"_id": "000004990", "text": "Hi, You are having pain in the Lower back (throbbing in nature comes and goes) more on the right side, which does not allow you to sit, lye or stand. You are not able to sit erect, and you have to sit like an old man bending your body. Even while in bed also the pain so much, that it disturbs your sleep. The pain does not allow you to sleep on your front as it's too painful, the best is on your back with your knees up. Warm bath does not relieve you. You had once UTI which was treated and the recent investigations show NO UTI. Treatment"}
{"_id": "000004991", "text": "Thanks for your question on Chat Doctor. By your history and description, in my opinion you are having viral rashes. Your skin lesions are associated with sore throat, fever and weakness. All these are symptoms of upper respiratory tract infection (URI). And the most common cause for URI is viral infection. Viral infection can also cause skin rashes. So possibility of viral rashes are more in your case. Better to consult dermatologist and get done clinical examination of skin lesions. You may need antihistamine Chat Doctor.  Local application of steroid cream is also needed to avoid itching and redness. All these"}
{"_id": "000004992", "text": "Hi. Thanks for your query and an elucidated history and possibility of tubal ligations, thyroid problem and period to be related to the pains. You have a pain in the lower abdomen on both the sides. Intermittent and like a pressure. This can be due to Colitis as both sides of the colon are usually affected. This may not be due to any problem with pregnancy as you already have tubal ligation. If the thyroid tests area normal, nothing to worry about. Go for fresh thyroid tests to see if they are normal or not, if not you need to have change in the dosage. Take a mild laxative to clear the large bowel, and you probably may be alright. If required you can have additional tests of blood, urine and stool and if still not helped by the medicines get colonoscopy NAD ultrasonography done."}
{"_id": "000004993", "text": "Hi, Thank you for posting your query. It would be nice if you can upload the MRI report, to enable me to give a better answer. Generally, if the arachnoid cyst ruptures, then, it becomes smaller. Also, if the arachnoid cyst is not causing any symptoms (such as headache or seizures), then, it can be left alone, and no surgery is required. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"}
{"_id": "000004994", "text": "Hello, Thank you for posting on Chat Doctor. Complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. You can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray Chat Doctor. Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY"}
{"_id": "000004995", "text": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. ITP is an autoimmune disorder. If It's chronic, it will be present for longer time. 2. If its acute presentation, it might go into remission on its own.3. 4000 or 40000, I am not sure. If It's 4000, you will require immediate platelet transfusions to avoid risk of internal bleeds.4. ITP cannot be completely cured. It can only be controlled. Hope it helps. Any further queries, happy to help again."}
{"_id": "000004996", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Breathlessness in 18 years old patient can be due to bronchitis, pneumonia, pneumothorax, asthma etc. So your cousin needs following investigations to establish the diagnosis. 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). So get done all these tests. First diagnose himself and then start appropriate treatment. Hope I have solved your query. Wishing good health to your cousin. Thanks."}
{"_id": "000004997", "text": "Hi, Thank you for posting for query. I can understand your dilemma, when you are offered another treatment option, after having had a good response with the previous surgery. The choice of surgical procedure depends on the current knowledge, patients disease condition, surgeons preference and the costs involved.  In 2007, disc replacement was new, and not many surgeons liked it. Now, with more experience, many surgeons prefer it. It is a safe procedure and complication rates are less. However, please discuss the pros and cons of both the procedures before you decide to opt for one. Best wishes, Chat Doctor."}
{"_id": "000004998", "text": "Hello and welcome to Ask A Doctor Service. I reviewed your question and here is my answer. What had you taken in food? It may be a food poisoning. Or it can be a pancreatitis. If you have pain in stomach going back or which is relieved by leaning forward then it is moat likely pancreatitis for which you need to see a doctor.  If it is not that severe pain, and you are just vomiting, then its most likely food poisoning, for which you need to keep your HY Chat Doctor.  You may also need to do some test in order to rule out other causes of vomiting. Hope I answered your query, feel free to ask if u need further assistance or want to give more details. Thanks. Regards."}
{"_id": "000004999", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more. But since you are having palpitations, sweating, dizziness etc., we should first rule out heart diseases like arrhythmia. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes uncontrolled stress and tension can cause similar kind of symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  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."}
{"_id": "000005000", "text": "Hi, particular bone forms important joint in middle of foot and play a very vital role in mid-movements of foot. Once it is damaged and ?avascular, it has to collapse and lead to painful restriction of movements. After very detailed assessment by your expert orthopaedician, may suggest the extent of damage and residual movements at that joint. If still acceptable range is there but painful, some nonsurgical treatment may be helpful failing with surgical fusion of joint may b the answer.thanks.you're most welcome for any further query."}
{"_id": "000005001", "text": "Hi, Rather than a blood test report it would have been more helpful if you had detailed more upon his symptoms. To give my opinion on the basis of these blood tests alone - I would say the CBC is normal. ALP is done in different methods in different labs. If it is elevated as per the lab standards of that lab - then we need to consider vitamin D deficiency. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005002", "text": "Thanks for your query, I have gone through your query. The white pimple like spots over the dorsal aspect of the teeth could be to circumvallate papillae, it is a normal structure that is present on the backside of the tongue. Nothing to be panic. If it increases in size or if you get any pain then consult an oral physician for complete examination and diagnosis. I hope my answer will help you, take care."}
{"_id": "000005003", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have joint pain don't worry this joint pain can be due to Temporomandibular disorder (TMD) this jaw pain is stress related also, don't take stress be relaxed for this you can, you should take soft diet, restrict your mouth opening, hot fermentation. You can take one tablet muscle relaxant once daily for one week. One Capsule vitamin B complex once daily. Consult dentist for examination of oral cavity and consult physician for abdomen related problems. Hope this will help you"}
{"_id": "000005004", "text": "Bit is unusual to be developing additional bruising after having it in place already for a month.  Is it possible that the area had some trauma like a punch, or did it get struck with something?  If not, I would have your doctor check it out.  It may be infected, or you may have some kind of allergy to the implant. This is very rare, but still possible.  Please let me know of you have any more questions."}
{"_id": "000005005", "text": "Here I want to know is he having diabetes? As well does he has any change in sensation for feet or hand? If yes then as per your explanation looks like the circulation to the toe is affected. And he needs to do test on lower limb circulation (Doppler test) . If he does not have diabetes as well no sensory change in feet level then it may be related to block due to vessels for lower limb due to deep vein thrombosis also. Again to conform he has to do Doppler test. Here I also suggest taking a test on his complete blood count and cholesterol level also to rule out the blood related things like ESR, and HE, or cholesterol problem and if there is problem here then he can take treatment as per that. Here it could be possible he does not have anything above, and then it means either there was an insect bite or he might have got hit some where, but he does not remember. For this he needs to check with doctor again and based on physical examination there will be antibiotics with anti-inflammatory and painkiller medications will be needed. Here I have given general idea on possibilities since I have no doe any physical examination, but I suggest once you check with your doctor with physical examination and few tests they will be able to help you more. Take care."}
{"_id": "000005006", "text": "His understand your concern. Sudden agitation and irritability suggest mood swings. Moods change with stress can be due to underlying depression. Need to evaluate properly about your mental status and thought processes. Psychological evaluation can give better idea about your proper diagnosis. It can be treated with low dose anti-depressant with anxiolytic medication. Exercise and meditation can help. Relaxation exercise like deep breathing can make you less stressful. Ensure proper diet and sleep. I hope I have answered your query. Happy to help you. Get well soon. Thank you."}
{"_id": "000005007", "text": "Welcome to the ChatDoctorA hepatobiliary (HIDE) scan is an imaging procedure used to diagnose problems in the liver, gallbladder and bile ducts.It's a useful investigation in neonate a suffering from obstructive jaundice as in your babies case. In the HIDE scan, a radioactive chemical or tracer is injected into a vein in the arm. The tracer is handled by the liver like bile. A special nuclear medicine scanner (gamma camera) tracks the flow of the tracer from the liver into your gallbladder and small intestine.It's good for your baby and the pain associated with the cannulation can be well handled with analgesia in NICU setup. So, don't worry and continue with the procedure. Take care"}
{"_id": "000005008", "text": "Hi, dairy have gone through your question. I can understand your concern. You have mantle cell lymphoma.  Chemotherapy is the treatment of choice. Imbruvica is very new Chat Doctor.  As you said it causes headache, but it is very difficult to say how safe it is. There are no larger scale studies available for Imbruvica.  So consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005009", "text": "Hello, Thankyou for asking your question at Chat Doctor It is safe to use horse gram while trying to conceive and during pregnancy. Horse gram have less carboy Chat Doctor. Proteins require more calories to be metabolized and decrease your appetite which help with weight loss. During weight loss process a diet rich in proteins help maintain muscle mass.However, after conceiving, there should be a healthy amount of weight gain throughout the pregnancy. Since you are trying to conceive, I recommend that you take folic acid 400 mg tablets daily, exercise regularly, follow healthy eating habits, quit smoking and avoid alcohol during pregnancy. Hope I was able to answer your question Please feel free to add"}
{"_id": "000005010", "text": "Hello, Thank you for posting on Chat Doctor. Whiteheads are basically a type of acne. Any cosmetics or medication can block the pores and cause acne. Especially sunscreen are notorious to cause acne because they are oil based most of the time. Try using water-based sunscreen like Sun mate sunscreen gel-lotion.Also, on daily basis use a retinoid like retinoid in lower percentage like 0.12 or 0.25 at nighttime over full face to prevent new eruption of acne and for healthy glowing skin. Use a gentle cleanser for oily skin like detail OS on regular basis. Chat Doctor.  Hope this will take care of your issue. Wish you best of health. Thank you"}
{"_id": "000005011", "text": "Hello. Thanks for writing to us. The back pain after hysterectomy could be related to the epidural anesthesia, muscle sprain or a disc problem. If the mild painkillers are not able to relieve the pain then she needs to have oral muscle relaxants after consulting with her orthopedic. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http"}
{"_id": "000005012", "text": "Hi, dairy have gone through your question. I can understand your concern. You have high hematocrit and hemoglobin due to deny Chat Doctor.  It is very common in dengue. No need to worry. You should take plenty of fluid intravenous as well as Orally. Within few days your hemoglobin and hematocrit will be normal and your platelets also increased. Don't worry. Just be relaxed. Take plenty of fluid. Hope I have answered your question, if you have any doubts then contact me at bit.ly/"}
{"_id": "000005013", "text": "Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* This seems muscular sprain or strain.* Guidelines for better recovery- Application of heating pad 5 minutes each 3 times a day.- Local application of analgesic spray or ointment 3 - 4 times a day.- Tab. Ibuprofen (400) mg 3 times a day after meals.* Consult later your doctor if required. Wishing you fine recovery. Always welcome for any further assistance. Regards ."}
{"_id": "000005014", "text": "HI.YOUR SYMPTOMS ARE UNLIKELY TO BE A FUNGAL INFECTION.FUNGAL INFECTIONS OF SCALP OR FACE PRESENT WITH SEVERE ITCHING, SCALING,REDNESS, PATCHY HAIR LOSS, WHITE PATCHES ON THE TONGUE ETC.YOUR CASE IS LIKELY SUGGESTIVE OF A PARANASAL SINUSES INFECTION.IT WILL EXTREMELY HELPFUL IF YOU GET A CT SCAN OF YOUR PARANASAL SINUSES AND OR FESS-FUNTIONAL ENDOSCOPIC SINUS SURGERY.IT IS SUGGESTED THAT YOU GO FOR A HIGHER ANTIBIOTICS LIKE LEVOFLOXACIN FOR 2\\u00a0WEEKS.REVIEW WITH REPORTS TO YOUR DOCTOR ON YOUR NEXT LIST"}
{"_id": "000005015", "text": "Hi, Dear,Thanks for the query to my Chat Doctor clinic. I studied your query in depth. In my opinion-this lump is Athenian Cystitis. I would advise consulting ER GAEC doctor. You may need to take-Antibiotics, Tb-NSAIDs, this would resolve the acute symptoms and may even lead to resolve the lump totally. IF still the lump remains-its Excision with marsupilisaion is advised for completely getting rid of it. Hope you have cleared your worry. Would welcome you to Chat Doctor for any more queries on it or on other health-problem."}
{"_id": "000005016", "text": "Thanks for posting Q on ChatDoctorA good quality urine prey test is fairly accurate to predict pregnancy. Quantitative B Chat Doctor assays will give rough idea re no of weeks into pregnancy & in a normal viable pregnancy levels should normally double every 2-3 days (85% of cases) this also means in up to 15% of normal pregnancies the doubling of levels is slower than normal. This applies normally to prey up to 6-7 weeks after which rise in BChatDoctor levels slows down & serial Ultrasound examination is a better predictor."}
{"_id": "000005017", "text": "Hi, The treatment of kidney stone disease depends on the size and location of stones. Small stones less than 5 mm in size, which are not causing any obstruction, can be managed conservatively with medicines to dissolve the stones. Stones 5 to 10 mm (maximum 15 mm) can be managed with lithography. Stones 10 to 15 mm can be manged with flexible ureteroscopy and laser. Stones more than 15 mm in size should be removed using PCNL (percutaneous nephrolithotomy) which is a keyhole surgery through the back. If the stone is blocking ureter (the tube connecting kidney and bladder) and is 5 to 10 mm in size, it can be treated with medicines to expel the stone. Stones larger than 10 mm usually require endoscopic removal, although occasionally ever a larger stone can be made to pass with medicines. The main issue in a young person like your brother is to find out whether there is an underlying predisposition to form recurrent stones. This is usually evaluated after removal of stones. The removed stone is analyzed to find out its chemical composition. You need to check his creatinine, electrolytes, calcium, phosphorus, uric acid and PTH (parathyroid hormone) levels in blood. It is important to check 24 hour urine levels of various salts which either promote or oppose stone formation. These include urinary volume, creatinine, sodium, calcium, uric acid, phosphorus, oxalate, citrate and magnesium levels. Based on these reports we can suggest dietary modifications and specific medications to prevent further stone formation.Meanwhile, ask him to Chat Doctor. 5 liters per day. Please get back to me with the details of ultrasound report. I can guide you further based on that. Wish your brother a speedy recovery, Warm regards,"}
{"_id": "000005018", "text": "Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor.  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. But skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000005019", "text": "Hi, Atrial Fibrillation is mostly due to dilated chamber of heart which can be due to valvular heart disease or coronary disease. You need to evaluate for both to rule them out. It can also be due to electrolyte dysfunction & sepsis.There is nothing called inflamed Left Ventricle. Still the treatment includes ruling out the cause of AF, treating the cause. Control in heart rate in AF is very important, our goal is to keep it below 110. Another important thing in AF is risk of clot formation in heart, which need some blood thinning medication. Thanks"}
{"_id": "000005020", "text": "Hi, Yes it would feel new and different after the long battle. But it is great that you were successful thus far. Make sure it remains this way. Feeling low on energy and motivation, some irritability during the initial phase is expected because of the long term psychological dependence that you had. If these symptoms are severe and hampers your daily functioning then this may need to be taken care of, by a professional. You also report disturbed sleep in the past 7 days apart from ideas of hopelessness. Get yourself evaluated by a psychiatrist for these complaints. You will have to be patient till you can revert to your old self again. 10 years is a long time, and you will need to give your body time, there is no shortcut. The longer your body is free of the Chat Doctor.  To aid with preventing any relapse there are anti-craving agents that may be used under supervision apart from psychological management like relapse prevention therapy (administered by a clinical psychologist). You can contact your psychiatrist regarding this. Hope this helps,"}
{"_id": "000005021", "text": "Hi, Welcome to Chat Doctor forum.  There is only one follicle, and releases one egg, it may have or may not have enough strength for conception. If there are more than one follicle you can have more than one ovum, if at least one of them fertilizes, you will be lucky.  Hence, the doctor has increased the dose so that you can have more follicles.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods, to facilitate the release of healthy ova, and fertilization.  Wishing for a quick and complete result. Thank you."}
{"_id": "000005022", "text": "Thanks for your query. Read your query. The bubble which you have mentioned is not clear whether you are speaking about your gums or any decay in between the teeth. If you mean the bubble in gums, I would suggest that is inflammation of the gums usually due to deposits and calculus. Visit your dentist and get it cleaned and later on maintain it well. If it is decayed tooth then get it filled as soon as possible. You can call your dentist office and take the opinion of your dentist and if necessary visit him and get it done earlier than your appointment date. Thanks and regards."}
{"_id": "000005023", "text": "Hi, dairy have gone through your question. I can understand your concern.  You may have enlarged axillary lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma.  Or you may have lipoma cyst.  You shshould go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005024", "text": "Hello and welcome to Chat Doctor, Most common cause of low red blood cell count is blood loss. Blood loss can be acute or chronic. Acute blood loss occurs during trauma or injury, Blood loss can be internal i.e. blood is lost in the body cavities or blood loss can be external i.e. outside body. Blood loss can be chronic. Chronic blood loss is loss of small amounts of blood over long period of time. Consult your treating doctor to look for these causes of blood loss. Recovery or treatment of these conditions lead to recovery of red cell mass. Thanks and take care Chat Doctor."}
{"_id": "000005025", "text": "Hello, Welcome to Chat Doctor, As you are having symptoms like fever and flu like symptoms for last 3 days for which your doctor has advised to undergo tidal test. The tidal test revealed S. Typhi H - Positive 1"}
{"_id": "000005026", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you are wondering if thigh pain suggest fibromyalgia. Well there can be many reasons for symptoms you mention in query like cramps, injury, atherosclerosis, arthritis, presence of infection in the bone or tissues of the thigh or slipped disk. Fibromyalgia can also be one of the cause, if your have already ruled out above condition then go for test to rule out fibromyalgia. I would suggest you to go for complete blood count, erythrocyte sedimentation rate or thyroid function tests to confirm the diagnosis. Doctor may prescribe duloxetine or gabapentin after reviewing test report. For now apply warm compresses, take proper rest and take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000005027", "text": "Hi. I have gone through your question and I understand your concerns. I see such kind of cases in my clinical practice. I would recommend them to undergo urine culture as it has been 21 days, so typhoid bacilli would be present in urine at this stage. Additionally, I would recommend them to start Tablet Azithromycin 1 gm OD for 5 days in order to kill Chat Doctor. I strongly suggest you to undergo CBC, Peripheral Smear for Malarial Parasite and Liver function tests to rule out other causes of Feverish you healthy life Regards"}
{"_id": "000005028", "text": "HelloThanks for your query, based on the facts that you have posted it appears that you have acquired infection of Glans penis and allergic reaction over shaft of the penis due to contamination with infected vaginal secretions that your wife had. You need to take broad spectrum antibiotic like \\u010ceferin along with anti-inflammatory Chat Doctor. And Metronidazole twice daily along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely. If your wife still has vaginal infection it is advised that she also takes the same medicines for one week."}
{"_id": "000005029", "text": "Howell come to ChatDoctorYour query being appreciated, peanut butter could cause the allergic disorder, but PVC is not due to that, allergic condition need to be confirmed, I would advise stopping eating peanut butter once again for few days or weeks then start eating it again, if you noticed the symptoms again then it is the peat nut butter responsible for the condition, in the same way if not eating the peanut butter and still have the same condition as described here then it may not be the peanut butter but could be something else, hope this information helps."}
{"_id": "000005030", "text": "Hi I am Chat Doctor.  At the beginning don't worry it's ok to feel some pain after playing vigorous activities running and soccer for a long time always cause such pain, icing it after the excessive immediately is beneficial, but after you relax you could use warm pads instead , use a topical muscle relaxants as gels or sprays ,try to warm up before exercises that prevents it ,some warm up exercises are specific for this muscle they are the best to avoid it ask your captain about them"}
{"_id": "000005031", "text": "Hello! I read carefully your query and understand your concern. There are many possible causes that can cause such a pain"}
{"_id": "000005032", "text": "Hello. Thanks for writing to us. The pain in the back with the burning in the back is likely to be due to a prolapsed disc with a nerve root compression. Going to a chiropractor will not help you much. You need prescription muscle relaxants and methylcobalamin supplements. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http"}
{"_id": "000005033", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. No need to worry since all findings are stabilizing and hematoma is benign lesion and very small in your case, so no treatment is required at this point. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor."}
{"_id": "000005034", "text": "Hi, With your medical condition and worries happening at once it is sometimes difficult to tease things out, however, the right steps to always follow in such a case involve making sure to the extent possible that nothing organic is really going on. Therefore, I believe you should do what you can to control the Sets.  Perhaps, this medication is causing intolerable side effects, so you need to have a discussion with your doctor to see if another suitable Chat Doctor.  Often times that solves a lot of problems.  Second, I would check your orthostatic blood pressures (your doctor knows about this) and make sure any other medications you're taking are not potentially lowering blood pressure, you need to be well HY"}
{"_id": "000005035", "text": "Hello You have described his problems as he is a known case of Bipolar disorder and Schizophrenia. These are two different diseases. He is currently on Olanzapine, Aquitaine for psychotic features and Fluoxetine (?) and Sodium Valproate for mood symptoms. Olanzapine, Aquitaine and Sodium Valproate all causes sedation as side effect. These medicines are the reason of excess sleepiness in him. He has poor sexual Chat Doctor.  Due to chronic mental illness the patient develops apathy and Macedonia. Probably he lost sexual interest because of his Psychopathology. He is also on Fluoxetine which is a SSRI"}
{"_id": "000005036", "text": "HelloWelcome to Chat Doctor. Thanks for posting your query in Chat Doctor. I understand your concerns. Pus formation in the wound signifies that it is not yet in the healing condition. The wound appears to be deep. So it needs thorough Chat Doctor. Taking antibiotics for 12 days and presence of pus still signifies that your son has developed resistance to the antibiotic. So I would advise you to do culture and sensitivity of the pus and to take appropriate antibiotics depending on the organism present in the pus. Thank you"}
{"_id": "000005037", "text": "Hi, How are you doing ? Let me tell you the normal cycle. Lady has ovulation around 14 days before periods, so around Day 13-15 of periods. Once ovulated egg is alive for 24 hrs, sperm will be alive for 3 days (72hrs)So mostly baby is of the one who had sex with you around Day 13-15, so I mean your lover !. Only confirmatory method is to have a DNA analysis now of the fetus or after birth. Hope I have clarified your overall the best Chat Doctor."}
{"_id": "000005038", "text": "Hi, dear. I have gone through your question. I can understand your concern.  If you have continued blood clotting problems despite blood thinner then you should go for thrombophilia profile. You may have some deficiency like protein c or protein s or some other factors. Consult your doctor and investigate for that and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005039", "text": "Hi, Dear,Good afternoon. Thanks for the query to my Chat Doctor online-clinic. I studied your query in-depth. I can understand your concerns.-In my opinion this sore lump, is -armpit-Boil/ fur uncle with cystic contents-pus.-Advise-I would advise you to Consult a-ER surgeon and there is no need of Ultra Sound. Er Surgeon-who would treat it rightly by I & D-proper Incision and Chat Doctor. -Alert-A review with ER-Surgeon for the steps to be taken with his advice is a must and urgently advisable in your case.-Hope this would resolve your worry-some query. Wellcome again to Chat Doctor. Have a good day."}
{"_id": "000005040", "text": "Hello, It could be an arthritis related problem. As a first line management you can take analgesics like paracetamol or Diclofenac for pain relief. You can also opt for physiotherapy. If symptoms persist better to consult an orthopedic and get evaluated. An MRI scan may be required for further evaluation. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best."}
{"_id": "000005041", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, melatonin never cause such a problem. Melatonin is the rhythm hormone. It will maintain and optimize biological rhythm. It has no role in TB or any other symptoms. TB is caused by TB bacilli. It is purely a bacilli infection, so it will never cause any problem. You can give proper treatment to your friend of TB.TB can be cured with good therapy of anti-tubercular Chat Doctor.  Please advice protein rich food and respiratory exercise this will help clear TB infections. I will be happy to answer your further concern on bit.ly/"}
{"_id": "000005042", "text": "HiI think you may see a rheumatologist also for complete arthritis profile with tests for Rh factor, anti-ccp, CBC, ESR AS etc. to know the nature of arthritis. Diagnosis is necessary to rule out any specific disease arthritis so that definitive treatment be given if necessary. Meawhile Keep on physical therapy, heat,massage with Voltaren gel local application. Mri may be advised if required after preliminary tests best wishes"}
{"_id": "000005043", "text": "Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Only rising titles of Tidal are important. They can rise or can persist for months even after an acute infection or subclinical infection. I would advise you to follow"}
{"_id": "000005044", "text": "Hi, Thanks for the query. I understand your concern.  Though you have regular menses... I would suggest for ovulation study to confirm ovulating menstrual cycles.... which are necessary for Conception.  -Also patency test for Fallopian tubes is important.  -Getting semen analysis done to confirm normality is also needful.  With these normal report sine can plan for a baby.  -Complete medicinal course suggested by your doctor after the investigations.  -Try to maintain good health /avoid smoking, alcohol /start taking folic acid mg pulls both of you.  -Know about ovulation. -It mostly comes 14 days prier to expected day of periods. /Use LH surge test to know about your ovulation day.  -Have unprotected sex from the day of LH surge test ...for 5 days OR for 5 days starting from 2 days before &2 days after the calculated ovulation day.  -Check for pregnancy after 8 days delay in periods by HPT.  *If no positive result In 6 months... consult a sterility specialist.  Thanks"}
{"_id": "000005045", "text": "Hello....first congrats on preferring BDS as your profession!!!!40 yrs is the age of start of sensitivity of the tooth .....sensitivity can be reduced by using different desensitizing pastes as u did..... still if it's not reducing it it's better to do intentional root canal treatment to the teeth and place a fixed partial denture...hope you are benefitted by my reply. Have a healthy and nice day!!"}
{"_id": "000005046", "text": "Dear Sir, these tests and symptoms u ve described definitely means something (liver or intestinal disorder) and it needs to be evaluated. Most common disorders which raise liver enzymes parameters are, alcohol, metabolic syn Chat Doctor.  So these 4 should be ruled out.  The best way is to further tests. So I recommend doing viral hepatitis analysis, abdominal CT(more specific than ultrasound) and liver biopsy. Also, she needs to avoid fat food and alcohol, lose weight if adipose and do hepatology work ups at least 2x a year. Also, this stool finding can mean someone or nothing, if she wants to be sure she can do colonoscopy. Wish you good health."}
{"_id": "000005047", "text": "Hello, Thank you for your query. A bone spur is an extra growth of bone over a bone that has been exposed to trauma or stress. This usually doesn't cause any problem unless it grows enough to compress surrounding tissues like nerves. In your case, this would need to be removed if it is causing significant pain on nerve compression. The procedure usually involves general anesthesia with removal of the spur and any damaged tissue surrounding it. If the spine in that area is unstable after removal of affected bone and tissue, you will need a fusion or reconstruction surgery to keep your normal spinal functions. This will be followed with rigorous Physiotherapy as indicated. As with any surgery, risk of bleeding, nerve damage (for spinal surgery) and cardiovascular risks are present. This also depends on your current health status and other co-existing illnesses, if any. The first step is to assess the level of neurological affliction & how it affects your daily life. The benefits must outweigh the risks before proceeding with the surgery. Please discuss options and post-operative care (short term and long term) with you doctor before making a decision. Hope this helps. Please let me know if you have any further queries. Wish you good health"}
{"_id": "000005048", "text": "HiT hank you for asking ChatDoctorBefore treating your condition first have to identify what problem you have. You have to rule out a Polycystic ovary by ultrasound examination and have to find out whether you are ovulating or not. For that an ultrasound examination and hormone analysis may be necessary. You husband semen analysis also should be carried out. Then your treatment will be easy. You can consult a gynecologist and have a work out of all these at least first. That won't be that expensive. Hope this may help you. Let me know if you have any further query."}
{"_id": "000005049", "text": "Thank you for writing to Chat Doctor platform. We will be happy to help you. This back pain is easily manageable by Ayurveda without painkillers. Please take warm eater daily and before that gentle message by Mahanarayan oil should be done by getting help of someone. If not possible due to lack of time, please massage at night and bath in the morning with warm water. Oil is little pungent odored but excellent Chat Doctor. Tryodshang GGUL 2 BD twice day with milk or warm water. Powder Hingwashtak 1 tsp to be mixed with cow ghee and taken orally in between meals. Follow little warm water after this and then take remaining meals. Please take for two weeks and report back. These are time tested harmless medicines of Ayurveda. May I help you more please."}
{"_id": "000005050", "text": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that the electrocardiogram apart gives an automatic interpretation based on the amplitudes and impulse. But we never judge on a cardiac history based on paper interpretation but on the cardiologist interpretation, meaning that the electrocardiogram should be interpreted by the doctor, not the machine. So, left axis deviation is not something to worry about. It is a normal ECG pattern in people suffering from hypertension. About infarct diagnosis, it is not made only by the electrocardiogram. To make the diagnose of infarction we rely on different characteristics like chest pain, electrocardiogram, cardiac enzymes and echo cardiograph. If your doctor said that you had this changes, it might mean that this is not an infarction but just an electrocardiogram pattern. So, to definitely make the diagnosis I would recommend a cardiac echo to evaluate heart walls if it is a problem or not, cardiac enzymes and to talk this with your cardiologist. Hope I was helpful. Best regards, Chat Doctor."}
{"_id": "000005051", "text": "Hello, I have studied your case. Due to compression of this nerve root there can be arm numbness I will advise you to do MRI spine. 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. My patients get good relief with holistic approach like Panama, yoga, and darshan Oriya. You can also start them. 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"}
{"_id": "000005052", "text": "Hello, Thanks for consulting ChatDoctorRead your query, as you have infection and blackish gum this is due to smoking causing Melanesia in gums and smoking cause infection in gums, red and white lesion in oral cavity and poor oral hygiene. For infection in gum I will advise you to quit your smoking habit and maintain proper oral hygiene. Brushing your teeth twice daily, use chlorhexidine mouthwash, do warm saline rinses, and consult dentist for oral prophylaxis. Hope this will help you."}
{"_id": "000005053", "text": "Hi, I think you should try for GUI. You can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  GUI will be done the next day.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 cycles. If it doesn't work then you can go for IVF. The chance to get pregnant in one cycle of GUI is 10 to 15 percent.  You can take sphere for 12 cycles maximum.  Hope I have answered your question. Regards Chat Doctor."}
{"_id": "000005054", "text": "Degree understand your concerns went through your details. I suggest you not to worry much.  Please understand that your current symptoms are corresponding to disappointment and the resultant stress and anxiety. Please do not club these symptoms with clinical depression. Due to the disappointments you are feeling low level of concentration and self-confidence, self-esteem etc. Loss of sleep is also due to that. Such disappointment happen to everyone. You could not become a singer and actress, that does not mean you do not have any other skills. Find out your skills which can guide you forward. Don't worry. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000005055", "text": "Hi...on legs the bruising is understandable due to pedaling but why should it occur on the hand. That too you didn't mention any injury on the hand or on the legs. Bruising without injury is a marker that a bleeding disorder might be in line. Moreover, you say he has got cough. There is a condition called ITP - Immune Thrombocytopenic Purpura - this can occur post viral illness and causes bruising just like this. This occurs due to low platelet count.I suggest your kid needs a pediatricians consult. Regards -"}
{"_id": "000005056", "text": "Dear Davis, Thanks for posting here. The staphylococcus has the potential to enter the brain if already circulating in the blood stream, and it can lead to infection of the meninges (the membranes covering our brains). This is called bacterial meningitis. Meningitis caused by staph can be a serous and one must remain concerned and alert to prevent this from progress. However, in your case it is not clear whether the altered mental status is because of meningitis or something else. To confirm please ask your clinician to do a CSF fluid (fluid taken from spinal cord through a needle) culture, as this would give you the proper diagnosis. CT scan can show inflamed meninges in such case, but it can be missed sometimes in earlier stages. Your husband must be on staph specific antibiotics, if not please ask your clinicians to do as fast as possible as correct antibiotics WI help him improve faster. Do well. Chat Doctor."}
{"_id": "000005057", "text": "Hello and welcome to Chat Doctor. Thanks for your query. You seem to be suffering from an anxiety disorder, which is causing you all these bad thoughts and negative attitude. I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. -"}
{"_id": "000005058", "text": "I completely understand your problem thanks for asking may be u have some throat infection which secondarily is causing the ear infection .this is an upper respiratory tract infection which will resolve by taking a course of antibiotics such as lifetime .you can consult a pulmonologist who can take care of the problem. For breathlessness u can get a spirometry done to rule out any pulmonary pathology as per the pulmonologist. If u smoke then u should quit smoking as early as possible this will help u a lot.regards/thanksfeel free to ask more questions may god bless u with good health"}
{"_id": "000005059", "text": "Hi thanks for contacting Chat Doctor .... Noted you have swelling over liver area and cause not identifiable... Which investigation have you done??? Here first hemolytic anemia should rule out by relic count and peripheral smear examination with electrophoresis.... If still cause not found then liver biopsy may be needed to rule out alpha 1 antitrypsin deficiency or metabolic liver disease.... Detail history through parents and examination needed to look for any metabolic disease like glycogen storage disease.... You can discuss all these with your doctor, and you might get cause for liver enlargement.... If needed complete liver profiling also done... Liver biopsy also useful for identification of embryonic malignancy....If you need USG and CT scan like investigation useful. Hope my suggestion will help you.... Take care//// Chat Doctor. ."}
{"_id": "000005060", "text": "Hello, Welcome to Chat Doctor, Bronchitis is a condition in which mucus membrane of the bronchial tube will becomes inflamed which results in narrowing of the airways in the lungs resulting in cough and breathlessness. Treatment of bronchitis includes 1. Plenty of rest2. Chat Doctor. Avoiding smoke and fumes4. Bronchodilator cough syrup.5. Oral steroids to reduce inflammation.6. Supplementary oxygen may be necessary. The aforementioned measures help to improve the condition and makes you comfortable. Thank you."}
{"_id": "000005061", "text": "Hello, I have studied your case and would recommend you to get an x-ray of the elbow joint to make sure that you do not have any hair line fracture. If there is such fracture or any ligament damage then you should not move your elbow.  If there is no ligament damage then you can safely move your elbow. If it is a sprained muscle then there is no harm in moving the elbow. It is not going to hurt you.  I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks"}
{"_id": "000005062", "text": "HI, thanks for using Chat Doctor Colectomy in ulcerative colitis can be done as an emergency or elective procedure. Elective colectomy is one with is scheduled for non-emergency circumstances (like perforation, toxic megacolon). Elective surgery is indicated for 3 main reasons-failed medical treatment, retarded growth in a child and cancerous transformation. In terms of the cancerous transformation, the development of dysplasia or cancer is an absolute indication for surgery. With your recent results of dysplasia changes, it would be best to consider having the colectomy done. I hope this helps"}
{"_id": "000005063", "text": "Degree understand your concerns are almost under severe stress and stress induced anxiety possibly. Tingling feeling is an indication of that. Also, you are taking medications for so many conditions and also for depression. You must understand that human life is like that. You need to adjust with situations. Be brave enough to face life crisis. Everyone does it daily. Also do some meditation and relaxation exercises with the help of a psychologist. I can help you online if you desire so. Get well soon."}
{"_id": "000005064", "text": "Hi. Thanks for your query. Noted your history of 34 weeks pregnancy and having 2 lumps, the bigger one at the crease of vagina and the thigh and the smaller one at the lip of vagina. One of them pop up and bled but still feel hard. I do not think that your partner of 14 years cheated you as these lumps appear to be infected cysts or so and not an STD. Please get checked by a Gynecologist to be ascertained about the diagnosis and have proper treatment."}
{"_id": "000005065", "text": "Degree understand your concerns went through your details. You do not qualify for medical marijuana because in my analysis of your problem statements, you do not qualify for depression. Please understand that disappointment in daily life events can trigger some symptoms like melancholy, mood swings, stress and anxiety and disappointment often is confused with clinical depression. Disappointment is what, I think, your problem. Please consult a psychological counselor. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000005066", "text": "Hi, The location and movement of a pain gives clues as to what is going on, If it is always in one spot and internal, then an internal congenital bone abnormality AND, at the base of the spine is one of the MOST common places for this to occur. An internal tail. Non-fusing of the spine (spina bifida), bone spur abnormality. The spina bifida can cause paralysis if it is a BIG gap in the spine and the spine gets injured. This is actually one of the more common congenital bone abnormalities. Mild ones are 1 in a Hun Chat Doctor.  Those prenatal vitamins are given mainly to prevent THIS, so that 1 in a Hun"}
{"_id": "000005067", "text": "Hi, the cough for over 2 months means there may be growth of uvula, a projection at the posterior end of the soft palate. When it grows due to cold, sinusitis, pharyngitis it touches the pharynx, and produce cough. Other causes are eosinophilic, (can be confirmed by D. C, and A, E. C)and tuberculosis. The posterior headache may be present in sinusitis.  For local relief of cough there are preparations containing codeine.  For total treatment i to my patient with such symptoms prescribe lifetime, and syrup containing codeine. Thank you."}
{"_id": "000005068", "text": "Hi, I think you should go for evaluation first.  Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries.  Also, a semen analysis of your husband should be done.  If everything is fine you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days after injection.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  If it doesn't work then you can go for HSG or laparoscopy depending on your condition.  Hope I have answered your question. Regards Chat Doctor."}
{"_id": "000005069", "text": "Hello, Main reasons for vertigo are ear infection but poor neck posture, neck disorders, or trauma to the cervical spine can cause vertigo, dizziness.  Cervical vertigo often results from a head injury that disrupts head and neck alignment, or whiplash.  This dizziness most often occurs after moving your neck, and can also affect your sense of balance and concentration.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000005070", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have swelling on check after Root canal treatment even after 3 weeks it may be due to Periapical infection or due to periodontal problem.  Don't worry consult your dentist again and go for investigations IOWA X-ray of there is periapical infection go for Re -. Rct if there is periodontal infection then go for Curettage.  Do warm saline gargle two - three times a day. Hope this will help you. Wishing you good health."}
{"_id": "000005071", "text": "Hi, The pain, burning sensation at the operative site is a common finding. It takes almost a week to get through the pain. Nausea is an associated finding as well.  I hope you are on the right antibiotics. Please complete the course of the antibiotic. If you develop a visible swelling or pus discharge from the operative site, it needs medical attention. You need to get back to the operating doctor then. Meanwhile, you can take simple analgesics like Tylenol for the pain. Stick to bland diet and semi-solid foods for at least 3 weeks.  Take adequate bed rest. There is nothing seriously wrong with your health. I wish you quick recovery."}
{"_id": "000005072", "text": "Hi, thank-you for providing the brief history of your mother. As you mentioned she has undergone knee surgery it is not connected to that. Usually there is a slow metabolism in her which has been making her feel weak. Also, please understand that due to the surgery her mobility is reduced, which has lead to weakness a lot. As the cellular metabolism is slow. It will take body to get adapted to the optimum performance again which is not a concern. Also, on a safer side the blood & urine culture performed will assist if he has developed any infection. Or else in my understanding with personal experience I do not think she has fever due to knee surgery. Slow metabolism will lead to little rise in temperature and bodily physiological functioning. Put her on exercises as it will help improve the strength and metabolism. Also, performing regular breathing exercises will help her to have oxygenated blood for the systemic requirements. RegardsJay In Chat Doctor."}
{"_id": "000005073", "text": "Thanks for posting your query at Chat Doctor. It is not clear whether your child is facing some problems in learning, but it is not unlikely that your child is actually doing fine. I would suggest you to take him to some center with the scope of developmental assessment of a child. Based on the findings, the specific interventions may be given. Sorry because I could not be clearer with the little details mentioned here. Feel free to revert in case of further queries."}
{"_id": "000005074", "text": "Hello, Thanks for the query to Chat Doctor. Forum. This type of the pain may be due to .1 Renal stone on both side, diagnosis can be confirmed by ultrasound of both kidneys .2 Amoebic colitis, diagnosis can be confirmed by physical as well clinical examination by a physician. As in most cases of this type of pain usually large intestine palpable. 3 Hyper acidity and indigestion is the another cause. Diagnosis can be confirmed by complete history of illness by a physician. Antacid and enzymatic preparation will provide you some relief. In my opinion consult a physician and get his opinion. Good luck."}
{"_id": "000005075", "text": "Hello dear. Thank you for using Chat Doctor. I read your query and understand your concern. I look you are suffering from a viral infection, Hand-foot-and-mouth disease a mild, contagious viral infection common in young child Chat Doctor.  Hand-foot-and-mouth disease is most commonly caused by a coxsackievirus.There's no specific treatment for hand-foot-and-mouth disease. Frequent hand-washing and avoiding close contact with people who are infected with hand-foot-and-mouth disease may help reduce your risk of infection. Measles rusChatDoctores from head to feet and goes away from feet to head. So is not it. Best regards."}
{"_id": "000005076", "text": "Hi, thank you for asking Chat Doctor. With this presentation, one would still need to ask you some few questions like the pr\\u00e9cised location of this pain, whether the pain is always there or it is intermittent (on and off). Notwithstanding, I think it might be related to peptic ulcer diseases or an inflammation within the pleural cavity. Concerning peptic ulcer diseases, I would suggest you try an antacid with another Chat Doctor.  If you feel relieved, then continue for about 2 weeks. If there is no improvement, I think you would require some tests like a chest X-ray or chest scan to rule out an inflammation within the pleural cavity. I hope that helps wish you well"}
{"_id": "000005077", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Uiliv is medications used for gallbladder stones, and it dissolves small stones which then pass into the bowel. However, in most cases this is not successful and surgical treatment may be a better option.Ad\\u00edlio should be combined with changing your dietary habits first.  Need to avoid fried food, carbonated Chat Doctor.  You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health."}
{"_id": "000005078", "text": "Hello, Welcome to Chat Doctor, I have gone through your query, as you have injury in your gums this pain and swelling in gums can be due to periodontal injury in lower gums may be there is formation of pus periodontal abscess or periapical pathology or swelling can be due to hairline fracture of symphysis region also Don't worry consult dentist and go for OPG to evaluate the diagnosis why pain and swelling is present. Do warm saline gargle two - three times a day You can take analgesic tablet diclofenac sodium twice daily. Hope this will help you."}
{"_id": "000005079", "text": "Thanks for using Chat Doctor. Read your query. Good that you have stopped smoking and chewing Gurkha. It is always bad for your health. Stains by chewing these are very tough stains and requires compulsory stopping of usage of these. I would advise you to*Have your teeth cleaned and polished by the dentist with following the correct follow-up instructions.*Proper brushing and flossing is necessary.*If the stains are persistent, then you can consult your dentist for bleaching of teeth and have it done. Hope this was helpful. Thanks and regards."}
{"_id": "000005080", "text": "Hello, I have studied your case. Due to compression of this nerve root there can be dizziness. 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. If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with answer do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care."}
{"_id": "000005081", "text": "Hello, Thanks for your query. After going through your query I came to know that you are probably suffering from lumbar disc prolapse. It can be confirmed by MRI scan. There are two treatment options. First option is rest in position of relief(generally lateral position with both hip and knee bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeprazole before meals prevent acidity caused by analgesics. During rest for disc prolapse walking and sitting is not advisable. It is rather strict bed rest. Second option is go for surgical operation(Discectomy). You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care."}
{"_id": "000005082", "text": "Thanks for your query, I have gone through your query. The deposits on the teeth can be calculus, or it can be decayed tooth also. Nothing to be panic, consult an oral physician and get the teeth cleaned. The most common causes for food lodgment even after brushing teeth can be your improper technique, MAL aligned teeth, gap between teeth. So rule out all these things and get scaling and root planing done. Avoid in between eating, sweets before going to bed. Rinse your mouth soon after eating anything, you can use dental floss. Regarding your financial aspect, go to an educational dental institute and get it done, there they will do free of cost or with nominal price. I hope my answer will help you, take care."}
{"_id": "000005083", "text": "Hello, Phenylephrine is added in the combination because it relieves nasal block. It does not have anti-allergic action and does not help in runny nose. Chlorpheniramine in this combination is useful for seasonal allergy and is the substitute for Levocetirizine. Chlorpheniramine is more effective than Levocetirizine, but it causes Chat Doctor. So, Phenylephrine alone will not help for seasonal allergy. Nasal"}
{"_id": "000005084", "text": "Hi thanks for contacting Chat Doctor .... Here 15 gall stone present .... So gall bladder needs to be removed.... Your liver enzyme high only because of this... Stone might lead obstruction and by it there can be damage to bile calculi by cholestatsis.... So liver enzymes high. Until operation Done take Ad\\u00edlio tablet that is helpful in gall stone .... Take low fatty diet. More fruits .... Non veg, junk foods kept limited... Refined food avoided and use very much less oil in cooking... Take care.... So your ultimate treatment is cholecystectomy by surgeon... Chat Doctor."}
{"_id": "000005085", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Chest pain on coughing is classical sign of pleurisy (inflammation of pleura). And common causes for pleurisy are pneumonia, pleural effusion, tuberculosis etc. You are also having chronic bad cough. So better to first rule out all these conditions. So get done chest x-ray first. If this is normal than no need to worry about all these causes. You are mostly having musculoskeletal pain. So avoid strenuous exercise and heavyweight lifting. Avoid bad postures in sleep. Avoid movements causing pain. Start painkiller and muscle relaxant Chat Doctor.  Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000005086", "text": "Hi Dear, Understanding your concern. As per your query you have symptoms of oral thrush with tongue soreness which seems to be due to fungal infection due to poor immunity which remains persistent and leading to formation of thick white layer in oral cavity and its surfaces. Need not worry. I would suggest you to maintain complete oral hygiene and visit oral pathologist once if symptoms keeps on persisting and start treatment after prescription. Go for biopsy of lesions if symptoms keeps on persisting. Avoid sharp, hot and spicy foods. Take Amphoteric B and maintain complete oral hygiene. Avoid stress and take Probiotics like Yogurt in diet. Hope your concern has been resolved. Get Well Soon. Best Wishes, Harry Maheshtala"}
{"_id": "000005087", "text": "Hi, After reading you query I can make out that your girlfriend is suffering from cold induced injury to the skin. It is known as Lived reticular. Livedo reticular is a mottled, chaotic discoloration of the skin, which has a characteristic network pattern. It is accentuated by cold. For the treatment part most important thing is protection form cold weather. Ask her to wear warm clothing. Do exercise daily. If she is over weight then weight reduction is must. Take care."}
{"_id": "000005088", "text": "Hi Mathews I would like to inform you that without undergoing an Angiography it's not possible to tell whether you have block in your arteries or not until unless you have had an ST elevation MI (heart attack). Now taking aspirin is preventive measure to prevent block from developing in the arteries or slowing down its progress if it is already there. Aspirin does not cure it. Its advisable that you should consult your cardiologist personally to get yourself evaluated properly. I wish you good health"}
{"_id": "000005089", "text": "Hi, Having excessive doubt, suspicion and violent behavior indicate presence of some severe psychiatric illness like delusional disorder. In such cases counseling only, do not help.  Several time excessive alcohol use may lead to similar symptoms, so stop alcohol use (if present). But, do not worry as effective treatment available and seek psychiatrist help as soon as possible. I hope this information has been both informative and helpful for you. Wish you Good Health."}
{"_id": "000005090", "text": "Hi.dear been., Thanks for choosing Chat Doctor., PIMPLES...since 2 months., difficult to control., Only solution is.,1) COMEDONES EXTRACTION... by RF., it must be done by. Dermatologist.,2) Tab. Isotretinoin 20 mg daily for 2 months.,3) Tab. Azithrmycin.250 mg day for 1 week.,4) Take plenty of green vegetables and fresh fruits.,5) frequent washes with Triclosan soap.,6) Topical Clindamycin 1% 2 times daily.,ok.than"}
{"_id": "000005091", "text": "Hi, Low sperm count is not an obstacle for conception as long as there are some viable sperms, it may delay but not prevent pregnancy. Myasthenia gratis has specific effect on sperm count, consider to avoid specific maneuvers that may reflexively delay pregnancy like nipple stimulation before or during sex, as it increases prolactin level and may inhibit ovulation. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005092", "text": "Hi, Thanks for the query. I understand your concern. Placenta prefix is a condition when placenta is near / over internal OS (inner opening of uterus.  Type of delivery depends on how much placenta extends towards the internal OS.  - Low lying placenta/ placenta few cm. away for mos/ placenta covering margins of OS .have chances of normal delivery with expert management/ utmost care. But placenta sitting over internal Os inevitably turns into surgical delivery (LSCS delivery) * You are mentioning your placenta reaching up to 2\\u00a0cm.  In case It's 2\\u00a0cm away from internal Os. You do have chance of normal delivery.  But if you mean its covering internal Os. You have to have a LSCS deliver.  * Please don't be scared, whatever is the type of delivery. It should result in safe childbirth. So whatever your doctor decides it best for you & your baby.  Thanks."}
{"_id": "000005093", "text": "Hello, heinsightz2020,I do not believe that your gallbladder surgery 3 months ago would have anything to do with your current symptoms. Shooting pain between the hip down to the feet is suggestive of pinched nerve or Sciatica which can occur with sudden twisting or some kind of misstep or lifting & bending action. As for your Hepatitis-C, you mention that it cleared spontaneously. I am a little skeptical about that, especially if you never had treatment. I advise you to get a complete set of liver tests, get a HAVANA viral count and see if the hepatitis is active. Hepatitis virus stays in your system long after exposure and a person can be free of symptoms for years before it starts showing its effects. As you are probably aware, this chronicHepatitis-C can lead to Cirrhosis and also liver cancer. It is very important that you have these blood tests done. I wish you well."}
{"_id": "000005094", "text": "Hi thanks for asking question. Your bother having hepatitis c. He might develop here cirrhosis. Because of cirrhosis varietal bleeding from rectum may present here. For esophageal varices banding can be done... As kidney is shutting down suggesting hepatic disease induce functional kidney failure as may be by hepatomegaly syn Chat Doctor. Slurred speech indicating encephalopathy development.... So here prognosis seems poor. Care taken with consultation to surgeon.If you need for portal hypertension beta blocker can take... Take low salt and low fat diet. One tsp licorice with honey can take. If needed for encephalopathy Aureomycin or rifaximine like antibiotic taken after estimating blood ammonia level. Fruits more. Like papaiyaTake care."}
{"_id": "000005095", "text": "Hi welcome to Chat Doctor, I understand your query and concern. Your symptoms are suggestive of ischemic changes in the heart. I advise you to get an ECG,2 D Echo, lipid profile, hsCRP immediately to confirm the diagnosis. Chat Doctor. Coronary angiogram with or without stenting will be the procedure of choice. Consult your cardiologist for expert management. Hope I have answered your query at the moment, Post your further queries if any, Thank you."}
{"_id": "000005096", "text": "Hello. Thank you for asking at Chat Doctor. From your history I get impression your son is having what we call \\\"urticaria\\\". They can be due to allergy or infection. I would suggest your son to take antihistamines like levocetirizine or cetirizine for 3-5 days. If they do not improve, or they worsen, I would suggest you to consult a pediatrician. If your son has excessive sweating, I would suggest him to avoid activities which produce sweating for a few days. I would also suggest avoiding woolen clothes and tight clothing (if he is wearing) and it will be best if he can wear loose, cotton clothes. I hope this will help your son. Wish your son quick recovery and best of the health. Regards."}
{"_id": "000005097", "text": "Hi., Thanks for your query and an elucidated history. With the history of LSCS and pain below the belly button and to the left lower abdomen, with a feeling of swelling in your stitched parts I can think of the following"}
{"_id": "000005098", "text": "HI, thanks for using Chat Doctor The fact that it is still itchy would imply that you are still having an allergic response. You may need to consider the use of a mild steroid cream to help reduce the inflammation. This can be used for a few days, if the rash is only allergic, this would help. In some cases, an infection can occur as a result of the introduction of bacteria due to the scratching. If this happens, the use of a topical antibiotic would also be needed. I hope this helps"}
{"_id": "000005099", "text": "Dear Pradeep, The level of Bilirubin and enzymes do indicate that there is some form of inflammation in the liver. It is possible that someone can have Hepatitis due to viral causes and not have severe symptoms and when it begins to heal you may still show some change sin the blood tests. However, other things that could affect the liver include alcohol, even some prescription medications (Even over the counter), Gallbladder problems etc. Sonogram will show if you have stones in the gallbladder. You do need complete screening for Hepatitis A & B. It does not appear to be serious. Good luck."}
{"_id": "000005100", "text": "Hi Thereafter going through your query I understand your concern. I would like to tell you that Left Main Ostia is a point of major concern in itself. Generally Left main disease is to be corrected by open-heart surgery rest depends on the condition. If your thallium test was positive for moderate blockage, and now you have developed symptoms then you should personally consult with your cardiologist and get an evaluation done. You may require an angiography for a proper evaluation of the evaluation. Hopefully this will answer your query. Kind Regards"}
{"_id": "000005101", "text": "Hello, Radiation treatment usually encompasses the area the tumor was and the area where the tumor is likely to recur. In the case of sarcoma, the tumor usually recurs locally.  Whether the lower arm will be included in the radiation portal depends upon the size of the tumor, best visualized on MRI. In order to help answer your query better, I would like to know more details about the case. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor."}
{"_id": "000005102", "text": "Brown vomits usually indicates altered blood. In other words, there could have been bleeding in the gastrointestinal tract due to some cause. Gastritis is a common cause, but it needs to be evaluated. Although the new formula could have a role, I do not think that we should jump to conclusions. But nevertheless, it might be wise to stay with the previous formula as of now. I would suggest you to visit a pediatrician and get the child assessed. Please do not worry. The child should be fine with some simple interventions."}
{"_id": "000005103", "text": "Welcome to Chat Doctor I have gone through your query and understand your concern. You may have muscle pull leading to blood collection underneath it. It only surfaced now. It is having no great deal. Flight has no relation to it. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"_id": "000005104", "text": "Hi. Thanks for the query. It looks like Peritonitis that occurs due to infection below the gum flap and the wisdom tooth. Due to infection there is pus formation leading to abscess formation. The medication you are advised is appropriate, along with it, you can also do warm saline gargles and antiseptic mouthwash gargles. The other symptoms like severe chest pain and pressure feel like someone is sitting on my heart with shooting electrifying pain into neck jaw and arm all on left side feel light-headed short of breath nausea can either be a side effect of medication or acid reflux or any cardiac problem. So my suggestion is to immediately consult an Emergency room and get evaluated, and a clinical examination should be done so that appropriate treatment can be done. Hope this helps. Regards."}
{"_id": "000005105", "text": "Hi, your burning feet problem according to me not coming from your spine because walking is comfortable for you as compare to siting now remaining other causesNeuropathy (diabetic, laprosy)Vascular(stasis of blood circulation)Which required blood sugar and color Doppler of leg to diagnosed it. Now your neck, you are operated few years back and now if your neck hearing you during looking up it is because of spondylosis and if neck pain not coming down up to arm physiotherapy is the only treatment for you. Thanks"}
{"_id": "000005106", "text": "Thanks for your question on Chat Doctor. I can understand your concern. After menopause, women are at increased risk of cardiac diseases like hypertension, heart failure, coronary artery disease (CAD) etc. Your blood pressure reading (148/98)is high. And breathlessness especially in night is commonly seen with heart diseases. So consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test).You may need antihypertensive and other cardiac supportive Chat Doctor. If all these reports are normal then no need to worry about heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000005107", "text": "Hi! Good evening. I am Chat Doctor answering your query. Even though your query is not very clear, I would suggest you to go to a general surgeon to see if there is any lump palpable, and if it is superficial or deep in the abdomen. He might also advise you for an ultrasound/CT scan if need be to arrive at a diagnosis. Even though it might not be an urgent affair, it would be better to get it assessed at the earliest possible appointment you could get with your general surgeon. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000005108", "text": "Dear Madam, you shouldn't be worried because in most cases liver enlargement doesn't mean anything at this age and this is only mildly enlarged liver. Also US is an operator depending on test. You should do lab tests, especially bilirubin and liver enzymes parameters to rule out some serious disorder. What about gays growth and development? If you didn't notice anything serious then it is probably something benign. Not only liver pathology can be associated with this finding, also every hemolytic anemia and some infections cause hepatomegaly. So red blood count and inflammation parameters should also be done. Depending on these findings you can plan further tests such as liver biopsy and genetic testing. But as I said go step by step and don't worry. Wish you good health,"}
{"_id": "000005109", "text": "HiT hanks for using Chat Doctor In that case, you need to mood stabilizer with antidepressant. You need to take higher dose of valeryl and zen. That would help to control both mood and seizure attacks. You can also try some antidepressant like paroxetine or Escitalopram. That would help to control depressive symptoms in control. Better to discuss them with your psychiatrist. In case, you need further help, you can ask. Thanks"}
{"_id": "000005110", "text": "Hi, I understand your query & concern.  Eating cooked lobster is not supposed to be harmful. So is the case with a solitary Chat Doctor.  It should not be regular.  But smoking Marijuana is definitely harmful in early weeks of pregnancy when primitive brain is formed. You should consult an embryologist, in case you had regular smoking of marijuana in the early pregnancy to decide about continuation of pregnancy.  Thanks."}
{"_id": "000005111", "text": "Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you had cellulitis, now the concern is about the swelling you are facing. For which I will recommend you to undergo physical therapy for cellulite. With physical therapy after a thorough assessment of your condition the therapist will make a plan for the rehabilitation. It will be a 4 weeks plan mostly or more depending upon the choice of the therapist program. Exercises are usually recommended after hospital discharge in cellulite. As there will be weakness in the muscles of the lower limbs, the muscles needs retraining. Also, as the muscles become stronger the vascular flow comes back to optimum. Besides, you may need to undergo a modified cardiac rehabilitation as due to aging and lack of mobility the cardiovascular functioning becomes slower which requires an attention to boost up. As in my clinical practice I see patients with cellulite, and post discharge after a thorough assessment the exercises are planned. Post which there is a change in the over all body status. Exercises even helps the absorption capacity of the Chat Doctor.  My clinical practice has shown results of 99% success in patients. I advise you to undergo the physical therapy, and you can discuss the same with your physician. RegardsJay In"}
{"_id": "000005112", "text": "Hello, Medications have a very poor direction sense. It is basically impossible for them to go to a specific location and their side effects are all over.  The exceptions are when the organ has a particular reason to grab the medicine, not the other way around.  So liver damage or kidney damage or growing organ damage are common. Accumulation in fat like in the skin can be a pattern. But not one side. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000005113", "text": "As far as ADVIL is concerned it is non steroidal ant inflammatory Chat Doctor.  The basic problem here in your case is fever and subacute intestinal obstruction. If you're passing flatus with feces then continue with the soft diet along with the antibiotics and sure you can take ADVIL too. If u haven't passed stools and flatus for more than 24 hours and if it accompanies abdominal distension then quickly consult your doctor so that proper workup can be done in time.  Regards"}
{"_id": "000005114", "text": "Hello, Thank you for your contact to Chat Doctor, If I am your treating doctor I would like to advise you that kindly go for checking dengue NS1 antigen and dengue IGM testing. Decrease in platelets is suggestive of dengue. Give her as much fluid she is like. Also, if the platelet count is very low, kindly admit her to ICU ASAP. If you have anything else to ask kindly contact me. Thank you. Chat Doctor infectious disease specialist."}
{"_id": "000005115", "text": "Hi...this could as well be a viral illness. If you want to use Ibuprofen I suggest you use plain Ibuprofen. It can be given at the dose of 10\\u00a0mg/kg/dose every 8th hourly if temperature is more than 101F and the strength of the suspension is 100\\u00a0mg/5ml. But if you can get back to me with the weight, of the kid I will be able to help you out and also mention in your query the strength the adult Ibuprofen you have with you. I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below.www.ChatDoctor .com/doctors/ Chat Doctor."}
{"_id": "000005116", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Surgery in this area may cause hemorrhage sometimes. This hemorrhage may get clotted in some area, I suspect it in your testis of one side. Hard testis may be because of the clotted blood. But direct visual examination can confirm the status. I advise you to do physical examination of the testis and related genitalia. If its simply hemorrhage than you can wait for some time to get hemorrhage retract. In case of any infection or malignancy you can take antibiotic or chemotherapy as per the case. Please take doctors guidance before acting. Please avoid injury to the related part. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor"}
{"_id": "000005117", "text": "Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your health issues submitted. I understood your health concerns and feel Concerned about them. You seem to be suffering from following possibilities-Mostly this is due to Delayed onset Jewish Herxheimer Hypersensitivity Reaction due to Allergy to doxycycline. This could cause breathlessness from vasculitis and angioedema with high fever and shock with it. Stopping Doxycycline and Treating with In Demon 2 mg would take care and to be maintained with oral Tab Demon- to be tapered over next 3- days time. Consult physician and get above treatment under his control. This would reduce your complaints in 1 weeks time. For this to verify Second opinion from another Physician -specialist- is suggested. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http"}
{"_id": "000005118", "text": "HI, Welcome with your query to Chat Doctor. Based on the facts of your query, after its review, In my opinion you are a known case of Alcoholic Gastritis with HERD. Recent bout of chest pain with green dots with blue rim on chest, indicates you need to restrict alcohol and investigate the clotting status of your blood and your liver by various tests. For this you need to check with your diagnosis soon. You might be young at 42,but your heart and liver are overage, for which you need to change your lifestyle seriously. As at this young age you have these problems which would be faced by one in 55 yrs.  Hope this reply resolves your worry with your queries. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS"}
{"_id": "000005119", "text": "Hello, There are various factors causing swollen nodes in the armpits including local hair follicle infections (especially if you use razor to remove the hair there). If it is noted immediately after vaccination, it could be a normal reaction to the vaccine. It is supposed to get normal glands in short time. If this does not happen, and the glands will persist being swollen should see a specialist. Otherwise, everything is ok. Just keep good local hygiene. Hope I answered your query. Regards Chat Doctor."}
{"_id": "000005120", "text": "Hi. As you said your wife suffers from psoriasis. Psoriasis is a chronic relapsing and autoimmune disease. She may be having scaly plaques on various parts of the body, scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunity, stress, Chat Doctor. .etc. may be responsible for precipitation and exacerbation of the disease. You consult dermatologist for firm diagnosis and treatment. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. She may apply mild steroid cream or calcitriol point on the lesions. She may apply moisturizer to improve the skin texture. Tell her to avoid soap bath for few weeks. She should avoid stress and worries as that might worsen psoriasis. Your wife might get good result. I hope you got my answer. Thanks."}
{"_id": "000005121", "text": "Hello, As the fracture is just 2\\u00a0mm apart I don't think the surgery will be taken as a choice.  It will be treated with an immobilization using the plaster and wait for 4-6 weeks of time. In this duration, multiple x-rays might be taken to check the healing of bone.  Once the healing is optimum then the cast will be removed, and you will be advised to undergo physiotherapy to improve the range of motion of the finger joints and improve the strength of the hand muscles. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor."}
{"_id": "000005122", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern, the nodules that you have on your fingers are not because of the breast lesion or the medicine that you are taking for the breast malignancy, when you have first removed the nodules then this should have sent for histopathology, the finger lesion could be something else and that need to be examined properly keeping in mind the history of malignancy, take care and have nice day."}
{"_id": "000005123", "text": "Hello, Welcome to Chat Doctor, Fungal infections are more common in the genital and perineal area as these are the normal comedians of this area, which will be kept under control by helpful organisms whenever there is a change in the environment this yeast will activate produce their symptoms. As you are having the symptoms of fungal infection for which you have taken some treatment, but your symptoms has not come down, I would suggest you to undergo lab investigations like KOH mount, CBC and urine routine examination. For your symptoms you can try these measures1. Keep the area clean and Chat Doctor. 2. Apply antifungal cream over the lesions3. Tab Rifleman, 150 mg single dose.4. Oral antihistamines to reduce the symptoms of itching. Thank you."}
{"_id": "000005124", "text": "Hi dear user have gone through your question. I can understand your concern. In advanced stage of renal disease there is severe water-sodium retention, wich may cause blisters when the fluid becomes trapped under your skin, but in my opinion your wife is not in End-stage renal disease. My advice is to consult a nephrologist in your area because you need to have an exact diagnosis and treatment for your wives renal condition. She need also to take iron treatment for anemia and a hypocaloric diet because she has morbid obesity. Hope I have answered your question. If you have any further questions I will be happy to help. Thank you for using Chat Doctor. Wish you good health."}
{"_id": "000005125", "text": "Hello. Thanks for posting here. Donating blood causes a loss of blood volume of about 300 to 500 cc over 15 mins or so. The symptoms like passing out, tingling in limbs are not due to inadequate nutrition or so. It is due to vasovagal syncope which happens when the brain feels a loss of blood volume. It can happen in anyone. Again since the blood volume is low, the heart tried to compensate by increasing heart rate thereby increasing blood supply to other organs. That's why you have the fast heart rate. Soon, as you start Chat Doctor.  Do there is nothing to worry about, just"}
{"_id": "000005126", "text": "His understand your concern. Feeling of heart attack is features of anxiety and stress. Due to depression and anxiety will affect daily routines and work. This kind of condition require psychological and social support. It can be treated with antidepressant like SSRI or SARI. Benzodiazapin like clonazepam or Mizoram can be given for panic or anxiety. But choice of Chat Doctor. So consult psychiatrist and get help. Do exercise, meditations, relaxation, deep breathing exercise etc. Take proper sleep. Try to do work stress-free. Enjoy hobbies, music, discussed with friends and family. I hope I have answered your query. Feel free to ask. Happy to help you. Get well soon. Thank you."}
{"_id": "000005127", "text": "Hi, dairy have gone through your question. I can understand your concern. Treatment of breast cancer depends on stage of cancer.  Chemotherapy and radiotherapy with surgery is the treatment of choice.  If hormone receptors are positive then Herceptin is useful. You should continue your treatment for breast cancer.  For arthritis steroids or analgesic plus any inflammatory Chat Doctor.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005128", "text": "Hi, Thanks for asking the query, When you have braces on your teeth the Orthodontist will advise you to maintain a good oral hygiene to ensure that you keep your gums healthy. The best of brushing and flossing techniques when used along with the braces on will ensure that your gums are not swollen. Deep ultrasonic scaling followed by the course of antibiotics is required, use chlorhexidine mouthwash rinses twice daily. For gingival hyperplasia I would advise you to get an OPG done to rule out extent of infection or boneless if present and plan an appropriate treatment. Hope this helps out. Regards."}
{"_id": "000005129", "text": "Hi, It is completely normal that a 2-month-old child will have a disturbed sleep pattern. Child Chat Doctor.  After she reaches a 3-month-old then It's possible to start regulating her sleep pattern. She is more comfortable in the vertical position close to the chest as this is the position most close to her position inside the womb and that is normal too. There is no need to worry. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005130", "text": "Hello! Welcome on Chat Doctor ! I am glad to attend you! I reviewed the therapy prescribed by your doctor and would agree with some of these Chat Doctor.  You should know that the pain in your limbs and headaches are common symptoms after a stroke. Your current therapy is focused in the prevention of future strokes or seizures. The headache, could be tension type, related to your current situation and the psychological stress. The pain in the limbs is common, and it is related to the damage in the central nervous system. Physiotherapy is the main"}
{"_id": "000005131", "text": "Hello. Bipolar disorder is a chronic pathology that requires medication for life. Never can stop the medication abruptly. You need to take an anxiolytic, an antidepressant and mood stabilizer. Alprazolam, Fluoxetine and Oxcarbazepine taken combined are widely used in the treatment of Bipolar disorder. Please go to your local specialist, as soon as possible, for a prescription. I wish you good health.(In case the answer would have been useful please indicate this)"}
{"_id": "000005132", "text": "Hi it seems you are very much worried about your medications. As your case history is not in detail, you might have taken many/all available types(SSRIs) of medications. As you are not getting result, combination/augmentation of different antidepressants may help you. You must take regular help of psychologist. You should increase your self-esteem. Please don't think yourself as a Ginny pig. Remember-, your doctor is always more worried than yourself as you are not getting desired result. Keep faith. 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."}
{"_id": "000005133", "text": "Dear User, Thank you for your question, yes the redness is related to excessive rubbing. don't use alcohol on it this might irritate the area more, which probably caused the tiny pa pules filled with puss use some cream antibiotic on it no cortisol. I would recommend you visit your doctor for proper physical examination he might need to prescribe a course of antibiotics for you. Please rate as 5 if you found helpful. Best regards,"}
{"_id": "000005134", "text": "HelloThanks for query, You have noticed that your 84 years old father has his scrotum and penis turned black suddenly. Is he diabetic? Mostly this is due to what is called as Fournier gangrene . You need to consult qualified General Surgeon immediately for clinical assessment to confirm the diagnosis. And get following basic tests done 1)Blood Sugar Levels 2) Ultrasound Scanning of Scrotum.3) Color Doppler study of scrotum. He needs to be hospitalized for further treatment which will depend upon the results of these tests. Chat Doctor.  1)Get his blood sugar level"}
{"_id": "000005135", "text": "HelloThanks for query. Cortical thinning of kidney needs to be investigated in detail as long term effect of cortical thinning can lead to kidney failure. In most of the cases cortical thinning is due to obstruction to urine flow from kidney to the bladder the commonest pathology being congenital PUB obstruction. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Intro Venous Paleography.(I.V.P)4) DTPA scan 5) Renal Function tests. Further treatment will depend upon result of these tests and final diagnosis. Chat Doctor."}
{"_id": "000005136", "text": "Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion there is surgical treatment available for this condition, consult a Plastic Surgeon in your area 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."}
{"_id": "000005137", "text": "Hi, DearLeave the anxiety of the lump on vein to your doctors, and you would recover fast.-You have anxiety neurosis with your lump.-Tb Alzolam-with script from your family doctor would help you a lot.-For IV site lump-you just apply point. Thrombophobe and / Tb NSAID -if it is still painful, which is rare thing to happen to you.-So you check with your family doctor and get the above treats. Second opinion from Vascular Surgeon would solve your issues. A psychiatrist help would relieve you fast. Hope this would resolve your issues. Wishing you fast recovery from your complex problem. Wellcome to Chat Doctor for further query in this regard."}
{"_id": "000005138", "text": "Hello and welcome to Chat Doctor. Thanks for your query. OCD is a usually chronic problem and requeries long term medication. Sometimes medication can lose their efficacy if used irregularly. 60 mg of Fluoxetine is a good dose of the medication. If you are still continuing to have OC symptoms, then other treatment strategies have to be tried. Further treatment options include a change to a different class of anti-obsessive medication or trying psychological and behavioral therapies. I would advise you not to make any treatment decisions or alterations on your own, but consult a psychiatrist near you, so that you can have a detailed psychological assessment and further treatment can be planned accordingly. Wish you all the best."}
{"_id": "000005139", "text": "According to Ayurveda this problem is related with Rasta(blood), rasa(lymph-?) & also with TRI dos has. From childhood, you are suffering from skin & bronchial problems, these 2 are well related with each other, as per the pathogenesis is considered. Any skin problem is due to deformity in blood+skin+mama(muscle)+tri-doshas. In asthmatic cases blood & vat ta(V\\u0101yu) are the major dishes i.e. basic causes. A special treatment is required for all these mentioned, if you are thinking to take an ayurvedic medicine. The medicines which you are currently taking are only symptomatic. I think for complete recovery ayurvedic medicines are the best path-way for you."}
{"_id": "000005140", "text": "Hi, You are having pruritic ANI and pruritic on scrotal skin. There are many reason of pruritic in both area. Irritation, allergy, fungus, any other skin disease or internal disease.Sometimes no cause is found, in that case it may be psychogenic in origin. Keen thorough examination and complete history is must. Routine and specialized blood test may be done. This should be done under supervision of dermatologist. He may give antihistamines, steroid in tampering dose and antipsychotic Chat Doctor. Combined steroid and antifungal cream may be applied. Sitz bath in detail water for improving local hygiene is required. Soap should be avoided. Avoid tension and worries. If needed, internal disease should be treated. In anal area, piles and fissure in ANO should be ruled out, for that surgeon should be contacted. I hope you got my answer...organs."}
{"_id": "000005141", "text": "Thanks for your question on Chat Doctor. I can understand your concern. For diagnosis of pneumonia, chest x-ray need to have infiltration. With normal chest x-ray, pneumonia is not possible. Cough, congestion, crackles on auscultation are also seen with bronchitis. And bronchitis shows normal chest x-ray too. So it is quite possible that you improve within antibiotic because antibiotics also work in bronchitis. So I don't think you are having pneumonia because your chest x-ray is normal. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000005142", "text": "Hi Lima, i don't. Know detail history in your case please update me about it in terms of age history of thyroid problem, diabetes,hypertension, ashtma, husband semen analysis, any history. Of tube testing done? If I was your treating doctor, and you have already taken tablet closed for 5 days and if you have 30 days cycle you can take injection Chat Doctor 5000 IU on day17,day21 of your cycle and planned relations from day 12 to day21 alternate day."}
{"_id": "000005143", "text": "Hithanks for your query bro has a lump on his upper gums with a white spot on it that is growing inspire of antibiotics clindamycins there any caries in it????how was your bros oral hygiene????I think in this age group its most probably a dental cystic needs to be examined properly to stamp it any specific type among 3 types of cyst we usually come across take a digital x-ray of the upper jaw including maxilla and sinuses to know the actual position and attachment of the lump do consult a maxillofacial surgeon for better management cancer in this age group is rare though it needs to be confirmed by FNAC or biopsy my info I think ll be of help to you thank u"}
{"_id": "000005144", "text": "Hi, Thanks for posting your query. With the available describes symptoms, there appears to be possibility of right lower chest lung pathology or cholecystitis. Location of pain suggests the diagnosis. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for complete blood count, liver function test, chest x-ray, serum amylase. You should also go for endoscopy along with biopsy. Treatment depends on exact diagnosis. Meanwhile, you should take proton pump inhibitors along with prokinetics and muscle relaxants. Take care,"}
{"_id": "000005145", "text": "Hi, Thanks for writing in. Bone cancer can be of many types. The commonest condition is multiple myeloma and this spreads to involve multiple bones including long bones and backbone. It can also infiltrate blood system. There are many other bone cancers like osteosarcoma, Ewing sarcoma, metastasis, bone lymphoma, and it is important to know the type of cancer the patient has. If he has myeloma that is causing symptoms, he will most likely to be treated with a combination of chemotherapy and steroids. Which Chat Doctor.  For example, if he has kidney damage, this will affect the choice of treatment that his doctor can use. His doctor may also recommend having a biological therapy such as thalidomide, bortezomib (Decade) or thalidomide (Realized) alongside the chemotherapy and steroids. Other bone cancer can be treated by chemotherapy, surgery and radiotherapy as per disease type and stage. Please do not worry."}
{"_id": "000005146", "text": "Dear Sir/ Madam, Thank you for posting your query Chat Doctor.comic clearly indicated acute Otis media with nasopharyngeal block, in this condition Eustachian tube (which connect ear, nose and throat) get blocked (very common) due to mucus. She requires anti-inflammatory, decongestant and antibiotics. Ideally it is a good idea to consult pediatrician and get start treatment. Hope I have answered your query. Your thank-you note is very much appreciated. If you need nay further information, please feel free to revert, With best wishes,"}
{"_id": "000005147", "text": "Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Considering her advanced age and multiple co morbid conditions like heart attack, stroke, a heart functioning around 18% and multiple vessel atherosclerotic disease her prognosis is not very good. You have to understand that having multiple organ involvement is not a good thing and in her case as per the information her organs have been severely impaired. You may expect her to go into congestive heart failure considering her poor heart function and also sooner or later her kidneys may also be involved in the process. I suggest that you may consult a doctor and start palliative care for her so as do decrease the severity of the symptoms and provide temporary relief. Take a good care of her medications a would be on many, and she may even require help with her day-to-day activity."}
{"_id": "000005148", "text": "Hello, Thanks for using Chat Doctor.First I like to inform you that bipolar disorder can be treated effectively but no cure (elimination) exists on the current day. Most patients with bipolar disorder need long term treatment as there is ongoing disease process which needs control with use of effective medications. For the bipolar depression following options are available on the current day1. Seroquel2. Latuda3. Aborigine and4. Olanzapine and fluoxetine combination It is important to visit your psychiatrist to discuss the merits and demerits of each recommended medication. In case you are having bipolar 2 depression Seroquel is the only option while for bipolar 1 depression any of them can be used for effective control of disease. I must assure you that with right medication there is good chance that you will recover to your true potential. I hope this helps you. Feel free to write back to me if you have more questions. Thanks again."}
{"_id": "000005149", "text": "Hi, dear. I have gone through your question. I can understand your concern.  CA 125 is the marker of ovarian cancer.  If it is raised up to 1300 it means you have recurrent ovarian cancer or some metastatic lesion from ovarian cancer.  You should go for ct scan abdomen to know the spread of cancer then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005150", "text": "Hi, Thanks for posting the query, I would like to tell you that pain, swelling, nausea, dizziness, fever, headaches are common symptoms after tooth extraction, you don't worry about the symptoms as they will subside after sometimes by its own. Take the complete course of antibiotics and analgesics prescribed to you. At home take lukewarm saline NAD antiseptic mouthwash rinses. Take complete rest. Take multivitamin supplements. Take care!"}
{"_id": "000005151", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of post infectious bronchitis is more. It is common after respiratory tract infection. You're wheezing, breathing difficulty etc. are explained by bronchitis only. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will tell you about severity of the bronchitis. You will need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000005152", "text": "Hi and thank you so much for this query. I am so sorry to hear about these parasites and all the disturbing thoughts this has caused you. There is no reason to get worried about these germs possibly complicating your pregnancy. They have not caused any infection and inmost cases would only do if the immune system were to be greatly weakened. This is simply not the case now. When you live in milieu with such germs, they form harmless relationships and there is no reason to be afraid of their mere presence in the absence of symptoms. I hope this ad Chat Doctor.  I wish you well. Feel free to ask for more information and clarifications if need be."}
{"_id": "000005153", "text": "Hi, please do not worry. Semen is usually near the consistency of what you mentioned. Probably, you have thick dense semen. It could be possible due to blockade of seminal vesicles as they are unable to empty their secretions into the urethra. How often do you masturbate? Please get a Semen analysis test done, and it will let us know what is the problem. This way your doubts will also be cleared. Share the report with us or see your Doctor or a Urologist for the same. We would be glad to help. Take care, Chat Doctor."}
{"_id": "000005154", "text": "Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that his symptoms could be related to a cervical myelopathy, caused by the herniating discs. Has he performed a cervical MRI? This exam would give more information on possible compression of the spinal medulla. A brain MRI would also be needed to investigate for other possible causes that may lead to vertigo. So, it would be wise to perform both these tests in one only exam, to be able to have more information on the possible underlying causes. A nerve conduction study would also help investigate for nerve compression due to the bulging discs, which could explain the irradiating pain in the arm. Hope to have been helpful! Kind regards,"}
{"_id": "000005155", "text": "Hello, Thanks for the query to Chat Doctor. Forum. As physical examination of rash (wound) and white substance (larvae) is very important so, if, possible upload pictures of wound with larva. May be due to, River blindness (cholera volumes), guinea worm, creeping eruption (ancylostoma Brazilian), Leishmania Tropicana. Scrapping tests and stool examination are very important.  Consult a physician and get in his opinion. Good luck."}
{"_id": "000005156", "text": "His had gone through your treatment line up. Medicines are best in their class to treat depression. If you have still depression in spite of taking all these medicines then require to re view your diagnosis. It may be bipolar depression or resistant depression. Other modalities of treatment can help. That include add on medicines with levothyroxine/olanzapine etc. Best can be judged by your treating psychiatrist as he knows all detail history about your illness. ECT means electroconvulsive therapy can help in resistant depression. Consult and get help. Still have query then feel free to ask. Wish you a very good health. Thank you."}
{"_id": "000005157", "text": "Hi. Thanks for the query. I have gone through your query and can understand your concerns... As per your complaint periodic pain in gums that lasts for a half an hour and then subsides can be most probably related to nerve induced pain known as Trigeminal neuralgia. It is a nerve disorder caused due to disturbance in the functioning of Trigeminal nerve and its branches. I would suggest you to consult an Oral Physician or a Neurophysician and get evaluated and a clinical evaluation and investigation like MRI SCAN can help in diagnosis and treatment can be done accordingly. In case of neurotic pain, neurotic painkillers like Carbamazipine and Gabapentin can help in relieving pain as well as reduce the frequency of recurrence of pain. Hope this information helps."}
{"_id": "000005158", "text": "Hi there thanks for your question at Chat Doctor. Ice and rest usually give relief in pain and swelling over the first two days. But you are not expected to have pain on standing or walking in mild injuries. Such pain should suggest you to take your injury seriously to avoid long term ligament related pains. If you have any pain when you walk or stand on your injured foot, it suggests severity of injury and warrants further work up which will include an X-ray at the least. As walking or standing includes weight-bearing, it induces stress on the soft tissues of the foot and hence helps to unmask milder forms of sprain of these structures. No t having pain on movements of toes indicates milder injury Hope this helps All the best. Regards. Chat Doctor."}
{"_id": "000005159", "text": "Dear friend. Thanks for sharing your concern. Your history suggests that you are worried about the complication, faced post extraction of third molars. Please do not get worried The white tissue you have mentioned might or might not be the clot. But, if you have symptoms like dull aching pain in the 3rd molar then you need to get worried. Since, presently you have no symptoms, please do warm saline rinses after food gently and observe for two more days. If the toothache persists then you can revisit your dentist for evaluation else no need. Please understand this fact, that the clot which develops to protect the wound gets well stabilized within 48 hours .so there are very rare chances of Chat Doctor.  Hope it helps. Thanks. Take care."}
{"_id": "000005160", "text": "HelloThanks for query. The itching of scrotum seems to be due to fungal infection Use topical antifungal ointment like Fluconazole twice daily. Ensure to wash your genital area with warm soap water twice daily before applying ointment. Ensure to wash your inner wares in boiling hot water mixed with antiseptic solution like Detail. Ensure to use loose inner wares. This will get cures within 5 days. Chat Doctor."}
{"_id": "000005161", "text": "Thanks for contacting ChatDoctorI am sorry to hear that you found a tick and the area that you found the tick is now swelling and red. When you removed the tick it is possible the tick released some of its body juices into your skin. I would recommend using a small dose of HY Chat Doctor.  If the area becomes more inflamed I recommend you seek medical attention. Hope I answered your question. Please feel free to contact us again for you medical concerns and questions"}
{"_id": "000005162", "text": "Hello thanks for asking from ChatDoctorI can understand your concern. You have anxiety and panic disorder. The symptoms like fear of not be able to breath or having a heart attack could be occurring due to persisting panic episodes. You are on Prozac 40, Buspirone 15 mg and Asian 1 mg and these symptoms are persisting. In such case for control of panic attacks you can think of taking increased doses of Asian or Lorazepam. You can take the Chat Doctor.  The"}
{"_id": "000005163", "text": "Dear patient, ideal way to prevent allergy is to identify the allergen and avoid it. Please maintain a dairy of your daily activities from the time you get up till bedtime. Try and find a link to the activity and beginning of your symptoms. Vacuum clean you mattress and room weekly. Regular exercise boosts immunity, so go for regular cardiac workout. Eating lots of fresh fruits and vegetables also helps. Avoiding junk, packed and processed food gives protection. You can also take echinacea herb supplements, or Siberian ginseng (please avoid ginseng if you are hypertensive). Or you are a take grape seed extract to boost immunity. Also, please take 250000 units of vitamin A every 6 to 9 months. Regards."}
{"_id": "000005164", "text": "Your child seems to have either bronchiolitis or a viral pneumonia, the hint here is the wheeze, if your child have bronchiolitis then the bronchodilator like Revlon and inhaled steroids like budesonide will not add much but sometimes its helpful .if the child is not hypoxemic and he doesn't have shortness of breath and sever tachypnea (high respiratory rate) then you can manage him at home with these nebulizers otherwise he should be admitted .the albuterol or leveling can be repeated every 3 hours unless the child experience a rapid heart beat. If your child is not assessed by his pediatrician I recommend you take him before any further treatment for better assessment. I hope this helps"}
{"_id": "000005165", "text": "Thanks for your question on Chat Doctor. In my opinion you are having pneumonia (lung infection) or bronchitis. I am suspecting this because of1. Coughing2. Yellow sputum production.3. Shortness of breath.4. Fevers better to consult Pulmonologist and get done Chest x-ray and Pulmonary Function Test (PFT) for the diagnosis and treatment. Antihistamines alone will not work. You may need antibiotics and bronchodilators. So better to consult pulmonologist and discuss all these."}
{"_id": "000005166", "text": "Stresrelieving is first requirement.Panama, anulome-vilpmw.Omar recitation. Here Reiki treatment will also help. Stopping of smoking is of extra benefit.shirt Dhaka with Madhya ad stress relieving medicated oil, nasya with Brahma fruit should help. Considering the overweight issue dhatwagni hardhat vacant kappa will help. With all this try out exercising doing it for a small length of the in the beginning and increasing it gradually."}
{"_id": "000005167", "text": "Acute pancreatitis is an inflammation of your pancreas due in large part to an over-excessive consumption of alcohol. Using certain medication excessively or even traumatic injuries can be the culprits for acute pancreatitis as well. Symptoms include abdominal pain, first and foremost, as well as vomiting, diarrhea, fever and nausea, so please tell me any history of alcohol consumption. Any investigation done any imaging done"}
{"_id": "000005168", "text": "Welcome to Chat Doctor ...sir it is classical reaction to telmisartan .it will be seen with all telmisartan losartan losartan candesartan and Chat Doctor. .but if swelling is coming daily and persistent for 12 hours please request your doctor to replace tartan or decrease dose in addition you may go for level of C1 esterase but if dose cannot be decreased then you should have prefilled epinephrine syringe with you as this has to be injected by self if swelling increases, and you face breathing difficulty with regards"}
{"_id": "000005169", "text": "Hi Dear, Understanding your concern. As per your query you have symptoms of infection in ear piercings and infection keeps on reoccurring is mainly due to irritation by the ear ring or sticking up with clothes or fingers there might be having minor injuries causing infection. Sometimes during piercing the instruments used are not clean enough or not sterilize which causes infection and leads to formation of pus and pain as well. Conditions should be highly septic and instrument should be adequately sharp otherwise there will be minor skin trauma which leads to infection. I would suggest you to"}
{"_id": "000005170", "text": "Hi, The two possible causes are pain arising from a prolapsed disc which can radiate to the groin or muscular pain due to sprain or spasm. You can consult a physician and get evaluated. It is better to go for an MRI scan to rule out spine related problems like a prolapsed disc. As of now, you can take analgesics like Ibuprofen or Tramadol for pain. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005171", "text": "Hi! Welcome to Chat Doctor !  I have gone through your query and understand your concern towards your problem. I can understand that your symptoms could be due to depression or anxiety due to chronic back pain or because of your illness. Furthermore, I can say that it is not merely due to the illness. This is because how you are responding to it is based on your capability to tolerate the effects of illness.  There is nothing to worry. Be confident and hopeful. You can start antidepressants like Escitalopram to get rid of these symptoms. And the confusion is just because you're worried about your illness. Otherwise, it is not common at your age.  Hope this information is helpful.  Take care"}
{"_id": "000005172", "text": "Hi, welcome to ChatDoctorKidney damage defines according to GFR. But, without implication on health of patient or if it is not associated with other abnormality suggestive of kidney disease, if GFR is> 60 then it is not considered as kidney damage. Check basic urine report, BP, S.potassium and sonography. With these reports, we can rule out kidney damage. You can then consult your doctor, or you can get back to me also with reports. I think this would be helpful to you. Best wishes. TC. Chat Doctor."}
{"_id": "000005173", "text": "Degree understand your concerns went through your details. You cannot get aids if you masturbate. I suggest you, you are just 20, you can masturbate once per day and engage yourself in education, exercises, career related activities and creative activities. Masturbation will consume energy naturally. That is all. There are no other negative health impacts. The breathlessness you are feeling could be due to anxiety due to excess masturbation. Nausea, lack of energy etc. are also due to excess masturbation. Reduce your masturbation to twice or thrice a week and stop being anxious. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000005174", "text": "HI and thank you so much for this query. May be late already for the dates you have posted but I guess the information is going to be of great help in future similar situations. If you have sex on the 5th day of your cycle, the chances of getting pregnant are very, very low. Taking ECP shortly after that further reduces the chances. Also, having the with Chat Doctor. ECP often distorts the cycle though it eventually gets a new rhythm for itself.f you have not still seen your menses by this time, then you at least need a pregnancy test and further investigations if warranted identify the cause. Please, beside having unwanted pregnancy from an unprotected sex, you run the risk of transmitting or contracting sexually transmitted infections. I will kindly suggest that you always consider having protected sex unless otherwise indicated. Hope you find this information useful wish you good health."}
{"_id": "000005175", "text": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely a lumbar intervertebral disc injury. A physical examination with an Orthopedic will give clue for that and an X-ray followed by an MRI of Lumbosacral spine if needed will be required to confirm it. Peripheral pulses also should be looked to rule out any vascular blockade. For such condition in my patients I advise NSAIDs like Diclofenac muscle relaxants like thiocolchicoside and neurotrophic Chat Doctor. I also send them for physiotherapy after a short resting of 4 to 5 days. Hope this may help you. Let me know if you have any further query."}
{"_id": "000005176", "text": "Hi thanks for your question.6 years old and weight of 130 pounds means morbid obesity. The hump at the back could be collection of fat and there is nothing to worry about this hump. What she needs urgently is control of this morbid obesity. She should be investigated to rule out any metabolic disorder like hypothyroidism. Bloating of tummy is expected with this much of obesity. With so much of obesity at this stage of life can have the lot of health related problems in her feature life. I would suggest you to consult an internal medicine specialist preferably an endocrinologist who may evaluate her for such a morbid obesity and may advise you a management plan. Hope this answers your question."}
{"_id": "000005177", "text": "Hello there, and thank you for using Chat Doctor. I carefully read your question and I totally understand your concern. Don't worry, It's nothing serious. As you describe, my opinion is that we are dealing probably with exstrasystoles. These are electrical impulses generating from parts of the heart different from that of normal sinus rhythm. They cause this escaped or skipping beats. You may feel a palpitation, an anxiety sensation or like a beat is skipping. There are different reasons that may generate an extrasystol from simple emotional street to different pathologies like anemia, hyperthyroidism etc. Hypertension and exstrasystoles are independent of each other meaning that you may have extrasystoles without having hypertension, you may have hypertension without extrasystoles or both of them. The fact that you have a low blood pressure is a good news you don't have to worry about this. In fact this is our goal when we treat hypertension. Now we have to deal with this skipping beats. My opinion as a cardiologist is that we are not talking for something urgent. I will recommend you to tell your symptoms to your treating doctor in your next visit to make some simple examinations like a blood analyze, your thyroid hormones. Of course if I was your treating I will recommend a holder monitoring to register and see what happens with your rhythm during these symptoms. If you feel that your heart is beating in a chaotic way it is advisable to make an electrocardiogram in that exact moment to your nearest cardiologist. In mean time avoid coffee and caffeine products because they exacerbate these symptoms. When we document and see what kind of rhythm problem is this we can talk about treatment. Hope I was helpful. Wish you good health. Best Regards"}
{"_id": "000005178", "text": "Hi and welcome to Chat Doctor. As a Urologist, I can understand your anxiety. To confirm your symptoms are related to kidney, youll need to-do some tests"}
{"_id": "000005179", "text": "HI. This is a mixture of few problems together and look to be related to each other The food pipe - the is due to swelling of the food pipe along with the loose guarding mechanism at the lower end. This is to not allow the food from stomach to come up. In your case this is loose so allows the food and acid and all to come up so the pain, burning and all problems. Rest of the other problems are due to swelling of the large bowel and all together give you dizziness. Take a proper treatment after upper endoscopy and colonoscopy"}
{"_id": "000005180", "text": "Hi, I like the idea better of injections but if you had an allergic reaction then, tablets are really your best medication (if not your only medication choice).  Of course, I always recommend to my B12 deficient patients (even those on injections) that they should improve their overall dietary consumption of B12 by simply escalating the amounts of ANIMAL PRODUCTS in their diets. Everything that is meat, fish, liver, chicken, and dairy products contain a very good amount of B12 in its content and if you eat large amounts of these items on a daily basis your levels should go up. It can take as long as 30 days of continuous filling up on B12 to see a difference though with injections it is usually very quickly noticed. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005181", "text": "Hi, your complaint may be related to gastric problem indigestion and stasis can sometimes cause fermentation and flatulence giving rise to distension of abdomen.recurrent g i infection may also be the reason of distension of abdomen .get a check-up with physician and get investigations done if required.chronic constipation also prevents normal passing of flatus and distension of abdomen. Avoid constipation, take healthy balanced diet that better be non-spicy and easily digestible .get a check-up and discuss. Wish you good health."}
{"_id": "000005182", "text": "Hi. As per your case-history you are having irritation due to either retinoids or benzoyl peroxide application for acne. My treatment advice is-1. Stop that anti-acne cream.2. Donor squeeze/press the scab formed.it will fall off on its own.3. Use antibiotic cream like juridic acid cream twice daily on site4. Avoid sun-exposure and any soap-cosmetics on affected area. U will be fine in few days. Thanks. Chat Doctor. B.B.S, D.D.V.L"}
{"_id": "000005183", "text": "Welcome to Chat Doctor I have gone through your query and understand your concern. You have got hematoma which will resolve gradually. You can take analgesic such as ibuprofen for pain relief. Local application of tomophobe gel without rubbing will be helpful in resolving it. Local heat can be applied. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."}
{"_id": "000005184", "text": "Hello he read your query. Bad smell from mouth or halitosis is mostly due to certain substance produced by bacteria present in plaque. It is very imp to maintain a good oral hygiene. As u said u brush her teeth twice days God BT is your method of brushing proper. Use of mouthwash is also suggested thrice daily. Visit a dentist to find out the condition of the teeth and gums.is dear any presence of plaque. Hope this ans helpsRegards"}
{"_id": "000005185", "text": "Hi, Thanks for posting your query I understand your concern regarding psoriasis. I will try to answer your query Psoriasis is autoimmune disorder, which means bodies immune system starts working against ones own cells instead of foreign substances in particular areas. In psoriasis this results in increased formation and shedding of skin in the form of scales.  Psoriasis is not curable but symptom free period can be achieved with medication and suppressive therapy In your case since it is mild you might remain symptom free for longer duration. The following may help"}
{"_id": "000005186", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your extensive cardiac work up is normal, no need to worry much for cardiac cause. In my opinion, your symptoms are mostly related to anxiety only. And anxiety is the cause for worsening HERD. So we need to control anxiety and HERD symptoms will itself resolved. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life. And start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension. Be relax and calm.Don't worry, you will be alright."}
{"_id": "000005187", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. The duty of mind is to think. Thinking may be positive or negative. Your attitude determines your thinking style. You cannot control your thinking for the time being. But you can divert your attention to other priority things instead of being idle. From the description, it is clear that you have a lot of time to think. Why and how? You have time to think because you have nothing to do productively. Then change your attitude and start making things productive and creative. Education, career, duties and responsibilities, people are running around without getting enough time to look after house. Here you are, with enough time? Please change. Otherwise you will be in trouble.Also, important is that these happenings provide you with valuable life lessons which should be useful for your future. Be confident and positive that you learned another lesson. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000005188", "text": "HiT hank you for asking ChatDoctorI have gone through your query. Your problem can be due to low stamina and testosterone. You should get enough exercise daily and have nutritious foods. Aphrodisiac foods like eggs,seafoods, meat, nuts and citrus fruits will be helpful also. Check your blood pressure, blood sugar and cholesterol levels also. A general physical examination by a physician is well appreciated. Hope this may help you. Let me know if anything is not clear. Thanks."}
{"_id": "000005189", "text": "If you have recently delivered a baby and you're lactating it is physiological to have heaviness in breasts and size also increases because of it. If not, then if you feel that you're uncomfortable with the size of your breasts, you have options of either undergoing surgery in which part of your breast is remove die breast reduction surgery or u can get it reduced using liposuction also. You need to consult a plastic surgeon for his opinion."}
{"_id": "000005190", "text": "Hai.according to me if child showing projectile vomiting after feed you please check for upper abdomen for any mass is there in right upper qua Chat Doctor. . Mostly looking like hypertrophic pyloric stenosis better go for early treatment if not leads to electrolyte imbalance and metabolic imbalance and malnutrition my advice to for investigations like X-ray abdomen and ultrasound and s.electrolytes"}
{"_id": "000005191", "text": "Hi, Dear Thanks for the query to Chat Doctor virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Treatment and Cause for the painful multiple lumps in arm vein-For the right treatment right diagnosis of the cause of the lump on the nose bridge is to be done. Cause of lump -It is very difficult to comment on the cause of the lump on the bridge as the data is insufficient. Following possibilities could be ruled out with help from your doctor-DERMOID CYST/ACNE/Boil/Epidermis Cyst/Syringe/Sebaceous Cyst. From the size told by you, possibility of it being a Dermoid Cyst / or Sebaceous Cyst-is Moreno Don't worry.It's not cancerous. Still if worried I would advise you to get the USG guided FNAC biopsy, to rule out it being cancerous. This would help you to plan treatment with your doctor, whom you should plan your visit urgently, before it complicates anymore.Don't Self-treat or medicate in your case as the case may go in to further complications. Hope this reply would resolve your query and would help you to plan treatment with your doctor. Hope this would relieve of your health concerns. Welcome for any further query in this regard before final suggestions are given in your query. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Specialist."}
{"_id": "000005192", "text": "Hello and thanks for posting the query are following a right schedule to get cure from the pain. The only change that can help you is done hot fermentation instead of Ice fermentation. Do not wear weight till the pain subsides. If your pain does not subside in 2-3 days than you have to do your X-ray lumber spine done to rule out any fracture. Use hard bed to sleep and for slight movements wear lumber belt to stabilize the spine.  Hope this will help you. Best Wishes"}
{"_id": "000005193", "text": "Hi... Thank you for consulting in Chat Doctor. 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 (LIKE AZITHROMYCIN OR LITERAL) 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\\u00a0mg/kg/dose (maximum ceiling dose of 500\\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."}
{"_id": "000005194", "text": "Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, after a clinical assessment of your abdomen and testicles, I would advise you for a urine routine/microscopic and culture sensitivity test, and treat it with appropriate antibiotic if positive. The UTI sometimes makes the testes inflamed secondarily giving rise to orchids causing pain. So, I would also advise you with some anti inflammatory along with a proton pump inhibitor Chat Doctor.  Also consume enough liquids in your diet. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."}
{"_id": "000005195", "text": "Hello, Welcome to Chat Doctor, It looks like a fungal infection, as this area are very moist which predisposes the growth of fungus and produces the symptoms. As you getting these symptoms frequently, you require physical examination to confirm the presence of fungal infection before starting the treatment. I would suggest you to1. Keep that area clean and Chat Doctor.  Topical Antifungal cream3. Oral Antifungal"}
{"_id": "000005196", "text": "Hello! Thank you for the query. This lump might be a lymph node which can be there as in normal conditions or some benign skin lesion like sebaceous cyst or lipoma. It is hard to tell not being able to palpate it. Please consult your doctor with this lump and have an ultrasound. In case of enlarged lymph node biopsy should be considered. Lipoma or cyst can be removed with small incision. Hope this will help. Regards."}
{"_id": "000005197", "text": "Hello Mam, As you have mentioned that your last period was in December and its more than three months now. Now the urine pregnancy test will not have any major role. It's time you need an ultrasound.* Ultrasound will confirm your pregnancy. If pregnancy occurs then fine and take your treatment accordingly.* In case pregnancy is not there then you need to visit a gynecologist because amenorrhea more than three months might be due to hormonal imbalance. * Other symptoms that you have been experiencing might not be confirmation for pregnancy, so go for an ultrasound first.* I hope you are satisfied with my answer. Thank you."}
{"_id": "000005198", "text": "Thanks for posting question, and this is a good question for using substitute for the same. First I need to know for what condition you are using ultraneron plus capsule. If it is the treatment for specific nutrition disease for you then you should not substitute with erosion tablet, because erosion tablet is multivitamin tablet while ultraneron plus capsule contain more amount of vitamin b12 and also contain lycopene which is not present in erosion tablet. Hope this information may helpful to thanks dear friend"}
{"_id": "000005199", "text": "Helloo.read through your query.I suggest u few things which may help u with sinusitis...1)do steam inhalation 15 mins daily twice 2)do breathing exercise(Panama)for 15-20 mins daily3)do yoga or exercise for 30\\u00a0mins daily.follow this REGULARLY.and it will help u.but it takes little time to be cured thru this.for sudden cure u may require surgery...be cool and calm .be happy.happiness is the best medicine.can cure anything...hope your benefitted something from this reply.have a healthy day!!"}
{"_id": "000005200", "text": "Hi, thank you for providing the brief history of your husband. As he is suffering from vascular dementia, I will advise to undergo a clinical neurological examination. Maybe an MRI will be required to understand the brain areas better. As medicine helps on a symptomatic relief and too much medication will not be good for the general health of the kidneys. Prednisone on a longer run also has some negative effects and the GP may not prescribe anymore. Also, in my clinical practice most patients with neurological illness, responds well to physical therapy along with medication. As with physical therapy exercises the metabolism is improved and so the vascular blood flow to the brain by improved cardio respiratory endurance. RegardsJay In Chat Doctor."}
{"_id": "000005201", "text": "Hello...thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about.should I try for natural conception or IVF after third miscarriage...right.well...my answer is.YES. U can try for natural conception after third miscarriage. As u told that u had conceived for two times naturally. So there is HIGH CHANCES of conception by natural method.u can go through it without any doubt in your mind. Secondly let us discuss the miscarriage u had. U told that u had miscarriage at 4 n 11\\u00a0week....right. So most of the time it is usually happening if there is any chromosomal or genetic abnormalities having in embryo, or any infections in mother, or sometimes it is unexplained. So DON'T LOSE HOPE...KEEP PATIENCE. U can get pregnant with natural methods. If u r come under the reproductive age group(women from 15-45 years are come under this group. In this group chances of getting pregnancy is high) and you are having regular menses then chances of getting pregnancy is DOUBLE.bur u didn't give info regarding your menses n your age. So it is difficult for me to comment on this. If u have both then RELAX, NOTHING TO WORRY.with the above discussion u can try out my suggestions-1. There is high chances of getting pregnancy with the natural method. So RELAX, RELAX.2. Try to do coitus during fertile period(it is from 10th to 16th day of menses) during this period chances of getting pregnancy is high. So do coitus as much than possible during this period.3. If u r in hurry then visit nearby gynecologist or infertility specialist. He/she can help u. I hope the above information is useful, informative and helpful for u.regards- Chat Doctor.  EVERY PROBLEM HAVE SOLUTION. I pray the God that u will be blessed with a cute n healthy baby.hopefully TWINS)"}
{"_id": "000005202", "text": "Hi, Welcome to Chat Doctor. I am glad that you have been treated for gonococcal infection. Based on the details you have mentioned in your query, you are suffering from genital infection whicChatDoctormonly presents with discharge, itching and pain during passage of urine. I suggest you get culture and sensitivity test done for the discharge and take appropriate antibiotics based on the test results. Antibiotics have to be taken for at least 7-10 days. Strict personal hygiene has to be maintained. As you have a history of sexually transmitted infection like gonorrhea, I suggest you also get a consult at an STI clinic to rule out any other STIs. Thanks."}
{"_id": "000005203", "text": "Hello, Thanks for consulting ChatDoctorRead your query, as your child had injury now he had bluish swelling and pain this can be due to formation of Hematoma in that injured area I will suggest you to consult oral surgeon for examination of teeth and bone for any discontinuity or step deformity or if any intro oral laceration is present. Advise him to take soft diet, No hard solid food is to be given for few days, Do Luke warm saline rinses and consult doctor tomorrow for extra oral and intro oral examination and of needed to go for investigations done OPG X-ray. Hope this will help you. Wishing your child good health."}
{"_id": "000005204", "text": "Hello, I have studied your case. Physiotherapy will help you in decreasing edema and regaining ligament strength. Till time take analgesic and tendon protecting medication consulting your doctor. Hip joint flexion, extension and rotation exercises will help. Physiotherapist will help you better to learn more exercises in proper protocol. If required intra-articular injection can be given but do MRI hip before it. 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"}
{"_id": "000005205", "text": "Welcome to Chat Doctor .1. This kind of symptoms are seen in the case of late pregnancies since you are bearing a weight which is normally not there, so there will be difference.2. Only thing you have to do is lie in comfortable position and request your treating doctor for basic pregnancy exercises, and few safe painkillers.3. Sorry that you have to go through this as you wanted to be with your mother with you in the last moment.4. The due date is actually not the rock solid date, it's just an estimation, it can be few days before or after depending on the body physiology and baby factors.5. Your mother may be with you after the treatment (if small procedure) otherwise you have to be brave to face, all matter of days...good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000005206", "text": "Hi, Thanks for asking. Based on your query, my opinion is as follows.1. High cholesterol is due to altered fat metabolism due to obesity, low activity and high fat intake. 2. Low blood pressure is possibly due to chronic deny Chat Doctor. 3. Variations can occur within a few weeks. Get yourself on low fat diet, along with anti-lipid medications. Also moderate exercise with weight reduction will be very helpful. Hope it helps. Any further queries, happy to help again."}
{"_id": "000005207", "text": "His have gone through your query. A swelling over the back can be seen with spinal bighead. However, there may not always be a rash only over the area. Many child Chat Doctor.  This can happen when a child is wearing tight clothing. This can block sweat pores and cause the area to overheat. A few things that can help include wearing loose cotton clothing, staying in a ventilated room, and keeping the room breezy can help. In case the rash is persisting or increasing in size, getting a check-up can help. A biopsy or an ultrasound over the area would be useful. Hope I have answered your query. Let me know if I can assist you further. Take care"}
{"_id": "000005208", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Since you have just started smoking, your cough is mostly related to bronchitis. It is inflammation of airways. Actually any smoke can cause irritation and inflammation of the airways. This is common during initial days of smoking. So better to quit smoking as soon as possible. This is not good habit. Consult pulmonologist and get done clinical examination of respiratory system. You will need inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, with appropriate treatment, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000005209", "text": "Hi... I feel this is an early marker of hyperactivity. Does anybody in the family was hyperactive as a kid. If not I don't see anything harmful going on in your son. Kids of this age need mothers attention throughout. If possible you can try staying with him all through and start working after he starts going to school. This is only a suggestion and I have seen many of my own patients and even neighbor skids getting better after this. Regards -"}
{"_id": "000005210", "text": "Hi. Thanks for the query. Your explanation is pointing towards tooth abscess formation that is due to deep infection in the tooth leading to pus formation below the root tip of the tooth. It can spread to the soft tissues of the face leading to Cellulitis and Space infection. So my suggestion is to consult a Dentist and get evaluated, and a clinical examination should be done along with an IOP AR [x-ray] of the tooth to confirm the diagnosis. You can be advised a course of antibiotics and painkillers to reduce infection and along with it the tooth has to be treated. If tooth can be saved then root canal treatment can be done and if there is gross decay extraction is advisable. Hope this helps. Regards."}
{"_id": "000005211", "text": "Hello and welcome to Chat Doctor, Raised ESR level is not a disease but an indication of an underlying chronic disorder. Associated headache raises possibility of temporal arthritis. Temporal arthritis is characterized by inflammation of vessel wall of temporal artery. Definitive diagnosis of temporal arthritis can be made after biopsy of the vessel wall. However, the biopsy is negative for evidence of temporal arthritis. Ulcerative colitis is a chronic autoimmune disorder which can also cause raised ESR.ESR responds to treatment of underlying disease. Thus, treatment for ulcerative colitis will improve the ESR levels. Thanks and take care Chat Doctor."}
{"_id": "000005212", "text": "Hi if you do not have regular fever, no pain in your limbs, no localized pain at back then my suggestion would be following for 3 weeks, then come back to me- 1.improve your posture by sitting straight, walk straight to simplify behave like a soldier. Avoid constant sitting that is not more than 30-45 min. 2.take diet rich in calcium and it. D like milk or milk product.  3.regular back strengthening exercises.  Wish you good health. Take care."}
{"_id": "000005213", "text": "HiT hanks for your query. Based on your query and presenting complaints, my opinion is1. Constipation and if procedure are not related.2. There is a very low chance of nerve being injured during IVF. 3. It is most probably functional. Take diet rich in fiber and lots of fruits and vegetables so that stool bulk increases and bowel movement is easier.4. For time being you can take laxatives.5. Besides that, maintain a healthy lifestyle like exercises, morning walks. Hope this helps Regards"}
{"_id": "000005214", "text": "Hi, Thanks for writing to us. Masturbation has no role in inducing pigmentation over faceSeborrheic dermatitis can lead to pigmentation over face which us known as seborrhea Melanesia. As far as the recurrence of pigmentation is concerned, you may prevent the same by using a good sunscreen and applying a mild cream like Comic acid, albumin and vitamin C based cream over your face daily. These are safe creams having no ill effect even if used for long. Take care"}
{"_id": "000005215", "text": "Hi Sorry to hear about your problem. You have a condition called COCCODYNIA. This is basically inflammation of the tip of the tail bone. The tip of the tail bone has a set of three very small bones with joints between them. People who sit for long periods of time involving perhaps, a desk job can transmit considerable pressure to the tip of the tail bone. Treatment involves sitting on a ring cushion with a hole at the center of the cushion. You should sit with the tip of your tail bone in the hole and buttocks on either side. Also, injections given at the spot can reduce inflammation at the point. Hope this helps, Do let me know if you have any more queries on this one, Chat Doctor.  Hyderabad. India"}
{"_id": "000005216", "text": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms do not seem to be related to any cardiac disorders. Anxiety or musculoskeletal pain could also explain your symptoms. Nevertheless, I would recommend performing some other tests to exclude other possible causes"}
{"_id": "000005217", "text": "Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* This is in relation with irritation of pleura due to underlying lung pathology which may be infection, inflammation or else.* Needs precise clinical evaluation and x-ray chest also for the final diagnosis and further management. Hope this will help you for sure. Wishing you fine recovery. Welcome for any further guidance. Regards ."}
{"_id": "000005218", "text": "Hello, As far as pain after tooth extraction is concerned, this can be due to unhealed socket or due to presence of bony spicules. For this, I will suggest you to consult oral surgeon for clinical examination and intramural periapical radiograph for proper diagnosis. In the meantime, do warm saline rinses 2 to 3 times a day, and you can apply gum paint ointment on gums for pain. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005219", "text": "Degree understand your concerns went through your details. I suggest you not to worry much.  But in psychology, we broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it and close your eyes. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000005220", "text": "Hi, Welcome to Chat Doctor. You are right rib fracture generally heals in 2-3 months. But sometimes healed fracture may remain painful for many months. Don't worry about swelling. It is callus formed in the process of healing of fractures. It will gradually reduce in size and may disappear. You can take analgesics(Diclofenac sodium 100\\u00a0mg slow release tablets) for pain relief. He is advised to check his serum vitamin D level and if it is low then supplement this. I think this will be of use to you."}
{"_id": "000005221", "text": "Hi, If the single molecule for hypertension is not working then the second molecule can be added along with a cut down of salt in the diet and a change in lifestyle. If you go on reading the blood pressure on your own, it will show a great deal of fluctuation. It is most advisable to get the reading done by a physician and let the physician decide about the medicine. The blood pressure you are reading on your own is nothing to worry. Hope I have answered your query. Let me know for further assistance."}
{"_id": "000005222", "text": "Neuropathy is degenerative changes in the nerves in your case the most probably the herniated disc is causing root pressure and responsible for the changes it is better you consult orthopedic surgeon and get treatment for the herniated disc and that may result in improvement in your case earlier the treatment better the result, so please do not delay getting definitive treatment hoping early recovery"}
{"_id": "000005223", "text": "Hello, I understand your concern. I am Chat Doctor, Infectious diseases specialists, responding to you. Most likely it is prostate cancer. But PSA velocity will be more helpful in diagnosis. So do your PSA again after a six month and check for how much above they had gone. If it is much higher surgical option should be thought of. I will be glad to answer your further query. Thank you for your contact to Chat Doctor. Wish you the best health. Thank you, ChatDoctor."}
{"_id": "000005224", "text": "Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Your symptoms suggestive of Otis media like ear infection. It can be viral infection as per symptoms. Your Endoscopy ear examination should be done. Decongestants like Ben Chat Doctor.  For pain Paracetamol SOS can be prescribed. Steam inhalation and salt water gargle can be done. In mononucleosis cervical lymphadenopathy and hepatosplenomegaly usually present. If this is present than get investigated for it.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005225", "text": "Hello, I can understand your concern. Bactrim is not associated with twitches in the scrotum. If your doctor said that you are suffering for epididymitis, then these spasms may be associated with the epididymitis and not the antibiotics. You can wait until the course is complete and infection is eliminated. Most probably it will go away with the infection. In addition, try to do some changes in your lifestyle so that if the spasms are muscular, it can help. You can try to avoid prolonged sitting and try to do some exercises like swimming or brisk walking. If you do not find any relief yet, then consulting a neurologist to diagnose muscle related problems is advised. I hope this answer helps you. Thank you for choosing Chat Doctor. Let me know if you have follow-up questions. Best,"}
{"_id": "000005226", "text": "Dear patient First you have not mentioned type of fracture and what treatment was given for fracture ? Because treatment depends on type of fracture and displacement.  You will be investigated with CT scan of sacrum with 3D reconstruction of images.  This will give accurate description of fracture and its displacement and also status of union.  Since its two months post fracture union may be started. Now if report shows fracture is displaced and not uniting surgery may be required. If fracture has started uniting, but sacral nerves are compressed then also surgery to free nerves may be required. All the best."}
{"_id": "000005227", "text": "Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry about this. I will try to explain you something and give you my opinion. You should know that this skipping beats have to do with rhythm issues. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. They cause a premature heart contraction that you feel like a skipped beat, and you might experience palpitation, flattering sensation, pauses, anxiety, difficulties in breathing deeply. Normal, when this extra beats are in high frequency than we treat them medical. Atenolol is one of the alternatives. As you still feel this extra beats, and they are interfering in your daily life than in my opinion we should do some examinations. If I was the treating doctor I would recommend some thinks to find the possible house like a cardiac echo to evaluate heart function and valves, a full blood analyze to exclude anemia, hyperthyroidism or electrolyte imbalance and a holder rhythm monitoring under Atenolol to see the frequency of this extra beats. After all this we can better judge if it is necessary to do something like rise atenolol dosage or change it with another anti-arythmic Chat Doctor. Hope I was helpful. Best regards,"}
{"_id": "000005228", "text": "Hi, These symptoms could indicate you are developing an infection. The commonest source would be either a urinary or chest infection. I suggest you take paracetamol for your headache and Chat Doctor.  Rest if possible. If you develop any symptoms suggestive of either urinary or chest infection, such as pain on passing urine, loin pain or a cough with sputum, then see you doctor for a possible course of antibiotics. Alternatively, this may be a viral infection which will settle without antibiotics. I wish you a speedy recovery."}
{"_id": "000005229", "text": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that as long as her Holder monitoring and ECG is normal, there is nothing to worry about! Anxiety can mimic such clinical scenario. These heart rate values are quite normal, in a healthy individual. Anyway, if her complaints persist, I would recommend performing additional tests to totally exclude any cardiac issues"}
{"_id": "000005230", "text": "Degree understand your concerns went through your details. Regarding your premature ejaculation and nocturnal emission problems. These are usually due to anxiety and worries regarding sexual performance. You need to talk to your urologist regarding inability to control your urine. If you still need my assistance in this regard, please use this link. http"}
{"_id": "000005231", "text": "Hi, Welcome to Chat Doctor, Discharge in an ear is always a matter of concern especially if it's in a child who had tubes in ear, then It's very much a concern. Your description tells me that your child has ear infection and that needs to be taken care of urgently. It has to be seen by an expert and started in antibiotics and may be cleaning depending on condition. I would suggest you to consult an ENT surgeon soon. Take care. Wish your child a good health."}
{"_id": "000005232", "text": "With your query, nothing to get nervous in some individuals tongue will be little bigger than normal technically termed as macroglossia. Only problem with this situation is it may cause disharmony or misalignment between the teeth, but your son is completely asymptomatic so nothing to worry about it if you are tensed you can get an advice or suggestion from your dentist and general physician as well. Hope this helps you."}
{"_id": "000005233", "text": "Welcome to Chat Doctor. 1. The possible cause in this case could be ductal Eurasia (dilated ducts). Next possible cause is adenoids - mass lesions, lastly cyst.2. In your age I would suspect ductal pathology - due to hormonal imbalance, cyclical issue.3. In this case I would recommend you to get an ultrasound - non-invasive, no radiation scan for assessment of the lump.4. Ultrasound will help to assess the nature of the lump, source and extensions. If mass lesion an FNAC - fine needle aspiration cytology will be helpful to assess the nature of the cells involved in the process.5. I would recommend seeing your GP, get examined, investigated and needful treatment. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http"}
{"_id": "000005234", "text": "Hello . As you are already valve replacement patient so you're prone for arrhythmia... Heart chamber size increases which also increase arrhythmia... are you on anticoagulant??? If you are having atrial fibrillation??? Occasionally increase in heart rate is common ... But if frequent episodes then we can go for holder... more control of heart rate can be done with medication... Need to do echo for any heart leakage and working of valve... Good control of blood pressure is helpful..."}
{"_id": "000005235", "text": "Hi.... even halfway through reading your question I too thought of lymphoma. But I was happy after you said the size of the lymph node has Chat Doctor.  I suggest this could be only a supportive lymphadenitis. But if the kid continues to have fever, weight loss and loss of appetite, I suggest you take a call on further evaluating the kid for lymphoma. But as of now I do not see any reason for you to worry. Regards -"}
{"_id": "000005236", "text": "Hello! Welcome on Chat Doctor! I understand your concern and would explain that high bilirubin levels and high blood pressure are not related to each other. The high levels of bilirubin could be related to the liver or billiard stones. For this reason, I would recommend performing an abdominal ultrasound and other liver function tests. Regarding treatment with enalapril, you can safely continue to take it. Hope you will find this answer helpful! Kind regards,"}
{"_id": "000005237", "text": "Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more likely. But better to rule out heart diseases as you are having hypertension and strong family history of heart diseases. So get done ECG and 2d echo. If all these are normal then no need to worry about heart diseases. Better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. 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."}
{"_id": "000005238", "text": "Hi, Thanks for the query. Better to consult gynecologist once. Hormonal imbalance may be the cause for your bleeding. As you stopped the pills in the middle, that with Chat Doctor. So you consult gynecologist, get examined and take tablets to stop the bleeding. Go for one ultrasound and if your doctor recommends you can go for hormonal profile including estrogen, progesterone, FSH and LH, thyroid profile etc. With this workup the possible cause for your problem can be identified and treated. For more details you can ask me through"}
{"_id": "000005239", "text": "Hi, Thank you for asking question on Chat Doctor.stools may be green if he consumes green leafy vegetables usually. May be infective diarrhea, and it is worth trying ofloxacin+ornidazole combination 2 times daily. You may also add Sporadic one sachet daily. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics"}
{"_id": "000005240", "text": "Hi, Back pain due to long term standing and wrist pain due to constant use is common among barbers. Preventive measures have to be taken. Regular breaks in between work with sitting and physiotherapy for back muscle strengthening and wrist and forearm muscle stretching and strengthening is needed. Tab attract twice a day for pain relief can be taken.  Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005241", "text": "Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Myocardial infarction leading to Right sided heart failure and pulmonary edema. I advise you to get an ECG,2D Echo of your heart, lipid profile, hsCRP. Troponin I and chest x-ray immediately to confirm the diagnosis. Monitor your blood pressure, heart rate immediately. Chat Doctor. Avoid stress and anxiety. Avoid smoking and alcohol. I also Exercise daily for 30 min. Coronary angiogram with or without stenting will be the procedure of choice. Exercise regularly for 30 min. Stress management is mandatory in your case. Consult your cardiologist for expert management and follow up. Hope I have answered your query at the moment. Post your further queries if any, Thank you"}
{"_id": "000005242", "text": "Welcome to ChatDoctorI have read and understood your query and appreciate your health concerning my view all these symptoms you are having is due to respiratory tract infection. As this is for more than a month with body aches and warming(fever), it is bacterial infections.I would suggest you take an antibiotic like augmenting(amoxicillin+clavalaunic acid) or levofloxacin. Along with a mucoexpectorant syrup. This will help you relieve the symptoms and get you fine completely. Though meet your physician before starting medications. I hope this was useful. Regards Chat Doctor."}
{"_id": "000005243", "text": "Hi Miami understand your concern regarding your knee replacement surgery and I want to tell you that those people who are involved in sports activities and are physically fit like athletes They do have their heart rate on the lower side. That's actually a sign of healthy heart. No Ma'am It's your normal physiology and it will not postpone your surgery, although your surgeon might take a cardiologist opinion to declare you fit for surgery. I wish you good health"}
{"_id": "000005244", "text": "Welcome to Chat Doctor .1. The symptoms you are describing are mixed - seems like gastritis and enteric causes.2.Meanwhile you can change your diet into a basic form, avoid junk food alcohol, take excessive of salads and fruits, with multiple portions (for gastritis and enteric pathology) for at least 2 weeks and see.3. If any change and better condition you can continue.4. If not you need to at an ultrasound to rule out negative findings and get in to conclusion.5. A CT might be needed for better evaluation of the bowel.6. Get an appointment with your GP and get the needful investigations done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000005245", "text": "Hello, there are several reasons for the kidney to shrink in size. Usually in chronic kidney disease, the size of kidneys shrink. Does he have any other complaints? Like decrease in urine output? Or swelling over feet or face? Sometime even with age the kidney size can shrink a little. I would suggest if there are no other complaints associated, no need to worry about the size of kidney. Just a regular follow up with USG abdomen to look for size changes will suffice. But if there are other related symptoms, it would be better to get urine examination and renal function test to get it diagnosed and treated accordingly. Thank you"}
{"_id": "000005246", "text": "Hello, I can understand your concern. As you are feeling that gum around your wisdom tooth is sore, it is possible that your wisdom tooth on lower left side is impacted, meaning it wants to erupt into oral cavity, but lack of physical space is not allowing its eruption. In such situations, the food you are eating gets lodged into the fold of the gum around that tooth making the area infectious and painful. This pain can be felt up to the ear as referred pain. However, this condition is not associated with the tingling of the hand, which might be related to deficiency of calcium, vitamin D or Vitamin B12. I would advise you to start antibiotic CEA Chat Doctor."}
{"_id": "000005247", "text": "Hi! Welcome to Chat Doctor. I read your query. Is the ulcer on same location as earlier? Does it appear like a boil or swelling at tooth root? I suggest visiting your dentist and get it checked. Get an x-ray done to know any infection in tooth. In that case it may need reject or extraction of tooth. Or it can be just abscess in gums due to some trauma or brushing injury. Or can be an ulcer. In case of gum abscess, you need a cleaning to while ulcer will heal with time. Maintain good oral hygiene. If warm water doe snot hurt, do warm saline rinses. If required, repeat antibiotic course after consulting dentist. Hope the answer helps you. Thank you."}
{"_id": "000005248", "text": "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. An obstruction in the edge of the penis suggests that there could be a wart or growth. This can cause shower of urine instead one flow. It's very difficult to comment on the exact cause of the lesion without having a look at it. It would be advisable to either upload some pictures of it in Chat Doctor or show it to a urologist/surgeon/sexologist. 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"}
{"_id": "000005249", "text": "Hello and welcome to Chat Doctor, Pain around the belly button and hearing heavy pulses at the same site is suggestive of a vascular pathology. Aorta is the big blood vessel which runs from the thorax to the abdomen before dividing into renal arteries. Any abnormality of the vessel especially aneurysm will cause turbulent blood flow and loud audible pulsations. You need to get an MRI of the abdominal area to know the status of the aorta and other structures. Consult a cardiovascular expert for clinical examination, ordering investigations and hence management. Thanks and take care Chat Doctor."}
{"_id": "000005250", "text": "Thanks for your question on Chat Doctor. In my opinion it is due to post-operative constipation. It is common after abdominal surgery. Due to surgical stress and general anesthesia, bowel movement s become sluggish.  So constipation is inevitable. Try to follow these steps for better symptomatic relief. 1.  Chat Doctor.  2. Start high fiber diet, including fruits, green leafy vegetables, salads etc.3. Go for walking at least after meals. 4. Avoid stress and anxiety. Be relax and calm. If by above steps, you are not improving in 5-6 days then get done ultrasound of abdomen and serum potassium level. This is to rule out paralytic illus."}
{"_id": "000005251", "text": "Hello, You may have not broken any bone. But for a safer side, an x-ray is good. Using cr\\u00eape bandage or immobilizing the part in ankle brace or stocking will help. Do hot water fermentation and keep it elevated. If it's a fracture you will get to know in 3 days of time. But usually, it never fractures so easily as lower limb muscles are too strong. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000005252", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a bad taste in mouth with a medical history of taking antibiotics seems related as the bad taste in mouth is a common side effect of taking antibiotics and as the antibiotic intake will stop gradually the taste in mouth will become normal. Sore throat can be due to either viral throat infection [bacterial infection is not probable as you are already on antibiotics] or can be due t aid reflux caused due to antibiotic intake as antibiotics can cause hyperacidity and acid reflux which in turn cause sore throat. You should chew flavored sugar-free chewing gums, do warm saline gargles, steam inhalations, can anti-inflammatory painkiller like Ibuprofen and avoid spicy food. Hope this information helps. Thanks and regards. Chat Doctor."}
{"_id": "000005253", "text": "Hi, the bump as you said occurred post-shaving few days back. Your question needs more info-but still with whatever details you gave-1-The bump appears to be infected swelling with mild symptoms.adv.blood CBC test and mail its report-2-and the Burning while urinating is -due to bruising and would subside in a day, if not-send your urine report on the mailbox of my account. Adv-Plenty of Water orally / Hygienic cleaning of the part-I will revert with any treatment to resolve the bump and burning urine. Tnks and Welcome for the Queries -till the treats start"}
{"_id": "000005254", "text": "Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause of solid lump below breast -This lump seems to be fibroadenoma with blood flow and tender sore mass due to surrounding stenosis. Possibility of sebaceous cyst is not there, as the USG showed solid tumor and not the cystic tumor. And for the sebaceous cyst blood flow would not have increased and its USG appearance would have been of Cystic swelling, and hence possibility of it being a sebaceous cyst is not there. I would suggest consultation with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N."}
{"_id": "000005255", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of musculoskeletal pain is more. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Start painkiller and muscle relaxant Chat Doctor.  Apply warm water pad on affected areas. Don't worry, you will mostly improve in 1-2 weeks. If not improving then get done chest x-ray to rule out internal pathology. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000005256", "text": "Hi, Thank you for your query on Chat Doctor. Positive for factor V Leiden people are prone for clots formation in the blood circulation system. Symptoms will depend on the site and extent of involvement. Continue to wear stockings. Prophylactic use of anticoagulants like aspirin, warfarin may be required to prevent further clot formation. Prolonged sitting or lying on bed further increases the risk of clots formation. Consult the doctor for further advise on management. Hope I have answered your query. Regards."}
{"_id": "000005257", "text": "Hi I did review your concertgoer pain can be due to carpel tunnel syn Chat Doctor.  I would advise you to consult a neurologist, and he can diagnose the condition and then probably splinting the hand in a dorsiflexed position or local steroid injection will help you relieve of your pain. I hope this helps. Let me know if you have any more questions or concerns. Wish you healthy and happy life ahead."}
{"_id": "000005258", "text": "Hi there, first you have to relax and stop worrying bout getting cancer. Gastritis gets engraved by stress, and it is no solution to your problem. If you are so anxious about getting cancer then visit a gastroenterologist who will do an endoscopic examination and if required will take a biopsy from the esophagus which can be examined microscopically to rule out malignancy. It will relieve you of the anxiety and decrease your stress. Look for solutions to a problem instead of worrying about it. This approach will help you in other aspects of life. Take care"}
{"_id": "000005259", "text": "Hello, I have studied your case. You may need to do MRI spine again to see for nerve compression It may take 3 months time for complete rehabilitation after surgery. It also depends on type of surgery and pattern of operation. You should consult with your operating surgeon before going for surgery. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help 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."}
{"_id": "000005260", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. It would be best to ask your teacher is she has some STDs and then if there is concern, you can do STD testing. I don't think this is required at this point. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health."}
{"_id": "000005261", "text": "Hi, Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-painful Furuculitis Lump of the left underarm. Contact GP doctor and get the Antibiotics-Like MOX 250 mg / and Motrin-400 mgm-NSAIDS with Cold Compresses. This would resolve the Lump. Second from a Surgeon would fix this diagnosis and needful treatment.Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!!  Chat Doctor. S. Genl-CVTS"}
{"_id": "000005262", "text": "Hello, Welcome to Chat Doctor. From your query, I understood that you are suffering from Herniated L5 disc. This herniated disc compress the Nerve roots travelling in spine.That's why you have pain in back, leg and thighs. Most herniated discs heal, and pain eases after a few months of nonsurgical treatment, such as rest, medicines, injections, and rehabilitation. Following methods can reduce your pain.1. Take Bed rest, if you Have severe pain. Be aware, if it exceeds more than 2 or 3 days, your muscle may become weak2. You can use heat pad or ice pack for 20 minutes every 4 to 5 hrs3. Consult Physiotherapist and follow her advice. You may need surgery only if you have severe pain, difficulty in walking, profound numbness or bone problem in spine. Do not worry. Please follow physiotherapist and orthopedist advice. Hope this helps. Take care. Chat Doctor."}
{"_id": "000005263", "text": "Hi, Welcome to Chat Doctor. Antinuclear antibodies are abnormal antibodies present which have the ability to bind to certain structures within the nucleus of body cells. These antibodies are more common in autoimmune disorders like SHE, Rheumatoid arthritis, Graves disease and Hashimoto Thyroiditis. These antibodies do not detect dormant syphilis. RPR is a screening test which detects regain antibodies seen in syphilis. These tests have to be confirmed by specific tests like TPA, ELISA and Fluorescent treponemal antibody test. Thanks."}
{"_id": "000005264", "text": "Hi, Thanks for using Chat Doctor, After going through your history, you have undergone mitral valve replacement, Anticoagulation is too maintained and monitored with Prothrombin Time (INR) it is usually 2.5 times your INR is 2.1 please visit your Physician to adjust the dose of Citron. The prosthetic valve if it is metallic one this monitoring is required life long. Please follow all instructions of your Physician. Hope this Helps, Take care Good Luck. Chat Doctor. D."}
{"_id": "000005265", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Your ECG clearly suggestive of inferior wall ischemia. There are three walls of heart which are supplied by three coronary arteries. Whenever there is obstruction in any of the coronary artery, blood supply to one particular heart wall is reduced and hence patient is having chest pain. So on the basis of your ECG findings, possibility of obstruction in the right coronary artery and hence inferior wall ischemia is more. So better to consult cardiologist and get done 2d echo and coronary Angiography for the diagnosis of this. No need to worry about death as timely treatment in coronary artery disease have excellent prognosis. So don't wait at home, consult cardiologist and discuss all these. You may need angioplasty and blood thinner medicines. Hope I have solved your query. Wish you good health. Thanks."}
{"_id": "000005266", "text": "Hi. I understand your concern. Anxiety and panic attacks has both biological and psychological origin. Biological therapy like medicines and psychological counselling like behavior therapy can help. In medicines SSRI like sertraline / paroxetine can help to reduce anxiety. Besides these detail psychological evaluation is must. Behaviour therapy like CBT means cognitive behavior therapy is very useful for anxiety and stress. Cardiac assessment is also necessary to rule out heart related problems. Consult psychiatrist for better assistance. Thank you. Get well soon."}
{"_id": "000005267", "text": "thanks for your query can feel your concerns yes, you should take it seriously you have not mentioned your age?is there any history of trauma?do you have any family history of blood disorder?spontaneous bruises are usually either due to low platelet count or any coagulation disorder recommend you to have a proper clinical examination and routeing complete blood count and coagulation profile after consulting your doctor am available for your help regards Chat Doctor."}
{"_id": "000005268", "text": "Dear, the cream that you're applying is it being prescribed by a dermatologist?well, if not it could be dangerous to experiment with your organ. Moreover, such creams are prescribed if there is any local fungal infections or itching. A cut on penile shaft is not at all an indication for it. Probably it's a Chat Doctor.  Washing it repeatedly or using soap will only make it worse. In this case an application of simple petroleum jelly or cold cream will work wonder. Yet, I still strongly advice you to show it to any general psychic or dermatologist, and not take chances.it appears to me highly likely from your complaints, that the present you are taking is not correct. Hope you find my advice useful. Thank you"}
{"_id": "000005269", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. Such a condition is very common to a lot of young people. Any average male should get 6 hours average sleep every day. Those work hard sleep more and those work less sleep less. You need to worry only if you sleep less than 6 hours consistently. There are creative people who shall not sleep even 3 hours and don't feel tired. But they sleep soundly for 10 to 12 hours once in a week. Relaxation techniques before going to sleep shall help you immensely. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000005270", "text": "Hithank-you for providing the brief history of you. As you mentioned that pain is in the index finger a thorough neuromuscular assessment is needed. Now to understand this, that the pain is triggered on activity and subsides on relaxing. As you mentioned the nature of the pain is sharp in nature on the tips, what are the other associated symptoms along with the pain. Like any kind of numbness or the pain is just restricted to one location and of one kind.to assess further, are you a higChatDoctorputer usage person? Or a high smartphone usage person? Any injury or skin color changes in the painful area, are the nail beds intact? Since it is totally a sensory symptom, we need to assess two things here. One is to assess the nerve with Nerve conduction velocity test and the other is the MRI of the cervical spine. Nerve conduction study will help assess the course of the nerve and its functioning also any carpal tunnel compression is present will be revealed. Incase this test is negative than an MRI of the cervical spine is guided to see the soft tissues' compression on the nerve roots. Also, how are your motor functions of the strength. Is there any difference in the strength of both the hands? If so than a musculoskeletal assessment will help further. Now since it is a sensory issue of the radial nerve, as radial nerve supplies the index finger and control the motor and sensory functions of it, assessment done in detail will help come close to diagnosis and guide for further rehabilitation plan. With the grace of God I wish you a speedy recoveryregardsJay In Chat Doctor."}
{"_id": "000005271", "text": "Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* Causes may be variable as - allergic bronchitis - recurrent viral or bacterial infection - tuberculosis - childhood asthma - others * Management will depend upon the diagnosis itself which require - pulmonary function test - CT Thorax or diagnostic bronchoscopy according to the need after thorough clinical evaluations. Hope to clarify your query. Welcome for further questions. Thanks for using Chat Doctor .com & giving opportunity to assistWishing your Angel fine recovery Regards dear take care."}
{"_id": "000005272", "text": "Hi dear, birth control pills are effective only when taken regularly in a prescribed format. Missing the pills exposes you to the risk of pregnancy. If you had your periods on 11th, then, 24th will be counted as your fertile periods, despite you having slight with Chat Doctor.  In my view there are all chances of you getting pregnant is you had unprotected sex on 24th. Kindly get a pregnancy test around your expected date or can check with a BChatDoctor"}
{"_id": "000005273", "text": "Hi, Thanks for posting the query, Wisdom tooth extraction is a traumatic and time-consuming procedure often comes up with post extraction complications . Most common complications are fever, fatigue , sore throat , tiredness, dizziness , nausea.  Stomach upset is due to antibiotics prescribed. Consult the doctor and get the antibiotic changed .  You can take tab rant ac TDS for hyperacidity. Take complete course of antibiotic and analgesic .  Follow the post extraction instructions properly , you can take tab paracetamol TDS for fever. Use saline water gargles 3-4 times a day as it will promote healing , use Betadine mouthwash gargles. Take complete rest for talent 6-7 days , avoid stressful conditions Hope this helps out. Regards...."}
{"_id": "000005274", "text": "Hi, Thanks for the query, Before I respond to your questions, let me tell you that the management of disc problem whether medical or surgical depends upon the clinical and investigations findings. It should never be based upon the MRI findings. If a patient has pain and neurological deficit (documented by a neurologist) and pain has not responded to medical management and MRI shows problem with clinical correlation, then surgery is the best option. However, if a patient has pain alone and there are no other neurological deficits, initial treatment should always be conservative with medicines and physiotherapy. Persistent pain despite treatment is another indications for surgery.  If you feel that you have tried medications and physical therapy and the pain still continues you may opt for surgery the way your doctor has advised. I agree with your doctor in the sense that this will not result in any permanent damage to the nerve. You may even wait if you do not have any other symptoms except pain. Waiting will not cause permanent damage to the nerves in this type of situations. Hope this clarifies Best wishes Chat Doctor. Chat Doctor .com/doctors/"}
{"_id": "000005275", "text": "Hi Thereof your stress test and ultrasound of heart has come out to be normal, and your doctor has confirmed it then there is no need to worry about your heart.However, the blackouts which are happening to you as you have described they happen while or after standing could be due to ORTHOSTATIC HYPOTENSION (Fall in BP after standing). The nervous system (brain) makes changes in blood pressure and heart rate to allow the body to provide adequate blood supply to the brain when the body changes position. Symptoms of orthostatic hypotension include lightheadedness, weakness, blurred vision, and syncope or passing out. Leg stocking, proper HY Chat Doctor."}
{"_id": "000005276", "text": "Hi as you told that the contact happened on 14 day of periods there might be a possibility of pregnancy.  But if her periods come on time then there is no chance of pregnancy.  If periods get delayed then you can do a urine pregnancy test at home.  If positive consult a doctor if you don't want pregnancy.  If negative wait for your periods as sometimes stress can lead to delayed periods.  Hope I have answered your question."}
{"_id": "000005277", "text": "Hi, thanks for sharing your health concern with team Chat Doctor! In the present case of painful dark thigh swelling or lump, if I were your consulting physician, I would consider two or three possibilities like"}
{"_id": "000005278", "text": "Hai, boils is usually caused by bacterial infections. Small type boil will burst and Chat Doctor. Vitamin C will help in healing the small boil. But boil in large size will need certain antibiotics to treat the condition. Home remedy like turmeric will help in boil. Tumeric powder mixed with milk can be applied in the boil. Because turmeric got anti-inflammatory property. Thank you hope I answered your query."}
{"_id": "000005279", "text": "Hello, What is her sleep routine? If she is sleeping in the day, then she will be awake at night. Check for any abdominal pain or ear infection. If the baby is having colic, give her colic Chat Doctor.  Try to give Paradox in that case. If she is wet in diapers, or it is too cold, or too hot, or she sleeps hungry, figure out among all these problems. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005280", "text": "Hi, Thanks for writing in. There is stage 4 cancer in the above case. The colon cancer might spread to the liver in half of patients during or after chemotherapy. It is important to know the number and size of liver lesions. A single lesion might be further treated, but multiple lesions have low response rates to treatment. Since the oncologist has told that surgery is not possible therefore I consider the lesions to be multiple and difficult to be operated up on. There are techniques like radiofrequency ablation and trans arterial chemo embolization which might not work for every patient. The prognosis is difficult and survival might be 2 years in most of the patients with colon cancer and having liver spread. Please do not worry."}
{"_id": "000005281", "text": "Hello Mr Ashish, and welcome to ChatDoctorFirst thing to consider is if you have a family history of hair loss, if there is male baldness in the family. In this case you will be more prone to similar problems. Other causes to consider are hormonal(thyroid etc.), any lifestyle or residence change, stress, any history of recent illness like typhoid, any chemical procedures, etc. These causes need to be considered and treated as they affect hair growth. For now, you may apply hair Minoxidil solution to scalp with hair supplements daily like Collinear. This needs to be continued at least for 2-3 months. Do consult a dermatologist as well, to assess your type of hair loss and to give you treatment based on the results. They may also suggest some routine blood tests if required.is medical, methods do not work well for you, certain new surgical procedures can be considered such as PRP.hair transplant etc., as will be advised by your consulting doctor after observation. Hope this helps you."}
{"_id": "000005282", "text": "Hi thanks for asking question. Cellulitis can be treated by general surgeon in Kolkata. Here you have diabetics, so chances of infection with gram positive bacteria as well as anaerobe. Ceftriaxone like antibiotic along with metronidazole has to be taken. Short course of intravenous antibiotic also needed. Daily Chat Doctor. Certain home remedy also helpful like application of coconut oil over affected area has soothing effect. Mix turmeric powder in honey and"}
{"_id": "000005283", "text": "Hi, Thanks for writing in. The FNAC from lungs and liver are most important to decide the future course of treatment. Cancer cannot be confirmed unless a FNAC or biopsy test is positive. For vomiting and pain he must be given symptomatic treatment and his general condition is to be improved. A complete blood count is advised to know if he is having anemia. This has to be discussed with the doctor and if he is having low hemoglobin then it has to be treated first. If secondary cancer is confirmed then it is probably stage 4 disease. Treatment must be started immediately to extend survival and regular follow up with oncologist is required. Pain relief medicines should also be given with nutrition and supportive care. Please do not worry."}
{"_id": "000005284", "text": "First, as a general concept .... Worry is not going to solve your problems, so the answer is definitely no worries. Having said that, it seems likely from your description that you may be suffering from condition called as polycystic kidney disease which may progress gradually inspire of treatment, finally needing removal of the enlarged n infected kidneys in SOME cases(not all). Those patients will need renal replacement therapy of some form."}
{"_id": "000005285", "text": "Respected user, hi I evaluated your query thoroughly.*Seems severe adenoids with bronchitis.*This much severity is not likely to be controlled by oral medications alone, I recommend getting hospitalized for it & control by Intravenous antibiotics, bronchodilators, supportive treatments in form of IV fluids, multivitamins along with general nursing care for faster speedy recovery.*Avoid smoking / alcohol / any abuse substances if using. Hope this clears your doubts. Thanks for using Chat Doctor & giving me an opportunity to assist you. Wishing you faster recovery from the same. Welcome for any further assistance. Regards dear take care."}
{"_id": "000005286", "text": "Hello understand your concern. If the EKG test you have done is negative and as you explain that the pain feels mainly in sitting position I thank that the next step to explore this it might be an X-ray of the lumber spine in L1-L5 position for any problem in the lumbar vertebrae in the discs one. The feature of this pain is that is mostly or getting worse in sitting position as you say. So I wish you a good healthThank you Chat Doctor."}
{"_id": "000005287", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Your thyroid hormone production is increased as suggestive of sweating. It is the nature of thyroid hormone to cause excessive secretion. If hormone increases than it causes more sweating if it causes less secretion than it hormone level is down. Your viral infection must be cured in the meanwhile that's why the hormone level us increasing. I suggest you to again start with the carbimazole. It will lower down hormone and so your sweating will disappear. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."}
{"_id": "000005288", "text": "Hello, The symptoms can be due to the side effects of the medicines taken. Since the urologist has stopped the medicines he prescribed. The soreness & swelling should slowly get reduced. Your father should wear loose fitting cotton clothes, cold compress relieves the soreness, he should Chat Doctor.  However, get your father clinically examined by a GP to detect any breast abscess. Mastitis if left untreated may cause breast abscess. Let him get all the required tests done to rule out fibroadenoma, a benign breast tumor. To stay on the safer side the treating doctor may tell getting the mammogram done to rule out breast cancer. The treatment will depend on the pathology detected and the severity of the clinical condition. Take care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000005289", "text": "Hello dear, I understand your concern. In my opinion the tiredness and sickness can be the signs of pregnancy. But the pregnancy is confirmed by urine pregnancy test. The test need to be done a week after missed period for accurate results. The first suspicion of pregnancy occurs with missed period. The symptoms of pregnancy like nausea, vomitings, sore breasts, increased urination start around 6 weeks of pregnancy. I suggest you to do a urine pregnancy test and confirm. Best regards..."}
{"_id": "000005290", "text": "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 queryThese sound a lot like possible seizure episodes. Ideally I would have liked to know the exact medical history that she has like possible diabetes, hypertension or cardiac conditions. The other chance is a possible neural involvement. Does she have stool or urine complaints? I would like the answers before I can give a suitable response. I would suggest testing an MRI of the spine and EEG to be sure of the possibilities I have suggested. The treatment would of course vary as per the reports. 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"}
{"_id": "000005291", "text": "Hi thanks for contacting Chat Doctor. Do you have history of trauma or any unusual activity or heavyweight lift or exercise or blunt trauma??? If yes you could have muscular strain... Rest and analgesic need for it. If ribs tender to touch x-ray done to rule out fracture of rib. It might also be Costco Chat Doctor. Broken can be taken... As your pain is at right side abdomen USG done for rule out liver pathology like fatty liver or colitis like condition... I hope your concern is solved... Take care....."}
{"_id": "000005292", "text": "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. Yes, and in many countries you can get a dog by doctors permission. 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"}
{"_id": "000005293", "text": "Brief answer LymphadopathyDetailed answerLooking at history it seems to be a case of either Lymphadenopathy or Lipoma would like further details to help you better prehistory of fever distribution of lumps, size and consistency of lumps if it is Lymphadenopathy without prior incidence of infection, it could be due to a metastasis of any neoplasm (cancer)Hope this helps outranks for using our Steve a nice day"}
{"_id": "000005294", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have peripheral vascular disease or dome other problem.  You should go for Doppler study of both leg. Furthermore, you may have some deep vein problems also.  Treatment depends on site of block and stage of disease.  Go for the testing and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005295", "text": "Hi dear, I have gone through your question and I understand your concern. I feel very sad to inform that there are currently no effective pharmaceutical treatments that can stop deterioration or reverse the deficits caused by the post polio syn Chat Doctor. However, a number of controlled studies have demonstrated that non fatiguing exercises may improve muscle strength and reduce tiredness. Non fatiguing means, exercise that don't let you fatigue - mild to moderate exercise. My dear friend I want to share here that exercise is safe and effective when carefully prescribed and monitored by experienced health professionals, and you must also consult nearby physiotherapist. Exercise is more likely to benefit those muscle groups that were LEAST affected by polio.  Cardiopulmonary endurance training is usually more effective than strengthening exercises, especially when activities are paced to allow for frequent breaks and strategies are used to conserve energy - means do not fatigue yourself while exercising. Heavy or intense resistive exercise and weight-lifting using polio-affected muscles is not advised, as this can further WEAKEN rather than strengthen these muscles. Hope you find the answer helpful, please do get back for further queries I will be happy to assist you. Please rate 5 stars as you find some benefits with this information, it will ignite me to help more. Wishing your good health. Regards"}
{"_id": "000005296", "text": "Hi Linda, thanks for asking from Chat Doctor. I can understand your concern. The continuous fluid oozing from spine could be due to- Chronic osteomyelitis- Fungal or tubercular infection (chronic infection)The ideal way of approach is- CT of involved spine area with contrast image-Culture sensitivity of floodlit will help in confirming diagnosis. After confirming diagnosis, it can be treated by surgical exploration and antibiotics for prolonged duration. You should consult spine surgeon for the above. It is unlikely to be related to hip replacement if that area of spine is far from hip. Hope it will help. Thanks. Take care"}
{"_id": "000005297", "text": "Hello, I passed carefully through your question and would explain that your symptoms could be related to hypoglycemia (low fasting glucose).  For this reason, I recommend consulting with your attending physician and performing some tests"}
{"_id": "000005298", "text": "Hello, What you have is atrial septal defect osmium second type, So I will enumerate my recommendation.  1) No ayurvedic treatment will help. 2) As the right heart dimensions are normal, and you are asymptomatic, you may consider not closing the hole at present. It can be easily closed with a device, and it is a procedure without any significant risk. Generally a TEE is done before device closure to determine the exact size of defect and select an appropriate device for closure. I would suggest you should get it closed as the procedure is non-invasive safe and can prevent any future complications. The best doctor in Chennai and probably India for the same is"}
{"_id": "000005299", "text": "Thank you for posting query at Chat Doctor.what's your age? Height? Weight?are you take any sort of medication?anyhow, increase in the level of liver enzymes reflect an INJURY to the Liver. Medically, the condition is known as \\\"Hepatitis\\\".slightly elevated should NOT be concerning but a level more than 2 times the upper limit should be evaluated. Your viral serology is negative but did you get a \\\"Lipid Profile\\\" test.- abstinence from \\\"Alcohol and Chat Doctor.  - use lemon juice (lemonade) once in a day-recheck liver enzymes after 2 to 4 weeks.- reduce weight if overweight wish you good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards,"}
{"_id": "000005300", "text": "Dear Patient, It sounds like you may have stomach infection. Is there any history of eating out or eating possible bad food in recent past? If yes, then I can say little more surely that you may have stomach infection. You have taken antibiotics for UTI about a month ago, so they might not be able to cover you for the recent infection. Do you have fever? Headache may be associated with fever. Also, stomach infections are very notorious for being associated with headaches. So I would not advise you to take headache as a different malady. When the stomach infection will resolve, headache will disappear automatically. I do not know what medicines you took for UTI, but I would suggest taking Norfolk 400 mg 2 times a day for 5 days. If the symptoms are not resolved, you might need to go for a complete blood test (CBC). Avoid this medicine if you are allergic to fluoroquinolones group of medicines. Furthermore, avoid eating out for a while and take diet that is easy for you to digest. I hope this helps. Wishing you good health. Take care. Thank you for choosing us to help you. Best regards,"}
{"_id": "000005301", "text": "Hi, dairy have gone through your question. I can understand your concern. You have typical symptoms of benign prostatic hyperplasia. Frequency, urgency and difficulty in urination is common in benign prostatic hyperplasia.  You should take Chat Doctor.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005302", "text": "Hi, it is good that you mentioned a brief history and your further plans. Add on to your plans is to take an MRI of knee as by your history it looks like there might be some soft tissue Injury within the joint as you are not able to bend or. Twist the knee joint. Even with the soft tissue injury 90% of my patients gets helped by a physical therapist. Using a hot water fermentation will be of advice for time being. As to relax the muscle and Improve the blood supply to the tissues in and around the knee joint for healing. Icing will also help to reduce pain. Also to mention that you can keep the leg elevated over a pillow and do some slow static qua Chat Doctor. With the grace of God I wish you a speedy recovery."}
{"_id": "000005303", "text": "Hello, I have studied your case. There is possibility of disc protrusion which leads to compression of exiting nerve root which later on supply left lower limb [foot]. Due to compression of this nerve root there may be tingling numbness in your foot and pain associated with it. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. I will advise you MRI spine. 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. Take care."}
{"_id": "000005304", "text": "Thanks to Chat Doctor I can understand you problem Ear pain due to sore throat along with cough are main symptoms here . I nstead of repeated antibiotic medication, I would like to suggest once the x-ray PNS and chest x-ray .to rule out the disease if possible do the CT CHEST ALSO .ok have check with once dentist to rule out oral pathology don't worry if proven use antibiotic of good choice like augmenting 625 for 5 days along with anti-inflammatory like diclofenac with paracetamol 500\\u00a0mg .for 5 days Exocet 5 mg use full for your sensitive skin for 3 days daily once .don't Chat Doctor. .joint pains also will reduce slowly take healthy diet, lead good life . Ok"}
{"_id": "000005305", "text": "Hi and thank you so much for this query. I will no advice that you plan to conceive with a very low iron level. What is your hemoglobin level? This is more indicative than simple iron levels. As you plan to conceive, it is always a nice idea to get consulted for preconception counseling and get a prescription for vitamins that would make sure the chances of your child to develop an abnormality are greatly reduced. What is the cause of persistent low levels of iron? You should get evaluated and managed fully to stop worrying of this all the times you have to talk about pregnancy. In itself, it is good to have a good iron store and hemoglobin levels. Thanks and wish you well. Hope this helps."}
{"_id": "000005306", "text": "Hello, I have studied your case. You can confirm obstruction/impingement by doing MRI and CT scan. Due to scoliosis there can be impingement of rib on liver. If you are having respiratory difficulty, or you need for cosmetic correction then you can go for scoliosis correction. If there is any neurological involvement then you may need surgical correction. For symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. 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"}
{"_id": "000005307", "text": "Hello No ultrasound therapy is not expected to cause ill effects to fetus. Ultrasound waves are not know to cause teratogenic effects to fetus, and it is considered as safe for embryo/fetus. However, nature follow all or none rule in early pregnancy. Nature usually doesn't allow malformed embryo/fetus to grow, and it may lead to miscarriage. There are blood tests and ultrasound to detect fetal malformation in early weeks. So, you shouldn't worry and plan for pregnancy. Get well soon. Take Care Chat Doctor."}
{"_id": "000005308", "text": "Hello, As mentioned in history that there was no injury and the swelling has come up all of a sudden, I would like to ask you a few questions. Are you diabetic?  Are you having any signs of high blood pressure?  I would advise you to check up your uric acid levels once. As this could be sometimes the cause for the swelling and pain. Meantime you can use hot water fermentation and do ankle toe movements inside the hot water. Post this take the foot out and put over the pillow and perform ankle toe movements while lying position.  I think you should be fine with this. I will still make a request to check up your uric acid levels once. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000005309", "text": "Hiya there. The rash you described appears to be a muscular eczema or asymptotic eczema. You will most likely benefit from the use of emollients applied on weakened skin surface. For starters though, a mild corticosteroid cream may help decrease the edematous cycle if used for a short period of 48-62 hrs. Please do avoid soaps & use cleansing bars e.g. Dove that are readily available in any supermarket. Weight loss & diet control will not have any direct bearing but will surely help your quality of life in the long run. Wish you well.cheers!"}
{"_id": "000005310", "text": "Hello dear, thank you for using Chat Doctor. I read your query and understand your concern. Arly-stage Chlamydia trachomas infections often cause few or no signs and symptoms. When signs or symptoms occur, they usually start one to two weeks after exposure to chlamydia. Chlamydia trachomas is caused by Chlamydia trachomas bacterium and is most commonly spread through vaginal, oral and anal sex. It's also possible for a mother to spread chlamydia to her child during delivery, causing pneumonia or a serious eye infection in her newborn. Factors that increase your risk of chlamydia trachomas include"}
{"_id": "000005311", "text": "Hello, As I was going through history it missed too many things like - is he having high blood pressure? Diabetes? Kidney infection? Etc. Tremors of upper limb or lower limbs or in general of the body.? His age and body weight? Did you try meeting up a neurologist for the same? As tremors are HMF related issues, and it definitely needs a brain scan. Has it been done? Tremors can occur due to end number of factors. We need to have a thorough examination - physical as well as diagnostic procedures, so we can come to a better conclusion. As EMG and NCV are abnormal there is a definite need for the Scan once as per what it appears.  Medical therapy will begin once we get hold of the reports and then exercise therapy to not lose muscle strength. Hope you take the guidance of euro physician. Hope I have answered your query. Let me know if I can assist you further.  Jay In Chat Doctor."}
{"_id": "000005312", "text": "HelloThanks for writing to ChatDoctorEmpty sell is a condition in which pituitary gland which is normally present inside sell Turkic is either absent or flattened to such an extent that it is not visible even in MRI. Cause may be anatomical compression due to raised pressure in sell Turkic or secondarily it is destroyed by trauma, radiations, surgery etc. Hope you have understood the term. Take Care Chat Doctor."}
{"_id": "000005313", "text": "Hello, As per your clinical history, is concerned please follow like this-1) Do a clinical examination by your primary care doctor and to confirm do CBC with differential and if no bacterial infection is found then do a malaria test.2) If the test for malaria is negative, then discuss with your doctor about [oseltamivir]Do follow lifestyle modifications like this-1) Wash your hands. Thorough and frequent hand-washing is an effective way to prevent many common infections. Or use alcohol-based hand sanitizers if soap and water aren't readily available.2) Try to cover your mouth and nose when you sneeze or a cough. To avoid contaminating your hands, cough or sneeze into a tissue.3) Try to avoid crowds and discuss with your doctor about yearly flu vaccines. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005314", "text": "Hello, As you feel like a lump in the throat region I will advise for the ENT examination and an MRI of the throat. As usually swallowing disorders aren't something which leads to pain in the lungs or bony regions like the collar bone. For now, until you get this examined by the ENT and take an MRI I will advise for hot water fermentation and simple gentle stroking message. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000005315", "text": "Hello dear, Wheezing is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma). Management consists of"}
{"_id": "000005316", "text": "Thanks for your question on Chat Doctor. Signs of pneumonia are1. Fever with chills.2. Chest pain on inspiration or coughing.3. Cough with purulent expectations (sputum)4. Chest congestion, tightness, breathing difficulties etc. So if you are not getting brief from cough even after antibiotic, chest x-ray is must. Possibility of pneumonia should be ruled out first in your case. So better to get done chest x-ray and start treatment accordingly.  Get done sputum culture if necessary to guide antibiotic therapy."}
{"_id": "000005317", "text": "Hello, As you said your son has VSD and your doctor is planning to start Vyvanse (Lisdexamfetamine) for ADHD. If your son is not on any cardiac medications, doesn't get breathless while playing, not having recurrent episodes of chest congestion and pneumonia then probably his VSD is small. Small BSDs with little shunt are often asymptomatic. Moderate to large BSDs result in pulmonary over circulation and heart failure. Approximately one third of all BSDs close spontaneously. Now regarding Vyvanse (Lisdexamfetamine), adverse effects of Lisdexamfetamine related to cardiovascular system are abnormal heart rhythm, high blood pressure, etc. As per your information supposing your son has small VSD which is not causing any pulmonary hypertension and heart failure, taking Vyvanse (Lisdexamfetamine) for ADHD would be safe, and you may trust your doctors' judgement. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005318", "text": "This is not good, because in these pockets bacteria scan cause inflammation and wound will heal for a long time. They can put Chat Doctor.  I think she receives general antibiotics for prophylaxis of infection - augmenting -250 mg 3 times after meal 7 days and similar 1 capsule 1 time 14 days for prophylaxis of disbacteriosis. Give to her vitamin C 500g 1 time 20 days, it will be also helpful in stopping of bleeding. Recovery soon Best regards"}
{"_id": "000005319", "text": "Hi thanks for asking question... Certain gastroenteritis problems like malabsorption syn Chat Doctor. For that antibody detection or endoscopic biopsy needed.... Get your stool examined for parasitic infection. If egg or trophozoites seen treated accordingly...USG done for detection of fatty liver and other intestinal problem... If no cause clear then colonoscopy with biopsy may need to rule out inflammatory bowel disease, polyp or any non-specific colitis.... Take care...."}
{"_id": "000005320", "text": "Hi, Thanks for your query. It seems that you have muscle twitches or articulations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. You might consult your doctor who can order 1. A few blood tests including thyroid function tests, 2. Serum electrolytes including Serum calcium and potassium levels. 3. Serum B12 levels In case the above tests are normal further testing can be done including - nerve conduction studies, Electromyography, etc. These tests might help to diagnose any underlying neurological issues. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"}
{"_id": "000005321", "text": "Glad to hear your pain is gone! Just because the tooth is in, and your pain is gone may not mean all is normal. Since all wisdom teeth tend to erupt around the same time frame, a visit to a dentist to have these teeth evaluated is in order. More often than not, wisdom teeth have decay, are in a poor or crowded position resulting in difficulties cleaning the wisdom tooth and/or adjacent teeth. If any of the above are present, removal is usually the best option."}
{"_id": "000005322", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node with abscess formation.  It can be due to reactive hyperplasia or tuberculosis.  Or you may have sebaceous cyst or other benign cyst with infection.  You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005323", "text": "Hi,First I need to know regarding the status of your follicles during GUI. If size and number was good and semen analysis of your partner was good, even then chance of conceiving is 10 to 15 % only. So don't get disheartened. TSH is quite normal for you, not very high. I think your tubes test has been done before and its normal. Thus keeping all things in mind, you can try for 3 to 4 cycles of GUI or you can go for a diagnostic laparoscopy first to rule out any other cause of infertility. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005324", "text": "Hi. Read your history, noted your symptoms and findings at a later date, reports and understood your problem. The pain in the right upper abdomen with all normal tests done repeatedly, but developing the slight swelling and a faint bruise in upper right back is suggestive of the following"}
{"_id": "000005325", "text": "Hi thanks for writing to Chat Doctor yes it can be more than just a bruise. You can have a fracture inspire of full mobility. You should follow these things"}
{"_id": "000005326", "text": "Hi, Thanks for writing in. Pancreatic cancer is one of the most feared diseases and gives no time to the patient for survival. Almost every patient of pancreatic cancer will survive for months or few years at most unless it is detected at early stage and respectable. The main concern right now for your wife is to control the rising bilirubin levels. What has happened is that the tumor in pancreas might be causing block in the biliary channels? This leads to collection of while within the liver and biliary pathway. PTBD is a procedure by which the blocked bile will be Chat Doctor.  This is a safe and easy technique but might affect patient mobility due to insertion of tubes. There is another way called intrahepatic biliary stent placement. In this the biliary channels are approached with catheters and a stent is put in the area of maximum block. Following the procedure bile is"}
{"_id": "000005327", "text": "Hi, Welcome to Chat Doctor. After going through your query I think You are suffering from acute backache after injury. Treatment of it is rest and analgesics. Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics. You can discuss with your treating Doctor. There are three possibility, one is simple muscle injury, second is disc prolapse and third is compression fracture of vertebra. To further investigate MRI of the region is advised. I think your query answered. Welcome to any follow-up query."}
{"_id": "000005328", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Yes, most of them affect liver and raise liver enzymes, so this is probable cause of it but also fatty liver or hepatitis may be considered if symptoms persist despite stopping antidepressant. I hope I have answered you query. If you have any further questions you can contact us in every time."}
{"_id": "000005329", "text": "Welcome to Chat Doctor You are having probable respiratory tract infection. Do you have any chest pain, any sputum while coughing? What is the color of the sputum. It is best that you do steam inhalation for now. Eat plenty of fresh fruits and green leafy vegetables.  Chat Doctor.  You can take Paracetamol 500\\u00a0mg, 3 tablets a day every 6 hours, under medical supervision for relief of fever. It is best you get examined by your Doctor to rule out sinusitis, lung infection which needs good antibiotic treatment which can be given only after thorough checkup."}
{"_id": "000005330", "text": "Hi, dairy have gone through your question. I can understand your concern. Your chest pressure is due to hiatus hernia or gastritis. Your EKG and blood work is normal so no need to worry about cardiac pain. You should take proton pump inhibitor like pantoprazole or omeprazole. You should also take treatment for hiatus hernia. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005331", "text": "Hi thanks for contacting Chat Doctor... Fatty liver can be treatable.... If not treated condition can be increased in severity and hepatitis can occur... Few patient remain well with fatty liver without any complication... Here are few advise.... Take low fat diet... Trans fat like pizza, meat, junk food, baked pastry kept limited ... Use less oil in cooking.... Good oil used like sunflower or olive oil. Regular 30 minute exercise at least. Avoid alcohol.... Fruits more. Dandelion powerful liver cleaner can be taken as tincture form 5 ml daily.... Carrot, onion, Indian gooseberry, avocados good food for liver. Take care.Don't worry.... Chat Doctor."}
{"_id": "000005332", "text": "Hi, dear. I have gone through your question. I can understand your concern.  But at this age there should be some organ failure.  She already has CHF. She should also investigate for liver and kidney disease.  Definite therapy will not work. You should take just symptomatic treatment and treat heart disease. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005333", "text": "Hi, Thanks for writing to Chat Doctor. There is a lot of stigma regarding psychiatric illnesses and psychiatric medications. Most of the psychiatric illness occurs due to neurotransmitters disturbance, and It is very important to get early treatment of these diseases because if they become chronic It's really very hard to treat. You did not have mention any specific history of your sister regarding her illness. So whether its purely psychiatric or neurologic component or both, can't say. For your query I suggest you to go at some polyclinic kind of hospital. There you can take her to psychiatrist. What kind of illness she is suffering from he can judge. Then in follow up it may not be necessary to bring her every time. There are certain Chat Doctor. There are certain injection formulation which she has to take once a month only. So there are lots of option available. Hope I have answered your query,"}
{"_id": "000005334", "text": "Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. There is chance that the Salmonella type bacteria is resistant to prescribed antibiotics. It is advised to do the culture and sensitivity testing for blood and stool along with antimicrobial sensitivity testing. Take the treatment according to sensitivity report. Once you complete the treatment according to report your tidal test will become negative. Glad to answer your further concern. We wish you the best health at Chat Doctor. Thank you, ChatDoctor"}
{"_id": "000005335", "text": "Hello, I had gone through your history. You have 2 different problems - your patches are due to alopecia area for which you should consult dermatologist.secondly, you have migraine with neck pain due to cervical spondylosis. For this, I advise you to take migraine prophylaxis and analgesics for neck pain and physiotherapy. You should also go for exercise and yoga to relieve stress as stress is also aggravating factor for migraine and cervical spondylosis. Thanks"}
{"_id": "000005336", "text": "Hi, dear. I have gone through your question. I can understand your concern. Low WBC count with fever is low blood pressure is quite common in any viral fever and malaria.  You should go for routine blood reports. Go for complete blood count and test for dengue and malaria. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005337", "text": "Hi ! On your abdominal pain, it could be due to the following"}
{"_id": "000005338", "text": "Hi and welcome to Chat Doctor. As a specialist, i can understand your anxiety. You should've written his age and present treatment being received. Anyway, your dad has a multi-organ systemic failure, according to you. Now one needs to see all the blood reports and present condition on ventilator, to be able to give an expert opinion. You may send all the reports to me as a direct question, in my name. Chat Doctor.  Manga."}
{"_id": "000005339", "text": "Hello, Thanks for choosing Chat Doctor for posting your query. From the description that you have given, it appears that you are about to develop varicose veins. The bluish discoloration that you are describing can be the initial stage of varicose veins. However, final comment can only be made by examining you or by seeing a snap of the lesion. This condition appears cause of excessive standing. You should sleep with legs elevated and wear elastic stockings at work. Doppler ultrasound can give a definite diagnosis. Hope I am able to solve your concerns. If you need any further help in detail, I will be more than happy to help you. Wish you good health."}
{"_id": "000005340", "text": "Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out heart diseases for your chest pain. You are having diabetes, hypertension, dyslipidemia, all these are risk factors for heart diseases. So better to consult cardiologist and get done ECG, 2d echo, stress test and coronary angiography (if required). You will need anti angina, antiplatelet and other cardiac supportive Chat Doctor.  Don't wait, immediately consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000005341", "text": "Hi, In your query, you haven't mentioned if you had or are taking any treatment. That information would have been very helpful. You should consult a psychiatrist immediately for your symptoms. Had I been your psychiatrist, I would have started you on one of the selective serotonin reuptake inhibitors (like sertraline or Escitalopram)? You have to remember that it will take some time for treatment to show its effect. In addition, you can also consider taking psychotherapeutic treatment in form of cognitive behavior therapy. Start exercising on a daily basis. Hope this was helpful. Best wishes."}
{"_id": "000005342", "text": "Thanks for putting your query at Chat Doctor, I have gone through your query. The bleeding from the decayed tooth van be because of the chronic hyperplastic pulpits or gingival polyp. Nothing to be panic, till you consult your dental surgeon do saline gargling. Nothing will happen into days. But you have to get the tooth removed. There is no meaning in retaining a decayed wisdom tooth. I hope my answer will help you, take care."}
{"_id": "000005343", "text": "Hi...frequent fevers are common in this age group and in this season. Mostly they were viral illnesses. I will explain to you how a viral illness behaves so that you can be more confident. 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 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\\u00a0mg/kg/dose (maximum ceiling dose of 500\\u00a0mg) 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 -"}
{"_id": "000005344", "text": "Blood pressure variation occurs with the kind of activity you are engaged in, for example in a resting state BP will be in the normal range, with active lifestyle or during exercises or stress, it tends to increase. It's important to keep a check on when your BP is high and what is the relation with activity. Assuming your blood workup to be within normal limits, there is no need for concern. However, if you have a family history of hypertension or myocardial infarction, It's important to alter lifestyle and go for medication if required as hypertension can have long term complications. Hope this helpsRegards"}
{"_id": "000005345", "text": "Hello thanks for asking from Chat Doctor for your health related queries can understand your concern. Schizoaffective disorder is a psychotic disorder in which symptoms of both Schizophrenia and affective disorders are found in patients. Most of the individuals suffering from Schizoaffective disorder function normally and respond to medicines if taken proper under prescription. Seroquel is Quetiapine and the Chat Doctor.  The"}
{"_id": "000005346", "text": "Hello. Thanks for writing to us. The multiple problems that you are having are not likely to be related to the prolapsed disc that you are having. The floaters in the eye and numbness of the face are likely to be neural problems and need a neurologist opinion. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http"}
{"_id": "000005347", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have red skin tag in the gum which could be due to oral fibrous, tissue hyperplasia, inflamed mucosa fold Pica Imbricate. It could be due to trauma, oral sex, infections and burning with hot foods or chemical substances. Need not worry about it. Apply cold compresses on gum area. I would suggest you to apply lidocaine over it as it will relieve pain as it will act like numbing gel. You should take anti-inflammatory painkiller like Ibuprofen. Avoid hot, sharp food substances. Do gargles with Listerine mouth wash. Visit oral pathologist once and get it examined if symptoms keeps on persisting. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000005348", "text": "Hello, and I hope I can help you today. Removal of the copper IUD makes you immediately able to conceive, as the IUD does not affect your hormones in any way.  So if you have been having unprotected sex and your period is late, you are at risk for pregnancy.  Your cycle should also not be affected by removal of the coil, so it should not affect your cycle. However, if you are deliberately trying to become pregnant or are worried about pregnancy, the stress from worrying about it may actually delay your cycle further. So I recommend performing a urine pregnancy test and if it is negative, retest in one week if your period does not come by then.  If you continue to have irregular cycles, and do not conceive, you may want to see your GUN doctor back for a hormonal evaluation. I hope I was able to answer your question adequately today, and that my advice was helpful. Best wishes,"}
{"_id": "000005349", "text": "Welcome to Chat Doctor .1. The different pathological conditions seen in that areas are Lymph node always stays as first (but reason for that ? Any recent illness, any other pathology giving rise)2. The other differential is parotid gland mass, salivary ductal dilatation due to some obstruction (stone)3. All these can be ruled out or confirmed by an ultrasound scan. Which will find out the origin of the lump, constancy of the lump, and involvement of the adjacent structures.4. You don't have to fear as cancer does not give such delayed symptoms.5. Hope it helps you. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000005350", "text": "Abnormal creatinine levels in blood indicates kidney disease. Normal levels of creatinine in the blood are approximately 0.6 to 1.2 milligrams (mg) per deciliter (DL) in adult males and 0.5 to 1.1 milligrams per deciliter in adult females. The most common causes of longstanding kidney disease in adults are high blood pressure and diabetes mellitus. The treatment for kidney diseases include diet modification, medication for blood pressure control etc., food supplements and dialysis. Please consult a nephrologist."}
{"_id": "000005351", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. Sorry to say, but there is no treatment available for removal of lung scar because it is not active disease, it is just healed, inactive scar tissue. For your visa problem, I advise you to consult pulmonologist and get done1. CT thorax2. Bronchoscopy and BAD (Bronchoalveolar lavage) analysis. If both are negative for active tuberculosis, you can argue with visa authority that your lung scars are not due to active tuberculosis and hence you are not infectious."}
{"_id": "000005352", "text": "Hi there,Septal (Carbamazepine) and Cloaked (Benzodiazepine) are given for epilepsy control. And the fact that you are taking two Chat Doctor.  Could you tell me more about when was your last epileptic seizure ? And when did you last visit a neurologist. Epilepsy itself poses a risk to pregnancy and discontinuation of the medications is not advisable as it can cause the seizures to recur and this could harm both you and your baby. I would strongly recommend you to take Folic acid 5 mg from today itself. Also get your obstetrician to see you immediately and get an ultrasound done to see if the exact weeks of pregnancy. You will need to follow up with your neurologist to taper the dose of the medications depending on how well your epilepsy is controlled. Epilepsy and medications used to treat it both are known to defects in the unborn baby. The risk would depend on a lot of factors, but is usually less than 5 %. Taking folic acid before getting pregnant and during pregnancy can decrease the risk to a certain extent. Regular ultrasound and first trimester screening will be required to see for the proper development of the baby. Hope this helps. Regards."}
{"_id": "000005353", "text": "This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Hypertension, Diabetes or other metabolic disorder. Any way it may be tried,--.  Looking Plus (Mankind) [Diclofenac 100\\u00a0mg +Paracetamol 350\\u00a0mg] 1 tab.  SOS. X 5days.--. Calcified plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water. Avoid direct flow of AC or Cooler.--. Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.--. Do mild exercises for All joints. --.(Take help of a physiotherapist or visit WWW. Chat Doctor. Com). --. Use no pillow under the head. Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again.  Kindly make sure, there is no allergy to any of these medicines. (Contact your family doctor, if needed). For emergency treatment visit the nearest hospital. I hope I have answered your question to your satisfaction. Kindly rate the answer. Wish you a quick recovery & good health."}
{"_id": "000005354", "text": "HiT hank you for asking Chat Doctor. I have gone through your query. Slight curvature of penis is acceptable as normal. But if there is band like formation or more curvature or associated pain then parodied disease should be ruled out. Cause of this can be due to genetic predisposition, excess alcohol intake can be a reason also. There are various stretching devices for applying to straighten the penis. A consultation with a urologist and ultrasound of penis will be required for definite diagnosis in such case. Hope this may help you. Let me know if anything is not clear. Thanks."}
{"_id": "000005355", "text": "Thanks to ChatDoctorIcan understand your husband concern very previous situation, injury to ribs as well as spinal cord may be the reason for paralyzes lower part here recurrent infection either with virus or damaged cells in hypothalamus which controls the temperature leads this high grade fever .don't worry. Thyroid tissue won't cause the situation ,fever and headache will be controlled by antipyretic and analgesics. Cold sponging is simple method of controlling the temperature .please do it keep in cool environment and Chat Doctor. Cont the family doctor once report came or Chat Doctor .DON'T WORRY IT WILL SUBSIDE"}
{"_id": "000005356", "text": "Hi, I had gone through your question and understand your concerns. One of the adverse effects of Separate is fatigue, yet the dose you are taking is minimal. I think you can discuss with your doctor the possibility of treating the migraine headaches with other medications according to the frequency and severity of headaches. If the fatigue persists after stopping Separate, there are other conditions to be looked for like chronic fatigue syn Chat Doctor.  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."}
{"_id": "000005357", "text": "Hello Since diagnosis is established I am writing accordingly. Azithromycin1 gm orally in a single dose, or doxycycline 100 mg orally twice a day for 7 days. Cure rate is 98% and 97 % with these regimes. Alternative regimes. Erythromycin base 500 mg orally 4 times a day for 7 days. Or Levofloxacin 500 mg orally once daily for 7 days.OR Ofloxacin 300 mg orally twice a day for 7 days. Test of cure (which is defined as a repeat test 3 to 4 weeks after treatment). So in your case deal as I mentioned above and adjudge the case. Hope this will be useful for you."}
{"_id": "000005358", "text": "Disc degeneration with neuropathic pain is common in elderly females after menopause. Conservative measures like physiotherapy, avoiding lifting heavy weights, bending forward with Tab Tolerates - D so swill help. If radical are pain is troublesome then add tab Regain.  Surgery is indicated only in severe symptoms refractory to medical management and if neurodeficit.  Hope my answer will help you. Take care.don't forget to rate me."}
{"_id": "000005359", "text": "Hi ! Good evening. I am Chat Doctor answering your query. Muscle fascia laxity is otherwise known as dimerization of recto which is not infrequently seen in obese persons, post delivery ladies, and emaciated persons. This is not a hernia, but clinically feels like one. The pain in the upper abdomen could be due to the hernia, or due to many other causes like a gall stone disease, peptic ulcer disease, etc. If I were your doctor, I would have advised you for an ultrasound abdomen to rule out few intro abdominal conditions. Till then, you can go for a proton pump inhibitor Chat Doctor.  Avoid alcoholic beverages, and smoking. Further management would depend on the report of the ultrasound. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000005360", "text": "Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. There are many causes of not getting erection. In my opinion you can be investigated through Doppler examination. It will tell us the cause of non erection. But in my opinion you do not have any organ related problem.Instead, you have a problem in the mind. Make a thinking that you can achieve good erection. This type of thinking can cause more erection and so you can be able to penetrate and ejaculate. You can masturbate regularly, masturbation can solve half of your problem. It will give you sexual desire and so you can perform better next time. Foreplay plays good role in the erection and ejaculation. So doing this can solve more of your problem. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."}
{"_id": "000005361", "text": "Thanks for your query, I have gone through your query. The pain and deviation of the jaw, limited mouth opening can be because of two reasons. The first could be because of the disc displacement in the jaw joint secondary to the punch on the face. The other possible cause can be a fracture in the mandible. So consult an oral physician and get it evaluated. You need to take a radiograph like OPG to confirm the diagnosis. Later it can be treated accordingly. Till then, do not open your jaw too wide, take soft diet. I hope my answer will help you, take care."}
{"_id": "000005362", "text": "Welcome to Chat Doctor.I can see your dilemma .there are 3 points here. 1 .if you have any previous record of bleed as CT or MRI brain then it is ok as it may the result of bleed ...2 ...usually diabetic show personality changes if there are deranged kidney function which will be confirmed by b urea and serum creatinine .then she needs nephrologist help .3 .your mother is simply careless as usually women are less bothered about their own health .in this case she needs counselling by local doctor who is well known to her .otherwise she needs psychiatric counselling ...if you find my response helpful please vote so.with regards Chat Doctor."}
{"_id": "000005363", "text": "Hi and welcome to Chat Doctor. It sounds more like you've pulled abdominal muscles, so I don't think this is intra-abdominal pathology. You should take some standard painkillers or Voltaren gel and wait 2-3 days to see is it going to improve. If not then some stomach or gallbladder issue should be considered. Try to eat easier food and avoid alcohol and smoking.Also, it is not recommended to eat 2 hours before and after exercise. Wish you good health."}
{"_id": "000005364", "text": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Chest pain on breathing is mostly due to pleurisy. Pleurisy means inflammation of pleura. This can be due to any of the following common causes. 1.  Pneumonia 2.  Tuberculosis 3. Pleural effusion 4. Pulmonary contusions etc. So better to get done chest x-ray first. If chest x-ray is normal then no need to worry much about it. It can be musculoskeletal pain mostly. So apply warm water pad on affected site. Start painkiller and muscle relaxant. Avoid strenuous exercise and heavyweight lifting. Don't worry, you will be alright."}
{"_id": "000005365", "text": "Welcome to Chat Doctor. Recurrent bladder infection for 9 years for evaluation - Possibly the doctor want to evaluate the bladder internally and acquire a biopsy / sample form the bladder wall. Depending on the cells one can conclude the treatment. Understanding that it's not a pleasant investigation - but once for good final evaluation will be done - Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."}
{"_id": "000005366", "text": "Hello, and I hope I can help you today. Postpartum hemorrhage has a risk of recurrence, and one of the main risk factors is having had more than three child Chat Doctor. So the main risk that you have for this pregnancy is blood loss at delivery, and sometimes, difficulty delivering the placenta. Paragraph things you can do to help minimize the chance of complications at your delivery is to take an iron supplement in addition to your prenatal vitamin, to ensure that you are not anemic at delivery. It would also be a good idea to deliver in a hospital who has access to blood transfusion and emergency procedures for postpartum hemorrhage, rather than in a birthing center or somewhere without immediate access to emergency medical care. It would be in your doctors best interest as well to have medication readily available that can be used to treat postpartum hemorrhage; Misoprostil is the one most commonly used in summary, you have a high likelihood of another postpartum hemorrhage because of your obstetric history. If you deliver in proper healthcare facility, and do your best to not be anemic at delivery, the greatest chance is that you still will have a healthy pregnancy and delivery. I hope I was adequately able to answer your questions today, and that my advice was reassuring. Best wishes, and good luck with the rest of the pregnancy,"}
{"_id": "000005367", "text": "Treatment of acne depends on the stage and severity of the condition. Very good results can be obtained if you are under regular treatment-the duration of the treatment lasting from 6-9 months. The problem of relapse occurs because most of the time either the medicines are not applied properly or not applied for the needed duration or the treatment is stopped midway or irregular. More than antibiotics for prolonged duration what is needed is topical retinoids for six to nine months Cystic acne means you have grade 4 acne the management of which might require oral retinoids, which need to be taken only after proper investigation, counselling and guidance of an experienced dermal. You have taken two courses, but more course might be needed please visit the nearest dermal who will decide the stage and chalk out a management plan for you. Also one thing you need to strictly follow is that you need to continue the medicines for at least 6-9 months if you want to get rid of acne for quite a long duration.  Regards"}
{"_id": "000005368", "text": "Hi welcome to Chat Doctor. I have gone through your question. Sperms should have at least 30% of normal morphology, below this cause problem in conception. And motility less than 40-50% is matter of concern. I would advise doing ultrasound color Doppler to rule you varicocele, to see testes vascularity. Then consult a urologist. Hope I answered your question. Would be happy to help you further. Take care."}
{"_id": "000005369", "text": "Hi, Hello and welcome to Chat Doctor, Than for the query, Since the age of 6 years permanent teeth starts erupting in the oral cavity and continue up to the age of 13-14 years and wisdom teeth is the last to be erupted at the age of 17-21 years. During this eruption sequence sometimes the child may have low grade fever, gum swelling, reduced diet intake and sleep problems. The white bump which you are describing is the permanent teeth that is erupting from inside, the loose tooth will be exfoliated within sometime and there is no need to worry. If the fever persists and not reducing better visit a general physician once. Hope so this will help you, Thank you."}
{"_id": "000005370", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have lump under tongue. The symptoms you mention in query can occur due to many reasons like traumatic fibrous, papilloma, lingual thyroid, lingual manual which is a cystic swelling, or transient Lingual Capsulitis. It could be due to allergic reaction to certain food substances. I would suggest you to consult oral pathologist for proper examination. Doctor will examine carefully and will make proper diagnosis and start treatment accordingly.  Doctor may prescribe antibiotics, anti-inflammatory or vitamin B 12 supplements. Go for FNAC or Excision biopsy as prescribed by doctor. Doctor may prescribe MRI for further investigation.  For now do warm saline rinses several times a day and maintain proper oral hygiene. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000005371", "text": "HIT hank for asking to ChatDoctorI really appreciate your concern and looking to the history given here I could say that at one hand you are talking about the ruptured bursa and at other hand you are asking for home remedy how come this could be possible, in my opinion it is advisable to consult the surgeon to get it confirm and if this is a same condition as you said then this would need to the surgical intervention, have a nice day."}
{"_id": "000005372", "text": "Hithank-you for providing the brief history of you. As you are facing the symptoms which I feel should be connected to the pinching of the nerve root in the lumbar spine. Undergoing an MRI is the lumbar spine will help assist with the soft tissue status.I'll recommend you to undergo physical therapy like - Therapeutic ultrasound therapy and TENS therapy for reduction in pain. Also exercises like core stability, spine Strengthening, pelvic floor Strengthening and lower limbs Strengthening should give you better results.in my clinical practice such cases are diagnosed mostly with pinched nerve and respond well to physical therapy regards Jay In Chat Doctor."}
{"_id": "000005373", "text": "Hi, Thanks for writing in. The discs at levels L 3 - L 4, L 4 - L 5 and L 5 - S 1 show probable age related disc degenerative change with a bony spur at L 5 regions. The nerve roots at L 5 level is getting pinched and therefore the pain. This is mainly sued to the degenerative discs at that level causing pressure on the nerves on possibly the left side along the foramen though which they pass. Initially physiotherapy, avoiding excessive physical activities and taking over the counter painkillers help. If you do not get sufficient pain relief then taking neurogenic pain relievers and opioid medications might be required and these are prescription medications. If pain persists with more than a year even with adequate medications then the pinched nerve must be released with small surgical procedures. Laser assisted techniques are also available in some hospitals and clinics."}
{"_id": "000005374", "text": "Hello, i am sorry to inform you, but cirrhosis is an irreversible condition. The functioning of the liver can not be changed by the medicines. However with medicines we can prevent complications arising from cirrhosis and improve the general health of the patient. You need to monitor the weight, look out for symptoms like swelling of abdomen and legs, vomiting of blood etc. If symptoms worsen I would advise you to consult your physician.i the mean time continue the prescribed medicines.I hope I have answered your qua. Take care"}
{"_id": "000005375", "text": "Hi, Thanks for posting in Chat Doctor. Sinus infection affecting the eye leading to blurred vision could be due to edematous reaction of eyes. Since you have already taken antibiotics to treat infection, kindly continue to take nasal decongestant tablet or syrup till the symptoms completely subsides. You need to do steam inhalation thrice a day so that all the mucous could be Chat Doctor.  If you are having this problem repeatedly, it might be due to deviated nasal septum, which would need surgical correction. Wish you good health."}
{"_id": "000005376", "text": "Hi Panel m contains rupatidine n montelukast which are anti-histaminic n mast cell stabilizer respective and was prescribed to you for allergic rhinitis. But it wads not indicated for you to take it for 40 Days.Hence, your ENT surgeon advised you to stop n have it VN symptomatic again.  Again developed allergic rhinitis with skin rash so take same medication for 5 days and if symptom persists or aggravates then visit versatility clinic n get reviewed.  Prevent condition to which allergic to use mask while going in dusty env or apply simple Hank can work, avoid food allergic, clean house n bed if possible with value cleaner n mop etc Hope u stay in good health.  Thanks n regards"}
{"_id": "000005377", "text": "HiT hank you for asking ChatDoctorI have gone through your query. Gastritis and peptic ulcer also can give same symptoms. Such cases I advise proton pump inhibitors like rabeperazole and sucralfate syrup for 2 to 4 weeks. I also recommend them to avoid spicy and oily foods alcohol and vigorous exertion. If all these not helping then I advise doing a fibrogastroduodenoscopy to find any ulcers or other pathology present. Hope this may help you. Let me know if you have any further query."}
{"_id": "000005378", "text": "Hello, Thanks for consulting ChatDoctorRead your query as you have pain and reduced mouth opening after extraction don't be worried so much in wisdom tooth extraction Erasmus is seen. I will suggest you to consult oral surgeon for examination of extraction socket and adjacent teeth for Abrasion, or periodontal infection for sensitivity. Inmeantime follow postoperative instruction given by your dentist and take proper course of antibiotic prescribed by your dentist. Hope this will help you."}
{"_id": "000005379", "text": "Hi, Thanks for writing in. I suppose you were born with a double moiety kidney with duplication of ureters for which you have had a successful surgery in 1985. Cysts measuring 4.4 ml are usually not significant and are not supposed to cause much pain in the region. You may get a repeat ultrasound scan done and check out with your doctor. Thought there is no direct relation between duplication of ureter and difficulty in swallowing, I suggest you consult an ENT ear nose throat doctor and get a throat examination done to know if there is any mechanical cause for your difficulty."}
{"_id": "000005380", "text": "Hi, The itching can be caused by candidiasis / fungal infection there, which is common in child Chat Doctor.  For such cases, after confirming the diagnosis by direct inspection (sometimes needing a KOH smear examination). I used to give topical antifungal creams like clotrimazole fore 2 weeks. Regarding frequent urination, we have to rule out any urinary obstruction (like fibrosis) or urinary infection. A urine routine examination, and sometimes an ultrasound will help. Kindly discuss once again with your doctor if symptoms persist. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000005381", "text": "Hi there Julia First, dermatology is a visual field & as such would greatly appreciate a clear digital photograph of the lesion uploaded on this website using the upload data icon. Should you wish discretion, feel free to use our premier ask-a-doctor feature & directly get in touch with moist or any other dermatologist. From your clinical description, it does appear like a photosensitive skin eruption. Is there any family history of porphyria or any other photosensitive disorders or any genetic ailments e.g.  Chat Doctor.  Do go across to a dermatologist nearest to you & am, sure it will all be sorted out! Cheers & good luck!"}
{"_id": "000005382", "text": "Hi Shaka, Welcome to Chat Doctor, and thanks for your question... Hearing non-existent noises / voices (in medical terms known as hallucinations) is indicative of psychosis, which is a particular type of psychiatric disorder. The current combination of medication which he is taking, already has an anti-psychotic medication i.e. Tribune S (Trifluoperazine). In addition, he is also on a mood-stabilizing medication i.e. Divalproex. Though you have mentioned the diagnosis as depression, he is not on any anti-depressant medication currently. But remember, the word depression can often be used in a non-specific manner by many people, and I'm guessing that he may actually be suffering from a psychotic disorder.PIVOTAL (I presume, not Reversal) is a sedative medication and is used for sleep disturbances and sometimes, to calm down the patient. My opinion is that if he is having psychotic symptoms, it is advisable to treat that specifically (probably by increasing the anti-psychotic medication), rather than merely keep giving him a sedative. Of course, this has to be done only on consultation with a psychiatrist. I would suggest that if you are able to contact him over phone or see his colleague for a quick review, that would be a better idea. All the best.-"}
{"_id": "000005383", "text": "Hello dear. Understand your concern. You have no worries because u had sex in safe period of your menstruation cycle, so you already have no chance to take emergency contraception. So you can continue your birth control pills as you used earlier.& yes, you used your contraceptive pills as emergency contraceptives. If u sex in unsafe period means in ovulatory time, then you want higher dose of contraception. You he to take 4 contraceptive pills as early as possible, then another 4 pills after 12 hours. Its only applicable if u take it within 72 hours after intercourse. Hope this will help you. Best regards. Chat Doctor."}
{"_id": "000005384", "text": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Sorry to say but nerve to diaphragm and diaphragm once damage can not be repaired in figure. So the function of diaphragm, once lost can not be reverted. We can only strengthen the normal healthy lung. And for this try to follow these steps .1.  Avoid smoking. 2. Enroll yourself in pulmonary rehabilitation center where chest physiotherapy and deep breathing exercise are done. These will improve your lung function. 3. Vaccinate yourself with adult respiratory vaccines like pneumococcal and influenza to prevent future respiratory tract infection."}
{"_id": "000005385", "text": "Dear thanks for the question. I share your concerns.  You should have mentioned history as nothing is clear other than mites infection. Firstly you need to identify the type of mite by sending it to the laboratory. However, if it takes time to get it done You can apply anti mite solutions like borax, benzyl benzoate as these solutions will kill most of the mites.  Expose your skin to sun rays. Wash all your clothes, bed covers, curtains with hot water. Clean house thoroughly. All steps should be taken at same time to completely kill the mites and to prevent re infections. I hope my reply will benefit you. Please write for subsequent queries. I wish you good health. Kindly write feedback. Thanks"}
{"_id": "000005386", "text": "Hi. This is common in formula fed infants. I suggest you to keep him off diaper in morning times and put him on diaper only in nights. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. Regards -"}
{"_id": "000005387", "text": "Hi, Thanks for sharing your health concern with us. Well, with the description of your clinical picture, it is more likely that you are experiencing some hormone imbalance and pregnancy is a remote possibility. This is because you had intercourse just around your menstrual period which is considered the safe period, even if you had some breakthrough ovulation due to irregular pill use. I would ask you to get a proper clinical evaluation, get a sonogram of the pelvis and a blood test for pregnancy to help plan further management. Hope your query has been answered. Wish you good health."}
{"_id": "000005388", "text": "Welcome to Chat Doctor. I am Chat Doctor. My dear friend, it's very nice that your sibling and your husband is Bag negative. Now you need to further evaluate to rule out that it is active or inactive by doing further blood test including SGPT, GOT and Hepatitis B viral markers - Head and anti He. You need regular and proper follow up by every 6-12 months intervals with transaminase, as fluctuations in ALT and HBV DNA levels are common during the course of chronic HBV infection. Until reports come, no treatment is required, and further management will according to your investigation reports. Protected intercourse should be practiced until partner has developed protective antibodies. Eventual offspring needs active and passive vaccination. Avoid alcohol. Keep in touch. Thanx."}
{"_id": "000005389", "text": "Hi I am Chat Doctor and I will be helping you with your problem I have gone through your question. It appears that you are having Grade II or III hemorrhoids as you said a lump is coming out of anus. If it reduces back on its own then its Grade II and if it needs to be pushed back then its Grade III. There are four degrees of hemorrhoids, first two are treated conservatively mostly with injection chemotherapy while grade 3 and 4 needs operations. You need a review by general surgeon. Who after performing Digital rectal examination and photocopy will assess the exact grades of the disease and will then guide you about further course of treatment depending upon in which grade it falls. You need not worry too much as hemorrhoids is a common condition and easily treatable. I hope my answer will help you. Do rate my answer if you like it. Regards"}
{"_id": "000005390", "text": "Hello, thank you for consulting with Chat Doctor. This white spot can be an abscess opening from an infected tooth or food deposits on gums called as material Alba or just s normal variation. If this white spot is not painful or not creating any problem then just observe it for some days, but if there is pain or any discharge from it. Then better you visit a dentist and get it examined. Hope it will help you."}
{"_id": "000005391", "text": "HI. Thanks for your query. Read your query and understood the problems you have. 2 months of continuous pain in abdomen with alternating loose motions with constipation, severe weight loss, low back pain all are suggestive of a serious matter and may be due to the following"}
{"_id": "000005392", "text": "Hi, As such acid reflux doesn't happen because of nerve damage, it happens because a sphincter between your stomach and esophagus isn't functioning properly which is causing acid from your stomach to reach your esophagus. It is this which causes the burning and pain sensation that you have. I believe the reason your doctor ordered an echocardiogram was because he/she wanted to rule out any chances of the heart being involved. I am sure you're doctor has prescribed you with a proton pump inhibitor like omeprazole as well given you advice on other lifestyle changes that will help you. So rest assured, the acid reflux is not because of any nerve problems. I hope this helped answer your question."}
{"_id": "000005393", "text": "Hi, dairy have gone through your question. I can understand your concern.  You may have some soft tissue tumor like neurofibroma or dermatofibroma. Or it can be umbilical or para umbilical hernia.  You should go for examination and ultrasound study.  It will give you exact diagnosis.  If it is hernia then hernia repair surgery is needed.  If it is soft tissue tumor then biopsy should be done. It has no relation with menstrual abnormality or amoeba.  Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005394", "text": "Hellooo...read through your query...gold is the noblest metal and is also doesn't react with the body tissues(biocompatible).it is not used these days BCO it's an era of aesthetics and everyone prefer tooth color filling rather than metal fillings(anesthetic).so nothing to worry about his fillings...immunity is not hampered by gold...so think much about that...hope your benefitted something by this reply.have a healthy day!!!"}
{"_id": "000005395", "text": "Hello dear, I understand your concern. In my opinion when there is albumin in urine the high BP is to be ruled out. If the BP is normal there is nothing to worry. You are prescribed amoxicillin capsules may be for urinary tract infection(UTI). It does not cause any harm to the baby. And yes you can have intercourse with your husband. Usually intercourse is best avoided during the first 3 months and in last months of pregnancy. I just want to say a few things regarding UTI.UTI is the most common infection seen in pregnancy. It should be treated because untreated UTI cause irritation of uterus leading to preterm pains. And taking adequate fluids up to 3 liters per day prevent UTI. So I suggest you to take adequate fluids and also rule out any high BP. As such nothing to worry. Hope this helps. Best regards..."}
{"_id": "000005396", "text": "HiT hank you for asking ChatDoctorI have gone through your query. You are having lung TB. It is contagious if you are spitting phlegm or coughing out mycobacterium (mycobacterium +). In such case you can spread TB to your spouse and sex or kissing is avoided till you become negative. You should make this sure with your specialist (Pulmonologist) that you are risk-free for transmitting infection. Hope this may help you. Let me know if anything is not clear. Thanks."}
{"_id": "000005397", "text": "Hi, Stickiness of eyes is not a common unless the conjunctiva is inflamed. Allergic conditions can induce such inflammation resulting in the production of sticky secretions. You would need to ad Chat Doctor.  Washing the eye with Luke warm saline water should take care of the sticky discharges.  However, a permanent cure can only be found by allergy desensitization process.  Desensitization process takes a long time and result is not consistent. You can consult an allergist nearby to help you through with the desensitization technique. In the meantime, consult an ophthalmologist to rule out other causes. You may use montage along with your current nasal spray after discussing with your treating doctor. Hope this answers your query. Regards"}
{"_id": "000005398", "text": "Hello, Thank you for your question and welcome to Chat Doctor. I read your query and I understand your concern. Rabies post exposure prophylaxis is an emergency, and it should not be delayed. Prophylaxis may be discontinued if the animal involved remains healthy for an observation period of 10 days. In case of previously vaccinated persons, as your case is, the prophylaxis differs.First you should do a local treatment of the wound. In this case there is no need for Anti rabies immunoglobulin. You can follow one of these two schedules"}
{"_id": "000005399", "text": "Hi Your baby could have contracted a viral infection. Do not worry! She will be alright, it will take at least 3-4 days for the fever to settle down. You can give OTC medicines such as paracetamol (for fever), saline nasal spray (to relieve the nasal block and congestion) and continue breastfeeding. Tepid sponging can be continued; if the symptoms do not subside or worsens, consult a doctor. Regards"}
{"_id": "000005400", "text": "Hello. Thanks for writing to ChatDoctorThere is possibility of aggravation of hyperacidity. I will advise starting antacids [proton pump inhibitors like] omeprazole -D twice a day. Sucralfate will protect gastric mucosa and will give protective covering. Try to maintain body fluid by increasing fluid intake, take easily digestible food. If not recovered then you need to consult your treating doctor. 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."}
{"_id": "000005401", "text": "Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases because you are ECG is normal. Possibility of migraine is more in your case. Your symptoms start with problem in head part. It is pulsating. So migraine is more likely in your case. So consult neurologist and get done clinical examination for migraine. You will need propranolol and flunarizine combination. Avoid stress and tension. Avoid fasting and take your meals timely.  Chat Doctor."}
{"_id": "000005402", "text": "Hi.your mom should apply sunscreens with proper SPF,.UV rays present in sunlight are known to cause skin cancers.by causing damage to skin cells leading to mutations,ultimately causing carcinomas. So it is advised to apply sunscreens 30 mins before sun exposure,and reapply after 4 to5 hours for optimum effects. Moreover, sunlight around 12p.m to 3p.m must b avoided,as this contain more intensity of harmful uplift. Take care. Thanks"}
{"_id": "000005403", "text": "If the margins of resection at the time of the 2011 surgery were not involved by the tumor, i.e. were free (this will be in the biopsy report), then the likelihood of the tumor recurring are remote. Also, more than 2 years have now passed without him having any problems. If such a cancer recurs, it generally comes back at the site of previous surgery or in the front of neck (not back). All these factors point towards this being an unrelated thing. You have not mentioned the duration of this lump. If it is recent it is even less likely to be cancer. I will suggest you to take Tab. Ciprofloxacin 500\\u00a0mg twice daily + Tab. Ibuprofen 1 thrice daily + Tab. Sanitizing 150\\u00a0mg twice daily for 7 days. If the lesion persists then get a FNAC (needle test) done by a pathologist from the lesion. Also, if you are a diabetic, get a blood sugar done, they may be high, which can cause infections in this area."}
{"_id": "000005404", "text": "Hello, What I feel is that during any cardiac issue the left hand will not become stiff, but it will be painful and difficult to lift as it will feel weaker. Since the cardiac profile is assessed which turned to be normal then it's not related to cardiac. Next, the tightness you mentioned, how is it? Like you feel pain, tingling, numbness kind of symptoms? Of its just tightness of muscle? If you get these symptoms you need to figure out what is the nature of the tightness, and what is the nature of the pain? If you describe the pain and tightness nature than we can come to a proper understanding. Also, for time being you can use hot water fermentation over the neck region and do some simple exercise for the neck and upper limb. But please make sure you figure out the exact nature of the pain if at all you get in the future. Hope I have answered your query. Let me know if I can assist you further.  Jay In Chat Doctor."}
{"_id": "000005405", "text": "Dear Friend. Yes, Creator being a statin can cause rise in liver enzymes. But we should rule out the other cause of raised ALT/AST. Common causes are"}
{"_id": "000005406", "text": "Hi welcome to Chat Doctor Holes in the chest can lead to collapsed lungs. Deep puncture wounds to the chest should be immediately sealed by hand or with a Chat Doctor.  Victims may complain of shortness of breath. If the victim gets worse after sealing the chest puncture wound, unseal it. You have to by the way control the bleeding first rush to the emergency department as early as possible hope this answers your question"}
{"_id": "000005407", "text": "Hi, I can understand what disturbances u might be facing in your daily routine. Hey I want to know that is u have fear of going to toilet or u have fear of getting contaminated in public toilet. If u have fear of toilet u will avoid going it but u mentioned here u go to it repeatedly. Considering your fear, avoidance to go out & embarrassed feeling you're suffering from kind of mental illness (where person fear going in public places, have palpitation, intense restless feeling and anxiety on going to public places) This is kind of illness in which your suffering can be curtailed down with the help of psychotherapy and some medication. It will be better if u meet nearby psychiatrist earliest as possible, so he can help u to decrease your fear and improve your daily routine."}
{"_id": "000005408", "text": "Hi, thank you for your query. If you have missed a pill, you can go ahead and take 2 pills next day. If you forget to take your pills for 2 days, take 2 pills the day you remember and 2 pills the next day. You will then be back on schedule. If you miss more than 2 birth control pills, take one pill daily until Sunday and then start a new pack or discard the rest of the pill pack and start over with a new pack that same day. So yes, you are protected. But in future do use some other form of protection e.g. Condom when you miss the pill. Thank you, wishing you good health"}
{"_id": "000005409", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of sore throat with cough and upset stomach which seems to be due to chest infection/ chronic upper respiratory tract infection, and it could be due to swollen lymph node/tonsils. Stomach upset sometimes occurs due to intake of antibiotics. Need not worry. I would suggest you to do warm saline gargles. You should visit ENT specialist once and get it examined. You should get paranasal sinus x-ray done along with throat swab test and blood tests and start treatment after proper diagnosis. Furthermore, you should get pulmonary function test done. Furthermore, you should take yogurt in diet. Take proper course of antibiotics. Avoid oily and sharp food.  Chat Doctor.  Apply mist humidifiers in room. Hope your concern has been resolved. Get Well Soon. Best Wishes, Harry Maheshtala"}
{"_id": "000005410", "text": "Hello, Swelling is due to injury or edema. The term edema means swelling due to the accumulation of excess fluid. It is particularly common in the lower leg, ankles, and feet. But you should talk to a physician and ascertain the cause and find a solution. Do not have any self treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.  V. Anand, Psychologist"}
{"_id": "000005411", "text": "Degree understand your concerns went through your details. Appearance of black / dark veins around the penis shaft is quite normal and there is nothing to worry about it. In all males this blood vessels are seen on the surface of penis. The shape and pattern may be different in individuals, but it is normal. In flaccid stage these veins are not prominent. When one gets erection the blood flow the penile vessels increase. This leads to filling of them with blood, and they become prominently visible. In fact, it is the blood flowing that is responsible for erection and its maintenance. In my opinion what you have is normal and there is no need to worry. However, if you are anxious about it, local examination by your doctor is the only option. You need treatment which will not be possible without your local doctor examining you. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000005412", "text": "Hello, As this sounds like a ligament sprain and needs a clinical examination. Usually after any physical activity in the gym there might be a possibility of two things - one is DOES (which can occur post beginning of the exercise initially and vanishes off in 4-5 days of time) and the other is the soft tissue Injury (this occurs due to wrong physical activity at gym and needs medical examination and an x-ray or MRI based on clinical assessment). Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor."}
{"_id": "000005413", "text": "Hi. Thanks for your query. Noted the history about your son and understood the concerns. Since he is suffering since the age of 4 and now is 45 means 41 years there is some problem and as you have already mentioned the problem looks to be related to the changes that the VP shunt has caused. There would have been infection and thence formation of fibrosis and adhesion and so on. Since you have said all tests done but not mentioned any, I would advise you for the following if not yest done. Contrast enhanced CT scan and thus Enterocolitis to see if there is any intestinal obstruction. MRI of the back to see if there is any problem of the spinal cord causing neurological pain. And the best resort is to go for diagnostic Laparoscopy or laparotomy so that the cause can be found and treated."}
{"_id": "000005414", "text": "Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your medical history and would explain that your symptoms do not seem to be related to fibromyalgia. Vertigo in your situation can be related an inner ear disorder, or a low blood flow to the brain (possibly caused by narrowing of the posterior circulation or vertebral arteries). Your actual symptoms do not seem to be related to the past episode of vertigo. A metabolic disorder or depression could be related to your actual symptomatology. I would recommend consulting with your attending physician for a careful physical exam and some tests"}
{"_id": "000005415", "text": "Hello dairy understand your concerned had Chat Doctor injection on 11th day and on follicle was not ruptured on 19th day. Generally effect of Chat Doctor injection will occur on next 24-36 hours. So chance of rupture is less. I would suggest taking Chat Doctor injection for few cycles. If ovulation does not occur then it could be due to thick covering. If problem persists then you can go for USG guided ovarian Chat Doctor. Along with this you can try clonidine citrate, metformin and progesterone pill in second half of periodAvoid stress, take healthy diet,"}
{"_id": "000005416", "text": "Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion your symptoms indicate towards an infection of the joint, you may need surgery, but before that you need to get your blood investigations done to see if the counts are normal, do not wait consult early, because infection can sometimes do irreversible damage. 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."}
{"_id": "000005417", "text": "Hi, dairy have gone through your question. I can understand your concern.  You may have some benign cyst like sebaceous cyst or some enlarged lymph node with inflammation and abscess formation.  You should consult your doctor and go for examination.  If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005418", "text": "HelloThanks for query. You have been taking Lovastatin to lower down your cholesterol levels .and have noticed proteins in urine detected on dipstick test for urine. Normally in every individual kidney excrete some amount of protein (One plus)in urine and that is detected on routine analysis. It has significance only when it is more than 2-3 plus. Get test for estimation of proteins excretion in 24 hours urine samples. If it is significantly more you will need to consult qualified Nephrologist for further investigations and treatment if required. Chat Doctor. Consult"}
{"_id": "000005419", "text": "The correct term used is nerve palsy. This is very important issue and needs correct training of health personal regarding safe and proper injection technique. Generally uppermost qua Chat Doctor. Thus site angle of penetration and depth of penetration needs to be assessed by a good physician, and only he must be allowed to give injections.  Anyhow any nerve palsy symptom should be treated seriously and reported to neurologist immediately."}
{"_id": "000005420", "text": "Degree understand your concernsThis problem is due to lack of training, negative thinking and lack of self-confidence. Put it straight. You are not at all in trouble. It is just apprehension. Face it. Apprehension is trouble only up to your realization about it. Then it disappears. You speak once or twice to a strange person and the anxiety disappears. Anyway, consult a counselor for further advice."}
{"_id": "000005421", "text": "Hi dear welcome to the Chat Doctor, Hand to mouth hygiene to be strictly followed. Increase the intake of semisolid like DAL, rice, curd, oatmeal or anything semisolid. It should be frequent. These 6-8 Pus cells are not much significant. If there are some symptoms of stomach upset like bloating frequency, foul smelling stool. Frothy, mucoid greenish etc. then go for the stool culture sensitivity. Stool culture will guide us about the cause of infection and also the Chat Doctor. Thanks"}
{"_id": "000005422", "text": "Hello, Welcome to Chat Doctor What was the diagnosis of the penile and eye rash, and what was the cream given? It is unlikely that both rash is the same.  Chat Doctor.  Skin around the eyes are very sensitive. Have you started using any new face washes or cosmetics? Skin around eyes are also prone for airborne contact allergies. Airborne allergens like pollen, cement, dust etc. can cause the rash. It is better to consult a dermatologist as you don't seem to improve with the creams prescribed by GP. Keep washing your face regularly and frequent application of moisturizer after wash will help. Hope this helpedTake care"}
{"_id": "000005423", "text": "Hello and thanks for your query. I understand your concern about your brothers recent behavioral problems. Now, there could be two possibilities for his presentation"}
{"_id": "000005424", "text": "Hello, It looks that most probably your mother had fracture near knee joint. Your local or tho doctor put traction and applied plaster. He had decided for this conservative mode of treatment due to her age and low weight. This was the need of that time as she was not fit for surgery or other mode of treatment. Probably her fracture may be mildly misaligned. This may be the one of the cause of her pain or there may be associated weakness in her bones and muscles. In my routine OLD, I used to have an X-ray of affected part to rule out disturbance in geometry of joint. In such case she may use custom-made braces. You may take help of an orthotic expert for this. Your orthopedic doctor may prescribe this after detail examination. For muscle weakness, a physiotherapist can help her with exercises like qua Chat Doctor. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000005425", "text": "It could be a case of childhood asthma or respiratory tract infection. It is hard to comment without examining or investigating. Nebulization is good, and you can get a nebulizer at home if recurrent usage is required. Stalin is very frequently used and widely tolerated. The only side effect could be increased heart rate, but usually it is not a cause of concern. I do not expect any long term side effects."}
{"_id": "000005426", "text": "Hi, Thank-you for providing the brief history of you. As you mentioned you are 87 years old and have tendinitis in the shoulder. I Will recommend you to undergo physical therapy. As with the use of the therapeutic ultrasound therapy and TENS therapy the pain and inflammation can be reduced. Post that, an exercise regimen will be initiated, and it will help you to regain some strength in the shoulder girdle. Also, from mild to moderate exercises will be made perform with the physiological limits of the pain. So pain should not restrict your exercise plan for regaining strength. I have personally been dealing with geriatrics above 80 at least 10 patients a day. We follow the slow and steady protocol, and we have achieved 90% of the shoulder functions with 99% reduction in pain. I am sure you will be benefitted by the physical therapy. With the grace of God I wish you a healthy life ahead. RegardsJay In Chat Doctor."}
{"_id": "000005427", "text": "HelloWelcome to Chat Doctor. By your description it looks like you have orthostatic hypotension. It happens when you get up suddenly from a lying position which leads to fall in BP and leads to dizziness and fainting. You can measure your BP in lying position and then in sitting and standing position. If the higher reading (systolic BP) falls than more than 20 MMH on sitting or standing then you have postural or orthostatic hypotension. You have not mentioned here other medical issues if you have any. Some patients who are on diuretics or water pills, some antihypertensive medications have these side effects. See your doctor and ask him whether you are on any of these medications. This response can happen due to deny Chat Doctor."}
{"_id": "000005428", "text": "In my opinion she should be started only on Amlodipine (Novas) 5\\u00a0mg once daily in the morning. Wait for at least a week while having her B. P recorded during that week 3 times per day. The new Chat Doctor.  For her the target resting BP should be below 140/90mmHg. The dose of Amlodipine may be titrated to 10\\u00a0mg daily if BP still going above 160/90mmHg. If you need further help regarding BP control strategy, feel free to contact."}
{"_id": "000005429", "text": "Thank you for the question. First off your doctor should have told why he said it was muscle wastage and what could have caused it. Since I do not exactly know where the indent is I have a few suggestions1) Hernia"}
{"_id": "000005430", "text": "Hi! There is nothing to worry about this kind of vanishing small lumps and just forget about this! We get such cases regularly where the lump is still there but not usually palpable as the size has decreased much, and we get following diagnoses"}
{"_id": "000005431", "text": "Hi, dairy have gone through your question. I can understand your concern. She may have Desmond cyst, lipoma or some skin adnexal tumor in base of skull.  She should go for biopsy or fine needle aspiration cytology of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005432", "text": "Hello, Thanks for your query. It might not be related to it. Even migraine a form of headache presents with your symptoms. So visit a physician initially and also tell him regarding your tooth problem. Be free your problem will be solved after you visit a physician, since detail history is needed for this. Hope I have answered your query. I will be available for your follow-up queries if any. Wishing you good health."}
{"_id": "000005433", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. You went to a doctor, and he opined that you have anxiety issues. You did not accept that doctors version. Why? Are you not confident about that doctor? If so, consult another doctor. Make sure you are satisfied with his diagnosis. For that you find a doctor who is credible. Then ask him to diagnose you properly and accept his diagnosis. Make sure you are accepting it. Otherwise, you will never be satisfied with your health issues, and that will add up to your anxiety issues. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000005434", "text": "Hi ! Good afternoon. I am Chat Doctor answering your query. If I were your doctor, after a general physical examination I would advise you for an ultrasound of the abdomen to rule out a gall stone disease or a pancreatic pathology. The diseased gall bladder might contract following a meal causing the pain and stabbing feeling. The overall management would depend on the reports of ultrasound and blood reports like a CBC, blood sugar, LFT, serum amylase and serum lipase. Till then, I would prescribe you with a proton pump inhibitor, an anti-spasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000005435", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint peeling of the tongue mucosa over the sides close to the back can occur due to causes like iron deficiency, acid reflux, Chat Doctor. . You should consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like oral swab culture and blood tests can help in diagnosis and treatment can be done accordingly.-As of now you can start taking a multivitamin tablet daily.-"}
{"_id": "000005436", "text": "Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having HERD (gastroesophageal reflux disease) mostly. But better to rule out cardiac cause first. So get done ECG. If ECG is normal then no need to worry much for cardiac cause. Your sharp burning pain is mostly due to HERD. It is because of laxity of gastroesophageal sphincter. Due to this the acid of the stomach tends to come up in the esophagus and cause the symptoms. So better to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Start Proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in bed to prevent reflux. Don't worry, you will be alright."}
{"_id": "000005437", "text": "Hello, I have studied your case. Due to compression of nerve root there can be neck and back pain.Also, there can be large disc bulge which is compressing over spinal cord. For these symptoms analgesic [Percent] and neurotrophic medication [methylcobalamine and pregabalin] can be started consulting your doctor. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you 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."}
{"_id": "000005438", "text": "Thanks for using Chat Doctor. Read your query. Yellowish color of the teeth can be due to many factors including improper brushing, heavy intake of caffeine Chat Doctor. I would advise you to visit your local dentist and get your teeth cleaned and polished. Follow the post cleaning instructions with proper brushing and flossing. Use antiseptic mouth was for a while. Hope this was helpful. Thanks and warm regards."}
{"_id": "000005439", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Since your chest tightness is associated with eating, possibility of HERD (gastroesophageal reflux disease) is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest tightness, chest pain, mild breathlessness etc. Hiatus hernia can also cause HERD. But fir confirmation, you need to get done upper GI (gastrointestinal) copy. So follow these steps for better symptomatic relief in HERD. 1. Avoid stress and tension, be relaxed and calm. 2. Avoid hot and spicy food, avoid junk food. Avoid large meals, instead take frequent small meals. 3. Take pantoprazole tablet on empty stomach. 4. Go for walking after meals. 5. Keep 2-3 pillows under head in bed to prevent reflux. Don't worry, you will be alright with all these. Get done upper GIs copy for the confirmation of hiatus hernia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000005440", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you are victim of your own negative thinking. You cannot term your current state of mind as clinical depression. Rather, this is just disappointment. Disappointment which arises out of unforeseen life events do bring such symptoms like sadness, irritation, anger, lethargy, lack of interest, lack of appetite etc. Please understand this fact and make sure to introspect. Talking to your friends, outdoor activities and being creative should give you relief. Find the reason for your disappointment and consult a psychologist if need be. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000005441", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Breathing difficulty especially at night should be evaluated for heart diseases. So get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000005442", "text": "Hi thanks for asking question. Here at few possibilities in your case.1. You have put pacemaker. So first for chest pain heart condition has to be ruled out. You have not mentioned which tests are done. ECG, echocardiography and serum troponin estimation will be helpful to you for rule out cardiac condition.2. If heart problem not present then simple muscular pain might be the cause by heavyweight lift, exercise, excess coughing or bad sleep posture.simple analgesic will be helpful.3. If fever, cough like symptoms present respiratory causes ruled out like simple viral infection or pneumonitis like condition. Chest x-ray could be useful .4. The chest pain may be because of lastly referred pain if history of acid reflux present. I hope my suggestion will be helpful to you. Chat Doctor."}
{"_id": "000005443", "text": "Hi, Thanks for writing in. Sorry to hear about your husband who is having hepatocellular cancer. There is probably a blood clot which has developed in the IOC which is a great vein transporting blood to the right chamber of the heart. This is a serious concern and I hope you have discussed the matter with allopatry doctors and treatment might have been started to dissolve the clot. The problem happens when such a clot reaches the lung through the heart and causes complete occlusion of pulmonary artery leading to lungs not receiving blood for oxygenation. If your husband develops breathlessness then please take him to the hospital immediately. Ayurveda does not have any confirmed research on the treatment of hepatocellular carcinoma in my knowledge. It is important to keep in mind that the blood clot in IOC should be dissolved to extend his life using allopatry medicine and prevent sudden complications. Please do not worry."}
{"_id": "000005444", "text": "Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you had a fall from stairs and can not put pressure on right side. Also, if the rotational movements of the lumbar spine are restricted the. An x-ray or an MRI of lumbar spine will be helpful to understand the injury and pains. Also, they discomforts are the protective mechanism of the body to avoid further damage to the soft tissues. With general body torso and core training most patients recover well. In my clinical practice people with such falls undergo a physical therapy for a week and things are fine.regards Jay In Chat Doctor."}
{"_id": "000005445", "text": "Hi, Dear,Good Morning, and Thanks for your query to my virtual Clinic At Chat Doctor. I studied your query in depth and understood your concerns. Causes for hard bulge above belly button are as follows-Mostly they are ? Secondary tumor post-cancer removal. Check with ER Surgeon to resolve the worry for hiatus hernia-post cancer Surgery.Don't worry of them, as they could be relieved with proper treatment. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and Chat Doctor. Wishing you a Fast Recovery. Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards Chat Doctor."}
{"_id": "000005446", "text": "Hi Megan, Welcome to Chat Doctor.PCs is characterized by excessive hair growth in unwanted places, obesity and irregular menstrual cycles. Your doctor has correctly prescribed the Chat Doctor.  These tablets will assist you to get pregnant as well as regularize your periods. You need to take this medication for months together for it to be effective. This may not clear your hair growth but may control further hair growth. Wish you all the Best."}
{"_id": "000005447", "text": "Hi. Thanks for the query. I have gone through your query and can understand your concern. As per your complaint it seems that if you have a tooth that is fractured or broken then pain in other teeth on the same side can be a radiating pain from the broken tooth as there must be nerve exposure leading to nerve irritation and inflammation causing pain. Secondly pain on biting down on teeth can be due to generalized gum infection or Periodontitis while jaw joint related problems can also cause such pain. So first you need to get a clinical examination done by an Oral Physician and get a full mouth x-ray known as a Panoramic x-ray or Orthopantomogram done. The tooth that is chipped off will have to be treated with Root Canal Treatment followed by capping of tooth if it is in a position to be saved. For gross decay extraction is advisable. For other teeth treatment will depend on the cause. As of now you can take anti-inflammatory painkiller like Ibuprofen, Naproxen etc. to relieve pain. Take a soft diet and avoid stress as it can cause clenching of teeth that can further cause pain. You can also send me scans of your x-rays by going to my profile and click on \\\"Ask Me A Question so that we can discuss in detail and I can advise you the most appropriate treatment \\\"Hope this helps. Regards."}
{"_id": "000005448", "text": "HiT hanks for your query. While thinning of renal cortex is a sign of kidney disease it certainly does not mean that your kidneys are dying. We can slow down the progression of your kidney disease by a number of measures about which your doctor will be able to tell you. As far as diet is concerned you will benefit from a low salt, moderate protein diet (a consultation with the dietitian will be useful). Vitamin supplements are good for your health but will not have any role in preventing the progression of kidney disease. Hope this helps Good luck"}
{"_id": "000005449", "text": "Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that these spikes in blood pressure values could be related to the stroke. You should know that stroke imposes a high stress to the organism, leading to increased high blood pressure values. Other possible causes to consider would be"}
{"_id": "000005450", "text": "HelloArnica is a homeopathic remedy often effective for symptomatic relief as do allopathic Chat Doctor. For mild osteoarthritis, hot fomentation and application of anti-inflammatory gels like Voltaren are effective. For severe pain, ibuprofen, or naproxen are given in short course. Get x-rays done a show to an orthopedist. In severe destruction and narrowing of joint space some palliative surgery is done at times. Usual response is there to physical therapy and pain medications best wishes"}
{"_id": "000005451", "text": "Hi. Thanks for your query. Pain at the belly button is not a normal occurrence and whatever the instigating factor this has to be investigated. Lifting the heavyweight might have pushed the fat pad into the preexisting umbilical hernia. Another possibility is preexisting granuloma and not getting inflamed and causing pain. The pain is getting increase with urination, coughing and sneezing as these cations increase intra-abdominal pressure. I would advise you the following"}
{"_id": "000005452", "text": "Hi, Thanks for writing in. The condition olivopontocerebellar atrophy is degenerative and slowly gets worse, and there is no cure. However, it may be years before someone becomes significantly disabled. Your husband might be having a slower course of the condition and his life can be prolonged. The patients having this problem can have frequent trauma due to falls. Supportive care with gait-assisting devices is especially important to minimize falls. Since your husband has urinary tract infection, he needs to get treated for it completely. It is suggested that in consultation with urologist he gets urine investigations done regularly and take antibiotics at a low maintenance dose as recommended. Catheter hygiene must be maintained. The sleeping cannot be controlled and medications that work on the brain in this condition have shown mild response. By taking good supportive care you can prolong his life."}
{"_id": "000005453", "text": "Hi ! Yes, it could be a deep tissue bruise which takes a longer time to heal. However, because you have a past history of cancer for which you had a Hysterectomy done, your concern is also justified. To have a proper piece of mind, I would suggest you to get yourself reviewed by a general surgeon, who may advise you for a mammogram. As such a screening mammogram in your case would be appropriate. Wishing you an early recovery."}
{"_id": "000005454", "text": "Hi. The first mistake you did was NO TO TAKE antibiotics. This can be due to inflammation of the lymphatic channels = Lymphangitis. Or multiple abscess with skip areas or Thrombophebitis. This does not occur in DVT. If sonography is showing a collection of pus, you need to get it operated / Chat Doctor. If no pus, antibiotics and anti-inflammatory medicines for a longer duration of time/ elevation of the limb above heart level. Fine needle aspiration to see the aspirate and subject to analysis, culture and sensitivity. I hope you are not a diabetic."}
{"_id": "000005455", "text": "HIT hank for asking to ChatDoctorAs I'm always saying that migraine is such exaggerated among the peoples that every one says it is headache whenever they get headache, Migraine need to be properly diagnosed, other near possibility has to be rule out first, if you really got migraine then the pain killing tab won't work here if you are taking it before headache achieved intensity, in such cases the ergot preparation works nicely, but it should be Migraine only,I would advise you to differentiate the other etiology, for that you will have consult the physician, It may not be migraine tension headache may be the likely possibility, have nice day."}
{"_id": "000005456", "text": "Dear User, Thanks for posting a query at Chat Doctor. Citalopram does not have any effect on memory loss. In your case there may be following reasons for your short term memory loss.1. Age associated- but this is very mild form and does not impair your functioning.2. Condition for which you are taking citalopram-depression in old age generally present with memory problem also.3. There may be initial stage of development of dementia. With detailed history and neuroimaging only we can determine whether this is the case?4. If you are having blood pressure or diabetes or both than it may point toward vascular dementia. If it is possible for you to get complete psychological assessment than do it as soon as possible. If you do not find one contact me. I will try my best to help you. Thanks"}
{"_id": "000005457", "text": "HelloYour symptoms may be due to overexcited state, inadequate emptying etc. Your age doesn't support true erectile dysfunction and premature ejaculation. You should avoid provocative literature and videos. You should try to be calm and try to engage yourself in your job. You may need routine hologram and random blood sugar estimation. You should take healthy and nutritious diet. You will be fine. Get well soon. Take Care Chat Doctor."}
{"_id": "000005458", "text": "Hello, It is not normal to experience severe abdominal pain, whatever the cause may be. I cannot for sure correlate your pain with an impending period. The use of an emergency contraceptive pill creates hormone imbalance, hence there can be a delay in the next natural period. Pain can be due to a possible cyst in the ovary, pelvic congestion, or an undetected pregnancy. I would ask you to have a proper evaluation if you miss your period by a week. Prefer regular contraception in the future. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005459", "text": "Hello Thanks for writing to us, I have studied your case with diligence. Rib contusion is not always visible on X-ray. You may need to do MRI or HRCT to see details of injury. I will advise consulting to orthopedic surgeon. Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt. You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case. You may need to take rest for early healing.Sometimes healing may prolong for more than 6 weeks. 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. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take care"}
{"_id": "000005460", "text": "Hello healthcare user, frozen shoulder is associated with loss of range of movement, but in your case as you said you don't have any such issues....your only complaint is pain in shoulder and joint clicking...you seem to be suffering from rotator cuff arthropathy with arthritis.joint clicking is due to arthritis due to loss of lubricating fluid (synovial fluid). Would suggest you to have some anti-inflammatory medicines with calcium supplementation.physiotherapy will also help you if done under proper guidance. Thrice daily ice fermentation will take care of shoulder pain.feel free to consult anytime for further guidance....thank you"}
{"_id": "000005461", "text": "Hi, History is very much suggestive of heart disease. You will need evaluation for the same. Get your ECG done, you will need TMT, echo. Also get your lipid profile and sugars tested. Till then, you should avoid heavy activities, have your BP checked, healthy diet, avoid high fat and calorie diet. Also avoid smoking and alcohol if any. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005462", "text": "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. Yes, a malignancy where in the tumor is attached to aorta is not an easy procedure and has high chance of mortality. This is the reason it is not being operated. If your doctor feels that there is no chance of survival as such, then as a palliative procedure he can be operated with very high risk consent.  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, or wish to know further about this problem, you can use the below-mentioned link"}
{"_id": "000005463", "text": "Dear member, Thanks for writing. The chance of conceiving in each cycle is only 15-20% in healthy couples. In your case you both are also staying away and meet less often. Be sides you are trying since only 6 months. There is a good possibility of you conceiving in few months as your ultrasound showed that you ovulated normally. You can use ovulation detection kits at home to time intercourse with ovulation. Please do basic blood investigation like hemoglobin, thyroid profile, sugar test. Husband semen analysis also to be done. If normal no need to worry. Please write back with report. Thanks Chat Doctor."}
{"_id": "000005464", "text": "Hi ! Good afternoon. I am Chat Doctor answering your query. If I were your doctor, I would have advised you for an urgent ultrasound of abdomen to rule out any pathology of the vessels in abdomen. If there is no such pathology, I would refer you to a gastroenterologist for an endoscopic evaluation of the upper GI tract. Till then, I would prescribe you for some prokinetic Chat Doctor.  Further management would depend on the reports of all the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000005465", "text": "Hello dairy understand your concern yes, female actually can get pregnant even if she is virgin. If sperm gets on near to vaginal introits, it can swim up there and cause pregnancy it also depends on the amount/concentration of sperm and day of the period when did you sex. But you have to think about pregnancy when period was delayed by the 8-10 days from the normal expected period date. If period will delay by the 8-10 days then go for urine pregnancy test and or blood Chat Doctor to confirm the pregnancy. If you will be pregnant then still you can terminate the intrauterine pregnancy by ABORTION pill under the supervision of the gynecologist.Meanwhile, avoid sex, take healthy diet, Chat Doctor."}
{"_id": "000005466", "text": "Degree understand your concerns went through your details. I suggest you not to worry much. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http"}
{"_id": "000005467", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have problem of cheek batting don't worry, you do is consult dentist and go for oral examination if there is sharp cusp of any tooth present then go for trimming of sharp cusps.  You can apply analgesic ointment McCoppin or Colonel twice daily for one week.  Hope this will help you. Wishing you good health."}
{"_id": "000005468", "text": "HelloThanks for query. Based on the facts that you have posted It seems that your mother has landed in Chronic Renal Failure (CRF) and your Chat Doctor. Kidneys are the organs that are involved in maintaining fluid and electrolyte balance and throw away end products of protein metabolism (Urea and Creatinine)through urine. Kidney failure results in accumulating these end products which are poisons to our body These products have to be expelled out by means of using artificial kidney which is achieved by Dialysis. Dialysis expels these products in urine and lowers levels these products in blood and help to carry on normal bod functions. Since production of these products is a continuous process it is mandatory to undergo Dialysis fat frequent intervals Generally it has to be done every week or two (Not every six months)which depends upon the level of Urea and Creatinine in blood. There is no alternative to Dialysis"}
{"_id": "000005469", "text": "Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to a pinched nerve in the shoulder. I suggest using a painkiller such as Ibuprofen three times a day to relieve the pain. If the symptoms continue you should see a neurologist and get evaluated. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor."}
{"_id": "000005470", "text": "HelloFatty liver is a reversible condition. It is often seen in diabetic patient due to metabolic disorder. It is due to deposition of fat within the liver cells. Fatty liver may also be due to many other reasons like obesity, sedentary lifestyle, altered lipid profile, hepatitis etc. You need few more investigations like routine hologram, lipid profile, liver function test. It is good that you are following dietary restrictions. You may need to take few medicines after proper evaluation. You should also increase your physical activity and go for brisk walk. Get well soon. Take Care Chat Doctor."}
{"_id": "000005471", "text": "Hi, I think you should go for HSG test. After that you can try for 3 to 6 months naturally with metro medicine. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop.  It will increase chances of your pregnancy.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  Hope I have answered your question. Regards Chat Doctor."}
{"_id": "000005472", "text": "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 could be presentation of pica which can occur due to depression or deficiency of certain elements in the body. 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"}
{"_id": "000005473", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have relined denture month back now you are feeling itching in gums, don't worry you stop wearing that denture and consult your dentist for denture trimming if it has any sharp edges, or may be material used for relining causes allergy, So after trimming you won't get relief then go for new denture, Hope this will help you.  Wishing you good health Regards"}
{"_id": "000005474", "text": "Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion your mother should avoid flight journey. There are many causes for her ankle swelling and pain.  But the common causes are1. Renal failure 2. Hypoproteinemia 3. Liver metastasis 4. Heart failure due to heart metastasis. So better to consult doctor and get done renal function test, liver function test, serum protein level, 2d echo to rule out above-mentioned causes. Prognosis in her case is very poor as she is having metastasis in other organs. And ankle edema will further deteriorate her life expectancy. So better to consult doctor and first treat her."}
{"_id": "000005475", "text": "Hallow Dear, Usually, healthy egg is released by ovary when its size is around 18 mm size. Chances of successful pregnancy are more when the egg is released from the follicles of size between 18 mm to 21 mm. One of the follicle in left ovary is of 1.8 cm; i.e. 18 mm size. So it is very likely that this follicle will rupture any day. Hence, I would suggest you to utilize every day now for sexual relations. Another option is to get in. Chat Doctor 5000 IU to induce the ovulation from this follicle of 18 mm size and start having intercourse every day; or at least every alternate day for better chances of conception. Please continue to have ultrasonography daily for few days to find out what happened to these two follicles. Also, please get the information about the thickness of the lining of the uterine cavity (endometrium) from the monologist. Endometrium of thickness between 9 mm to 14 mm is most conducive for the implantation of the fertilized ovum. I hope this provides you sufficient guidelines."}
{"_id": "000005476", "text": "Thanks for your question on Chat Doctor. I can understand your concern. Propranolol is beta blocker. It will cause reduction in blood pressure and heart rate. Alcohol and cocaine, both are CNS depressants (they suppress brain and its functions). So alcohol and cocaine will also cause hypotension and low pulse rate. So if patient is on propranolol and alcohol and cocaine, chances of hypotension, bradycardia (low pulse rate) and cardiac arrest is more. So better not to take alcohol or cocaine if you are taking propranolol. So counsel your husband to quit alcohol and cocaine because he is taking propranolol. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks."}
{"_id": "000005477", "text": "Hi, Welcome to ChatDoctorYour mother is having Hypertension and Diabetes long-standing(Duration of disease) can cause renal failure and when kidney fail there is Anemia because of hormone deficiency called Erythropoietin. That is why she requires Profit is to be given to treat Anemia, This is good Chat Doctor.  We should keep her blood pressure controlled by medications and also keep her blood sugar also with in desirable range. Kidney failure may not be reversible but can always slow its progression and prepare for Hemodialysis in case kidney failure worsens. Take care of diet fluid restriction, low protein, low Potassium diet as advised by your doctor. Take care of her. Good Luck"}
{"_id": "000005478", "text": "Hello am sorry about your mothers' death. The symptoms you are having as easy navigability, shortness of breath, fainting episodes, headaches etc. are most likely due to normal grief reaction. But such symptoms are considered normal for about 6 months only, if symptoms persist beyond 6 moths then they may result in development of depression. Somatic symptoms are common in depression. As symptoms are causing dysfunction in your social and personal life I would advise you to consult a Psychiatrist for opinion. Thanks"}
{"_id": "000005479", "text": "Hi, Overuse of a muscle, deny Chat Doctor.  In many cases, however, the cause isn't known. Although most muscle cramps are harmless, some may be related to an underlying medical condition, such as inadequate blood supply. Sometimes, it is postural because of compression of nerve roots. All you need to do is to keep changing your posture as much as possible. Magnesium, calcium and levocarnitine supplements are documented to help in large muscle cramps, you can try them as well. Take care. Hope I have answered your question. Let me know if I can assist you further."}
{"_id": "000005480", "text": "Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor and I will try to help you as much as I can. This is not initial stage of jaundice of liver disease. These are only slightly elevated liver markers and may be found in healthy people or sign of gallbladder stones. Also, some medications and diet may cause such changes in liver markers as well. So I don't think you should be concerned. You should do liver ultrasound and just check these findings in 1-2 months and see will it improve. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health."}
{"_id": "000005481", "text": "1) it is difficult to say role of Omnacortil on bilirubin level without knowing prior history and blood reports. If your father is suffering from acute hepatitis (due to alcohol) then yes there is role of Omnacortil in hepatitis.2) the prescribed dosage of Omnacortil which your father is taking is safe-dosage. But you can't stop steroid medications like other medications. You need to reduce dosage over few days then only can stop taking medications."}
{"_id": "000005482", "text": "Hi and thank you so much for this query. I am so sorry to hear about this pain that you are having and for the kidney that was removed at 3\\u00a0years. I know how concerned you can be having just a single kidney. The symptoms you have described are very, very nonspecific and cannot be entirely attributed to the kidneys. It could be from the muscles of the back because the kidney wouldn't produce twitching and spasms. Muscles do this. If it were a kidney problem, pain is often inevitable in acute aggression and either constant or intermittent. I don't really think that is the case right now. Because you have just a single kidney, if this problem should persist beyond 24\\u00a0hours, please consult a doctor and make sure all is okay especially with the remaining kidney. Excess alcohol consumption is not good for the body. Please, always try to keep your consumption as low as possible. I hope this helps and I wish you well. Thanks for using our services and feel free to ask more questions if need be."}
{"_id": "000005483", "text": "Hello, I have gone through your query. Thanks for using Chat Doctor. Basically you will need some medicines Life long. You had BMV almost 10 yrs back, and you have irregular heart rhythm i.e. Atrial Fibrillation. So you have to continue Citron to prevent clot formation and stroke.to keep rate under control you will need Register group of medicine. You may discuss discontinuing lanolin if your heart function is normal. I suggest you to get your Echo done to look for any restenosis or leakage of mitral valve requiring any further intervention. My best wishes Chat Doctor."}
{"_id": "000005484", "text": "Hi, dear. I have gone through your question. I can understand your concern. Your platelet count is very low. Life-threatening bleeding can occur with this count. You should take treatment urgently. You should go for bone marrow biopsy to know the cause.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005485", "text": "Degree understand your concerns went through your details. I suggest you not to worry much.  I hope you understand organism means masturbation habit. Masturbation is no sin and in fact healthy. Masturbation cannot be the reason any sort of health problem unless you overdo it. Overdoing means doing it at least 14 times a week.  From the description, I cannot read much, and therefore diagnosis may not be possible. Please be more descriptive. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."}
{"_id": "000005486", "text": "Welcome to the ChatDoctorMost likely it seems to be a self limiting viral illness. Don't worry they are usually common in the kids. You can take the following measures to help him"}
{"_id": "000005487", "text": "Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son have symptoms of lump on the inner lip which is mainly because of viral infection such as herpes, canker sore or frictional keratitis. I would suggest you not to panic about it. Maintain oral hygiene by brushing and flossing daily. Do Listerine mouthwash rinses. Your symptoms will resolve in 10-14 days.  Chat Doctor.  Avoid hot, sharp, spicy food. Take ibuprofen if it is tender to touch. If symptoms keeps on persisting visit oral physician once and get it biopsied and examined. You should start treatment after complete examination. Hope your concern has been resolved. Get Well Soon. Best Wishes,"}
{"_id": "000005488", "text": "Dear, We understand your concerns went through your details. From the given information, it seems that you are stressed and anxious. Shortness of breath, lack of sexual Chat Doctor.  Your systolic pressure shows the stress related disorder. As you are already waiting for the stress test, wait for its results. Let the experts determine. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000005489", "text": "Hi...your child may be suffering from either just a viral illness during winter or episodic Wheeler triggered by winter season. Myteka helps if your child has wheezing problem. If it is just viral illness which is common during the winter, meters doesn't help much. Keep the child warm and avoid contact of child with other person suffering from cold.f you are happy with my answer kindly rate me. Regards- Chat Doctor."}
{"_id": "000005490", "text": "Thanks for your question on Chat Doctor. In my opinion you should not worry much. As your CT Thorax report suggestive of old fibrotic scar in lung and pleural thickening. Both are indicators of old disease process which has been healed. So they are not suggestive of active disease. So no need to worry much. This can be due to old tuberculosis or pneumonia. And these lesions will remain throughout the life. And no treatment is needed because they are inactive and not harmful. So nothing to manage in your case."}
{"_id": "000005491", "text": "Hello dear, The symptoms as mentioned in your post can be attributed to Acute exacerbation of asthma, secondary to respiratory tract infection. The pain in chest & upper back is due to fatigue/ exertion following attacks of asthma. Management consists of"}
{"_id": "000005492", "text": "Hello and welcome. Thanks for sharing your concern. Since it appears that the foul smell is due to food lodgment and degradation therefore it should be ad Chat Doctor. In my view first please get an endoscopy done. Based upon its report, .it can be decided about the origin of bad breath.Also, your ENT specialist can check if there is any sinusitis, which again causes such problems. Once it is ruled out then you can go for dental check up. Hope it helps. Thanks. Take care."}
{"_id": "000005493", "text": "Respected user, Welcome to Chat Doctor.come have evaluated your query thoroughly.* There are different reasons for lumps of the head.  Which may vary from benign soft tissue lesion as sebaceous cyst, others or certain tumors as Osceola or others.* Need clinical examination for the same, evaluation in form of CT or MRI according to the clinical evaluations to decide further line of management. Hope this will help you for sure. Welcome for any further guidance. Regards dear take care."}
{"_id": "000005494", "text": "Hello, Thanks for consulting Chat Doctor, Read your query, as you have tongue batting this can be due to stress, anxiety, irregularly placed tooth, sharp cusps of teeth, or swollen tongue due to Chat Doctor.  Don't be worried so much I will suggest you to consult dentist and go for examination of sharp cusps of tooth and placement of tooth in oral cavity and rule out the cars of tongue batting. Hope it will help you. Wishing you good health."}
{"_id": "000005495", "text": "Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have broken tooth now it has root stumps and fragments left, and red pimple present on your gum it can be sinus opening and in that tooth, Access formation is there so, You should Visit dentist and get investigations IOWA X-ray done get treatment, Extraction done if possible go for Root canal treatment or Post and Core treatment.  Hope this will help you.  Wish you good health."}
{"_id": "000005496", "text": "Hello and welcome to Chat Doctor, A hard lump on the shoulder blade is most probably a lesion arising from bone.an X-ray of the back is required to know whether the lesion is arising from the bone or from area surrounding the shoulder blade. Since, the lesion is hard, there is likelihood of the lump arising from the shoulder blade. Pain in the lesion suggests involvement of nerve by the lump. A cyst is unlikely to produce a hard painful swelling. Thus, there is more possibility of a solid swelling. An aspiration cytology is the next investigations required. In aspiration cytology, cells are aspirated from the swelling, spread on slide, stained with appropriate stains and studied microscopically. On the basis of all these investigations, diagnosis will be made and thus management. Thanks and take care Chat Doctor."}
{"_id": "000005497", "text": "Hello madam and welcome to Chat Doctor... Thank you for posting your query. I read your question completely and have understood it well.  Well, you say that you are sure that the semen did not enter you. If that is the case, I can tell with certainty that you need not worry about getting pregnant. Definitely, there are failure rates in the practice of with Chat Doctor.  Most often it is due to non-compliance. But once you are sure that, to ejaculate did not enter inside you, then there's absolutely no need to worry. You will get your cycles as per your period cycle. And, don't unnecessarily worry about this. It happens, when practicing with"}
{"_id": "000005498", "text": "Hello, I have studied your case. Due to lifting of heavy weight there can be injury to vertebra or sacrum, you may need to do X-ray spine and MRI spine. Due to compression of this nerve root there is back pain and pain in pelvis. 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. Core stabilizing spine exercises will help. I will advise checking your it B12 and it D3 level. If not relieved ultrasound pelvis may be required. 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"}
{"_id": "000005499", "text": "Hi Brian Hope this message finds you in good health. I have gone through your complaints and understand your concern. You are right, u seem to have this neuritic pain, that usually occurs due to swelling and inflammation of a nerve. But cutting it is not the solution. U simply may take some local steroid injection that will reduce inflammation and pain. Also get a X-ray done to find out what's wrong. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless."}
{"_id": "000005500", "text": "Hello dear, The symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). If it still persists, then you need to consult your Physician/ Neurologist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY Chat Doctor. And also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care."}
{"_id": "000005501", "text": "Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern... As per your complaint and presentation of symptoms it seems your father is suffering from ORAL SUB MUCOUS FIBROSIS [OSF] which is caused commonly due to tobacco chewing habit or in chronic betel nut chewers. It leads to reduced mouth opening due to formation of thick fibrous bands inside the cheek mucosa leading to stiffening. There is also burning sensation over the cheeks even on taking less spicy food due to atrophy [thinning] of the buccal mucosa. Improvement in case of OSF to tell you frankly is uncertain and there can be slight improvement to no improvement at all. You should consult an Oral Physician and get him evaluated so that he can rule out the exact condition of your father and treat him accordingly. The physician can advise him to take another course of steroid injections along with adding HYLURONIDASE as hyluronidase helps in breaking of the fibers. Topical application of steroid ointment and hyluronidase ointment can help. A numbing gel containing Lidocaine can be applied over the inner cheeks especially during eating to prevent burning and pain. Mouth opening exercises can also be demonstrated that has to be done 3 to 4 times a day. In case if he has any alphabet of smoking, chewing tobacco or betel nut etc. it has to be completely stopped. In case if there is no improvement surgical approach can be planned to break the fibers, but it can be decided only after thorough clinical evaluation and medical history of patient. Hope this information helps. Thanks and regards. Chat Doctor. ."}
{"_id": "000005502", "text": "Hello, There are experts available for this procedure, who regularly do this procedure, called SURGEONS.  I would advise not to do the procedure on your own, there are chances of Bleeding - you can't control by normal thread or pressure. Infection - you won't be having a sterile material with you. Don't experiment on yourself. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. R. Raveen"}
{"_id": "000005503", "text": "Hello It can be a symptom of condition called plantar fasciitis. However, we have to rule out other conditions before making a diagnosis. As a first line of management you can take analgesics like Ibuprofen or Diclofenac for pain. Soaking the foot in hot water will also help in symptomatic relief. If pain persist, you have to consult an orthopedic and get evaluated. In severe cases steroid injection to the soles may be required. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005504", "text": "Treatment of tongue cancer stage 3 presurgery should be considered for locally advanced disease; however, definitive radiation therapy, concurrent chemoradiation, and induction therapy are alternative options for patients who are not candidates for surgery The decision to treat the patient with concurrent chemoradiation therapy rather than surgery, radiation, or chemotherapy individually should be made by a multidisciplinary tumor board. Regards Chat Doctor."}
{"_id": "000005505", "text": "A canker sore can be triggered due to high stress, long periods of acid reflux disease or just some tooth edge trauma. If you have a fever with a swollen lymph node then it is an indication for active infection. Otherwise, sometimes a swollen lymph node is just the body fighting off some insect bite on the area of Chat Doctor.  If your tonsils are painful, or you have difficulty swallowing then you should see a doctor who would examine you and take appropriate action like putting you on antibiotics. Otherwise, you can wait it out and let the tonsils recede on its own.  Thank you for your query"}
{"_id": "000005506", "text": "Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst or soft tissue tumor like lipoma, neurofibroma or dermatofibroma or some other mass. You should go for fine needle aspiration cytology of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."}
{"_id": "000005507", "text": "Dear Ma'am, Sorry to hear about your husbands condition. Considering that he is suffering from metastatic renal cancer, the presence of hypodense lesions in the liver can be suggestive of cancer. The only way to confirm this would be by doing a PET scan or a USG guided biopsy (which is not required because he already has Mets in the lungs).  I hope he is receiving treatment for the metastatic disease. Hoping for the best."}
{"_id": "000005508", "text": "Hi ! Good evening. I am Chat Doctor answering your query. From your history, it seems that you have got either a perianal abscess, or a fistula. This needs to be assessed by a general surgeon, and so I would advise you to get an appointment with a general surgeon at the earliest to avoid further complications. Till then, you can have some kind of anti-inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor."}
{"_id": "000005509", "text": "Hi, How are you? I am sorry to hear about your diagnosis, but I would not worry about it. Cysts in the liver are a fairly frequent finding on scans of the abdomen. Most often these cysts tend to be \\\"simple cysts\\\" and do not cause any trouble whatsoever to the patient. That is one of the reason why they can grow up to 25 CMS without the patient being aware of it. Some other causes for cysts in the liver include certain hereditary diseases (where there will also be cysts in the kidneys) and infections (Amoebas). Rarely malignancies can also appear as a cyst. But in all of these conditions, the patients will usually have symptoms from the disease. The current imaging techniques (CT and MRI scans) are very good at diagnosing the nature of the cyst without the need for biopsying the cyst. In your case, it appears to be a simple cyst (based on what you have written). Although mostly asymptomatic, simple cysts can also produce symptoms when 1) they enlarge to a big size 2) when there is bleeding into the cyst or 3) when they develop an infection in the cyst. In your case, none of these symptoms exist. Since the cyst is small, I would recommend a followup scan at a later date to see if the cyst is enlarging. Hope this helps and hope you start to fell better soon. Please do not hesitate to contact me for further details - rxsuresh@gmail.com"}
{"_id": "000005510", "text": "Hello! Thank you for asking on Chat Doctor! Regarding your concern, you should know that your symptoms could be related to epilepsy seizures or low blood pressure. I recommend you to closely monitor your blood pressure frequently during the day. Some tests are needed to investigate for the possible causes"}
{"_id": "000005511", "text": "Hi dear, thank you for your query.First as your family member is suffering from bipolar illness, so there may be chance of bipolar disorder in you than other. But for proper diagnosis detail and mental status examination is necessary. What ever you described about you is suggestive of you have depression and due to that you sometimes feel annoyed. Also we need to assess your Pretoria personality for better diagnosis. There are many treatment ways and depends on severity of symptoms and mental status examination. As you are having family history than there is chance that the treatment by which your family member improved same treatment also helps you. Mood stabilizer medication and electroconvulsive therapy you. Thank you"}
{"_id": "000005512", "text": "Hi, The swollen penis is due to infection under the foreskin. It is called Atlantis. You need to clean the foreskin properly during bathing. Can you be able to retract the foreskin? If it is tight you may need to dilate the prepuce. Some time insect and ant bite may cause penile swelling. You have to consult pediatrician if the pain is severe. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005513", "text": "Hi, Welcome to Chat Doctor. Proteus Mirabilis is one of the bacteria which is normally present in the intestine and is excreted in the stool. It commonly causes urinary tract infection in persons with bad personal hygiene. It can cause wound infections and rarely abscesses. In your case I would suggest you get the abscess Chat Doctor.  I would also suggest you complete the full course of antibiotics for 7- 10 days. Maintenance of personal hygiene is a must to prevent recurrence. Thanks."}
{"_id": "000005514", "text": "Hello against Muscle pain are very common my advice for YouTube plenty of water, fluid intake will dilute toxins. Physiotherapy with ultrasound and Tens will help you, Yes you can do exercises like swimming, riding stationary bicycle, but do not overexert yourself. Take potassium rich diet. Hot and cold fomentation to leg. You need to continue you medication for a couple of month to see effects. Add tab methylcobal 1500 once day. You may need MRI spine. 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."}
{"_id": "000005515", "text": "Hi, I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. If you have missed your periods and your urine pregnancy test is positive, it is most likely to be positive. False positive test means test is positive but blood beta Chat Doctor test is negative.  This can happen due to some defects in test kit. I will suggest you to get blood beta Chat Doctor test and USG done to confirm your pregnancy. I hope this answer helps you. Thanks Chat Doctor."}
{"_id": "000005516", "text": "Hi, Thanks for writing to Chat Doctor. I would suggest you to prescribe ovulation inducing Chat Doctor.  This will help multiple follicles to mature and rupture. I would suggest you to start sidewall tablet per vaginal route from day 6 to 14. This will increase local blood flow and help endometrium to grow properly.  Continue estradiol from day 8 for 10\\u00a0days. If Josephine also fails then you can add FSH injection with that. In same setting you can go for GUI. This will increase chances of conception. Hope I have been helpful. Regards"}
{"_id": "000005517", "text": "Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that recovery period after a stroke may go up to a year. Sometimes, recovery may not be complete, and the patient may have residual symptoms like limb weakness, gait difficulty, memory problems or muscle spasms. I would recommend discussing with your doctor on the possibility of taking some supplements to increase memory (Ginseng, Ginkgo Balboa, omega 3 fatty acids, etc.). A brain MRI would help examine better your brain and the number of strokes. Hope you will find this answer helpful! Kind regards,"}
{"_id": "000005518", "text": "Hello! Thank you for the query. Such symptoms can be caused by urinary tract infections, urinary tract stones, gall stones, diverticulitis (left abdominal side) and heart attack as well. It is advisable to have some diagnostics. You should start with abdominal ultrasound, fool blood work with liver and pancreas enzymes, urinalysis and heart ECG. These tests should tell what are you dealing with. If you find this tests negative, colonoscopy should be performed. Hope this will help. Regards."}
{"_id": "000005519", "text": "Hi.  Because of many unethical procedures govt has laid strict guidelines in choosing donor for kidney donation.  And each state has different protocols followed. As for as I know unrelated transplant is done in few places in Kerala and Tamil Nadu. But it as to be unequivocally proved that kidney donation is only by altruistic purpose.  Cost of procedure varies from hospital to hospital. Approximately it will cost you anywhere between 3lac to 10 lac. For documents, once you chose the hospital, they will guide you further."}
{"_id": "000005520", "text": "Hello what, and I hope I can help you today. The contraceptive implant is actually one of the most effective birth control methods available, and has a lower failure rate than even sterilization.  Unfortunately, it is also very common to have irregular bleeding, mood changes, food cravings, and weight gain as a side effect of the hormones in the implant. So just in case, I would perform a urine pregnancy test to make sure that you are not pregnant, however the most likely explanation for your symptoms is general side effects from the hormones in the implant. Most people eventually stop menstruating completely with the implant and have minimal hormonal changes, but this may take 6 to 9 months to develop. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes,"}
{"_id": "000005521", "text": "Hello, Your present condition is secondary infertility. Some basic investigation is advisable like husband semen analysis, pelvic USG, complete hormone assay, ovarian follicular study, test for tubal blockage etc. For proper guidance, you need to consult with gynecologist. Do unprotected sex around ovulation time to maximize the chance of pregnancy. Use ovulation prediction kit to predict ovulation time in mid-cycle. Take healthy diet with folic acid supplements, control body wt by regular exercise, avoid stress, maintain genital hygiene and take sound sleep. Hope it helps."}
{"_id": "000005522", "text": "Hi, I am Chat Doctor.  Decision to start antibiotics is taken by proper examination and history of patient and can not be generalized. Absence of fever and good appetite are against possibility of missing anything serious. But she needs an exam to rule out possibility of bacterial throat infection and congestion in chest. 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 questionsTake care."}
{"_id": "000005523", "text": "Welcome to ChatDoctorHello, the pain and redness may be due to the direct impact of the broom, since the location is belly button there may not be much damage to the organs, you need to visit a pea Chat Doctor. Some rest is advised2.light digestible food should be given3.watch for increase in pain, redness in the area, coughing blood, blood in stools you have to rush your child to emergency room Thank you"}
{"_id": "000005524", "text": "Hello, Your blood pressure is round the margin as age increases 140/90 is considered fine. As your physician told to go for a saltless diet go for it. Try not to stress much avoid pressure cooked good to for steamed foods. As you're susceptible to hypertension as your mother is hypertensive do the BP checkup often to be on safer side. If it goes above this you should go for antihypertensive Chat Doctor.  Also check your cholesterol levels to be on safer side, HDL, triglycerides and LDL.  Otherwise, don't stress much. Thank you."}
{"_id": "000005525", "text": "Thanks for your question on Chat Doctor. I can understand your concern. You are having accessory rib. And this can cause chest pain and pressure. So better to apply warm water pad on affected areas. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Try all these in your day-to-day life. You will mostly improve. But if you don't improve then surgical removal of that rib is the only option. So better to first try above-mentioned nonsurgical measures. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."}
{"_id": "000005526", "text": "Thank you for the question, and thank you for visiting our site. When you have intercourse, there is bumping of the cervix.  The cervix is very prone to small amounts of bleeding.  This blood, after intercourse, can make its way out as a brownish discharge.  Given the strong association of this discharge with intercourse, I believe that my answer is the most likely.  It is never wrong to consider a visit with an OB/GUN to perform an exam and confirm that everything is otherwise normal and that there is no concern regarding infection. I hope that this helps and good luck!"}
{"_id": "000005527", "text": "Hello and thank you for using Chat Doctor. I carefully read your question and understand your concern. But you should not worry, its nothing serious. As you describe, my opinion is that we are dealing with a rhythm issue. Someone can feel strong heart beats for different reasons. It may be a simple sinus tachycardia. This means that the heart is beating faster than 100 beats for minute. Its normal range in a resting condition is between 60-100 beats for minute. When it goes up you may feel a strong heart beat in your chest and a sensation like your head and body is beating too. Another reason for this sensation might be what we call an ekstrasystol.These is electrical heart impulses that generates in some parts of heart different from normal sinus rhythm. This generates that escaped beat that you feel. You have this sensation like a beat is skipping, you may experience palpitations or an anxiety sensation. This extrasistoles may happen from different reasons from simple emotional stress to other pathologies like anemia, hyperthyroidism, extreme weight change sect. So, my opinion as a cardiologist is that you have nothing to worry and you don't have reasons to precipitate your doctor appointment. If I was your treating doctor and If these symptoms are interfering your daily live I will recommend some examinations like a blood analysis to exclude anemia, the thyroid hormones, an electrocardiogram, echocardiography and of course a holder monitoring. This will help us to document and see what happens with heart rhythm. At meantime, I will recommend you to avoid coffee, caffeine products because they rise extrasistolic beats. I encourage you to have physical training because sometimes it helps in reducing extrasistoles, tachycardia, even making them disappear. Wish I was helpful. Take good care. Best regards"}
{"_id": "000005528", "text": "Hi, I think it is normal for the semen to come out of vagina after contact. This will not prevent pregnancy, because sperms can swim up into the uterus even if it is in contact with your vagina for few minutes. Lie down after contact for 10 to 15 minutes.  Lets tablets help in the growth of your follicles and induce ovulation.  So, it increases the chance of pregnancy. You can track your ovulation by repeated ultrasound or ovulation detection kits.  Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy.  Hope I have answered your question."}
{"_id": "000005529", "text": "Hi, Welcome to Chat Doctor. Dear most probably your husband is suffering from lumber root compression which might be due to posture, or disc prolapse along which some medical cause for fever.  Please have a MRI of lumber sacral spine and screening of whole spine get done. ESR, CRP, CBC, malaria optimal test, dengue test should be done to diagnose the cause of fever. Hot fomentation, and physiotherapy can help. Avoid forward bending and lifting heavy weight.  Take analgesics, anti pyre tics, antibiotics, calcium and muscle relaxants, start physiotherapy. Visit physician for fever. Hope your query get answered. Welcome for further queries."}
{"_id": "000005530", "text": "Hi, If your appendix was fine and no elevated white blood cell count, then, the pain you are experiencing might be related to"}
{"_id": "000005531", "text": "Hello Welcome to Chat Doctor forum14 days before due date of next cycle i.e, date of ovulation Sperm have fertilizing power up to 48 hours once they have entered the female vagina, to achieve pregnancy intercourse must be done on the days when woman feels sensation of slipperiness at the vaginal opening and the mucus has a stretchy, clear appearance of egg-white, or when the sensation of slipperiness is present and little or no mucus is seen at the vulva. Life span of ova after release is between 12 -48 hours.  Wish you good healthDisclaimer"}
{"_id": "000005532", "text": "Hi, Are you using any blood pressure medication because some medicine has this as side effects, if yes then you should discuss with doctor and get it changed. Also have you tried tab Sildenafil 50 mg 1 hour prior to sex, if not you can try this instead of injection. If you are depressed or under stress then try to get rid of it. Also avoid cycling if you doing it. Also, you should do regular exercises. Hope I have answered your query. Let me know if I can assist you further. Sagar Made"}
{"_id": "000005533", "text": "Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done chest x-ray to rule out chest infection. Since you are on antibiotics but not improving, lower respiratory tract infection (LETI) should be ruled out in your case. And LETI is very common after viral upper Respiratory tract infection (URI). So get done chest x-ray. Ifon x-ray, infiltration or consolidation is present then get done sputum culture and sensitivity to guide antibiotic therapy. So consult pulmonologist and discuss all these."}
{"_id": "000005534", "text": "HI, thanks for using Chat Doctor Sinus infection can be associated with headaches, but they would normally be additional symptoms such as nasal congestion, runny nose, post nasal Chat Doctor.  Some of these are usually present. Vomiting and diarrhea are commonly due to infection of the gastrointestinal tract. This can be viral or bacterial, headache can occur. You should continue with the ice chips though using a fluid with electrolytes would be better to give him back both. e.g. mediate or another oral rely"}
{"_id": "000005535", "text": "HelloThanks for your query, based on the facts that you have posted it appears that you are facing problem of premature ejaculation. Please note that premature ejaculation is due to anxiety and not due to any organic cause. 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 Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. If you are married Taking Sildenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex. Chat Doctor. ."}
{"_id": "000005536", "text": "Hi I am Chat Doctor. .  From your given history your swelling could be due to an old trauma, cardiac or renal problems.  If your edema is bilateral this is a sign of underlying systemic disease if cardiac output exceeds its output (heart failure) or your kidneys cannot wash or flush your venous system .in rare cases your medication may cause such symptoms if used for long periods.  You have to maintain leg elevation, avoid standing or bending your knees for a long time and use hot foments with topical gels of anti-inflammatory.wearing compression stockings will be helpful to push up blood towards the heart and increase your venous return.  If you have not examined your arterial system by Doppler U/S you may need to check them up in very rare cases arterial system clots or atherosclerosis may occur and cause such edema.  I recommend full lab investigations and follow them up with your physician for proper evaluation and management of the exact underlying cause. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask."}
{"_id": "000005537", "text": "HelloWelcome to ChatDoctorIts very serious that you are suffering from infections after such a sophisticated operation. There may be problems with operation procedures or may be ignorance towards infection control measures or may be antibiotics were not taken properly by you or may be due to resistance to antibiotics. Your doctor must properly examine your knee with lab tests and serial x-rays. Please take advises about appropriate painkillers and antibiotics and after that proper physiotherapy.Don't worry and take care..."}
{"_id": "000005538", "text": "Thanks for your query, I have gone through your query. The jaw pain can be because of the disc displacement in the temporomandibular joint. Consult an oral physician and get it diagnosed. If I am your treating doctor, I would have suggested you to take anti-inflammatory Chat Doctor.  You can also take muscle relaxants like chlorzoxazone. You can give hot fomentation over the joints. Do not eat hard things, do not open your mouth too wide. Take soft diet. If you take these measures, your problem will be solved. But if the pain still persists, then you have to get the splints done. Regarding your insurance coverage, you can get it done in educational institutes, where it will be done with a nominal price or free of cost. I hope my answer will help you, take care."}
{"_id": "000005539", "text": "Degree understand your concerns went through your details. First, you must understand, the small amount of semen goes through your bowel movement is not ejaculation. Our body produces semen whenever it is sexually excited. The produced semen is stored within your body and is a waste product. Body needs to throw the stored semen out at some time. If you do not masturbate or engage in sex, body finds other ways to throw the semen out. The possible ways in front of the body are nocturnal ejaculation or throw urine. Such semen Chat Doctor.  Over and above that is not happening due to any physical illness. Therefore, please do not worry or obsess about this natural process. If you require more of my help in this aspect, please use this URL. http"}
{"_id": "000005540", "text": "Hi, As you have diabetes and blood pressure. Firstly u should monitor both blood pressure and blood sugar levels .and check if they are in normal limits . And correct them if they are not in control. And as your having heart disease it might sometimes lead to heart failure and symptoms causing tiredness and breathlessness. Hence, I suggest u to once consult cardiologist and get your 2D echo done once and take further treatment. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005541", "text": "Hello, I have studied your case. I think you are having neck muscle spasm along witChatDoctormon cold. I would suggest you to follow This advises.1. Hot water fomentation of the neck.2. Volini gel local application.3. Myoril or MySpace tablet for muscle spasm.4. Decongestant like win cold tablet or levocetrizine tablet.  I HPE these steps will be helpful for you. Let me know if there is any other followup questions. Thanks"}
{"_id": "000005542", "text": "Hi, Welcome to Chat Doctor. I am Chat Doctor.  I will be answering your concerns today. Nordette can be used as emergency contraception. You have taken them correctly. When used within 5 days of unprotected sex it reduces your chances of conception by 75%. There is a slim possibility of pregnancy due to method failure. Therefore, get a pregnancy test done if you miss your period. In order to avoid such unnecessary stress, I suggest that you consult doctor and start regular contraception like birth control pills. They are more effective in preventing pregnancy than emergency contraception. If you feel that you are at risk of STDs, always use condoms during sex. I hope this is helpful. If you have further concerns, contact me through Chat Doctor. Best wishes,"}
{"_id": "000005543", "text": "Hello, What I can infer from your complaints is that your rib cage may appear indebted as we age that is senile kyphosis. In simple words, this means your upper back at the mid-spine level will bend as we age and hence our rib cage appears indebted. I would recommend, you to mention it to your physician during your next visit so that he can have a look. Hope I have answered your query. Let me know if I can assist you further."}
{"_id": "000005544", "text": "Hello, Thank you for posting on Chat Doctor. The condition your husband is having is called Urticaria or hives. It's an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up. You may have to go for specific tests like patch test, food prick test, IGE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various antihistamines for long duration(at least 3 months) with or without oral corticosteroids. For non-responding cases there are many other Chat Doctor.  Hope this will help you in resolving your query. Thank you"}