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<s>[INST] I m in remission 14 months for HL stage 1B. I had a hard lump removed from the right ancillary, 6 cycles of ABVD, 17 targeted beam rads 30 gy to the right shoulder area. I ve had a a rather large soft lump very visible near the left clavicle at the triangle. Looks like a muscle popping out of a body builder and it is soft. I am 60 years old and not a body builder. No weight loss or night sweats. I ve gained approx 20 pounds since last summer... [/INST] Hi, dearI have gone through your question. I can understand your concern.You may have some soft tissue tumour like lipoma or some malignant mass. 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 any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. </s>

<s>[INST] Hi doctor, I am 18 years old. I had fever some 15 days back, which lasted for two days. Now, for the past few days, blood is coming out along with running nose. Also, I am getting blood through cough. I am not having fever now and feel normal. However, I feel that something oozing in the throat. Around seven months ago, I had a little bit of blood on spitting. I had an x-ray before seven months and it was normal. [/INST] Hi I have gone through your query and can understand your health concern. 1. Sinusitis. 2. Bronchitis. Complete blood count, x-ray paranasal sinuses and ESR. Revert back with the reports to a general medicine physician online.---> </s>

<s>[INST] Hello, two days ago I used a penis pump and I haven't noticed until two days after that the base on my head there is a hard/big vein.Now this i understand if fully hard, as I normally have big veins and one that runs down the middle more or less of my penis, but that is nor thin which it's normally not.I have played around with the hard/big part and now it's gone down but the base of my penis hurts and I would like to know if I have damaged the main vain or will it repair it's self.Thanks [/INST] Hello, Vacuum constriction devices are safe and can be used by patients with ED caused by many conditions, including: Poor blood flow to the penis, Diabetes, Surgery for prostate or colon cancer, Psychological issues such as anxiety or depression. An erection obtained by the vacuum constriction device is not the same as an erection achieved naturally. The penis tends to be purplish in color and can be cold or numb. Other side effects can include: A black and blue mark or small area of bruising on the shaft of the penis. This is usually painless and generally will resolve in a few days. The decrease in the force of ejaculation. The constriction band traps the ejaculate or semen at the time of orgasm. This is not dangerous and usually does not cause pain. The semen will usually dribble out once the constriction band is removed. Generally, this does not interfere with the pleasure of a climax or orgasm. You must consult a doctor for physical inspection of your penis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist </s>

<s>[INST] Hello doctor,I have muscle pain near the chest. I am having muscle pain near the chest from the last two to three months. I have done all the cardiac tests, and it is fine, then I consulted a rheumatologist, and she suggested some tests and medicine. It has been a month, and I am still having some pain. [/INST] Hello. You are right, and you have peripheral arthritis due to HLA-B27 positive. Your chest pain is due to enthesitis, and please feel free to query me in this regard. If your HLA-B27 positive by PCR (polymerization chain reaction), because that is a condition which can give rise to pain in the chest. </s>

<s>[INST] Hello, I am 22 years old. I have never had a period other than when I was on bc for 6 months. It stopped as soon as I got off the bc.I have gone to my obgyn and he said not to worry about it. Problem is, My husband and i want to try to start having kids the first of the year? Can I still get pregnant ever though I have never had a normal period? [/INST] Hi, Thanks for query, you can not have pregnancy unless you have normal period. Go for gynaec check up and get investigated. Ok and bye. </s>

<s>[INST] A graduate student here from Iran has had 2 seizures in the past 3 weeks. with the first one his right shoulder froze up and with the second seizure his left shoulder also froze up Both seizures happened while he was sleeping and his roomates took him to emergency but nothing was done. the college doctor saw him and told him to find a neurologist. How urgent do you think this is. He is thinking of flying home for treatment. [/INST] Hello,Thank you for using Healthcaremagic.I read your question and understood your concern.Your friend may have had shoulder dislocations in both shoulders from seizures so he needs to do first Xrays of the shoulders and then evaluation from orthopedic specialistDr. Selmani </s>

<s>[INST] My 7 month old son has small red bumps/blisters on the back of his throat, accompanied by a high fever we just go back from his doctor and she wrote out a prescription but she didn t call it by any name that I can find online to read up more information about. I was wondering if I could find any answers here. [/INST] hello. I have understood your query.according to description that you gave, it appears that he is having throat infection (pharyngitis). it is quite common in childhood. it will get cured with appropiate antibiotics. </s>

<s>[INST] (July 2013 to present date, Oct 10, 2013): Started first with breathing problems. I have copd. Had a catscan and a petscan. Have enlarged lympth nodes in both lungs (many). Waiting for another cat scan in November to make a comparison to see if any are getting larger. Pulmonologist said he can t say for sure if I have cancer and can t say for sure that I do not. Have run a temperature as high as 104.4% and low grade to normal(back and forth) since then. and I have some swelling in my left testicle. Had swelling and a hard lump behind my knee about a week ago and knee was very warm and nurse thought it might be a blood clot but turned out to be a Bakers cyst. Also have red blotches all over my body. Started by itching on my back that turned into a oblong type circle that then kept getting larger. That is lighter in color now but legs are brighter red patches. Also still have redness on parts of my back and both arms. Have had three heart attacks and have 3 stints. Also had prostate cancer and did radiation treatments in 2005. Have had two antibiotic prescriptions since July 10,2013 from Pulmonary doctor. Allergy doctor said I have an unidentified infection in my blood. He gave me a prescription for Ketoconazole for the red blotches that were itching very bad. This made it worse and oval type circle on my back got bigger and more bright red in color. That is finally almost gone but legs are worse. Had blood work done on Monday, Oct 1,2013 on order from the allergist doctor. No report on results yet. Have primary care doctor appt. coming up on the 23rd of October. Also have type II diabetes. Legs are very weak. [/INST] hello,I propose you do a blood test, with all elements (RBC,WBC, HG, HCT etc). In general in infections WBC are alterated and if all is normal you should consider making a biopsy of one of your lymphonodes to see its contest. </s>

<s>[INST] hi. i had an infection in the rib area just under the breasts and got to the point that i couldn.t lift myself up out of bed and i had to hold my breasts as i got up. i was put on antibiotics .this was in october 2011.i keep getting the pain since sometimes on the left somtimes right and somtimes both sides.the docter keeps telling me its muscle pain but i have tried pain killers and the rub for this but it does not relieve the pain.recently i was put on zydol plus twoo paracetamols 4 times a day for back and joint pains but still keep getting pain in ribs.just had the pain again 2 weeks ago and it spread up to my armpit on right side. I also took an asthma attack after this which was a shock but i have had slight asthma.could you help please. [/INST] Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. You are having the pain under the breast, since 2011. some times on left side and some times on right, and some times on both sides. 2 weaks ago you had pain upto right arm pits. As you are not getting relief with regular treatment it may be due to cervical spondylosis, or due to gastric irritation. I advise you to consult an orthopedic surgeon. You may need to have an M.R.I. of the neck, for confirmation. Avoid taking potato, other tubers, tomato, fish, egg, chicken, and seafoods. Wishing for a quick and complete recovery. Best regards. </s>

<s>[INST] I was in a car accident about a month ago where i was rear ended at a stop light by a speeding SUV. To make matters worse, this is the third accident in the last 14 months. I have 3 cervical disc bulges,1 cervical disc herniation, 1 thoracic disc herniation contacting the thoracic cord, and 4 lumbar disc herniations with one making contact with the S1 nerve roots. This most recent accident has me completely out of work. In addition to severe pain, i ve been having memory loss, confusion, occasional stuttering and I haven t had much of an appitite. When I do try to eat I hurt extremely bad throughout my adominal region (as if i ve over eaten) after a few bits. i ve already lost 10 pounds and 1.5 dress sizes. I am treating with a Chiro 4 days a week, I ve had a cervical and lumbar epidural, and will be meeting with an Ortho in the next couple of weeks. It seem like everyone is working on addressing my pain issuse, but seem to be neglecting everything else. Please advise what you think my non-pain related sysptoms may be. Thanks [/INST] hai.looks like ur into post traumatic stress tat 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 areaplease meet your neurologist to go ahead for a ct brainor mri brain to rule out any causeyou have more likely chance of suffering from a small stroke in these areas,due to your bedridden problems,stress,he can give you a solutiontake care.good luck </s>

<s>[INST] Hi. My wife has a cholestrol problem where I read that taking niacin and vitamin c may help to lower it. She also has an infection in her mouth and was prescribed Amoxicillin to control it. Q: Is there any negatives in taking these medications/vitamins or should she stop one of them until her infection has subsided??? [/INST] Hi,There is no harm taking these medicine during infection or with antibiotic you are taking.Vitamin C will help to recover fast from infection.Ok and take care. </s>

<s>[INST] My doctor ordered an ultra sound for both breasts after my mammogram showed density in my right breast and a nodule in my left breast. I am 80 years old and went through surgery for uterine cancer and subsequently chemo in 2010. I didn t finish my chemo at the oncologist s suggestion as it was doing a lot of damage to other parts of my body. I worked until my 80th birthday and retired, not because I wanted to but because my health just wouldn t let me continue. I just don t know if I can handle having cancer again. What percentage of dense breasts and nodules are cancer? [/INST] Thanks for your question on HCM.In my opinion, high possibility of cancerous nodules. Reasons for this1. Known case of uterine cancer2. Not completed chemotherapy as advised by oncophysician.3. Old age is the risk factor for spread in breast.So I advice you to get done biopsy of the nodules and rule out malignancy. So first get done ultrasound and than giided biopsy is required in your case to rule out malignant breast nodules. </s>

<s>[INST] I had my bottom 2 wisdom teeth pulled over 2 years ago. They were badly impacted. A few months after the surgery I noticed a hard painful bump in the roof of my mouth. On both sides there is a hard lump, but the right size is a lot worse. I have been to 3 oral surgeons, a dentist, and 2 ents. I have had 2 x-rays. They all say they can't find anything wrong. It is very painful and when it gets inflamed my whole throat gets sore. I also have a lot of pain in both sides of my jaw and down my neck. I was told by 1 surgeon I had tmj and another a salivary gland blockage. I have had 2 salivary gland infections. Two doctors could not any saliva from my glands. I have dry mouth and my right eye has been twitching for a year. What do you think it is? [/INST] Your problems seems to be because of different reasons. Your throat problem is due to dryness of mouth. After your salivary glands infection there isreduced flow. Lot of complications arise due to insufficient salivary flow. Try medicines to increase salivary flow. </s>

<s>[INST] Hi, I ve recently found a lump at the side of my bikini line, i only noticed it when I was getting changed because it felt uncomfortable to sit down. It s not visible at all and it only hurts when I press down on it, I ve never had anything like this before, would just like to know what it could be. [/INST] Hi,It seems that there might be having enlarged inguinal lymph node or some ingrown hair infection.Go for one course of antibiotic medicine course.There might be possibility of having starting of inguinal hernia called Bubonocele.Consult your doctor and get examined.Ok and take care. </s>

<s>[INST] I have small 1mm max skin coloured bumps on my fingers, sometimes in clusters not often near the nail. I mention this because my fear is that this could be herpes whitlow and I bite my nails often and the skin around them as a compulsion to reduce stress for my OCD . The bumps do not pop easily and when they do the skin sort of deflates and goes red. The liquid is clear like water. When popped they disappear after a couple of days and stop irritating within a few mins. I never thought you could get herpes on the hand or I would have fought harder not to bite my hands! I do not care about my health but rather the effect I could have on my wife or more specifically and children we decide to have as I know herpes in any form can kill babies! And that you can pass the virus on even when not having an outbreak! Not so bad if it s oral or genital but you use hands for everything! Can I hold hands? Again, engage in foreplay? Hold children? Suck food off my fingers? This is crazy? Why didn t I know about this and why is herpes called an STD when you can get it on your hand from a coldsore and give it to yourself through masterbation! I m really stressed and upset. I am also due to start training to be a mental health nurse soon. If i have herpes whitlow can I still be a nurse? Or will I infect others? This is crazy I can t belive you can get something this contagious on your hands! [/INST] Hello and welcome to Healthcare Magic. Thanks for your query. There are two major varieties of herpes - genital and non-genital, and both are contagious. It is possible to get herpes in the hands (herpetic whitlow). However, it is also possible that the lesions in your hands around the nail could be from the reccurent irritation caused due to excessive biting of your nails and the surrounding areas. Since, these you seem to be extremely worried whether these lesions could be due to herpes, I would suggest that the best way forward would be to get yourself tested for the same. So, please consult a dermatologist for a proper physical examination and further investigations. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist </s>

<s>[INST] i have a friend that lives in mexico that has a five year old son they have spent thousands of dollars getting test done and nothing is found.. my friend told me since he could walk his body would just go wobbly and since about three years ago his mouth would go crooked and his hands will curl up crooked and im just tryin to help out my friends to find out whats going on with their son.. my name is Tiffany [/INST] Hello, Tiffany, I feel your friend should consult a development specialist pediatrician. and also a pediatric neurologist </s>

<s>[INST] Hi doctor, I had four teeth extracted a week ago, two on top and two on the bottom. I did not get numb at all, so I felt it all. I was diagnosed with a dry socket on the bottom. The dentist that I went to packed it twice now, after 4 to 5 days. As the extracted teeth were adjacent teeth, so when he packed them, the packing was connected. The packing that was on the top of the gum connecting the two holes ate the bone in between the two extracted teeth. So, I called the dentist, and his nurse said it is normal. She said that the dentist might have done it while suturing the extraction. But it was not there after he extracted. What could this be and what should I do? It is not getting any better, and the pain is getting worse as days pass. No other dentist will see me because it is his work, and not theirs. [/INST] Hello. I have gone through your query. I hope this will help you. For more information consult a dentist online --> </s>

<s>[INST] Hi. I had yellowish discharge that came out of my penis. I know everybody always wants to say its from an STD. So today I went and got tested at my local clinic. I want to know what else is it that can cause yellow discharge from the penis besides an STD? [/INST] Hello i share your concernApart from STI yellow discharge from penis could be related to UTI or prostate inflammation or kidney disease this might be renal cast which is suggestive of kidney disease in my opinion you should get your urine test for microscopy as well as for culture and sensitivity test to ascertain the pathogen or bacteriaaccordingly you may require a course of antibioticshave plenty of fluids to maintain good hydrationPlease revert back to me with complete medical history and urine reports I will be happy to help you regards </s>

<s>[INST] My BP has been off on and off. This week my diastolic has been between 100 and 90 not going lower than 90. This morning I was feeling the uncomfortable feeling on my chest and left shoulder and checked my BP and it was 133/ 93 this was right out of bed. Should I be concern? [/INST] Thanks for your question on Healthcare Magic. 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 for 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. </s>

<s>[INST] Hi. Two days ago I was reaching for a can on the top shelf at the store and another one fell on my foot. It hit right below my last 3 toes. It is pretty sore, it s slightly bruised but mostly very swollen. I m not sure if I should go in and get it checked out. Definitely can t wear a closed toe shoe. Only been able to wear flip flops. Any advice? [/INST] Hi,Thanks for your query.From description it seems to be soft tissue injury . Swelling might be due to haematoma formation(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 drug like motrin to reduce pain and inflammationI do hope that you have found something helpful and I will be glad to answer any further query.Take care </s>

<s>[INST] hey doctors i just felt some itching on and near my penis area so today i checked it out nicely i found some kind of egg on my public hairs present their and a kind of bacteria or some kind of small insect like things on my skin their in huge amount... [/INST] HelloAs you mentioned that you noticed eggs and in large number, these eggs are of louse ( lice ) and most common site fro their breeding is in the hairs root . You can check with naked eyes . Main reason is unhygienic condition.Diagnosis can be confirmed by physical examination by a dermatologist and blood examination for lice .When such patients visit I advise them these measures, these include.Wash pubic hairs with PERMETHRINE SOAP , apply soap over effected area , rinse ,there develops leather , keep it for 2-3 minute then wash with water . Now apply permethrine lotion all over body (except mouth and eyes) for three consecutive days.One dose of DOXYCYCLINE 100 mg or erythromycin 500 mg is very much effective .The main important point is personal hygiene , and this is the reason that this infection spread from human to human ( only reservoir ).Hope this information will help you. </s>

<s>[INST] I have a daughter who is 2 years old now, is suffering with right hemiparesis and is undergoing therapy and taking medicines like normabrain, leofen, shelcol and carnisure. By doing riggorous therapy for her right hand , will she be in a position to use her right hand for eating and writing or she has use her left hand for everything? Also I am concerned about her speech , she has started using 2 words together but sometimes calls me, my hubby and mom as mom itself ? SHould I be concerned ? Is this normal? Are there any additional steps I need to take apart from therapy and medicines? Please advice [/INST] HIThank for asking to HCMI really appreciate your concern for your daughter you did not mentioned the cause of hemiparesis, looking to age of the patient the chances of recovery is some what good (Still it is depends upon the underlying cause ) physiotherapy is the only option that can bring the good result, rather than the medicines, hope this information helps you, have nice day. </s>

<s>[INST] I am taking omnacorticol 45 mg for last one month due to vasculitis problem in my toe tip. I have to take this medicine in a reducing dose (5 mg reduction each week) upto 8 more weeks. Is there any problem in getting pregnant wile taking this medicine? Also after 8 weeks if i continue to take 5 mg daily, is there any problem in getting pregnant [/INST] Hello mam, Omnacortil (prednisolone) is known to associated rarely with increased risk of cleft lip/palate in some studies.A risk of premature delivery is also possible.. Its better to avoid it during atleast the first 3-4 months of pregnancy when organogenesis occurs.. Now its better that you use some form of contraception till your tapering is over.. Take care </s>

<s>[INST] I have been having severe gal bladder cramps. [/INST] 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 it ursodeoxycholic acid can be taken.Second it could be by chlolecystitis 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.Loose weight if overweight.I hope your concern is solved.Dr.Parth goswami </s>

<s>[INST] I had ankle surgery ten weeks ago.my ankle feels fine.after my foot rests it s sore to walk on sometimes I have two sharp pains that shoot up the side of my ankle.but what bothers me most is the pain I have on the top outside of my foot that runs under my foot.it feels like I have a cramp in the middle of my foot [/INST] Hi please write details of what surgery been done, is it fusion or repair of soft tissues,fracture fixation or implants used if anyA physical check by treating surgeon can clarify present issueTake Tylenol tabs for pain and apply voltaren gelThanks </s>

<s>[INST] Hello. I have Emetophobia . I am 15 years old, and this phobia dominates my life. I constantly worry that someone around me, or even myself will get sick. I freak out if someone even coughs or says that they do not feel well. I constantly feel sick because I worry that I m going to be sick so much. This only makes me feel even worse. What would you recommend me to do to relieve some of my fears? [/INST] Hi Anna, Fearing that you will become sick by staying with sick people cannot be termed as emetophobia, as emetophobia is more of phobia about the vomiting, the act of vomiting or feeling nauseated. The problem you are having is more of negative thoughts that we frequently encounter in conditions such as depression. First and foremost, you did not mention, since when are you having this problem. If this problem is due to a depressive episode, the symptoms can be controlled by taking appropriate medications like SSRI and also cognitive behavioural therapy will also benefit you,wherein you challenge your automatic thoughts. All said, you will be well once you are into treatment. </s>

<s>[INST] I had a palpitation yesterday and then felt very very dizzy. It lasted all of 5 sec. I went to urgent care. They took my BP (167/94) and my heart rate was 101. I am on Lisinopril/HCTZ (20 mg/12.5). My BP last month was 128/78 and my heart rate is usually in the 70's. The doctor said the EKG looked ok but my heart was beating a little fast. He said I should follow up with a cardiologist, which I am going to do. He said it was difficult to determine what happened. I don't smoke, I am overweight, I drink very little caffeine. Any ideas? [/INST] Hello!Welcome and thank you for asking on HCM!I passed carefully through your question and would explain that your symptoms could be could be related to a cardiac arrhythmia. Of course, being overweight, drinking coffee and smoking can trigger this clinical situation too. But, I would recommend performing some tests to investigate for cardiac arrhythmia, before concluding that nothing serious is going on: - a cardiac ultrasound- an ambulatory 24-48 hours ECG monitoring- thyroid hormone levels for thyroid dysfunction- complete blood count for anemia- blood electrolytes for possible electrolyte imbalance. If all the above tests result normal, there is nothing to worry about. Reducing caffeine intake and avoid smoking will improve your situation too. Hope you will find this answer helpful!Kind regards, Dr. Iliri </s>

<s>[INST] want to know about merits and demerits of medicine called gemcal my younger brother who is now 11 years old is marked to be suffering with a disease called dmd he take this medicine with one more medicine called wyeth now he has become more fat than before and is having weight 47 . plz help [/INST] Hi,Thanks and welcome to HCM .Gemcal is a calcium preparation .Wyeth is not a medicine it is company's name.Children usually become fatty if they are taking steroids for a prolonged period.Hope this answer serves your purpose .Further queries invited .Dr.M.V.Subrahmanyam. </s>

<s>[INST] I gave my 4 years old son (40 lb) an Ultrafen (iBuprofen) 200mg suppository (to treat 38.8C fever). After one hour he got a rash all over his body and I discovered than the medicine was expired (12/2010). His temperature is down now and the rash is gone.Is there anything I should do now? I gave him one (from the expired suppository) yesterday too. [/INST] Hello, Precaution is better than cure. Always read Exp date before giving medication. Now that its already administered, kindly keep watch for any new symptoms. If there is visit your doctor.Disclaimer"This provisional advice provided by me stands subject to the patient undergoing a physical examination and is based entirely on inputs provided by patient/attendants. The patient is advised for physical examination at earliest" </s>

<s>[INST] Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> </s>

<s>[INST] Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> </s>

<s>[INST] Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> </s>

<s>[INST] my doc has given me sysron-n for 10 days.what is the use of this medicine n when is this medicine given because today is my 15 th day.i had my abortion in january.now i want to conceive a baby.my periods are regular.taking this medicine does it cause any harm.pls help me. [/INST] Hi,It is considered to be safe during pregnancy. Sysron-N is a synthetic form of female sex hormone progesterone commonly prescribed to support and maintain an early pregnancy which not only prevents miscarriage but also prevents preterm delivery in women. It is safe and hence your doctor has prescribed it.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician </s>

<s>[INST] Hello Dr I am 27 year old man that has extreme fatigue weakness some blured vision on and off headaces on and off. I stay thristy alot Ive had som test ran and so far only thing that came back out of range was low testorone which was 243 also today I have had alot of sensitivity in my right nipple. [/INST] Hi,I understand your concern and would explain that your symptoms could be related to low testosterone levels. You should know that this hormone is necessary for a normal physical performance. I would recommend consulting with an endocrinologist on the above issue. Further tests may be needed to investigate for the cause and possible treatment options. I would also advice to closely monitor your blood pressure frequently during the day to exclude possible low blood pressure. Hope you will find this answer helpful. Let me know if I can assist you further.Best wishes, Dr. Aida </s>

<s>[INST] Hi, I gave my daughter vermox two days ago and Im seeing some worms in her anal region. should I give her more vermox or should I wait. She has no itching, I guess my question is are they dying and coming out of her butt or are they still alive. I did hear that vermox could take 3 days to to take affect. [/INST] Hi,After de-worming medicine it will take some time to clear worms, ova and cyst of worms from gastro-intestinal tract.Worms might be dead or alive.For few days you may see these worms near anal region, it is normal process.Usually one course is enough for de-worming.If require you can repeat the dose after 10-15 days.Ok and take care. </s>

<s>[INST] Hi doctor, I feel a strange glitch in my vision. It is quite big and takes up a large portion of my central vision. It is neither a shadow nor a flash, it looks like a greasy fingerprint smudge in my vision which disappears quickly. It happens when I blink, but mostly occurs when my eyes move quickly. I have had it for the past few days and I do not know if it is anything to be concerned about. Please help. [/INST] Hi. As per your description of symptoms it looks to be non-pathological. It can be due to dryness in the eyes. It will occur when a thick eye secretion covers the cornea, once you blink it will get clear. This needs to be treated with artificial tear drops used hourly.  Other possible causes can be, As these look to be less likely in your case, you answer the following questions to get a clearer picture, Revert back with the answers for the above questions to an eye care ophthalmologist online --> </s>

<s>[INST] Hi, for the past few days i have had really bad pains in my stomach and they seem to move around a bit but are often on my right side. I also have flu like symptoms, and need to urinated more than usual, i've been feeling like i need to throw up and dizzy. I havent been able to stand straight as the stomach pains stab a lot and it is almost like i am stretching the pain. I am 15 years old, 172cm and 62kgs a couple of years ago i had an ovarian cyst that was operated on, could this be another one?? thanks! [/INST] Brief answerrenal colicky painDetailed answerLooking at your history it seems to be a case of renal colic may be caused by acute pyelonephritis due to renal stone or ascending infectionin my opinion get an ultrasound and urine test done meanwhile take tab acetaminophen for pain relieftab pantoprazole to avoid hyperacidity Tab maftal spasmplenty of oral fluids 4 to 5 litres a dayHope this helps youthankstake care </s>

<s>[INST] My daughter got bit by a dog yeesterday. We have no record of her having a tetnas along with the school in 2009, and no record at our Gp, she cannot remember neither can we. Our dilemma is do we give her the shot anyway. It's half term and the school is closed (and thats even if they keep records from previous students shes left school now) I am worried that she may have a severe reaction if she is already fully immunised....help! [/INST] Hello,Welcome to HCM,Dogs are known reservoir of rabies virus and can transmit to human beings by biting. Rabies is 100% fatal but it is 100% preventable by proper and adequate treatment.As there is no bleeding from the bite site, according WHO categorization it is categorized into Cat II. So cat II bite should receive following treatment.1.Wash the wound thoroughly with soap and water.2.Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3.Inj TT, 0.5 ml, IM4.A course of Antibiotics like Tab Augmentin, twice daily for 5 days.As you have been given Inj TT and started anti rabies vaccine continue the same.Thank you. </s>

<s>[INST] sir i want to know that how can i increase my sperm counts? I have already some medicines that are prescribed by a Infertility specialist.thats are as :MAXOZA PODER , TAB. FERTY-M , CAP. GOD SENT, FOR 3 MONTHS . Doctor says that sperm are seem ocassionaly . [/INST] HelloThanks for query .I would have been able to make precise comments on your problem had you been posted your detail semen analysis report .Based on the facts that you have posted you have what is called as Oligozoospermia meaning there by that your sperm count is very low as compared to WHO standards and your infertility specialist has prescribed medication to help to increase sperm count .Truly speaking there are no medications that has been scientifically proved to increase the sperm count neither none of these medications are approved by WHO Following general measures will help you to increase sperm count and sperm motility and quality of semen . 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 everyday 4) Avoid alcohol and smoking.Dr.Patil.. </s>

<s>[INST] Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> </s>

<s>[INST] I have swelling and pain in my upper right side also dull pain in groin specifically testicle and lower back pain on same side. I have normal temp and the pain comes and goes. it hurts to sit. pain shoots up back, I m type 2 diabetic taking jardiance, janumet, and glimpirde [/INST] Hi, Pain may be due to origin from the spine or local pain like epididimitis or orchitis or funiculitis. Until examination is done it is difficult to say what it is. Need X-ray of lumbar spine, scrotal scan for fluid collection or for inflammation. If symptoms not improved please consult your physician/surgeon they will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu </s>

<s>[INST] Hellow. My name is Jon Fassnacht. Last year around February I had what appeared to be a stroke or a TIA. I did not go to the doctor until April 4th. He just sliced it of as my imagination and did nothing. I am still having problems with balance,short memory loss,efasia and extreme pain in my legs below the knees in my hands and nuckels and my skin between my fingers itch terribly. [/INST] Hi ,you had TIA last year and now having short term memory loss and balance problems .These symptoms may be due to consequence of TIA.You are advised to consult neurologist.Thanks </s>

<s>[INST] I have a hard lump behind my right ear on my neck. It is painless, immovable and doesn't appear to be inflamed but has been present for months. I haven't noticed any symptoms like pain, fatigue, headache, etc. The only thing I have noticed is that I have been slightly dizzy on a couple of occasions. I have many allergies and take medication for hypothyroidism. Could this be something simple like allergies or should I be more concerned? [/INST] Hi.This lump is most likely to be a lymph node. The simplest way to confirm by ultrasonography and FNAC.This helps the exact diagnosis and can guide the treatment. Dizziness or allergy may not have to do anything with it . Looking at the site of it , it is better to worry about it. </s>

<s>[INST] I am 37 yo female ht. 5"4' and Wt. 105. Meds ASA 81 mg po daily, Prozac 20mg po daily. No health problems. Sugeries: T&A, C/S x2, Appendectomy, Gallbladder removed, and LATVH. My SGOT is 41, SGPT is 37, and GGT 15. What could be causing the elevated SGOT do I need more testing? [/INST] Hi thanks for contacting HCM....According to your report you have no abnormality ......Here normal value of liver enzymes is up to 42 .....Your enzymes level are normal so no need for worry....Your weight seems high here.So weight reduction done to prevent complication by obesity .....Investigate folliwing rather then liver ....-tread mill test -blood pressure -serum cholesterol -ECG -CRP....For weight reduction low fat diet taken....Exercise done.....Use less oil in cooking....Hope your concern solved ....Take care...Dr.Parth </s>

<s>[INST] Hi.I have been trying to get pregnant for almost nine years.Couldn t fall pregnant, went to dr. who referred me to a gynae. did some tests and it came back that I had pcos.Now I just want to know what can I do to fall pregnant? From Can t Get Pregnant [/INST] pcos is a problem in which ovulation doesn't occur. but life style modifications, exercise and ovulating drugs are very helpful. around 60% couples conceived after treatment. so consult your gynaecologist for treatment. </s>

<s>[INST] Hi im 18 and last night i just noticed a small hard painless lump on my right breast. its very small. i just noticed it which means its very recent like it just showed up in the past couple days. What do you think it might be. Im extremely scared. Please Help [/INST] welcome to Health care magic.1.No need to get scared, its not the age to worry about the lesions in the breast.2.You are giving a very short history since you are seeing that lump.3.Generally in few cases this kind of symptoms are seen, they turns up as dilated ducts or focal dilatation.4.More over you wait for a week, if its asymptomatic, and feel again - Then see your doctor.5.An ultrasound scan will help to evaluate what its and what it contains.6.Hope it helps. Anything to ask ? do not hesitate. Thank you. </s>

<s>[INST] Hi, I am facing cough problem when season change from summer to winter and I take Augmentin Duo (625mg) tablet.. which helps to recover fast.. but this tablet is very strong.. so i need your help to suggest me and alternate of this medicine ? Thanks in advance Tejinder Singh, Age 40yr, Male [/INST] Thanks for your question on HCM.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 drug you should take before the initiation of season is combination of antiallergic and antihistamine. This should be taken through out the season.So consult your doctor and discuss about all these. Because all these are prescribed medicines and prescription is needed for this. </s>

<s>[INST] I woke up a few days ago, and i found a small lump on the right side of my neck , right above my colorbone, its about the size of a dime, when it first came up it was a little smaller, and caused stiffness to my neck for 2 or 3 days, the stiffness is gone today, but the bumb is still there, you cant see it unless i tilt my head to the left and point it out but you can feel it. Im a 12 and a half year old female , 5 foot 4, and 156 pounds i dont smoke , or drink and i still havent had my pieriod [/INST] HelloLump on the collar bone may be due to enlarged lymph nodes.There are many lymph nodes in this region for lymphatic drainage.Generally lymph node are enlarged due to infection/inflammation in scalp,face,ear or throat.These region proper clinical examination to search for cause.Mostly these are due to benign reasons and disappear with treatment of underlying cause.So,you should consult your physician for proper evaluation.Get well soon.Take CareDr.Indu Bhushan </s>

<s>[INST] hello doc, myself dr puneet sir i vaccinated my girl child with DPT,ORAL POLIO,ROTAVIRUS AND PNEUMOCCOCAL VACCINE ON 1 1/2 MONTHS AND AFTER 1 DAY, SHE EXPERIENCED FEVER ,SWELLING ON THIGH AND LOOSE SRTOOLS AND VOMITING AND NW ON 2 AND HALF MONTH WAT I HAVE TO DO AS MAY I OMIT ROTA VIRUS AND PNEMOCCOCUS VACCINE AND GO FOR AS SCHEDULE. SHE IS TO ADMITTED AT THAT TIME AFTER VACCINATION PL TELL THANX [/INST] Thanks for your query on health care magic.From history it seems your child develop minor vaccine associated side effect after vaccination for first time. But non of them are serious enough to contraindicate the next vaccination. these side effect are common and not going to adversely affect health of your child. benefits from vaccination is far more then these minor reaction. I advice you to compete the course of all vaccination to take their maximum benefits. regards- dr deepak </s>

<s>[INST] Dear Sir, I am 26 years old man, working as investment banker.Sir from last 10 years i am suffering form shivering (tremor) so many times i have consulted a specialist for the same problem. Apart from yoga they prescribed me some medicines, but nothing happened. Reagarding My family history i am the first such case. sir kindly advise me regarding the same nd if any information is required for further investigation for the same i will be highly obliged to provide that to you vi mail or through this forum. reagrds Itikhar 0000 [/INST] Hello,Without examining you it's very difficult for me to comment however, there are many reasons like stress induced, benign essential tremors or some other organic brain disease. I suggest you to visit your doctor for proper checkup neurologically and imaging of your brain if needed. Meanwhile, stop taking tea and alcohol if any and if you are taking any medicines for any other purpose do mention those in your consultation.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician </s>

<s>[INST] Dear Doctor, This is babu rao from Chennai, My father has high creatinine levels of 9.8, Our doctor is advising us for dialysis,My father is not prepared for it and finally we have do him admitted in hospital for full check up, One of my father's friend recommended Homeopathic treatment but our doctor strictly say NO to it and he says homeopathic treatment will do no good and in turn harm kidney, He said once the kidney is damaged then it can not revive. Please Advise. [/INST] Hello Welcome to HCM. I'm sorry to hear that your father is unwell. 1st thing sir, his age?? Going by most adults getting kidney related diseases that shoot up Creat he may be 65 plus? I suggest you few things. 1. Do not panic.. 2. Get him evaluated completely with Renal function tests3. Get a renal scan done. We can know the kidneys better. 4. Generally if Creat is more than 9 as you say, both kidneys are damaged. 5. If he's too old, see his prostate too. Sometimes simple obstruction causes high Creat. 6. Never ever go for homeopathy. Absolute NO. 7. As you said, normal ppl will spoil their kidneys by taking some homeopathic medications. Imagine same with creat of more than 9!!To summarize, get him evaluated completely, find out the cause for such high creat and no homeopathic. And in case he needs dialysis, better to get a fistula done. Hope this helps you and pray for the recovery of your dad. </s>

<s>[INST] Hello doctor, I am a 34-year-old male in good general health. Until 20 years of age, I never experienced any issue with erections or sexual health. When I turned 20, I had an episode with my girlfriend where over two consecutive nights, we had no sex, but rather very prolonged foreplay. Due to the prolonged arousal, my erection stayed for most of the night, without ejaculation. This episode of two prolonged erections and arousal obviously hurt my penis as it went through some visible changes back then, both in shape and feeling. While it was not painful, it lost some thickness and the side erectile tissue eventually lost some elasticity, becoming somewhat hardened in a flaccid state. Since a slight curvature initially appeared, I can only guess this was Peyronie’s. Eventually, in the course of some years, it did recover partially and as of now, there is practically no curvature at all. However, the erectile tissue is still not as it used to be, somewhat hardened and when I have an erection, the blood seems to get trapped in a way in both sides of the penis, while the glans have difficulties getting sufficient blood and arousal and often remains softer. I have no problems getting and maintaining an erection myself, but when being with a partner, it tends to be more difficult and the erection often goes away quickly if not actively stimulated. The softer glans often leads to less control and premature ejaculation. I assume I may have gotten some degree of penile fibrosis, which was triggered by the episode of prolonged erection when I was 20. My question is, would there be a (natural) way to help reduce this tissue hardening and enhance regular blood flow, particularly to the glans. Since this is not a serious issue and it seems the damage was not that substantial (I still have morning erections for example, and the feeling is often close to normal), I would be looking to some natural therapy with as little side effects as possible. I read about some allegedly very good results of combining L-arginine and pine bark extract when it comes to enhancing erection quality overall. Would you happen to know about this or could you recommend some other natural treatment options, which would not cause any other health issues? My main concern would be getting priapism due to some medicine like Viagra, as it was exactly the prolonged erection that caused my problems. If Arginine and pine bark extract are overall safe, I would be glad to opt for this. [/INST] Hi. From the events you described, you had normal erection and ejaculation but over the years it has reduced. You have difficulty in maintaining erection and premature ejaculation. Have you recently changed the partner or stress in relationship? How much time do you take before ejaculation (intravaginal)? Natural extracts are effective but the effect may not be titrated as per the dose and excessive may lead to possible priapism. With progressive exposure to more sexual experience, the quality of erection goes down, but a person becomes more confident to satisfy a female. For a female, the way of doing sex and getting her to orgasm is more important than the penis solely. For you, I would suggest Tadaflo 5 mg (low dose Tadalafil used in BPH patients) as you do not have erectile dysfunction but need to support erection for a few days. Premature ejaculation if persistent problem, I may treat that later. Tablet Tadalafil 5 mg on alternate days evening. </s>

<s>[INST] Hello sir I am tassawar from Saudi Arabia. I bought Horlicks powder to use for general purpose when I drink only one table spoon in one glass of water after a while my blood pressure went high feeling too much discomfort today I have tried to conform same thing happened why I cannot undrstand. Can you help me [/INST] Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice. If I am your doctor I advise you that drinking Horlicks won't cause anyone blood pressure at a high level. I think there must be something else that makes you feel discomfort. You should visit nearby doctor's clinic after drinking Horlicks to check whether your blood pressure is increasing or it is something else.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Arun Tank </s>

<s>[INST] Cant figure out whatsit wrong With my dads back Its in his upper right back. It dosent hurt when its touched. Its not red or abnormal in shape. He says its hurts when he coughs and when he takes a deep breath. He says the pain is a 6 and it is sudden. He its not peeing blood. He has not lost his appetite. He is not having a hard time breathing. And he says it happens at random times. [/INST] Hello, I have studied your case. There is possibility of osteoporosis and associated infection.I will advise you to do MRI thoracic spine, HRCT [CHEST]] and Till time, avoid lifting weights, Sit with support to back. You can use supportive brace.I will advise to check your vit B12 and vit 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. </s>

<s>[INST] My husband suffered from a bout of flu commencing July 29th 2011 while in Rome at the start of our holiday, we had been there for 2 days. He had all flu like symptons and we presumed given a few weeks he would return to normal. This has not occured. Ongoing symptions include aches and pains in joints which seem to travel to different spots in his body but regularly in his hands. High temperatures and severe sweats. General tiredness and feeling unwell with the occasional bloating and stomach pains. Unable to perform a normal days activity and spends much of his day laying on a bed. He has had 4 separate sets of blood test, for varies virus including Ross River and Bahman Forest Virus. All blood tests have not provided any indication or resolution to the problem. He spend 2 nights in hospital this week with a suspected heart attack, but his heart is strong and blood pressure excellent. He is under our local GP however there is no help other than to say it takes time . His symptons of fevers, sweats, tiredness and aches seem to be worse now rather than better after nearly 6 months. Please help [/INST] Hello,The flu like feeling can be due to a post viral infection that affects the bones and joints. Rest and mild pain killers with a good vitamin C rich diet will help in his recovery.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon </s>

<s>[INST] Hi my name is zainab I have two kids already girls ages 4&8 . I have been trying to get pregnant for almost 4 yrs now but nothing yet. I was using the IUCD which I have removed and been trying for almost a year but nothing yet. I am still having my regular monthly periods any suggestion or help kindly assist [/INST] Hi, Thanks for writing to us. In my opinion you should cosult a gynaecologist and get your examination and investigation to rule out that everything is fine. Your husband test are also very important. Wait for some more time. Good luck. Regards Dr.Richa </s>

<s>[INST] hey I am a physiotherapist and i have come across with a 5 years old child suffering from leukodystrophy of unknown type.he is completely dependent with mental retardation,motor loss,hypertonia,cross legged posture in lower limb.can you guide me to refer him further for treatment?i have no idea if theres any treatment for the disease. [/INST] FROM YOUR NARRATION THIS CHILD IS SUFFERING FROM ADRENOLEUKODYSTROPHY AND IT IS CEREBRAL FORM IT SI X LINK RECESSIVE DISEASE CAUSED BY ACCUMLATION OF LONG CHAIN FATTY ACIDS IN SIDE THE NEURAL CELLLSBEST TRATMENT FOR ALD IS BONE MARROW TRANSPLANT WHICH CAN PREVENT PROGRESSION OF DISEASE IN EARLY STAGEAND OTHER IDLORENZO'S OIL - IT DECREASE THE LONG CHAIN FATTY ACID VIA DECREASING THE SYNTHESIS OF IT </s>

<s>[INST] I am 26yrs old, about 5'6 and weigh about 200. I'm about 10 weeks pregnant and was stung in the neck by my ear by a bee. I've been stung before when I was a child and had no allergic action then. I was at the zoo when it happened and the fellow at the nurses station said I appeared to be fine. I'm still worried cause it's two days later and the sting site is still swollen, red, tender, and itchy. Should I seek medical attn? Will my baby be okay? [/INST] Hi, Thanks for posting to HCM.It is unfortunate to note that you have been bitten by bee when you are pregnant. Also from your description it appears that it has been only local allergic reaction. Since you are pregnant, avoid any other medication and kindly do the following.1. Wash the area of bite with water and using mild antiseptic like Savlon everyday twice daily. This will prevent the bite area getting infected.2. Remove the sting carefully if it is still present at the bite site. 3. Apply ice packs to reduce swelling. 4. Take Tablet. Paracetamol combination twice a day for 3 days after food. 5. Apply Calamine lotion at bite site. You should get better soon by doing this. Wish you speedy recovery. </s>

<s>[INST] hi I am 23yrs old and gender is female.I have huge hairfall,nowdays scalp is easily visible.I am very healthy and i don't have any stress also.Can you please suggest me which doctor to consult in Bangalore for hair treatment.I desperately want to regain some hair. [/INST] Hello,Thank you for posting on HCM.I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions,drugs,cosmetic products etc.From your description, it seems you might be having early stage of female pattern hair loss which is due to your hormones or tractional alopecia from constant pull/force on hair due to particular hairstyle.If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc, your menstrual history and recommend some basic investigations like CBC,blood sugar,Thyroid function test.I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma.Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.Hope your queries are resolved and wish you best of health.Thank youDr Hardik Pitroda </s>

<s>[INST] Hi doctor, I am a 47 year old female. My weight is 95 kg. My symptoms are blood in stools and stomach bloating. Initially, we suspected piles. But, the doctor said it may be colon or rectal cancer. Colonoscopy, blood tests and CT scan are done and I have attached the reports for your reference. I would like to know the actual problem. How serious is it? [/INST] Hi. For further information consult a surgical gastroenterologist online --> </s>

<s>[INST] Hello docs n experts, Since yesterday I m ejaculating red semen. I noticed it yesterday while masturbating, even today I seen same thing when I was trying to confirm was it a normal one day case or a serious issue. Now I think it is a serious problem for me. Please help me. [/INST] Hi , thank you for using health care magic.I can understand your concern.Red colored semen mostly suggest blood in it. It is possible due to injury to urethra (like due to urinary stone) , infection of prostate or urethra, etc.You need to take this issue seriously and need to see a surgeon.To get the diagnosis of your condition treating doctor need some local examination as well as prostate examination and urine routine micro examination, possibly also ultra sonogram of pelvis and prostate .Hope this will help you.Regards. </s>

<s>[INST] good morning. i am Cecil Comonsad, i had an x ray result a few days ago it was a minimal fibrosis, i had an employer at K.S.A. but i am not fitted to work there, is there any treatment i can do or is there any other country that i am fitted to work even if i had a minimal fibrosis? please help me... [/INST] Hi,Welcome to health care,Oxygen therapy is the mainstay of treatment in minimak fibrosis.Other that that there are some new medications like pirfenidone which may help but the other associated conditions like pulmonary hypertension also need to be treated. Inhalers, physiotherapy, vaccinations etc. help in supportive management. You may consult a Pulmonologist regarding the feasibility of above options in your case. </s>

<s>[INST] I have been feeling dizzy lately and throwing up in my mouth. My stomach has been hurting. I have been drinking lots of water. trying to eat healthy and working out. I just don t feel like myself. Do you know what this could be? stomach gets cramps, wake up with my head hurting [/INST] Hi,Thanks for writing to HCM.As for your stomach pain...you are having gastritis with reflux...GERD...and for that you need to be started on a ppi and prokinetic combination like pantaprazole and levosulpride, which i prefer for my patients. But for the prescription you need to see your local doctor.And your dizziness can be due to stress by the pain and that should go by the above treatment, but still when you go to your local doctor, do get your blood pressure checked as low bp can also cause that.Dr. Ashish Verma </s>

<s>[INST] brother in law had bone marrow transplant in aug. still in denver hosp but has developed ebs. with a know in the groin . going to have pet scan tomorrow. they had told him he had gone longer then some people w/o developing something. what can you tell me about how serious this is. i feel like the good progress he had made is turning. without knowing more to tell you i am just looking for something positive. [/INST] Hi,Thank you for posting your query.Unfortunately your query does not give out most of the details, which could enable us to give you a good answer.What do you mean by ebs?Generally, after bone marrow transplant, patients are more prone to develop infections, as their immunity is lowered due to use of immunosuppressant drugs.If you can upload some more details, it would be helpful.I hope it helps. Please get back if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: </s>

<s>[INST] Good morning. My husband and I are both sick. Sinus infections, and he has also a slight case of pneumonia. The cool mist vaporizer did nothing for me, so I tried a warm mist which worked wonders (actually, we are both able to sleep now). Is this a problem for him with that pneumonia? There are no children in the household, and the unit sits safely on the dresser. [/INST] Thanks for your question on HCM.I can understand your problem and situation.Yes, you can definitely take warm mist in pneumonia patients.Warm mist is actually helpful in almost all respiratory problems like nasal blockade, sinus issues, throat pain, bronchitis and pneumonia.So no harm in giving warm steam to your husband who is suffering from pneumonia. </s>

<s>[INST] Hello doctor, My wife is 24 years old and she has PCOD. We have been trying to conceive for the past 2 years, but no result. We went to infertility specialist six months ago. He started the treatment through medicines and one IUI. But, all the treatments failed. Then, he decided to go for IVF. Our doctor said that my semen sample is normal. In this IVF cycle 15 eggs were retrieved. Out of the 15 eggs they decided 8 eggs for IVF and 7 eggs for ICSI. Later, the doctor said that all 8 IVF eggs failed to be fertile because egg layer was very strong and And all the 5 eggs with ICSI are fertile. He transferred two embryos today and said that the embryo quality is good. Is ICSI a safe process? Will it affect the IQ of the baby or cause any birth defect? What about the fertility status during their adulthood? And finally, why is egg layer so thick? [/INST] Hi. I can understand your concerns. Revert back to an infertility specialist online for further follow up --> </s>

<s>[INST] i am 40 years male indian, sexually active, started having a small pimple on the left testis. In due course of time, it started feeling hard and started growing. Some times I have sting when in contact with clothes or underwear. What is the significance? How serious is this issue? [/INST] HelloThanks for query .Small pimple on the scroyum that you aave is mostly a Sebaceous Cyst .The 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 infectedConsult qualified General Surgeon for evaluation .You may need to get it excised in Totto under local anesthesia.It is not a serious issue at all .Dr.Patil. </s>

<s>[INST] According to the an MRI that I had last month, the very last disc is almost poking thru my spine. My Dr. sent me to see a nuerosergeon, who confirmed the problem. It has the sciatic nerve pinched and I am in severe pain 24/7. The surgeon refused to do surgery because I am a smoker. I have had several other kind of surgeries and still smoked and healed up just fine. So what else can be done for me to get rid of all this pain? I hate living on pain pills. [/INST] Hi, As a first line of management you can try analgesics like Acetaminophen or Gabapentin for symptomatic relief. If pain persist despite taking all the analgesics, you can consult a neurologist and get evaluated. Wishing you good health. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain </s>

<s>[INST] Ok, I need to know what would cause a leg and foot to swell up 4 times its normal size. The foot and leg became so large, it was having eruptions of liquid like volcano's. And all this occurred within a 2 hour period. This happened to me several years ago and was diagnosed as cellulitus. I was put on 4 IV's of antibiotics overnight. The typical blood poisoning red traces were visible slowly moving up my leg. They mentioned that it could have been a spider bite or something infecting the little toe where it started. I have been researching cellulitus and brown recluse spider bites and none of the symptoms described are what I had. So now I am confused as to what may have happened to cause such a bizarre affliction. Any idea's? [/INST] Hi,Welcome to HCM.Many of the spider bites usually do not cause much harm except for some spiders like black widow spider and brown recluse spider. Your symptoms are suggestive of a brown recluse spider bite where the skin around the bite wound swells and reddens due to a local reaction. Such wounds should be cleaned thoroughly to avoid secondary bacterial infection. Based on the symptoms you have mentioned in your query, I suspect the above scenario where your wound was not attended to in time and secondary bacterial infection has occurred leading to cellulitis. Cellulitis is caused by bacteria like staphylococcus and streptococcus.You were correctly treated by broad spectrum antibiotics as cellulitis spreads very fast and cause septicemia.Hope I have helped you with this answer.Thanks. </s>

<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> </s>

<s>[INST] I have redness in the distal/terminal area of my left foot (top) between my fifth and fourth toes (baby and ring toe) that I beleived might be related to wearing tight ski boots and athlete's foot in the small toe area. It has been very tender to the touch and sore for three weeks now. I have treated my althlete's foot with an anti-fungal cream and spray (for five days now), but the area on top of my foot between the forementioned toes has become sorer, redder, and has come to a head (white and painful). I carefully puctured it with a sterilized instrument and white/grey pus ozzed out (but it has relieved the pain and pressure somewhat). I have put an antibiotic (bactricin) cream on it, pressed all the pus out that I could, and would like to know what you might recommend from here. Thank you. [/INST] Hi.This looks to be an infection which has now spread under the red skin. As the history is of 3 weeks, I would suspect the slough of dead tissue underneath, which needs to be excised and the incision and drainage be properly done for early and complete recovery. I hope you do not have associated diabetes / you are not using any tobacco products. Do not put any creams on it as it may obstruct outflow of pus and may cause super-infection. Visit a Surgeon and request him for a proper surgery to open up the abscess and do debridement. </s>

<s>[INST] I ve been having upper stomach problems makes my stomach feel weak and like I need to vomit all the time I have the chills tonight and I exsperience heartburn symptoms a lot. Like pains in my stomach and upper stomach and makes me feel like I m goin to vomit. And weak and almost to a hungry feeling which I shouldn t be what cud I have and what can I do its scaring me [/INST] welcome to HCM Take regular tab. rabagen 1 bd dose with cap. rabamac itr 1 od for 2 week. Avoid spicy meal , get relax , and do'nt be in hurry. These will controle your excess acid secretion. </s>

<s>[INST] After being asleep for a couple of hours, my heart started beating very fast. I could hear my heart beating in my ears. I was paralyzed. I tried to wake up my boyfriend, but couldn t move or make a sound. i managed to get movement in my fingers and tried to poke him, but to no avail (he s a very heavy sleeper). I finally got my eyes opened, and I lay awake for a little while and fell back asleep when i started to feel better. This is the second time that it s happened in a couple of months. what s wrong with me? [/INST] Hello, Symptoms seem to be related to a sleep disorder, possible sleep paralysis or a nightmare. For this reason, I would recommend consulting with a neurologist and performing a polysomnogram. Other tests to consider would be thyroid hormone levels for thyroid gland dysfunction, cardiac ultrasound and an ambulatory 24-48 hours ECG monitoring for cardiac arrhythmia. 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 Regards, Dr Ilir Sharka, Cardiologist </s>

<s>[INST] Hi doctor, I am 21 years old. My main concern is, I have a lot of stretch marks on my body. I had them on my shoulder and thighs since I was 10 years old. Now, I have them even on my belly and biceps area. For the past three months, I have been working out. I do not feel it is because of working out. Please have a look at the pictures and let me know if they can be cured? What other alternatives do I have? Kindly suggest. [/INST] Hi. I have checked the photographs (attachment removed to protect patient identity) and noticed that you have a lot of old stretch marks on your shoulders and abdomen. I would suggest you start topical application of Tretinoin cream 0.1% on the stretch marks daily at night. Use it for at least for a period of six weeks and check for any improvement. In case you do not achieve the desired results, then you can go for laser treatment. In chronic cases, Nd: YAG (neodymium-doped yttrium aluminium garnet) laser and fractional photothermolysis will be used. 1. Seen in adolescence and associated with rapid increase in size of particular region. 2. In weightlifters it is seen, when their muscle mass increases rapidly. Striae atrophicans. </s>

<s>[INST] My kidney function currently is 17% left kidney 83% right kidney. I m 48 yr old female, had a pyeloplasty at the age of 7 years of age. I ve had another bout of pyelonephritis, currently week 3, ongoing pain in my kidney. What are my options long term? [/INST] Good Day and thank you for being with Healthcare Magic! is your pyelonephritis in the left kidney? If you have recurrent UTIs from the left kidney then options in the future would be prophylactic antibiotic daily or if still with breakthrough infection despite the antibiotic then you might need to have your kidney removed laparoscopically. 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: I would gladly help you. Best wishes </s>

<s>[INST] Hello doctor, I have teeth of yellowish color. How can I whiten it? [/INST] Hi. It may be due to calculus deposit on the tooth surface. Please visit your dentist for scaling and if you get any further deposits even after scaling, you must go for polishing your tooth to get a white surface. Stains and calculus. Oral gingivitis. Oral prophylactic treatment (scaling). 1. Use mouthwash. 2. Brush twice a day. 3. Gargle mouth after every meal. </s>

<s>[INST] Sob 8d, dizziness & facial numbness x5 days. CMP, cbc, ferritin, iron all normal. Head ct, cxr, ekg all normal, d-dimer elevater @ 284. PCP had me trial xanax last night. Still trouble getting full breath and dizzy. My concern to her was PE she doesnt think so. Its a weekend asthmas workup normal. What should i do [/INST] Hi, Thank you for posting your query. I wish to reassure you that the chance of you having pulmonary embolism (PE) is very less. This is because your symptoms are not suggestive of same, as well as your EKG was normal. Please get vitamin B12 levels checked up, as its deficiency may cause numbness and dizziness. Please follow the advice of your PCP. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: drsudhirkumar@yahoo.com </s>

<s>[INST] sir i have done my MRI here is the report: Disc dessicatory change,diffuse posterior disc bulge,thickening of ligamenta flava,facetal hypertrophy ,mild thecal sac compression.bilateral mild neural foraminal stenosis bilateral mild nerve root compression at L4/5. straighteing of lumber lordotic curvature curvature is seen suggestive of back muscle spasm. what can i do now? any advice ?? [/INST] Hi zafran, As doctors, we treat the patient and his symptoms. Looks like you have a MRI report showing some features of degeneration (wear and tear), but the MRI scan requires no treatment! Please let me know what symptoms you have, how long you have it, what medicines you have taken and for how long and whether it has given you any relief. That will let me know if the MRI report correlates with your symptoms which will help in giving you appropriate advice. Regards, </s>

<s>[INST] hello sir im a 17 yrs old .... and i have suffering from a promblem of sperm masterbating ... i cnt control it ....if i will try to control to do dat .... den a short leakage was fall down frm my penis .... i became so tired dat i cnt do my studies well bec of dis ... the prmblm is so big dat if i even saw a girl on tv with short skirt or in a sexy sari ... i cnt stop ... to do masterbating .... if i try to stop den a small leakage wii fall down which became me tired ........!! [/INST] HelloIt is good that you are trying to get rid of masturbation addiction.Its obsession is bad.Semen leakage may be due to over excited state or excessive fantasy.You should avoid provocative literature and videos.You should try to be calm and try to engage yourself in your job.You may also need psychological counselling if symptoms persists.You should take healthy and nutritious diet.Get well soon.Take CareDr.Indu Bhushan </s>

<s>[INST] My mother in law had surgery for a lump in the belly button in Mexico. A few days later they cleaned the wound and more lumps came out. They were tested and said they were canerous but they all gone. Now 3 weeks later she is back in the hospital with another lump. What could this be? [/INST] Hi...better show to an oncologist... there maybe a cancer inside her abdomen too which they are missing and which is causing recurrence...Dr. Ashish Verma </s>

<s>[INST] I have chronic asthama since last 30 years I always do asana - sirsasana. matyasana, vajrasana , sarvangasana, halasana. padmasana, bhastrika ,uttapadasana & paschimottasana etc every day in the morning for 45 minities. But have to take Budetrol inhaler twice a day. sometimes to take Romilast b 10 half in the night to prevent ashthama. Plase advice me to relieve from this disease. [/INST] Hello dear... The medicines prescribed by your Doctor are correct. Asthma is caused due to broncho-constriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages to an allergen. Budetrol will provide symptomatic relief by reducing the inflammation & causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs) Romilast is Montelukast, which is used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma by reducing broncho-constriction. So...please continue the medicines as advised. And make sure that you are well protected from cold, dust & other allergens. Other than that eat a healthy diet, exercise regularly, avoid stress, get good sleep, think positive and stay happy. Wishing you good health. Thanks & take care. </s>

<s>[INST] Hi. My mum is 56 and her kidneys don t work so well. She won t go on dialysis. Her urea is 200 and creatinine is 8.4. Her potassium is 5.4. She is active and energetic and does a moderate amount of manual work. Please suggest some tips to reduce urea creatinine and potassium. She does follow a diet. [/INST] Hello,She has to be on low protein diet, and to drink at least 2 liters of water per day. She can try taking diuretics like Furosemide. This will lower the potassium level.Hope I have answered your query. Let me know if I can assist you further.Regards </s>

<s>[INST] Hello doctor, My c-ANCA levels are 5.6 U/ml (borderline positive). I have hypertension and proteinuria (3g), high serum creatinine (2.4) and UTI. My other autoimmune tests and serum electrophoresis results are negative. What should I do and what is the general prognosis? [/INST] Hi. Based on your query, my opinion is as follows: C-ANCA (Antineutrophil cytoplasmic antibodies) positivity indicates Wegener's Granulomatosis. In this condition, there is involvement of upper and lower respiratory tract and kidneys. Most common diagnosis, while kidneys are effected, is Lupus. But I suppose your ANA and anti-Ds DNA are negative. I would like to see all your reports, and I also recommend you to get an x-ray of paranasal sinuses to see for any polyps that are associated with Wegener's Granulomatosis. A chest x-ray may show a cavitary lesion. You need a kidney biopsy, first of all, followed by which you will be started on immunosuppressive therapy. Steroids and other immunosuppressive agents like Cyclophosphamide, Azathioprine are used. Prognosis and life expectancy can be commented after the report of kidney biopsy, as most of the times fatality occur due to renal failure. I hope it helps. </s>

<s>[INST] hi I am a 49 year old diabetic female. I have been experiencing some pain on my right side upper abdomen. It starts at my right side towards back in the daytime by nighttime it moves around to the front of my abdomen toward my navel stinging and burning with stabbing pain I can lay on a pillow on hard surface and pressure relieves it a bit, I talked to my MD he tells me arthritic pain wanting to do injections in my back but I do not feel it is this. I m a little scared because I have pancreatitis also. I am also concerned abt my liver could you please give me some suggestions because this pain gets unbearable! [/INST] Hello,If you earlier had pancreatitis ... There are chances you get pancreatic pain quite often, and the description you give somewhat fingers towards pancreatic pain, pancreatic pain can be aggravated by many stimulant factors , after eating a heavy fatty meal, n so on, if u have such pain, please consult the doctor, get yourself examined and kindly get an Usg scan with pancreatic enzyme tests so that u can have a idea, depending on that treatment can b given. Hope I could help you.Thank you. </s>

<s>[INST] Dear Doctor, My ultrasound shows thickening of endometrium (day 10 the same is 10 mm). Also some polypoidal thickening. Can this be the reason for non implantation of embryo? Would this affect my chances of success in ivf? I have been trying to coceive naturally for last 5 years. Had conceived naturally once but suffered miscarriage. Would be really thankfull for your guidance. [/INST] HelloThanks for writing to us with your health concern.Proliferation and development of the endometrium ( lining of the uterus ) is normal during the cycle. 10 mm on day 10 is slightly on the higher side.However, polypoidal thickening is not normal.It can definitely impact the implantation of the embryo.However it is not a total contraindication for pregnancy.It would slightly reduce your chances of conceiving from the IVF procedure.Since you are yet to go for the process, dont worry about what you cannot change right now.If the endometrium is not favourable, your doctor certainly wont go ahead with the pickup and transfer.Just dont stress out and stop worrying.A slightly more than normal thickened endometrium might sometimes be favourable for implantation - you never know !JUst keep your fingers crossed.All the bestTake care. </s>

<s>[INST] Hi doctor, Please find my blood investigation report attached and provide me the required steps to take further. Thank you. [/INST] Hi. For further information consult a criticalcare physician online --> </s>

<s>[INST] I put the needle down 4 year s ago, but the 2ND week in March I picked it up again to shoot mdpv, and can t seem to put it back down. I am 47, and had a heart attack at age 40. Shooting was my first and only love, but I did manage to quit once. Anyway, I have a stethascope and like to listen to my heart beacause it, I call it off beat s, after an hour or so of shooting. And, I had a heart murmur, my Doctor told me it was gone, but when I shoot I really hear it and it has like a click that I been hearing??? [/INST] There are many causes if possible do an echocardiophy of heart. If there is an anomalies it will be diagnosed </s>

<s>[INST] hello doctor ,am priya 34yrold, & got married in Nov19th 2010, got ma 1st period on 23rd nov 10 2nd period on jan 26th 11 ,3rd 5thmar 11, 4th april 11,& 5th on may 5th 11 and 6th on may 23rd 11 and doctor suggested me to take carnisure500mg for 20dys .... will it harm in getting pregnant doctor had prescribd 1st with fertly super100mg ,clomid progestrone , levtol 2.5mg& now carnisure ....and my husband is taking tablets for depression as follows Parkin ,Azur , Stalopam, Telma-H, Amlip-5, Matilda,Glizard... and my hubby done semen analysis was Nrmal ... and 2day had gone for pregtest it appear 2lines should i await until 23rd /24thjune to confirm whether m pregnant..... had consulted a doctor and she had prescribed me again with Miprogen , Fol123 , ulgelsyrup ,&nosic tablets... m worried whether m really got conceivd or not .... [/INST] welcome to healthcaremagic if preg test showing two lines it means you are pregnant don't be anxious talk to your doctor and get every thing cleared and continue treatment as advised </s>

<s>[INST] Hi my wife has had some pain in the back of her legs the last few days, it resided but just popped up in her right arm and there are small indentations as if she had leaned on something for too long but has not done so. she is on birth control but that is it. [/INST] Hello, Consult an orthopaedician and get evaluated. An MRI scan is required for further assessment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>

<s>[INST] Hi, about 6 weeks ago on holiday my daughter hit her head on a tiled floor and cut her eye open just below the eye brow. Ever since it happened she now complains of headaches and tonight she is complaining of dizziness with a feeling like she's tipping. [/INST] Hi,Thanks for the question.Headache and dizziness after any head injury is not normal. These kind of problems may not arise immediately but take few days or weeks to appear.I would suggest you to meet your doctor as she needs proper checkup and further tests if required.Hope that help.Thanks </s>

<s>[INST] Morning, I am not sure ...i slept verry difficult last n ight and this morning my arm feels lame .....but in the past i have been feeling discomfort inmy chest and breast but their is no pain at all.....about a month ago my both my calves swelled up and was tingly but that has gone now ....i stay tired and i do stress financially a bit.....coudl all of this be stress or medically ....i am so scared for blood clots they did do tests last year and it showed negative but i also have high blood pressure i am drinking tablets for that but today i have a headace ...i can feel that i am physically tired please can you asssist [/INST] Hi there ~I understand your concerns. Insomnia, lethargy, somatic complaints, anhedonia, depression, guilty feelings, stress, hopelessness are all symptoms of depression. There are affective medications for depression. I hope you start taking these medications with the expert consultation with a qualified psychiatrist. I hope this helps. The headaches are also related to your psychological condition. Take care and have a lovely day! </s>

<s>[INST] My 3 year old did not eat anything today but I noticed 4 nights ago he gagged on his tea & since then he hasn t really wanted to eat anything, his poo has been runny also. Child health say that toddlers won t starve themselves & say they are fussy eaters but I don t think this is the problem as 2 weeks ago he was eating normally? [/INST] Your child is suffering from viral infection of abdomen. The symptoms are poor appetite , nausea, loose stool and often fever. There is no treatment for it, only give him plenty of fluids and give sometime, It will recover. No antibiotics are required. Just give him probiotics like Enterogermina 1such twice daily for 3days.He will be ok in 5 days. </s>

<s>[INST] Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> </s>

<s>[INST] My daughter fell getting out of the tub and hit her foot. She hit the side of it on the door frame and now it has a large knot and is swollen (happened about an hour ago). It s just on the side of it and she was able to walk relatively fine. She cried a while and said it s throbbing. Do you think it s broken? [/INST] Difficult to say if it is broken or not.If you are in doubt than get X ray foot done.And to clear show it to pediatrician.. </s>

<s>[INST] SIR i AM HAVING SMALL PARAPELVIC CYST SIZE 3.3 X 3 CMS IN LEFT KIDNEY AND HAVING BURNING OF THE PELVIS PLEASE LET ME KNOW WEITHER THE CYST CAN BE REMOVED BY GIVING MEDICINES OR IF OERATION IS NECESSARY CAN I DO BY LASZER OPERATION AND IF IT CAN BE DONE WHERE IN INDIA CAN I DO I AM RESIDENT OF HUBLI IN KARANATAKA STATE IN INDIA PLEASE REPLY [/INST] HiThanks for the query.Renal pelvic cysts do not cause any symptoms unless they are causing obstruction or infection. Thus they need treatment only in these cases.There is no medication to remove the cysts. If treatment is needed it is by surgical removal. Please see a urologist who can guide you appropriately.Hope this helpsGood luck. </s>

<s>[INST] hi, i am 30 years old. I have been planning for child since last 1.5 years but yet could not succeeded. My wife has gone through all tests like HSG etc. My semen analysis shows 34 million count, 40% motility. My Doctor have recommended for me Ubiphene for 3 months, Fertisure D. Kindly advice me for good result. [/INST] Hi,I would suggest to consult infertility specialist and undergo reproductive hormone analysis, USG scan, ovarian follicle study and HSG test for your wife. If it will come normal then nothing to worry. Otherwise specific treatment will depend on cause. Now coming to your report. You mention the sperm count of 34 million. It is total sperm count then it is slight less, but if it is per ml then it is considered as normal. Total motility should be greater than 40%. So your count and motility is just below normal. You can take Ubiphene for 3 months and it will give good result. If problem persist, then undergo USG scan, serum testosterone, semen culture to find any other pathology. You can also take take tablet like Gonadil F, tablet CoQ. Avoid stress, take healthy diet with lots of fruits and green leafy vegetables, drink plenty of water, do regular exercise, avoid excessive alcohol and smoking.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar </s>

<s>[INST] please i do always feels pain in my chest.Firstly,i first noticed that if i run for 5mins my chest will be paining me,also if i played for 5 mins it pains me and also anytime i bend down and just want to get up i do feels the pain,anytime i lay down i do feels it while laying down.i had contacted doctors,pharmacist and always undergo x-ray but i had not been diagonise of anything also some said it is hearth burn but i had took some suspension but it still persist.please kindly help me out on this my problems.thanks as i await your favorable reply. olowu oladipupo rasaq [/INST] Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* If the reports has cleared the heart , lungs related causes ; then this is the psychosomatic manifestation of underlying stress or anxiety .* Guidelines for better recovery- Always prefer oily , spicy , non veg .- Drink plenty of liquids with light diet preference .- Intake of PPI and anxiolytic according to the preference of the Dr .- Avoid stress , anxiety .- Avoid smoking , alcohol if using .- Manage regular sound sleep of 8 hours .- Prefer walking in fresh air , exercises , YOGA which are best remediesHope this will help you for sure .Wishing you fine health ahead .Feel free to ask any further doubts .Regards . </s>

<s>[INST] I have had a cough now for a few months off and on. After about 2 months I finally went to the doctor after my insurance has kicked in and the doctor had told me it was related to my asthma. She gave me albutirol and then a Z pack. I used my neb treatments for about a week and finished with the Z pack and the cough went away for about 2 to 3 weeks. In the time frame I had a bad sore throat off and on. It tended to be at night more then anything. Now this week the cough has come back with just as much phlegm as before. I get coughing spells and when that happens I use my inhaler that I have with me at all times, but it only works for a short time. I have a hard time believing that it is all asthma related since I haven't had that much trouble with my asthma for a few years now. It doesn't seam as if the nebs help. When i get these coughing spells I do find it a little harder to breath. Should I go back to the Doc. [/INST] Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This is in relation with definite lower respiratory tract infection , rather than simple asthma .* Strongly recommended to visit doctor again for lab tests , sputum culture and x-ray chest if not done till now .Wishing you fine recovery . Feel free to ask any further queries .Regards . </s>

<s>[INST] mild low back pain with b/l lowerlimb pain after walking 10 min age 52yrs wt-62kg ht 5.8 inches pain while sitting n getting pain n has 2 take support while gettin up L4-5 SEVERE DIFFUSE DISC BULGE INDENTIG ANTERIOR THECAL SAC N NEAR COMPLETE OBLITERATION OF B/L NEURAL FORAMINA [/INST] Hi, welcome to our site. I am Dr Saumya Mittal, MD.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryYours is a condition known as myeloradiculopathy- that means the disorder (pathy) involves the spinal cord (myelo-) and the nerves coming out of it (radiculo-). Your spine is basically a column of bones separated by cartilages with spinal cord running inside this bony column. the nerves come out from the spinal cord and run out to the body through small gaps between the bonesThese cartilages sometimes move from their place. This displacement can be in any direction, but is most prominently and commonly behind. Now when this disc (cartilage) slips behind, it manages to obstruct the gaps through which the nerve comes out. This causes damage to the nerve.If the disc protrudes further, it may start to affect the coverings of the spinal cord (theca)at first, followed by the compression of the spinal cord itself.This is exactly what is happening to you, as per the report entered.ideally, the treatment of this condition is neurosurgical. But no doctor likes to do surgery at first. So I would suggest a prescription of pregabalin and methylcobalamin. This may be associated with physiotherapy. A short course of steroid may afford some immediate relief.If nothing works, surgery may be consideredI 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.Dr Mittal.MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)Consultant Physician and DiabetologistJS HospitalEx Apollo Hospital, DelhiEx Kailash Hospital, Noida </s>

<s>[INST] My Father-Inlaw finished Throat Cancer treatment a year ago this November. However, he cannot produce saliva anymore, but when he is full from eating, his nose runs. He is convinced that somehow scar tissue is built up around his saliva glands and re-routing it through his nose. Is this possible? And can dry mouth be fixed surgically? [/INST] Hi there, Radiation causes what we call as 'xerostomia' or dry mouth. Most of the patients learn to live with it with help of water. Alternatively you could ask your radiation oncologist to prescribe saliva substitutes whichever are available in your country. I feel if he is not swallowing correctly because of which he may be regurgitating which can happen after radiotherapy. Unfortunately no surgical options are offered for these problems. Take care </s>