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<s>[INST] I had a small mole on my shoulder for what seems to be my entire life, but these past few days it's grown and gotten darker. It's not HUGE but it is bigger and it kind of bleeds a little bit, there also seems to be blood underneath it, what could it be and is it serious? I wear a lot of tank tops so I'm not sure if it just got irritated, or maybe infected, I'm afraid it could be something like cancer... [/INST] You should be concerned but dont be worried.Moles growing rapidly or sudden increase in size or bleeding are all signs needing an oncologists attention. </s> |
<s>[INST] Age:35 height: 6 Hi Dr, my husband is having high ESR 85 frm few months with high fevr and bad shoulder pain ..after dignose we gt some lipomas in his sgoulder opreatd nd he is feeling wel aftr that we did some more checkups HB levl is 10 and ESR still high at 110..am very upset plzz tell me wht can v do why his ESR is high plzz help me plz [/INST] Hello,His symptoms are suggestive of arthritis or bursitis. The high ESR are indicative of present inflammation. Coming to this point, I would recommend performing a shoulder X-ray study. A steroid injection in his shoulder may be needed. You should discuss with his doctor on the above issues.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist </s> |
<s>[INST] I have been having severe pain in my right lower chest area. It is painful when I breath in and out, all since I had a cold three months ago, which caused me to caugh hard. y Doctor ordered a cat scan of my chest. The results were a small area of reticular infiltration in the lower segment of the right middle lobe. Also found was a small calcified node in the right tracheobroncial region. Please let me know what this means. I suffer with pain and I don t have an appointment until two weeks. Please help me! Also if you need my age it is 57 years old to help you! Thank-You So Much, Mary Jane [/INST] dear Mary Janeu have pneumonia but u don’t have fever .cause is u had cold few months back so this is the cause of pneumonia in your casemostly it could be viral.if u don’t have diabetes,smoking,alcohol,ulcer in stomach, u can take these medicines for 3 to 5 days for the pain1.tablet diclofenac 50 mg three times a day after food2 tablet pantoprazole 40 mg once a day before breakfast </s> |
<s>[INST] So yesterday I had lower back pain when I woke up felt like sore muscles. Next day ( today) my throat hurt. I noticed white spot like things on the back of my throat. I don’t have a fever or anything yet. I don’t have insurance at the moment do I need to take antibiotics or can I do a home remedy? I’m allergic to penicillin and any cillians. What can I do? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You should take antibiotics as tab Azithromycin plus a muscle relaxant such as Thiocolchicoside or Tizanidine .You should also undergo saline gargles . With regards Dr varinder joshi . </s> |
<s>[INST] Hi, i am on day 5 after my ICSI transfer of two embrayos. frozen ovaries. that is cryotransfer. I was asked to take Estrifam (3*2) and Utrogest ( vaginal 3*2 and oral 3*2) daily. I am 35 years old and right now about 76kg. Today i during my shower i spotted a dark brown mucus . I would like to know If its a call for concern and also what about the drugs i am taking, does it help my situation? I also take Folic Acid 1 daily. Its my second ICSI. The first failed and i bleeded for about 2weeks continuously. At first when i consulted about my not been able to conceive after 1 year of try, i was asked to do fallopian tube check up (through a minor operation something like that) which i did at the hospital and all was ok like the doctors told me. But they discovered that i had a very tight cervix which they did open offcourse during the operation. Again when i went for the first ivf/icsi, after consultation i was told that i needed only a sperm insermination because they saw that i ovulated normally and all was again. Within the therapy period, my doctors suddenly said i should do instead an ivf/icsi so that they could monitor all external and look for the best quality of sperms and all. Well the first didn´t work and i an now on the second try. what problems do i really have? is my case bad? [/INST] Hello. Thanks for writing to us. The mild brownish spotting that you had while having a shower is suggestive of an old bleeding. It is not worrisome right now. You need to watch the bleeding closely and do a bed rest. If the bleeding increases, call your specialist. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com </s> |
<s>[INST] Hello doctor, My 8 year old daughter reacts badly to mosquito bites. We try to keep her covered and give antihistamine if she reacts badly and is scratching the bites. But, she scratches them, and they form scars that leave dark marks/scars on her face and body. What can we do to reduce the scarring/marks? She is of mixed race and has dark skin. [/INST] Hi. I have gone through your case (attachment removed to protect patient identity). The reason why your daughter scratches herself so badly is that her skin is extremely dry. Keep it well moisturized by applying petroleum jelly two times a day. You can also apply a mixture of Glycerine and aqua rose on the whole body after bath without using a towel or before drying. This will retain moisture in the skin. Please follow above precautionary measures. For more information consult a dermatologist online --> </s> |
<s>[INST] Hi doctor, One of my family members have recently been diagnosed with oral cancer. I would like to know how much dangerous it is. The final report of lower lip biopsy showed well differentiated squamous cell carcinoma. The patient is having sugar and BP problem. And for that, he is on Glycomet GP-1 and Tazlac. Please advice. [/INST] Hi. For further information consult an internal medicine physician online --> </s> |
<s>[INST] Respected Sir, I am 29 years old lady. I have dust alergy, at the heavy stage it may cause wheezing. And I have nebulizer in my home. In the case of urgent I am using asthalin respules 2.5mg only without added saline. And there is no prescription of doctor.. Is there any problem or side effect by using like this..? [/INST] if your asthma has been diagnosed then no problem taking this so u can take this but a new form of inhalers are in the market as MDI and its SPacer, if you use this then no worry to take other medication randomly. take proper inhaler daily and u will relieved all day and night </s> |
<s>[INST] I have had flu like symptoms over the past 5 days including severe fatigue, muscle aches, productive cough, low grade fever. My concern is despite taking tylenol and motrin around the clock my heart rate is persistently 110-120 s even at rest. I did get the flu shot 2 weeks ago from the time my symptoms started. I am otherwise a healthy 31 year old woman with no health problems should I be concerned or let this run it s course? [/INST] Hi welcome to HCM...According to history you can have acute bronchitis or pneumonia like infection ...In which due to infection heart rate can be high....I would suggest you to get your chest x ray done ....If pneumonia is there consolidation will be seen....You might need cefixime like antibiotic for 7 days....Steam inhalation useful....Drink more fluids...Excess spicy food , oily food like irritants avoided....For cough ambroxol syrup can be taken...Auscultation done to heard for rales or rhonchi ....If bronchoconstriction present because of bronchitis then bronchodilator needed....For congestion relief antihistaminic drug needed....With keeping my answer in mind consult pulmonologist ....Take care </s> |
<s>[INST] My Mother takes warfarin because of blood clots in her lungs, they say they have her medicine regulated now and said to come back in two months, the longest perios of time she has gone without checking her blood. What signs would tell us her blood is thickening and needs to be checked again? [/INST] Hello,I'm afraid there is no sign that warfarin effect has decreased. The opposite is easy... If she's taken too much warfarin, it can become apparent but less than enough warfarin is not easy (or possible) to detect without laboratory tests.If she's having stable values of INR the last times she's checked then she'll likely be OK. If the INR has been fluctuating then she has to check it sooner.Potential reasons for INR variation include infections, changes in diet, adding new drugs to your regimen etc.I hope I've helped!If you need more information on this subject, please let me know.Kind Regards! </s> |
<s>[INST] Hi, i'm 25 years old girl. I don't know exactly what's going on but I suddenly like blank for a second and when I realize I wasn't in the same stand I was a second ago. It happen quite frequent. Now, I had a feeling like suddenly blackout for 2-3 second while doing something. When this situation happen, I realize I don't walk properly like suddenly go to the other side (opposite to the direction where I wanted to go). I have history of frequent migraine and palpitation. I don't have any other history of medical illness. [/INST] Hi You should have both an MRI of the brain with gadolinium contrast (seizure protocol) as well as an EEG study performed (sleep deprived would be a good type to order) and then, a very good HISTORY and NEUROLOGICAL EXAMINATION by a neurologist. Take Care Regards Dr. Dariush Saghafi, Neurologist </s> |
<s>[INST] I exercise everyday (morning and evening) morning running and evening fitness and i musterbate daily (sometimes twice times a daily)...From the past one month, i having shortness of breathe (not continuosly)..its just when i stop musterbating for a while, it won't have shortness of breathe...so, is it because i musterbate a lot and causes shrotness of breathe? [/INST] Dear, We understand your concernsI went through your details. Though masturbation cannot directly be reason for shortness of breath, it can affect your stamina and energy and therefore, indirectly it can affect your general breathing pattern. Please reduce the masturbation schedule to thrice a week and consult a physician. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care. </s> |
<s>[INST] i just had my blood pressure checked - 152 over 106. i'm a really healthy guy, workout alot - but i do have some stress in my life. I was about to donate blood and could not. Is this fine to wait until tomorrow to call and schedule a doc visit or should i go to an Urgent Care facilitiy? [/INST] Thanks for your question on Health Care Magic. I can understand your concern. No need to urgently visit emergency room. You can wait and visit your doctor tomorrow. Stress is the biggest risk factor for hypertension. Other risk factors are old age, family history, high salt intake, diabetes, dyslipidemia etc. So first of all avoid stress and tension, be relax and calm. Consult your doctor and get done blood tests to rule out diabetes and dyslipidemia. Strict salt restriction in diety is needed. Don't worry, with antihypertensive drug, your blood pressure will be controlled. No need to worry for much. Consult your doctor tomorrow and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s> |
<s>[INST] Hi, my dad has started to suffer from depression since my fiancé and I moved from the UK to Australia 2 years ago. We intend to come back in up to 2 years time and have told him this repeatedly, but that isn't soon enough. I am getting the blame for his unhappiness, and resent the idea of coming back early as I feel that this will have massive repercussions for my relationship with my family and my fiancé. I Skype with him frequently, but every time I feel like I'm being emotionally blackmailed that he is unhappy and I need to come home. I'm 32 and feel like my dad is still trying to control my life! It's making me angry when I know I need to be supportive. How can I help him? I don't know what I can do other than giving in and moving home. [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. I think you have misunderstood. I don't think your father wants to control you even at this age. He just wants your presence near him. He is aged. He needs support. He needs you. It is their way of telling you. At old age we all transform as children. As children we will have adamant attitude. Understanding old age is difficult. Give him love and affection and he will change. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. </s> |
<s>[INST] hello. I have a question about hypoglycemia. I am currently taking vimpat and I had gall bladder removal surgery a little over a year ago. I have been experiencing shakeness, blurred vision, lightheadedness, been very hungry lately. I fear that it is low blood sugar. I have experienced this before I started taking vimpat(about two months ago), but not to this degree. Can it be hypoglycemia? Madeline YYYY@YYYY [/INST] Hi, Thanks for choosing HCM One thing i would like to ask you is are you a diabetic? Nausea , light headed ness , blurred vision are common side effects with vimpat it is not related to hypoglycemia. feel free to contact me for any further query. Hope this helps you.. </s> |
<s>[INST] About a month ago my wrist right below my right thumb randomly became severely itchy and a few small bumps appeared, overnight it stopped and I woke up the next day with one slightly bigger bump on my wrist. It hasn t gone away, It gets itchy maybe once a week not even but it s red and dry almost like a tiny wart. I also just found out that I m pregnant. Does anyone know what it may be? [/INST] Hi, If I were your treating Doctor for this case of an itchy wrist lump, I would come up with only one and one possibility that is folliculitis arising from an allergic reaction! Nothing to worry about this and try not to get infected there again!I suggest you to go for an FNAC test of the lump for confirmation if you feel necessary, and to relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. </s> |
<s>[INST] I would like to know how are nerves distributed in the prostate gland. The reason I would like to know is I want to find out in a photo-selective vaporization of the prostate (green light PVP) to treat BPH how easy will the laser beam damage the nerves and may or may not cause incontinence and retrograde ejeculation. [/INST] Good Day and thank you for being with Healthcare Magic! Nerves in the prostate gland are just outside the capsule of the prostate. Pvp will not affect the nerves of the prostate and will not cause incontinence as long as the sphincter is not damaged during the procedure which is 99% of the time? Almost all BPH treatment from medicines (flomax etc.) to all those if surgery causes retrograde ejaculation 50-70% of the time and it is usually expected after surgery. This is due to the opening of the prostatic fossa and not due to nerve damage. For more details you can ask me through: </s> |
<s>[INST] Hi doctor, Is there a reason why dentists typically do not use Bupivacaine for nerve block for dental procedures? So far, only one dentist used it for me. While it had a slow onset, I was pain free for almost 8 hours. I did not need to take as many narcotic analgesics afterwards. I have really severe anxiety when it comes to dentistry due to dental trauma and painful procedures. Bupivacaine helped ease my anxiety about post procedure pain. I have asked every dentist I have seen to use Bupivacaine. But, they have always chosen Carbocaine. I also have a vasovagal response to epinephrine and Bupivicaine formulations have a lower ratio of epinephrine as compared to Mepivacaine and Lidocaine. I have always informed them of my response to epinephrine, but they still always chosen Carbocaine (Mepivacaine). Is there a pharmacological justification for not using it? Or is it just provider preference? Is there a way I can advocate for myself as a patient? I work in a pharmacy, so I am familiar with a lot of these medications. Thank you for your thoughts on this. [/INST] Hi. I have gone through your query and understand it. For further information consult a dentist online --> </s> |
<s>[INST] hi, i had a rugby injury where i fractured my dento-alveolar and split my top lip in half, they used dissolvable stitches on my gum and upper lip. Can i use carmex on my lips to soothe them? because they are getting very dry, but i do not want to affect the stitches. thanks steve [/INST] Thanks for using Health Care Magic .Read your query.Yes, you can apply it as far as you are not allergic to any of its products.Avoid applying pressure or rubbing it vigorously on the lip such that the sutures are disturbed.Thanks and regards. </s> |
<s>[INST] i am 30 years old married man since 18 months,my wife got pregnant before 6 months but miscarriage happened..i did semen analysis before 2 days and everything were normal except for the 8-10 hpf WBC,can i know what does this mean?will it affect my fertility?and whether my wife should administer any Antibiotic tx at the same time am taking ABs?? [/INST] high wbc count in the semen may indicate an infection.kindly consult your infertility specialist for this problem. </s> |
<s>[INST] I have a stiff right hip. I am 62 yrs of age, weigh about 67 kgs and am 5ft 3in tall. I had a couple falls in 2006 and also have a fallen arch in the same leg. I am unable to sit cross-legged. I can walk for half an hour no pain and then the pain starts. I can still walk but have to limp. If i have to stand and do something like cooking then 20 mins at a time is all i can manage. what are my options [/INST] Hello, It is necessary to examine your hips by performing a hip X-ray study. A hip MRI may be needed. If the pain persists, consulting with an orthopedic surgeon may be necessary. 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] I was hit in the chest a couple of weeks ago. The bruising and pain has left, on the left side. The right side I get a burning pain that is above my breast to the right, it shoots into my back shoulder blade. It causes my right arm to ache and tingle alittle bit. It happens mostly when I move but it does happen when I am sitting still. It happens a dozen times a day but doesn t wake me up at night. It hits on the pain scale of 8-9 for any where from 4 to 10 mins. EKG is fine. BP up a bit. Waiting on Chest X-Rays. Any ideas? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I had seen your medical presentation and understood your anxiety.Chest pain is more concerned for many people as heart is located. But there are many causes of chest pain. It can be muscle pain, lung pain, rib pain or esophageal gastric pain. All these factors are to be considered before diagnosing the exact cause. Coming to chest pain, you were having bruising on left side and burning pain above right breast. Probable most common cause could be acid reflux or gastritis (inflammation of stomach).As pain was changing with your sitting position, it could be due to muscle pain. So all these factors are to be considered before confirming the cause. It is better to go for the following investigations:1. ECG2. Chest x-ray3. 2D Echo4. Gastric function testsComing to your case, my opinion is there were no classic signs of heart pain. So the most probable cause might be gastritis. You can follow the below measures:1. start using antacids in the morning before taking breakfast2. avoid spicy food 3. better to have frequent small mealsSo don't get worried you will be relieved soon from your symptoms. You can go for investigations and if any abnormality is there you can contact us at anytime. Hope you will be recovered soon from your symptoms. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] I have a bump on the right back side of the roof of my mouth. It is right next to the tooth that is farther back. It has pain when I brush my tongue over it. Also giving me a slight headache and earache. I just recently went to to dentist for a cleaning and they said my wisdom teeth were not even showing so what could this be? [/INST] Thanks for your query, I have gone through your query.The lump can be because of the infection from the gums leading to periodontal abscess formation or it can be because of the tooth infection resulting in formation of periapical abscess. The other possible cause can be a exostosis or tori.Consult a oral physician and get it evaluated. If i am your treating doctor, Meanwhile i would have suggested you to take a course of antibiotics amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic).Later, you can your teeth cleaned if it is because of gum infection. If it is tooth infection, tooth can be treated with RCT or extraction. If it is a tori or exostosis, it can e surgically treated.I hope my answer will help you, take care. </s> |
<s>[INST] my son has a lump in his neck, thyroid tests clear. He had a biopsy yesterday and we now wait for results. The lump sometimes reduces in size - today we thought it had disappeared but now it is back. It only hurts because it is pressing on his throat. We are worried it is thyroid cancer. His voice is ok (though he shouts as his dog on his farm and this causes hoarseness!!!). He has had a very large amount of stress recently and has lost weight - could the lump be linked to stress? [/INST] welcome to Health care magic.1.The different things can arise are thyroglosal cyst, brachealcleft cyst,lymphocele, and a lipoma.2.I this case i would get an ultrasound neck done and see the content and extension of the lesion and come to a conclusion.3.As you have already got a sample taken - wait for the result.4.And after that needful action can be taken.Anything to ask ? do not hesitate. Thank you. </s> |
<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> </s> |
<s>[INST] Hi doctor, I am 27 years old. I have engaged in excessive masturbation over 10 years. Due to this, following are the side effects I am experiencing as of now. I have low physical and mental energy as well as lack of clarity in mind and lack of energy to work properly. I feel my breath is hot and there is an imbalance. My earlier stammering problem increased dramatically because of the above side effects. There is depression, lack of interest and enthusiasm. There is no sexual problem and not suffering from erectile dysfunction or other related problems. My immune system is very weak and I am suffering from frequent throat infection if not maintained proper hygiene. When I get throat infection, I feel as if my immune system would use all the energy in the body to fight the infection and above symptoms would increase dramatically. Without thinking that the above problems were due to masturbation, I have undergone many tests such as EEG, heart, vitamins, thyroid hormones, testosterone hormone, throat, sinus, etc., and there was no problem as per the reports. I tried vitamin B complex. Due to which there is slight improvement. I have also decided to abstain from masturbation until recovery. I request you to advice how to recover and gain back the mental energy? [/INST] Hi. For further information consult a sexologist online --> </s> |
<s>[INST] my father is 60 year old he has been hospitalised from past 2 weeks after CT scan he has kidney infection his urine infection was not treated well and now it has grown to kidney infection...his bad back pain got reduced in this 2 weeks and also he cud urinate now his Blood pressure is under control and diabetics goes up and down...after 2 weeks he has still bad nausea vomiting and not able to eat anything..has dizyness and lost lot of weight his anemic too at times he has bad heart palpitations and weakness these days how can he over come these symptoms he is still in hospital taking antibiotics [/INST] Your father is having urine infection and he is on treatment.This part is ok. But cause for urine infection should be evaluated. Loss of significant weight ,back pain,urine infection in a old age person is a very serious thing. Merely treating infection won't resolve the issue. He should be worked up for a condition called myeloma. Consult good nephrologist in your area. All the best. If you have any questions feel free to contact me. </s> |
<s>[INST] Hi i am married for 4 years now..i had a miscarriage 2 years back in the US..i had irregular period problem..and consulted couple of doctors to get it regular..we are planning for a baby now..its 57 days and i have not got my periods..home test came negative on 51st day..should i wait for some more days [/INST] Hello,Do serum TSH and serum prolactin and do HSG on day 8th then do follicular study after taking Clomiphene with gonadotropins, do follicular study until follicle size increases to 18 mm then rupture and then IUI for early results.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal </s> |
<s>[INST] Hi, may I answer your health queries right now ? Please type your query here...In my late teens I suffered from scarlet fever and glandular fever in quite short succession of each other, I was quite ill with both of them. Now I'm in my late 20's and have finally been diagnosed with a hearing problem which my specialist thinks was probably caused by this. I've never thought about any long term side effects before, but I'm aware that whenever I get a cold or the flu I get really ill with them and it takes me a lot longer than most to recover whenever I'm ill with anything. Could this also be related to having these 2 fevers when I was younger? Or just a coincidence? [/INST] hiwelcome to HCMI read your history n can understand your concern. scarlet fever is streptococcal bacterial infection and gandular fever is a viral flue. both the disease takes its own time to resolve, it depends on each individual immune system. and your hearing problem is not because of these two.but whenever u get cold, there wil be slight decrease in hearing because of E tube blockage. Dont worry. better meet ENT doctor.thank youtake care </s> |
<s>[INST] I have had my blood tested twice in the last 2 months and it is coming back unsatisfactory on the Bilirubin being high. I went to the doctors initially because of itching skin all over , this has been ongoing for a few months now- the doctors response is to tell me to get my blood checked again in 6months time thats it - should I be concerned, should i be asking for more to be checked at this time? [/INST] Hi, dearI have gone through your question. I can understand your concern.You may have some liver disease. Itching is common with high bilirubin level. You should go for complete liver function test once. 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, I had an abdomen surgery (a 8*12 inch dermoit cyst) 8 months ago. but now my weight has gained. As I want to do rope skipping & walking in the treadmill. Is it harmful for me. I am married & 27 Years old, have no baby. Is it harmful for my conceiving. [/INST] Hi, Thanks for using HCM..i understand your concern..There is no problem with rope skipping and walking in the threadmill. There is no harm as long as you are not pregnant. From the month you are trying to conceive, it is better to avoid heavy exercises. But walking and upper body exercises can be continued. There is no proven clinical evidence to support early trimester abortion due to heavy exercises.. hope i have answered ur queries.. Good day.. </s> |
<s>[INST] Hello doctor, I have a mark on my toe that has been there a few years and although my GP was not concerned, I am very scared it could be melanoma. It has not changed dramatically but it could have changed subtly as in some photos it looks a little darker and others a little bigger, although it is hard to tell due to changes in lighting. [/INST] Hello. I have viewed the images (attachment removed to protect patient identity). It seems a benign nevus, well-defined, regular, and uniformly colored. Moreover, it has not changed over the years. However, dermoscopy is the best way to be sure about that, as benign nevi have pigment along the furrows rather than the ridges of plantar dermatoglyphics (parallel furrow pattern) whereas melanoma also has pigment along the ridges (parallel ridge pattern) on dermoscopy. For more information consult a dermatologist online --> </s> |
<s>[INST] Had a boil like pimple on my forehead fit about 3 days before it popped. Yellow pus was oozing out from it. Around the boil was quite a bit of soft tissue swelling which move down to NY left eye. This resulted in a lot of itching there. My penis also started itching about a day ago and now has dark spots around these itchy parts. I saw a doctor before my penis started itching and have been on medication for the boil and swelling and just don t know if the itching is an sheriff reaction? [/INST] Hi, This could be due to fungal or bacterial infection so I would recommend that you apply an antibiotic ointment together with an antifungal ointment containing Nystatin every eight hours. If you are sexually active then this could be due to an STD. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] Hi. At the bottom arch of my foot, something keeps beating up and down. It beats like a heartbeat but I don t know what it is. It s not consistent. It will go away for a short while, come back again, then go away. It s really bugging me and I don t know if it s something serious. Do you know what it is? [/INST] Hello, As with the history you mentioned there might be a lack of vitamins which can be taken as an oral supplement. Also, this kind of pulsations don't arise in any of the conditions but due to either a muscle weakness or due to vitamin deficiency. Rest assured, you do not have any major medical problems and thumbs up to stay cool. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist </s> |
<s>[INST] i have a medium to large soft lump near my ankle...I went to the ER, had it xray'd and showed nothing...I followed up with my pcp and he also blew it off but I am deeply concerned...It feels like a cotton ball is under my skin...i doesn't seem to hurt but I have been rubbing it so now it seem to be minor painful...What could this be...help. [/INST] Hi.Thanks for your query.Noted the history of a soft cotton ball like lump near your ankle and the X-ray at ER and an opinion of your PCP is negative.I can understand what you mean by. To me this looks to be a case of synovial thickening on the joint and hence missed till now. I would advise you the following:Get an MRI of the area done.Then get an FNAC and an opinion of an Orthopedic Surgeon.This will give you the most proper diagnosis and a chance to get a proper treatment. </s> |
<s>[INST] hi i was taken levlen ed and i stopped taken it on sunday the 4th of august im trying to get pregnant ive had unprotected sex ever since.ive had a little bit of bleed since wednesday more like spottingis there still a chance i can get pregnant within this monthi feel like ive got some of the signsi feel sick in the morning and sometimes through the day but not throwing upi more tired than normalcraving one certain foodn one of my favourite foods didnt make me feel wellso i was just wondering is there a chance? [/INST] Hello,Leven ED is low dose oral contraceptive pill. After stopping the pill, fertility is regained within 1-2 months. Mild spotting after sex may be due to blunt trauma or hormonal imbalance.Pregnancy depends on proper timing of unprotected sex and ovulation or fertile days.Here, you need to wait for next coming period. If it is missed, you have to do a home pregnancy test. Blood test is more confirmatory.Hope, it helps. Good luck. </s> |
<s>[INST] 1of my friend was diagnosed wdh jaundice last month.after that there was a water retention in the stomach.den in an ultrasound it was clear that it is liver syroises. Is it something seriours doctor.now she is taking medicines wch is udibon 300,amifru & ciplar la-40. Looking forward for ur advice plz guide.thanks & regards. [/INST] Hi,I am sorry; your friend seems to be in trouble. Liver cirrhosis is a serious condition of the liver, where it fails to the stage that it does not function to the optimum level.Your friend also seems to have ascitis. This is a sign of advanced liver cell failure.The patient is on the right medications. Please continue the treatment as per the treating doctor's advice.I wish your friend a quick recovery and good health. Hope for the best always.Regards, </s> |
<s>[INST] I am an 82 yr old female, basically in good health, other than CLL, beginning osteoperosis. Two years ago, I had a bladder tumor removed and to date, no additional problems show up in check-ups. Right now, I flank pain on my right side; bad enough to keep me awake at night, but not what I d call severe. About 12 years ago, I had a bad reaction to iodine contrast agent which showed up as rash on my abdomen and severe pain in my right kidney. I received benydryl which reduced the pain and within a day or so, all had cleared up. 6 weeks ago, I had a sharp pain in my lower back when I was urinating, but it went away quickly, and md said I may have passed a stone. When I began having a steady ache on right side of my lower back, my urologist scheduled a CAT scan; results showed no problem with kidney or UT etc. That was 2 weeks ago, and I still have the flank pain. My PCP doesn t seem to know which specialist to send me to. Any ideas? [/INST] Hello, I have studied your case with diligence.As per your age and history there can be spine degeneration with disc bulge leading to back pain.Yes you need MRI spine to confirm diagnosis and proper management.At old age there can be degenerative wear of bones, muscles, ligament and facet joint arthritis, due to deficiency of calcium, vitamin D, VIT B12.so supplements of these nutrients can relieve pain.Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis,And also check your vit B12 and vit D3 level.I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies.You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case you need to take diet rich in calcium and vitamin D.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health.Take care. </s> |
<s>[INST] How safe is Oxcarbazepine solution for a 3 yrs old who just had for a first time an episode of a few seizures, one after another, that lasted about 1 hour altogether? She was unresponsive and did not respond to treatment for a few hours. Her eeg showed some predisposition to seizures, but all the other tests were normal (CT scan, MRI, etc) [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In this situation I would prefer to use Valparin than Oxcarbazepine and the former's side effects are less than latter's. Best regards. </s> |
<s>[INST] My mother is 76 she has had a triple by pass 10 years ago - she constantly tells you the same story over and over again - she lives alone and i can t decide if this is loaneyness and just feels the need to talk or if she has a dymatia problem - can you advise how to proceed with her . She is very private - and not an easy person to engage with - always has been - i was going to speak to her doctor - but fear if she found out i ant behind her back what would happen - she would not be adverse to not speaking to you for a year if she thought you we disloyal - Thank you for your advice . [/INST] Hi Dear,Welcome to HCM.Understanding your concern. As per your query your mother has dementia. Well there can be many reasons for symptoms you mention in query like Alzheimer's disease , vascular dementia , lewy body dementia , frontotemporal dementia , nutritional deficiencies or vitamins B-6 and B-12 in your diet. I would suggest you to consult neurologist for proper examination . Doctor may order cognitive and neuro , psychological tests ,neurological evaluation , CT or MRI,blood tests to confirm the diagnosis . Doctor may prescribe donepezil , memantine or recommend occupational therapy.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari </s> |
<s>[INST] I have got a lump in right breast , FNAC report is not particularly telling about Cancer , Doctor has suggested to get the lump removed and then do testing , pls suggest whether I can get the surgery done by any general surgeon or only by oncoligy surgeon [/INST] HI. Very good question.This depends upon how big is the lump, the exact site, whether you are unmarried or married ( children and husband's wish if you are married). Any surgeon with a good practice knows well all these criteria so please do not worry. General Surgeon can do this nicely. Please discuss with Him all the points i have noted. Well the lump being of cancer or not is the most important criteria and an excision biopsy is the best way, so go ahead. The Surgeon surly will be bothered about the aesthetic. </s> |
<s>[INST] Hi doctor, I am a 26-year-old male. I weighs about 48 kg. I am writing this because I could not find proper diagnosis and guidance. This year I was diagnosed with bilateral mild hydronephrosis with 4 mm stone in both kidneys and also 4 mm cystitis. For one month I took ayurvedic syrup Calcurosin five to six bottles with Calcurosin capsules along with three kinds of antibiotics. After one month stones were passed and for hydronephrosis I took four doses of Gentamicin injections for two days. During these injections I suffered with severe head ache, vomit sensation, shortness of breath and urine cut for one day. I took this all treatment under a doctor of pharmacy graduate. So after getting all these symptoms I got afraid and immediately consulted a urologist. The doctor advised to have a CT scan kub plain, the report found to be normal. And serum creatinine is 0.7 mg. But even though CT scan found to be normal still I am suffering from pain radiating from back to the front. Abnormal urination like some times very frequent urination and sometimes very less urination. Serum creatinine before a month is found to be 0.8 mg, and last week it was 1.0 mg. At present my symptoms are: Pain radiating from back to front, numbness in hands and legs, leg cramps and leg pain above the ankle and thighs, lower back and hip bone pains, constipation, abnormal urine output, burning sensation and pain in penis, sometimes getting pain in the left side of the chest even during laughing and sometimes it is difficult to breathe in the morning. I am having recurring urine infection and bladder pain after masturbation. Doctor says no problem with masturbation and prescribed an antibiotic. But not addressing why it is happening? In six months I used eight to nine antibiotics. Urine report reads as specific gravity as 1.005. Earlier the urine ph was 5.5, I used Citralka syrup. It came to 7.1 but now it is 6.0. Ten days back I done a ultrasound scan test and found normal. Urine osmolarity shows 85. Why I am experiencing all these symptoms? Why getting abnormal urination some times more and some times less? Why creatinine is increasing (0.7 mg to 1.0mg)? Why specific gravity is low (1.005) which indicates any problem, earlier even during mild hydronephrosis it was 1.022? Why leg cramps, ankle pain? When there is no kidney problem why I am suffering from these symptoms? Is there any hidden problem? Once again shall I go for CT scan abdomen contrast. Will this scan cause any problem as I have already done it six months back but it is only plain. Kindly suggest what is my problem? I am facing all these symptoms only few days after taking Gentamicin injection. Do this injection caused any problem? I read in the internet that Gentamicin can cause Bartter syndrome, renal tubular necrosis. Is that true? I am attaching a photo of my left leg foot which shows some abnormality. Kindly suggest. [/INST] Hi. I have read through your query in detail. Please find my observations below. You are underweight and should start weight training exercises and increase appetite to 2200 kcal daily. Gentamicin occasionally causes adverse effects and probably you had some of it. However, since you stopped after taking four injections therefore not much damage was done. Since serum creatinine after Gentamycin was 0.7 therefore your kidney was not affected due to taking injection. If there is a side effect on a kidney after taking Gentamycin then the serum creatinine rises from 1 to 3.0 and this did not happen with you. Also, renal failure reverses to normal 14 days after stopping Gentamycin and you are unlikely to be having it. CT (computed tomography) scan was normal and it means that no stone was thereafter the treatment. In this case, the only reason for back pain might be a residual infection in the prostate. Also, you have taken antibiotics many times and felt better. There is a condition called nonspecific prostatitis and many people have the symptoms which you are having. This requires a long duration treatment. I suggest you get urine culture and sensitivity test done and if required then a cystoscopy to rule out any focus of infection as this might also cause pain and other associated symptoms. Please get your serum electrolytes tested to know if you are having any electrolyte imbalance which is responsible for pH changes and pain. Your symptoms might be due to more than one condition and it is requested that you please discuss in detail with the urologist and get required investigations to know the cause of your problem. </s> |
<s>[INST] Hi,sir my baby has 4 year she is suffering with mild hepatomegaly .In ultrasound scan of abdomen reported that measures 12cm enlarged in size and normal in echotexture .No e/o IHBD/focal lesions noted.portal vein and CBD appear normal.please suggest what is the condition of my baby and which treatment should be better for her [/INST] dear Madam, you shouldnt be worried because in most cases liver enlargement doesnt mean anything at this age and this is only mildly enlarged liver. also US is an operator depending test. You should do lab tests, especially bilirubin and liver enzymes parameters to rule out some serious disorder.What about gabys growth and development? If you didnt notice anything serious then it is probably something benign. Not only liver pathology can be associated with this finding, also every hemolytic anemia and some infections cause hepatomegaly. So red blood count and inflammation parameters should also be done. Depending on these findings you can plan further tests such as liver biopsy and genetic testing. But as i said go step by step and dont worry. Wish you good health, Dr. Ivan Romich </s> |
<s>[INST] After I eat I get severe stomach pains, sometimes in the upper region only and it switches to the lower region or sometimes it's all over. I also have diarrhea and feel very clammy and nauseous and I sometimes experience back pain, this pain can last for hours, Do you know what can cause this? [/INST] HI. There are several causes for the symptoms you have mentioned..Let us start : the upper abdomen pain increasing with eating can be due to ulcers in the stomach and / or duodenum. Switching to lower / all regions can be suggestive an inflammatory pathology of intestine like enteritis/ IBS- irritable bowel syndrome / inflamed intra-abdominal lymph nodes. Backpain can be due to lymph node inflamation as already suggested , but would suggest me to rule out pancreatitis / gastric ulcers.So , to get a diagnosis you need to consult a Gastroenterologist and undergo upper GI endoscopy / CT scan of abdomen The proper diagnosis will lead to a very proper treatment in a guided manner... </s> |
<s>[INST] Hi, Im 25yr old female, suffer from ulcerative colitis since 2007, last flare up April 2011, currently taking 4grams pentasa daily and probiotics. Recently experiencing lower back pain, feels almost like my bones aching. Could this be due to my colitis? [/INST] Hi,Welcome to healthcare magic.After going through your query I think you are suffering from chronic backache.Treatment of back pain is exercises and analgesics (diclofenac SR). Sometimes strong analgesic(such as ultracet three times a day after meals) is required.Consulting with treating doctor is advised. Sometimes vitamin D deficiency is the cause so get your vitamin D checked .If it is low then vitamin D supplementation( weekly with milk) can be taken.Avoid long continuous standing.Sit in a straight posture.Eat milk, fruits and green leafy vegetables daily. This could be due to your colitis as colitis can cause nutrition deficiency.You need to done MRI TO RULE OUT other causes. I think your query answered </s> |
<s>[INST] My father has had a lump behind his right ear for awhile now. His dr said it was nothing. A couple days ago he touched it and was almost greasy feeling and stunk bad. I thought it was just grease from his hair. He just a moment ago pushed on it and a HUGE glob of whiteish pus came flying out. Any ideas? [/INST] Hello!Thank you for the query.From your description, for sure it is nothing serious. Most likely it is a kind of benign skin lesion like sebaceous cyst or pimple like lump. Pus presence in it indicates some kind of infection. Luckily, pus drainage is the right treatment for it. So if it has been completely drained, all you need to do is to have it under observation. If it will regrow, please consult a surgeon.Hope this will help.Regards. </s> |
<s>[INST] i had one ectopic pregnancy in september 2012 ,after that now i am taking treatment , i got hcg injection on 11th day and doctor has prescribed me prognova and duphaston tablets for 10 days.now i am having little back ache and pimples ,this is when normally before my periods...i dont knw whether i am pregnant or not. [/INST] Hi welcome to healthcaremagic.I have gone through your question.The complaint of pimples might be due to drugs you taken, or periods. Many women have complaint of pimples just above periods stars.Backache has no relations with any drugs you described. Its muscular pain. Take pain killer, maintaon good posture will help on backache.For diagnose pregnancy if you surpassed bleeding time then do pregnancy kit test.Hope i answered your question.Would be happy to help you further.Take care. </s> |
<s>[INST] Hi, may I answer your health queries right now ? Please type your i am diabetic and on the normal i hav low blood pressure and fast paulse now i have a blood pressure of 145 over 90 and my husband keeps stressing out he doent think i will have a heart attack [/INST] Hi ThereAfter going through your query I understand your concern.I would like to tell you that blood pressure more than 140/90 cones under hypertension and that needs to be treated either with medication or lifestyle modification. But being diabetic you have to be more careful if your BP is going above the normal range. It's recommended for you to check your BP when you are sitting calmly at least for 15 min, if still your BP comes high then consult with your Endocrinologist/Physician for further management.Hope this will HelpKind Rgards </s> |
<s>[INST] hi , my 13 mo old fell backwards after trying to ride on lower leg, he hit the back of his head,,,,,he cried but stopped when i picked him up,,,,but he became quite drowsy and fell asleep, and this is not a normal nap time,,i tried to look at his eyes, but they are kindof rolled up in his head, and they are really tiny,,should I be concerned? [/INST] Hello. Maybe this will not be a bad situation but the symptoms seems not so good. i would advise you to go and meet a doctor. also don't leave the baby to sleep for long hours after this episode. I suggest you should go to the emergency room to be sure your baby is well. </s> |
<s>[INST] Hi, my spleen has been pulsating for about a day now, almost like an irregular heartbeat. The area is tender and stiff as well. I had a severe case of mono in January, and I was wondering if that's what it could be? Though it's a different feeling than when I had mono. [/INST] Hi, I had gone through your question and understand your concerns.This is pretty unusual symptom and I am not sure if this is caused by spleen issue. This may be an aorta puslating as we can see in aortic aneurism. However, splenomegaly may occur as a consequence of mono infection and this is known mechanism. SO it would be good:1. to do ultrasound and measure spleen size and presence of aortic aneursim2. do liver and lab tests including presence of Ebstein bar antibiodies3. Do heart ultrasound to check for arrihmiasAfter you do these tests, the condition will be more clear and further treatment depends on it. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. </s> |
<s>[INST] My son got hit hard by a baseball just above his ankle....the lower shin area. It is now swollen to the size of a half orange. I have an ice pack on it now. The area is bruised also. Will it just heal on it s own or should I take him to get an x-ray? [/INST] Hi, With this type of injury, there is a high possibility of minor fracture in the leg bones. I would suggest that you take your son for an X-ray ASAP. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon </s> |
<s>[INST] Hi,I'm a 28 year old female, on nuvaring (hormonal birth control). A few days ago I had pain in bth calf muscles after a sports session, the pain in my left calf subsided less than 24 hours later, however, it is still present in the right calf. I have been experiencing some tachycardia, chest pain and shortness of breath. Could this be a blood clot? There is no swelling in the calf muscle. [/INST] HIThank for asking to HCMI can understand your problem but your symptoms are not because of the blood clot, of course blood clot can cause such symptoms but that is medical emergency, here in your case the reason could be over eversion and the deposition of lactic acid in muscle and this will come around have soda water this will eliminate the lactic acid, take care and have good day. </s> |
<s>[INST] hi, i am swati kumari, my age 27 , i am a indian, live in bihar ptna, my challange is hair remove in head in mid centre skull 3cm squre area. i some hospitals go & for treatment some paste tacrolimus ointment tecrosis-f & tabblets bioshel composition is biotin 5mg , vitamin e & excipients q.s. give. what i doing. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history you are having alopecia aerata. My treatment advice is - 1. Take good nutritious diet full of green leafy vegetables and milk. 2. Apply a Tacrolimus 0.03 % ointment twice daily on affected skin. 3. Take an iron supplement and vitamin B12 supplement once daily for 3 months. If problem persists then consult a dermatologist. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] Hi , only today I have been feeling a lot of pressure around my gums teeth , my cheek is also tender and around my eye socket only on one side , I am convinced it's an abcess , but not all that sure, as I said it's only been today but right now I'm in a lot of pain I have taken paracetamol but haven't seemed to shift any pain at all , do I need to go get medical advice? [/INST] HelloTo your question the reply is yes you do need to see a doctor Please do not try any thing of your own as it is close to your eyeTake care please Dr Lal </s> |
<s>[INST] My husband aged 74 had triple heart by pass surgery 11 weeks ago. Everything went well and he is recovering remarkably well with just a bit of dizziness when standing up quickly. This has been alleviated by adjustment of his medication. He is pretty fit and active again, but today after dinner he became very breathless which was quite distressing for him and he said his chest felt 'empty'. This is the only time it has occurred. Is this a normal post-op sympton or could it be a sign of something more serious? [/INST] The dizziness you told is due to a condition called ortho static hypotension, it is due to some anti hypertensive or rarely anti anginal medication and dose titrated and some changes like to change position slowly should help. Now post bypass decade of drains there might be some pleuriti pain which may occur due to deep inspiration, many a times we take after a good meal. However importantly if the same symptoms occurs again and increases when he does some work. Plz consult your cardiologist, Regards </s> |
<s>[INST] I am told that there is no definitive test for Herpes virus 1. I have had multiple blood tests over the years that have returned negative results. I have never been swabbed or cultures taken as there was not the obvious postules and lesions. However, I have had allergic reactions since childhood that prompted me to take such tests in the first place, the first being after a pine wreath was placed over my bed and perhaps debris accumulated on my pillow. My lip swelled up tremendously.. I visited an allergy Dr. and was diagnosed to have severe allergies to spider bites, cat hair, grass and a bunch of other stuff, not food related that I can t remember now.. Every year or so, around a stressful event, funeral, mental breakdown etc.. I will usually get sick with a head cold/ nasal cold, and the runny nose will redden but never develop a sore like the pictures on web demonstrate. At 42. In the last two days, I have developed a cold sore and the Dr. visually confirms that it is most likely Herpes. Although there was no itching or pain and the area on the lower lip inflamed after shaving. My lymph nodes under the chin are swollen as well. I am aware of contact dermatitis . Is there a possibility that it is not Herpes? greater than 1%. [/INST] Hi, thanks for using healthcare magic The sensitivity for herpes blood tests range from 91 to 99 %, the specifity is between 92 to 95% . High sensitivity and specifiity means that there are few falsely negative and falsely positive results. If you've had repeated results that are negative then it is unlikely that you have herpes. If you wish you can repeat the test to see if infection occurred since you were last tested, but with this highly accurate test, negative usually means negative. I hope this helps </s> |
<s>[INST] I had a cortisone injection in my thumb joint (at the wrist) and two days later developed a large and tender lump on the inside of my elbow. It is painful and has not gone down in four days - even with heat. Could this be a lymphatic reaction to the shot? If so, what do I do other than hot compresses?a [/INST] Hi there, There are a few possibilities here. One cause is a hematoma (blood underneath the skin) that may have traveled down from the injection site to your elbow joint. This is probably less likely, as you'd notice bruising down your entire forearm.Another possibility is an infection that travels down the area of injection to the joint space. This would be accompanied by redness, heat, and worsening pain, as well as fevers and chills. Finally, the last thing that is possible is an allergic reaction, although this is also unlikely as cortisone is a naturally occurring hormone in the body. A third possibility is swelling causing nerve compression and pain. For my clinic patients, I usually recommend warm compresses which you have been doing. I recommend a 15 minute on/15 minute off interval at the minimum, but you can increase the interval on time. Ibuprofen will be helpful here, and as long as you don't have a history of stomach ulcers or kidney problems, you can take 800mg every 8 hours as needed. You can also try some benadryl, which may help as well with swelling. I'd try doing those two things. If your pain doesn't get better or your symptoms worsen, then I'd follow up with the doctor who gave you the injection. if you start having fevers, chills, nausea, or vomiting, then go to seek medical attention sooner. I hope this is helpful. </s> |
<s>[INST] I am 70 and I get very painful foot cramps at night. I read that I could be low in potassium or magnesium, so I started taking both - potassium with lunch and magnesium right before I go to bed. The cramps seem to have eased some but are not gone completely. Any advice you can give would be greatly appreciated!! [/INST] Hi, I think electrolyte imbalance, vitamin D and B12 deficiency and spinal canal stenosis are the common conditions causing cramps at night. So I recommend serum electrolytes and serum vitamin D3 and B12 levels. If they are normal go for MRI spine. The treatment would depend on the cause. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopedic Surgeon </s> |
<s>[INST] I need help big time my mother is a patient of UVA currently and they are unable to appropriately diagnosis her we believe tha her cancer has come back but the doctors are unable to do MRI due to pacemaker I belive it is in her brain she has had a total personality and mood change [/INST] If an MRI of brain cannot be done due to pacemaker then a CT scan of head is an alternative to investigate for brain metastasis. Please discuss it with your doctor. </s> |
<s>[INST] Hello- Can taking Vitamin B supplements stain your teeth? I started taking more B12 (1000 units a day) about a year ago and my dentist has noticed more staining on my teeth during cleanings. I also started using COQ10. We re trying to figure out (as my diet hasn t changed) what s causing the stains. Also, about a year ago, I started a new regiment for HIV---Triumeq (which consolidates three pills into one) so I m just trying to figure out how to stave off the stains per my dentist. Thank you! [/INST] Hi..Thanks for the query..The medication that you are taking are not seen to cause staining of teeth rather it can be due to causes like roughness of teeth with age, improper brushing technique, using mouthwash can also at times cause staining and the most common is poor oral hygiene maintenance..However if you are taking any iron supplements then it can cause staining of teeth..Excess intake of tea and coffee, smoking etc can cause staining of teeth..You should first of all learn a proper brushing technique from your dentist and go for regular dental cleaning that is every 6 months...Use a mixture of hydrogen peroxide and water to gargle..Eat more of hard fruits as they have cleaning action on teeth and along with it drink plenty of water..Hope this helps..Regards.. </s> |
<s>[INST] Hi yes I brought my daughter who is ten to the doctor yesterday because she had a fever two days in a row fever gone now she has red bumps on her hands feet and now elbows a few on her chin the Dr called it hand foot and mouth Coxsackievirus the bumps seem to be getting worse not going away what should I do [/INST] Hi..Your dr was 100% right. It is hand foot mouth disease. Initially the lesions will increase and then will gradually remit. One more thing I would like to keep you informed.... There might be some skin peeling in 4-6 weeks time. Please do not think its some other disease.... Its a natural course of this viral illness.Do not use any topical agents or emollients as this might aggravate the lesions. There might be severe itching for which you can use Hydroxyzine after prescription.Regards - Dr. Sumanth </s> |
<s>[INST] good morning, i,m sorry to trouble you as i can only get into my doctors next tuesday!! been suffering with strange feeling in back dull pain maybe! about 5 weeks ago i got took in to a&e with shooting pain in my left shoulder blade they put that down to muscler, but 3 weeks later pain went into left rib area and flank area and groin and now also in right side, do feel abit sick! really horrible feeling. i noticed a have a lump in my groin area to the left. hope u can help [/INST] Hello, welcome to HCM. The pain you have described has a untypical presentation. It could be due to any neurological involvement or even local muscular causes. The pain in groin could be due to hernia which should be excluded by examining by your doctor. You should get and mri of spine done to rule out any nerve compression leading to your pain. So consult a neurologist for that. Have over the counter pain killers for the pain till than. Wish you good health. </s> |
<s>[INST] Hi my 21 month old toddler has had diarrhea the past 3 - 4 days. He has been refusing to ingest anything besides milk and rice cereal. If I try to get him to eat anything else he gags and on one instance puked. His poops have been gray/white/tan in colour as well. He has been generally happy and playful though. Does this just sound like a stomach bug or could it be something more serious? [/INST] Hello, If a similar patient comes to my old as u have mentioned that child is playful Nd happy, it's nothing serious. you can give Ors sachet mixed In 1 liter of boiled water Lukewarm within a day, Sporolac sachet two times a day and zinc 5 ml at night. as far as the motions don't contain blood you don't have to worry. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jilu Joseph, General & Family Physician </s> |
<s>[INST] Hi, My dad had a blood test done in his arm and he didn t press on it when the nurse said. Since then he had some bruising on the sight. Then developed a with flattish lump in the clevis of his arm. His arm was very weak and ached a lot. This was about 2 weeks after the blood test. Then he woke one morning and it was like the lump had burst and was gone and so was the pain, but he had a massive bruise above the sight from his elbow joint to his shoulder. The bruise was very dense. Can you explain this?Cheers Glenys [/INST] There was a collection of blood around the puncture site (haematoma ). That haematoma got burst with drainage of blood and there was seepage of blood along the course of vein causing discolouration. </s> |
<s>[INST] I am female, 22 years old, approx 180 pounds. I was lactose intolerant, or at least doctors told me that I was. I used lactaid pills everytime I had cows milk in any form (milk, cheese). I could eat goat milk products without problems. I recently had my gall bladder removed. The surgeon said that the gall bladder removal would solve my lactose intolerance problem. I have since been able to eat cow milk products. Was the surgeon correct, or was my lactose intolerance before really a gall bladder problem all along. [/INST] Dear friend, greetings from HCM. Lactose intolerance is due to absence of lactase enzyme in the intestine. It is not related to gal bladder at all. May be that milk fat digestion and absorption requires bile salts which is stored in gal bladder. Its good that gall bladder is removed but I don't think that was the reason for your lactose intolerance!. Thanks and do contact us for more queries thank you </s> |
<s>[INST] Hello,my son is having problems reading. He is seeing the reading specialist in school.He was just tested by the school psycologist and she asked about his constant runny nose,if we have ever had it checked by a doctor to see if his adnoids are ok..How much of a problem can adnoids play in learning to read? [/INST] Hello,No direct relation of adenoids to learning. Actually, if your baby has recurrent cough, cold or adenoids, then due to sickness, he would have absentees from sessions which affect his reading.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sachin Kumar Agarwal </s> |
<s>[INST] Hullo my name is anthony and start first pill of cipralex ( escitalopram )10 mg just 10 hours before and i still feel bad symtoms like affraid sensation and vomit .i ask my doctor he said to me to take 0.25 xanax .and actually i feel little bit dizzy and i wanna ask you if it is recomended please to take the xanax to stop these bad sensation [/INST] Hi, Yes, for sure. Xanax can make one sleepy or dizzy and can slow down the intellect, thinking and motor skills.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ajeet Singh, General & Family Physician </s> |
<s>[INST] Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> </s> |
<s>[INST] age 22 height 180cm weight 13st I had a gastric heamorage last saturday brought on by using disperin tablets. how long should it take my stomach to repair and how long should i stay off drink for? is there certain drinks which are easier on the stomach e.g. stout instead of beer? [/INST] If your vomiting contained blood, you should consult gastroenterologist, who may suggest endoscopy. Bleeding may occur because of ulcers, dilated veins in esophagus if you have alcohol related liver disease or cancer etc. So proper diagnosis is important. Duration of treatment depends upon cause for bleeding. Avoid pain-killers. Dr Vaibhav Banait, DM </s> |
<s>[INST] Hi I'm 19 5ft 9 I get pins and needles, have low blood pressure and have fainted on occasion. I feel all shaky and wobbly on the inside before I get dizzy. I also pains in my sides every two weeks and sometimes just cry and sleep and get sick with it , my appendix are gone [/INST] Thanks for your question on Health Care Magic. I can understand your concern. Your all symptoms are explained with hypotension. Hypotension causes fainting tiredness, chest pain etc. Common causes for hypotension in young age is decreased oral intake of fluids, dehydration, heart diseases and infection. So get done ecg, 2d echo (to rule out heart diseases) and Complete blood count (to rule out infection). If all these are normal then dehydration is likely in your case. So drink plenty of fluids orally and keep yourself hydrated. Drink atleast 2-2.5 liters fluids. For pins and needle sensations, get done vitamin b 12 level because vitamin b 12 deficiency can cause similar symptoms. If deficiency then you may need supplements of vitamin b 12. Don't worry, you will be alright. Consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s> |
<s>[INST] This is to inquire about a patient who is a diagnosed case of CA-Breast ( triple negative ) , previously on chemotherapy ( Adriamycin , 5-FU , cyclophosphamide ) , who now has hepatic metastasis in both the lobes ( CT scan as done on 18/12/2012 Multiple hypoechoic regions largest being 1.4 cm , free bile duct , portal vein , aorta , IVC ) and right pleural effusion and basal atelectasia. May I know what are the treatment options left along with the prognosis with the treatment and without the treatment ? Oncologist started the patient on nebuliser salbutamol and ipratropium bromide ... but I fail to understand why now ... patient doesnt have any pulmonary symptoms . The patient is my relative and is 54 years old . I am 3rd year medical student . Please respond at your earliest convenience . [/INST] Hi, your patient has got pulmonary disease that is atelectasis and pleural effusion. it is to inform you that triple negative breast cancers are highly agressive. high cahnce of metastasis. without examining the patient it is difficult to comment on treatment options. but chemotherapy with higher regimes like taxane may be helpful. exact life expectancy is difficult to predict and it will depend on response. consult your oncologist. </s> |
<s>[INST] my sone has has 2 urine infections by 1 year. he was prescribed trmothoparim till 18 months after which it was stopped. he did not have any infacetion. now he is 4.5 years and he has had urine infection. after kidney scan it appears urine backflow is happening. what should i do? is it life threathning? would his kidney be scaled? will his kidneys be damaged? [/INST] Your concern is justifiable.Your son has VUR which can in the long run damage the kidneys.You have to get the severity of this disease.If not very severe it may not progress very rapidlyPrevent urine infection with 1 tab Setran(SS) dailyFollow up with Yearly scansConsult a Peaditric Urologist & Nephrologist </s> |
<s>[INST] Hello Dr. I had sex 8 day before my expected period date. My expected date was 26 Jan.my period usually comes 30-35days.but this time I have missed period by 15days. I have no pregnancy symptom rather 5days before l had little cramping on lower stomach at mid night. I also don t have any period symptom.but for 2 days I am noticing white creamy liquid in vagina. Am I pregnant? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Having unprotected sex, and then not having menses is the strongest evidence of pregnancy. It is not must to have symptoms of pregnancy every time, so the possibility of pregnancy is there with high chances even if no symptoms occur. Regarding the discharge its probably not related to pregnancy, it is rather nonspecific it can be normal (specially if clear and without other symptoms), or can be an infection specially if curdy and if associated with itching or burning. So regardless of the symptoms, in light of unprotected intercourse and missing cycle by 15 days, chances of pregnancy are high though not sure . Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mahboob Ur Rahman </s> |
<s>[INST] Hi, may I Dear Doctor, I have been asked to go in for a complete bood count with GBP which showed ESR Wintrobe as 36mm/1st hour. The Dr says that I am suffering from Allergic Bronchitis. I have taken lot of antibiotics but am still coughing. I have been a patient of Tuberculosis also and has taken the treatment for its eradication. I am afraid can it be lung cancer [/INST] Hello.Somme of symtoms are coughing, especially if it persists or becomes intensePain in the chest, shoulder, or back unrelated to pain from coughingA change in color or volume of sputumShortness of breathChanges in the voice or being hoarseHarsh sounds with each breath (stridor)Recurrent lung problems, such as bronchitis or pneumoniaCoughing up phlegm or mucus, especially if it is tinged with bloodCoughing up blood </s> |
<s>[INST] Hello doctor, I have a question regarding ALS vs BFS. I have severe anxiety, a kind fo shakes when arms are crossed, swollen lymph node on the left side of neck, sore wrists, muscle spasms in calves, and on outstretch the left arm gets fatigued. I have done MRI, EKG, and MRI cervical spine. [/INST] Hello. I understand your concern and would explain that ALS (amyotrophic lateral sclerosis) does not usually cause just fasciculation. It is usually associated to progressive paralysis and muscle wasting in the hands and legs. Other symptoms like troubles with swallowing, breathing occur later after some months. During physical exam pyramidal signs and diminished neurological reflexes can be seen (by the doctor). So, I do not think that your symptoms are related to ALS. On the other hand the inflamed lymph node in the neck is not related to ALS. Nevertheless, the nerve conduction studies would help to definitely exclude ALS. You should discuss it with your doctor on the above test. I would also advise checking vitamin D and vitamin B12 levels for possible deficiency, thyroid hormone levels for possible imbalances. I hope this helps. </s> |
<s>[INST] Dear sir, My wife was found HbsAg positive during fifth month of her pregnency. The baby is born now by operation and was given immuno globin and hb vaccine by child specialist. What should I do now to seccure my child and wife life ? Thank you Pramod [/INST] hi.thanks for posting query at HCM.Baby has been given the required treatment.baby may have got the first vaccine shot at birth.baby may have been advised to have 2 more vaccine shots.in case of your wife, HBsAg can not be completely eradicated in a patient suffering from HepB.visit a hepatologist.however, complications maybe prevented if proper medication is taken and proper diet plan is followed. Treatment is advised IF high values of liver enzymes AND high viral LOad on a PCR. if HBV DNA count in PCR are not high, Liver enzymes should be monitored regularly while HepB markers maybe checked every 6 to 12 months.hope to answer your concern.wish you good n sound health.regardsDr Tayyab Malik </s> |
<s>[INST] I am 22 years old I have been trying to get pregnant for the past 6 months, this month has been very strange for me, alot of strange thing that usually dont happen have been. but the strangest thing started today I started getting bad cramps so I thought I was just going to get my period like every other month, but instead i started spotting a light pink, then later in the day it started to get more watery and like an orange color, I have yet to get any dark red blood , Could I possibly be pregnant? I just dont want to get my hopes up again. [/INST] Hi, Thanks for the query. These symptoms can be seen in early pregnancy but can also be seen in premenstrual period. So just because of symptoms we cannot confirm or rule out the pregnancy. So you wait till your expected date of periods. If you do not usual blood flow by that time go for either blood or urine test for pregnancy which will find out the possibility. Take care. </s> |
<s>[INST] my sons fiancé told me she is bi-polar and is now denying it making me a liar. she smokes weed constantly and I don t think she s on meds. She displays a evil character. Sometimes we talk on the phone and everything is fine. And like recently I had a Birthday dinner for my grandson. And since my son wants to marry her I told him to bring her. She told my son I did not invite her. A few days later I m at their house and as I was leaving and she was coming home, I asked her what was wrong with her not coming to the party. She yelled at me No body talking to you, No body talking to you, No body talking to you. I m worried about this marriage. My son is talking about having my grandson live with her. My Son says he s in Love. But I know he has to be miserable living with her. He thinks he can help her. He can not. [/INST] Hello!welcome to health care magic!I have gone through your query and understand your concern towards your sons fiance behaviour.There is nothing to worry about this bipolar disorder, as he has ti be started on antipsychotics along with mood stabilizers like sodium valproate.Hope this information would help youThank you.RegardsDr.soujanya, psychiatrist. </s> |
<s>[INST] Hi.my son is 1month 10 days old..+e is doing motions during every feed sometimes very watery n sometimes semi solid...I was giving is milkmixed with water with breast feed from day 10 of birth. Now i havv started with lactogen but he throws milk out after feed.. Doctor has prescribed no medicine..Plz suggest [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. What your kid is having is not a diarrhea and is only a gastro-colic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. When the baby takes milk , the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastro-colic reflex. Do not worry. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. Best regards Dr Sumanth Amperayani </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] y girlfriend has a bump on her lower back that is barely visible but it s right above her waist line? And some days it doesn t bother her at all but days like today, she couldn t hardly walk cause it hurt so bad and then she went in the shower for awhile and then she got out and it still hurt and she couldn t sit without it hurting, any ideas? Also she has a lump in her armpit too/ [/INST] Hi,Dear,Welcome with your query to HCM.Studied your query in full depth of its details.Reviewed it in context of your health concerns.Based On the facts, You mostly seem to suffer from-2 seperate entities-The lump?Lipoma / Sebaceous Cyst- in the lower back seems to be with ?either Muscle Catch from sprain in the lower back, or from neural compression of acute nature with change in spine positions and maneuvering required in day to day movements and work.or it could also be due to the Neurolipoma which gets triggered with some movements or trauma to the lumpThe other lump in the armpit - is mostly from Furunculitis.Other causes like related to nodes/ or the breast,need to be ruled out by Second Opinion from Surgeon .X-ray spine and FNAC Biopsy would resolve this issue of lower back lump.Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.Welcome any further query in this regard,which would be replied in next session.Good Day!!Dr.Savaskar M.N.Senior Surgical Specialist </s> |
<s>[INST] I was stung on the thumb by a wasp 30 hours ago. It swelled modestly --I applied ice periodically last night, took diphenhydramine and the home remedies (baking soda ). It looked about the same until noon today. Over the past 8 hours it has swollen considerably and the swelling extends ti the back of my hand and wrist . It is warm but not profoundly red. I welcome recommendations for any other treatment and any signs to watch for and act on. [/INST] there must be swelling and pus insideneed to use antibiotic course cefixime 200 mg bdtake antiallergic fexofenadine 120 mg odtab cpm at nightliquid antacid tdsapply antibiotic mixed with antiallergic on the effected part tdsdiclo as analgesic if pain or feverot of warm waterantibiotic use 10 days others can be for 3 wk </s> |
<s>[INST] my 12 yr old son has been having frequent pains in his side and upper abdomen area for months (about 5 or 6) it comes and goes every few weeks he also is having burning when he urinates so the doctors have checked for a UTI and kidney infection....everything is normal he even had a renial ultrasound and a MRI of his pelvic area and abdomen area and he is still having problems. the last month he has been feeling fine but last night the pain started up again.....we are at a loss as to what is going on. [/INST] Hi... Since all the tests are showing everything fine , looks like I have nothing to say as a remedy. But still somehow I feel you should give a shot at using an antacid... It could be a simple gastritis causing this pain. Do check with your doctor on the dosage.Tc </s> |
<s>[INST] Hi there I am having constant palpitations for past 20 days.It is often accompanied by hard feel on trapezius and arm pit ,sometimes along the outer border of my left hand.Sometimes pain just below midshaft of clavicle and middle sternum too.My BP was124/78while heart rate today was128. [/INST] Hello!Welcome and thank you for asking on HCM!I read your question carefully and understand your concern. I would like to know your age and your past medical history. Are you taking any medications?It is necessary to exclude a possible cardiac arrhythmia, related to your symptomatology. I recommend consulting with your GP for a careful physical examination, a resting ECG, a cardiac ultrasound, a chest x ray study and some blood lab tests: - complete blood count- cardiac enzymes- thyroid hormone levels (thyroid gland function)- cortisol plasma levels (adrenal gland function)- fasting glucose- PCR, sedimentation rate (inflammation)- kidney and liver function tests- blood electrolytes, etc. An ambulatory 24-48 hours ECG monitoring is needed to rule in/out possible cardiac arrhythmia. If all the above tests result normal, the main cause of your symptomatology would be just anxiety. Hope to have been helpful!Feel free to ask any other questions, whenever you need!Best regards, Dr. Iliri </s> |
<s>[INST] my liver is with homogenous parenchymal echogenecity. a septated anechoic mass is seen at segment 8 of the right hepatic lobe measuring 3.1 cm in diameter. what shall i do in order for me to stop this from growing or to get rid of it? thanks and GOD bless. [/INST] Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.In most cases these spots are benign growths such as cysts or hemangiomas. Hemangioma is very small and this cant cause such symptoms unless larger than 10cm. He should do MRI scn or liver biopsy to find what type of lesion it is. Less common this may be malignant issues such as hepatocellular carcinoma . His abdominal pain may not be related to liver spots at all. It may always be sign of some other issues such as IBD or gastritis. If these are just simple liver cysts then I dont think this is causing his symptoms.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. </s> |
<s>[INST] hi i am having twins they are two months old mother milk is not sufficient so doctors advise to use lactogen 1 we use it a one and half month but now we started cow milk the babies are easily disgesting the milk and there is no issue in the health so i wanna ask does cow milk is safe and gain weight bcoz my twins weight is 2.5 kg each [/INST] Committee on Nutrition of the American Academy of Pediatrics discourages the use of cow's milk under one year of age.Younger babies cannot handle the extra minerals, protein, and sodium present in cow's milk.After one year of age you can introduce cow's milk. </s> |
<s>[INST] I had a root canal on the upper left side (2nd last molar) at the beginning of May. I have terrible ear, cheek, eye and base of skull pain. My Dr. put me on amoxicillan and I am going back to the endonticc Dr. this week. My pain is still present and I can hardly sleep. Aleve takes some of the edge off of the pain. Anything else I should do? Get an MRI? [/INST] Has your root canal treatment just started? If so, u need not worry. The symptoms you have described could be referred pain due to remnants of pulp tissue in the affected tooth, that will get removed once the treatment finishes.Also due to instrumentation in the canal, u may feel sensitivity for some time. </s> |
<s>[INST] Hello doctor, I am a 27 year old female. Actually, my problem is I do not get wet, and I do not experience any sexual feeling whatever I watch or whatever I do (I mean sexual act or masturbation). Why is it so? [/INST] Hello. I can understand what you are going through at present. Sexuality is such a topic that most of the people especially females do not discuss. Due to the stigma attached, they do not even come out with their sexual problems. So, I would like to appreciate your initiative to come up with your problem. As you told that you have difficulty in getting wet or stimulated after watching any intimate stimuli and also have difficulty in having sexual activities as you do not get pleasure from them. What you are suffering from is called "female sexual interest/arousal disorder" (FSIAD).FSIAD is characterized by: It can be caused by endocrine dysfunction, metabolic disturbances, cardiovascular disorders, CNS pathologies, spinal cord injuries, urogenital pathologies, medications, hormonal disturbances, relational issues, emotional disturbances, physical/sexual abuse, and violence.It needs a detailed evaluation to rule out the above-mentioned causes, to plan management for the same. Management includes both pharmacological in the form of hormonal treatment; and psychosocial interventions such as sensate focus therapy, sexual skill training, communication skill training. </s> |
<s>[INST] HI my son 1.3 yrs old and he is having sever cough. In the nights he coughs too much. My son has this problem of flem from childhood, i tried him giving syrups like ventroline and relent nothing worked. Can u suggest some good medicine for this. What can be done to reduce it? [/INST] HiWelcome to the HCMNight coughs with sputum can be a symptom of pulmonary or cardiac wheeze. I would recommend you to take following measures:1. A good pulmonary and cardiac examination by a pediatrician will be helpful.2. In case of pulmonary wheeze, you may start with Syp. Salbutamol or levolin. 3. Also use Syp Azithromycin which is an antibiotic. It's emperically for any atypical bacterial infections leading to the symptoms.4. Check for any allergens in the surroundings which may be avoid to help him.Hopefully this will help him. In case of any further questions, you may contact me.Take care </s> |
<s>[INST] I had surgery to repair a fractured calcaneous bone. I was given Ketorolac 10 mg after surgery taken every 4 hours for pain which isn t helping. Can I also take the Hydrocodone/acetaminophen that I was taking before the surgery? I don t want to take if they are not to be taken together. [/INST] Hello, You can safely take Acetaminophen/Hydrocodone for pain after a surgery. It is a commonly prescribed analgesic and does not cause any harm. 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 doctor, I am a 19 year old female. I am a virgin, but I masturbate quite a bit. Before, it was around at least once per day but it has been dying down to mainly the weekends. I use a vibrator and it is not actually a vibrator but a small hand-held massager for the back. I use it on my clitoris and use my fingers for stimulation. I started around 9 years of age but then I had a two year period where I stopped completely, but started again around 12 years and have continued from that. When I was 9 years, I broke my hymen I believe, but only when I was 12 years, I started fingering myself. I use two fingers and actually, I have been bleeding from then. It happens even when I am not on or near my period. My nails are not that sharp, but when I finger myself, I bleed most of the time. The bleeding is very light. Just yesterday I started using a dildo and I was fine. I make sure my things are clean before and after I use them. But today after pumping myself with the dildo I felt a weird liquid flow out of me. I know it was not an orgasm because it did not feel like one. But when it flowed out it was like blood. I have no idea of what is going on. Am I making myself infertile? Does my vagina have some sort of disease? Do I have any health risks from this act? [/INST] Hi, Welcome to icliniq.com. Masturbation does not generally hold a great risk but it does cause some complications. Frequent masturbation causes addiction. The mild bleeding you experience with the use of the vibrator could be due to local injury to the vaginal mucosa following a stimulating contact. This is alarming as time and again doing this could convert it to a chronic injury and cause ulcers, sores, andinfection. The dildo you are newly using can also lead to similar problems. I suggest you use them very occasionally or not use them at all. Keep the vaginal area always dry. Each and everytime you pass urine, wash and dry the area with a soft towel. Use Lactacyd feminine intimate wash to clean your private parts. </s> |
<s>[INST] I have been diagnosed with hepatomegaly with mild to moderate changes of fatty lever through Ultrasound.Doctor recommended some allopathic medicine for 3 Months & there is slight improvement.Now i want to switch to an Ayurvedic treatment.Pls advise best medicine for same. [/INST] There is a wide range of effective medicines for hepatomegaly. N they are safe 1 ) Tablet LIV 52 DS - 2 Tab after breakfast and 2 after dinner2) Triiphala powder- 2 gm with warm water before sleeping at nitDont take alcohol n smoking , avoid fatty mealDrink fruit juices, eat aanwala.After following this for a month repeat ur liver function test. Continue this treatment until ur livet enzymes come to normal.good luck </s> |
<s>[INST] My daughter has a hole in the heart which is between two walls of the heart. She's 1yr 9 months old and was informed that she needs a open heart surgery to close the hole since the hole is big. I was wondering if the procedure be done without surgery. Please advice me accordingly. [/INST] Hi,There are two ways of closure, one is open surgery and through device closure. So if hole is big then Surgery is needed. For second opinion, you should upload the reports mentioning the size of the hole.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode </s> |
<s>[INST] i had the flu/fever for 4 days, got better, then developed a sinus infection 2 days later. I went to my doctor and she prescribed me the 10 day antibiotic amoxicillin for my sinus infection. I have been taking it for 3 days now but the first day I was on it I got that wispy feeling in my throat that you get just before you get a cough. The next day I started lightly coughing. The next day I started a deeper cough and I could feel it may have traveled to my lungs. Today is slightly better but I still have congestion and a cough. Also throughout my entire 2 weeks so far of being sick, there has been a sore-like pain throughout my left arm, particularily my triceps brachi long head, flexor carpi ulnaris, and also the top of my rectus abdominis right under my diaphragm. What is wrong with me? [/INST] Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain the wispy feeling in throat and coughing is due to irritation in throat that initiates bouts of vigorous coughing and due to coughing there can be pain in chest due to muscle stretching while coughing..It seems like you have an upper respiratory tract infection and all the symptoms are due to it and you need not to worry as body aches or muscle pain and cough and congestion are due to it..You should take an another course of antibiotics like Augmntin or azithromycin or levofloxacin, take tylenol for raised body temperature and body pain,take decongestants like Phenylephrine and do warm saline gargles, steam inhalations, saline nasal irrigation and suck throat lozenges..Drink plenty of warm fluids, do warm compresses on chest,take a soft diet and use a humidifier in your room..Take ample of rest..Hope this information helps..Thanks and regards.Dr. Honey Nandwani Arora. </s> |
<s>[INST] I m 24. Weigh 100 pound and I m 5 1. I was diagnosed with scolosis when I was ten. Last feb I started getting really bad rib pains which a dr. once told me two year prior that I had sprianed both sides of my ribs. So I thought that maybe it was just sprained again and as it would from time to time. Thie time it was stronger. I was on pain meds for it for months everday to alleviate the pain prob from feb- august. The pain got so bad that I couldnt sit, lay down, and breathing felt the worst. Breathing felt so sharp like someone was stabbing me. I couldnt sleep on my side felt like I couldnt breathe well and a sunking in feeling on the sides. I tried massaging it to see if it was so pain ha. What was I thinking I felt ten times worst. Taking a shower was a mission the pain was intense. Rasing my arms while showering seemed to have helped because there was less weight being put on me. The pain finally feels as if it has gone away. I couldnt do anything when I was like this. I would have to lay down and do nothing so that I could recover. The min I did something got worst. Im a very active person and I would love to go back to that. I havent carried stuff really due to this or been active. Is this my scolosis getting worst or did I break my rib ? [/INST] Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* There is definite pathology underlying which may be - rib fracture - ligament tear - severe costochondritis - neurological issues - others .* Lot many narrations have been there for the severity of symptoms but there is no indication of anything done to diagnosis it !* Strongly recommend to get x-ray chest and further requirement may be of MRI if needed .* Without diagnosis , cure is not possible . So get diagnosis and cure .Hope this will help you .Welcome for further questions .Regards . </s> |
<s>[INST] Hi I need to know what is the best food for a person diagnosed with chronic linphatic leukemia. Among this illness is on cumadin, Plavix and several medication, 80 year old. Need an oncologist? I need to know if this will cost me money, this is a consult for a friend of mine that have no computer and is very old. [/INST] hello dear. I have gone through your details. We usually do not advise any special diet for our cancer patients as it is not necessary. Just a healthy diet as any other person but it should be hygienic and properly cooked. Only to avoid raw uncooked food, uncooked vegetables. In fruits better to take fruits with a thick peel like banana, oranges, pome granate etc. Hope that makes you clear.regards </s> |
<s>[INST] I have been getting blood work done since December, first I went in cause of a headache , blood work done, she stated AST was high as well as SED Rate at 56. Referred to nerologist, who did more blood work, my enzymes are high not extremely high the doctor says but high enough. Referred to gastreointerologist to check my liver . Keep running blood work they continue to stay high. It also shows high on protein . Sonogram showed liver to look good, as well as other organs. What should I do, should I worry? [/INST] Determine the reason for high levels of AST,consult your gastrentrologist and do further investigations if suggested. </s> |
<s>[INST] Hello my name is Shannon I m in a relationship right now with a male whose just turned 30 he has had diabetes pretty much his whole life I believe it runs in his family but, he has not been taking his medicine for over the past year I did not find this out until now ,,symptoms hes have been having include but are not limited to :paranoia ,delusions of things that aren t real and ideas of things that aren t going on indecisiveness, overeating but losing weight, excessive sweat ,lack of sleep or restlessness ,constant fatigue, muscles are always in pain swelling of the lower back area and calf muscles, obsessive compulsiveness, repeating stories over and over again,uncontrollable anger or aggressive decisions or outburst, I read that diabetes can lead to psychosis and even schizophrenia please help it comes and goes so often it s about every other couple days he ll be good for about 2 or 3 days if that and then for about a solid 3 Days To a week he ll constantly have uncontrollable relations to the symptoms listed above [/INST] hi madam.all these conditions are super exactly related to diabetes since he withdrawn medicines one year back,so that sugar levels might become abnormal. fatigue, weight loss ,confusions,uncontrollable reactions all these are due to uncontrolled diabetes. patients may be severely depressed if they have an uncontrolled sugar level in their body. there is the only one solution for this is to control diabetes.control sugar level in blood. if diabetes is under control he can lead a normal life all these symptoms wont persist. thank you </s> |
<s>[INST] I had a dental implant placed a couple of weeks ago on my lower right side. Ever since then I've had twitching in my lower right lip to the midline. It comes and goes intermittently throughout the day. I am sure it's not muscle spasms. Could the implant have come in contact with a nerve? [/INST] Hello, Thanks for your query.You may have a dental infection that is putting pressure on certain nerves of your jaw. Have yourself evaluated locally by a dentist. Allowing this to progress untreated may result in permanent numbness.I do hope that you have found something helpful and I will be glad to answer any further query.Take care </s> |
<s>[INST] My fiancee and I are in the process of trying to conceive again after a year. I suffered a miscarriage last year. I have cut down to one cup of coffee a day and taking vitamins daily, but I believe some of the vitamins that I m taking (mostly to try to increase hair growth) maybe too much if I m trying to conceive and if possible to continue to stay on my vitamins during the time of pregnancy if I do conceive. I m taking 5000mcg of Biotin , 5000mcg of B-12, Super B-Complex, Prenatal Vitamins , Veggie Basic tablets, Zinc, and my thyroid meds. Is this way too much? [/INST] Hello Thank you for your query. Firstly, the cause of the previous miscarriage should be thoroughly investigated. It could be because of genetic causes, infections, hormone imbalance, uterine abnormalities or autoimmune causes. Without evaluating the cause, rushing into another pregnancy could cause further miscarriages. Also, fertility is more important than other issues right now. Yes, you are taking way too many supplements. Please stick to thyroid medications and folic acid. Take care. </s> |