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<s>[INST] I just had my gallbladder removed and the doctor did not explain much to me about how the surgery went. I have 5 pictures from the surgery of my gallbladder and I was looking for someone to look at the pictures and tell me how bad my gallbladder really was I am 28 yrs old just had gallbladder surgery looking for some answers on how bad my gallbladder really was. [/INST] Hi,thanks for query.The decision to remove gall bladder must have taken after proper investigation like ultrasound ,blood reports etc.Looking the pictures of gall bladder nothing much can be commented.please do not worry. wishing you good health. </s>

<s>[INST] I am having problems in married life.. ours is love marriage. and we fight a lot due to our parents.my husband does not like the way my parents are and vice verca. I am really worried like how to go about it. What should i do? [/INST] Once you are married, only you two have to stand by each other. Stop this parents things from both the sides, sort out things between yourself, do not let anything spoil the love and happiness of your marrige. If needed go separate, and be far from both the parents. You should still respect them as they are your spouse parents. But if you fight between yourselfs bcos of them then it is not right. </s>

<s>[INST] i have a real problem with my wisdom tooth. the filling fell out 10 minutes ago. the part of the tooth it was attached to is now wobbling and will surely fall out very soon. i just gripped the wobbling part and tried to pull but there was a sharp pain so i stopped. i also have a lump inside my gum that i assume is connected to the root of the tooth. i cant get to a dentist or doctor for another week as i have no money and am awaiting my medical card as ai live in mallorca. ive just read that if this wobbling part falls out i could bleed to death or my face could go into spasm and stay that way... what am i supposed to do? thanks for any replies [/INST] Thanks for your query, i have gone through your query.The tooth might have fractured or broken along with the previous filling. Nothing to worry, if it comes out or if you remove the broken piece of tooth, it might bleed litle but it will not cause massive bleeding that leads to death. Wait for the tooth fragment to fall by its or till you consult your dentist. If i am your treating doctor i would have suggested you to get the tooth piece removed as early as possible.so consult a physician as early as possible and get it treated otherwise it might get infected and cause pain and swelling. Do saline gargling take analgesics if you have pain.i hope my answer will help you. Take care. </s>

<s>[INST] Hello doctor, I have white spots on the left side of my gum and it hurts really bad. I have a sore throat and a small lump on my left side of my chin that hurts when I touch it. What do you think this is? [/INST] Hello, Welcome to icliniq.com. Regarding your short history, it seems that you may be having a gingival abscess or pericoronitis (if the last erupting tooth is involved). However, the picture of the lesion would have made things clear as to which site is involved and the state of the tooth involved (if it is carious or not). Still, it seems that you are having an infection and the lymph nodes are involved which relates the lump on the left side. The sore on the gum may be an aphthous ulcer or sinus opening as both are white, but sinus opening might be somewhat eruptive (nodule like). The sore throat is due to the infectious condition. So I think it might be a gingival abscess. The treatment requires a regime of antibiotics, analgesics and mouth wash. You can take Amoxycillin 500 mg and Clavulanic acid 125 mg two times (BD) for five days. Ibugesic acid (Ibuprofen and Paracetamol) 400 mg twice daily for five days and Chlorhexidine mouth wash thrice daily for two weeks. IOPA (intraoral periapical radiograph) to related tooth. Pericoronitis, gingival abscess, periodontitis. As mentioned above. Upload a picture for proper diagnosis and treatment. </s>

<s>[INST] hi... this i am writing in concrn of my 20 months old daughtr.. sh was having nos flow...2- 3 days back...which latr turnd to coughing... w consultd with a doctor... h prscribd cough syrups for 3 days and if ncsary giv nbulisation... cough subsidd.. but aftr 3 days h suggstd to giv omnacortil... but i m a bit afraid ...to giv th sam... still sh hav coughinh...not that much... what to do.. [/INST] Hi...it could be a simple viral cough and cold or a wheezing. But Omnacortil is a corticosteroid. Unless the kid is having low oxygen saturation in the blood and extremely breathless so as to be unable to feed, it is not required to give corticosteroids. But oral or nebulized anti wheezing drugs can be given.regards - Dr. Sumanth </s>

<s>[INST] why do the medicare people want to take me off soma, a drug that has helped my various back problems for years with no side effects at all. They say I am too old 65, this is crazy because thet list such drugs as oxycodone in their list. Soma isn,t harmful or addictive, but I know the other stuff is. It sounds to me that hey are trying to destroy my quality of life. I only take my 2 pills a day. this makes no sense to me. with my herianated and degenerative disc what am I suppose to take when a spasm prevents me from laying straight on the bed. It s painful to straighten out, and now they want to hurt me worst. I am not a drinker or a doper..just a wanna be artist & animal rights activist.. I guess that is kinda boring but...it s who I am. [/INST] Hello!Welcome on HCM!I understand your concern and would explain that this drug belongs to a pharmacological class called muscle relaxants. All these drugs are usually not recommended for a long time because of possible addiction and tolerance. I agree with you that this drug is not so addictive like other drugs, but it can lead to a low grade of addiction. That is why they have adviced you to stop the drug. But, you should know that drugs are not the only way to reduce muscle spasms. Physiotherapy is the most appropriate treatment for the long term treatment of muscle spasms. So, I would recommend considering to switch from this drug to physiotherapy. Hope to have been helpful!Kind regards, Dr. Aida </s>

<s>[INST] my daughter is 18months now.she had a throat infection and fever last week and the doctor prescribed amoxcillin antibiotic,then nasal spray for blocked nose.she got the throat infection from me.after taking antibiotic for 5days she was normal.then started severe cough at night.then went to doctor and said that she had a mild wheeze and was put nebulizer once and prescribed dilanyl 2.5ml three times and toplexil 2.5ml 3times for 5days.we have finished 5days medicine ,but still she is coughing at the night.iam so worried.iam in uae.i have ventorlin syrup which my peadiatrician gave me when i went india last month.i have given her this medicine when she had cough and fever last time.but now can i give her this medicine.pls help [/INST] Hi...Ventorlin is a medicine which is given for wheezing. If you feel that your child is having wheeze associated with severe cough and breathlessness you can give ventorlin as medicine till you see your pediatrician. Sometimes ventorlin can cause increased heart rate if given in excess dose. But as your pediatrician has already suggested nebulization, I see that your kid is having wheeze so you can go ahead and give ventolin.But get back to your doctor as soon as possible.Regards - Dr. Sumanth </s>

<s>[INST] Hi, My girlfriend and I had sex on the 5th of may, she took plan B the next day, and got a period 3 days later, she was suppose to get it 2 weeks ago but she hasn't. She has just got some brown spots, for about 3 days now. This happened a few weeks ago as well. We did 2 preg tests and they were negative. What do you think is wrong [/INST] HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1]As urine tests are negative you need worry about pregnancy.2] After taking PLAN B one can have some erratic pattern of bleeding; it can be delayed or excessive or minimal ; I will suggest to wait for menses, in view of negative pregnancy tests.3] Last word of caution - use of condom will prevent worry about unwanted pregnancy and will prevent STDs. Please get proper sex counselling done.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam </s>

<s>[INST] I had A bad reaction from amoxillion and my doctor put me on pretazone for 5days that ended 6 days ago and I am so itchy I want to rip my feet off. Every time I rub on benedrryl it feels better but my feet and my hands and my legs are still swollen. How long before it should go away. [/INST] HI,Welcome to HCM,After stopping amoxicillin..it could take up to 2 weeks for it to fully clear..i advice you to also take an antihistaminic for itching like tab levocetrizine 5mg at night for 7days...get well soon... </s>

<s>[INST] Hi doctor, Shortness of breath and rapidly reaching maximum heart rate has been my concern for many years. I turned 50 this year. It is impacting my ability yo exercise, so thought it was time to investigate. I just had a cardiac catheterization test. No blockages were discovered. However, they were not able to complete the procedure through wrist because my right side artery does not connect directly to the heart. It connects to the left side artery, which then goes to the heart or aortic arch. Stress test results showed abnormalities at high heart rate (both in EKG and echo). Are there any health issues related to the abnormal artery connection? Other than just being out of shape, are there any other medical issues to consider or investigate? I am currently on regular Amlodipine and Losartan for high BP. [/INST] Hi. First, you need to be started on medicines called as diuretics like Torsemide 10 mg once a day in the morning and also Amlodipine should be replaced with Beta blockers like Metoprolol XR 25 mg once a day. Both drugs will help you in relief of symptoms and also other benefits. So, you discuss with your local doctor regarding this. The symptoms occur due to pulmonary congestion. Both hypertension and your anomaly have a role in it. The next important decision will be of surgery to correct the abnormal connection. I need to know the details of the reports to know the exact type of anomaly and course of the artery. You can upload your angiography report. It is being the rare condition, the decision is not very straight forward, and data is inconclusive regarding the preferred modalities. In some conditions, patients are offered surgical management while in others patients are kept on drugs. It also depends on the opinion and willingness to undergo such major surgery. I think, you should be put on the drugs which I mentioned above and look for the response. For further information consult a cardiologist online --> </s>

<s>[INST] I have been given coversyl to lower my BP and have experienced a hoarse throat which appears to have no cause other than the introduction of this new drug.Is there a possibility that this is a side effet and will it damage my vocal cords?Lately teaching I have lost my voice mid-lecture. [/INST] Hello,Coversyl is not known to cause this side effects. Still you can ask your doctor to change it to Amlodipine 5 or other medicine. Likely reason for this is vocal cord nodule and it usually occurs in those who needs to talk more like teachers. So get your vocal cord examined by ENT specialist. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode </s>

<s>[INST] hi doc...i didnt had full intercourse with my girlfriend... i just touched my penis around her vagina and before ejaculation i removed my penis... but i am not sure that the drops of fluids fall on her vagina... she is still virgin. are there any chances of getting pregnant. [/INST] Hi, Thanks for the query. I undrstand your concern Though cgances of conception are less ....with just touching or soilling few drops externally .. without penetration.... it's safer to test for pregnancy if her periods are delayed till 8 days after expected date of menstruation. </s>

<s>[INST] hello, my daughter is almost 10 years old. she has been a diabetic for almost 9 years. she has been pretty controlled up until a couple of months ago. we adjusted her pump and the past week has been horrible. 450 to 37 in 2 hours. does this have to do with maybe puberty starting already? [/INST] Hi.... usually puberty doesn't cause hypoglycemia like this. I feel it is more possibly related to the recent pump adjustment. I suggest you get back to the endocrinologist or diabetologist regarding this.Regards - Dr. Sumanth </s>

<s>[INST] I have been diagnosed with congestive heart failure I have read that 200mg of thiamine will make my heart blood flow properly I now suffer with my heart beats very fast and my blood do not flow from one side to the other at a full capacity. tell me how correct this without meds. thanks Ms Hill [/INST] HiThanks for posting your query. Well it is not possible to do that without medication. But you can try doing Yoga , if done properly over a period of few months your heart condition shall gradually improve . But Yoga has to be learnt from a teacher and has to be started gradually . Reduce the intake of salt and non veg food. Eat daily carrots, beet roots and citrus fruits.Hope this information was useful to you.Any clarification feel free to ask.Regards. </s>

<s>[INST] Hello. 2 months ago I slept with a new partner. A single occasion without condom. I did not present any symptoms in the initial 4 weeks. I then slept with my girlfriend on a weekend away and believe I did some damage to the penis whilst having vigour us sex. Over the next 2 days my penis became more irritated, with pain when urinated. The skin between the opening and foreskin was irritated by just underwear touching the skin. This stopped after 3 or 4 days. Five weeks after I slept with the new partner, I tested for chlamydia and gonorrea. The results were negative. I was the. Tested by my gp on a urine test for other bacteria. The test showed no bacteria grown in culture and a normal white blood cell count. 8 weeks after the encounter, I have now noticed my glans is slightly more pink where not covered by foreskin, and I have notice occasional white discharge, which I cannot rule out is seminal fluid. My girlfriend has not had any other partners, and the other person has too recently tested negative for chlamydia and gohnorrea. I am male, 26yo. I have been with my girlfriend with no other partner for 5 years [/INST] Hello, Irritated skin on the penis could mean many problems including inflammation. A skin specialist should check you physically. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist </s>

<s>[INST] my 15 mounth old has been diagnoset with milk proteen allagey at 6 mounths and now they tell me that is not the problum but they do not know what it is she is still having the same symptoms what can it be and who do i need to talk to or what tests need to be ran to find out whats wrong with her [/INST] hi, milk protein allergy is also called as lactose allergy. It is seen in small babies, that a number of babies have allergy to lactogen in present in milk. in these babies, we prefer to give formula feed made from soya milk. You can also do stool for reducing sugar test. This will tell us whether the child has cow milk allergy or not. if there is reducing sugar present in stool then chances of cow milk allergy are high end cow milk should be stopped and formula feed containing soya milk should be given. Take care. </s>

<s>[INST] Is a hemoglobin of 8.8 considered low? Previously I had 2 infusions when my hemoglobin dropped to 6.5. It had climbed back to 15.3 now I m told it is normal even though I have been tired and experiencing shortness of breath and have been craving and eating ice like crazy. [/INST] Hi, dear. I have gone through your question. I can understand your concern. You have very low hemoglobin. Your symptoms of tiredness and breathlessness ate due to anemia. You should take treatment for that. You should search the cause first. You should go for peripherals smear examination and ultrasound abdomen. This will give some idea about cause of your anemia. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>

<s>[INST] 2 months ago i fell down stairs half of flight and after reaching home my right hand was full stopped working and i could able to get up or sit. but after taking medicine 3-4 days immediately my hand started working. but when i stopped eating medicine little pain remained for 3-4 days in my hand. But my still i am facing problem in sitting. sitting straight does not gives pain. But if i don t sit straight then it pains still. please help me. how long this pain will remain. I think this may be tailbone. I had taken CIP ZOX Medicine by which my hand really works normal. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I can understand your pain and anxiety. As per your presentation the pain is severe and constant, right sided, uncomfortable in different sitting position. As there was history of injury, it can be due to, hairline fracture or muscle strain or neurological due to nerve injury. In irregular sitting position muscle will get more strained, hence pain increases. You can confirm by following tests:1. x-ray right hand2. muscle power test3. calcium estimation4. physical examinationComing to treatment part you can follow the below pattern:1. use non steroidal anti inflammatory drugs2. you can also use pain killer sprays3. take vit- B12 tablets4. physiotherapy helps to some extent5. check for risk factors like diabetesThese measure can help you to recover soon from your symptoms. Don't get worried and try to follow the above thing for speedy recovery. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] My body has 30+ lbs of water retension. Hospital took out 4 galLons+ in 4 days and when sent home body in 5 days was right back with same symptoms. My body has fluid retenion. My lower legs and toes are so swollen that I cannot wear shoes or walk due to swelling on soles... edema is 10+ below knees to tips of toes. Skin on arms and lower legs is DRY, itching looking for homeopathic remedy to reduce fluid retention, help with dry skin and itching. ALso have incontinence problem. Please HELP??? [/INST] hi snowbird, you need to tell us what were you diagnosed with during your last admission. There can be multiple causes for fluid retention, like heart disease, liver disease, low blood proteins, kidney disease, thyroid problems etc. most are treatable with allopathic medications. your incontinence may or may not be related to your fluid retention. It may also be due to diuretics that you may be taking to reduce body fluids. Kindly send some more details like your age/gender/previous diagnosis/other medical illnesses and so on. From the information available, I think you need to see a physician. If your incontinence persists, also get checked by a urologist. take care </s>

<s>[INST] Hello- My 6 year old son has been complaining of a tickle in his heart/chest area for 4 days. We went to the doctor and she thinks acid reflux... I don't think so. It is coming and going...he has no other symptoms and does not lose his breath etc... any ideas of what this might be in children? [/INST] I think you mentioned hiccups or just irritation in upper chest ? Hen it is probable that it could be GERD ( acid reflux ) though not very common in a six year old. I would give anti acid syrup like Zantac and an antispasmodic and observe. If there is nausea and vomiting an antiemetic could be given. YOu watch for any other symptoms and consult your doctor. Regards </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, I had pneumonia about five years ago. I got recovered after taking the antibiotic medicine. About a month ago, I had physical check up, the doctor found the scar in my lung he suggested further visits. I noticed myself too when I run, I feel out of breaths at the beginning but get better later on. Some days, I feel out of breaths not doing any exercises. My question is, could this symptom caused from the pneumonia that I had a while ago? Thanks. [/INST] Yes it may b related to ur old lung problem. ...better to visit some good pulmonologist...since old pneumonia could have damaged ur lung or this might be newer pathology. ....get xray done and also consider tuberculosis if u hav any family history </s>

<s>[INST] I have the skyla iud. Never had had a problem with it. I ve had it taken out because I had a leap procedure and when they said it was safe to have it re inserted I did. But I believe I have a yeast infection. I know I do not have any stds I ve been tested every time I ve been to the doctor this year and I ve been with the same partner now for 7 months. But every time we have sex and he cums in me I use the rest room but blood comes out with the semen and then after that it s a light brown almost barely noticeable but goes away within a day. Is this normal? [/INST] Hi, dearI have gone through your question. I can understand your concern.You have IUD insertion. After sex with semen there is blood and brownish discharge. Mild spotting and discharge is common. If you have persistent discharge with blood then you should consult gynaecologist for per speculum examination. If required go for PAP smear test. you may have bacterial vaginosis or candida infection. But it require examination to confirm or rule out. SO consult your doctor and take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health. </s>

<s>[INST] hey doc,please help me with my query. my father found blood in his urine and now according 2 doctors report they r saying that there is mild PCS splitting of right kidney. plz tell me is it serious.. n i guess continuous flow of urine is also there.. [/INST] HIThanks for your queryPresence of blood in the urine is not normal.I would recommend the following tests to determine the cause: urinalysis, urine culture, CBC, creatinine ta CAT scan.Mild PCS splitting could be a sign of obstruction in the urinary tract. A CAT scan will pick up the problem better.Hope this helpsGood luck </s>

<s>[INST] I am having red itchy bumps on my neck, face, and right right arm which started two days ago. I have taken loratadine yesterday once, and had taken the same medication once today as well. The rash has now spread to my chest, and belly. I also have sore throat just earlier this morning. Could this still be considered an allergy? Or can this be Rubeola or Rubella? [/INST] definately it is viral and viral have no medicines the virus can take 3 week to go medicines dont help but you have to take to prevent furthr infection by bacteria soar throat is also due to viral spots in thraot can take symptomatic treatment for 3 week like antipyretic for fever analgsi for pain antiallergic for itch can apply calamine on skin and kenacort in mouth as local application </s>

<s>[INST] my friend has been in oain for over a week. hes nmot from this area so he went to the ER Wends. after many tests they said it was prostate infection. He was given a 10 day suppy of antibiotics taking 2 a day. however its been 5 days and the pain is still there and now he feels sick =to his stomach. What can he do. I do not want him to go bacl to the ER. [/INST] Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Yes, it is likely that the infection is caused by the resistant organism. It requires change in the antibiotics. So in my opinion you should visit the nearby doctors and change the antibiotics as per your biological condition.Your stomach problem is related to the gastritis caused by the antibiotics. Appropriate anti acidity drug can cure your problem. You can take the pantoprazole half hour before meal two times a day.This will clear the stomach problem. It may be possible that your infection is cured and your problem is related to stomach upset and you will be cured without any further medication.So give it a try before taking further medication.Maintain good hygiene locally it will help cure the infection at earliest.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM </s>

<s>[INST] Hi Doc I have had numerous back operation -last one in 91 with titanium prosthesis, my problem is not my back as such but a complete numb foot and the numbness spread right up my right leg. With it very bad (severe) pins and needles with ice water running down legs. Now I have developed a kind of rash and it stings not so much itching. It is spread randomly all over body. I am 65 years old and have severe scoliosis. My left hand cannot hold anything it shakes and then I drop whatever I pick up with forefinger and thumb. My main problem is the totally numb foot and pins and needles with muscle spasms and eye twitching. Thanks, Ivy [/INST] HI I AM YOUR DOCTOR WELL THE SYMPTOMS YOU DESCRIBE ARE DEFINETLY BECAUSE OF NERVE COMPRESSIONS THAT MAY BE EITHER BECAUSE OF SCOLIOSIS OR ANY OLD DISC BULGES AFFECTING YOUR SPINE. I SUGGEST YOU GET A FRESH MRI DONE TO EVALUATE THE SPINAL CANAL. BY THAT TIME YOU NEED TO START ON GOOD NEUROTONIC DRUGS LIKE PREGABLIN 75 MG OD AND TAB SERTRALINE ALSO HELPS IN CHRONIC PAIN . THANKS </s>

<s>[INST] My brother is married person and got problem with night fall regularly.bcoz of this he feels very week.he is almost sure that because of regular night fall he got liver problem too.He told me that few years back,once he had sex for 90 mins while he was drunk and he fainted and woke up in the morning,after that he is having problem with lower stomach(just above the penis) and from that time he is having nightfall problem. [/INST] Hello Its completely normal to have nightfall in teenage and adults, however it could be due to excessive masturbation,over production of semen or its thin consistency, weakness of semen holding tubes, excessive use of semen producing diets, avoiding sexual act for a longer duration of time and weakness of kidneys as well. I suggest you to visit your doctor for your brothers detailed checkup and proper treatment if needed I hope i have answered your query. </s>

<s>[INST] Hi doctor, I need some advice on behalf of my mother who is 67 years old. For the past 12 days my mother has been experiencing pain in the throat area, feels like something is stuck, vomiting mucous, weakness, body aches, white tongue, difficulty swallowing, and vomiting feeling while talking and eating. She vomits about twice a day. She consulted an ENT and internal medicine doctor. ENT dismissed her after nothing found in throat using a camera but the internal medicine doctor did some investigations. Results showed UTI (epithelial cells 20-25/HPF and pus cells 30-35) and TSH (13.5) raised as well as Candida Albicans growth from a throat swab. She has had this issue every few months and normally clears up on its own, but this time it is very severe and not going away. Current medication: Cefotil (Cefuroxime 500 mg and Clavulanic acid 125 mg), Gelora gel for oral thrush (Miconazole BP 2%), Motigut for vomiting 10mg), Thyroxine (50 mcg currently but internal medicine doctor asked to increase the dose to 1.5 tablets due to high TSH). Urine culture was done and it was normal. My query is, whether this is a bad infection, not bacterial but growth of esophageal candidiasis can be treated by antifungal therapy Fluconazole? No improvements are seen with many antibiotics. Oral thrush candida was found on initial appointments and also candida in throat swab. Is there any harm in trying a course of Fluconazole? She had a history of fungal infections in the throat which normally clear up on its own. This time it seems much more serious. If it is fine, what dosage would you recommend and for what period? [/INST] Hello. Yes, your mother is suffering from 1. Hypothyroidism. 2. Oral candidiasis. 3. UTI (urinary tract infection). 4. Dysphagia. Oral candidiasis or oral thrush if not improved within five days after starting local antifungals then you may start oral antifungal medication. You may use tablet AF (Fluconazole) 150 mg once a day for one week. But in case of old age, people may feel nausea or vomiting for this drug then you can give iv Fluconazole (Forcan 100 ml) once a day for five days. In old age, vitamin B12 deficiency is also common, so it may present like glossitis with pharyngitis. Take vitamin B12 injection weekly once. You can give Neurobion injection also. Use Candid B mouth paint for local application. Use tablet Levosulfuride 25 mg twice a day for nausea and vomiting. At the same time check for serum electrolytes levels which may be altered in old age lead to vomiting. You may give probiotics like capsule Gut ok or Sporulac sachets to increase the immunity levels and also prevent gut growth of fungus. Remaining medications you continue the same. Response to the treatment may take four to five days. Diabetic patients are more prone to oral candidiasis so check for blood sugar. </s>

<s>[INST] When I walk outside and breathe in cold air my chest begins to burn and I get out of breath. I spent several years in ND in the oilfieldand worked in extremely cold conditions butnever had a problem until just before I came home. I do have asthma but it usually only acts up during allergy season. [/INST] Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, in my opinion, cold actually triggered your asthma and caused you bronchospasm. This bronchospasm can cause breathlessness, coughing, wheezing etc. If it is severe and also involved trachea than burning central chest pain is also seen. So in my opinion, you are mostly having cold triggered asthma attack. You need inhaled bronchodilators and inhaled corticosteroid with antihistamine drug. So consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] I have been getting random bruises for about a year now, and have recently found out that i have a low platelet count. i was also diagnosed with depression around the same time, Could they be related? i have also been having really bad night sweats for the last two months. [/INST] Depression is the main reason of lots of diseases as it decreases immunity of the patientTake tab escitalopram to overcome depressionGo for frequent blood tests. DENGUE NS1test.Hope my answer helped you. Contact your doctor to prescribe these drugsTake care </s>

<s>[INST] Hello doctor, I chipped my front tooth two days ago. I saved the broken tooth piece in a cup of milk in the refrigerator. The piece is fairly small (bottom corner chipped off). What are my options to get my tooth fixed? It does not hurt but it is a little sharp to the touch. [/INST] Hi. That is good that you saved the part of the tooth. But actually little chipped off part of the tooth cannot be reattached to the tooth by any means. But if whole tooth and its root somehow got knocked out of socket while you fell down or so and that tooth is kept immediately under your saliva or milk and then re-implanted at the same place within one hour then this tooth definitely gets saved. But, unfortunately, its broken part is hard to re-attach. You should get filling of it done as soon as possible and get sharp edges trimmed else it will hurt your tongue or lips. Stay happy and blessed. Take care. </s>

<s>[INST] Hello Doctor...I recently had dengue and my platelet count had reduced to 7000. I was hospitalized but am fine now for dengue and the platelet count is very healthy. however my SGPT has been at around 120 even till now. I am currently on mostly oil-free diet and zero alcohol. I have 2 questions a) Is this an alarming SGPT count? b) What else could i do to reduce my SGPT count? [/INST] Hello This level of 120 is high but not alarming Although DENGUE can cause high levels of SGPT,there could be other reasons for high levels of SGPT like Obesity Diabetes Drinking alcohol High triglycerides Consumtion of pain killers or herbal medicines Hepatitis Just take care of your diet by avoiding alcohol and fatty foods along with avoiding sweets and junk foods. Get your SGPT levels checked up again after 4 weeks and if they are still high you must consult a Gastroenterologist and get investigated properly to look for the cause of high SGPT. Thanks </s>

<s>[INST] hi Doctor, I got married 2 months back. I had sex with my wife yesterday night. morning i was fine and had a fine day at office. but after I started felt so tired and uneasy. I couldnt control my sleep. This became common still since a month. Could you please assist me on getting away from this uneasiness. Thanks, Jerry [/INST] Thanks for asking in healthcaremagic forumIN short: I think its because of less sleep whenever you have intercourseExplanation: Sexual intercourse consumes energy but will not cause weakness. May be you sleep less whenever you have sexual intercourse, so you feel tired and weak. Have a balanced diet with exercise and sleep well. It is subside. Enjoy your sexual life. </s>

<s>[INST] hi. i m 26. for past few days my mouth is notopening fully. i had pain in my gums n look like dey r swollen. may b wisdom tooth is formating. i dont consume tobacco or smoke . n it all started after i start dieting . i eat less than before. i also take herbal pills of active fibre. i just want to know what is wrong with me [/INST] Hello Welcome to HCM I went through your history & it suggests that you are suffering from Pericoronitis i.e. inflammation of pericoronal tissue before eruption of third molar.It occurs due to food lodgement & bacterial accumulation in that area.Its Symptoms are:- -pain -swelling -difficulty in mouth opening -fever -malaise -regional lymphadenopathy Get an IOPAR done & consult your dentist.If flap is interrupting in its path then go for flap removal i.e. operculumectomy. Otherwise if sufficient space is not available then go for extraction since it is vestigial & has no role in mastication. For temporarily relief do warm saline rinses 3-4 times a day. Start with Tab Amclaid-625 twice a day along with Tab Zerodol -SP thrice a day for 5 days.In Case of gastric problem take rabeprazole-40mg once daily. Your herbal pills won't be of much use. Do betadine gargles twice a day. Take Care Regards Dr.Neha </s>

<s>[INST] My last period started on March 25 and ended March 30. I recently started birth control on April 16th. My husband and I had unprotected sex on April 22nd and took a Next Choice pill on April 24th to make sure I would not become pregnant . My period has not yet came. Is this because I started the birth control 3 weeks late, my body adjusting to the birth control, or could I be pregnant? [/INST] HIThank for asking to HCMI appreciate your concern as I always say that no method is cent per cent secure for contraception, if you have any doubt better to get done the pregnancy test, although the chances of pregnancy is nil, hope this information helps you have nice day. </s>

<s>[INST] My daughter is suffering from cough. She will be normal and once she starts to cough it continuesfor half an hour. I have consulted many Doctors and they advice cough medicines and this is contined from past 1 year. I am looking for a permanent solution . I require expert guidance regarding this .Please advice and do the needful. [/INST] Thanks for your question on Healthcare Magic.I can understand your concern. Your daughter is having chronic cough. So we should definitely rule out chronic lung infections (tuberculosis or fungal infection), asthma and bronchitis.So consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test).Chest x ray is needed to rule out lung infection. PFT is must for the diagnosis of asthma and bronchitis. She may need antibiotics, inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) depending on the reports.Don't worry, she will be alright. First diagnose and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks. </s>

<s>[INST] Hi my name is Karen, i turned 51 just 2 weeks ago! In July 2004, i had a work related injury where i went air born off a flight of stairs! To which it caused me to come crashing down on the stairs, hitting my back in two(2) places before coming too a stop! I landed on the 3rd stair 1st, hitting my right butt check(2-3inches from my tail bone)damaging my S.nerve, which my upper body flung right back causing me to take another stair right under my right shoulder blade! I didnt break one bone, i was just badly bruised so i thought and so did my employer! I was put on modified hours until there was medical proof that something was diffently wrong in my lower/upper back! I had a MRI in March 2005 then i seen a Neuro surguan on May11 2005, for him too tell me that i need surgury&his reasoning for do it!! So i sat their by myself for a few minutes too take this all in and i had too make a big dession at that time all by myself it was hard to do! But i ended up signing the papers to go ahead & proceed with the surgury, when i asked the doctor when l would be going to have surgury he said maybe in two months or so as he could not give me a date at the time of my appointment!! I then STOOD UP said thank you too the Doctor and that i will see him when the day comes for me to have surgury or before if need be!! The Doctor said yes to my last comment that is when i knew my appointment was done so i WALKED OUT of his office&went home. I stopped work fully on May 13 2005, by my family Doctor until i had my surgury on my back, I woke up on May 27 shortly after 7a.m.but how my body was feeling at the time!my mind then told me that i was still sleeping&that i was just dreaming!!!!YA RIGHT, i was DREAMING!!!!As they say,"DREAMS DO COME TRUE", l woke up fully when i went too roll over in my bed and only my upper body from the waist up seemed to beable too move or have any feeling it!! I layed myself back down on to my back and pulled the blankets off myself,with my left hand side being on the edge of the bed(me being LH)i quitley i hit myself in my left leg and felt nothing! Now l am fully awake&starting too get alittle scared, i would like too say that i am sorry for what l am about to say too you, as l get alittle bit embrassed talking about it!! Well here l go i layed back down &put my hand into my p.j.bottoms to grab my privates felt nothing, i also grab a handful of hair&pulled up and felt nothing except for my hair against the palm of my hand from holding on to my privates at the time!!! Then i took one of my hands(can"t remember at his time which one i used)! I was able to get my hand partly under one of my butt cheeks to discover by feeling my p.j."S(with my hand)they were wet, i pinched myself& felt nothing!! I then pulled myself up on the bed to put me into a sitting position on the bed, and i as was doing this my pj bottoms just happened to came off in the prossess of me trying too sit up on the bed!! Now that l am sitting up l reached forward to grab my pajamies,Before i was able to look at my pj"s fully, i was 50% sure that the wetness that i felt the 1st time with my hand is that i had a accident in my sleep(I PISSED MYSELF)!! Oh boy was i right about that but to my surprise i had also lost control of my bowels through-out the night as well!!!! I was going to get out of bed to clean myself up&the bed but my legs would not swing out of the bed, i would have to lift my legs out of the bed myself if i wanted to get up and out of the bed! I started to scream,cry&yell for help! l was taken to the hospitial where i had my C4 and C6 both removed &replaced with surgical metal and their is a small hole in my thoraic spine from T5-T11.i was walking after the surgury 2005 up until recently.At this time i am unable to walk without using any assitance to get around,i am not able to walk up or down stairs,i can not stand still without losing my balance,trouble lifting my legs/feet up high enough to get into/out of the tub or when i am trying to walk!! On Feb 6th 2013 my girl friend and myself were in a car accident to which we were rearend while we were in a complete stop, i had my seatbeat on& i was slightly leaning forward at the time. Not soon after that my lower back&S.nerve started to act up, i was going to physcio but i stopped going and got my own tens machine for at home(drive in the car is too long for me to sit)!! On May 15th 2013 i had a Dr."s appointment to which i WALKED into on my own 2 feet with no one help from no one or any kind of walking aid!!!! Besides being a normal monthly Doctor's app.i felt normal as usual, except i knew that i had a nasel infection the week before, i called to ask for something to be called in for me to the pharmacy(a antibiotic)and l also told him that my lower back& my S-nerve were causing me alot of pain when i try too walk or try and do a flight of stairs!!!! In order for me to go up a flight of stairs(hand free)&the safest is on my hand&knees(can't raise my legs/ feet that high enough) or weight bare on it at all even using the handrail to try and get up very PAINFUL for me too do!!! The only way l came make it down the stairs in one piece is come down on my bum one stair at a time! Then just 2 days later after the doctors i woke up one day to where l could not walk without having assitance what so ever,stand up straight,weight bearing what so ever,feels like tremours thoughout my body at the time,i go into spasems if i stay in the same postion for a period of time without moving! I have been mostly bed ridden for almost 3wls now, PLZ help find me a Doctor that may beable to help me with the pain that i am going through at this time in my life! I hope to hear back from you soon!!! KAREN "A woman in pain" [/INST] HaiTHANKS for visiting healthcaremagicRegarding your backpain wheather you underwent any MRI scan or not.?you take anxiolytic drugs and analgesics. </s>

<s>[INST] Hi, I had my wisdom teeth removed four days ago. I been having chest pains and a sore throat off and on for two days now. I also can't swallow any food without having chest pains. When I drink liquids it's not as bad though. I called the doctor yesterday and he said stop taking the ibroupoen, but keep taking the other pain medication, the antibiotic, and the rinse. I also threw up my lunch today. I don't know what's wrong with me [/INST] Thanks for using Health Care Magic.Read your query.In the query,the antibiotic is not being mentioned.Antibiotic related gastritis will sometimes cause these effects of vomiting ,nausea and pains.I would advice you to take the antibiotics on full stomach and if you have history of gastritis an antacid would be of help along the antibiotic.If the symptoms increases ,I would suggest you to call your dentist office and get the antibiotic changed.Continue with salt water gargling.Hope this was helpful.Thanks and regards. </s>

<s>[INST] my mom was having typhiod . now aftr 2 years her reports are as under . Salmonella Typhi O positive 1:160 Salmonella typhi H positive 1:160 Salmonella Paratyphi Ah positive 1:80 Salmonella Paratyphi Bh negative . what does it indicate ? [/INST] Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion your mothers widal titre is still high.There is a need for clinical correlation between widal and clinical features. If the symptoms is still suggesting you of having typhoid further treatment is necessary.I advice you to carry out stool and blood for culture and sensitivity testing for Salmonella typhi bacteria.Take the treatment as per the report and you will be all clear with infections.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist. </s>

<s>[INST] Hello doctor, Most of my hair has turned white. I also have a white beard and white hairs in my mustache. Please prescribe best medicines to make all my hair totally black. I do not want to dye them as dye contains peroxide which will cause hair loss. So, please prescribe the best medicine to turn my hair on my head, beard, and mustache totally black. [/INST] Hello. Grey hairs are resistant to any kind of treatment and it might be due to either genetic or micronutrient deficiency. If it is due to micronutrient deficiency it can be controlled with the help of the following medication. Consult a specialist doctor, discuss with him or her and start using the medicines with their consent. For further queries consult a dermatologist online --> </s>

<s>[INST] hello doctor i am 35 .at the age of 30 i have an accident and my 3 front teeths are damaged. before the accident my front teeths are slightly protruded and i am very shy on that.my dentist done root canal and a metal fused porcelain 3unit bridge is done.he said that there is a chance for protrusion in the future and this type of bridge can withstand that.after five years i dont feel any problem .but now a days i feel anxious that did this brige protrude ?did i look goofy in the future.i did dental check ups every year and dont find any problems.please give me your kind answer. [/INST] Hello & welcome, Protruded teeth are more to get traumatized or broken as compared to normally aligned teeth specially in children. But as you had an accident leading to breakage of the front teeth, Root canal treatment followed by placement of three unit bridge was correct decision. If natural teeth were protruded, then while making bridge this alignment can slightly be improved by adjusting the placement of the bridge. But this carries physiological limits with it. If the bridge is in the place properly, then never think that it will let the underneath teeth to protrude more than present. This is because bridge itself is an obstruction for teeth movement. But still movement can occur only if the abutment teeth are peridontically weak or patient presents with poor oral hygiene. Keep your cleaning habits proper. Visit your dentist regularly for clinical examination so that any slight movement can be anticipated & treated immediately. Take care. </s>

<s>[INST] Hi, My 10 month old has a rash that started where her diaper closes right under her belly button. Now it has spread through out the torso. The bumps look like little pimples with white heads. She has no rash in the diaper area. What is this most likely? [/INST] Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., </s>

<s>[INST] Just within the past 4 days I started to feel a hard lump. Its located in the rear of my mouth inn the gum, just below a back molar. center area. I have a rabbit of brushing my teeth really hard. It seems maybe that caused it. Anyhow it s sore but definitely a bone like lump that just seemed like it popped up over night. [/INST] Thanks for your query, I have gone through your query.The hard lump could be a periapical abscess or a cyst secondary to tooth infection.Consult a oral physician and get a radiograph done to rule out these things. If it is a periapical cyst and granuloma then get the tooth treated with RCT or extraction of the tooth. Mean while you can take a course of antibiotics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic). Do saline gargling. I hope my answer will help you, take care. </s>

<s>[INST] Hi. I am a 45 year old female that is on estrogen 1mg per day. I have had several episodes of severe abdominal pain mainly on the left side and have nausea and chest pain. I read where estrogen can cause pancreatitis and wondered if this is a possibility. I do not have a fever but am in extreme pain. Any thoughts? [/INST] Hello,Thanks for posting to HCM,Estrogen may lead to the disorder because of its effect of raising blood triglyceride levels. so estrogen cause of pancreatitis.Take tab. meftal spas twice a day. tab. zintec 150 mg twice a day.regards </s>

<s>[INST] Hello Dr,Myself Ganesh Age 29 years.. Was diagnoised with Acute Allergic Bronchitis about 45 days back and got cured. Post that I had cough, cold and fever since last 15 days. Fever and cold has been cured but still has complaint of cough since last 15 days. During this entire two months I have losed my weight and now my current weight is 58 kg with height of 183 cms. Would like ask would cypon help ??? What would be cause of prolonged Cough ??? any other remedies to increase weight in current scenario ???Thanks [/INST] Hi Ganesh Cough after the upper or lower respiratory tract infection is not an uncommon thing.It is called post viral cough, which is dry and is severe at night.It can last for 4- 6weeks and steam inhalation along with cough suppressants can help. Worrying part is the lose of weight, I think you need to be checked for tuberculosis with symptoms of cough and weight loss. Please do not just start taking some medication in hope of increasing weight, try to have the proper investigations first to rule out a more serious problem. Thanks. </s>

<s>[INST] My husband has lung cancer stage 4. Has been getting treatments since last May.Just had TET/CT and I have 2 questions...Addomen and Pevis there is a slight wall thickening of the bladder which is incompletely distended.Colonie diverticula are present......Expected physiologic uptake in the brain, myocardium, bowel loops and utinary collecting systems [/INST] HelloWelcome to healthcaremagicIt is sad to know that your husband has stage 4 disease. Slight wall thickness in bladder is a usually a normal finding.It can also occur in urinary infection or malignancy .If the images look doubtful he will be advised cystoscopy otherwise nothing needs to be done,Colonic diverticulum is a small bulging sac pushing outward from the colon wall which is usually a incidental finding and it requires no treatment except fibre rich diet.Utakes in brain ,myocardium, bowel loops and urinary collecting systems is normal finding.Regards </s>

<s>[INST] Hi doctorsim 25 years old boy . i masturbate 3-4 times in a week .some times after it i feel pain in my abdomen and around my lower limb .I want to know does it any relation between masturbating and any kind of disease ?and does masturbating has any side effects thank you [/INST] DearWe understand your concernsI went through your details. The abdominal pain may not be directly attributable to masturbation. Masturbation do not have any side effects in your normal or sexual life unless you do it moderately. The abdominal pain could be due to the associated strain. If you still need my assistance in this regard, please use this link. Please remember to describe the whole problem with full detail.Hope this answers your query. Please feel free to post follow up queries. Available for further clarifications.Good luck. Take care. </s>

<s>[INST] I have piercing pain throughout my legs that causes standing, sitting and walking for periods of time as pain full. I have lower back scoliosis and believe the compression is pinching nerves. I go to chiropractor for adjustment but continue to have problem. What should i do next? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Scoliosis can be fixed or postural, it depends. Flexible scoliosis usually doesn't produce such severe symptoms. But your severe pain can be a result of acute disc prolapse or lumbar disc disease which can only be confirmed with the help of MRI of Lumbar Spine with whole spine screening. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jayganesh </s>

<s>[INST] Hi. My name is Sharon. I am presently on Mobic for the pain caused by polymyalgia rheumatic, but the doctor wants me to gradually get off of it. I have cut it down to not taking a pill once in three days, etc., but wonder how long I should take to get off of it--can it be more than that. He did not tell me what to do if the pain returns and I will have to ask him about that. Just wanted your thoughts. [/INST] Dear patient mobic contains meloxicam which is NSAIDS group of drug and long term.use is not recommended due to side effects. It can be stopped gradually and can be taken when there is pain occasionally. Alternative pain meds are tab ultracet p twice a day. Tab paracetamol 650 mg is safe. pain medications should be taken as when required and not on regular basis. </s>

<s>[INST] I had a shot of lidocaine and my upper mouth around tooth number 6 to finish a root canal that was started by my dentist there was a small abscess but unfortunately time ran out to finish the job ever since I have had a lot of sinus pain on that same side of my face even going up to my forehead my eyes look very droopy puffy underneath them just wondering if this is an infection or something else he just got me on clindamyacin to help reduce anything that may be wrong with infection [/INST] Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that you have infection in the sinuses leading to Sinusitis and it has been due to close proximity of the sinus floor to the roots of the upper molars and at times the roots can lie within the sinus..It can cause infection in sinuses secondary to infection in tooth..Clindamycin will help in reducing infection but you need a proper management of Sinusitis and also consult an Endodontist and get a proper Root Canal treatment done..I would suggest you to consult an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations like PNS view x ray or MRI scan can help in diagnosis and treatment can be done accordingly..You can be advised a course of antibiotics, anti-inflammatory painkiller like Ibuprofen, decongestants like Pseudoephadrine, do saline nasal irrigation, steam inhalation and use a humidifier in your room..You can also be advised decongestant nasal sprays containing Xylometazoline or Oxymetazoline..Avoid spicy and chilled foods..Do warm compresses around nostrils..Hope this helps..Regards.. </s>

<s>[INST] DEAR SIR, I WOULD LIKE TO ASK FOR HELP REGAING MY LOWER BACK PAIN. I HAVE A PAIN AT MY BACK AND ITS FEELS VERY HOT INSIDE. IT HAS GOING FOR FEW YEARS NOW. I HAVE DONE LOTS OF MEDATICAN BUT DOES'T HELP. WHE I SLEEP I FEEL LIKE I AM SLEEPING ON FIRE. I AM 30 YEARS OLD AND JOB IS VERY EASY I DON'T CARRY HEVY STUFFS. I HEED YOUR HELP PLEASE THANKS [/INST] welcome to Health care magic.1.Get a simple x-ray lumbar spine AP/LAT done to see if there is any gross abnormality, or where the problem lies.2.If necessary a MRI to see the condition of the disc, nerve , chord.3.For remedy, you try lying on a flat surface (avoid bumpy/pits mattress) and do the exercises recommended for back pain.4.If you try it on daily basis, you will be free of pain - keeping mind your age and job.5.Dont simply take medicine, first evaluate the cause.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. </s>

<s>[INST] Hello doctor, Ever since I had started being sexually active last year, I have been getting frequent UTIs. I had been having a UTI for a long while. I got it checked last week, and I was prescribed Sofilex for five days. The UTI got better, and everything was fine for about a week, and today it started to hurt again. I am peeing frequently, and I feel pain in my lower area. Last night, I was feeling quite sick. I had a headache, nausea, and pain. I was not sure if this was because of the UTI starting up. But, this morning it had definitely started. I am still sexually active, and I know that sex can trigger infections. So, I clean up thoroughly after sex, as advised by my previous doctors, and according to what I have read about its prevention. I make sure it does not get too rough or unlubricated. I just want to know why the UTI keeps occurring and what I should do differently, to stop it once and for all. Is there a different type of medication I should take? I read online that there is a type of medication to take after sex. Is this going to be helpful? If it is possible, may I get a suggestion for which medication to take? What to do next, to make the UTI stop from recurring? Are there any medications or lifestyle changes to me made? I hope to hear from you soon. [/INST] Hello. As you have already mentioned, sexual activity is a risk factor for UTI. A urine analysis report done during the UTI (urinary tract infection) episode, will give us a better picture of the number of pus cells. I request you to share two such reports of tests done during two different episodes. Due to the short length of the urethra, the bacteria of the perineum are inevitably introduced into the bladder. But, these bacteria should not be allowed sufficient time in the bladder to grow. Some females are more prone to UTI compared to others due to a different antigen expression on the bladder mucosa. I recommend the following measures for you: Reply after 15 days after you try the above. Revert after 15 days to a urologist online --> </s>

<s>[INST] hi, i m in early stage of jaundice where my blood test results are given below: sgot is 335 u/l sgpt is 832.6 u/l bilirubin 4.7 MG/DL let me introduce myself,i m female and 21. What are all the advisable indian(tamil) food i can have? How long i need to follow this? I m a non-veg eater and love to eat snacks as well. Any advice from you that i m starving of these non-veg and snacks for a week itself? [/INST] Hello! Thank you for the query. This is not early stage of jaundice! There is no diet to treat it. There is nothing you can do by yourself. It is strongly advisable for you to get medical help. Your liver tests are very bad and can be life threatening. Such liver tests results can be caused by viral infection, bile ducts blockage, liver cirrhosis, liver cancer. You should have abdominal ultrasound, GGT and AP blood tests, amylase in urine and blood, HAV,HBV,HCV tests. Do not neglect it and get medical help as soon as possible. Hope this will help. Regards. </s>

<s>[INST] hi~ I have had many reactions that cause me to start to shake from things like sulfer, topical creams for fungus and I was wondering if that can be danger. I have fungus on one of my feet and it have been giving me trouble for two years now. I am afraid to take anything due to my allergic reactions. [/INST] Hello, Thank you for your contact to health care magic. I understand your concern. If I am your doctor I suggest you that you can use various different antifungal drugs. First of all test the cream with small amount to apply on skin. If you do not have reaction with the drug, you can use it. I am giving you a drug name you can test it with guidance of nearby docyor,. Clotrimazole, miconazole, itraconazole, terbinafine. Test it and use it. I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you. </s>

<s>[INST] Hi my 2 year old son fell asleep very quickly after a slight bash to his head and never normally falls asleep that quick, I picked him up and normally he would wake up and stay awake after that but he just fell back asleep then I tried to wake him again and he wasn t responding I tapped him, tickled and blew on his face and nothing, I got really scared he was still breathing normal pace and after about 10 miniutes he then woke up and has acted his normal self since (1hour) what happened to him and why would he not wake when he s normally a very light sleeper? [/INST] Hello!Welcome on Healthcaremagic!I understand your concern, but you should know that the brain of children is very sensitive to head trauma. The increased sleepiness could be caused by a head concussion or a temporary loss of the brain normal function due to the head trauma. The best thing to do in this situation is to help him avoid a possible repeated head trauma in the next days. For this reason, it is necessary to stay next to him. I would also advice avoid heavy games, which need a straining physical activity or impose the risk of falling in the next days. Hope you will find this answer helpful!Best wishes, Dr. Aida </s>

<s>[INST] what would cause chest pain, a hard ball feeling in my throat, jaw pain, but NO sweating? the chest pains are from the middle of the chest and radiate to the back. It's painful, but 2 aspirin chewed usually takes care of it. The cardiac rythm remains the same however. When this occurs it's usually at night or when I'm just doing whatever like talking on the phone or washing dishes. [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should first rule out heart related diseases because your chest pain is subsided by aspirin. So get done ecg and 2d echo first. If both are normal then no need to worry for major heart related diseases. Sometimes acute gastritis and GERD (gastroesophageal reflux disease) can also cause similar symptoms. So avoid stress and tension. Avoid large meals, instead take frequent small. Go for walking after meals. Keep 2-3 pillows under head in the bed. Avoid hot and spicy food. Take pantoprazole tablet on empty stomach. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] Hi there my mother aged 90 lives has lived in a resthome for 2 years following a stroke and various TIA s. Recently she has become on some days mentally completely confused (not even knowing where she is or who we are). Other days she is her usual old self. She has had many urinary tract infections which I understand can cause mental problems? but understand she hasn t got one at the moment. She also has a bad skin cancer on her cheek which is to be removed soon. Could this be a cause? If not can you enlighten us as to why she can be so mentally alert one day and confused to buggery the next. Thanks in anticipation. [/INST] Hi and .Thanks for the query.It is hard to say but it is to be expected in older people. However,if there is sudden and significant change in her mental status it may indicate some neurologic disease so ct brain scan is the first thing to think of. it may reveal ischemic changes,tumors or atrophy. also, any other metabolic or heart disease may lead to confusion as well. Wish you good health. Regards </s>

<s>[INST] Hello doctor, I am 41 years old and just had lab work done and all tests came back great other than B12 which was 1243. But RBC, WBC, and everything were perfect. Is this a huge concern? [/INST] Hello. Your vitamin B12 level is slightly high. In such cases, hematological profile, liver, and kidney profile have to be checked. I want to check your full CBC and peripheral smear examination report as well. So, kindly upload it so that I can comment on that. Kindly provide me one important history about B12 supplements intake. If you had taken the B12 supplement before the test then that also can simply elevate your B12. It is not a huge concern usually. Vitamin B12 is water soluble vitamin and it can be excreted through urine usually. After checking your reports, I will comment further. </s>

<s>[INST] My wife is suffering from CRF for at least 3 years. Her present creatine leve is 7.5, Blood Urea 169, Hb% 5.9, Sugar (fasting) 89 and BP varying between 130/80 and 160/90. Her other parameters, like Lipid profile, are more or less normal. Now, I wish to have Kidney transplantation for my wife, instead of giving Dialysis at regular intervals. I am ready to donate my kidney. My blood group is O+ and my wife s is A+. How to proceed in this case ? Wish to know the protocol in this case. [/INST] you can donate your kidney to your wife. however, you need to be seen by nephrologist and urologist and a huge load of investigations need to be done before you are deemed fit to donate your kidney </s>

<s>[INST] i feel so alone, i don't know how to deal with empty nest, i don't have any friends, a husband that blows me off, i miss my son and he's all i think about. he's getting married in oct, all i do is cry and sit around the house and think of him, wanting to be with him. i wish that i had a friend that i could go out with and spend time with but i don't know how to make friends, i just want t be with my son, and i know this isn't normal. [/INST] Hello and welcome to Healthcare Magic. Thanks for your query.I understand your distress and anxiety in anticipation of the fact that your son would be leaving you soon. Most parents go through this phase of feeling lonely and dejected when their children leave them. However, you should understand and try to accept this as part of life and move on.I would suggest that you keep yourself engaged, for example, you can try a new hobby or learn something new. Try to engage in relaxing activities like listening to music, meditation, etc. Even if you don't have any friends so far, you can start making new friends. Start meeting neighbours, relatives, etc. and share your feelings and I'm sure they will be understanding and supportive. You can also try joining in some local groups, for example, a social service group or a recreational group, so that you can find some motivation and purpose. Don't worry, this phase will only a temporary one and you will be able to overcome your problems soon.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist </s>

<s>[INST] I have right moderate constant pain in my liver area. All labs are normal, MRI and ultra sound normal and yet I feel fatigue and continued pain in the liver area, especially upon palpation. I don t know what to do next , all the attending Dr. are also puzzled. What do you think I should do ? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As we can not make a diagnosis with ultrasound. Get a CT scan abdomen to look for any lesions. You can also opt for an endoscopy in case of diagnostic difficulty. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> </s>

<s>[INST] Hi, My daughter is 14 months old, while riding in the car if sunlight gets in her eyes she sometimes crys, and covers or closers her eyes tightly. I have all different types of sun visors I use, but sometimes I can t block the sun at all. I know to use sunglasses, hat, etc.. But is this something I should be concerned about? [/INST] Photophobia is not an eye disease, but a symptom of many conditions such as infection or inflammation that can irritate the eyes. common causes of photophobia include corneal abrasion, uveitis ,central nervous system disorder such as meningitis,detached retina, sunburn.Photophobia often accompanies albinism (lack of eye pigment), total color deficiency (seeing only in shades of gray), botulism, conjunctivitis, keratitis and iritis.Certain rare diseases, such as the genetic disorder keratosis follicularis spinulosa decalvans (KFSD), are reported to cause photophobia. And some medications may cause light sensitivity as a side effect, including tetracycline and doxycycline. </s>

<s>[INST] Hello doctor, I have a gastroenterology issue for over a month. I have a mild to moderate upper and lower abdominal pain on the left side. The pain also extended to my left leg. Also, I pass stool twice a day (diarrhea-like stool) with large white balls in it and I am facing weight loss. I took Trimebutine and Mebeverine for over four weeks (I have IBS), also I am taking probiotics and digestive enzymes. What is concerning me the most are the large white balls in the stool that are not mucus (they are quite firm) and the weight loss. Due to COVID-19, I want to avoid physically seeing a doctor, so please suggest a possible cause and treatment. [/INST] Hello. Yes, you might be having IBS (irritable bowel syndrome) and you might have developed small intestinal bacterial overgrowth (SIBO), with IBS which can occur commonly. In SIBO you get fat malabsorption which can lead to white stools. Can you please tell me whether you get greasy stools and bloating or not? Let me tell you that greasy stools are identified by a foul smell and floating on top of commode water. Also, share how much weight have you lost in how much time? I will start you on the treatment of SIBO, but meanwhile, we have to investigate and rule out other diagnoses whenever feasible for you. SIBO. CBC (complete blood count). C-reactive protein. TSH (thyroid-stimulating hormone). Stool routine, examination, and culture. Stool for fat content. Stool for reducing substances. Colonoscopy or Sigmoidoscopy if needed in the future. Pseudomembranous colitis. Tablet Rifaximine 550 mg thrice a day for 14 days, Mebeverine thrice a day. Oral rehydration solution. Exercise. After two weeks. </s>

<s>[INST] sir,recently found kidny stone-a small radiopque opacity measuring about 12mm x s9mm in middle pole of the left kidney on plain radiograph. pel-v1calyceal system is opacified with contrast medium on both sides from 5 minutes radiograph onwards. the calyces are spastic on left sides.pls. advice [/INST] Hello and welcome to HCM, Kidney stones are managed conservatively and surgicalle depending on the size and location of the stone. Small stones or small calculi are managed conservatiley with fluids and medications. Large stones are usually managed by surgical measures. The kidney stone that you have mentioned is too large to be treated by conservative measures and thus surgical measures have to be taken. Thanks and take care Dr Shailja P Wahal </s>

<s>[INST] Hello doctor, I and my friend involved in physical intimacy a few days back and there was no ejeculation and penetration was only for 2 minutes. After that considering precum she took Unwanted 72 within 3 hours. She had bleeding after six days. She has regular cycle of 28 to 30 days and her last period was 30 days back. She did not have period till now. We performed urine pregnancy test at home. All are negative. Is it confirmed that she is not pregnant? If yes, how long ideally she should wait for period after bleeding? Is there any medicine required? [/INST] Hello. As she had a withdrawal bleed post Unwanted 72 intake and also the urine pregnancy test has been negative till date, so pregnancy is ruled out. However, the conclusive test for ruling out pregnancy remains serum beta hCG test which is a blood test. if hCG levels are less than 5 mlU, then she is surely not pregnant. Also, now she should be expecting her menses only after 10 more days as she had her bleed marking the start of her fresh cycle. Just get the serum beta hCG test done to get conclusive results. She can wait for her menses. </s>

<s>[INST] I took the abortion pill today and i was bleeding pretty normal till i sat on the couch for about an hour and then i had to use the restroom and i got up and my whole pad, underwear and some of my pants were soaked in blood. I dont know what to do. Or if its to much bleeding. [/INST] Hi,You have not mentioned the drug name and the weeks of pregnancy. Nausea, vomiting, diarrhea, bleeding and abdominal cramps are the side effects of the drug. Excess bleeding should be immediately treated to avoid hypotension and collapse. Kindly visit your gynaecologist as soon as possible.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician </s>

<s>[INST] Hi I am Priyanshu Kumar. I am 29 year old. Coming to my problem. Long time..I don't remember when I sleep nicely. Every day 3hr or max5 hr..I am begging every day to sleep..plz help me to come out. You know Why I am sending msg coz i cat talk abut my problem face to face..plz I want to sleep [/INST] Hello. The best, natural medicine is exercise. you can take a long walk before sleep outside. Exercise produce serotonine, the hormone of happiness. You can drink also camomil tea, have a bath with warm water before sleep, it can relax you. Or read a book. </s>

<s>[INST] I have high blood pressure and kidney disease. the blood pressure meds I m on is Dilacor 240mg 2times a day and labetolol. My blood pressure hasn t come down from 150 / 80 since is stopped taking coozar. What do you suggest I talk to my Dr. about this? [/INST] hello sir/madamu defenitley need to consult a physician because the drugs u r taking and dose is not correct and u require evaluation further for.hypertension.complications...thank you </s>

<s>[INST] Hi, [/INST] Welcome to HCM!According to WHO study if a person has 15million sperm he is considered to be a normal man earlier it was 20 million. It is good that you have such a high count but motality rate is low.There are so many medicine in homeopathic system of medicines which will increase the sperm count as well as it will increase the motality rate. So consult a good physician.Take care.Dr.Minhas </s>

<s>[INST] My 5 year old niece has a case of eczema, she was taken to PCP was prescribed flucinolone cream. The doctor instructed them to give her a bath, apply the cream, have her put on wet pajamas, then dry pajamas. Is this correct and how will she have a good night sleep. [/INST] Hello,Thank you for asking at HCM.I went through your niece's history and would like to make suggestions for you as follows:1. For eczema, treatment is usually topical corticosteroids when she has eczema symptoms. The procedure of applying them is also perfect, to be applied immediately after bathing.2. I would like to add that please continue them at least until after a week of cure of eczema symptoms. 3. I would also suggest her to apply moisturizing lotion immediately after bathing once treatment is complete. This will improve dryness of her skin and improve itching.4. If is eczema is recurrent, I would suggest her allergy testing for common food allergens like milk, peanut, egg, wheat, soy, sea food and air borne allergens like house dust mites, mold, etc.This will help you identify the allergens causing eczema to her.5. For symptom relief of itching, I would suggest her to take an antihistamine like hydroxyzine before going to bed,Hope above suggestions will be helpful to her.Should you have any further query, please feel free to ask at HCM.Wish her the best of the health ahead.Thank you & Regards. </s>

<s>[INST] Son went in to have a dermoid cyst above his left eye, near eyebrow by the bridge of the nose removed last Friday. The ENT surgeon realized once he was in to remove it, it did not look like a cyst. They sent a piece of it to a patholgist to review -it came back as abnormal. The blood work was within limts, CT Scan revealed that nothing had spread. And...now...I m waiting!!!! They are thinking cancer , but are not for certain until the results come back... [/INST] Hello! Thank you for the query. Most common skin cancer (Carcinoma Basocellulare) is very different than other cancers. It has very high level of survivals, grows really slowly and extremely rare gives metastases. That is why, the only thing which should be done with it is to remove it completely. So even if the pathological result will be cancer, most likely nothing else will be done with it and the treatment will be over. However, if this lesion were mole-like and they do think it might be Melanoma Malignum, than your son will going to need surrounding tissues removal and local lymph nodes removal. Hope this will help. Regards. </s>

<s>[INST] hello; on 15-sep-2012 (4 months ago) myu GPT (ALT) of LFT Report was 69 while maximum normal range is upto 40. on 15-Jan-2013 the GPT (ALT) is 86 which twice the normal range. my Uric Acid as 6.2 in Sep-2012 which is 7 in Jan-2013. please help me to understand what does it mean ? do I need some more tastes ? please recommend any fruits / vegetables to control it. what cause it to increase & how can it be back to normal ? what does it indicate in a body ? what are the causes of High Uric Acid and GPT (ALT) ? I strongly believe that it also affectmy sexual health , as I have lost errection ! [/INST] There are some minor conditions which can also cause mild elevation in AST, ALT (liver enzymes) which include-Cytomegalovirus (CMV) infectionInfectious mononucleosis , kind of viral infection, being overweight, taking OTC drugs like Paracetamol etc.However, we need to exclude some other possibilities for elevation of these liver enzymes like Alcoholic hepatitis and due to excess fats such as- Cholelithiasis (Gall bladder stones), Cholecystitis (inflammation of gall bladder), autoimmune hepatitis, Hypothyroidism etc.Generally, there would be 10 - 100 times than that of normal, AST, ALT elevation in case of acute hepatitis and We need to get the proper cause to suggest you fruits / vegetables/medicines to control it, for Physical examination is mandatory. Let me know if you have have any clarifications, you can close the discussion and rate the answer.If you like my answers and wish me to answer in future, bring it to my attention: Dr Vasanth. Url link is as follows: you good health! </s>

<s>[INST] my 3yr old son has been having temperature n since 2days he had antibiotic injection inspite of that the fever keeps coming n also he is passing green colour motion 6-7 every day since three days he is having chills before fever pls help regarding what it could be. he is 15 kg [/INST] fever and diarrhoea are sings of gastroenteritis which is an infection of the intestine usually caused by a virus and doesn't warrant antibiotic therapy .6-7 motions a day can cause dehydration . you can observe that by noticing that he is getting thirsty, decreased urination and dry skin and lips .hydration and fluid managment is very important in this case , you can give ORS , give 900 ml in the first 4 -6hours to overcome the deficit . you can give SMECTA sachets which helps in decreasing the amount of diarrhoea for a couple of days .I hope this helps </s>

<s>[INST] I have been diagnosed with high blood pressure. I have been prescribed several different medicine. I am sensitive to all of them. Right now I am on hydrochlorothiazide 50 mg. I face feels tingly or prickly and sometimes warm. When I doze off while reading the paper and I awaken, my face feels pretty warm and tingly then it finally goes away. No one can seem to figure this out. Any thoughts. I have always been an active person and I can tell when my blood pressure goes up. I cannot function. This has been going on for a yr. [/INST] Hello!Welcome and thank you for asking on HCM!I passed carefully through your question and would explain that the dose of hydrochlorothiazide that you are taking is a little high. Your complaint could be related to its adverse effects. Coming to this point, I would recommend reducing the dose of hydrochlorothiazide and add a new drug to your actual therapy, for example Losartan.Some tips to reduce naturally your blood pressure values are: - reduce maximally salt and caffeine intake- perform a lot of physical activity- try to lose some weight if you are overweight. Hope you will find this answer helpful!Kind regards, Dr. Iliri </s>

<s>[INST] I am 67 years old and in the last few months have been experiencing a burning ( no itching) symptom - my dr told me that this is normal and this is caused by low estrogen - I used canesten cream but the symptoms are now back - what can I do to rid this burning feeling - I am starting to worry - is this normal [/INST] Thanks for asking in healthcaremagic forumIn short: Your doctor is right.Explanation: Taking hormonal replacement therapy has its own side effects. Best therapy is to apply oestrogen cream over there and to maintain lubrication. Your symptoms will subside once you have proper lubrication. All the best. </s>

<s>[INST] hi right now i am living in mumbai, i am a male, my height is 6" and my weight is 74kgs. I am suffering from allergy from my childhood but at that time it was quite occasional, i used to take allegra or citrazine. Now with time the frequency increases, i showed it to the doctor six months back, he gave some steriods, and i consulted to another doctor he asked to stop that medicines and i started with new ones.Montex 10. Now every nite i have to have those medicines if i dont take them my condition gets worsen.Symptome: Rashes, swelling , ithicng on whole body specially arms and legs and back could you please suggest me a good allergy specialist in mumbai. [/INST] Hi, thanks for using healthcare magicAllergy testing would be the next step to determine the source of your allergy to see if they can be eliminated if possible.Allergy testing can be in the form of blood tests or skin prick testing.To locate an allergist in your area, you may want to consider using web sites with listings for doctors in your area. If you place your location and desire to locate a doctor into your search engine, you should be able to obtain helpful info.I hope this helps </s>

<s>[INST] Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? [/INST] Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> </s>

<s>[INST] Hello doctor, I do not have a cyst or severe bleeding, but my uterus is bulky as per the scan reports. The scan was advised because of a recurrent urinary tract infection. I have a pain in the lower abdomen and the left side of the stomach. I am taking Norflox 400 for the UTI.  What should I do? [/INST] Hello. Bulky uterus refers to the generalized swelling of the uterine wall. It could be due to various reasons, but inflammation is one of them. Recurrent inflammation of the urinary tract due to UTI (urinary tract infection) may have caused the inflammation in the uterus. Another possible cause of a bulky uterus is adenomyosis. Adenomyosis is often misdiagnosed as uterine fibroids. However, the two conditions are not the same. While fibroids are benign tumors growing in or on the uterine wall, adenomyosis is a defined mass of cells within the uterine wall. As you mentioned that you do not have cysts or severe bleeding, it may be an initial stage of adenomyosis. You will require immediate treatment for UTI and bulky uterus. I suggest the following: Also, remember these precautionary measures: For more information consult an ayurveda specialist online --> </s>

<s>[INST] i have been having pain and pressure on the rt side of my skull, it has been accopanied by a red eye, and also slight dizziness, espcially when i raise my head if it is down like reading , when i do, it feels like my head wants to go backwards, i have had low grade fever associated with sewats, please help me what to do this is been about 3 weeks already [/INST] Hello!Welcome on Healthcaremagic!Your symptoms could be related to a sinus infection. Other inflammatory disorder (temporal arteritis, cavernous sinus inflammation) can not be excluded either. Do you have nasal congestion?For this reason, I recommend consulting with your GP and performing a sinus X ray study and some blood lab tests (complete blood count, PCR, sedimentation rate). In case of a sinus infection, a sinus discharge bacterial culture would help find the proper treatment based on the type of infectious agent. If a sinus X ray study is excluded, I recommend performing a brain MRI or CT scan to exclude other brain lesions. Hope you will find this answer helpful!Kind regards, Dr. Aida </s>

<s>[INST] I was told that I have cellulitis by my doctor just a couple of days ago and I ve been prescribed Keflex but now the infection has spread from just the lower part of my leg to my knee on my other leg and my thigh. Should I go to a hospital, be tested, etc.? [/INST] This should be promptly evaluated, as the bacteria causing your infection may not be sensitive to the Keflex. You might need a different antibiotic. Contact your doctor and let him/her know what is going on, and get seen at emergency or urgent care. If you are having fevers, this is especially important. It is very concerning that infection has spread to your other leg. You might have resistant bacteria such as MRSA that require aggressive treatment. Cellulitis can get into the bloodstream and cause serious disease. Hope this helps. </s>

<s>[INST] I have a elderly freind that is showing all the sighns of anemia and the local community center has given him tests for it. The results won't be in for 2 weeks. What sighns should I look for to know when to take him to the hospital in the mean time. He is having labored breathing and cold hands and feet, pale. He said he is afraid to go to the hospital as he is afraid they will turn him away. [/INST] Hi, dearI have gone through your question. I can understand your concern.He should take treatment of anemia. Go for Complete blood count, peropheral smear examination & anemia profile. Then take treatment according to cause. He may have iron or vit b12 deficiency or other cause. Consult your doctor and start treatment as early as possible.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] My son is 1.5 years old. He doesn t eat anything with interest. We need to pressurise and push in food into him deliberately. I feel he doesn t feel hungry at all because he doesn t ever come runnign towards food. Have tried all types of food, veg,nonveg,eggs everything. He also has just 4 teeth till now. Can you suggest some medicines to increase his interest in food? [/INST] Hi, I had gone through your question and understand your concerns.I need to know more before I can answer your in a better way . 1. What is weight of your child.2. Is your Child active.Medicines are not going to increase interest in food unless reason for it is known , like :- if child is anemic , iron preparations are going to help.If your child is underweight(less than 10 kg ) , pale , not active , there is abdominal distension , he needs to be evaluated by a pediatrician to find the cause and treat accordingly .If his weight is normal (10-11 kg) growth is OK , baby is active , problem may be simply forced feeding of child leading to aversion of food.Regarding giving or adding medicines you need to consult your doctor .Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.Wishing your baby good health.•DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that online users seek the advice of a physician who can perform an in-person physical examination . </s>

<s>[INST] hi there my name mary I have been with h.pylori for years.i had triple tablet three time but nothing change,but I do have this symtoms upper abdomen sharp pains and bloated everytimes,iam on nexium tablet for seven months but not improving.is there anything to help me please.thanks [/INST] Hi.H Pylori is not the sole cause of upper abdominal pain. As the nexium is not helping you, we should go for finding other causes of pain in upper abdomen and bloating.I would suggest in such a patient the following:Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen,*Colonoscopy All these investigations should be within normal limits for one to say you have IBS.Further treatment will be easy and fruitful if we find the correct reason of your symptoms. </s>

<s>[INST] My husbands uses the liquid sleep aid. He does not measure it out, just takes a swig. He also takes 6 hydro. codeone pills a day and usually an ambien. He is drinking a bottle of wine and several cans of beer each day starting around one o clock in the afternoon. My question is can this cause weakness and shakiness to the point of not ever being able to step up even one step about 3 or 4 high. Even if he has not had anything to drink. This is maybe worse in the morning than at night. [/INST] hellothank you for trusting HCMdear probably your husband developed drug/alcohol dependence. if he quit it he may developed withdrawal symptoms like shivering, palpitations,loose stools, burning sensation, vomiting, giddiness. may he need to to go rehab centre. please consult your doctor he will examine and treat you accordingly. </s>

<s>[INST] I am a right side sleeper, at times I wake up with severe pain wrapping around my back and chest. In the chest it feels like pressure. If I take an ant-acid it sooths a little bit- but the symptoms remain. If I drink ginger ale I burp and this provides some relief in pressure. The pain will continue until I finally vomit- once I do the pain and pressure subside and I am able to go back to sleep. Vomit is bile green. Any ideas as to what is going on? [/INST] Hello,I read carefully your query and understand your concern. Green or yellow vomit may indicate that you're bringing up a fluid called bile. This fluid is created by the liver and stored in your gallbladder. Bile isn't always cause for concern. So,I suggest to do an abdominal ultrasound for further evaluation. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician </s>

<s>[INST] Hello doctor, I am a female of 62 years age. I was operated for cataract five months back for both the eyes. As my cataract was only 20 %, but eye pressure was 22. My OCT was done, which showed no damage to nerves. My perimeter too is clear. No family history of glaucoma. I was put on various drops which could not bring eye pressure in the expected range for the doctor (fluctuation between 22 to 28). She suggested implant surgery to make eye pressure normal. Another doctor stopped eye drops saying I do not have glaucoma. And, do not need eye drops too. I am confused. [/INST] Hi. It is a practice that if perimetry is normal, one waits to start any antiglaucoma medication. The protocol is to graph your IOP (intraocular pressure) for 24 hours or IOP at different times of day repeatedly for a week, then one can decide if you have glaucoma or if you are just a case of ocular hypertension. Let me tell you there is no need of any implant and these many medications should not be started now. Chart your IOP, also a gonioscopy. Then, one can decide if one has to start medication. For more information consult an eye care ophthalmologist online --> </s>

<s>[INST] i had an pacemaker implant in 2001, aortic and mitral valve relacement in 1983 and gall bladder operation in 1993.now i have developed lower abdomen pain with enlargement of liver(haemoglobin 10gm/dl,rbc count 3.66mil/cmm,inr 2.14,sgot 64iu/l,alkaline phospatase 354iu/l,bilurubbin total 1.63mg/dlsgpt 50 iu/l bilurubin direct .69mg/dl indirect bilurubin .94 mg/dl,serum amalase 147u/l,creatinine 1.3 mg/dl medicines i am taking now 1)udiliv 300mg twice daily,rablet d once at morn.creone 10000 2 tbs.daily.Unfortnately,after 10 days,i could not get any relief . persistent pain in the centre and right side of abdomen is causing enormous discomfort to me .seeking your advice m.k.nath.(68 years) email YYYY@YYYY best regards. [/INST] No relationship to both these conditions ..liver enlargement in some individuals is normal, about ur pain its look like appendicitis mostly rarely other causes like kidney stones etc..previous surgery can also cause adhesions causing intestinal partial obstruction cause pain..simple ultrasound of ur abdomen can rule out..hope i am helpful..liver enlargement is not the cause of your pain </s>

<s>[INST] Hi doctor, I have trouble with acne. I wash my face every night, and I use a toner to balance my pH levels. I use moisturizer and face masks once in a while. When I wear makeup, I use the healthiest makeup with removing wipes, and nothing seems to be working. After using a toner, I am not getting many whiteheads, and I am not popping them. But now, the problem is blackheads. I get them mainly on my nose, around my mouth and chin. I used a charcoal mask that is highly famous and also used special blackhead face washes. Nothing helped me. What can I do to clear my skin? When I try to extract the blackheads, my face becomes dry and flaky. Sometimes, they are deep, and they start to bleed. Then a scab forms over it and my skin start to peel around the scabs. Please suggest. [/INST] Hi. Blackheads are needed to be extracted. There is a specific method available to remove them. If it is not performed correctly, it can lead to more inflammatory acne and post-inflammatory hyperpigmentation. I would suggest you visit a dermatologist because comedones do not resolve with topical medications and face masks. Start using Clindamycin and Adapalene combination gel over the comedones and acne at bedtime. It helps to extract them easily. I am not giving you Benzoyl peroxide gel as it leads to irritation and dryness. </s>

<s>[INST] Hi Doc, I am 10 weeks pregnant just got my boold and urine analysis, m blood test have mchc count 35.4 and the normal range is 31-5 to 34.5 plus pdw is 14.1 a 0.1 higher than normal. Alo my urine analysis show blood(++) and pus cells 25-30... doc me scared really please tell me wat to do will my urine infection affect my baby... [/INST] Hello dear,I understand your concern.In my opinion the presence of pus cells and blood suggests urinary tract infection(UTI).UTI is most common infection seen in pregnancy.This is due to influence of hormones.Nothing to worry as it will subside with a course of antibiotics.You can as well go for urine culture and sensitivity to know the organism causing UTI and for accurate treatment.So relax.The untreated UTI might irritate the uterus leading to pain and other complications.But if treated it's not going to cause any problem.Take adequate fluids upto 3 litres per day,cranberry juice to prevent UTI.Your blood parameters are also normal as slight variation might be there in pregnancy compared to normal state .Hope this helps.Best regards... </s>

<s>[INST] I had lower back tooth pulled today 2nd fromBack. Had two temporary crowns put in front and behind extraction site along with stitches and foam gel inserted in socket. Then temporary bridge was attached over site. I have what looks like a huge blood blister on side of my gum I guess due to trauma. It was a hard tooth to get out. I am feeling weak dizzy and nauseated.. Is this normal? I have ate some soup and taking ibuprofen. Still bleeding after 12 hours [/INST] hello thanks for consulting at hcm..it could be due to immediate placement and the socket has to heal,,u r feeling dizzy becz of blood loss, hydrate urself well, kindly get back for a check up for continued bleeding in the extraction site,,so consult with ur oral surgeon/dentist.for pain relief and stop the bleeding.hope it helps,,tc </s>

<s>[INST] Stabbing sever Back (mid to upper part) Pain last for about 10 minutes & simultanously my right jaw also give slight pain . these attacks are irregular & some times appear within 3 t0 4 months . started 15 years ago & had my heart checked & though I think my be linked to degeneration of my spine discs. No loss of breath but sharp pain internal around the spine . Has this any coonection with heart attak or trapped nerve who should consult heart specialist or nuerologist [/INST] Hithank you for trusting HCMI read your query and understand your concernFirst I am sorry for the symptoms you are suffering but you have to be calm as your symptoms don't lead to any risky disease In my opinion it may be due to any disc herniation at cervical or thoracal spineIt is treatable and isn't riskyYou should consult a neurologist If it was generated from heart 15 years it's a long time and you should be suffering a lot of complications by nowDiscuss with your doctor about my opinionHope I have been of helpWish you good health and fast recovery Feel free to ask for further questions or doubtsBest regardsDr Eris RanxhaNeurologist </s>

<s>[INST] I had a laparoscopy 8 days ago and due to the surgeon finding a fibroid my middle incision was larger than usual and has 7 staples. I saw my doctor after six days as I have developed an infection. They prescribed fluloxacillan 500mg 4 times per day. I am due to have the staples removed tomorrow (9days post op) but the wound is very sore and red. Will they still remove the staples? [/INST] Yes. They need to remove the staples are this point because the area is infected and the staples may be aggravating the infection. Staples and stitches are usually removed from a wound if it gets infected as they can impede the healing. They may have delayed a little with you because your incision was large and they wanted to be sure it had healed in some. But the staples have to come out now. Hope this helps. </s>

<s>[INST] Hello.. Hope you are fine. I want to ask something about my father who is suffering from Cervical Spondylosis . Cervical Spondylosis is detected by Neck X-Ray prescribed by one doctor. But at the time of Cervical Spondylosis detection he is suffering from Seizure (Specially sometimes when he bend his neck down) . He has undergone ECG and Echo Cardiogram and also brain scan..But all of the reports are normal. Recently another doctor told us this is kind of nerve problem better to say Epyleptic Fit. Can Spondylosis cause this kind of Epileptic fit? If not what should we do now? [/INST] Hello, . Epilepsy and spondylosis are 2 independent condition not related to each other. Cervical spondylosis wouldn't be causing epilepsy in your father. It is good to know EEG and brain scans were normal. Most often a cause for epilepsy is not found as in the case of your father. However review of his blood tests may help us rule out any missed causes. Meanwhile it is absolutely important to be regular with antiepileptic medications. He needs to sleep regularly and avoid fasting. Lack of sleep and skipping meals can induce seizures which is not good. Meet a neurologist if you haven't met yet to know more about your father's condition. Hope this helps. Wish you good health. Best Regards </s>

<s>[INST] I have rash on left breast strong hist of fam cancer incl BC - Dr is scheduling mamm and ultrasound, have had malignant melanoma in past and 2 spots on liver being observed but not since my fam Dr retired - rash has been itchy hot moved toward nipple - breast just doesn't feel right almost bruised Feeling to the touch - should I b worried - is 3 wks now. And appeared just like that - in a blink of an eye .. Thx sorry foR the bpther I do not have either payment methoD :( my husband is also recovering from stge IV adv cancer [/INST] HIThank for asking to HCMYou have history of malignant disease, and right now your breast has got the lesion then why to take any chance, why not to go for clinical examination, this will rule out the differential diagnosis, it may not be a dangerous one, but taking it as granted is not wise step, in my opinion you better consult the physician, take care of your self,have good day. </s>

<s>[INST] My girlfriend and I had sex. She had been on the nuvaring for 7 days. We used a condom, but it broke and I withdrawled right away. I did not ejaculate, however we are worried about Precum. She took plan b 3 hours after just to be safe. What are the chances of her being pregnant? [/INST] Hello,Your girlfriend is currently on Nuvaring and she took Plan B 3 hrs after breaking condom. Here, chance of pregnancy is extremely RARE.She will get a withdrawal bleeding within 3 to 5 days and next cycle may be delayed for 1 to 2 weeks due to hormonal imbalance. However, she can undergo one home pregnancy test to clear doubt if her period is delayed more than 1 week.Good luck and practice safe sex in future. </s>

<s>[INST] Hi, i m 23 yrs. old, 48kgs. and 5 4 in height. my medical exam today shows that i have PTB left upper lobe, i was really shocked cause i don t have any history of it, actually last dec. 2013 i undergone chest x-ray and the result is clear, no findings. i really want to know all about it, the clinic advised me to consult a pulmonologist because i m unfit to work. how did it happen? why? what should i do? please, i really need your advice, thank you so much [/INST] HIWell come to HCMPulmonary tuberculosis is geographically distributed according to incidence of infection to populations, in some part of the world it is common, say panendemic while in some part of the world it is almost vanished, it is depends where are you from? or if you have visited such area where the chances of TB infection is likely, but with the proper treatment this cures completely only multidrug resistance is matters and this need to be ruled out first, hope this information helps, your further query would be appreciated and answered, take care. </s>

<s>[INST] i am 20 years old girl do sex 3 to 4 times in a month. I checked out but i am not pregnant. But i am having pain in my lower right abdominal. from last 2 months. it comes and goes but when it comes it hurts like hell now my pain is spreading around the abdominal even going to my back aswell. can u guide me? what s that pain for ? is it appendix or what ? [/INST] Hello and thank you for your question. If it is your appendix, you would most likely have rebound pain, basically what that means is that if you push on the area of pain it hurts worse when you quickly let go and let your stomach bounce back to normal. If you are having this pain I would recommend going to the ER. Stomach pain on the lower right side can be caused by a multitude of things. Best best would be to go to your doctor and be evaluated for ovarian cysts, appendicitis, irritable bowel syndrome, crohns, gall stones, kidney stones. Best wishes and good health Dr. Ward </s>

<s>[INST] I have an 87 yr old dad. He went into emergency with a diagnosis of heart disease. He recently had a tube ran through his thigh area to see if there was any additinal issues. There has been a leaky valve detected.could he have been miss diagnosed with heart disease and the on.y issue a leaky valve. I guess my question is; can a leaky valve have the same symptoms as heart disease and maybe he doesn’t have heart disease? [/INST] Hello After going through your medical details, I understand your concern about your father’s health and I would like to tell you that all heart diseases can have resembling symptoms and leaky valve is in itself a cardiac disease. Angiogram would have been done to diagnose coronary artery disease so that if he has to get his valve replaced then coronary artery disease should also get managed at the same time. Hope I have answered your query. Let me know if I can assist you further. </s>