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<s>[INST] i fx my rt greater tuberosity of humerus non displacement 2 weeks ago. they prescribed 500 mg tylenol every 6 hours. f site does not hurt but my biceps is still very painful. what is all the hoopla about tylenol and a what other otc drug might i try [/INST] This pain is normal postoperative. You must move your arm gradually. This pain will be relieved within the following weeks. You may take muscle relaxant (methocarbamol) 3 times daily for 2 weeks. </s> |
<s>[INST] My father in-law is 65 and had a stroke about 2 years ago. He is currently on high blood pressure medication but tonight he got dizzy and fell. He was disorientated and we had to help him walk to his room. This is the second time that this has happend in the last 6 months but the first time that he fell. Should we be worried and what actions should we take to prevent this from happening again? [/INST] Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.It seems that he is suffering from Postural hypotension a known side effect of many antihypertensive.Please ask your father in law not to stand up abruptly, but sit before standing up from lying down and visit his general physician, so a substitute antihypertensive can be recommended.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Muhammad Adnan Iqbal </s> |
<s>[INST] my mom is taking airisept along with vesacare. She is having epsisodes where she thinks people are outside her bedroom and the police needs to be called. She has also told me recently that little children have been running in and out. Could these be hallucinations or delusions? She has dimentia with possible lead into alzeheimers. Please advise me .Thanks [/INST] Hi, thank you for using health care magic.I can understand your concern.As you report your mother is suffering from dementia. Person with dementia have lost there ability of cognition. Cognition is a collection of mental processes by which person have perception and interaction with surroundings. So because of this lost ability many time reality testing becomes impaired and person may have hallucination or delusion. So this is abnormal perception or belief which result due to cognitive impairment. Still this time there is no definite treatment which can reverse the cognitive impairment. Medicines like donepezil(aricept) and mementine has some efficacy in preventing further impairment. For treating her current symptoms you should consult psychiatrist who will be able to help her symptoms with benzodiazepines or antipsychotic medicines.You should also consult mental health care worker who will guide you for non-pharmacological measures , which is currently the main line of care along with medicine. Non pharmecological measures are method to changing the atmosphere of person with dementia according to his/her need.I hope this will help you.Regards. </s> |
<s>[INST] I ve been having heart palpitations for about 3 weeks. I have had them before but just for a day or so and it goes away. I thought it was just due to the stress of the holidays but this last week it s gotten worse. Every single day and all day long intermitantly. I had a really bad day a couple nights ago where it did really big flips like my heart was going to jump right out of my chest , I had tingling sensations down my arms. It seems to have improved now but still going on. And I m having shortness of breath also. I ve made a doctors appt, but it s not for 4 more days. What is going on? Will this go away? [/INST] Hello, Thanks for choosing health care magic for posting your query. A lot can be answered in a better way ifI was knowing your age. But the kind of problems that you have described doesn't appear to be physical in nature. It more so ever appears to be psychological. You should get an ECG done and get a consultation from a cardiologist. If he says it is fine, which mostly is what he will say, then you should visit a psychiatrist who can train you with some relaxation techniques and also help you with CBT. He may use some drugs initially to make you feel better. All said it is not something big you need to worry about. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In case if you want to discuss with me directly you can use the link: Wish you a good health! </s> |
<s>[INST] Me and my friend had unprotected sex because the condom broke while he was tryin to put it on, but he did not ejaculate in me. He and I fear that I can be pregnant from his pre-cum and we arent ready to become parents yet. If I am, what are some safe natural home remedies i can use to terminate it? [/INST] Hello dearI understand your concernThere is no natural remedies that prevent the pregnancy.You can take emergency contraception pill like I pill to prevent the pregnancy up to 72 hour after sex (but better to take as early as possible)If 72 hour has been crossed then you have to wait for period.If your period will delay by the 8-10 days then go for pregnancy test and or blood HCG to confirm the pregnancy.If pregnancy will be there then still you can terminate the pregnancy by the abortion pill under the advice of gynecologist.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar </s> |
<s>[INST] Hi, Im 13 and i think i have a clinical/major depression disorder.I have only told one of my best friends about 3 days ago. I want help but i have some problems in my way.. i think my parents will think im lieing for attention or something.. also i would like a little more confidence in that i might have it or not.(this all started with me just feeling sad for no reason for a good amount of time, and then i took some online tests, witch all said i had depression and i read more about it. And i have almost all the symptoms.) I just would like your opinon if i should go see a doctor and if i should tell my parents. By the way no one in my close famliy has any type of depession. I would love your feelings, Thanks! [/INST] HiI admire your positive outlook and congratulate you for the attitude. Now I guess you have depression and it could be due to some stress in your personal life. In that case, you need some help. However let me give my opinion here. I think a combination therapy of antidepressant and low benzodiazepine would help you. These drugs would help you a lot. You can try some relaxation exercise like JPMR or deep breathing exercise. That would keep you calm and relax. For this you need expert's guidance by psychiatrist or psychologist . Hope this helps. </s> |
<s>[INST] ...Sir my 1 and half month baby had cold ..I had given her 8 drops of wikoryl and then she received another 0.8 ml from her doc Wen we took her to him ..Now she is restless and her eyes are not opening though her hunger for milk is normal ... wat to do [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. She might be having a supraventricular tachycardia. It is a medical emergency. I suggest you rush her to the nearest emergency room immediately please. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Sumanth Amperayani </s> |
<s>[INST] My friend and neighbor has had respiratory problems since March. She went to the emergency room and was told she has a low white blood count, but also has a really bad respiratory infection or pneumonia. Could you tell me what are the possibilities? They did send her to a hospital in another co. [/INST] Thanks for your question on Health Care Magic. I can understand your concern. Pneumonia is an infection most commonly caused by bacteria. But in some cases pneumonia can be caused by fungal infection, parasitic infection, viral infection and tuberculosis. So we need to rule out all these in your friend's case. And for this she needs to undergo bronchoscopic evaluation with BAL (bronchoalveolar lavage) analysis and biopsy. These will isolate the causative organism and guide us about effective antibiotic treatment. By this we can reduce total duration of treatment and speed up the recovery. Hope I have solved your query. Wishing good health to your friend. Thanks. </s> |
<s>[INST] Hello I just changed my 2 month daughters formula from gerber soothe to similac total comfort. She was doing good on the soothe but wic wanted me to try the similac first. She has been on the new one for 2 days now and is constantly unsettled and cries when I lay her on her back. She has had 2 bowel movements today and they were dark grey and liquidy. Is that normal. I am switching back to the soothe. [/INST] FORMULA FEED BABIES DO HAVE DIFFERENT COLOURED MOTION,HENCE CHANGING OF FORMULA ON AND OFF ,WILL NOT SOLVE THE PROBLEM TAKE HYGIENIC CARE OF BOTTLE AND ALL UTENSILS AND DO PROPER DILUTION OF FORMULA OK </s> |
<s>[INST] hey i got the marks like that of pimples on my upper portion of arm after waxing. 1yr has passed bt marks are not gone . suggest something that really works. [/INST] Dear Nancy ,sometimes after waxing the hair root gets inflamed and lead to reaction like this.You need to see a skin specialist for this who can help you get away with this.Without proper examination please do not apply anything.When deeper layer skind gets involved this also can happen. </s> |
<s>[INST] I have been prescribed Libotryp DS for treatment of anxiety. However I am diabetic with high B.P. & prone to bouts of depression. I have severe apprehension regarding this particular medicine since the last time I was prescribed anti-depressants, I developed suicidal tendencies. Should I take this medicine? [/INST] HiDrowsiness,Dry mouth,Constipation,Blurred visionDizziness,Excessive air or gas in stomach,Confusion, Nasal congestion,headache,nausea and vomiting are the side effects of libotryp tablet.Suicidal tendencies may not occur with the drug.Hope that was helpful.Let me know if i can assist you further.RegardsDr.Saranya RamadossGeneral and Family Health Physician </s> |
<s>[INST] Hello doctor, I am an 18-year-old boy. I have a big problem with my teeth. I did not brush them for the past two years. So, most of the teeth have started yellowing and have got caries. My dentist told me that it will change when I starting brushing them but it is not the case. Please help me. I want my smile back. [/INST] Hello. Looking at the condition of your mouth (attachment removed to protect patient identity), I can say that you have got a lot of dental problems like dental caries, discolored teeth with stains and tartar. These problems are causing the bad breath which is not going to get away with only tooth brushing. You require a systematic treatment plan for your mouth like scaling, finishing and polishing, filling up the various teeth and extraction or root canal treatment depending on the condition of the teeth. But the good news is that your condition is very much treatable. So, you need not worry. You just need to visit a good dentist who can take care of all your problems. For more information consult a dentist online --> </s> |
<s>[INST] I have extremely and severe rectal pain due to a fissure. I also have abdominal pain on my right side that is sharp; seems like when my rectum hurts is when i ll feel a sharp pain in my side/same time. i have had several uti s this past year, and it seems i may have a bladder that has dropped which may be putting pressure on my rectum, will this cause the severe pain on my left side too? not so sure who to go to see; as i am scheduled to see a urologists for the dropped bladder; then a colon/rectal surgeon for the fissure. i don t know what to do. [/INST] The pain in anal region is due to fissure in ano. And the pain on right side can be due to colitis - which may be the original reason for anal fissure.Recurrent UTI s should be well investigated by ultrasonography and IVP that is intravenous pyelography. The treatment of the anal fissure is as follow: High fiber diet.Avoid all the foods and beverages and stress-like conditions which gives constipation. Laxative for softening the stool- never allow the dose too much to cause liquid stools.Sitz bath- very important- just before passing a stool and after passing a stool.Clean the area very clear of the fecal soiling that remains after cleaning; use cotton soaked in the same water to clean.You can apply liquid povidone iodine locally. Apply nothing else.5 day course of an antibiotic on prescription of a local Doctor.Add probiotics and multivitamins.Avoid stress and mental tensions at any cost; this is a very important factor.Continue this for 3 weeks and most probably you may not need surgery.If the results are positive you have to continue doing all this and take proper care.This may help to relieve your UTI to some extent </s> |
<s>[INST] Hello doctor My baby is 2 nd a half months old. Most of the time he chokes while taking my feed. Plz help me in this matter since I get really scared when I see him fighting for breathe. Secondly der is ghar ghar sound coming from his throat as if he has mucus bt I have got it checked from de doc in agra n dey r saying der is no congestion in his chest. I have been putting otrivin s for last 1 week. Hope I find a solution in ur answer. Thanks. [/INST] Hi MadamYiu need not panic regarding your child's problem.He might be having a nasal block with an underlying weak musculature in the airway.It is quite common in many children and disappears as they grow older and start putting good amount of weight.You can continue the nasal drops.While feeding make sure his head is up high and his nostrils are not pressed by your breast.While putting him to sleep also keep his head and chest at a higher level.Definitely your son wil get better gradually.Just keep monitoring his weight monthly to make sure feeds are adequate.I hope i've reduced your worries and will be happy to clarify any further doubts.Dr.SRI VIDHYA.V.SPediatrician </s> |
<s>[INST] my blood pressure was 145/94 and pulse 90 this morning. I have had a headache for a few days. My blood pressure was taken a few months ago and it was 130/90 because of my family history she had me come back and recheck it and it was 134/90. I have to go back in a couple of weeks for another check should I be concerned that it has gone up? I have been having headaches and been very tired lately. [/INST] Hello there I have read through your question and would like to tell you that headache can be attributed to a high blood pressure. I would advise you to get your blood pressure monitored for one week and if it continues to be above 130/90 you should consult your physician for a complete blood work up and start an antihypertensive. If hypertension is ruled out, we may have to look for neurological causes like tension headache or migraine. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing healthcare magic. </s> |
<s>[INST] Hi I am 39 year old woman and started vyvanse 30mg about six weeks ago. first week was good but then started feeling spacy, anxious and started anxious eating habits In the afternoon and increased heart rate. Two weeks ago doctor increased dosage to 30 mg twice daily. Went to PCP today and blood pressure was 150/80. He told me to cut back to one dose daily. Will I experience withdrawal symptoms? Would it help to take Vyvanse later in the morning so it doesn't wear off around noon? [/INST] Hi, Thanks for using healthcare magic. I have gone through your available history. You have not mentioned for what reason, you are taking vyvanse. whether it is for depressed feelings or for concentration or what?? It contains (lisdexamfetamine dimesylate, can be responsible for your symptoms. there might be some withdrawal features lasting for few days after reducing it to one dose daily. Dose and time of the drug should be done after consulting your doctor. Thanks </s> |
<s>[INST] sir my nave is rakesh i m 24 years old. i dont know what i m suffering from.actually since last 6 months i am not getting proper erection while sex and normally also.i doesnt get my penis proper hardness.i have gone through a medical treatment of arount 25 days but not satisfied.i have given a doppler test of penis also .repoet shows everything fine.it frustetes me .while getting the environment my mind gets aroused but i dont think my penis gets.thats to have a better sex i use to take viagra before sex its give me all that i want during sex including proper erection, proper arousal as well as proper duration..sir is this ED..am very much worried please reply as soon as possible n let me know if there is complete solution [/INST] HelloThanks for query.Based on what you have described you get good erection with Viagra but not otherwise .This is suggestive of what is called as Erectile Dysfunction in Psychogenic in origin and is due to what is called as performance anxiety.Following measure will help you to boost up your confidence and getting good erection.and delayejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking.Continue taking Viagra on demand for few days .You may discontinue drug once you achieve erection without taking medicines .Dr.Patil. </s> |
<s>[INST] hello, my doctor request me to repeat my HBsAg test because my result in my first test is non reactive (gray zone)... My COV= 0.103 and titer= 0.098.... can u please explain to me, im confused? thank you! [/INST] Dear welcome to healthcaremagic Your report seems normal but for reconfirmation your doctor may had planed for examination of HBsAG. there is nothing to worry take care and follow your doctor Thanks </s> |
<s>[INST] Hello doctor, How do I stay free from bad breath? [/INST] Hi. Causes for halitosis (bad breath) are: Simple ways to overcome bad breath: These alone do not cure bad breath. Identification of the cause and its elimination is mandatory. Consult a dentist online to be free from halitosis --> </s> |
<s>[INST] Hello Sir - My wife (aged:32-33) had post-pardinal seizures once after two deliveries. She is on Torleva 500 mg twice a day for last 5 years. EEG still shows small abnormality but she never had a episode again. What is the side effect of this drug? What do you suggest her to do? [/INST] torleva is a good drug for seizures. its lack interactions with other antiepileptic drugs. though being safe, it has few major side effects- psychosis. but that usually occur in short time after start of the medicine. </s> |
<s>[INST] 14 month old baby and i slipped down the stairs, i kept her along the wall and landed on the stairs, but she hit her head. cried alot but seemed fine. 3 days later (in the am) she has a very slight nose bleed (dried blood around base of nose). should we be concerned? [/INST] Hi...there is no need to panic if she's acting normally. But as there has been a spontaneous nasal bleed after a head injury, this carries significance. I suggest you consult your kid's pediatrician and get her evaluated.The usual danger signs include, seizures, loss of consciousness, irritable behavior or altered behavior, ear and nose bleeds or watery discharge. That's why I am suggesting that you seek medical attention.Regards - Dr. Sumanth </s> |
<s>[INST] Hi Doctor, how do i wean off metoprolol, i am taking 50 mg /day,i have been taking this drug for about 7 years and i have had hair loss, gained weight slowly, swollen ankles, and sweat profusly and i am tired of all of these side effects, so i would like to come off of this drug. tks [/INST] Hello and welcome to 'Ask a Doctor' service.I have reviewed your query and here is my advice. Please tell me the reason why it was started, if it was started for heart attack reason then you need to continue and may be dose can be decreased gradually by 12.5 mg. If it was started for high BP then it can be stopped gradually and replaced with some other drug. Get back with more information.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar Makode </s> |
<s>[INST] Hi, i just recently got all 4 of my wisdom teeth pulled on the 26th of december. I was wondering if i could smoke a hookah by now. all my stitches are gone and i almost have a full range of motion on my jaw. It is a bit tense when i try sticking my tongue out all the way. but the holes are almost not visible. What do you think? [/INST] Hello, Actually hookah smoking can delay the healing of the socket of wisdom teeth, that is why it is avoided till then, as the extraction was done on 26th December, the healing will be still going on.According to me you should avoid it till 10 days more. Thank you. </s> |
<s>[INST] Hi, i had salicylic acid peel treatment on my pimples about a week and a half ago. It was just a spot treatment only and not applied on my entire face. I was told to use elovera cream at night to moisturize my dry skin brought about by the peel. I just noticed that after over a week of use, my skin is still dry, itchy and pores are dilated. Is this possibly due to elovera cream? Im also using tea tree soap but i started with it for over a month already. So my regimen is as follow:Morning - wash face with tee tree soapEvening - was face with tee tree soap and apply elovera cream after 40 mins Should i discontinue using elovera cream? [/INST] Hi,Thanks for writing to us.Salicylic peels can cause dry irritated skin for few days after peels. Elovera cream is a very mild cream and as such does not lead to irritation of skin. Open pores are basically diated openings of oil glands. Peels or elovera cream cannot cause open pores. People with pimple prone skin usually have open pores due to excess sebum or oil production and continoues inflammation of the gland.Though tea tree oil is good for acne prone skin but after peels it has the potential to irritate skin further that is why after peels we advise mild face cleansers and moisturisers.Right now I would advise you to stop tea tree face wash as well as elovera cream for few days. USe a mild steroid cream like desonide cream(eumosone,atonide or desowen etc) twice in a day for few days. The irrtiation and dryness should settle in few days. Once it settles, you may reintroduce your face wash. As you have acne prone skin, do not use creams rather use lotions as it would be more suitable to your skin type.Hope that helped.Take care </s> |
<s>[INST] ive been feeling very nauseaus, my breast are tender, i have headaches and back pain, i feel the need to pee really bad but i only go a little bit, everytime i smoke a cigarette i feel sick, my emotions have changed, fatigued, i also get period like cramps but it leads to diaherra or constipation. I have not missed my period yet but i have taken a pregnancy test that came back negative. Can i be pregnant? [/INST] Hi dear, I have gone through your question and understand your concerns.The symptoms you have described are present in early pregnancy.However, urine pregnancy test gives a confirmatory result only once you miss the periods.I will suggest you to repeat a urine pregnancy test if you miss the periods.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma </s> |
<s>[INST] Hi My child since he was 3weeks old as per Dr. Advice I started Farex 1 alongwith breast milk as my nipples were sore and feeding was less. His motion has decreased from three,4 to once a day or alternate days.now he is a mnth old n poops lemon green motion and turns light red while passing motion. What may be the cause? Farex? Or is it normal? [/INST] HI...this is completely normal. This colored stools is normal. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards - Dr. Sumanth </s> |
<s>[INST] recently have been feeling out of it... been very negative..i get irritated very quickly and get angry quickly.. i cant keep a conversation for long and think that i might bore the person so quickly end it.. i get jealous of people and get mad so quickly. i dont like the person i am turning into.. [/INST] Hello,I think you have become low in confidence. The depression which you are suffering from needs drug treatment. You can take tablet escitalopram 10mg. You will see the effects in 10-15 days.Thanks. </s> |
<s>[INST] Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> </s> |
<s>[INST] Hi my friend is at my house and she has just gotten a few rashes and they are ithcy [/INST] get a cbc done with aec. It might be an allergic reaction. Try levocetrizine in the night </s> |
<s>[INST] My 19 year old very healthy lacrosse star daughter has been diagnosed with sickle cell anemia recently. She was a very healthy figure skating star and is now a lacrosse a very successful lacrosse player. She has always been very healthy and this disease does not run in our family. She is s white 5 10 and great physical condition. I was wondering if the HCG shot could have been a factor in this recent diagnose as she has been doing the shots about once a year. Thanks so much for your time . [/INST] Hi, Welcome to Health care magic forum. Sickle cell anemia did not have any thing with the HCG, It is a genetic disorder, may be the far relatives may have it. She should have treatment with a hematologist for confirmation and treatment. Ask to take more of green leafy vegetables, pulses, sprouts,and protein rich foods to have a good maintenance. Wishing for a quick and complete recovery. Thank you. </s> |
<s>[INST] i am 29 years old, i have lost my hears 3 years back.i have also taken a homopathy medicine from bakshi clinic but found no good result after that i stop medicine.now i am thinking that i go to hair transplant or take a medical tretment, i have lost my front & top hair please suggest me. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You seem to have androgenetic alopecia rather than alopecia areata.. I suggest you to apply a topical minoxidil 5 %solution, 1ml, twice daily. In addition I suggest you to take an oral finasteride tab once a day for long. Both of these are approved remedies for androgenetic alopecia in males. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] Since last year specially in the early mornings i get sneezing continuously.......I went to doctor, and he prescribed me MONDESLOR (montelukast), which seems to help, but as i don't want to get addicted to it, i take it only on as needed basis, but if i don't take medicine in every two days then the symptoms get worse, so I am taking it on every second day..........plz suggest me what it could and how will i control it as I don't want to go like this............ [/INST] Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. I would suggest you allergy testing for common allergy causing substances - house dust mites, molds, insect proteins and pet danders (if you have pet).This will help you identify the substances causing symptoms to you and also to know the measures to avoid them.2. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to improve allergy symptoms over long period.3. Montelukast does not cause addiction, but it only controls symptoms of allergic rhinitis, it does not "cure" allergy itself. So one needs to take it as long as one has symptoms.4. As you are doing right now, I would suggest you to take it for symptom relief when required.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards. </s> |
<s>[INST] Hi, I have already been to my gyno who found my right falopian tube to be blocked and full of fluid. I was suppose to have surgery to have it removed but in the mean time I developed pancreatitis and had a stay in the hospital and my regular doctor put off the surgery to remove the falopian tube until he gets all my blood work back to clear me for surgery. Tonight I lifted something heavy and I am having some intense pain where I think the falopian tube is. My question is......Could I have burst the tube? Should I be concerned or do I take some tylonal and rest. It feels like a ruptured cyst ( I have had those before) [/INST] Hi there,Thanks for posting in HCM.The two most common cause for pancreatitis are alcohol intake and gallstones.So if you have have the habit of drinking alcohol, you need to stop it. Get a abdominal scan done to look for gallstones and if present the gallbladder has to be removed.The sudden intense pain after lifting weight may be due cramps and not due to bursting of the fallopian tube.You can take bentyl for relief.Regards. </s> |
<s>[INST] I have a dark blood blister or clot in my mouth very swelled, feels like it will burst any minute, LOCATED at top gume in front of 2 front teeth and on roof of my mouth. I cannot eat anything other than liquids. Should I be worried what is the cause? [/INST] Hello, thank you for consulting with healthcaremagic. As you are mentioning that you have noticed a blood filled blister in your mouth there can be three possibilitiesFirst if it is present since a long time it can be haemangiomaSecond it can be angina bullosa haemorrhagica which is caused due to trauma.Third it can be possible a blister caused by blood disorder, Better you visit a good dentist, get it completely examined with blood test and confirmed and treated. Hope it will help you. Regards </s> |
<s>[INST] Hello doctor, I am 3 months pregnant. My blood group is O negative. Will I face any complication during pregnancy due to my negative blood group? I consulted with my doctor, and she told me to take Fertigyn 5000 injection once a week for four weeks. Is it safe? Will it make me get a normal delivery or C-section? [/INST] Hi. For further information consult an obstetrician and gynaecologist online --> </s> |
<s>[INST] What could be the cause of intense whole body muscle cramps, especially at night. I also experience muscle weakness in arms and legs, and pain in several locations. This is a long standing problem that seems to be increasing in severity. I deal with several auto-immune conditions: Hypothyroidism, Celiac Disease, Asthma, Allergies, and Fibromyalgia/Chronic Fatigue Syndrome. I have been told that I have some nerve impingement at both lumbar and cervical locations, (MRI s) but that doctors do not believe that to be the cause of these symptoms, especially in light of their long duration and increasing severity. These are not mere charlie horse type cramps. They reduce me to sobs and gasps on frequent occasions and are wreaking havoc with sleep, and thereby, of daily function. Thank you. [/INST] Hi, Consult a physician and get evaluated. We have to think of possibilities like fibromyalgia. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s> |
<s>[INST] Hello doctor, I had anal sex and now my butt has been hurting all day for six days now. And every time I have to poop or wipe it, it is very painful. It is very uncomfortable when I sit or lay on my butt. [/INST] Hello. There might be a small tear in the anal region, which is commonly called as an anal fissure. Even a small fissure can be really painful as it causes a spasm of the anal opening. It heals slowly, as it gets irritated repeatedly during the bowel movement. You might even notice blood on the toilet paper or in the stools. I suggest you get examined by a physician. Warm water sitz bath, which involves sitting in a tub warm of water, to soak the painful anal area, helps a lot in this condition. The other recommendation is to take a high fiber diet. Your physician, after an examination, can prescribe you analgesics and a stool softener. Hold off on more anal sex until you recover from the current problem. Hope your query is answered. Best wishes. For more information consult an HIV/AIDS specialist online --> </s> |
<s>[INST] Hi there! Last night I landed very hard on my head and back. Luckily I was wearing a bike helmet. My back hurts and my neck hurts as well. But the next day my centre of my chest hurts a lot when i breath deeply or cough. What could be the issue and should I seek medical attention? [/INST] Thanks for your question on HCM. You are having blunt chest trauma due to accident. So we need to rule out these things first as blunt chest trauma can cause all these. 1. Rib fracture2. Pneumothorax3. Pulmonary contusions4. Muscular injury etc.So chest x ray is needed to rule out all these.If chest x ray is normal than you mostly have muscular injury only. So try to follow these steps for better symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. </s> |
<s>[INST] Hello doctor, I am a 25-year-old male. I am 210 lbs and 5 ft 10 in. Lately I have been having really bad upper abdominal pain and tenderness. I get really sharp pains in the same area when I lift heavy things, it is so uncomfortable at all times. I have a history of peptic ulcers from the time I was 16, but this pain is different and constant. [/INST] Hello. Well the pain which comes in or worsen after doing physical movements is highly likely secondary to muscle and bone related. The pain of peptic ulcer however can be knawing and usually worsens after meals. But given the fact that you have been using Omeprazole which is a strong acid suppressant, is helpful in healing peptic ulcer; the presence of peptic ulcers in your stomach seems to be a rare possibility. 1. I suggest you to take tablet Orphanderine plus Paracetamol combination one tablet three times daily for a few days and avoid doing heavy lifting or any thing that you think will worsen the pain; and see how does it go. 2. If your pain does not solve then I suggest you to increase the Omeprazole dose to 40 mg twice daily half an hour before meals. This would certainly improve the pain if it secondary to peptic ulcer disease. Lastly there are other conditions which tend to cause pain which worsen with excercise and bearing weight and one such condition is called nerve entrapment pain. But I want you to start with step 1 and let me know how things go. Musculoskeletal pain, functional abdominal pain or nerve entrapment pain. Musculoskeletal pain. Follow in a few days and update if pain settles. If not, then I will recommend some testing. </s> |
<s>[INST] Hello doctor,My 2-year-old boy does not eat food and does not drink milk. I am very worried. Can you kindly suggest me right treatment to solve this problem? [/INST] Hello. Kids disliking food or milk is a very strange state. This usually it happens due to faulty weaning practices. I suggest the following: For more information consult a paediatrician online --> </s> |
<s>[INST] hello i m 18 year old boy frm delhi nd i have a problem tht i have small penis size and my height is 5.5 my penis size approx 10-11 cm erect is it normal according to my age or it is small and i have seen in some pics tht penis have no layer on it but in my penis there is a lyer on it which when i rub sometym pains [/INST] helloThanks for query .Based on the facts that you have a doubt about your penis being small .I would state that the length of the penis ahs no significance as far as sexual satisfaction is concerned It is hardness of the penis that is important for sexual satisfaction of both the partners .Female vagina on arousal is 4-.5 inches long and is capacious enough to accommodate hard erected penis of 4 inches without any pain .since you have erected penis of 10-11 cm in length you should not worry about the length of penis in flaccid state .As regards the presence of layer on glans penis it is most likely to be smegma which if not cleaned everyday while bathing gets deposited as a white layer.Ensure to wash your genitals with warm water twice daily.Dr.Patil. </s> |
<s>[INST] Hi, I recently started having PVC's a little over a year ago. The dr was able to see them on the EKG. The dr said that they increase with stress and pregnancy. I did expreience them in the 2nd trimester of preg and then they stopped. I am now 6 weeks postp. and I started having them about a wk ago. More noticeable at night and in the morning. I am concerned, they are scary. My sleep has obviously changed and stress level. Is there anything I can do for them? [/INST] Welcome to HCMMany cases of palpitation are benign, especially when associated with normal ECHO and may not require treatment. If you also have symptoms like blurred vision, dizziness, loss of consciousness, shortness of breath, chest pain along with this, you need further work up and treatment… The treating doctor alone can suggest better depending on need, based on his assessment of the situation. Regards </s> |
<s>[INST] i am a doctor from XXXXXXXXX. my sister is suffering from idiopathic allergy . i wanna visit XXXXXX with my sister who is 37yrs of age. would you pls suggest me the center on name of doctor who is best for allergy in XXXXXX? [/INST] Hi, Thanks for the query. Asthma & Allergy Resource Centre,Address:No 8, Karpagambal Nagar, Mylapore,Phone no:04424994044.You can try this centre. Regards. </s> |
<s>[INST] my period was supposed to star on around march 25th and it didnt so I took a pregnancy test march 27 & 28 and they were both negative but then I took 2 more pregnancy tests on april 1st and 2nd and they were both positive.... why? and is it true if the lines n a pregnancy test are darker pink that means you farther along in your pregnancy?? [/INST] Hello,I have gone through your query and here are your answers: 1. Home pregnancy tests are not so sensitive as the blood test for pregnancy; thus, they cannot read a positive result very early either before a missed period or just after. The ideal time is after 3-7 days of a missed period and with a fresh early morning sample of urine. This is the reason why you had a negative test early on and positive tests later. 2. Early positive tests can show faint lines as the amount of hCG excreted in urine would be lower in quantity; as the levels rise, the lines get darker. Hope your query has been answered. </s> |
<s>[INST] good afternoon Dr. I am doing dental work, the four front teeth(bridge). I had the temporary bridge inserted, I was in so much pain headache, throath pain fortunately I went back to the dentist had it out. Is it something usually happened or the dentist is incompetent or should I change dentist. Thank you! K.m [/INST] hi well u might be be getting pain if your temporary crowns are not made properly. (margins of your crown not seating properly to margins of your teeth. try avoinding hot and cold stuff till you get your permanent crowns and dont worry youl be fine ....regard Dr Rakesh mishra </s> |
<s>[INST] my 3 year old is peeing alot. she pees like every hour or 2xs a hour. its not to much and i almost dont feel like shes getting it all out. she has been potty trained for 1.5 but she has lots of acciedents. but its not a full on pee, just a little to wet her underwear not pants [/INST] Hi, we need to rule out urinary tract infection and obstruction. Kindly do urine routine microscopy and culture test and ultrasound kub. Depending on reports, treatment needs to be given. Take care. </s> |
<s>[INST] Hi Doct, I had gastrocopy and Colonscopy last friday , after that test i found my lower was swalled a bit and it's still swallen( big)..........it's about 5 days now, it's not painfull but it's bit red.............any suggestion would be very helpfull , thank you [/INST] Hi,Thanks for writing in HCM.As long as you are passing flatus and stools smoothly you need not worry. It is usually due to the gas which is pumped in while the procedure is being performed which induces the distension. It is a self remitting after effect. In the mean time avoid eating fat rich ,flatulent food products.Regards </s> |
<s>[INST] Hello doctor, I have fever of 38 to 38.5 over past seven days. Right testicle swollen for the past five days and left testicle swollen for the past four days. On IV antibiotics, Cravit and Doribax (which replaced Rochephin). C-reactive test above 231. The doctors still cannot identify the cause. Any thoughts or recommendations? I have got ultrasounds but just shows increased blood, no abscesses. [/INST] Hello. You are suffering from bilateral epididymo-orchitis (infection of the testis). You need to rule out any obstruction in your urine tract which might cause this. Do you have any difficulty in passing urine? Or any problem with urine flow? Get done with uroflowmery test which will rule out any urinary obstruction. If everything is fine then it is spontaneous and will resolve on its own. </s> |
<s>[INST] hi, i am 31 years old, planning from last 9 months, my follicle did not rupture it was 25mm and there was internal bleeding in the follicle. i had a cyst in the earlier TVS of 1.5 cm which is not visible now. but the follicle which did not rupture is now 5.5 cm and i have slight pain. can chocolate cyst dissolve or reduce in size. [/INST] Hello, choclate cyst usually doesnt respond to drugs and if at all decreases transiently will resurge again only to increase in size.In case you have any questions in future you can contact me directly on </s> |
<s>[INST] I'm eighteen years old and have a family history of high cholestrol/health problems related to blood pressure. I sometimes get random spasms in my left thigh and arm that are in rhythm with my heart rate. The spasms feel as though my blood is pumping through those areas very intensely, and can very often see my pulse in these areas with ease (moves the skin so much). Should i be concerned? [/INST] Hello. Welcome to HCM and thank you for your question. I carefully read your query. Your young age and your family history about health problems are not in correlation with each-other, as risk factors for cardiovascular problems. This positive family history about health problems may be reflected later in your life, but I am almost sure that this is not the case at the moment. Clearly, these episodes of simple muscle cramps or twitching have become very worrisome to you. I understand that. This sense of fear to "what is happening to me?" produces higher than normal, pounding heart beats. If you have experienced any startling for any reason during your life, you could have had this feeling as well. As for the muscular spasms or cramps, if you get them very often every now and then, I would suggest you to run a blood level of calcium. Also, in some occasions, there is an obstruction of blood flow in a certain limb, due to assuming different positions while sitting or lying down, that obstruct the blood flow to a certain area. There, the pulse becomes more pronounced and, because of this temporary obstruction, other phenomena like muscle twitching and sensing the pulse, may be perceived. My opinion is that there is nothing to worry about. A low calcium level would explain muscle cramps, if they are becoming more and more often as episodes. Simple calcium supplement would correct the calcium levels, and the cramps would be gone. I hope this helps. Take care. Kind regards, Dr. Meriton </s> |
<s>[INST] My 2 year old son is being tested for EBV as he has had chicken pox virus symptoms for four months that have now come back negative after blood tests. We have been researching EBV on the internet and see that it can be linked to several cancers. Are the probabilities of this high if he is diagnosed with this or could it be something less dramatic? His mother had the CNV virus during pregnancy but this was something she had contracted before she was pregnant. She has been treated for shingles about 10 years ago. [/INST] Hi, dearI have gone through your question. I can understand your concern.EBV virus is linked with many cancer like nasopharyngeal carcinoma, lymphoma etc. But in your child it is less dramatic. Infection is common and no need to worry about any cancer in your child. SO don't worry about that. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. </s> |
<s>[INST] Hi doctor, I had unprotected intercourse but no ejaculation was done. I have a fear of being exposed to HIV. What necessary steps should be taken earliest? [/INST] Hi. Unprotected sexual intercourse is a risk factor for STDs (sexually transmitted disease) including HIV, however, the risk is very low (0.03%). There is no reason to panic at the moment. If possible, please get the partner tested first. If she is a known case of HIV then it would be advisable to consult the nearest dermatologist for post exposure prophylaxis (PEP). In case if this is not possible, it would be advisable to weigh the risk benefit ratio for PEP in your case. High-risk exposures such as homosexuality, contact with blood during intercourse, sex with a commercial sex worker may warrant a need for PEP. 1) HIV by Elisa at 1 and 3 months after exposure. 2) HBsAg (hepatitis B virus antigen). 3) Anti HCV (hepatitis C virus). 4) VDRL (veneral disease research laboratory). If high risk exposure then consider PEP. </s> |
<s>[INST] Hi Doc, Today I got My MRI report, I have lover back pain, Report says :Sacralization of L5 VertebraCentral herniation of c5-6 disk indenting the thecal SAC Please suggest some exercise, or yoga, please let me know if physio therapy can be helpful or not.Thanks [/INST] Hello,I had gone through the case and found that you must do neck and hand exercise.Avoid pillow, high heel and long time sitting and standing and bending forward.Take Vitamin D3 once a week and do yoga under supervision.If pain is unbearable then take physiotherapy.Hope my answer will be effective for you.Thanks </s> |
<s>[INST] Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> </s> |
<s>[INST] hi my baby girl is only one and half month...Last night she had foamy stool with some blood mixed with stool and foul order...I contact to dr. immediately, he prescribed walamycin and reflora kid...but after 1 hour same episode occure...but she seems healthy and happy...need to worry sir.. [/INST] Hi...I went through the history points you have provided - I was expecting that there should have been a history of cow's milk and formula feed (this too contains cow's milk protein) given to the baby. I feel that your baby is having cow's milk protein allergy. Usually babies grow out of this sort of allergy by 1 year of age. My suggestions for you - 1. Mother should go off cow's milk protein completely. This means that you should avoid consumption of anything and everything related to cow's milk - like - milk/ curds/ ghee/ butter milk/ chocolates/ biscuits/ ice creams etc. Even while buying commercial food products, you need to see the ingredients and if they contain milk - do not consume them.2. Feed you baby only exclusive breast feeds till 6 months of age and then start rice based feeds. 3. If this is followed scrupulously - the baby will stop having diarrhoea in another 3-4 days and then start gaining weight too.4. If you feel your feeds alone are inadequate for the baby, then Zerolac is the only option till 6 months age. I request you to keep me posted about the recovery of the baby and follow of the case.Regards – Dr. Sumanth </s> |
<s>[INST] Hi doctor,I am having an issue. Now I had an abortion two months back when I was just a couple days past two months. Now since I did that, my periods have been heavy and very painful. Also, I keep having pelvic pain and sometimes stomach pain. Could I please get some advice on what might be the issue? I did visit a gynecologist in my area. However, he did not do much of a check-up. Just gave me some medicines for BV and that is it. Please help. [/INST] Hi. It would be better if you could send me your detailed gynecology, obstetrics, medical, and drug history. Have healthy habits like daily exercise, walk, yoga and a healthy nutritious diet with less salt, sugar, oil and spice. Have a soft diet and complete check-up and treatment of any health issue if you have. Try to quit recreational drugs if you have been taking and have nice recreational activities. Have folic acid daily 0.4 mg if not having any chronic disease like diabetes, epilepsy, etc. Have one consultation with a physiotherapist to have relief exercises for pain management. Warm water bath, swimming, yoga, physiotherapy, a walk can help many local symptoms. Try to have normal BMI and weight by exercise. For heavy periods check for its regularity as well. If irregular periods with weight gain, abnormal hair growth, and weight gain, you need a transvaginal scan and on the second day of periods, blood sex hormones investigations. For heavy periods, you can have tablet Postan 500 mg eight hourly and tablet Tranexamic acid 500 mg eight hourly for 3 to 5 days from day two of periods. These will not only reduce pain but also bleeding. Have iron supplements and iron filled diet to reduce the risk of anemia. For conception, have sex in the fertile period of the cycle. For more information consult an obstetrician and gynaecologist online --> </s> |
<s>[INST] my boyfriend is 27 and had had discomfort in the groin and blood in his urin he was told its a prostate infection and was perscribed doxycycline hyc 100 mg for 21 days.... im concerned about me though because he has recently told me when he was 16 he had the clap is there a possibility he's got it back? Ive never hurd of someone his age with prostate problems.... [/INST] Thanks for contacting HCM. You are concerned about your boyfriend having had gonorrhea when he was 16 could still give you gonorrhea after all these years. The short answer is not likely. Gonorrhea would have been an active infection for nearly a decade and that is not possible. What is possible even for a young adult prostatitis can occur. I recommend that he complete his antibiotics and follows up with his doctor o be sure it has resolved. There is no chance for you to get the same infection from prostatitis. Hope this answers your medical question. Please contact us again with your health care concerns and questions </s> |
<s>[INST] Hi, i ocasionly smoke meth, when i do i get really sore joints, specially if i hav an injury in knees or shoulder it feels worst, just would like to know the reason why it makes joints worst, iv tryed finding answer on google but cant find much, has it got to do with smoke in general, i like use it once every month for one night so it happens of that little [/INST] Hello, I have studied your case with diligence.If not relieved then possibility of polyarthritis needs to be consideredRheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain?Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, ACCP, ESR, complete blood count, HLA B27Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care </s> |
<s>[INST] Hi. me and my gf had unprotected sex on 26th sep midnight I.e 27th early morning. Though i didnt ejaculated inside. Bt to be sure my gf took ipill in 26 or 27 hours approx. Now she expects her periods on 1st or 2nd of every month. She suffered from lower abdominal pain, cramps for first 3 days days after taking ipill. Then the pain was gone on 4th day. Now 5th day she is feeling same pain and cramps and vomiting. Is this normal? any chances of pregnancy? pls help. [/INST] Hello,Unprotected sex with pulled out method just few days prior to period date is very much safe. Additionally, she took I-pill within 26-27 hrs which gives more than 85% protection. Here, chance of pregnancy is extremely rare.Above clinical features are mostly due to side effects of I-pill or Premenstrual symptoms. However, period may be delayed for 1-2 weeks due to hormonal imbalance and stress. She has to wait for period.In the mean time, she would take balanced diet, drink more water, take DROTIN DS for cramp and avoid stress. Good luck. </s> |
<s>[INST] My 11 year old daughter has been suffering from cough and cold for last one week.yesterday night she had fever 101 degree F .paracetamol was given and temp. gone down but coughing frequently her forehead is aching and also the region over her eyes is also aching.whether roxid tab will be proper if so what should be the dose .Her weight is 24 kg only.Please advice now. [/INST] roxid dosage is 5mg/kg/day.so you can give roxid 150mg 1/2 tablet twice daily.better to add syrup salbutamol 10ml tid for 3 days which will help as bronchodilator and expectorant. </s> |
<s>[INST] Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> </s> |
<s>[INST] HI, I HAVE BEEN MARRIED FOR 12 YEARS NOW, TRIED TO CONCIVE NATURALLY AFTER 4 YEARS BUT UNSUCCESSFUL. HAD ICSI IN JULY 2009 AND CONCEIVED IN 1ST TRY. BUT HAD SPOTTING TILL 20 WEEKS, AT 20TH WEEK DEIVERED A STILL BORN BABY. LATER AFTER 6 MONTHS TRIED THE ICSI CYCLES 4 TIMES WITH ALL NEGATIVE RESULTS. GAVE A BREAK TILL YEAR 2012. IN MARCH 2013 TRIED THE CYCLE OF FERTOMID, PROGYANOVA AND DHUPHSTON. 1ST MONTH DIDNT SUCCEED, NOW ON 2ND CYCLE. WHAT ARE THE CHANCES TO CONCEIVE? PLZ HELP [/INST] Hello Payal thanks for your query. You need to provide me with further details, as to why an ICSI was necessary in the first place. Also, the cause of stillbirth needs to be investigated. You have to rule out genetic, chromosomal, autoimmune, infectious causes, uterine abnormalities and hormonal imbalances - before planning a future pregnancy. If ICSI was advised and carried out in the first case, then chances are high that you would require ICSI and IVF again to conceive. The chances of natural conception after 12 years of married life and 4 failed ICSI cycles are quite low . Please consult an Infertility specialist and do not waste more time. take care and wish you luck . </s> |
<s>[INST] i had sex with my boyfriend 15 days back , we used the condom but it slipped , and now i missed my date yesterday...generally i dont miss my dates on the contrary i get it 2 to 3 days earlier...but now i m really very confused of being pregnant please suggest me what should i do ? or how will my date start.....? [/INST] Hi dear and thanks for your query.If your cycle is regular and if you haven't had any delay periods ,you should get a pregnancy test to rule out pregnancy.If the test is positive than consult with a doctor to have other examination done ,like transvaginal ultrasound .If the test is negative there are many other reasons that can cause delay periods .You can take dufaston 10 mg 2 * 1 per 5 days ,to breakthrough periods.ALL THE BEST </s> |
<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> </s> |
<s>[INST] Hi doc.. Me and my spouse planned the pregnancy..not sure if I'm pregnant already because it happened 4 days ago... Do I still have to wait for my period to due before I start counting the days? And what are the chances of getting a accurate result by doing blood tests?? [/INST] Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.You have not mention about the day of period when you did sex. You had sex 4 days ago. If it is 4 days before the expected period date then there is no chance of the pregnancy because it is safe period of the cycle. Pregnancy test will give positive result when your period is missed by 8 to 10 days.So if your period is delayed by more than 8 to 10 days then go for urine pregnancy test and or blood HCG test to confirm the pregnancy. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar </s> |
<s>[INST] hi there, my name is Avinash and recently I have been discharged from hospital in which I was admitted for the curing of infection and cystitis of urinary bladder . It has been 4 days after my discharge that i have been feeling pain in the area around right kidney from yesterday. Can you suggest what to do in the case I am far from a doctor and cant go immidiately. [/INST] plz get ur usg for pelvic tab.meftal spas for reliving pain tab.cipro tz for 3 days tab.rantac twice a day </s> |
<s>[INST] I cant stop coughing!! and my throught is very ticklish.I also have a very chesty cough. This all started with high temp and headaches. Ive had this for over a week now, been taking various medications and antibiotics and it still has not gone away. Is there any home remedies you recommened? [/INST] Hi thanks for contacting HCM...Your cough and fever not improving ...You might have bronchitis like inflammatory condition....If cough more than three week than here digital chest x ray can be done for further work up....Also investigate with CBC to look for eosinophilia or lymphocytosis that is present in allergic and viral infection respectively ....Take pseudoephedrine like antiinflammatory drug or if inflammation more short term steroid can be taken....Steam inhalation also useful .....If wet cough troublesome ambroxol like mucolytic drug can be given. ...Home remedy : Take one glass hot milk.Add one tsp turmeric powder plus one tsp black pepper seed powder...Then add one tsp honey and mix and drink daily ...If x ray show consolidation than you have to admit in hospital for iv antibiotic ...Take care .Advise : pulmonologist consultation.Hope your concern solved . </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 My daugher of 4 months was born with Multi cystic kidney dysplasia, her right kidney is just a bunch of cysts. She is growing fine and is a calm baby, recently I have noticed her nappies are smelly after she wees like she needs a good wash. Should I check with m GP to see if this could be more serious? Thanks [/INST] Hi... even though she is normal and asymptomAtic right now, keeping in mind the background problem I suggest that you get a urine routine analysis done. If this is suggestive of urinary tract infection you need to consult your pediatrician for the management and follow up. If it is urinary tract infection she will require a repeat ultrasound abdomen also. The basic line Of management will be antibiotic treatment after obtaining urine sample for culture and sensitivity.Regards - Dr. Sumanth </s> |
<s>[INST] I am on the following medications: Mucinex, potassium, calcium, Evista, Diovan, Singular, HCTZ, Ranitidine, Vit D3, Tramadol, Naprosin, Lyrica, Advair discus. I have been having problems with hair thinning for the last couple of years. Although I am 70 years old, I think that it is medication induced. I have read that Singular can cause the problem. Can any other of my medications be adding to the problem? [/INST] Dr. Hanif warmly welcomes you!Thanks for consulting at my virtual clinic. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns.No it is not due to medicines. Even Singulair does not cause this issue.Your age is 70 and at this age hair and skin issues start and very common is that. I have researched on the reason amongst 60+ age group of a large number of my patients for years and the reason was Toast and Tea syndrome. It refers to the poor dietary habits in this age group. People don't take care of the diet they have.I suggest you to please improve your diet and keep proteins (skimmed milk, eggs, fish) in your diet in handsome amount. Add green leafy vegetables and salads too. Plenty of water and a good physical activity is a must.I want to add a supplement specially for your needs. Capsule perfectil for skin hair and nails, once daily. It will definitely help you get better hair very soon.Hope I answered all of your questions. Please don't forget to add your precious positive feedback to help me able to assist you better in future too. Have a wonderful time ahead. Keep in touch for a follow-up too.Regards!DR. MUHAMMAD HANIFUSA </s> |
<s>[INST] Could atenolol have any connection with some 2 minute memory pauses I have had - we have ruled out atril fib, MRI s, EEG s, ultrasound of carotid artery, and PET scan have been normal, Lymes test has come back negative. The 2 minute episodes (6 in 6 months) were reduced to 2 in 12 months after cutting the atenolol from 50 to 25 mg. Alzheimer s is a possibility but several doctors said it doesn t act like that. I have not had any episodes in the 15 months, but I do have some memory holes and some delays in recalling certain words. Any suggestions????? Joan [/INST] Hello Joan!Welcome on Healthcaremagic!Regarding your concern, you should know that atenolol may influence on those memory gaps. It is known to reduce physical performance. Besides, bradycardia, may cause low brain perfusion and thus, memory problems.Anyway, I recommend you to follow up with a neurologist after 6 months and perform some cognitive tests in order to exclude other possible causes of dementia. Hope you will find this answer helpful!Best wishes, Dr. Aida </s> |
<s>[INST] About 8 years ago I had a chest x-ray because I had bronchitis all summer. Showed mild emphysema. I had quit smoking for 2 years when I had the ex-ray. Last week I asked for another x-ray to see if there was any progression since now its been 10 years since I quit smoking. It came back showing no emphysema but saw something on my left chest upper rib. They want to do a cat scan to assess the situation. Now I m worried about that. I am also very confused because I was under the impression emphysema was not reversible. Have you ever heard of such a thing? Linda Schnaus [/INST] Thanks for your question on HCM.I can understand your situation and problem.Yes, you are right that emphysema is irreversible.And emphysema is diagnosed by PFT (pulmonary function test). So I advice you to get done PFT first to rule out emphysema. Chest x ray can be reported as normal as opinions may differ with radiologist s. But if you have proven obstructive defect on PFT then you ate having emphysema for sure.So consult pulmonologist and get done PFT. This will also tell you about severity of the disease. And treatment is based on severity only.They are doing CT scan just to rule out infection or mass lesion. Because x ray abnormal was there and you were smoker in past.So infection and mass need to be rule out first.CT thorax is best for this. So no harm in doing CT. </s> |
<s>[INST] Dear doctor, my urine culture shows i have gardnerella vaginalis i was wondering why i have this infection since i conceived my husband and i have no contact because of on and off spotting.. i am26 weeks pregnant now and sometimes feel low back pain and frequent urinaton. will this infection affects my baby inside? thank you. [/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.No, this infection won't affect your baby.But it should be treated immediately other wise it will create post partum infection.It is not necessary that it will transmitt sexually, but it will occur de novo.Unhygienic condition can be responsible for it. So please maintain good hygiene as it is equally important as taking the treatment.In pregnancy drugs should be taken under your doctors guidance otherwise it will create teratogenic to the baby.Metronidazole and clindamycin is the treatment of choice. But please take it under your doctors guidance as you are pregnant.Please avoid sexual intercourse during the period. I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. </s> |
<s>[INST] Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> </s> |
<s>[INST] I am 48 years old, 5ft 11 inches and 12 stone 10 lbs. Hip MRI shows some early degenerative subchondral marrow signal/ cystic changes involving the anterior aspect of the left acetabulum. There is also a 2.5 cm tubular fluid collection situated anterior to the left hip but secondary to a tear of the adjacent anterior labrum. [/INST] Hi, Degerative subchondral changes found on imaging studies may be an early sign of osteoarthritis. So, my advice is to get evaluated further with additional blood tests for osteoarthritis. Early diagnosis and treatment prevent worsening of the condition. Discuss with a Rheumatologist for these issues. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical </s> |
<s>[INST] I am experiencings severe vertigo today, trouble swallowing lately and my eyesight seems to blur somewhat in the last few months. I will go to my doctor in the morning, but should I take an aspirin this evening? Took a goodies today at 9:30am because of severe headache. [/INST] Hi, I understand your concern. Yes, you can take aspirin for this evening. Avoid going around, rest until you see your doctor in the morning. Take an antivomit (anti-histamine) meds you find over the counter for this night only until you see your doctor. Wish fast recovery. </s> |
<s>[INST] Hi, im 4 days late but in the 5th day i started to have my period but it is lighter than my usual period with big tissue/ blood clot, in the second day theres only a spot and in the 3 rd day its all gone. Am i pregnant? My husband and i where trying to have a baby for 4 months [/INST] Hi I think you should do a urine pregnancy test at home. Pregnancy can be there Sometime bleeding can occur in early pregnancy. So you can consult a doctor if pregnancy test is positive. Hope I have answered your question. </s> |
<s>[INST] I have been described Flucloxacillin as I found a lump on my right breast beside my nipple which was quite worrying. I am 20 years old 5 ft 7 and a healthy female. My doctor said it can be trapped fluid or trapped milk. I had a baby girl 18 months ago but don't think its that. Very worried. Anyway the antibiotics are making me feel sick dizzy and faint. Can someone help me what this is? Thanks [/INST] welcome to Health care magic.1.Yes, your doctor said is true, generally seen after lactation.2.But before you take any medication, i would suggest an ultrasound breast get done to confirm that the lumps are the dilated ducts.3.The ultrasound will evaluate the consistence of the lump ( ductal dilatation/cystic/solid)4.Also seen in the hormonal changes.5.first get it evaluated and can be treated accordingly.Anything to ask ? do not hesitate. Thank you. </s> |
<s>[INST] i've had carpal tunnel surgery on both hands in 2009 - shortly after that surgery (maybe 6 months or so) i've developed ulnar nerve pain (bilateral elbows) - still have the numbness/tingling/weakness - my grip feels weak and just a generalized weakness of hands/wrists/forearms - my nerve conduction study showed everythng was normal....how can this be when its so obvious i have numbness and tingling every nite??? i am a 50 year old female [/INST] Hello,Sometimes during the carpal tunnel surgery maybe one of the branches of the nerve gets damaged and it can cause numbness in that zone. Another explanation might be that you have developed ulnar tunnel syndrome which is another different disease from carpal tunnel. This has to do with compression of the ulnar nerve in the elbow area or wrist area and needs surgery.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Edvin Selmani </s> |
<s>[INST] My 4 yr old has long hair, history of cradle cap, she would get flakey scab like stuff behind her ear. even when washed on a daily basis, I found that the skin attaching the ear to the head is raw, red, and worries me there may be infection. what should I do? [/INST] YES YOUR BABY IS ALLERGIC TO OIL APPLICATION TO HAIR,HENCE PLEASE STOP THE HAIR OIL ,WHICH WILL SOLVE THE PROBLEM,EVEN IF CONTINUES YOU START USING BETNOVATE-N OINT THREE TIMES WHICH WILL HELP TO RELIEVE YOUR CHILD,THEN ONCE YOUR CHILD IS SYMPTOM FREE WE WILL ADVICE ACCORDINGLY OK </s> |
<s>[INST] what birth control pills is better for PCOS? monophasic or triphasic? they foun me cyst on my ovary 1.5 cm, im gaining weight, my estrogen was high 645, i have acne, i dont have kids yet, im 32 120 lb 5'6 is lo loestrin fe good choice? or tri- sprintec? i wuld like drop down some pounds. [/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] I will suggest you to use tablet that contains combination of drosperinone and estrogen- say Tab DORIS.2] This wil lhelp to have control over weight and bloating.3] Of course it will help to counter other effects of PCOD.4] I will suggest indulging in a healthy diet and regular exercise regime.Include plenty of fruits, salads, vegetables in the diet. Avoid deep fried foods, bakery products, and refined sugars.I hope my answer helps you.Thanks.Wish you great health. </s> |
<s>[INST] Hi my question is what could cause my heart to race, to the point that i hear it in my ears, it is thumping so fast and so hard it makes my chest hurt, but it seems to only happen when I get hot like if it is hot enough to make me sweat, I am on seizure medication topamax 100mg 2 times a day. [/INST] Hello, I don't think that Topamax affects your heart rate, but I suggest you do a 24h ECG Holter monitoring to see clearly what your rhythm is and if there is a real problem. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Anila Skenderi, General & Family Physician </s> |
<s>[INST] During sex I no longer have strong ejaculation and the amount of ejaculate is a very small amount. The orgasm feels very powerful, but upon exit its like shooting a dud. Prior to this, about a year ago, my ejaculation was normal. However the ejaculate was very watery?? Prior to watery it was normal. What happened? The fluid has thickened back up, but now its a small amount and a very weak exit. [/INST] HiI had gone through your query.Consistency and thickness very as mixture sperm production and other fluid in semen. It has no importance in sexual life.But about erection problems,Erectile problem has many origines1st is life stylestress and busy life style make u fatigue and secondry to this it makes less desire in sex and erectile problems.So keep exercise and proper sleep can useful.healthy food and healthy life style can help.2nd is relationshipfree communicative and mutual understanding will helpsex is mutual act so try to do mutually and tell your problem to partnerthis will reduce your anxiety and able to erect easilySo stress free lifestyle and mutual communication will helpThird is physical healthRoutine check up and fit physical health is necessarypsychological soundness is must.it can be treated with medicines like sildenafil,, tadanafil, tetrafol plus etcdo take advise from doctorsGet well soon Still have query then feel free to ask.Thank youTake care </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] I m using lutera for birth control . I want to use It as an emergency contraceptive . I took 5 white pills in less than 24 hours of unprotected sex. I need to to 5 more white pills in 12 hours but I only have 4 white pills left until the pink ones. Do I just take the 4 white pills or do I take the 4 white ones plus a pink one? [/INST] HIThank for asking to HCMI really appreciate your concern looking to the given history here I would like to say that taking contraceptive pills is not good idea because this could be dangerous in later life and so why I personally do not suggest such medicine, and even to you better avoid such medicine, take care and have a nice day. </s> |
<s>[INST] Yes...for about 5 months my left foot has been swollen on the top. It was not injured. It doesn t hurt...it just gets swollen and tight and by the end of the day the toes are all fat and swollen as well. I don t know what type of doctor I should see for this. I have RA & Psoratic Arthritis, but both have been in remission for several years and I am not an any medicines at this time. My Psoriasis has been flaring on my scalp, but nowhere else. I don t have a regular GP...so not sure where to start. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The pain in rheumatoid arthritis is typically painful, for that any type of arthritis is always painful unless you are on any painkillers. Since you don't have pain it can be a pedal edema which has numerous reasons. So I would suggest you to consult an internal medicine specialist and get a full physical examination done. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] Recently, I have been suffering from almost constant dizziness/head spinning, to the point where I fall over. I went to the doctors a couple times and they checked my heart rate and pulse, My heart rate was higher, but I had a perfect pulse. They also checked my ears for any inner ear infections, which could potentially cause the dizziness, but there was nothing. Im waiting to get on the waiting list for a neurologist, but thats still a couple months away. Me and my mom were thinking that why would they check my heart rate and pulse when Im not dizzy, cause it would obviously be fine, so, this morning about 15-20 minutes ago, I checked my pulse for a straight minute, and it was 112. What do I do? [/INST] Hi, First of all the higher heart rate can point to a problem in your heart. So, you need some investigations such as: Echo on your heart to know the ejection fraction. The normal value of the ejection fraction is 52-70. When the effectiveness of the heart muscle decreases, the autonomic nervous system compensates this deficiency by increasing the heart rate. You should measure your blood pressure and your lipid profile. Finally, you should change your lifestyle, for example stop smoking, eating fat-rich diet and you should decrease the salt intake. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mustafa, Neurologist </s> |
<s>[INST] my three months baby had loose motion for last three days.we went to doc .he prescribed bacigyl-n60 ml and energermina.on 1st day baby was given 5ml inthe night.inthe next morning he was given 2 ml then afternoon he was given 5 ml dose then at 4 o clock in the evening he was given 5ml then in the night he was given 1 ml .about enterogermina ist 1 ampoule and second day 1 ampoule of5 ml.baby is little dull and did stool seven to eight times today also.we r very upset using antibiotic in bacigyl and apprehaensive of over dose of same.can we leave the mediacatio for the safe outcome.what to do now.will baby recover and in how much time. [/INST] Hi...Thank you for consulting in Health Care magic.it is very very uncommon for a young baby of this age to have a bacterial dysentery.What your kid is having is not a diarrhea and is only a gastro-colic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated.There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.When the baby takes milk , the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastro-colic reflex. Do not worry.Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.I AM HAPPY THAT AS PARENTS YOU ALSO DO NOT WANT TO USE UNNECESSARY ANTIBIOTICS.I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below -www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696Regards - Dr. Sumanth Amperayani </s> |
<s>[INST] Hi, my mom had brain surgery last Monday for 4 aneurisms. They were clipped. However after she had a vasospam and some seizures. She was under propofol and under drugs for 6 days. Today they stopped the sedation. When will I see her waking up? Hopefully she does! [/INST] Hi,If she has been sedated for 6 days, it is likely that she will take 1-2 days to wake up. Propofol clears from the body fairly quickly but she may have been receiving other drugs such as pain-killers which will also affect her return of consciousness. Her kidney function will also determine how quickly she wakes up. If her kidney function is impaired it will be a little longer before she wakes up. I suggest you discuss with her doctors any concerns you have as they will be best informed to explain her progress.Regards,Dr K A Pottinger,MBChB FRCA </s> |
<s>[INST] I am a male teen and I have recently, this year acquired very sensitive painful nipples. I have felt them and it feels like something is inside them, please help me understand why this is happening, I have searched online and cant find anything. please help. [/INST] DearWe understand your concernsI went through your details. Some times occassional hard and painful nipples trouble adult men. Usually men do not have milking organs in their breast area and there fore you do not have worry about serious conditions. This could just be abscess or boils. Please consult a physician to get examined. 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. Available for further clarifications.Good luck. </s> |
<s>[INST] Gall bladder removed 1 1/2 years ago. 2 months ago, severe abdominal bloating and pain to the touch of the right upper quadrant. Pain and bloating lasts for 6-8 hours. Ultrasound found a dilated common bile duct. Mri in a few days. Is this pain from past gallbladder surgery? [/INST] HelloMost likely pain is not related to gall bladder surgery.Pain may be due to acidity.Dilated CBD is itself not a significant finding.Normally CBD is dilated in elderly patient.It may also dilate due to calculus or distal obstruction.You are rightly suggested for MRI.It can evaluate better.You may need upper GI endoscopy.Proper treatment depend upon findings.Take CareDr.Indu Bhushan </s> |
<s>[INST] I have just bee diagnosed with the symptoms of temporal arteritis. I had a bioposy done today but they have started me on prednisone which has helped with the tenderness on the temples. The problem is that I am to fly out for vacation that day after I see the Dr for the results. Is there anything that should preclude me from flying? [/INST] Hi, Thank you for posting your query. Temporal arteritis responds well to oral steroids. It is good to note that you have started to show improvement. There is no contraindication to flying, should you wish so, after temporal artery biopsy or while on steroid treatment. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: drsudhirkumar@yahoo.com </s> |
<s>[INST] Hi, I am 38 and my husband is 43. we are muslim, got married lately at 36 years of age, trying to have a baby. Doctor says for me - primary subfertility with my hypothyroidism - TSH - 8.48 mIU/ml and a bulky uterus with myoma (25.6x26.4mm) seen in the fundus of uterus and his problem is astheno taratozoospermi. with total sperm count 300m , with head defects of 83%. Please suggest possible solution for both of us. we wanted to have a baby badly. please please please [/INST] Hi, both of you are having defects, of infertility, so i advise you to consult an infertility clinic so that both of you can have treatment. For treatment of hypothyroidism, consult an endocrinologist for treatment. Besides both of you should have a good diet, take more of green leafy vegetables, pulses, sprouts, and proteine rich foods. Thank you. </s> |
<s>[INST] My wife is recently diagnosed to have sero negative arthritis and depomedrol was pushed aling woth oncotrex 10mg.More so SAZO 500,GABAneuron ,newbona active,silibon ,folic acid was recommended.After almost a month she can now stand up and move somewhat but due to side effects she had diziness anlong with anxiety/nervous disorders.Pl suggest the remedy. [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. Instead of dwelling more into psychiatric medicinal cure, please look into alternative methods. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Life style changes, change in thinking pattern, relaxation etc are as essential as medicines. Psychotherapy can help you changing your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. </s> |
<s>[INST] I had a root canal done on my front tooth about 5 years ago. It has an enamel cap on it. It has 3 puss pockets over it and hurts. What could be wrong with it? I am 73 years old, 6 3 tall. I am currently taking an antibiotic. Bill [/INST] Hi, It looks like there is some infection in the particular area. You have to consult your dentist to identify the reason of infection. Infection could be of the tooth or gums.Accordingly treatment can be obtained. </s> |
<s>[INST] I'm a 59 year old male that gets an intense pain in both nipples whenever they get cold that aches through my chest. It last until they warm up but strangely I can get some relief if I put my cold hands directly on them. There's no discharge or discoloration. This is not new. It's been going on for a few years and I have never found anything on the Internet that matches my symptoms. [/INST] hithis is due to the sensitive nerve endings,thats why the pain reduces on cold applicationsometimes it can be hormonalthere is no specific treatment for your complainttakecare </s> |
<s>[INST] hi..i m suffering from skin infection on my foot and also having lots of pimples on my face and also full dandruff [/INST] Hi ...welcome to HCM..dear user U were not telling about the correct location and symptomatology..on the foot....ok.regarding pimples having very good treatment.... first do --1) comedone extraction by using Radio Frequency to remove all comedones on the face-this one is doing by expert dermatologist with carefully 2) using topical creams like clindamycine in morning times and Adaplene cream in night times after washing the face with Triclosan soap 3) orally take Doxycycline capsules 100mg daily half an hour after lunch....4) Isotretinion tablets alternatively morning after breakfast..5) regarding diet ...restrict the fat intake.5) for Dandruff (means sweating on the scalp,dust while exposing U an out side atmosphere and oil on the hairs would combinely gives this problems.... avoiding this .., by using frequent headbaths with ketaconazole shampoo...after shampooing thorough drying of hairs .ok..bye </s> |
<s>[INST] My newborn has a hoarse voice. She is 6 weeks old. She started to have it a little yesterday, but today it sounds more hoarse. She slept very little last night, spat up a few times, and vomited once. Im currently breastfeeding. She has no fever. Today she hasnt slept as much as normal. I also noticed when she feeds, she gets fustrated sometimes and coughs/chokes on the milk... but i think that may be to the flow of milk while nursing and she is laying flat, so now i prop her up while im nursing. Im so worried! What could this be and what causes/treatments are there? [/INST] Hi,It is very common problem of vomiting and coughing in newborns after breastfeeding.Make sure that you should burp your neonate after breastfeeding for 20-30 minutes. This will surely cure your problem </s> |
<s>[INST] As per the CT Scan of KUB without IV contrast - NO Calculi in right kidney. Mild to moderate degree dilatation of pelvicalyceal system and proximal ureter noted on right side with evidence of small (6.8mm) calculus in right proximal ureter. No calculi/hydronephrosis noted in left kidney - Is this require any surgery or can get rid off with medicines. Does it require immediate action. Kindly clarify [/INST] Hello and welcome to HCM.The CT scan report suggests a stone between the right kidney and bladder.This can be treated medically, for about 7-10 days. If the stone doesn't cause recurrent severe pain episodes, fever, bleeding,vomitting, etc. If it does cause these symptoms,just stenting and medical treatment is also possible,as the size is 6.8mm. Medical treatment is intake of about 15 glasses liquids daily in adults.Anti-spasmodics,and smooth muscle relaxants.Repeat the ultrasound scan at 2 weeks, then decide further treatment.You may send the report to me, for my expert opinion, as a direct question.Dr.Matthew J.Mangat. </s> |
<s>[INST] Hi, may I answer your health queries right now ? Please type your query here...my partners dad has recently been diagnosed with advanced pancreatic cancer. Toniit he's been rushed to hospital in agonizing pain, morphine is having no effect. What cld this mean? [/INST] Hi, dearI have gone through your question. I can understand your concern.He has advanced pancreatic. It is stage 4 cancer. Surgery is not useful in this stage. So treatment options are chemotherapy and radiotherapy. But it will not cure the disease. It just works as palliative therapy. Despite of all treatment prognosis remains poor. Life expectancy is not good. Sorry to say but it is fact. Morphine is used in terminal stage cancer to relieve pain. it is also not working so it is very bad sign. No treatment should be given according to my opinion. Consult your oncologist and plan accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. </s> |