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<s>[INST] Hi, I m 30 years old. I have just discovered that I am tender underneath both my left breast and in both armpits. It doesn t hurt to move but to touch. Feels like it s bruised. I have not had a trauma. Also no appetite and bad stomach. What could be the cause? [/INST] Hi...u may have gastritis... though i am not sure of the pain in armpits...try taking cap XXXX 20mg twice daily on empty stomach one hour before food for two weeks and then make it morning only for another two weeks...eat less of spicy fooda, tea n coffee...Dr. Ashish Verma </s>

<s>[INST] I am 15 years old, and I have a sharp pain in my left testicle, and it feels like it is being squeezed every couple of minutes, or when I touch it. Also some lower- abdominal pain . What are the possible solutions to my problem ? [/INST] hello thanks for chosing health care magic well u need to consult a general surgeon soon other wise it may lead to complication so take expert opinion n it requires ful examination to reach to any diagnosis </s>

<s>[INST] My husband was treated with 6 rounds of FCR-Lite, he finished his treatments in July and for the las 3 or 4 weeks he has had a severe cough and went to his family doctor and was diagnosed with a sinus infection. Could this be a sign of a relapse? He was running a fever aroud 99 to 99.8. [/INST] Thanks for your question on Healthcare Magic.I can understand your concern.No need to worry for relapse at present.FCR lite is chemotherapy for CLL (chronic lymphocytic leukemia).Chemotherapy can cause immunosuppression and Sinus infection.So give him broad spectrum antibiotic like levofloxacin or azithromycin.Telling him to do steam inhalation 4-5 times a day and drink plenty of fluids orally.Don't worry, he will be alright. Don't think about relapse.Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. </s>

<s>[INST] Hello, I have high blood pressure, and am a 21-year-old female. I have been prescribed a low-dose high blood pressure medication, and haven t had any complications with it. However, lately, I have been feeling like my chest is heavy and have had a hard time sleeping for quite some time. I wake up in the middle of the night gasping for air, and no matter how much sleep I get, I m exhausted when I wake up. I am starting to think it s Sleep Apnea, but am wondering if there are any other heart-associated links? There is S.A in my family - my father has it. Ideas? [/INST] Hello, First, it could be your medication, if you are having beta blocker as antihypertensive, it causes these symptoms. Second, if it occurs every night, then you must do a sleep pattern test, cardiac problems do not come up like this. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Salah Saad Shoman, Internal Medicine Specialist </s>

<s>[INST] Hi, I'm suffering from "varicocele" since last 6 years, it's not painful but it has affected the the sperms. My sperm count is only "0.60 million" and all non motile. The Urologist advised me the surgery. But i want to try homeopathic medicine to avoid surgery. My hormones test are normal: FSH: 10.6 LH: 6.5 Serum Testosterone: 4.3 Please advise me the proper medicine Thanks Aamir Khan [/INST] Hi,I read your query and I understand your concerns.Following is my reply:1) Even surgery or homeopathy is unlikely to improve such a low sperm count.2) Please go ahead and get ICSI treatment done for conceiving.Let me know if you have anymore questions.Regards,Dr. Mahesh Koregol </s>

<s>[INST] Back pain with disc degeneration accompanied by changes in my TSH levels, fatigue, stomach pain as well as anemia even though I ve had a hysterectomy. My doctor has ordered an ESR, CRP and CBC. It feels like all I do is go to specialist without answers. Suggestions? Test results are present for my MRI, just the intent to do the tests and that there is degeneration in L4 and L5. Been doing PT for over a year. Help? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Regarding your concern, I would explain that physiotherapy can help improve the chronic back pain. But, these tests will help exclude possible inflammation, which may need to be treated with antiinflammatory drugs. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] Hello...I am a 53 y/o blk male, 6'3"...258 pounds and have a creatinine level of 1.4. Is this something to be concerned about? I was told the normal range was up to 1.2 but perhaps with my height and weight, it could be higher and lossing 5 to 10 pounds may bring it down. [/INST] Hello welcome to HCM. I have read your question and understand your concerns. It's true that Serum creatinine depends on body weight and also kidney function which is measured as GFR is depends on weight as well as age of the person. So according to GFR it will be within normal range. So, at present nothing to worry. My advice to you is - 1.Get your sonography of kidneys, urine routine for protein levels done to confirm you don't have kidney damage.. 2.To much weight will lead to diabetes, hypertension and high cholesterol. So, try to reduce it on priority basis. 3.We cacan't relie on only one report, because S. Creat might be raised only because of dehydration temporarily. So repeat it after one month and meetYour doctor afterwards. Thank you. Have a nice day. </s>

<s>[INST] I was doing yard work about a week and a half ago and felt discomfort moving large rocks. The next day I had a pain in my left upper stomach to the right of my upper left rib cage. Then a few days labor and currently, I have noticed the pain move to the left of my belly button. I also have felt gas noises and bubbles on the left side now which I have never noticed in my life before. This is not a sharp pain and it seems to get agitated even more upon eating [/INST] Hello againAs per your symptoms there is possibility of gastritis.I will advise to start antacids [proton pump inhibitors like] rabeprazole 20 mg twice a day.Sucralfate will protect gastric mucosa and will give protective covering.Gases formation can be reduced by eating easily digestible food, stop non veg, drink plenty of water.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care </s>

<s>[INST] I know that sexual assault can lead to a drug addiction but I was wondering if you could help me as I am a college student and I was wondering if there was any medical condition that can lead to drug addiction. Sexual assault can cause depression I know that I was just wondering if there was anything else [/INST] Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Anxiety disorder and depression per se can lead to drug dependence. Even anxious personality and anti social personality disorder can lead to dependence. Insomnia can cause drug dependence. In fact the converse is more tru that sexual assaults are more common among the people having drug dependence. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy </s>

<s>[INST] Hi. I m 27 years old. But I do not have my beard and not even a single body hair in chest. Also my mustache is very thin and not as thick as a normal guy should have. I feel so bad inside me on seeing other guys having a great mustache and beard even in their small ages compared to me. I would like to grow/get my mustache so thick and want my beard to grow somehow, but for sure i need them. Kindly help me on this [/INST] Hello, The growth of hair on body and face is under the control of hormones and is determined genetically. I would recommend you to get your hormonal profile done. Meanwhile, you can start applying minoxidil 5 per cent lotion on the affected areas of the scalp twice daily for 3-4 months to see any significant results. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist </s>

<s>[INST] I HAVE A 10 YEAR OLD BOY . HE SUFFERING C.P. HE CANNOT WALK PROPERLY AND DOES NOT CONTROL PROPERLY IN HIS BODY. I WANT TO TAKE STEM CELL TREATMENT THROGH INJECTION. WILL YOU TELL ME HOW MANY INJECTION BE GIVEN AND WHAT COST OF PER INJECTION. GIVE ME YOUR CONTACT N. YYYY@YYYY [/INST] As a neuroanesthetist i have seen many cases of stem cell therapy being performed on Cerebral palsy children with no definitive result. In my opinion it does not benefit. it is just marketing and commercialization of procedure.Various new strategies are being explored using stem cells, but it is unlikely that any of them will offer a full cure. Instead, they aim to limit the damage to cells in the brain and reduce the symptoms. Cerebral palsy is so difficult to treat because it can involve damage to many different types of cells in the brain. Severely damaged cells can be lost completely. Scientists expect that future treatments will aim to protect and repair damaged brain cells before they are entirely lost. This means it is likely that any new treatment will have to be applied within a small window of time, between the initial injury that has caused damage and the onset of permanent cell loss.dr anurag aggarwal </s>

<s>[INST] Im 23, a healhty weight, depression and mild astma is my only medical issues. I stoped recieving the contraceptive injection 10 months ago, but my periods havent started back yet,would me taking phimolut 5mg help, as im trying to concieve? [/INST] Hi Welcome to Healthcaremagic Norethisterone should not be taken when you are trying to conceive or suspecting pregnancy because of its adverse effects. consult your doctor for further management. Take care. </s>

<s>[INST] my uncle his age is 67 suffering from parkinson's disease. he take syndopa diaily 3 dosage after meals from past 1 year. now doctor added pramitrem 0.5mg. from past 3 days only we are taking syndopa before meals. Now he is feeling sleepy and he started talking something. can u suggest me the sudden change [/INST] Hello!Welcome on Healthcaremagic!I understand your concern and would explain that Syndopa is usually taken before meals, because the absorption is really low when taken after meals. So, his symptoms could be related to increased circulating levels of levodopa. Coming to this point, he may need to reduce the doses of syndopa. You should discuss with his doctor on the above issues. Hope you will find this answer helpful!Best wishes, Dr. Aida </s>

<s>[INST] 9 year old boy having episodes of...everything moving fast and loud. Heart beat faster than normal. Even someone walking is loud. When I talk to him in a normal tone and pace. He asked me to talk slower and whisper. It last about 5 to 30 minutes. Happened 3x within the last 3 weeks. He said the first time it happened to him was when he was about 5 or 6 years old. [/INST] This is a sign of Temporal lobe epilepsy. In this kind of Seizure disorder where unusual sensory feelings are present which may be visual, auditory , vibrational or others. If its increasing with age it needs evaluation and treatment. Please get a MRI brain and EEG brain done. </s>

<s>[INST] This evening I constantly vomited whist out this friends this evening whilst eating very little, most I left as I had little appetite, this occurs quite often ( little appetite) had the experince of almost fainting and losing all color from my face. Additionally I could not speak prior to the event even though I knew what I wanted to say. My husband wondered if I had had a mini stroke due to the prior symptoms.Any insight you could provide would be most appreciated.Gillian Colby Smith PS. I am a fit 68 , worked out for twenty years, not at the moment though. I plan on having a through physical soon.Many thanks. [/INST] Hello Gillian!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!Your symptoms could be related to orthostatic intolerance or anxiety. A metabolic disorder can not be excluded either. For this reason, I would recommend consulting with your doctor for a physical exam and some tests: - a resting ECG- a Head Up Tilt test- complete blood count for anemia- thyroid hormone levels for thyroid gland dysfunction- blood electrolytes- fasting glucose- an EEG to exclude seizures (although your symptoms are not typical). You should discuss with your doctor on the above tests. Hope you will find this answer helpful!I remain at your disposal for any further questions whenever you need!Best regards! </s>

<s>[INST] I'm 22years old I'm 5'2 I weight probably around 116 pounds. I have like a iron deficiency problem. I also have allergies to pollen, dust, animals,smoke foods such as potatoes oranges. My stomach has been bothering me alot lately. It started on the 19 of this month after i ate a store bought sandwhich i burped and it felt like i had to throw up. On sunday night i had to take some pepto bismal because i kept burping and felt like i had to throw up and my stomach feels like it tightening/pulling inward. last night i had two little pieces of chesse basil italian sausage with white bread and if felt like food was floatin or something i kept hearing a girggle noise and i drank some tree hill peach tea and also felt like i could'nt drink it that it might come back up and i keep shaking. [/INST] Best treatment for allergy is to avoid the substance causing allergy if you know it. Otherwise take antiallergics like montair lc . For your stomach problem take a PPI and a prokinetic combination like sompraz l. </s>

<s>[INST] COMPLETE BLOOD COUNT (CBC)                                              (Electrical Impedence,Flow cytometry & SLS)                                                                                                           Hemoglobin                              9.20          g/dL               11.00 - 14.00      Packed Cell Volume (PCV)               30.80          %               34.00 - 40.00      RBC Count                              5.68          mill/mm3               4.00     - 5.20      MCV                              54.20          fL               75.00 - 87.00      MCH                              16.20          pg               24.00 - 30.00      MCHC                              29.90          g/dL               31.00 - 37.00      Red Cell Distribution Width (RDW)          20.70          %               11.50 - 14.50      Total Leukocyte Count     (TLC)               12.86          thou/mm3               5.00     - 15.00      Differential Leucocyte Count (DLC)                                              Segmented Neutrophils                    41.90          %                          Lymphocytes                              45.60          %                          Monocytes                              10.90          %                          Eosinophils                              1.10          %                          Basophils                              0.50          %                          Absolute Leucocyte Count                                                   Neutrophils                              5.39          thou/mm3               1.50     - 8.00      Lymphocytes                              5.86          thou/mm3               6.00     - 9.00      Monocytes                              1.40          thou/mm3               0.20     - 1.00      Eosinophils                              0.14          thou/mm3               0.10     - 1.00      Basophils                              0.06          thou/mm3               0.01     - 0.10                                                              Platelet Count                         403.0          thou/mm3               150.00 - 490.00 Advised: Hb HPLC to rule out Thalassemia Minor Note 1.     As per the recommendation of International council for Standardization in Hematology, the differential leucocyte counts are additionally being reported as absolute numbers of each cell in per unit volume of blood 2.     Test conducted on EDTA whole blood Age : 3 years Gender : Female [/INST] Hello, This blood report is showing anemia with a suggestive viral infection. It can be a case of thalassemia. So I suggest hemoglobin electrophoresis along with serum iron studies. I also wanted to know whether any fever, cough is going on or not as the lymphocyte count is high so it can be a viral infection. Please let me know the symptoms along with further blood reports. It will help me to solve your problem in details. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Raktima Chakrabarti </s>

<s>[INST] Hello I have a large boil/cyst on my waistline, these are reoccurring but this bar far is the worst and mist painful. It has drained some on its own, i have applied neosporin ointment and bandage and I allow it to breath while I sleep at night. Its the size of a nickel,very red and has 3 holes with in it, i can also feel infection around the boil aswell. It has an intense burning sensation as well, what is causing it? Is there anything. I can do from home? [/INST] HI, thanks for using healthcare magic It is likely a collection of pus called an abscess.It would require incision and drainage for complete resolution. This has to be done at your doctor's office.An abscess would recur if it is not completely drained because pockets of pus remain.Oral antibiotics are also needed.If visiting your doctor at this point is not an option you can consider the following: (1)apply magnesium sulphate to the area. This is a cream that encourages pus to drain(2)clean the area with an antiseptic at least once daily(3)apply topical antibiotic cream to the area.If there is no improvement with the above then you would need to see your doctor.I hope this helps </s>

<s>[INST] This is the second time that I am suffering from glandular fever, I am 19 and usually lead a very active lifestyle I do not smoke/do drugs, and drink lightly about 3 times a year. I have been to many doctors over the past couple of years (last year too with bronchitis, tonsillitis and pneumonia as well last year), all the doctors say is that it's something that I have to get through. I have tried vitamin C injections and currently on a low carb and sugar diet combined with many vitamins as suggested by a naturopath which I believe has helped me to some degree. One of my main concerns are my tonsils, they are the size of the top of a mini muffin top and ache with pain killers and I struggle to breathe at night because they are so restricting. This has continued for about 5 /6 weeks of both years and white puss often develops on them. Doctors have said that I can't get them removed but i want to pull them out myself they are so restricting. What can i do? This is contolling of my life! [/INST] Hello,Welcome to HCM,Glandular fever is caused by the Epstein-Barr virus (EBV), one of the most common viruses to affect humans. Glandular fever spread through saliva. It can be spread through kissing so it is often referred to as the kissing disease.Th treatment includes 1.Get plenty of rest during the early stages when your symptoms are most severe.2.Drink enough fluids.3.If you need pain relief, you can take painkillers such as paracetamol or ibuprofen.4.Try gargling with soluble aspirin if you have a sore throat.Thank you. </s>

<s>[INST] Hello doctor,A few days ago one of my female friends had pain around the belly button. She went to a physician and was told that it could be because of a decrease in iron in the blood. Does iron deficiency relate to pain near the stomach? What can be the other causes? [/INST] Hello. Yes, it can be related. One of the causes of a low hemoglobin count is low iron in the body, which may occur either due to inadequate diet or excessive loss from the stools or menstruation. There are multiple causes, and we need to confirm it by hemoglobin level, serum iron studies, and stool for occult blood testing. If bleeding occurs due to acidity and gastritis, especially if associated with nausea, bloating, burping, pain on eating, sour water feeling in the throat or chest burning, then she should: If she is bleeding due to a worm infestation, then she should have tablet Bandy plus once at bedtime, to be repeated after two weeks. To confirm this she will need stool routine examination. Hope this helps. Get back if you have any doubts. For more information consult an internal medicine physician online --> </s>

<s>[INST] I have been having what I think is heart palpitation for a few months. Have had ekg, echo and holter monitor and all have been normal. I still get the palpitation especially at night. I can't lay on either side on on my back. I don't have them when I stand up. I also get them certain ways I sit. I have also notice I can feel them in my stomach. What else could be wrong? [/INST] Hi...Welcome to HEALTHCARE MAGIC...I have gone through your query and can understand your concerns...Heart palpitations can be bothersome or frightening. They usually aren't serious or harmful and often go away on their own. Most of the time, they're related to stress and anxiety or to consumption of stimulants such as caffeine, nicotine, few Medications or alcohol. Palpitations also often occur during pregnancy.As you mentioned that you had physical tests and all have been normal. I will advise you to do necessary lifestyle changes like:•Reducing anxiety and stress. Common stress-management therapies include relaxation exercises, yoga, tai chi, biofeedback, guided imagery, and aromatherapy.•Avoiding certain foods, beverages, and substances. This may include alcohol, nicotine, caffeine, and illegal drugs.•Avoiding medications that act as stimulants. These include cough and cold medicines, and certain herbal and nutritional supplements. If lifestyle changes fail to reduce or eliminate palpitations, you should consult with a doctor.Hope this information helps...Thanks & Regards,Dr.Shiwani </s>

<s>[INST] trying to get pregnant . i got 30 days cycle. now am undergoing follicular study in follicular study today is my 14 th day my right ovary is about 15*15 mm. when will be my ovulation . [/INST] Hello Welcome to HealthcareMagic Exact time of ovulation can be told after serial USG monitoring throughout cycle. Generally ovulation is about 14th day but your gynae doctor by examintion tell you specifically. Have a Healthful Day.. </s>

<s>[INST] i am disabled and all i have is medicaid for insurance. none of the clinics are excepting new patients for about a month. i cant take ibprophen due to high blood pressure . is there any way you can prescribe anything for the several bad teeth i do plan on getting removed soon. i cant get into any dentists in my area to even get a prescription and i have one tooth with the roots wrapped around the jaw and cracked in half [/INST] hello and welcome to HCM forum, i would like to inform you that, the roots which are now left out should be extracted first as they can be the reason for infection, also if all your teeth are periodontally compromised then its better to get them removed which should be followed by dentures, you have not mentioned your age or any other medical condition you are suffering from besides high blood pressure, i hope you are taking medication for that. i would recommend a few measures which will be easy for you to follow; 1. use a mouthwash, if brushing teeth is not possible, 2. rinse your mouth with plain water after every meal, 3. massage your gums with a gum paint using for finger for a minute, 4. do visit your dentist at regular intervals. i wish you good health, take care. </s>

<s>[INST] Hello, I have been diagnosed with cervical spondylosis; also the beginning of a cervical hernia is showing on my RMI. I am a woman, 29 years old, and have had pain and contractions in my upper back/neck for more years than I can remember :) Lately, even I sleep between 7 and 9 hours a night (and at least 4-5 nights in a row getting 7-9 hours) I wake up feeling incredibly sleepy to the point where I cannot function. My eyes are really swollen and hurt, my head is heavy, I cannot focus and basically I would be almost willing to lose my job if it meant I could sleep in the morning instead of having to wake up and go to work. I am not functioning for at least 1 hour after getting up and after that I am barely functional anyway. Coffee isn t helping anymore. Could it be related to the spondylosis and or hernia? Could the quality of the mattress I sleep on contribute to my problem? (because I slept on a hotel bed for a couple of nights and I felt much better in the morning with the same 8 hours of sleep). Any other suggestions? All my standard tests (like employment blood tests etc) have come back within normal limits.. [/INST] Hello, I have studied your case. Due to compression of cervical nerve root there can be pain.For these symptoms analgesic and neurotropic medication like pregabalin and methylcobalamine can be started.Till time, avoid lifting weights.Continue your Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief.You can attach your MRI report or film so that I can help you better.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. </s>

<s>[INST] I had an appendix operation during my 10th std & leads to hair loss..have used homeopathy, ervamatin & now taking ayurvedic medicines to regrowth my hair fall at the fore head.. Using mintop 5% & the growth is very slow.. Suggest me a good solution for this.. I am 25 years old women [/INST] Hello and welcome to Healthcare magic,Appendix operation cannot directly cause hair loss. At the age of 15-16 yrs, you might have got a hormonal imbalance that caused it. Need to know the reason it is continuing even now. Any cause it be, modified life style and a treatment can solve your problem. I suggest you to consult an expert near you. As a homeopath, i have found good results with medicines for hair loss. I hope your query was answeredWish you good health. </s>

<s>[INST] Hi, I have what I'm guessing is an abcess on my gum, top left. It has a very large white soft swelling like a large pea, my face is extremely swallowing, mainly under my eye and close to my nose, will the disperse on its own, I have taken ibuprofen for the swelling. Should I apply ice. It is currently pain free, but has been agony for 3 days untill the swelling appeared. Thankyou Stephanie [/INST] Hi Stephanie and thank you so much for this query.I am so sorry to hear about this gum swelling.From the information you have provided, this swelling needs to be properly examined and investigated if need be. For real, if it is an abscess,, drainage and antibiotics are mandatory for an appropriate treatment. Ibuprofen may control the pain but the underlying infection that is the root cause of all the problems is ongoing and not making things any better.Please, contact your dentist, get examined and be treated accordingly. Failure to do so may lead to infection spread to adjacent tissues with serious complications.I wish you well.Dr. Ditah, D </s>

<s>[INST] I have a 14 month onld with a right swollen and red ear lobe. It didn t seem to bother him earlier in the evening, but at bath time he was swatting at it and when he touched it he cried. I am uncertain as to what to do for him and will likely take him in tomorrow to get checked out. [/INST] Hello. I just read through your question.This could be a mild infection, or it is possible that maybe that part of his ear was injured.Either way, your doctor will be able to diagnose it and recommend an appropriate treatment plan. Meanwhile, cool compress will help, if the baby allows. </s>

<s>[INST] DR. I HAVE B.P WHEN I CHECKED 140/94, SO DOCTOR ADVISED TO TAKE BISOPROLOL 2.5MG HALF TABLET A DAY. AFTER 3 DAYS WHEN TAKEN THE MEDICINE IT COMES TO NORMAL, AFTER THAT IS 140/79. FROM LAST THREE DAYS I AM WALKING AND EXERCISE ALSO. NOW THE B.P IS 118/79, CAN I STOP THE MEDICINE NOW. PLEASE ADVISE. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I read through your question and would like to tell you that it's not advisable to stop bisoprolol even though your blood pressure has become normal. If you stop it your blood pressure will shoot up again. So I would advise you to consult your physician regarding any changes or continuation of your medicine. Hope that answers your question. If you have any other questions please feel free to write. Regards,Dr. Nazma Amman </s>

<s>[INST] Hi, I am South African and my bloodsugar is very out of sorts today. It is currently 9.7. I am on Gluco Phage 2x 500mg twice daily only and not insulin dependent. Please help. Should I seek medical help or is there something I can do to lower this naturally? [/INST] Hi, dearI have gone through your question. I can understand your concern.Your sugar level is high. You should adjust the dosage of your oral anti diabetic drug. If needed add one more drug or switch to insulin according to your doctor's advice. Take low sugar diet. Avoid sweets, rice, cold drinks, ice-creams etc.Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health </s>

<s>[INST] I have had an intermittent headache on the left side for a week. I woke up this morning with a swollen left hand slight pain in my left arm. I may have slept on my left side. My blood pressure was 160/109. I have hypertension and am not on any medication. I took an aspirin. I am able to control my blood pressure with herbal medication. At what point should I consider going to an emergency room? [/INST] Hi There It's advisable that you should start on modern medicine now as your Bp is staying high. Constantly high bp can lead to stroke and debility.If your BP goes beyond 180/110 then you should go to ER.Yes hypertension can very well cause headache.I wish you good health </s>

<s>[INST] HelloMy age is 29 I'm trying to conceive but my periods r irregular I have pcos history but now it is OK my USG ,hsg test r OK follicular monitoring done for two cycle in first cycle 18 day ovulation without medicine. In next cycly 14 day ovulation with medicine.I am suffering for mild side back pain over a month and feeling muscele stretch kindly suggest me for the next so that I got positive result [/INST] Hi, Thanks for the query. As you are ovulating regularly and as all tests are noraml, once check for semen analysis of your husband to rule out the male factor. Sometimes ovulation induction can lead to hyper-stimulation. You have to rule out that and pelvic inflammatory disease as possible causes for your pain. If all are normal, you plan unprotected intercourse around the time of ovulation. This time possibly you will get positive result. For more details you can ask me through: Take care. </s>

<s>[INST] My mother has been suffering from bipolar disorder for the past 20 years. She has been under medication and till recently was fairly stable. However recently she has started behaving violently and has frequent manic episodes. She is almost 80 years old. [/INST] Dear User,Thanks for using health care magic.Generally occurrence of violent behavior is secondary to organic problems in elderly. These are the possibilities for his current problem1. Bipolar disorder2. Behavior symptoms of dementia - it is likely considering his age3. Delirium due to ongoing medication4. Delirium due to some systemic illnessHaving said this please see a geriatric psychiatrist who specializes in psychiatric problems of the elderly. There is possibility that he need medication change, dose change of current medication or need psychological intervention.I assure you that at the early stage there is good treatment options are available in all four mentioned conditions.'Hope I have answered your query. If you have any further questions I will be happy to help".Thanks </s>

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

<s>[INST] My 3 year had diarrehea on Thursday, then Friday diarrehea went away then she was throwing up, now she hadn't had a bowel movement the last 2 days I just put an enema up her butt and her bowel was grey and hard balls what could it be? She usually has a bowel movement 1-2 times a day. [/INST] Hi ,Thanks and welcome to healthcare magic.Constipation is defined as less than 4 motions per week.If the child has not passed motion for 1-2days they pass hard masses.Latulose 5 ml twice daily will regularize the bowel movement .Hope this reply is OK for you.Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam. </s>

<s>[INST] I am 25 years old girl, my height is 5.4 feet and my weight is 55 kgs. my right ovary was removed when i was 10 years of age due to some complications. my periods have never been regular but this time it has got delayed by more than three months. My left ovary is said to be bulky measuring 34*32*28* mm ( vol- 15cc) and it shows 5-6 follicles of size 4-9 MM. Endometrial stripe is shown triple line and measures 13 mm in total thickness according to the sonography report. I always had dense facial hairs as a result of all this. I want to know I'll ever convieve and is all this irregularity curable. [/INST] Hello Your symptoms and ultrasound findings may suggests polycystic ovarian disease(PCOD).PCOD has typical appearance in USG and it is indicated by increase ovarian size,hyperechoic stroma and necklace appearance of cysts arranged in periphery.PCOD should be confirmed by clinical correlation and biochemical markers like hormonal assay for PCOD.PCOD is a curable disease and mostly it is treated by medicines.Surgical intervention is required in very few cases.Hope I have answered your query.Take Care Dr.Indu Bhushan </s>

<s>[INST] hello sir,i am animesh r ,i am suffering from asthma since long ,i have been under treatment of few doctors in patna,bihar itself, i want complete cure from the desease ,because i m in pain due to rigorous coughing and breathlessness.please help me sir.................. [/INST] Dear Animesh,Asthma is caused due to broncho-constriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages.Management consists of:1. Asthalin inhaler- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, you can use it whenever you are having an acute attack.2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.3. Antihistamines like Cetrizine can also be used to provide symptomatic relief.4. Need for anti biotics can arise if there is a secondary infection. But this should be taken only under the guidance of your Physician.5. Also protect yourself from exposure to cold, dust or other allergens.Wish you a good health.Take care. </s>

<s>[INST] hi. I've fine facial hair . Do help me out pls. Kindly tell me what should i do to get rid of them my age is 21. I ve facial hair. I ve no other problem. I ve never been treated for this problem earlier. Pls help me to get out of it? [/INST] hi anie u need LASER TREATMENT if u want to remove it. but as u have fine hair ,laser have lower result . IPL give better result then diode or nd yag laser. better to consult dermatologist. if u dont want to remove by laser u can go for conventional method like wax.shave.threading etc </s>

<s>[INST] Hi Dr Bhargava,my question pertains to pathology but i cudnt find a pathologist in the change doctor list. However, it is so basic that I think I can burden you with it. Does a urine detailed report (Urine DR, as abbrevited in Pakistan and India) show sperm if passed in urine?best regardsFaridkarachi [/INST] HelloSperm leakage in urine may be due to many causes like straining in constipation,overexcited state,excessive fantasy etc.You should avoid provocative literature and videos.You should try to be calm and try to engage yourself in your job.Take lot of fibers in your diet in the form of salad,vegetables,fruits.You should take healthy and nutritious diet.Get well soon.Take CareDr.Indu Bhushan </s>

<s>[INST] I am writing this for my brother. He is 46. He had had jaundice 10 years back. His blood results (liver function test results) were okay for years now. Today morning he felt dizzy. The blood results show SGPT as 26, SGOT as 30, Biliruben total as 2.4 and direct as 1.02. He goes to the gym regularly. He used to take protein supplements. But he is not taking any supplements for the past 2 years. He is quite active. Are the present results indicative of any problem? [/INST] Hi and welcome.His SGPT and SGOT are fine but bilirubin is bit elevated and there are various causes such as hepatitis, anemia or obstructive jaundice. He should do liver ultrasound and check viral markers and then treatemnt can be planned. in some cases it is caused by certain medications but proteins should not be the cause. Wish you good health. Regards </s>

<s>[INST] I have a R supraclavicular lymph node that is palpable - about 2cm. It is movable and not hard. My blood tests came back normal (but for some anemia- level 12). The front sholder is also sore - mostly the clavical, itself. I have no fever and no enlarged lymph in my breasts or armpits. I am scheduled for ultrasound & x-ray - in a few days. What could be causing the sholder pain & enlarged lympt if I have no fever & normal blood tests? [/INST] HI, thanks for using healthcare magicLymph nodes increase in size due to any infectious or inflammatory process.Inflammation can occur from injury, infection, allergy or malignant process.The absence of fever makes infection unlikely, plus the white cell count would have been increased (if infection present) when the full blood count was done.The imaging would be able to look for any lesion that may be present.I hope this helps </s>

<s>[INST] hi i have a rash on my groin, spreading onto my testicles and penis. i feel as though i have prickles in my testicles and its extremely sore and irritating. i sometimes get heat rash as i wear 4 layers of clothing for work, but this is different and far more raised and lumpy. what could it be? [/INST] Hello. Thanks for writing to us at healthcaremagicIt is extremely difficult to be absolutely sure about it without having had the opportunity to examine.I will have to keep a few possibilities: It could either be a fungal infection or it could be intertrigo (which is inflammation of the body folds). Sweat and occlusive clothing predisposing to both of these conditions.If it is bilateral, it is more likely to be one of these.A unilateral rash such as this, goes more in favor of Herpes Zoster, specially if it is sore and painful. Herpes Zoster later on forms fluid filled lesions and is characteristically located on one side of the body.Visual inspection would be the best way to determine the true nature of the rash and I would suggest that you visit a doctor for the needful.Regards </s>

<s>[INST] gd evening dr.i'm nitu sharma my marriage was held in 25th april 2012 after 4-5 month of my marriage i'm pregnant but my badluck was that after 4-5 month of my pregnancy my doctor said to me that aboad your baby she suggested me for foetal well being,after my abortion i want to be pregnant but i failed,now i'm in delhi and i consult a doctor nearby annd she suggested me for ccq100.i take it during 14th jan to18th jan iwant to ask you that is it work or not. [/INST] Hi, Ccq is a very good drug for the growth of your eggs. It helps in increasing the size and number of eggs. It increases the chances of pregnancy. When egg size will reach 17 or 18 mm, you will get one injection for rupture and then you have to be in contact with your husband for next 2 to 3 days. You should also take progesterone after that for 2 weeks.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya </s>

<s>[INST] i had a molar pulled last year thet was an absess and very infected and painful ,i had donated blood in the same week and the next week i came down with a bad case of flu ,about 2 weeks later i developed a canker sore on my tongue it was painful and cant rememember having one there before though i have had them my entire life after eating sugary foods it went away after a couple of weeks and then i noticed i had pink bumps on back of tongue and almost corrugated on sides with a small white patch towards the back i became very worried as it lasted several weeks after i went to the doctor they gave me antibiotics that didnt help its been over 6 months and has seemed to get better but not completely plus have to have molar on otherside pulled am currently putting white oak on gums overnite . [/INST] Hi,Thanks for asking the query,Canker sores occur due to physical or chemical trauma.It could be an ulceration or a sort of infection.A thorough clinical examination and evaluation by the Dentist is required.Apply Hexigel oral ointment topically over the affected area.At home take lukewarm saline and antiseptic mouthwash rinses.Avoid eating of hot and spicy foodstuffs.Take multivitamin suplements.Hope this helps out,Regards... </s>

<s>[INST] I think I have appendicitis I get sever pain on my right lower abdomen but am so afraid of going under anascetic is there another way [/INST] Hi edward! there are many causes to right lower abdominal pain-Most common being acute appendicitis,even a ureteric stone can cause similar pain, also amebiasis,infected mesenteric adenitis also.Please get a ultrasound abdomen done to evaluate further. </s>

<s>[INST] A few days ago I found a small, hard lump behind my ear. It was painless unless I pressed on it. I guess it grew smaller, or deflated or something, because the bump isn't there anymore. However the spot where it was is numb. What is this?? When will I have feeling in that spot again? [/INST] Hi, dearI have gone through your question. I can understand your concern.You may have reactive lymphnode enlargement due to some infection. So it increase in size at time of infection and gradually subside. If it recurs then you should take a course of antibiotics. if it does not respond to treatment then biopsy diagnosis is advisable. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. </s>

<s>[INST] Had terrible stomach pains sunday night..all night..walked the fllors.Took a phenegran about 2am so I could sleep.Hurt somewhat on Monday,slept most of the day.Pain returned Monday night.Today I am sore,feels like I have done several sit ups.The pain feels like the pain I had when I had gall bladder trouble,had that removed 15yrs ago.Any ideas? [/INST] Hi ! Good morning. I am Dr Shareef answering your query.If I were your doctor, I would advise a review ultrasound of abdomen to rule out any calculus disease in rest of the biliary tract and the urinary tract, and also to know the condition of your pancreas. In addition, I would go for a CBC, blood sugar random, serum amylase, serum lipase and an LFT. The reports of these investigations along with a clinical assessment of your abdomen would help us in reaching to a nearest diagnosis.Till then I would advise you for an anti spasmodic and a proton pump inhibitor drug for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. </s>

<s>[INST] My brother has had what they classified as a minor heart attack in the past. Earlier this morning he experienced needle like sensations in his hands, along with feeling nauseous, and later tightness in his hands - what he likened to a niacin flush. He's going to try nitroglycerin tablets to see if symptoms subside. Is that the best first step? or should he get to the hospital? [/INST] Hello,The symptoms you describe could be coming from his heart. It is fine for him to try a nitro, but if symptoms do not resolve immediately he should go to emergencyRegards </s>

<s>[INST] Hi I took primulut N for a week straight to delay my period since I was travelling. When I came off my period came three days later quite heavily. After a week and a half I started spotting slightly for a couple days, now i am feeling very nauseous these days. How possible it is for me to become pregnant while taking the primulut N and still had a period? [/INST] No chance of pregnancy. These are withdrawal periods and can be irregular because you took primo luteal n . so I think you are not pregnant. </s>

<s>[INST] i have little red bumps on my lower back and sides of my ribs. They itch really badly, and im wondering if i have chicken pox. I swam in a hottub at a hotel and they just started to appear tuesday evening. They are spreading but slowly and i have had chicken pox before. In fact ive had them about 3 times. [/INST] hi.based from your description alone, it could possibly be a herpes zoster infection, with dermatomal distribution. it is best if you consult with your doctor for medical and physical evaluation, and for confirmation. other diagnostics and management will be directed accordingly.hope this helps.good day!!~dr.kaye </s>

<s>[INST] My 3 year old daughter had hard ear wax removed at the doctors office yesterday with a tool with a very skinny end and a light on it. She now has a very small amount of dried blood out of her ear canal; is that normal? The chunk on each side was big, very hard and already looked like it had puss in it and a small amount of blood, but I really can t be for sure. The doctor didn t say it looked abnormal. Thanks, Brian [/INST] Hello. I just read through your question.It is not unusual, when there was a lot of wax, go the wax to adhere very tightly to the ear canal. When removed it can cause abrasions that leave dried blood behind. As long as she is not uncomfortable, you don't have to worry. </s>

<s>[INST] Hi, I have been having extensive bouts of dry cough- particularly only in the night and in the morning after I wake up. I was advised Tab.Montek-LC 1 per day for 3 days. I took one last night. But it has compltely knocked me out!. Do I cntinue with this,Doc.? [/INST] hello, thanks for ur query, dry cough bouts commannly occurs due to allergy. in my opinion u continue with montek-la for 15days, syp.linctus codiene 2tsp at bed time for 5 days. tab.azithromycin 500mg one tab at bed time for 3 days.all d best.take care. </s>

<s>[INST] My back feels like it s tingly and asleep for a couple months now. Even before this my feet feel swollen but look fine. I just had blood tests done and haven t received the results. This feeling is annoying me and I am worried...I have a one year old baby and don t want anything to happen to me as I m 43yrs old, 5ft 7 and 153lbs. My blood pressure is normal. Thanks! [/INST] Dear friend thank you for your consultation.it seems that you are having a back pain.generally back pain is caused due to back muscle spasm.to decrease the apin you should start back muscle strengthening exercise like vertebral flexion exercise.also never lift any heavy weight or bend forward.it si good to know that your blood pressure is normal.then still if you have any disease then there is every possibility that it will be reflected in your blood report.so get the report and if you want ,you can directly send me your query .and I will be glad if I can help you in future.thank you. </s>

<s>[INST] my feet and ankles burn and sting so bad i cant wear shoes or socks, i have to keep my place a 60 and a fan on my feet 24/7 and put them in a cold tub several times a day, i canttake this i want to cut my feet off i have no life i had 2 nerve studies done and was told i have bad nerve damage can you help? i cant use lyrica etc cus it makes my legs shake and i fall [/INST] Hi, This type of nerve damage is peculiar of diabetes (uncontrolled). Firstly, you need to control your diabetes. Nerve damage that has already occurred cannot be reverted. You need to take vitamin B12 supplements to prevent further damage, along with painkillers specific for neuropathic pain which are usually not available over the counter. You need to have a detailed prescription to buy them, hence, consult a specialist doctor with details. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon </s>

<s>[INST] I have had pain in my right shoulder blade for 3 days it is a sharp pain and it is had to breath I when to the emergence hospital last Wednesday had head ache above my left eye pain in the middle of chest pressure numbness on left hand they keep me over night did a lot of test and said I did not have a heart attach ot stroke my potassium was 3 and my blood pressure was 87/53 low I have a follow up with Cardiologist not till 25th and my doctor on 21st they changed my blood pressure took out the water pill was 25mg and told me not to take BP med till my bp was 140 for a few day it has been low 90/46 the firt day home to two days ago 113/66. Haven t taken BP yet. I have swelling on my legs ankles and thights for three days today my hold body and face swelling. Should I try to get into my doctor sooner than 21st if I can. YYYY@YYYY [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I passed carefully through your question and would explain that the swelling is related to the stopping of the diuretics. For this reason, you should consult with your doctor and discuss on the possibility of starting again diuretics. Regarding the chest pain triggered by deep breathing, it seems to be musculoskeletal pain, not related to the heart. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] Hi doctor, I had excision biopsy for a lump in the left leg. The result shows the features of non-specific inflammatory lesion. What does it mean? [/INST] Hello. For further information consult an internal medicine physician online --> </s>

<s>[INST] I slipped going down stairs and fell on my back and slid down a few steps. I have pain on the right side just below rib cage and pain on my back right on my ribs. I m 38, 5 9 , 145 lbs and no other health issues. I have no trouble breathing, but it hurts when I cough, laugh or twist, bend to the side. There are no bruises, but the area is tender and hurts when I apply pressure. Other than fracturing a rib or two what other damage should I be worried about? [/INST] hieven though you might have suffered # rib or not any injury to the chest is quite painful due to rich nervous innervation, this pain hardly reduces even if you are on pain killersapplication of local pain relieving gel can be of help.if the pain is not subsiding please go for a chest x-ray,& ultrasound abdomen to rule out for the chest or any soft tissue injury( ultrasound) of the abdomen.you can follow with deep breathing exercises, it really helps in lung expansion & relief of painall the besttake care </s>

<s>[INST] Hi... I'm due for BA surgery next Friday.... I have come down with a severe chest infection. I'm on antibiotics and I feel it's clearing... I have fevers and everything really bad last Thursday and Friday, but I'm wondering if this clears before Friday would they still choose to postpone? [/INST] Thanks for your query at HCM!Yes it is likely that they may postpone the surgery for your breast augmentation.I suggest first get treated for your infection.It's good you are responding to antibiotics, so there is no need to change them.Monitor your fever constantly.You can get tested for blood culture & sensitivity(aerobic/anaerobic) if fever persists.Get you sputum tested for gram stain & culture & sensitivity(aerobic/anaerobic) if fever persists.Get your complete haemogram done with chest X-ray.Investigations will help to reach etiological diagnosis but most of such cases are due to viruses (Rhinovirus, influenza, parainfluenza, etc) which are self limiting.You will have to take antibiotics to prevent secondary infections, bronchodilators, cough suppresants, anti-inflammatory and analgaesics for which you can visit your general practitioner or a pulmonologist.1. Drink plenty of fluids.2. Get plenty of rest to help your body recover.3. If you smoke, stop.Take care! </s>

<s>[INST] Hi doctor, I missed my period for the first time in my life, and I am worried about the reason behind it. I am not sure why I have not got my periods yet. What to do now? Can you please help? [/INST] Hello. For more information consult an obstetrician and gynaecologist online --> </s>

<s>[INST] Hello, In the last year i occassionally will get like a nerve that pulls in my legs, mostly the right leg but can also happen to my left leg. It happens mostly at night but can happen even when sitting, also happened when swimming. My foot twists into a sideways position and the pain is excruciating. It usually lasts just a few minutes or can be very brief but I find i must stay still and wait for it to pass, any movement can worsen the problem. I just had blood tests done and all is normal. What can be the cause? Thank you for any help you can give me. [/INST] Hello, the symptoms you have mentioned here are because of sudden abnormal contractions of calf muscles. The causes are not very certain.. but assumed causes are muscle exhaustion.. poor hydration.. stressful day schedule etc.. there can be many more.. To avoid this.. maintain proper hydration.. 3.5 to 5 litre water per day.. do some relaxing exercises in the evening .. Take vit c reach fruits.. And if it happens again.. then don't worry flex your toes upwards with the help of your hand.. it will subside early. Hope this will help you.. </s>

<s>[INST] Hi I have been having a problem for about a wk now I have a irration/ pain under the lower part of ribs and a burning feeling in the chest and stomach .I have been eating but I am worrying and I think that as made my appetite not as good as normal.I also have a bubbling feeling up and down my chest and stomach area [/INST] Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of GERD (gastroesophageal reflux disease) is more. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of Central burning chest pain, chest tightness, gaseous feeling in stomach and bubbles in stomach. So better to follow these lifestyle modifications for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. 2. Avoid stress and tension. 3. Start proton pump inhibitors and prokinetic drugs. 4. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux disease. 5. Loose weight if you are obese. 6. Avoid smoking and alcohol if you have these habits. You will mostly improve with all these modifications. Hope I have solved your query. Wish you good health. Thanks. </s>

<s>[INST] What does a bat bite look like? I was bitten by something, while walking in my neighborhood yesterday. It was 12:00 PM. All of a sudden I felt something bite me. I looked at my arm and there were two tiny holes. My arm hurt for about 1hr. No other symptoms. No swelling redness ect. I live in Lake Jackson, Tx. Is it possible to be bitten and not know it? I did not see anything. [/INST] Hello,Yes, it is possible. Sometimes it happens a bat may bite like it, and you may not know if the bat flies right after the bite. Vampire bites do the same, but in the day time, it is less likely (not impossible though). Bats are usually nocturnal but may come out in the day for food. You need to keep the wound clean with pyridine and look for any secondary infection by bacteria.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Muhammad Hanif </s>

<s>[INST] My husband had a bump for years on his back. A few years ago there was a white spot in middle so I popped and got all this white stuff out and it really did stink. It came back and I popped some more out of it but now it is red, bloody and sore for him. What should I do and will it heal? [/INST] Hi,From history it seems that there might be having infected Sebaceous cyst producing this lump and pain.consult surgeon and get examined.If cyst is there it might require excision of cyst with complete removal of sac.Ok and take care. </s>

<s>[INST] I had a blood test review for my thyroid last week. The doctor kept looking back at my urine test RBC 8 and kept coming back and asking if I had Kidney stones . I would tell him no but he asked me as if he was expected me to change my mind and say yes. Today I m on my back because I herniated a disc which is not uncommon for me in the L4& L5 area. However this pain is different. It is in the lower thoracic area and the diaphram. Looking on the computer I see that there is a possibility that it may be the kidneys. I will have it looked at on Monday unless you think I should go right away. Thanks, Lynn -female age 55 It s not the gal bladder as I had it removed already. [/INST] Hi Welcome to HCM,. To me, the pain does not seems to arise from the kidneys. Nevertheless, any pain if severe needs to be treated urgently. If there is no severe pain and if the bladder and bowels are ok, You may wait till Monday. Best regards, DR GS </s>

<s>[INST] I just got married and I am not able to get proper erection, It was all good before and suddenly it started to give issues. I can get erection sometimes in the morning when I get up. On the bed I am not able to maintain the erection don't understand what is going on? [/INST] DearWe understand your concernsI went through your details. The given symptoms are not enough to have a proper diagnosis. Erectile dysfunction could be due to many reasons, but more prominent is psychological reasons like performance anxiety or stress. You should consult a physician to make sure you do not have physical problem like diabetis or erectile dysfunction due to hormonal imbalances. Then approach a psychologist for counseling.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] hi i have been trying for a baby for over three years. i have some signs and now i think i might be pregnant would just like advice ok so two days before my period i noticed alot of mucus white and yellow with a small bit of blood when i wiped again there was alot more with more blood in the middle i felt this was very strang because i never get mucus i also had bleeding gums once which also never happens and today i have felt alot of muscle ache in my tummy like i have done lots of sit ups which i havent. the last week i have been so tired i could sleep and sleep but wake up feeling so tired i do have an underactive thyriod gland but it is under control now so dont think its from that [/INST] Hello. Thanks for writing to us. The symptoms that you have described are likely to be due to pregnancy- possible if your periods are overdue or a generalized viral infection. Do consult your physician if the symptoms are persistent.I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. RakhiTayal drrakhitayal@gmail.com </s>

<s>[INST] Hello, I will be 6 months pregnant tomorrow and I have smoke marijuana a few times throughout my pregnancy. I am wondering if #1 this can cause harm to my babies (I m pregnant with triplets) and if this will show up in mine or my children s blood test when they are born? [/INST] Yes and no. Smoking marijuana during pregnancy has not been linked to fetal growth impairment. However, there is concern that marijuana can cause abnormal brain development and lead to impaired cognition, increased susceptibility to drug abuse, and other abnormalities. That being said, there is no no way to know for sure if your babies will be affected until they are born. I recommend that you stop smoking marijuana immediately. Marijuana stays in the bloodstream for about 30 days, so if you stay pregnant for at least another month, it should not be in your blood or your babies' blood. I also encourage you to seek counseling for this. Good luck! </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 doctor, I am 30 years old. I have completed my marriage life for three years. I have no children. I have PCOD and thyroid. I have a prolactin level of 53 ng/mL. I am taking Metformin 500 mg. I am taking Caberlin 0.25 mg weekly once. I have severe hair loss. Can I take Kalarchikai choornam along with this medication? [/INST] Hi. I can understand your concern. Nowadays, PCOD is one of the most frequent causes of infertility. But it can be managed naturally through ayurvedic medicines. Hypothyroidism also affects the period and hair fall. You should take regular medications to make it fine. You can take Kalarchikai choornam along with these medications. But have a gap of one hour between these medicines. Take Kalarchikai choornam two to three grams twice a day after meals for three months regularly. </s>

<s>[INST] My spouse and I were alternating Tylenol and Advil since our son has had a three day on going fever and we have been so tired we can t remember I the last does (5:00pm) was Tylenol or Advil and at 9:00 gave him a dose of Advil. We gave the recommended dose which is 6ml. Will he be fine? [/INST] Hi,Age and body weight of your son not mentioned. The recommended dose of Tylenol for children is 15 mg/kg every 6 hours whereas Advil's dose is 5 to 10 mg/kg orally every 6 to 8 hours as needed.I would advise you to give Tylenol because it is safe and effective in reducing fever in children however Advil may be given alternatively. Since Advil is a non-steroidal anti-inflammatory drug it may cause stomach irritation and gastritis so it should be given after meals.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician </s>

<s>[INST] Hi i am francis i am going through stage were i worry too much and i get lot of questions in my mind. i fill like some is asking questions & i fill very frustrated or sometimes i fill like some is asking questions forcebly. when i think some thing, some other thought comes. i also want to know can people know what i am thinking or my thoughts or what i am going to say. [/INST] hi dear,what ever you describe is might be due to psychosis.no one can know what we think and going to say.you feel like someone is asking to you but whether you heard clear voice or just thoughts comes in your mind?what are the other symptoms you have?consult psychiatrist for detail history and mental status examination.Thank you </s>

<s>[INST] My mother is on kidney dialysis and she also has the flu right now. She just got get flu shot last week. I took her blood pressure and it is normally a little high even with her blood pressure medicine. Tonight it was 109/48. What are the immediate risks since her diastolic is so low. [/INST] Hi,There is nothing to worry about her diastolic pressure. It is not dangerous and it will cause no harm.In her case you should pay attention on only her systolic blood pressure.Wishing a good health to your motherIn case of further questions don't hesitate to askRegards, </s>

<s>[INST] My 21 year old daughter noticed a pea size mass near her lymph nodes, by the lower jaw. We have been to the dentist, and pediatrician for blood work. onone seems to be concerned. It has been there for 3 and 1/2 months. same size as it started. YYYY@YYYY [/INST] Hi,I have gone through your query and I can understand your concerns.The symptoms you have mentioned suggest the possibility of an enlarged cervical lymph node.Most probably it will be due to inflammation in the surrounding area.Check her oral cavity for dental caries,enlarged tonsil and oral ulcers.Start her on a short course of antibiotics like ampiclox for five to seven days.Do warm saline gargles or gargling with chlorhexidine mouthwash.If the node persist despite all these consult a general practitioner and get a biopsy of the node done to rule out some other conditions like tuberculosis and lymphoma,These are rare possibilities and no need to worry that much.Hope this information helps.Regards.Dr.Shinas Hussain </s>

<s>[INST] My baby niece is now 4 weeks old. since day 10 she has been hospitalised twice. First due to rapid weight loss and poor feeding, which was attributed to a viral infection, she was discharged and 2 days later re-admitted due to poor feeding. The main problem since approx a week old seems to be that she cannot take more than 3 ounces of feed without vomiting or falling asleep. Whilst in hospital she has been fed through a tube and whilst they feed little and often this worked ok, however each time they try to up the volume and feed at longer intervals the same problem re-occurs. The doctors have checked bloods, saliva, water sample etc and have now put her back on 2 hourly tube feeds to ensure she is getting sufficient feed. My sister is convinced that there is something internal that is preventing the baby from taking more than 3 ounces, but the hospital seem reluctant to investigate. They are treating the baby for reflux and have 2 days ago changed her to a non-cows milk feed in case it is lactose intolerance, however the same problems still seem to be occurring - vomiting and sleepiness. The doctors asked if they could feed the baby for 24 hrs (bottle) so they could observe for themselves, and I assume to see if there was any issues with mums and dads techniques, but the sames problems occurred, hence she is now back on the 2 hourly tube feed. She is not putting weight on, however is not losing weight either. Any suggestions as to what could be preventing an otherwise healthy baby from properly feeding? [/INST] Hello, We need to know the birth weight in this child and the present weight, followed by the number of times the baby passes urine, stools. There might be an inborn error of metabolism which needs further investigation. Plus feeding technique needs to be assessed. Monitor the weight gain daily. And please get me back with positive weight gain. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr ASHWIN BALIGA, Pediatrician </s>

<s>[INST] hi yes i have some test comming up and wondering what the advantage would be to just skip 1st 2 and go to the last on ... I have had 5 blood tranfusions in 3 yrs been poked and probed .. now they want to do a test to see if there is blockagae drink and xray then swollow a pill cam which i understand is only 20 - 40 % accurate and if they do find a tear they still have to do surgury .. the last test is to go in for is a New thing it will do both ends to see if sm intestine ... ??? anyway I have to go to a place about 50 minles away to do this.. I say if both these first two test are inconclusive why do them ,, I don not have insurance so .. advice? [/INST] Hello. I have gone through your query and understood your concern. I think you can directly go for the last test for a diagnosis. They do step by step tests to make sure you get diagnosed in the cheapest test available as confirmation may be done at 3rd test only. But you can do final test as requested. Hope this helped you. Thanks. </s>

<s>[INST] Hi, my sister has been suffering from IVDP. She is 25 years old. she is in allopathy treatment for about a month along with the physiotherapy . she has recovered almost 70% from it, but she has to travel daily around 90 kms(in total) for her office in a traveller wagon, which is hampering her recoevry. Can i have the advice for her and the list of precautions which she can take to recover soon. Thanks [/INST] hi, initially she might have to rest for a month or so. here are a few precautions: ask her to wear a lumbar belt while travelling. avoid bending. if her job demands standing for long ask her to place one leg on a stool. chair should be ergonomically constructed to meet her spinal curves. while getting up from lying position turn on one side and get up. let me know if this was helpful. </s>

<s>[INST] Hi doctor, I pulled my tooth recently. Now, I have noticed a white patch on my gums, and the gums present on the bottom of my mouth has turned purplish. What could it be? [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Your extraction socket has not healed correctly. There can be a left root stump. It makes the healing process delayed. You must visit the dentist to resolve the problem. If you have burning pain and foul smell after the second day of an infection, then you might have a dry socket. It is treated with a dressing in the socket. The white patch is a stress-related ulcer, and it is self-limiting. It will heal on its own within four to five days. </s>

<s>[INST] Hi... m 35 weeks pregnant n my alt sgpt value is 181. One week beafore it was 54. Ten days before i was suffering with severe itching in the soles of feet n palms of hand. Frm thn there z no itching... but now the enzyme value is increasing... i just wanna ask cud i wait for ten days to deliver my baby as thn starts my 9 month n my baby will b normal to deliver on 9 month... plz suggest [/INST] Hello,I have gone through your query and understood the concern. Your symptoms and the rising enzyme levels suggest that you are experiencing obstetric cholestasis. The exact cause should be detected through proper clinical evaluation and the fetal well being should be carefully monitored because with such high levels, still birth or premature birth can occur. Fatty liver or gall stones can cause such rise. Liver function should be properly assessed through other tests as well. Ursodeoxycholic acid is used to manage. Usually, delivery is advisable at 37 weeks as soon as the baby is mature. If early intervention is planned, steroid injections should be given to enhance fetal lung maturity. Hope this helps. Wish you safe motherhood. </s>

<s>[INST] I am a very active and healthy 21 year old.I was working out yesterday. I do very explosive pushups and pullups and olympic weightlifting. I wokeup today and noticed a pea size lump by the insertion point of my inner chest on my right pectoral, it is very painful. Is it a ruptured vein possibly? Or should I go to the doctor to see if it s possibly worse? [/INST] hi,thank-you for providing the brief history of you.A thorough examination of the chest and costochondral joint is advised. An x-ray or MRI will help much to understand.It looks more of a costochindritis and needs to avoid exercises for time being which aggrevates the inflammation of the costochondral joint.Also, doing breathing in that duration of rest while placing the hand on the painful area will help strengthen the muscles. As intercostal muscles are smaller and needs a thorough understanding and proper exercise a physical therapist should help better.In my clinical practice most cases respond well to physical therapy guidance.Regards Jay Indravadan Patel </s>

<s>[INST] Hi I am 21year old, non smoker, occasional drinker. It feels like my heart is beating forcefully even at rest, tightness in the chest and i feel like burning in my chest, arms and back part of the body also i feel so tired. There is heart disease in my family . The symptoms are constant almost every day. [/INST] Hi,In your age such complaints are caused by either anxiety, or non regular lifestyle or spine problems.I would advise you to have regular sleep, regular rest, eat healthy food, avoid soda and caffeine, eat much fresh fruits and vegetables. Drink much water, but don't drink water or any other liquids with meal. Be much in fresh air. Do sports, you can go for swimming. If you follow all these advices, you will see a gradual improvement.Take care </s>

<s>[INST] Hi. A couple years ago I started noticing a weird symptom in my erections. They began to be less rigid and even the shaft was getting hard the glans did not. I m 29 now. No other major health issues. Cholesterol bit high. Would my age be young to have a venous leakage? [/INST] Hi.I had gone through your query.If you have no health issue then it might be result of psychological stress or psychological erectile dysfunction.Before that is go for penile Doppler to know blood flow and chance of erection with medications etc.If all come normal then need to adress psychological factor.1st is life stylestress and busy life style make u fatigue and secondry to this it makes less desire in sex and erectile problems2nd 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 helpPsychological soundness is must and sun set focus method for erection is very useful . New launched product name tetrafol plus which contain phosphodiaesterase and vitamins which help in erection ,results are coming good with daily intake up to 2 months.Consult psychiatrist or urologist for better assistance.Thank you. </s>

<s>[INST] Hie my question for my 1month old baby.she got tendecy of like trembling,shaking,straigtening her arms and cries until she wakes up.she cant sleep for more than 5 minutes without that thing happening to her.to me she acts like someone who had nitemare or bad dreams.it hapens for some few senconds then she will cry [/INST] trembling shaking could be jitteriness and if you can stop it by voluntarily arresting them by placing your hand on it, there is noting to worry about and its common in this age group. If it continues despite your attempt to stop then you may have to see the doctor. </s>

<s>[INST] Hi... I m 20 and divorce i got light bleeding in my periods date (21/3 ) and yet now i m getting light bleed i checked my pregnancy on (24/3) with kit but its negative ... Is there is still chances to get pregnant? Plzz hlp me to abort if it have chances i dont wanna take risk for my chid with my divorce hsbnd [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.I don't think you are pregnant because of negative pregnancy test and also light bleeding that is the begging of cycle. Hope I have answered the question. Let me know if I can assist you further. </s>

<s>[INST] My 5 year old daughter is having cold, cough and fever sicne 2 days. I gave her Calpol syrup the fever subsides and agins starts in the evening. She also have lot of chills. She has running nose, sneezing and slight cough. Is she havinf flu, what to do for the symptoms to come down? [/INST] A sudden onset high fever, not responding to paracetamol (Calpol) accompanied by body-ache and weakness can be a sign of flu. You can do tepid sponging of her whole body with lukewarm water using a wet towel (taking care not to expose her to cold) if her fever is very high tonight. In view of the fever with chills, I would advise blood tests to rule out Malaria and Dengue Fever. A low WBC count will be more in favour of flu. A high WBC count will mean bacterial or viral infection. A low platelet count can be due to Dengue. Other common causes of fever with chills are Urinary Tract Infections, Typhoid and viral infections (flu or regular, common viral infections). You may start a broad spectrum antibiotic and an anti-allergic under the supervision of your daughter's pediatrician, before the blood tests results. A cough mixture may also be added. Supervised steam inhalation will be beneficial. Nasal decongestants will help if her nose is severely blocked. In a 5 year old, you should also rule out Adenoid Hypertrophy and Chronic Tonsillitis if these attacks are occurring repeatedly. </s>

<s>[INST] Hello im from the philippines and i have a 4yr old daughter wha has a urine infection and a tonsilitis she was given a co-amoxiclav 228 by her pedia but every time she puts anything in her stomach she started vomiting the liquid or food never stays ni her stomach and even the antibiotic she vomits it also. This morning i tried giving her a vial of erceflora directly im kinda nervous about the effect. Can u please give me some insights about taking erceflora directly without mixing it in milk or juice? Thanks a lot... [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Erceflora can be given directly by mouth , but not usually prescribed for urine tract infection or tonsillitus, if vomiting persist she needs a visit to doctor, kindly use a motility enhancing drug or antiemetic as per prescription by your country physicians. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] Hi doctor, My 4 year old daughter hit her head against a wall and was not speaking properly for half an hour. She is not sitting properly. She is feeling drowsy. We took her to a doctor, who said she is in a shock and there is no need to worry. Then, she had milk, talked for a while, and we observed some normal behavior. And then, she slept. Is there anything to worry? [/INST] Hi. For further information consult a paediatrician online --> </s>

<s>[INST] hi, my partner has slipped disc and compressd on to his right leg nurve,he had an epudural injection into his spine on monday, but there is no different in his pain it looks like he is finding it difficult to walk now becuse of pain on his back, should we be worried and how long will it take to feel better [/INST] HiWelcome to healhcaremagic After going through your query I concluded that your husband is suffering from acute disc prolapse, for which epidural was applied.But he is still not having relief. He may get relief in pain gradually. Rest is essential part of treatment. He should rest in lateral position. Treatment may be long, sometimes years. You can discuss with your treating Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us . I will be happy to help you.You can also write to me directly on below link: you good health.Take care. </s>

<s>[INST] Hi Doctor, I would like to know if there any side effects in using skin lite cream Liva and also cetn I get rid of pimples and marks from my skin Along with this Im using AHA glow and sotret 20 and few antibotics to get rid of my acnes.Please assist.I [/INST] HiBurning or stinging sensation at application site, Itchy and dry skinSwelling of skin at the application site,Headache,Painful white patches in the mouth,Change in color and texture of the skin,Red spots on skin are the side effects of the cream. Sotret 20 can cause Dry lips and mouth, minor swelling of the eyelids or lips, crusty skin.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician </s>

<s>[INST] Hi, DOC, I have cough with Phlegm and difficulty to breath specially at night, i took so many sirop for cough but doesn t work, i think i need strong medicine like antibiotics but i don t like it because some of them i took before give me skin allergy , please can you suggest any antibiotic without this side effect?? Thank you [/INST] Hi, Welcome to HCM You are having cough with sputum more so in night ,there is possibility that you have chest infection along with bronchospasm and inflammatory reaction ( Bronchitis). I suggest you to visit a Physician who will examine you and this is very easy to diagnose and if required Blood count and X ray chest and Lung function test may be performed. Then proper treatment of antibiotic,bronchodialators, steroids oral if required may be prescribed to you and you will improve in few days. If Asthmatic reaction is there inhalation therapy is of great help. You can always say which antibiotic you have allergy as there are many other group from which safe antibiotic may be given. It would be unethical to advise drugs here without examining the patient personally. Please visit a Physician you will be taken care. Good Luck </s>

<s>[INST] Hello Doctor, I m feeling slight pressure in my chest , breathing is fine but not as effortless as before, also i felt little pain in the chest last night & couldn t sleep with chest pressing against bed. Also i feel intense pressure in lungs or heart when i ejaculate & this is where i first noticed this problem. My ECG report is fine, currently i m on Dompian 10mg & Veloz 20 but don t feel much improvement. Kindly pls help me diagnose. Thanks [/INST] DearWe understand your concernsI went through your description. I suggest you not to worry much. From the description, I can conclude that you are having anxiety problems. The pressure around chest area could be due to so many factors, but most likely it is due to gastric derangement. As you were already worried about your sexual ability it concerted as anxiety. Your ECG is clear confirming this. Your doctor has given you anxiety drugs. Exercise hard, work hard and forget about past and future, avoid apprehensions and anxiety.You might need psychotherapy and other cognitive behavioral therapies. I can help you through telephone. Please do contact me through customer care of www.healthcaremagic.com for a telephonic consultation session. Hope this answers your query. Available for further clarifications.Good luck. Merry Christmas. </s>

<s>[INST] Hi Doc, my Mom was diagnosed with Klebsiella pneumonia. She is a 73 year old lady, and we are really worried about this, she seems to have major anxiety issues, to a point where where we think she may be considering doing something harmful to herself. Is it possible that this infection can be causing these symptoms? [/INST] !I have read the query and it say that the patients had developed anxiety issues after having an attack of klebsiella pneumonia.I want to tell you that it is a common finding that even an otherwise normal person can develop anxiety / depression after an attack of flu/ viral/ pneumonia. I have seen it many times in my clinical practice. However, the way you have written in the question ( that she might harm herself), I would definitely like to confirm the diagnosis - I suspect that the patients may be having psychosis and not just anxiety. it is commonly seen that -at this old age, after a bout of serious illness, the patient develops psychosis more commonly compared to anxiety. However, this cannot be confirmed - if it is a anxiety or psychosis, without a detailed mentioning of symptoms.So, you should meet a psychiatrist in person and discuss her symptoms, only then exact medicine can be started.I can assure you that with right medicine, even a very old patient gets well safely. So, please donot worry.## it will help to get her serum electrolytes and kidney function test done before going for any medicine at her age.###Hope there reply is usefulFeel free to ask more questionsDr. Manisha GopalMD Psychiatry </s>

<s>[INST] Hi doctor, The patient is a 50 year old woman with a history of polio in childhood and complains of paresthesia since a year. It started suddenly from the toes on both sides and it progressed to upper back (T4) in 20 days. She was hospitalized with post-polio syndrome and treated with IV Ig. She complained of bilateral tinnitus and seeing some flash of light in central vision after IV Ig therapy. She had paresthesia of fingers and both hands after two months. She was hospitalized again and treated. She lost left leg movement during hospitalization, which progressed to hemiplegia. She denies any trauma, fever or incontinence. Her medication includes Gabapentin, Vitamin D and B1, Duloxetine and Chlordiazepoxide. Past medical history includes polio and migraine. Family history includes father with Alzheimer's, mother with HTN and heart failure. She is married, monogamous with husband and adopted one child. On physical examination, pupil was normal and no nystagmus. Laboratory tests showed CBC and differential nil, ESR 40, CRP 25. Also, I have attached her MRI report. [/INST] Hi. For further information consult a neurologist online --> </s>

<s>[INST] i was 5 days late on to my period after having unprotected sex, i took a pregnancy test at a clinic and the results shown a faint posotive so i was advised to come back in a week and take another test. yesterday i started spotting but not a lot so i took a home pregnancy test and it was negative, but today my period is very heavy and painful with clots, which is not normal for me could this be a misscarriage or just a bad period? [/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] Please do not panic.2] weak positive test with delay in periods can be very early pregnancy which may not be viable.2] that can be a reason to get negative test and vaginal bleeding later on.3] I will suggest to get USG done to look for normalcy of uterine cavity.This will also rule out any remnants of miscarriage , if at all it has occurred.4] I will suggest Cap DOXYCYCLINE 100mg twice a day for 5 days.5] Negative test and vaginal bleeding mostly rules out miscarriage.I hope my answer helps you.Thanks.Wish you great health. </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] Good day Can you please advice if any of the following medication can effect the working of Petogen 150MG: Humulin 30/70 – 28 - 16 Salmon oil Omega 3-6-9 Dolomite Auro-citalopram 2 x 20mg Simvotin 2 x 20mg Adco-antenolol 50mg Prexuim Trusting that you can please help with some advice Thanking you and wishing you a wonderful day [/INST] Hi,Petogen is used for contraception. It helps to prevent development and release of egg from the ovaries during menstrual cycle thus prevents pregnancy. No, Omega 3 fatty acids or other vitamin supplements do not have any interactions with Petogen 150 mg injection. You can continue to take both the drugs.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician </s>

<s>[INST] I am on klonipin 3-4 times a day and it has a reverse reaction..it makes me a little hyper and not myself. It does not really calm me down. Do you have any suggestions I have only been on the drug for about three weeks. Thanks you.,Laurie from upstate NY. [/INST] HiThanks for using healthcare magicKlonipin never cause mood swing. May be due to underline depression, you have this mood swing. For that, you need antidepressant. You should consult a psychiatrist for further evaluation. It would also help you to control the dose of klonipin.Thanks </s>

<s>[INST] My LFT has shown big levels I've just returned from the US where I picked up,an upper respitory infection. I have priced up a virus which has left me quite ill, is severe sour nauseous in the stomach part of liver disease, if so how can it be treated? [/INST] Hi.Thanks for posting query at HCM.Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further.Alcohol ingestion and obesity are common causes of fatty liver disease.However, viral causes should be ruled out.advice :- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound.any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik </s>

<s>[INST] hello dr,i have done color doppler scanning the report says that the are no evidence of the presence of varicocele,but a neurologist says that the scanning report itself is wrong as i have pain in right scortum often,is there any other disease other than varicocele or if you can suggest me have any other scanning and my age is 50yrs i had the same problem in my 20th and 30th year also [/INST] Hello!Thank you for the query.Yes, there are few more issues which can give pain in the scrotum apart from varicocele. It may be epidydymis or testis inflammation, inguinal hernia (can be invisible if the ultrasound were done on the lying position) or even urinary tract infection/stones. Too tight underwear can compress the nerve in groin area and give numbness and pain in the scrotum.I suggest you to start your diagnostics from urine analysis and urologist consultation. Antibiotic might be beneficial at your case.Hope this will help.Regards. </s>

<s>[INST] When I get really angry the muscle across my shoulders (Trapezius) gets really tight, then on my skull on the left back side tingles & is kind of numb. Face & neck get REALLY red. When I start calming down my head still tingles but then the back right side by my muscle & arms & both little fingers & ring fingers are numb. [/INST] Thanks for your query, I have gone through your query.The redness over the face when you get angry is because of the hormonal variation during anxiety or stress which results in altered blood flow to the head and neck region. But the numbness in the fingers is not normal. So consult a general physician and get it evaluated. You need to get blood sugar level checked to rule out diabetic neuropathies.I hope I have answered your query, take care. </s>

<s>[INST] Hi doctor, Whenever I yawn sometimes it feels like I pulled something, and on my bottom jaw I push on it and something goes up. [/INST] Hi. Your upper and lower jaw are connected with a joint called temperomandibular joint. Similarly we have elbow joint and knee joint. The lower jaw is movable only because of this joint. So whenever you yawn, sounds like that joint is rubbing high and that is why you feel that something is going up. You might be able to hear a clicking noise as well if I am not wrong. If you are feeling sore at your joint every time after yawning, please visit a GP and he or she might give you a script for this like a muscle relaxant. </s>

<s>[INST] Yes, my 15 year old daughter is complaining that her heart is hurting. It started yesterday and she even had trouble falling asleep last night because of it. Today she told me she thinks she needs to go to a doctor. Which she hates doing. What could it be? What should I do? She does not want to go to ER right now [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I need to know more about the symptoms, like precipitating factors, factors that increases pain etc. It can be a gastritis and reflux disease. Does she upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis. And she ll antacids like ranitidine. Secondly does this pain increases on applying pressure over the area, if yes it could be costochondritis and it's a musculoskeletal type of pain and needs prolonged NSaid therapy. Does this pain increases on deep breathing and coughing etc. if yes it a pain arising from lining of lungs, usually due to viral infection and needs NSaids treatment and evaluation. This may be associated with upper respiratory tract infection. Hope I have answered your query. Let me know if I can assist you further. </s>