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<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Sneezing in the morning, blocked nose due to dust, cold weather. Treatment for allergies? Patient:I used to have sneezing problem in the morning time. I have recently shifted from to and now the problem become more complicated and I get sneezing problem and Blocked nose problem almost all the time. I usually get more sneezing problem immediately because of dust or very cold . Now I am unable to focus 100% on my work and other things because of continues problem. Can you please suggest how to get rid of it? [/INST] Doctor:Hello dear... The symptoms suggest that you might be having Allergic rhinitis. Management include: 1. Antihistamine preparations like Fexofenadine to provide symptomatic relief. 2. Nasal decongestants to relieve blocked nose 3. Montelukast preparations as a maintenance therapy to relieve symptoms of seasonal allergies. Also make sure that you are well protected from cold, dust & other allergens. Wishing you a good health. Thanks & take care. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes rash on cheeks and arms after taking Amoxicilin and Tylenol? Patient:My son is 4 years old and had his tonsils and adenoids removed yesterday. He was prescribed amoxicilin, tylenol with codiene, and prednosolne. This afternoon I noticed he is developing a rash on his cheeks and arms and I m wondering if this could be a reaction to one of the meds. [/INST] Doctor:Hi,Thanks and welcome to healthcare magic.Amoxycillin an antibiotic may cause rash sometimes as a side reaction.Usually it disappears once the drug is stopped.Prednisolone also clears the rash.Hope this reply is OK for you.Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest a remedy for skin rash Patient:my mother keep getting rash on her skin everywhere legs arms and so itch. she went to alot of doctors and did blood test and other kind of tests some doctors told her maybe some food does that to her but she stopped eating all the food doctors askd her to stop but still nothing .can you please advice me or help me about that ? [/INST] Doctor:HIThank for asking to HCMI really appreciate your concern, looking to the given history here I could say that this could be idiopathic condition means no specific cause of this rash is there, but this can be easily treated and in my opinion this is can be treated with Tab Hydroxyzine 10 mg three time in day, hope this information helps you, have a nice day. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes lower abdominal burning pain? Patient:I have had lower abdominal burning ache right in the center for three days with fatigue.. last night and only this am there were bouts of sweating. It appeared at first when I had gas and passed it I felt better but it does not go away-- moving bowels did not help.. there is not pain or burning on urination and no fever. today the vaginal area seems to be heated but not burning and no discharge.. and I just generally feel lousy. I should mention radical hysterectomy 29 years ago.. I am 57 yrs old female [/INST] Doctor:All your symptoms are suggestive of :Intestinal infection and possibly not related to the previous surgery.A course of an antibiotic and supportive treatment should help you completely . </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Is pregnancy a possibility when periods is late despite experiencing only outercourse? Patient:Hai ...tis s Mathan from tamilnadu ..I am 23 ...me and my girlfriend not done intercourse ..but that time.. periods near time ...periods not came ....only touching of men s reproductive and women s reproductive..is there Any possibility to get pregnant..please help us ... [/INST] Doctor:Hi, By touching private parts, she won't be pregnant. Ask her to get a gynecologist check up to find out the cause of delay especially hormones. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. B. Radhakrishnan. Nair, OBGYN </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Got second IVF transfer done. Got terrible abdominal pain, vomitting, pink and brown discharge. Good symptom? Patient:HI, I am 40 years old, I got my second IVF transfer on 6/10/2013, on day 5, my HCG was 13 and at night I got a terrible lower abdominal pain, and vomited a lot, when I went to the restroom I notice a pink spot when I wipe, them turn brown and I noticed all the time, yesterday stop and today get back again but this time is dark pink, I called my Dr. and he told me to continue with the same medication, I just wander is there is a good or bad symptom, tomorrow is my next blood work, There is something else that I can do? [/INST] Doctor:Hi,Thank you for choosing Healthcaremagic. Its difficult to predict the outcome of this time IVF, you can just wait as advised by your doctor. Kindly dont get tensed, just leave it to GOD. Meanwhile you can continue taking natural progesterone injection or tablets/ HCG and pray for almighty. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it.Thank you,Wish you good health.Regards,Dr ArifYou can consult me again directly through my profile </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: 27 weeks pregnant, low hemoglobin levels. On prenatal, iron supplements, side effects of vomiting. Ways to increase iron in blood? Patient:I am 27 weeks pregnant now. My hemoglobin level is 7.8. Prenatal and iron supplements make me to vomit and I tried a lot to take them. But no use, still I vomit. I want to increase my iron without pills and am not interested in blood transfusion . Please suggest something else to increase it faster. Am taking spinach , dates, raisins, and green vegetables. [/INST] Doctor:Hi Swathi.sakthisivam. Thanks for your question. That is really a problem for lot of ladies.You are suffering from anemia in pregnancy as your HB level below 9.In pregnancy anemia is due to reduced iron storage so iron supplementation is the only treatment but a majority of the patient 20-30% have oral iron intolerance due to gastric irritation.Next the best option is blood transfusion which can increases the HB level very fast but you also try to avoid but anyway you have to increases the HB as if anemia persist there is a lot of complication in baby and mother. So the next choice for you to either take iron syrup as it causes less gastric irritation and the next option is to TAKE INJECTABLE IRON PREPARATION CALLED IRON SORBITOL CITRIC ACID COMPLEX AS DEEP INTRAMUSCULAR INJECTION but take the injection from expert hand as it should be given by Z technique otherwise chance of iron staining and abscess formation can take place. Consult your obstetrician in this regard. Best wishes, Dr Sourav Ganguly </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What does a lump in the lower abdomen on the left side indicate? Patient:Two years ago I had an ablation for atrial fibrillation. The operation was successful but I was left with a lump in my left(lower)abdomen that caused extremely painful attacks that lasted between 1 and 2 hrs. and continued for a year and a half about every 10 days. That petered out eventually and I no longer have painful attacks but still have the lump that sometimes becomes sensitive. I was prescribed hyoscyamine for the pain but never took them. I m still having bowel problems. [/INST] Doctor:Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* There are so many different reasons which can present as lump in the lower left abdomen as - hernia - lipoma - sebaceous cyst - others .* Needs clinical examination and ultrasound evaluation of the same for the final diagnosis and deciding the line of action for further management .Hope this clears your doubt .Wishing you fine recovery .Welcome for any further assistance .Regards dear take care . </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Milk and dust allergy, asthalin inhaler prescribed ,chronic cough Patient:Hi, my daughter is 19 months old and she has got allergy from milk n dust.she use to suffer from cough every 15-20 days...i m very much disturbed from her this frequent cough....today my pediat. Suggested me asthalin inhaler for her...i m lil bit hasitating abt it and i just wanted tp know how long her frequent cough problem will continue..... N ya is this problem is common among children?thnx in advance [/INST] Doctor:Allergy is common inchildren especially allergy to milk.They will outgrow it by 5 yrs mostly. For the cough, i would suggest budecort 50 via spacer to control the lung inflammation. Asthalin inhalers should not be used for more than 3 days during an acute periods. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes extreme stress and fatigue while on Zeptol? Patient:My husband has been prescribed with zeptol cr 200 twice a day by a psychiatrist an year back which he is consuming daily. Can you tell me , what can be the disease like.. sometimes he says he has extreme stress, sometimes says he has fragile ego, sometimes says he has personality B type .. i never get to confirm exactly what problem does he have. Since 3 months he has also left home behaving extremly aggressive most of the time.I want to know .. what could be the probable purpose of his treatment. [/INST] Doctor:Hi and thanks for questions.Zeptol is mainly a mood stabilizer with antiepileptic. your husband have any mood symptoms like aggression, high talk, talkativeness, excessive expenditure, or cluster b symptoms in which feeling lonliness, black and white phenomenon, small aggresive episode, in all these symptoms we prescribed zeptol. in starting due to drug some anxiety symptoms occur with giddiness. if it persist for long time than consult a psychiatrist.thansk </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What is the treatment for knee pain? Patient:Hi I feal and I way about 275 and right after I could not bend my right knee it swelled up and doct said nothing broken but its been sense last wed and still can t bend it I can put straight but not bend a lot of pain over knee cap help me pleas thanks jennie [/INST] Doctor:Hello,Since your doctor said that there is not a fracture, I assume that they did x-ray of your knee. Your complains look like you have some meniscus injury or cartilage damage. Both of these problems cannot be seen on x-ray but only in MRI. So, I advise you to get an MRI of the knee and see an orthopedic surgeon.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Edvin Selmani </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Is Nutrolin prescribed for treating loose motions in a 6-month-old an antibiotic? Patient:Hi, My baby is 6 months and 3 days old. He is passing loose motion around 6 times since yesterday evening. His doctor prescribed Nutrolin 5 ml twice a day and to continue only breastfeeding. Is Nutrolin an antibiotic? And I feel that breastmilk is not sufficient at this point of time as he feels hunger frequently and chews his fingers out of hunger. Please suggest any additional food to introduce him at this stage. Thanks, Yyyy [/INST] Doctor:Hi, Nurtrolin is not an antibiotic. It is a probiotic, please. You are right - breastfeeding is the best. At this age, you can start giving Cerelac stage one rice or Nestum rice stage 1 etc. All are same in calories and energy. Only thing is palatability which is subjective for each kid. Other home-made food options will be - 1. Daal and rice well cooked and made into a porridge along with ghee 2. Boiled apple or banana and mashed into a paste. 3. Any made cereal porridge preparation with additional ghee added. Remember certain principles like - 1. Add one food material/cereal or fruit per week. This will be useful because if he develops vomiting or diarrhoea, we will know what to avoid. 2. Add vegetables and fruits made into a paste surely to avoid constipation. 3. Do not add too much sugar as it may cause diarrhoea. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. I have light bleeding about 4-5 days after the unprotected sex. What could it be? Patient:Hello doctor, I was not supposed to start my period for about two more weeks but, for the past three or four days I have been having a very light bleeding (sometimes dark red and sometimes light red) that seems to be a period. I had unprotected sex on the 19th but, I am on birth control. It is not like my normal period and not as light as I would think spotting would be. It started about four to five days after the unprotected sex. Is there any explanation for this or is it just the birth control messing with my system? [/INST] Doctor:Hi. This is what is typically called breakthrough bleeding (BTB). This is seen in cases of usage of birth control pills with high estrogen content of 30 micrograms of estradiol. The event is not related to unprotected sex as you had intercourse in your safe period, as you said you have two more weeks for periods. So, this bleeding started at the time of ovulation when estrogen is in excess and progesterone is limited. The thickened proliferative endometrium (uterine lining) starts breaking and causes spotting till the progesterone part of the pills become active and secretory phase ensues. My advice would be to be placed on low dose oral contraceptive pills for birth control rather than high dose pills. Then this breakthrough bleeding which is a common side effect of high dose pills can be avoided. Revert back to a gynaecologist online if there is persistent bleeding --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Mild pain both sides of abdomen, fever at night, light brown urine. Taking advil. Any ideas? Patient:I have really mild pain on both sides of my belly, I have fever for 5 days everyday after 4pm. in the mid night the fever will up to 104 F, normally goes away in the daytime. I have been taking Advil 200mg when I was very cold and shaking. My urine's color is very very very light brown. But I have no problem and no pain to go to the restroom. Could you tell me what do you think? Thanks for your help. [/INST] Doctor:Hello, Thanks for the query to H.C.M. Forum. Fever 104 F , from last 4 day and urine brown color may be due to ketone body in the urine. Usually due to breakdown of R B Cs there develops rise in bilirubin level and this raised level of bilirubin develops brown color in urine. 2nd reason may be due to some infection in kidney as there is fever also. Get in blood for bilirubin level ( direct & indirect ), serum creatinine level for kidney, Urine complete examination is very important . Consult a physician and get his opinion. Good luck. Dr. HET </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Does crying heavily cause chest pain? Patient:After a night of crying heavily for approximately 2 hours, I am having minor sharp chest pains that feel as if they are being brought on by breathing. I know when dealing with chest pains it is important to see a doctor, but is it likely / possible that this pain is going to only be temporary and was brought on by heavy crying / breathing last night? [/INST] Doctor:Hi,I can understand your concern regarding your chest pain. You had been crying for a few hours which implies that you have been under stress. Stress and anxiety are very common causes for chest pain. So, it is quite possible that your chest pain might be due to that.However, it is also important to rule out ant underlying organic cause for the same. If your chest pain is specifically on the left side of chest, you ought to be more cautious. In any case, getting an ECG done would be advisable.I hope I was able to answer your query. Best wishes,Dr. Sunil Gupta </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for elevated levels of triglycerides in blood Patient:i hav high tryglycerides in my blood..is it herediterary ? both my parents hav high tryglycerides. i hav levels of 450 which is very high risk m on a wt loss means gettting fitter program becoz i m obese along side it what sort of medicines or drugs should i take to lower it . plz help.age 23 yrs wt 90 kgs ht 5 foot 8 inch. no other problems father is heart patient had angioplasty done last yr though he is fit wt ht wise perfect bmi [/INST] Doctor:Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Yes, 450 is very high risk and should be reduced.2. There are hereditary disorders with elevated levels of triglycerides. However, at present you are having obesity related hypertriglyceridemia. Its not genetic. Evaluation for metabolic syndrome may be necessary.3. Need atleast 20 kg weight reduction. Regular aerobic exercises is also necessary. At this level, if you are not able to reduce, you can go for LDL apheresis for immediate reduction and future maintenance. Medications like fibrates and statins could help, however, at these levels LDL apheresis is necessary.Hope it helps.Any further queries, happy to help again. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes cramps and lower back pain after IUI and Susten? Patient:I had iui done on 28th Oct (clomid & hcg shot) and was asked to take susten post that. Took hpt on 37 th day and got faint positive. Having cramps and lower back pain same as when having period. Is this a sign of an impending period or early signs of pregnancy. When can I repeat the test. Thank you. [/INST] Doctor:HiThanks for your question. I can understand your concern. If you have tested for pregnancy via urine pregnancy test and faintly positive then you may repeat it after three days. It is advisable to do blood test for pregnancy ie beta Highway test for confirmation. Early pregnancy symptoms are usually overlapped with pre menstrual symptoms. So symptoms you mentioned could be due to pregnancy. Hope this helps you. Regards. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What does stage three kidney disease indicate? Patient:I was given medrol back in sept. Didnt realize it was given but never took it later a couple months later i was hospitalized having a stone working its way out , because of that hospitalization i found out i have kidney disease stage 3 moderate what does this all mean [/INST] Doctor:Hello, It is divided in to stages by glomerular filtration rate. means how much ml of blood passes in each minute through kidney. Normal gfr is 125 ml/min. But in stage 3 it may 35-45ml/min. Means kidney function is reduced. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Penchila Prasad Kandikattu </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes shortness of breath? Patient:I need help identifying what is wrong with me. I ve been having trouble breathing and I can t or I have extreme trouble catching my breath. I become breathless just sitting on the couch! I get a stuffy nose and I cough constantly which makes it even harder for me to breathe. I feel contractions in the left side of my collarbone/chest area when I breathe. I have trouble sleeping and when I do fall asleep, I ve been told by my family that I seem to struggle greatly and wheeze when I breathe, making it so I m only able to get shallow breaths. They have to wake me up and move me so I can actually BREATHE. I ve been wheezing when I breathe and debate to actually call 911 or move me. That s how bad it is. Please, help. [/INST] Doctor:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Wheezing, chest contraction, shortness of breath etc are commonly seen with Asthma and bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose disease but it will also tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). In severe cases oral steroids (prednisone) is also given. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What is the cause of a bump at the back of head? Patient:I have a bump on the back of my head since July 13 sore to touch. I just let it go its bigger in October very sore csnt use headrest in car or lay on back unless i like pain. If i touch it and push on it it will be more pain full for about 5 hours. I push on it seems hard but around edge is soft and when pushing on edge it feels like i push on nerve as my face and neck tingles and that area at bump feels like burning hot [/INST] Doctor:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It may be a sebaceous abscess or cyst. It could also be a neuroma, especially if there is no drainage or bleeding and it just hurts a lot. If there are any other questions, you can upload a photograph for me to see. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Is pregnancy is possible after tubal ligation? Patient:hi i had a tubal 10 years ago but for the last 2 months my period has only lasted 2 days each time ive been feeling tired little sick and put a little weight on in my belly is it possible to be pregnant after the tubal as they were not burned or tied they were just clamped [/INST] Doctor:Hi dear and thank for your query.Chance to conceive after tubal ligation are very very low but there are.But if you have periods and only have lasted for 2 days is not a sign a pregnancy.Extension for short dateless may be a hormonal imbalance .But if you feel anxious and you feel like you are pregnant ,take a pregnancy test at home.All the best </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes painful lump under neck along with pain in left arm? Patient:Yes, thank you. I have a large mass under my neck. I had an ultrasound and was told that the lump had some connection to internal organs and I was sent to undergo an MRi (i was unable to undergo the MRIs due to sever claustrophobia) I had a biopsy a year ago and was told the lump was benign. I had a lot of pain in my neck at that time. I was told it was not connected to the lump/mass. Since that time I have begun to have a great deal of pain in the lump and my left arm and stomach which all seem to be connected. do you have any thoughts on this matter you would share or advice for me? [/INST] Doctor:Hi, dearI have gone through your question. I can understand your concern. You may have enlarged lymphnode, salivary gland pathology or some soft tissue tumor. If MRI is not possible thengo for ultrasound study. It will give you exact location and spread. Go for fine needle aspiration cytology or biopsy again. If lump is benign and surgery is possible then go for surgery to remove the lump. Your pain may be due to neursl entrapment or some other cause.Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes traces of blood in the urine and pain during coughing after a fall? Patient:Went over top of handle bars on mountain bike and climbing bar jabbed into my right kidney. Cat scan showed nothing, small traces of blood in my urine. Extreme pain when coughing/sneezing. My abdomen is also extended. Is it a bruised kidney or could it be something else? [/INST] Doctor:Hi,Thanks for writing in.There is a possibility of grade I kidney trauma and that might be reason for small traces of blood in your urine. The pain during coughing and sneezing is probably associated with soft tissue injury to the abdominal wall muscles not related to kidney injury.Since you have grade I kidney injury due to blunt trauma, the treatment is conservative and will improve with rest and medications. If CT scan has been done then any other serious condition is ruled out. Since the injury is recent, healing will take time and it is suggested that you do not stress yourself physically and take rest from mountain biking and other physical activities for about 15 days. You might get repeat blood test done to know if there is microscopic bleeding in the urinary tract. If present then a discussion with your urologist is required. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: When can i discontinue Levipil 500mg after a brain surgery for removal of blood? Patient:Sir, I had a brain operation for removal of blood after an injury nearly two months ago. I am asked to take Levipil 500mg. Should I continue and why ? Under what conditions can I stop ? I am quite back to my normalcy now. Lakshya Medhi, YYYY@YYYY , Assam. India [/INST] Doctor:Hello,Post brain surgery patients on anti epileptic medication has to be continued for 6-12 months. If there's is no seizure activity in this period the dose may reduced to half then with in few months it is discontinued. Yet, it is to be under your doctor advice only.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Every time I eat spicy food, I poop blood. Why? Patient: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] Doctor: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]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes delayed periods and negative pregnancy test? Patient:i am two months late and have taken loads of packet pregnancy tests from the local chemist but they have all been negative i have four children already and feel pregnant what do i do am i pregnant or could i be going threw the change i,m thirty years old [/INST] Doctor:Hello dear,I understand your concern.In my opinion there are various causes for delayed period other than pregnancy like stress,thyroid abnormalities,PCOD,overweight or obesity etc.As it is 2 months delayed and pregnancy test is negative the pregnancy is unlikely.Kindly check for the above said causes.Avoid stress if any.I suggest you to consult doctor formedicines for withdrawal bleeding or period.Best regards... </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for avoidant personality disorder Patient:Hi, my name is Ansar, I am from Pakistan, I have avoidant personality disorder, I am taking, Revalp, Depin, nimopro, notens and redeem medicine for almost 8 months, I am feeling better and my confidence level is also better, I would like to know that how long it will take time to become a normal happy and full confident person, I am professional photographer and wants to be normal in people crowd. I get nervous and feel eyes on me in crowd. [/INST] Doctor:Hi Ansar,I suppose the diagnosis of avoidant personality has been made by a psychiatrist. Your symptoms have been improving for last 8 months. I will recommend you to take them until you feel the improvement line is on the raise. Once you feel there is no further improvement or feeling completely OK, maintain it at the same dose for 4-6 more months. Then start gradually decreasing the does by 5mg every fortnightly. If you doesn't feel that you are again getting the symptoms back then you can safely stop the medicines.I would recommend you to go for cognitive behaviour therapy sessions, it will help you to learn skills so that the improvement persists even after you stop taking medicines </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Can paranoid personality disorder be associated with lax ligaments? Patient:how the hell is paranoid personality disorder or almost any other mental health disorder associated with lax ligaments and hypermobile joints? (you need to update your site s search results). Also, aside from Marfan syndrome and Ehlers-Danlos syndrome, are there any other genetic conditions where the main symptom is joint laxity to where turning an ankle 90 degrees the wrong way doesn t result in a sprain. [/INST] Doctor: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.No such relationship exists..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]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for stiffness and pain in arm, neck and legs Patient:I have a dull aching feeling in my right side, arm, leg, shoulder andneck. I m also starting to get the same feeling in my left arm. It s very painful in the mornings and I m very stiff. Also very stiff when I ve been sitting down for a long period of time. At times I get a tinglling feelings in my right hand (fingers) and my arms sometimes feels dead like I ve been laying on it. It also feels quite tight. I would also say at times I get a shooting pain feeling. Can you help? [/INST] Doctor:Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to rheumatoid arthritis.I suggest to do a rheumatoid factor level and ERS level. Meanwhile,I suggest using anti inflammatory medications such as Ibuprofen to relieve the symptoms. I also suggest using cold compresses for local application. If the symptoms continue, I suggest to consult a rheumatologist. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What precautions can I take in 2nd pregnancy post d and c due to no appreciation of heart beat ? Patient:Heart beat not yet appreciated for my child in my first pregnancy and after DC we are trying for pregnancy for a year with No successAfter D C periods are delayed and its 47 th day with negative pregnancy testCan u suggest what can we do now Heart beat not yet appreciated for my child in my first pregnancy and after D&C we are trying for pregnancy for a year with No success.After D&C periods are getting delayed and its 47th day with negative pregnancy test. Can u suggest what can we do now? [/INST] Doctor:Hi, After D&C abortion it's common to get irregular periods for a couple of following months.Iif tthe irregularity persists even after that -you should get your sonography( ovulation study) done .Sometimes ovulation induction is needed after sonography with gynac consultation. thanks </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What might cause shooting pain along with cramps in the legs and lower back/hip? Patient:I have been experiencing pain, cramping and shooting pains in my legs and lower back/hip pain also. I have been off my Lovastatin for 2 weeks and slowly seems to be getting better. Should I stay off it longer or am I barking up the wrong tree on this? Thanks.....Pat B. [/INST] Doctor:Hello, As a first line management you can take analgesics like paracetamol or Aceclofenac for pain relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Wishing all the best. Thanks. Regards, Dr. Shinas Hussain General & Family Physician </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Prescribed Udiliv for hepatomegaly with fatty infiltration. Am I going to have liver cirrhosis? Patient:Hi, I have been diagnosed with hepatomegaly with fatty infiltration in USG. Other GI structures are normal. My LFT reveals SGPT & SGOT is more than 100 I have a history of hepatitis A twice in child hood , paratyphiod in adolescence . I did all Hepatitis A,B,C tests -all negative My doctor advised udiliv tablet 150 twice a day, for one month . How can I go ahead with further investigations to know if I am going to have a liver cirrhoisis in future and shall i continue my treatment ? [/INST] Doctor:I think you should continue to have same treatment and for cirrrhosis concern you should get ultrasound done every 6 months as follow up hope this helps Dr.Virk </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes painful knees, arms and wrists during pregnancy? Patient:My great grandaughter is pregnant and is experiencing excessive pain in her arms, wrists, legs and knees - she has received no assistance having gone to our Er two times and a couple of doctors. As she and her family are very concerned so I am requesting your knowledge regarding this problem. With thanks in advance. Eleanor Reese [/INST] Doctor:Hi dear!She should see her doctor to see her vit D and calcium blood levels .If they will be low than she should take supplements .If they will be normal than there are other many reasons .Until she will do these blood levels she should eat calcium rich foods and she should take sun rays .Regards </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Is dizziness an indicative of low BP? Patient:Recently had a dizziness and lightheadedness experience after standing, then standing after sitting. I am taking Flomax, and Lipitor for cholesterol control. My systolic is in the 140 s and my diastolic ranges from 84 to 67 when lying down. Is this problem related to low or high blood pressure and should I ask my doctor about discontinuing Flomax or adding a high blood pressure med? I am confused here. [/INST] Doctor:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 mmhg, then you should be on medicines for it. The likely cause for this is, flomax. It can cause postural hypotension and your symptoms. So you have plenty of water and avoid dehydration. Also, avoid sudden change in postures and prolonged standing. If symptoms are troublesome then ask for change of flomax. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What is the remedy for the fluid from the anus when on homeopathy treatment and antacid? Patient:I have acute acidity problem for last two three years, previously I also suffering from acidity but not so acute. I have also suffering from insomonia but not regularly, some type of fluid is comming out from anus for last two years. Somewhat it has been control by the Homeopathy treatment.Kindly advise me what should I do? I have to take antacid tablet off and on to reduce the burning sensation in the chest. Regards, Debasis Sarkar Burdwan West bengal India [/INST] Doctor:**1. since type of fluid is not mentioned [mucous/purulent/watery/fatty] thus it is recommended to go for an expert opinion with a General Surgeon to rule out any Rectal Pathology [irrespective of cause and outcome]2. Reduce anxiety,eliminate sugar from diet,no caffeine, plenty [2 litres or more] water per day, fiber rich diet,Increased fibre rich diet, probiotics [medicine and yogurt].3. regarding your Acidity problem:i. Avoid food which take more time to digest or irritate stomach mucosa like: cabbage/ sprouts, onions, asparagus, pears, apples, peaches,chewing gum,milk products,fruit juice,vinegar,alcohol, caffeine,greasy-spicy-refined foods,Avoid oily food, aerated drinks, and over eating, instead take regular moderate meals.Avoid swallowing of air i.e. sipping tea, chewing gum, aerated drinks.ii. Eat slowly, avoid haste, chew properly.iii. Avoid onions, peas, beans.iv. Close the mouth while belchingv.. Abdominal exercises to improve the tone of abdominal muscles: straight leg raising, sit ups, walking, joggingvi..eating a little less than demanded by appetite is important. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Can masturbation affect the complete blood result? Patient:Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? [/INST] Doctor:Hi. For further information consult a family physician online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest remedy for a small lump appearing on the neck Patient:Hi I have noticed a small lump on the left hand side of my neck just above the shoulder. I have had a virus also I have Lupus and under active thyroid. Just wanted ti know if the lump may be something to worry about or should I have it checked out? Thanks Denise [/INST] Doctor:Hi, dearI have gone through your question. I can understand your concern. You may have enlarged cervical lymphnode. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for a large painful lump on the chest Patient:hi a large lump in my chest appeared a couple of weeks ago which has since calmed down, i can still see it slightly but more worryingly i can feel what i can only describe as a long thin lump running from near my belly button to just under my right nipple this sweels up then goes back down and can be very uncomfortable, i am working offshore untill monday and will make an appointment for tuesday, any advice please [/INST] Doctor:Hi,Dear,Thanks for the query to HCM Virtual Clinic.From the facts given the lump on your chest to belly button seems to be related to your mammary line.So needs to be checked from your ER Surgeon. USG would fix the cause of it.Till then don't worry.IF its sore and uncomfortable,take pain killers from your Er primary doctor.Hope this would resolve your query.Welcome for any further query in this regard to HCM.Write good review and hit thanks if this reply is helpful to you.Have a Good Day.Dr.Savaskar M.N.Senior Surgical Consultant.M.S.Genl-CVTS </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Would dermatologists be comfortable checking the penile area? Patient:Hello doctor, I am feeling itching in the penile area and anal area from almost two to three months. I am taking antibiotic Taxim-O 200. It works for a few days and some pus cells are found in the urine test. But after some days, again there is intense itching in the penile area and there is also ear itching. I am already taking L Montus medicine from seven years. Now, I want a diagnosis of the cause of this. I think it is due to lower immunity but which tests would confirm the cause? I have done HSV recently and it gave a negative result. Symptoms become worse after ejaculation in nightfall. I have never had sex. Find attached the images of the affected area. [/INST] Doctor:Hello. Itching in the penile area and around the anus could very commonly be a symptom of fungal infection. These are the moist areas of the body and tend to catch fungus quickly. Do you notice any rashes or round patches or whitish discoloration at these places? Are you diabetic? With regards to immunity, you could go for a complete blood picture and ESR (erythrocyte sedimentation rate). Preventive measures: For more information consult a dermatologist online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Please help me with my itchy scalp. Patient:Hi doctor, I have itchy scalp and have started losing hair. Can I get help on this? [/INST] Doctor:Hi. You have probably seborrheic capitis (an eczema). I suggest Ketoconazole shampoo on alternate day. Keep in contact with scalp for 7 to 10 minutes in each application and continue it for three to six months. Consult your specialist doctor, discuss with him or her and take the treatment with consent. For further information consult a dermatologist online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Is the delay in the treatment of malignant tumor acceptable? Patient:My friend is in Bosnia-Herzegovina and scheduled to return to the U. S. in mid-July. He was diagnosed there with a malignant tumor (2.5cm and about a year old) in his upper colon. His concern is waiting until mid-July to return for a doctor in the U. S. is too long to wait (as a general rule). The BiH doctor felt there was no problem with the time frame, but my friend is unsure. Thank you for whatever light you may be able to generalize about. He is 65-yoa and normal wt. Never had any surgery or serious illness. [/INST] Doctor:Hi,Thanks for writing in.It is important for your friend to have a complete imaging follow up at Bosnia and make sure about the stage of disease. He must get a biopsy done to confirm the diagnosis. Following that if he is having stage I disease then he can be allowed to wait for about a couple of months. If he has disease stage II, III or IV then he must return back to his US doctor immediately and treatment started at once. Any cancer patient appears normal in the initial phase of cancer. Then once treatment starts, the general health goes down within weeks. This happens to almost every cancer patient and having normal general health is not a reason to delay treatment is he is in later stage of the disease. Please do not worry. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Freckles on skin, considerable improvement with Melacare cream. Will long term use cause side effects? Patient:i m 29 year old i have frecles since 4 yrs and i had use many creams but nothing happened just little bit frecles r there,now m using from one month MELACARE CREAM,and it works frecless r less now ,i just want to know that is it true there is sideeffect after using this cream ,if yes kindly give me other solution for freckles. [/INST] Doctor:you can use it but best way is to stop all milk and diary products no coconut.walnut,groundut,mustard soyabean oil use olive for cooking amla for local application soap nikko shampoo nizral no application of milk and nut containing creamsand ointments apply histocalamine in morning 3 months after all your problem is solved </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What are the harmful effects of eating Naproxen pills? Patient:My 10 month old, 26 pound son just got a hold of two 500 mg Naproxen pills. They must've been knocked off the top of the entertainment center. He sucked on them but I was quick to grab them out of his mouth. What should I do? He seems ok for the moment but it just happened [/INST] Doctor:Hi, I had gone through your question and understand your concerns.Naproxen is a NSAID medicine, used for relief of pain , in high doses it may cause gastritis, and effect on liver and kidney . But if he had sucked on them only , I mean if pills are intact you need not concern, as most pills are coated and absorption with just sucking is unlikely . So if pills are intact you need not do anything , take care in future .Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.•     DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that online users seek the advice of a physician who can perform an in-person physical examination </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes a feverish feeling and muscle pain? Patient:Searching for diagnosis, symptoms, feverishlethargic feeling, deep muscle pain, spongy lumps were pain is felt.asoapy whitishfilm escaping skin when showering (not using soap) and oily ringlets too. Numbish tingling feeling allover.cloudy mind and brainfog [/INST] Doctor:Thanks for posting you query to health care magic.feature are suggestive of some kind of weakness due to deficiency of vitamin and mineral . you should first investigate for 1. blood examination : Complete blood count 2. stool microscopy for parasitic examination ,it will suggest us further treatment plan .hope you are satisfied with my answer . feel free to communicate if any query .regards,Dr.Manish PurohitInfectious disease specialist </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Can presence of PCOS cause problem in getting pregnant? Patient:hi doctor ,i am 24 year old from south kerela now in dubai with my husband. over the past 7years I am suffering from pco diseases. is there any difficulty to getting pergnant for me. iam not using any medicine for this till now. doctor can u help me? what should i do? [/INST] Doctor:HiYes, PCOD cause problem in getting pregnant. It causes hormonal imbalance, ovarian dysfunction, menstrual irregularity, weight gain and insulin resistance. I would suggest to consult a gynecologist and undergo reproductive hormone analysis, USG scan and ovarian follicle study for better management.You should take following treatment:- Progesterone pill in second half of period: to correct hormonal imbalance and regularize period- Metformin: it decrease insulin resistance and induce ovulation. Clomiphene citrate and ova care will help you to maintain fertility. HCG and FSH shot can be used if above not responds. Avoid stress, take healthy diet, avoid excessive sweet in diet. Do regular exercise and reduce 10-12% body weight if you are obese.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What are microfibroids ? Patient:what is the meaning of microfibrods of average size of 22x18mm. irregular endometrial plates,no pouch of douglas, no ovarian cyst . what is the meaning of microfibrods of average size of 22x18mm. irregular endometrial plate,no ovarian cyst.the pouch of douglas is empty [/INST] Doctor:hi if you have infection then there is fluid in pouch of dougluse or it may be before your mences.consult your gynac doc. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What can cause pain from the left arm to the collarbone? Patient:I have pain in my left arm sometimes the fingers too but it radiates from elbow to collar bone and my bottom jaw what could be causing this . Oh and it doesnt ease up its the same pain all the time . [/INST] Doctor:Hi, Upon reviewing the history provided by you, it seems to be some cervical disc problem like cervical spondylosis. However, I need to know more clinical details. Do you have chest pain? What about cough, breathlessness? Have you sustained any previous injury to the neck or shoulder or do you have sweating when you have left arm pain? I would also like to know about any medical conditions that you are diagnosed with like diabetes, cholesterol or high BP. I would also like to know your personal habits like smoking or drinking which can be very helpful to come to a clinical conclusion. I would recommend you to get an X-ray of the cervical spine and ECG, preferably stress ECG. If u have not yet got your metabolic profile done, I would recommend you get one done. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for tongue ulcer from biopsy Patient:Dear Dr.Samuel My nephew had an operation because of cancer of tongue . After the operation he had a biopsy of his tongue and now there are a deep ulcer in his tongue that i think it is because of bad biopsy . Would you please tell me how he can treat it . Thanks a lot . Nooshin [/INST] Doctor:Thanks for your question on HCM. Try to follow these things for better healing. 1. Avoid hot and spicy food.2. Avoid herd to chew food.3. Drink plenty of fluids and eat soft diet.4. Start multivitamin containing zinc and folic acid. Both these are useful in better healing of ulcer.5. Apply lignocaine gel to the ulcer base. So than pain can be reduced. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for persistent back ache Patient:what can cause your back to hurt around the rib cage toward the spine sometimes it hurts to take a deep breath. Its not low toward the waist like a normal sprained muscle. The odd thing is it started 2 days ago and me and my brother both have this pain starting the same day, he lives with me [/INST] Doctor:Hello, As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persists better to consult an orthopedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suffering from sweat problem from butt Patient:i am 23 years old single person.i am very slim and weight is 53 kg . i am suffering from sweat problem from butt. when i sit on anything for sometime my underwear get wet and my pent also get wet. please tell me how can i get relief from this problem and what should i eat as home remedies to overcome this problem. [/INST] Doctor:Dear kanu Welcome to healthcare magic forum The excessive sweat on single part is sometimes experienced by some person. This can be improved with proper homeopathy treatment you can contact for any inquiry at multicare.homeo@yahoo.com Take care N.B. hope this time it will not be deleted. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Flu and body pain with stomach ache. Ritalin LA. Suggestion Patient:My doctor told me to stop taking my Ritlian LA what can I expect in my body from stopping after 2 years taking ritlianMy last 4 pills I took every other day to help. But now I am having feelings in my body that are like having the flu and body ache every, My stomach is queasy and this is day two from not being on the medication. Lori [/INST] Doctor:Hello,RITALIN LA is a amphetamine like stimulant used in ADHD and narcolepsy but the government classifies the psychoactive drug with cocaine and morphine because it is highly addictive and withdrawing it cold turkey can result in withdrawl symptoms like tiredness,flu symptoms,severe depression and sometimes with suicidal tendencies,extreme hunger etc.You must withdraw it very slowly like reducing your dose by 1/8 or 1/10 every four weeks so that your body adapts to low dosage gradually.Although it would take few months but you won't find difficulty in withdrawing it.I hope it helpsThanks </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Is it common for a child to do something that it is advised to avoid ? Patient:My 4 year old.. sweet child and usually responsible with behavior but often goes back to do the same thing that I just talked to her about not doing. Example this afternoon she was told not to go in nana s room and get on the exercise equipment.... 2 hours later ... she s in nana s room just getting ready to get on the equipment. I am keeping an eye on her tightly feeling that this is what she is about to do and caught her of course before she had opportunity... but what can I do to sway her away from this type of behavior ..she gets in trouble for something and and hour or two later does the exact thing that she already got in trouble for earlier. I feel that the communication is clear... we talk about why she is in trouble and she exceeds her years in intelligence she reasons as if she is 6 instead of 4 Is cautious in many ways.. and seems to listen when grandparents talk or correct her with no problem and they are so very patient with her. I am patient too and loving and kind parent.. just can t get past this stretching her limits especially when I am trying to correct her when things are dangerous for her. [/INST] Doctor:Dear Mother thank you for asking for help.According to description the child seems to be absolutely normal.At 4 she is curious and inquisitive about everything. Do not expect her to be extremely obedient and follow all the instructions to the core. You are doing it right by explaining her the dangers and for her own good and also keeping an eye. But that is not the concept at this age. You can ask grand parents too to keep an eye.Instead of not letting her touch something let her do it in front of you. If gym equipment are like cycle or treadmill let her use it in front of you. You can buy an appropriate cycle for her. This will curb her curiosity for the thing. Take her for playing this will utilize her energies.Distract her by showing something, giving her age appropriate tasks.After becoming a parent we need to be way more patient than we think is enough.Keep an eye on her and enjoy her pranks. She will grow out of it before you know. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for herpes simplex virus infection Patient:In the middle of 2010 I got HSV-1 on my genitals from my bf going down on me. I think like two days later i realized because we were about to have sex but when he went to go in it hurt me a little and then i had to stop because it hurt. Moving on i went to the dr. Asap n they gave me medication and it healed fine and i haven t had an outbreak since. But my problem is i have no sex drive at all. We went from having sex at least once a day to maybe twice a year now. I feel like im not a woman anymore. Is this something mental? [/INST] Doctor:Hello,Welcome to www.healthcaremagic.com!I really appreciate your concern. From your description of the situation I suspect you are having fear or phobia of intercourse. I understand that in 2010 you suffered a lot. But that thing happens rarely. So don't feel that you will have herpes every time you have sexual intercourse with your partner. Transmission of STI is simply prevented by use of condom during intercourse. Avoid having unprotected intercourse with multiple partner. Sexual intercourse is itself an exercise beneficial to your body. So there is nothing wrong in it. Enjoy your sexual life without any fear. Hope my answer has solved your query. Take Care.Thank you. Best Regards.Dr. Manan </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What does this semen analysis report indicate? Patient:hello doctor well I have been trying to conceive for sometime now but when we visited a doctor my husband was found to have liquefaction time of one hour and 30min could this be normal or the cause of us not conceiving if so what can we do to rectify the problem [/INST] Doctor:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This is just a single parameter in whole semen analysis and it is very difficult to decide any thing on this single parameter. I would like to view the complete semen analysis report before making any decision. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Stomach ache after eating, knot below rib cage, urinary tract infection, gallbladder test to be done. What is the knot in stomach? Patient:i have pains all over stomach. i have pain on upper right stomach after eating and in morning when i wake up.i also have a knot below right rib cage,about couple inches beside belly button i went to doctor i have urinary tract infecton and got to get gallbladder test soon my question is why or what the knot on stomach is [/INST] Doctor:Dear Friend.Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.Usually a lump in right upper abdomen can be due to:1. Gall bladder stone or mass2. liver enlargement.You should get :1. Ultrasound abdomen2. Liver function test.This is my best for you based on available details.If you have any further query, please ask me. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Is cyclopam recommended for frequent vomiting and stomach pain? Patient:My wife suffered frequent violent vomiting attacks for the last 3 hours and has now severe stomach pains. On telephone advice from a doctor, Cyclopam has been recommended and delivered to the hotel where we are staying. What dosage do you recommend ? Female of 70 years of age and visiting India from U.K. [/INST] Doctor:Hi and welcome to HCM.Tab cyclopam helps in relieving stomach pain and also fever. Your doctor has prescribed right medications and cyclopam can be taken twice daily morning and night. For vomiting she can take Tab emeset 4mg 1-0-1 before food only for 1 0r 2 days and please consult a local doctor to diagnose the condition. Also better to take Cap 20mg 1-0-0 before breakfast for 5 days.Hope i answered your query RegardsDr Santosh </s>

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

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: How to treat stage 4 left sided ventricle failure with history of heart attack? Patient:My mother is currently in a UK hospital with Stage 4 left sided ventricle failure, two nights ago she suffered a mild heart attack (she had a major one about 12 years ago and a kidney removed through cancer about 7 years ago), Mum is very ill and I am concerned about the prognosis and quality of life is she recovers? [/INST] Doctor:Hi, Advanced heart failure has a very poor prognosis and the quality of life of such patients is not good.For advanced heart failure with recurrent admissions for the same, we generally advise for a heart transplant. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameer Maheshwari, Cardiologist </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Is it possible that I have got pregnant? Patient:Hello dr actually i did not get my period last month and i had pregnency test its negative an i consult my dr..dr also do once pregnency test its too negative den my dr give gynaset tablets for 6days but i used that tablets only two days......could i get pregnency now??pls help me [/INST] Doctor:Hello dearI understand your concernsNo chance of pregnancy as urine pregnancy test was negative.Your delayed period could be due to hormonal imbalance, excessive stress, change in life style, thyroid dysfunction.Reproductive and thyroid hormone analysis will help in diagnosis.Continue to take gynset tablet according to doctor advise.It will help to induce period in hormonal imbalance.Period will come with in 7 days after stopping pill.Meanwhile avoid stress, take healthy diet, drink plenty of water, do regular exerciseBest regardsDr. Sagar </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes patches on tongue? Patient:My tongue is very weird, I woke up this morning and noticed that my tongue had this patch at the left rear, the patch has not got the pale pinkish tongue body colour like the rest of my tongue but has a brighter pink and very big taste buds I m quite worried because it feels uncomfortable and I have an odd taste in my mouth I m not sure if its just paranoia. I brushed my teeth and tongue (with my toothbrush) and that didnt solve the problem. [/INST] Doctor:Hello,Thanks for consulting HCM, Read your query patches on tongue can be geographic tongue , median rhomboid glossitis , or depapillation of papillae these patches are seen in some patients with nutitional deficiency , vitamin B 12 deficiency also . Dont be worried so much I will advise you to take nutitional diet , vitamin B supplements and consult oral surgeon for oral examination of tongue to rule out the cause .Hope this will help you. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Completed three cycles of chemotherapy for mediastinal seminoma. Kindly advice. Patient:Hello doctor, Can you interpret this for me? Recently diagnosed with mediastinal seminoma and completed 3 BEP chemotherapy before five months. [/INST] Doctor:Hello. There are some lymph node-like structures in the chest area which take up radiotracer, and it will help to study the complete series of images of your scan. A diagnosis of cancer always requires a biopsy. No treatment of cancer is justified without biopsy confirmation. Many conditions, including disease and infections and inflammations will take up the radiotracer as visualized in your scan. Even in cancer, the lymph node decrease in number and size is not predictable. If your recent CT scan shows persisting lymph nodes, then another biopsy might help. Please get a second reading of the biopsy slide done if needed. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest remedy for swelling in tongue Patient:I had a Dentist appointment and i had a tooth filling this was around 12pm and its 4:04pm now... so i got anestithia (however you spell that) on my right side of my mouth and my jaw was hurting really bad and it still is... but... about one hour ago i took a nap and i think that i bit my tounge (which has anesthisia) and its really swollen and im having this sharp pain whenever i swallow in the right side of my throat... please help me. im scared that when i bit my tounge i did something to myself and its gonna stay swollen :/ [/INST] Doctor:Hello,Please do not worry. Biting your tongue or lip is always a risk until the anesthesia wears off. Don't eat or have any extreme temperature liquids until you have a normal sensation and control. Take some antiinflammitory medication and rinse with warm salt water. Call your dentist and make the office aware of your amount of discomfort. Have your dentist take a look if anything worsens or you do not feel better with the antiinflammitory medication such as Tylenol or Motrin. Just make sure that you do not think there is any allergic reaction that may be occurring. Benedryl is recommended and immediate attention required if you have difficulty breathing.There is an injection that can reverse the local anesthesia affects. Ask if your dental office offers this in the future.I hope you will feel better quickly. Thank you for your inquiry. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Will increase in ovary size along with high TSH and glucose level affect chances of conceiving? Patient:I am 39 yrs age,pure veg female just got married few days ago,Infact i have not tried to concieve yet and i have carried out all the pre concieving test and follicular studies also.My report is TSH 6.67,sugar after 2hrs of glucose is 169,AMH is 1.1 and on 12th day of cycle follicular size is 7mm and 8mm in left and right ovary and shows 1mm increse in size after 4 days.Is this normal or any serious problem is there,kindly let me know the possibility of concieving normally.Thanks a lot [/INST] Doctor:HIThank for asking to HCMI think that you became over conceouse for conception no need to perform any test for to know the status of conception and compatibility this is kind of ridiculous type of thinking, pregnancy is completely physiological and more to say is natural phenomenon, I have seen many cases during my practice that even after every test are unremarkable and most favorable for conception still they do not have any issue (conception) what this proves,, without giving any chance to nature you are looking for favor, stop all this and try for what nature has created human being, hope you can understand wish you good luck for happy married life. </s>

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

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Rash, spreading throughout body. Boyfriend having itchy rash. Any ideas? Patient:I have a rash that's appered from nowhere it started on my neck back and chest and is spreading over my body its tiny red marks that are itchy I've stripped the colour of my hair and bleached it and dyed it twice in the space of a week but the odd thing is my boyfreind is also starting to show a red itchy rash on his stomache can you plz tell me what this is [/INST] Doctor:Hi,It seems that you may be having viral exanthem most probably.The rash is itchy and your friend is also developing.It is caused by virus.It may be fifth disease..also called erythema infectiosum.It is caused by parvovirus B 19.It self limiting.And requires no treatment.Symptomatic treatment may be taken.If there is itching, anti histaminics may be taken.So, you do not worry.You may be alright in few weeks.I hope you got my answer.Thanks.Dr. Ilyas Patel MD </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Can contraceptive intake cause severe abdominal pain prior to periods? Patient:Iam 23 yes old married ,I had sex 15 days before and after sex my husband gave me unwanted 72 pill ...on the next day morning I had a little pain in my abdominal. Tomorrow my period is about to come....I had severe pain last night for one hour....is it normal? [/INST] Doctor:Hello,It is not normal to experience severe abdominal pain, whatever the cause may be. I cannot for sure correlate your pain with an impending period.The use of an emergency contraceptive pill creates hormone imbalance, hence there can be a delay in the next natural period. Pain can be due to a possible cyst in the ovary, pelvic congestion, or an undetected pregnancy.I would ask you to have a proper evaluation if you miss your period by a week. Prefer regular contraception in future.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shanti Vennam </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: How to control high blood pressure? Patient:Hi, I am 31 years old, yesterday I took my blood pressure and the reading was 147/93. I have previously had high blood pressure but am not on any medication. How dangerous is a reading that high, and what are simple ways to help control high blood pressure. [/INST] Doctor:Hi ThereAfter going through your query I understand your concern.I would like to tell you that high blood pressure in young age should be managed with lifestyle modification initially that includes -low dietary salt intake- stop junk food- stop smoking/alcohol ( if you do )- brisk walk of 40 min daily - decrease your weight if you are obese Make these changes in your routine for 3 month period. If even after this you BP stays more than 140/90 then you will require medicine to control your blood pressure.Hopefully this has answered your query.Kind Regards Dr Navneet Mahajan </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What is the cause of abdominal pain? Patient:Thank you for your time Dr..I have been having a dull persistent pain in my lower left abdoman for about two weeks. It is just above my hip and around to my back and above my groin area. lacking in energy and feeling tired even after a good night sleep. however the pain did keep me restless last evening [/INST] Doctor:hello and thank you for asking HCM,I understand your concern and I studied your case. You didn't mentioned your age and gender so I will have to be very general. In both genders above 50 years diverticulitis can manifest with this symptoms. It could also be somethink connected with your spine or hip, so your musculosceletal system. So i suggest you to visit your GP who will do a better examination that will take him in the right direction with further tests.I hope this answer was helpful to you. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes pain in the lower back? Patient:I have this sudden pain in my lower back from past 3 weeks.Not severe though but can't do work at a stretch or smoothly. I have to lie down in between for relaxing my back. I carefully also do gymming, no heavy weights though..4months down the line I will be joining my training for the army. A sense of worry does persist..Thank You [/INST] Doctor:Hello,I had gone through the case and found that it might be either muscle spasm or slip disc. So do not ignore. Go for MRI of back to rule out the slip disc or anything else.Meanwhile take mild painkiller and avoid exercise for some time.After the MRI go for physiotherapy.Hope my answer will be effective for you.Thanks </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes chest pain while taking deep breath? Patient:Hi doctor, i have a specific chest pain that only happens when i breathe in. It seems to be on the left side of my chest in a specific spot i can point to. The pain doesn t seem to radiate to the shoulder or arm, although i feel a bit of back pain very occasionally. It hurts mostly when i breathe in deep and it s sharp and aching. Also when my posture is bad. I have constant anxiety over heart attacks (i have a history of generalized anxiety and hypochondria) even though the only real factor i have for a heart attack is being overweight. I m fairly young - only 21 years old - but still worried. Is this something i should see someone about? [/INST] Doctor:thanks for your questionI completely understand your questionin young age Chest pain can be due to - pleural causes like effusion , which can be catchy and sharp- gastritis- lung ailments- rarely cardiacyou should visit a Pulmonologist who can evaluate the cause of Chet pain by requesting a chest X-ray an ecg and an endoscopy if required this ll lead to a cause in my opinion and in my patients I usually follow the same and start them on proton pump inhibitors and an analgesic to relieve the symptomsthanksfeel free to ask more questions </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Why do I have swollen tonsils with stomach pains, back pain and shoulder pain? Patient:Hi, I have stomach pains, bowel pains and grumbling, cramping in the bowl, difficultly passing movements and back pain and shoulder pain. Feeling queezy. Bowel and stomach pretty painful and also have nasty back of the head headache. Been going on for 2.5 daysAlso have swollen tonsils but think this may be unrelated. [/INST] Doctor:Hi,You are likely to be suffering a viral illness which is causing spasm of your bowels and generalized muscle aches. It is common to also get a headache. I suggest you drink plenty of water and take paracetamol.Regards,Dr K A Pottinger </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes low alkaline phosphatase level in blood? Patient:my husband had colon resection 10 years ago due to tumor. lately having abdominal pain, vomiting, non alcohol drinker. lab test show alkaline phosphatase is low at 49. mch is a tad high at 31.7. glucose high as well. should we be terribly concerned regarding the alkaline phosphatase low level? if so, what concerns? [/INST] Doctor:Hi. Do not worry for the decreased alkaline phosphatase levels. Decreased are not associated with disease. He should be treated for high glucose. For complaints of vomiting, you should contact your family doctor. As he had history of cancer, he should be regularly under follow up of his treating doctor. Take care </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Can a doctor suggest treatment on the analysis of semen report ? Patient:What is the Treatment in the analysis of following report semen analysis report Quantity: 2.0ml color: Greyish White Transperancy: Opaque Viscosity: Viscous pH: 7.5 Fructose: Positive Sperm Count: 33 Mill/Ml Live Count: 08 Mill/Ml Sperm Per Ejaculation: 66 Mil Percentage Motile Sperm: 25% Rapid Linear Progression: 00% Slow/non Line Progression: 30% non Progressive: 70% normal form: 30% Small Oval: 25% Tapering: 15% Amorphous: 30% WBC S: 01 RBC S: 00 [/INST] Doctor:Hi, Thanks for your query. I have read your query & I understand your concerns. 1) You have low live sperm count in your report. It is called oligospermia. This is a condition where there are no sperms in the semen. 2) You have to do following blood tests : FSH, LH, TESTESTERONE, PROLACTIN AND TSH. These hormonal evaluations give me an idea about the reason for not producing sperms. 3) Please get "doppler Ultrasound" of scrotum which helps in knowing size and volume of testis as well as varicocele ( dilated Venous collection around testis). 4) If possible please get your testis examined by an infertility specialist to check size and any defects. 5) Any treatment to improve the sperm counts can only be suggested after checking above parameters I told. please get back to me with reports. I hope I answered your query. I will be available for any followup queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest remedy for irregularity of teeth Patient:Hello sir, Me aged 27,female, I have no equal teeth so I cud not smile good n comfortable, once I have done cavity removal n cement filling, can u please suggest me what cud I do, actually during school days I got double tooth and front one had fallen and back teeth has moved forward its not clearly settled to other tooth equal, so find uneasy to smile, so my question is, Is teeth removal is necessary [/INST] Doctor:Hi..Can understand your concern..As per your complain you have MALALIGNED TEETH and you do not need to get it removed because as per your explanation your milk tooth which was over retained in the front region where you had double teeth has already fallen and the tooth that is remaining is a permanent tooth and it can be very well re-aligned by Orthodontic treatment by using braces..I would suggest you to consult an ORTHODONTIST and get evaluated and treatment will be accomplished either using removable or fixed orthodontic appliance and the tooth will be aligned..Hope this information helps..If you find the answer helpful please write a positive review and click on found this answer helpful as a token of appreciation..Thanks and regards..Dr.Honey Nandwani Arora.. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What are the symptoms of potential pregnancy? Patient:Me and my girlfriend had unprotected sex, but I pulled out way before I ejaculated, after a while and a blow job that got off all traces of semen, we had sex again, but now my girlfriend is a week and 2 days late, is it likely she is pregnant? She has been under a lot of stres and is ill as well, so we thought it could be that as well. [/INST] Doctor:Go for upt test and if positive then it means she is pregnant and if negative wait for 1 week and then repeat the test. If positive consult your doctor. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes red lumps on tongue, bad taste with soreness in mouth? Patient:Hi,My four year old son had some clear bumps on his tongue last night. He complained of a bad taste and that his mouth was sore and painful while eating. He woke up a numer of yimes furig the night complaining of the taste. The small lumps seemed to be better today but the symptoms persisted. He seems fine while walking around, but in pain when eating or drinking. The lumps are now small red dots, not much larger than pin pricks. [/INST] Doctor:hellowelcome to HCMi have gone through your query. See if lumps are small dots almost similar to pin pricks then nothing to worried. Sometime to gastric upset or allergy to something it happens.you can just give him vitamin syrup, but if the pin points dots last for many days then visit your dentist.wish your child a healthy life.thank you </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Sneezing, dry cough. Why troubled by blisters? Why trouble swallowing? Patient:Hi , I had a little sneezing and cough mostly dry cough . Cold is gone automatically but it feels like throat has some blisters i can feel it while swallowing and i feel pain and throat feels very dry. do not have fever but little throat and pain and burning in food canal. i am planning to gargle with saline water is it ok or should i take any medicine i did take benadryl twice yesterday and day before yesterday night. [/INST] Doctor:all allergies sneeze lead to wheeze postnasal discharge of allergic sinuses present thisd take metrogyl 200 mgm bd tab singular 10 mgm bd syp tossex 1/2 tsf bd syp mucaine gel 2 tsf tds do 10 days apply neosporin h eye ointment in nose get xray pns waters viewand treat </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What does cyst in kidney mean and is it related to lower back pain? Patient:hi, my name is rose and i am 27 years old, on my recent ultrasound it is said in the result that there is 6mm simple appearing cyst within the mid to upper pole of the right kidney, what does it means? is it connected to the pain i am experiencing everyday on the right lower part of my hips or back? [/INST] Doctor:HelloThanks for query ..You have pain in lower back on Rt side and have been detcted to have a simple cyst of a size of 6 mm in your Rt kidney .These cysts are congenital in origin and benign in nature and most of the time detected accidentally when Ultrasound Scanning is being done as a routine protocol of investigation in some other abdominal problems,It is benign in nature and does not require any treatment .Treatment is advised in a situation when there is sudden increase in size of the cyst or it gets infected .The pain that you have is definitely due to this cyst but could be due to sprain in para spinal muscles and needs to consult qualified Orthopedic surgeon . Taking pain killers and physiotherapy to back may help to relieve pain .Dr.Patil. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What are the chances of pregnancy after taking HuCOG injection? Patient:I am 30 years, trying to concieve for the past 6 months, I am advised to take Glycomet SR 500, Folic acid and from today being 16th Day Duphston.I have been given HuCOG today and under folical monitoring. Wanted to check what are my chances of getting pregnant [/INST] Doctor:Hallow Dear, HuCOG is a hCG preparation which helps the release of the egg (ovulation) from a matured follicle. Glycomate with Clomiphene citrate helps the maturity of the follicles. Duphaston would work better if given after injection of hCG. In fact, when hCG is given, Duphaston becomes optional medicine. Folic acid helps the endometrium to grow and the follicle to be healthy. Please monitor the ovulation by ultrasonography. Mostly within 24 hours after the HuCOG injection, ovulation will take place. So have daily intercourse for next 48 hours. This will increase the possibility of pregnancy. I hope this clarifies your doubts. Dr. Nishikant Shrotri </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Bumps on buttocks that are itchy and painless. What can it be? Patient:Hello doctor, I have got bumps on my buttocks which are painless and itchy. No pus is present. They are hard, dry and usually itchy while sleeping. I am trying to avoid scratching it but the sensation of itching increases even more unless I strike my nails over it. There is no increase in the number of bumps so far and it has been 4 days till now. I have been applying Betnovate skin cream but there has been no change. Please help. [/INST] Doctor:Hi. I have noted your case details (attachments removed to protect patient identity) and would help you deal with the problem on the basis of my experience with similar cases in my clinic. For further information consult a dermatologist online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes fainting while suffering from hypertension? Patient:I became dizzy and fainted to the point where I fell down a few times. someone carried me to a bed. After about an hour I went to a hospital where they said I had severe hypertension. they gave me some pills and a drip solution my blood pressure went down, but I am concerned as to what caused this episode. [/INST] Doctor:Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Either accelerated hypertension or paroxysmal hypertension might be the cause. You need thorough evaluation for sudden rise in BP and syncopal attack/short of hypertensive encephalopathy to come to a conclusion. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. What ayurvedic medicine can be given to my little one to increase her alertness? Patient:Hello doctor, This is with regards to my daughter who is 2 years and eight months old. I have noticed that she is slow in activities. She is very laid back and relaxed. I have a feeling that she has an imbalance of vata, pitta, and kapha. I mean if she can be either low on pitta or vata as per my understanding. One ayurvedic doctor did give her a medication for one month. She took it in the last year for one month. She is otherwise healthy and normal. Could you suggest a safe medication without side effects for this age group to increase her alertness and for balancing of the doshas? Kindly suggest any foodstuffs too. [/INST] Doctor:Hello. Please provide me these details. Revert with more information to an ayurveda specialist online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest remedy for chicken pox like spots all over the body and itching in eyes Patient:hello, i think i have chicken pox, i noticed spots this morning and thought nothing of it, and wasnt going to let being ill affect me since today is my 16th birthday. when i got home, they had infected more of my body, i have already noticed some in my mouth and throat, should i be worried? also should i be worried that my eyes itch. i really dont want my eyes infected. and i'm getting stressed as i'm in my exam period. [/INST] Doctor:rash over the body and mouth and throat is suggestive of viral infection surely. need to consult the doctor at the earliest and take medicine for the same. more over chicken pox or varicella zoster is contagious infection, you need to be at home and isolate your self. you will have to take a break and give exam later on. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for a skin rash on legs,arms and waist Patient:on 4/21st, I had an Endostent abdominal aortic aneurysm repair. Came home on (22nd), a light red rash in appearance started in the hospital, within 24 hrs of surgery, it has become increasingly expanding legs, (1/2 down thighs), waist, arms, underarms, Saw primary care doctor, he thought it probably was a drug reaction, however, it has intensified. to very bright reds. it appears to not breaking through the skin. Do not see the doctor that did the surgery for 2 weeks. [/INST] Doctor:Hi, The rash could be a drug reaction or petechiae. The drug-induced rash is usually itchy. Petechia is due to a bleeding disorder and is not itchy usually. I request you to consult your Doctor for confirming the diagnosis and for initiating the apt treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian, Dermatologist </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What to do for the infection in the leg? Patient:Hi my friend just had a histerectomy or however you spell it. it has been about 2 weeks now and they put her on meds for an infection but it is not getting better she has been on meds for over 10 days now and the other day she caught and this orange creamy stuff ran down her leg [/INST] Doctor:Hello there,I am dr.milan an infectious disease specialist answering your question.My best suggestion for you that you go through culture and sensitivity by a reliable microbiology lab and by a qualified Microbiologist doctor. Everything is depends on this. Detection of right organism is important in this case so.It may be bacteria, fungus or may be mycobacterium we never know without culture.This is most probably a hospital acquired infection. Ask your surgeon from where it came?And why its not getting heal.It looks like some notorious organism infected your friend.Once you go with culture you have drug sensitivity so you can follow that treatment schedule completely.Hope i have given appropriate guidance to you.if you have any query you can consult me anytime.Give me star rating, helpful vote & thank you according to your satisfaction level.Thanking you. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What is the cause for constant heart pain? Patient:Hi I am a healthy 23 year old female, and I have been having constant heat pain all over for a week now. At times its hard to breath but then it goes away. I also had tingling in my body today, I did go to.the er yesterday and they said my heart looked fine and I didn't have any blood clots. But I am still hurting [/INST] Doctor:heyIf ER say that ur heart is okay,then it may be muscular pain,maybe due to respiratory issue if u have some ,or may be due to gas.u should do xray chest,ultrasound abdomen and all baselines.thanks. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What is the remedy for soreness on the palate ? Patient:I have been treated by my dentist for 4 weeks now for an extremely sore palate . She tells me taht she sees my palatal rugae are inflamed but that there is no sign of specific ulceration/ broken skin but has treated me unsuccessfully for bacterial/ then fungal and finally steroid lozenges to no avail!! Nothing is working. She has also cured my gingival bleeding condition and instilled me with better oral hygiene measures - using interdental brushes and corsodyl but my palate is still agony. She thinks it might eb an allergy but what do you think. Its soooo painful!!! [/INST] Doctor:Hello,Thanks for writing to us.Soreness on palate can be due to-1. denture stomatitis caused due to dentures or appliances inserted.2.abscess developed due to spread of infection into periapical area through deep caries or periodontal infection.I would suggest you to get a thorough clinical evaluation done.Discontinue use of appliances or dentures causing allergy.Pus if present has to be drained and curetted.Take care. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes calcified lesion on the left front temporal lobe? Patient:I have been diagnosed with a calcified lesion on the left front temporal lobe. I have a long history of severe migraines and a history of severe abuse since childhood. Could the abuse be the cause? I also had a great grandfather that passed due to TB when I was approximately 13 years of age. At this point I am having trouble walking due to extremely painful foot pain. They thought it was Plantar Fasciitis now they think Tarsal Tunnel syndrome. Desperate for help. Any suggestions? [/INST] Doctor:painful foot has got no relation with the calcified spot in ur brain. calcified spot means its a healed lesion and not an active one. since contact with TB is there better take a Chest X ray and do Mantoux test and check ESR. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest remedy after eating roll with plastic on it during pregnancy Patient:I am 14 weeks pregnant. I ate two rolls that had been cooked with saran wrap on top...I didn t find out until after that the plastic was there, so it s assumed that it melted into the rolls. Yuck! I feel fine, but I know that can t be good. Should I induce vomiting or wait it out or go to the ER? [/INST] Doctor:HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your query, 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.Please do not panic.Please do not induce vomiting.If plastic material has got melted and swallowed, any way it will not get digested or absorbed in the gut.It will eventually be thrown out of body through stools. I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam S Neurgaonkar </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. I washed my penis with Dettol handwash liquid. Will this cause any harm? Patient:Hi doctor,My partner and I had sex yesterday night. I used condoms and after sex, I washed my penis with plain water and not with soap. I rinsed my mouth with plain water, I did not brush. After four hours, I washed my penis with Dettol hand wash. After that, I took a bath tonight. I am worried now. Will this cause me any harm? Should I undergo any test? Kindly let me know. [/INST] Doctor:Hello. I do not see anything to be worried here unless there are some symptoms you or your partner are experiencing. It is too early to have symptoms. I am not sure if you are worried about sexually transmitted infections. If so, you have used a condom while having intercourse, hence less likely to acquire infections. Do not use Dettol hand wash for cleaning your genitals. Never ever. It might cause irritant dermatitis. If you know your partner very well, if she is free of sexually transmitted infections, then there is nothing to worry. Ask her if she has any concerns regarding this. The great thing is that you used a condom. So, there is nothing to worry, provided there was no condom break during the act of intercourse. Any infection would take at least five days to manifest symptoms, which I really hope you have not got. In case of any ulcer, pain, pus from urethra, you can get back to icliniq or consult your nearby dermatologist. Wish you a healthy skin and healthy life. For more information consult a venereologist online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What is the remedy for the cut on the penis after a prolonged sex due to the friction caused by dry vagina? Patient:i got a cut from prolonged sex and friction from a dry vagina been having unprotected sex with my partner for over a month now.i noticed a few blisters around the cut after a few days havent cleaned the area to well because i didnt want to irritate the cut and been masturbating long periods [/INST] Doctor:Hi...it can be an std...better show to a physician or dermatologist and get tested.. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes pain in fingers with numbness of feet? Patient:I am a 40-year-old female. I m maybe 10lbs overweight max, my vitals are excellent, and I m very active. 3 months ago I woke up one morning with my right hand and fingers completely numb. Over a few days the numbness spread up my arm, and I had difficulties holding utensils and was unable to write with my right hand. My hand and fingers remain numb, sometimes there is also a shooting pain. I no longer have numbness in my arm, and I have complete mobility- no dropping items, and no difficulty picking up things. about 2 weeks ago, i began having periodic numbness in my left hand, along with occasional shooting pains in my fingers. Every once in awhile my feet are numb as well, and once or twice my face. I feel terrific otherwise, and this hasn t hampered my lifestyle. My aunt recently passed away, she had suffered from MS for 30 years, so that does concern me. I will be making an appointment with my doctor. [/INST] Doctor:It could e due o cervical spondylosis with or without radiculopathy.Rule out diabetes or any other metabolic disorder.Physiotherapy of neck should help you. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. Why do I have little red dots all over my leg? Patient:Hi doctor, From young age, I have had little red dots all over my legs and not much hair. I am a 31 year old male and I want to know the problem. There might be ingrown hairs, but I do not know. I have more of them hair especially on the back. [/INST] Doctor:Hi. I have read your concern and examined your given pictures (attachment removed to protect patient identity). Revert back after two weeks to a dermatologist online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. I feel anxious and depressed following my husband's death. Please help me. Patient:Hi doctor, My current issues are depression and anxiety. Honestly, it all started when my husband passed on our son's 1st birthday. I have just let it build up and now I cannot control the way I feel. I cry over crazy things and I get mad over little things. I cannot sleep at night, because I have nightmares and panic attacks. I do not feel like doing anything and I have very low self-esteem. I am happy for some time and then I feel angry without any reason. I am currently on Prozac, but does not help me. Please help me. [/INST] Doctor:Hi. For further information consult a psychiatrist online --> </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What is the remedy of phimosis ? Patient:Phimosis problem.. I can stretch back my foreskin when the penis is at rest.. But i cant stretch back when ejaculates.. Stretching back the foreskin at rest and ejaculating with the stretched penis causes a bit pain and feels uncomfortable.. I dont feel any pain or problem during normal urination and masturbating.. How could i recover from this problem..pls help me [/INST] Doctor:Thanks for asking in healthcaremagic forum You can pull it back after sometime when penis loses its erection. Practice this for some days for relief. If not please visit a surgeon for circumcision. All the best. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: When can I get pregnant after discontinuing Depo shots? Patient:hi my name is jemma im 23 ive been on and off the depo since i was 15 i fell pregnant at 19 6 months after stoppin the depo then went back on it after i had my baby at age 20 me and my parntner would like another baby and im still on the depo will it take me longer to concev a baby ive been reading alot of bad storys about it my doctor never told me there was any risk about having another how long about would it take for me to fall pregnant im due for the next shot on the 13oct but not going for it will i have problems its really worring me thanks [/INST] Doctor:Hi Jemma, Thanks for the query. I understand your concern. Depo contraceptive being a long acting contraceptive .. provides long time suply of hormines to supress child bearing. On discontinuation,it tskes 4-6 months for regainning normal menstrual cycle. Very rarely in causes a long standing menstrual problem...it's not a regular feature of the contraceptive . So don't be scared. So waiting period for conception is about 4 to 6 months . Thanks. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Q. I am 24 years old and I weigh 250 pounds. I need suggestions to reduce weight. Patient:Hello doctor, I am 24 years old and my weight is 250 pounds. I have attached the other details. I need suggestions to reduce weight. [/INST] Doctor:Hi. I understand the stress you would have due to increased body weight and difficulty in losing it, after going through the attached details (attachment removed to protect patient identity). Your BMI (Body Mass Index) is 48. BMI is nothing but a derived value from the weight and height of a person. For your height, your weight should be around 110 to 120 pounds. Normal BMI is around 25. If it is between 25-30, it is overweight. If between 30-35, we call it obesity. Up to 35 BMI, we can reduce weight by exercise, by reducing carbohydrates and by restricted fat diet, etc. If BMI between 35-40, called severe obesity, some tablets like Leptos can be taken along with exercise and diet. But if BMI is more than 40, it is called morbid obesity which cannot be reduced by drugs or exercise and diet. Bariatric surgery should be done to reduce weight which will prevent you from getting diseases like hypertension, diabetes, cardiac disease, kidney problems, and osteoporosis. Your BMI is 48, which cannot be reduced by drugs, exercise or diet. So, please start considering bariatric surgery as an option. I have seen people who shed almost 100 pounds effortlessly after surgery within 3 months. This surgery is completely safe and gives great results and prevents you from getting various diseases which I have mentioned earlier. Think about your heart. It is designed to work for a body which weighs 120 pounds. It is working double the time now, and its life will get reduced. So please consult a surgical gastroenterologist for clinical examination and surgery. All my wishes for your good health. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: What causes breathlessness due to some blockage feeling? Patient:I have been using smokeless tobacco for 7 months now. Recently, I have a loss of breath for no reason. It happens when I m sitting down. It feels as if half of my airway as become blocked. I think this May be due to swelling because the tobacco has irritated my throat, but it also may be cancer. What do you think? [/INST] Doctor:Tobacco in whatever form is harmful. The breathlessness is related to the tobacco. As it causes inflammation in the airways causing the symptoms described by you. Kindly consult a doctor as you will require evaluation and treatment for the same. STOP SMOKING AS WELL. </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Is it possible to be hepatitis-B reactive due to alcoholism? Patient:is it possible for a person to be hepa b reactive only by means of alcoholism?B ecause accdg to the lab test done to me,hepa b reactive,I'm not engage to any sexual activity ever since birth and my mother also is not infected during pregnancy to me,,that's why I"m so wondering how and why?no blood transfusions too. [/INST] Doctor:Hello,No hepatitis B is not transmitted through alcohol.The mode of transmission could've been (possible modes)Any antra muscular or IV injections you have received since birth till dateDental proceduresShaving razors while getting a hair cutTattoosHope this helpsDo get back in case you have further queriesRegardsDr Samir Patil </s>

<s>[INST]<<SYS>>You are a Bot identify the response from Patient and give medication as a Doctor <</SYS>> Description: Suggest treatment for blurred vision and dizziness Patient:This morning while driving I suddenly got blurred vision and felt dizzy with a rapid heart rate. I quickly pulled over and stuck my head between my legs and did deep breathing. I felt fine prior to that. Woke up early, excercised. But skipped breakfast and had only had coffee. I am also under stress and suffer occasionally from panic attacks. [/INST] Doctor:Hi,Thanks for writing in to us.It is possible that you had attacks of dizziness and blurred vision due to low glucose as a result of skipping breakfast. Please make sure you eat well in the mornings. What happened is that overnight the glucose levels in your blood came down and then when you skipped breakfast earlier in the day and had only coffee then the blood sugar rose only a little. Essentially the blood glucose level was still below normal. In addition you are also under constant stress. Both these factors caused less amount of glucose reaching your brain and set of a temporary shut down and working on emergency supply. Blurring of vision and dizziness were warning signs that your brain is not getting enough nutrition and it is showing signs of distress.Please do mental relaxation exercises to keep stress away and eat well before going on drive in the morning. </s>