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<s>[INST]I am a 52 year old female and I was recently diagnosed with hypertension because of a headache I would get during sex or exercise. I exercise 6 days a week and eat a totally organic diet with no processed foods. I only drink filtered water and green tea. I take supplements every day. My blood pressure was 189/108. I am not overweight but do have high stress as a caregiver for a handicapped teenager. I dont want to take medication but have started Cozaar and Dyazide. Why is this happening?[/INST]Hi, Even if your lifestyle is good, you can still have blood pressure because it's also an age related change and genes in our body. But If you have it, you need to take medicine for that, otherwise it might be detrimental. Monitor your resting BP, low salt diet. Also get one lipid profile and sugars tested. Besides get renal function test done. Hope I have answered your query. Let me know if I can assist you further.</s> |
<s>[INST]hi doc i was diagnosed of chronic parenchymal disease for almost 3 years now my creatinine level elevated as well as my uric acid i also have gastritis and prostate enlargement i am haron abdul from philippines 41 years old please help me to recover thank you[/INST]HELLO & WELCOME TO HCM FORUM YOU HAVE NOT MENTIONED THAT WHETHER YOU ARE SUUFERING FROM CHRONICPARENCHYMAL LIVER DISEASE/ CHRONIC PARENCHYMAK KIDNEY DISEASE SERUM CREATININE MAY RISE IN EITHER OF ABOVE MENTIONED CONDITION IF YOU ARE SUFFERING FROM CKD, THEN MOST APPROPRIATE TREATMENT IS KIDNEY TRANSPLANT AS THIS IS AVAILABLE AT CHEAPER COST IN INDIA AS COMPARED TO COSTLY TREATMENT AND HAEMODIALYSIS ONCE/ THRICE A WEEK THIS IS PERMANENTLY GIVE CURE TO YOU CHRONIC KIDNEY DISEASE MAY CAUSE ABDOMINAL SYMPTOMS LIKE GASTRITIS (MAY BE DRUG INDUCED), ANOREXIA, VOMINTING, ABDOMINAL PAIN AND APPEARANCE OF ALL THESE FEATURES AND OTHER SYMPTOMS MAY LABEL YOU IN "URAEMIA" PROSTATE ENLARGEMENT MAY BE A CAUSE OF RISE IN CREATININE LEVEL AND CHRONIC KIDENY DISEASE YOU SHOULD GO FOR DETAIL CHECK UP BY PHYSICIAN TAKE CARE & GET WELL SOON DR.MAYANK BHARGAVA</s> |
<s>[INST]my child has had diarohea and vomiting. he has recovered from it but it has left him with a stomach ache, high temperature and smelly wind. he has seen the GP and Gp checked child stomach and said everything is fine. but my child is still complaining with the same symptoms and it has now been 11 days for him to have the symptoms. Hes not eating well at all the drinking is fine. He is a slim child but now i can see his ribs which concerns me the most now. please advice me in what i should now.[/INST]Dear friend, You should get his stool sample examined by a recognized, registered laboratory to rule out amoebic infection or guardians. Both these are parasites of the human gut and can cause a chronic problem without there being many loose bowels. Other than that, I would not suggest anything. If you think he is slimmer now than before, you need to give him energy-rich foods as much as he can tolerate them. This would mean sugary stuff and fats/oils. However, a balanced normal diet is a better alternative than concentrating on specific foods. As he recovers, he will gain weight. Do keep his weight AND height record, taking these measurements at least once a fortnight.</s> |
<s>[INST]Hello doctor I am addicted to heroin and have been using a lot of drugs I have been trying to quit these drugs but I cannot Whenever I do not use it my body is painful and dull and I cannot do any work neither do anything My mind is all about the drugs whenever I do not use it I really want to stop this addiction because it is killing me I cannot stop it because I am a spinster and presently working so I have to take my drugs in order to work I went to the rehabilitation center before and was normal but I got a relapse again I want to be a normal human with a healthy life Can you please help me to get out of this addiction and what medicine I have to take I took Valium 10 mg Tramazac and Zolam to help me sleep and forget the pain for five days[/INST]Hello. Heroin addiction is known to be a chronic relapsing condition. It is positive that you are contemplating to stop using heroin again. You mentioned about being in detox before but relapsed again. You need to consult a psychiatrist in your city and get support from a nearby detox center again to manage the withdrawal symptoms. More important is you also need to have post-detox follow-up and support to minimize the chances of relapse again. You will need support to develop better coping strategies to deal with life's stressors.</s> |
<s>[INST]I have numbness on a large area on the end of my tongue as well as the area being white The mouth issue began with a large canker like sore in the inside jaw area with unbearable fire red inside life area Took a round of steriod and now am on a antihistimine perscription I dont know what else to do Need advice[/INST]Hi,Thanks for posting the query, I would suggest you to get it examined by an Oral Surgeon to see what the lesion is also get an OPG radiograph done, take complete course of antibiotics and analgesics if required get an biopsy done of the lesion at home take lukewarm saline and antiseptic mouthwash rinses at home take multivitamin suplements, maintain a good oral hygiene.Take care!</s> |
<s>[INST]I was working out at home and i had just finished and was about to go jogging on my treadmill but i felt my stomach cramping and i needed to use the restroom so while i was on the toilet i started sweating so much and i felt like i was going to pass out and i could barely move i was so weak and was shaking After that i managed to crawl to my bed and stay there but my stomach was still cramping and i was shaking and sweating so i used the restroom again and after that i thought i would be better but i still am feeling weak and shaky I dont know why this is happening[/INST]Hi.Thanks for your query and an elucidate history. Stomach cramping, severe sweating in the bathroom, shaking all suggest that probably you have a severe intestinal infection with septicemia. I would advise you to rush to the ER so that your vitals can be checked including the blood, stool and urine tests and electrolytes.The treatment may be intravenous fluids, antibiotics and correcting the deficiencies if any.</s> |
<s>[INST]I have a rash that started out as a couple of itchy blisters & has escaladed over four days to my neck, torso & have some appearing on my legs...I ruled out allergic reaction (have had those before), mosquitoes, spiders, & chiggers. What coud possibly be getting me that I dont feel or see until I have another bite?[/INST]Hello, Thank you for posting on Chat Doctor.It's very difficult to approach conclusive diagnosis unless for proper physical examination, anyway from your description it seems you are suffering from scabies. Scabies is a contagious disease caused due to mite, and it spreads among people who are in close physical contact and by use of common household articles. Treatment is pretty straight foreword. Treat everyone simultaneously in the family and others who are in close physical contact. Your doctor would prescribe oral Chat Doctor. Also, you and others will be advised single application of permethrin 5% cream overnight, over whole body below neck followed by bath next day. Take antihistamines containing HY</s> |
<s>[INST]I m 20 days smoke free and for the past 3 days I started experiencing chest tightness mild difficuly breathing dizziness and intermittent skipping heart beats I also have Type 1 diabetes and have had it for 20 years I have experinece with anxiety and this is completley different I saw a walk in clinic dr and he said it is probably anxiety I advised him this is very different Ia m wondering if I should seek ER care[/INST]Hi welcome to HCM...According to history here first cardiac cause has to be ruled out by following investigation.....1.Blood pressure monitoring 2.EKG 3.Echo ( if needed )According to cause treatment given ...After ruling out cardiac cause , investigate for respi cause by digital chest x ray and spirometry .....If no significant cardiac and respi cause present than yes these type of symptoms can occur by anxiety induce panic attack...Hope your concern solved .Advise : consult physician Take care ....</s> |
<s>[INST]My 13 mo old daughter was diagnosed with RSV about 4 weeks ago. After 2 weeks she was not getting better (coughing, mucus, fever, vomit) so they took a chest xray and said she had walking pneumonia. They put her on an antibiotic, and an abutural inhaler. After another week she was sounding better, and her cold was gone, but she continues to vomit, at least once a day, always immediately following a meal, or after her evening bottle. She is also uncomfortable and irritable. The dr now says she has post infectious gastritis, and put her on Prilosec. She has been on for 3 days, but now the vomit looks like big (some 2 ) chunks of cottage cheese. I m assuming this is from her stomach acid and her milk from her bottles. Are we doing eveything, or the right thing?[/INST]RSV is a virus that frequently affects child Chat Doctor. The treatment is with nebulization which basically breaks the water and medicines into fine particles and delivers it deep inside the lungs. Steam inhalation at home could give her some relief if nebulization cannot be given at home. Also give some antiallergic like cetirizine syrup. It should reduce the irritation in her throat which is the likely cause of her vomiting. You may also give some antiemetic like ondansetron half an hour before feeds. You may continue Prilosec. Otherwise, you are doing the right thing. Our stomach contains acids that are meant for digestive purpose. The milk is supposed to get curdled when it comes in contact with this acid and this is normal. So, the chunks looking like cottage cheese, are not abnormal if she is vomiting out.</s> |
<s>[INST]Had sex for a few moments with my girlfriend and I did not cum inside her. I in fact had an orgasm several minutes later via oral. She started cramping the day after and has for about a week now. She was most likely close to or ovulating the day we were intimate. I did not have an orgasm earlier in the day before being with her so no sperm should have been present in my urethra. She is concerned that my pre-cum could have gotten inside her. I am 100% certain that I did not cum inside her. Her period is not due for another week but she is concerned. What are the chances she is pregnant from pre-cum or are the cramps a result of something else?[/INST]Hi, Thanks for your query. Possibilities of pregnancy have always been there with unprotected sex. Pre-ejaculation also contain sperm, so chances of pregnancy also be there. Ovulation time coincides with your intimate relation, so chances may be increased because sperm can survive for 5-6days time in vagina. Consult with a gynecologist if her overdue her period to rule out pregnancy. GOOD LUCK. Take care.</s> |
<s>[INST]Hi doctor, I'm exhibiting symptoms of rabies. I'm feeling very feverish and my throat is starting to close up.[/INST]I see. Based on your symptoms, I recommend administering Malathion Topical to help relieve your fever. Additionally, you will need to receive a series of injections of Rabbit Anti-Human T-Lymphocyte Globulin, and also take Grepafloxacin (Raxar) to manage any potential infection. These treatments will be the most effective in treating your rabies.</s> |
<s>[INST]I have been diagnosed with pneumonia and they gave me azithromycin which i finished 2 days ago I went back to the clinic and they said that it didnt work as i still have weazing and irregular breathing and coughing but i have to wait until it is out of my system to try another antibiotic That takes me to Saturday I am supposed to go on a business trip next week that involved a 2 and a bit hour flight each way is it safe for me to fly with this[/INST]Thanks for your question on HCM.I can understand your problem and situation.In my opinion you should avoid travel with such symptoms.Because you are not completely cured of pneumonia. In my opinion you should consult pulmonologist and get done1. Repeat chest x ray2. Sputum culture and sensitivity.Repeat chest x ray is needed to know whether pneumonia is worsening or not.Sputum culture will identify the causative organism for pneumonia and sensitivity report will guide us in antibiotic therapy.This approach will prevent haphazard use of antibiotics, as haphazard use of antibiotics lead to delayed recovery and increased drug resistance.So better to first start appropriate treatment for pneumonia and get cured from it , then plan your travel.</s> |
<s>[INST]could dull aching pains in both side of the ABDOMEN be a result of not drink enough water the pain comes and go but for the past few months its been sticking aroundalso i notice a little blood in my stoolno more than 8 times within a year maybe every 4 to 6 weeksmaybe depending on what i ate or lack of drinking water just along the side of the stool or a string of blood with what looks like mucus surround some of the stooldont know if the musus is from my mouth which i have this coating on my tongue[/INST]Hi.The reason of blood in stool in your case may be due to Hemorrhoid/ piles. or anal fissure or a polyp or a Cancer. The abdominal pain looks to be due to colitis. get a Colonoscopy done to find the diagnosis and get a proper treatment . The mucus is produced by the large bowel in response to infection / cancer or an ulcer.</s> |
<s>[INST]hi my name is Lori i been having iron and blood transfusions my hemaglobin and ferritin levels drop to critical levels i have had endyscopecolonoscopy balloon endyscope pill capsule i am bleeding out but no dr s can t find out where i am bleeding from need some advice as what to do next please help tired of feeling tired heart paltations too[/INST]HiThanks for posting your query. You said you are bleeding out. I want to know from where. From mouth or nose or anus or urine ? Because the cause depends on the site of bleeding. Because iron deficiency can occur even if thereis no bleeding.I advise you to upload your previous reports. I will go through it and can advise you better.</s> |
<s>[INST]My health question is as per the details provided by me on the subject pls let me know whether i shud go for concurrent chemotherapies along with my radio therapy are they actually required at my stage of epiglottic carcinoma I m already in the mid of radiotherapy sessions[/INST]The standard treatment for epiglottic carcinoma is radiotherapy with concurrent chemotherapy. This applies to all stages except the earliest (stage 1 where only radiotherapy suffices), and the locally advanced cancer where surgery is required. This chemotherapy is low dose and is given only to enhance the effect of radiotherapy and so has minimal side effects. Only in patients who cannot tolerate even this low dose like very old patients with several comorbidities, is chemotherapy omitted.</s> |
<s>[INST]Hello Dr I had a black eye injury over 10 years ago there had been no fracture no problems with vision but I still have slight swelling underneath my eye ever since when its aggravated the swelling appears I think the blood has clotted Please tell me how I can remove the blood I am desperate Thank you[/INST]Hello and thank you for submitting your question.When there is trauma to an area, such as what you have described, part of the body's natural healing process can involve an increase in fibrous tissue in the area of injury. Because the swelling is still appreciable nearly a decade later and is causing you a degree of discomfort, I suggest that you visit your medical doctor for further examination, which may include imaging. Thanks again for sharing your health care concern with me.Sincerely,Dr. G</s> |
<s>[INST]Friend of mine has just informed me that something is seriously wrong with her boyfriend he trembles as if he has parkinson s can t really move to get up or sit down hasn t washed or bathed in monthsonly says I m ok when asked what s wrongred spots like blood clots are visible on his chesthe was hospitalized for mental issues but his family took him out I m thinking he might have suffered a strokewhat do you think[/INST]welcome to hcm .. red spots with mental issues ..it points tpwards neurocutaneous disorders in which patient has skin lesions as red spots etc plus brain problems ..he must undergo MRI brain ..and he must undergo proper treatment from neurologist in consultation with psychiatrist</s> |
<s>[INST]hello doctor, i really need your help. Im a 17 year old boy with a body fatpercentage of 10%. I have a natural athletic physique but the only problem about my body is that i have very wide hips. Its driving me crazy since i can t find a solution for it.I already have a v shape back but my hips are ruining my athletic look. I beg you doctor,to help a desperate boy to get rid of his wide hips , so i can achieve a nice small waist like other man. Greetings from Ferhat Arslan[/INST]Hi, Thanks for writing in. The most logical way would be to do exercises targeting the problem areas. You can take help of trainer.Also, other option would be invasive and non-invasive lipolysis. Invasive way would be liposuction to remove fat from the hip area. Noninvasive body conjuring is now available. With LASER technique the excess fat can be removed without any surgery. Hope this helps. Regards Chat Doctor.</s> |
<s>[INST]My 13 yo daughter has an enlarged lymph node in her neck, left side. She has had ultrasound and a CT scan that was read out as lymphadenopathy. The Dr. she was seeing told us there was nothing to worry about and that it should go away. It did go away but it recently came back. Hasn t gotten any bigger and she hasn t had any other symptoms. All labs also came back negative. What are some thoughts and opinions? Thank You![/INST]Hi. Thanks for your query and an elucidated history. Your daughter is just 13 years old and is a candidate for recurrent throat, nose and scalp infections. This is the major reasons for recurrent lymph node enlargement in child Chat Doctor. I would advise you the following:-ENT Examination by an ENT Surgeon to find out any focus of infection and to get it treated properly.-FNAC or biopsy of one of the most accessible and large node where the scar will be the least visible to rule out Lymphoma and such</s> |
<s>[INST]A couple of weeks ago I was masturbating and I felt this stinging in my urethra It was uncomfortable I had sex with a girl on the rag a couple weeks before this but no discharge or stinging while urinating has happened Theres just some discomfort in my urethra Could it be a UTI or a yeast infection[/INST]Good Day and thank you for being with Healthcare Magic! Yes a urinary tract infection whether caused by yeast or bacteria is always a possibility and should be ruled out with a urinalysis. If it is confirmed then treatment should be started. It can also be caused by excessive ejaculation and masturbation. If the symptoms persists then I would strongly recommend a urinalysis. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: I would gladly help you. Best wishes</s> |
<s>[INST]I had a rash on my lower back so my doctor prescribed some ointment that cleared it up but a smaller version of the rash keeps popping up in other places It is very itchy I have some itchy bumps on my scalp too I ve used the ointment which works well but I want it all to go away[/INST]Hi, I could not be able to arrive at a probable diagnosis, as you have not mentioned about the characteristics of rash. The rash could be hives as it is associated with itching. You can take an antihistamine tablet for a week. If you do not get any improvement in a week, I request you to consult your Dermatologist for further management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian, Dermatologist</s> |
<s>[INST]I have been diagnosed with chronic endplate irregularities acute spinal fracture multilevel degenerative disc disease L5S1 paracentral protrusion coupled with extreme back pain standing more than 5 minutes right calf pain and random incontinence[/INST]Hello, As you have this disc protrusion the symptoms of the radiating pain are expected to trouble. Using a hot water fermentation and lumbar spinal brace will.be good to reduce pain and stabilizing the joints. Post which once the fracture is healed then Physiotherapy management follows like the therapeutic ultrasound therapy and TENS therapy for pain relief and reduction in Inflammation as well. Exercise will be followed in the later stages and it will focus on core stability, back strengthening and lower limb as a whole for the flexors and extensor groups. Most cases do well with physiotherapy but need to continue longer to learn and then at home based exercise prescription is followed. In my clinical practice of over 12 years, most cases respond well with conservative management. In a few cases where it is displaced fracture and compromising neurological functions then surgery is advised. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist</s> |
<s>[INST]Hi doctor,I have thyroid problems for the past five to six years. At present, I am taking tablet Thyronorm 25 mcg. For the past one month, I have low energy levels along with stiffness and pain in the muscles, especially in the upper back and neck. So I got my blood tested for vitamin D and thyroid profile. The results are attached. TSH is out of range, and vitamin D seems to be very low.[/INST]Hi. I went through your reports (attachment removed to protect patient identity). I have noticed that your TSH (thyroid stimulating hormone) level is very high. It indicates that your thyroid hormones levels are not in the sufficient range. Hence, we need to increase the dose of Thyronorm. I recommend you to take tablet Thyronorm 50 mcg (Thyroxine) every morning in the empty stomach daily. Also, your vitamin D levels are also low. I recommend you to start taking Vitamin D supplements. Take capsule D-Rise 60K (Vitamin D3) one tablet weekly once for three months. Once your thyroid and vitamin levels get normalized, your low energy levels and muscle stiffness will get relieved. Repeat TSH after two months. For more information consult an endocrinologist online Take care.</s> |
<s>[INST]Hi. I have always suffered from small boils in my groin, top of thighs and also as a result of ingrown hairs due to shaving in pubic region. I now have a small hole in my groin where a burst boil has previously been. I am keeping the area clean, using anti sceptic cream and plasters and am hoping it will heal. My concern is that it burst a couple of months ago and took a while to heal. I thought it had gone but it got really sore a few nights ago, a lump formed in the area and it popped. I am now left with the hole again. Do I need to go and see my Dr. now/require antibiotics or can I continue to manage it myself? Many thanks for your advice.[/INST]HelloThanks for query. Based on what you have described I would state that you have developed Sebaceous Cyst in the groin. The skin in groin and around genitals is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. The recurrence of the cyst is due to fact that the sac of the cyst which secretes thick sebum still remains intact and the only contents of the cysts are Chat Doctor. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac).</s> |
<s>[INST]Doctor, I have been a drug addict for years now and I have recently noticed some changes in my health. I feel fatigued most of the time, have lost a lot of weight, and have been getting frequent skin rashes. What could be wrong with me?[/INST]Based on your symptoms and history of drug abuse, it's possible that you have contracted HIV, which is a viral infection that attacks the immune system. I would recommend getting tested as soon as possible to confirm the diagnosis and start treatment if necessary.</s> |
<s>[INST]Dear sir yesterday my wife has undergone regular medical & blood tests being she is a fifth month pregnant. the blood test results are showing that HIV 1 & 2 : Non reactive, HBS AG : NEGATIVE, VDRL : NON REACTIVE. I want to know is every thing is all right?[/INST]Hi, Thanks for the query. I understand your concern. HIV1,2/ V Chat Doctor. . Which are -ve in your wives sample. Both the tests are nonreactive. & you need not worry. Its normal. There is no risk in pregnancy. HBS Ag is the test for Hepatitis B. Which usually accompanies sexually transmitted diseases. Hepatitis is B is transmitted through blood. & there is possibility of baby getting infected from maternal infection in pregnancy/ as well as the medical staff conducting delivery are at risk of getting the infection, if the patient is + ve for HBS.AG. But its also negative in your wives blood. SO don't worry, every thing is alright.thanks.</s> |
<s>[INST]I just got home from taking my 10 month old son to the doctor He has a bad runny nose and cough His pediatrician had previously gave him cetrizine which Ive been giving him the 15 ml a day well this doctor gave me a prescription for cetrizind hcl for 5ml Luckily the pharmacist noticed and I said oh heck no So Im googling it and it all says 25 ml is the recommended dose for a baby I even called the doctor back and she explained yes 5ml a day Im so mad because I surely would have given my son that amount if it wasnt for the pharmacist So isnt 5mlmg of cetrizine a day WAY too much for my 10 month old[/INST]Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. To answer your question, yes it is. In fact the American Academy of Pediatrics as well as other important organizations recommend not giving any cold, cough, or allergy medication to any child under the age of four years. This is because of the possibility of side effects. May I suggest an alternative? Put 1-2 drops of saline solution(for example, over-the-counter NaSal Nose Drops) into each nostril to stimulate him to sneeze and cough and blow the nasal mucus to the front of his nose where you can wipe it off. You can do this before each feeding and before each nap. This is very safe and has no side effects. Hope I have answered your query. Let me know if I can assist you further.</s> |
<s>[INST]I am 55 yo 5 9 weigh 180 lbs large bone structure bp 9040 pulse 62 have MS Sjogrens fibromyalgia RA migraines seizures etc I am a cancer survivor had chemo 2 years ago I always feel terrible and have no energy Should I be concerned about my bp[/INST]hello, bp of 90/40 is a thing of concern....i would advice you to consult physician..its not a high bp infact it is a low bp</s> |
<s>[INST]I ve been very tired lately And I ve noticed while I m talking or eating I get a shortness of breath and I have to take a few deep breaths to catch my breath I ve had an enlarged lymph node in my neck for several years and I just found an enlarged lymph node in my cervical region But I am not sick and I have not had a fever Should I be concerned and get some testing done[/INST]HIThanks for posting your query . Enlarged lymph node always indicates that there is some problem in the body . It could be due to infection , inflammation , irritation or even cancer . This associated with your shortness of breath indicates problems in your lungs which needs to be evaluated . I advise you to get chest X ray , FNAC of the enlarged Lymph node and revert back to me with reports . Any clarifications feel free to ask . Regards.</s> |
<s>[INST]mine month old protein A allergyflu now hospitalizedsugar was high now normalpotassium high now and acid levels in stomach doctor just told daughter had hep c and polio 3 days prior they say viral flu 7 too 10 days holding no liquids in either way Is there another possible diagnoses[/INST]Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.No,these are not typical signs of hepatitis B and you shoould see endocrinologist for further evaluation since this may be sign of hormonal imbalance. Hepatitis can be easily ruled out by doing viral markers.I hope I have answered you query. If you have any further questions you can contact us in every time.</s> |
<s>[INST]hi i am 25 years oldi had cough and cold last week and some breathing problem after 2 days in the past i had sneezing problems when exposed to dustdoctor said i had asthma she has prescribed seroflo 250 2 puffs 2 times a day and levosiz m tablet once a daymy absolute eosinophil count was 127109lt She said i am suffering from severe allergyi am confused it is asthma or just allergy i have been feeling better after treatment for 5 days[/INST]Hello, Greetings from healthcaremagic.com I am Dr Sourav Chakraborty and i will be helping you with your query Asthma is a disease where there is hyper reactivity of your respiratory tract to particular pathogen which could be an allergen , foreign body and infection. It may trigger asthmatic attack by narrowing your airways and you may feel breathless/ breathing problem The medications your doctor has provided for you , one of them is primarily is to relieve you from recurrent allergic attacks and the inhaler is to improve air entry through your hyper responsive air way so that you don't get any more breathing trouble. Follow your doctor's advice meticulously. Hope i have been able to help you. Take Care.</s> |
<s>[INST]Hi my age is 36 and height is 177 cms and weight approx 75 kgs Since a couple of weeks i am feeling some numbness in the thigh area and it is moving towards the knee and i am feeling the pain also during my walk Is it resembles the filaria symptoms pqr[/INST]Hello, Numbness can be due to nerve involvement around hip joint or joints of pelvis. You require an MRI of that area to look for the cause. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Loveleen Sharma, General & Family Physician</s> |
<s>[INST]my daughter is 4 in half mths old she started with a cough last week no other symptoms now she is congested in her nose and sounds like she has a lot of phlem I can hear it when she coughs and she gags because of the phlem I scheduled her an appt for Friday she is having a hard time drinking her milk as well. do you think she should be seen asap or it can wait until Friday? my concern is because she is so small.[/INST]Thanks for asking on Chat Doctor. Chil Chat Doctor. It can often be complicated with secondary bacterial infections. I would insist that you try to see a doctor ASAP rather than waiting for your appointment especially because the child is not feeding well. It would be good if you can give the child steam inhalation for the time being. Just sit with the baby in your lap and put a source of the steam before you. The water vapor will be in the air and automatically the child will breathe it in. It will help by diluting the cough/phlegm. Hope that helps.</s> |
<s>[INST]I am having a burning in the center of my chest when I exert myself. I have been also experiencing dizzy spells I have no pain but feel I cant continue And get exhausted. Had EKG And it was normal . What can this be? Also Water retention . On bp medicine And a water pill[/INST]HI, Welcome with your query to Chat Doctor. Based on the facts of your query, after its review, In my opinion you need to reduce the water pill n Water/Salt intake and modulate the doses of the BP medicines with your doctor, for 4-6 weeks, under cover of Cardiologist and GP, who would check your BP and would help you out. Dizzy spells /burning chest pain are due to the stress angina. CT angiography would fix the early coronary stenotic lesions, which needs to be investigated as a preventive care in avoiding the HD at a later date. Take this as the signal to investigate Stress Angina, after exertion. So don't worry unless your Cardiologist doctor opines on it. Hope this reply resolves your worry with your queries. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS</s> |
<s>[INST]sir i have dust allergy due to which i get continous snezing and flow frm the nose when the climate is coldeven i face the breathing problem i m faceing this problem frm last 2yrs i have met 3 docotrs who gave me a medicines which is just a temporary relief for just a couple of days i heard DRAMAHADEVAIAH is super in this case so i request you to suggest a rite doctor to whome should i contact[/INST]Hello.Thank you for asking at HCM.I went through your history and would like to make you suggestions as follows:1. When you have symptoms of allergies, I would suggest you to take montelukast and antihistamines like levocetirizine for temporary relief.2. For treatment of the allergy, I would suggest you allergy testing which will help you to identify the substances you may be allergic to and also to know the measures to avoid them.3. Based on allergy testing results, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune syste to improve allergy symptoms on long term basis.4. In addition to above, I would also suggest you regular breathing exercises and healthy nutrition (adequate green leafy vegetables, fruits, sprouts, etc) which will improve your lung capacity and immunity respectively.5. In general, please try to avoid exposure to dusts, smokes and air pollution as much as possible.Hope above suggestions will be helpful to you. In my opinion, you should consult an Allergist-Immunologist.Should you have any further query, please feel free to ask at HCM. Wish you the best of the health. Thank you & Regards.</s> |
<s>[INST]Hi i have the cold and it seems like my breathing is different like when i drink water it feels like i stop breathing even when i sleep i did not notice this before and i do have allergies maybe it is all combined but what is your opinion on this Thanks[/INST]helloYou should take steam regularlly.Consult to physician for examination, ECG & x ray if requierdTake Sitopaladi powder 5-10gms with honey twice a day.As this is prescription medicine consult to doctor.</s> |
<s>[INST]Hello sir I have conceived on Jan 2016 n in march 2016 i experienceed with missed abortionafter that I have to undergo d n c From last march to till nowI am trying to become pregnantI hv done hsg carryotype testeverything thing is normalnow doctor advise me to take gmh75 iu injwhat is the chance of becoming pregnant after having this[/INST]Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.GMH or HMG injections are used to stimulate follicular growth in the ovaries and the required dose depends on many factors as age, BMI, previous ovarian response, astral follicular count, AMH etcetera.And the growth is monitored by serial ultrasound examinations. As such GMH will not reduce the chances of abortions. It can only help you get pregnant. Usual recommendation is that we need to evaluate abortions only when they are more than 3 months.But to be on safer side, I would recommend you to take atleast TSH and GTT as your karyotyping is normal and do not forget to take your Folic acid tablets as they are known to prevent abortions and neural tube defects. All the best.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Avanti Sathineedi</s> |
<s>[INST]I have a sharp pain in my chest near or around hear I m 14 6ft tall and around 200pounds What could it be It happens every now and then usually ill be in bed moving around to get comfortable and it hurts I can t do much just wait for the pain to leave[/INST]Thanks for your question on HCM. In my opinion it is mostly muscular pain only due to muscle twitching and spasm.But better to rule out cardiac cause first. So get done ECG. If this is normal than no need to worry much for cardiac cause. Try to follow these steps for better symptomatic relief in muscular pain. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. 5. Avoid stress and anxiety. As stress can also cause muscular twitching.</s> |
<s>[INST]Possible allergy never a rash just waves of all over severe itch causing racing heart followed by a hot flash that eases the itch I am a young looking petite 54 yrs of age and post menopausal The itch can be brought on by bathing not exclusively mostly on legs One itch can trigger a full blown attack from head to toe including the scalp eyes nose face especially the ears inside and out Talking or thinking about it can cause flareups When a right extremity itches the left may itch in the same place When an attack is really bad my heart races and it seems as though the itchiness is could be running through my blood and the itch will come from the inside out to the skin Rubbing the skin wwithout lotions or creams or both unscented etc helps and is very time consuming I also have a raised blue vein that runs across my left forearm above the elbow that severely itches from time to time What in this world is going on and how can I treat and cure it without man made drugs[/INST]As discussed earlier, itchy skin can be the result of fluctuating hormones during menopause. As estrogen leaves your body during menopause, it will stop the production of collagen, a youth hormone that keeps us looking young. Therefore when the production of collagen stops, itchy skin begins. Estrogen also is responsible for maintaining moisture, so dehydration can occur as a reduction in estrogen production occurs, which can cause extreme itchiness. Unfortunately, itchy skin can become extremely disruptive and the more one itches, the more one scratches. During menopause, many women find itchy skin to be more of an annoyance than a debilitating symptom, but there are many treatment options. It is advised to see your healthcare provider immediately if your menopausal itching is extremely severe, affects your entire body, has lasted for over a week and doesn’t improve with lifestyle adjustments and/or is accompanied by weight loss, changes in bowel habits, fever or redness. it might be allergic problem too. byeeeeee</s> |
<s>[INST]i masterbate daily 2 to 3 times i m getting weak i want sex but i dont have girl friend i never made any sex in life i m 23 male[/INST]Hi, Thanks for writing in. It is said that masturbation is normal 2 to 3 times a week. At your age, even if you want to do daily, please do not do it more than once a day. You need to keep yourself interested in other areas like study and work. Eat healthy food and go for regular exercises. Do not allow sexual thoughts to come to your mind. Having sex with unknown partners can be dangerous and give you diseases like HIV and STDs, besides if you have a sex addiction then it will be difficult to control your impulsiveness and this can cause further trouble.</s> |
<s>[INST]My three year old son has swelling over the temporal bone just over the L ear The swollen area is very hard and doesn t seem to cause him any pain It was also very red this morning which became white again when I gave him some Benadryl However the swollen area did not decrease down[/INST]Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have swelling on temporal bone. Well there can be many reasons for symptoms you mention in query like aneurysmal bone cyst , mastoiditis , folicullitis or inflammation of parotid gland . I would suggest you to consult general surgeon for proper examination . Doctor will check tenderness and consistency along with ultrasound and take sample for lab test . Doctor may prescribe antibiotics along with anti inflammatory or may recommend surgical excision under local anesthesia . For now take ibuprofen or acetaminophen for pain and apply warm compresses . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari</s> |
<s>[INST]I know that these days a psychosomatic diagnosis for illness especially any involving chronic pain and other issues that don t fit into an obvious diagnosis is common I also know that if a patient has an underlying anxiety disorder doctors often jump to the psychosomatic diagnosis because to them it seems the most obvious I agree with Occam s razor myself but I don t agree with this if a patient exhibits chronic pain accompanied by other long term health issues especially if that patient follows a healthy diet and exercise program and has their anxiety under control I know how the human brain can effect the physical body but I d like to know how frequently peripheral neuropathy is caused by psychosomatic illness if the patient has their psychiatric health in check[/INST]Hi, First it is important to know that psychosomatic symptoms do not cause neuropathy. But neuropathic pain tend to increase in severity in presence of anxiety and depression due to somatisation of these illness. Distinguishing neuropathic pain from psychosomatic complaints is a clinical challenge to physician. Following clinical faeture help in identifying psychosomatic pain or exacerbation of neuropathic pain by somatisation: -Distribution of area of pain, atypical to neuropathic pain area. -Severity of pain is more than expected -Temporal relationship of complaints to anxiety and depressive symptoms. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com</s> |
<s>[INST]my 9 year old daughter is taking typhoid medicine before this in January she took antibiotic for cough and cold there was no fever In feb 13 she had fever for one day after a week she again had fever which reched 104 after blood test her tlc was 27000Drstart giving her antiboitic for 3 days ther was no fever ater this course but again she had fevr the other docoter noticeted a smaalpuse cell near tonsils area ENT has revoed that and given her augpem for 7 days during the course of mecidn ther was no fever ya widal was negetive chest xray was clear again she ataryted having fever from 24 of March and a lifnod behing ear is swollenon 29 March she her typhoid came positive we started typhoid medicinebut from 9 apri we obsered one more gland incresed near her neck we stoped typhoid medecin on 13 april Now her monto text seems positive and waiting for FNC reprt of glanPLEase advise[/INST]hi.as per the description this mostly looks like signs and symptoms of the differential diagnosis of lymphadenitis which are tb lymphadenitis, NTM lymphadenitis, kaposis sarcoma or even lymphoma. to rule out to lymphadenitis it is necessary for a Mantoux test, a PCR smear of the lymph node biopsy and even a FNAC . which shud come to a conclusion of what disease process is going on . constitutional symptoms would be anorexia weight loss and fever . low immunity is a very common cause. and also specific treatment would be given accordingly after the diagnostic tests. hope this helps.</s> |
<s>[INST]I am having pain in my entire right leg I do have fibromyalgia but there is constant pain on the posterior lateral side of the right knee It seems that is there is a lump behind my right knee that is not present on my left knee and it is where the pain originates It is just a constant ache It keeps me awake at night unless I take some leftover Norco I don t want to take it but I have been since I haven t been able to get in to see my doctor yet I m just wondering if these symptoms sound similar to symptoms of a Baker s Cyst[/INST]hi,thank you for providing the brief history of you.As mentioned by you about the pain, for which you should undergo breathing exercises, physical therapy and meditation. As you are suspecting it as a bakers cyst, it can be a possibility which happens over the popliteal region.Performing regular exercises for the knee, will help improve the strength in the muscles and also reduce the cyst.In my personal practice dealing with fibromyalgia, i have been designing various protocols for them and 99% of patients have recovered well. For you i will recommend to do meditation, breathing exercises and physical therapy. Also, the cyst found behind the knee has also been eliminated from the region and the pain will be eliminated.I wish the same recovery from you. Consulting a physical therapy will help you to the optimum results.RegardsJay Indravadan Patel</s> |
<s>[INST]Hi My name is praveen 46 years old 1m68 75 kg we have recently shifted to bangalore from delhi 3 months I have never had any breathing problem in my life and since 2 weeks i have lot of mucus and cough and have trouble going for jogs I have no symtopms of regular cold what should i do thank you Praveen[/INST]HI, thanks for using healthcare magicIt is possible that your symptoms are related to allergic rhinosinusitis. This is inflammation of the nasal passages and sinuses.It would cause nasal congestion, post nasal drip and cough. Since it only started with your move, it is possible that it is related to change in your environment.You may want to consider the use of oral anti histamines along with topical steroid nasal sprays. The oral anti histamine may be available over the counter but you may need a prescription for the topical spray.Your pharmacist would be able to tell you which ones are available in your area.I hope this helps</s> |
<s>[INST]Back in the early 40 s, when I was around three years old, I developed scarlet fever along with my siblings that almost took my life because the hospital I was in did not have an anitbiotic to deal with the infection. A number of us were placed in a home owed by the hospital in Bismarck, ND, and left to heal or die. Fortunately, a doctor decided to try sulfa meds, which were being used by the service men. I survived the ordeal with many sores in and around my mouth. My oldest sister was diagnosed with rheumatic fever, but not I, as far as I knw. Recently, I mentined this story to my present physician, who believed I, too, suffered from rheumatic fever, which could account for some of the problems I have developed as an adult. My question is this: Could scarlet fever develop into rheumatic fever?[/INST]Scarlet fever is caused by strep. After an infection with certain strains of strep, some people develop an antibody reaction to the strep that causes rheumatic fever. The antibodies attack your own body and can cause damage to the heart. You do not mention what problems you have had as an adult, but if you are having problems with the heart valves, then your doctor is correct. Untreated scarlet fever can develop into rheumatic fever, which then can lead to rheumatic heart disease, which typically affects the heart valves. Hope this answers your question.</s> |
<s>[INST]I have been having left arm pain from my shoulders and my wrist and my hearts been beating fast and then a hard thump and then stops beating for a second and the other day i blacked out for a second heart disease runs in my family as well as cancer Im 47 and I weigh 150 lbs HEIGHT 58 IM worried its going to be a heart attack but I have been under alot of stress[/INST]Hello and thank you for using HCM.I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion .You should know that typical heart pains have some characteristics . They usually are retro-sternal pains like squizzing , tightness or heaviness . They may irradiate to both arms , neck and jaw . They last from 5 to 20 minutes and in a case of heary attack may last even more.But you should know that heart attack ussaly is a dramatic situation, whith a hard pain, nauzea, vomiting, sweet, tachycardia. So, if you are experiencing chest pain and if heart disease runs in uour family than its time to do some examination.If I was the treating doctor I will recommend an electrocardiogram, a cardiac echo, a full blood analyze, cardiac enzymes, and a strees test if it is possible.it might be just an atypical pain coused by stress, but better to be safe.After all this we can judge what we are dealling whith.Hope I was helpfull.Best regards, Dr.Ervina.</s> |
<s>[INST]Hi I am a 29 years old female, I was down with a severe flu for 7 days, post which i had a loss of appetite, discoloration of urine & nausea. I was hospitalized & diagnosis with Viral Hepatitis, though it did not belong to any of the Hep (a,b,c,d or e). Bordeline hepatomegaly & serum bilirubin total of 1.62[/INST]Hellowelcome to Chat Doctor, i appreciate your concern. There are other viruses leaving HEP group like Aden echo filo microRNA enter they can cause hepatitis too. They have the same symptoms as hepatitis A viruses. The treatment is totally supportive and gives good result. Continue the medications advised to you from the hospital. Hope you find this helpful. Post any other queries, and we are happy to help you.regards.</s> |
<s>[INST]I am 25,male. My problem is with my erection, it is putting me in stress so much nowadays and i am starting to suffer ED also. When agitated, it becomes thick and harder but doesn t come up(just comes 30/40degree up relative to legs direction) and get straight, its way too much curved downward(concave downward). I can take it up with hand but i want it come at least 90degree up naturally. Please help me. Suggest me some good medication.[/INST]HelloThanks for writing to us. Exercise would definitely help in Erectile Dysfunction. Exercise, especially moderate to vigorous aerobic activity, can improve erectile dysfunction. However, benefits might be less in some men, including those with established heart disease or other significant medical conditions. Even less strenuous, regular exercise might reduce the risk of erectile dysfunction. Increasing your level of activity might also further reduce your risk. Discuss an exercise plan with your doctor. Take Himalaya confide tablet for ED. It will help you. It's a herbal product and has no side effect. I hope this is helpful to you. Regards</s> |
<s>[INST]hi my daughter got bit last week by a small dog and it drew blood she went to hosiptal and they gave her some pills but she has been sick the last 3 days her two legs are numb and had diarea ann has sleep for 3 days on and off today she said her one arm is numb now she is on her way to riverview hosiptal in wisconsin rapids it was a winnerdog no shots it has as we no right animal control was here this morning to see where this dog is we got the infor and called back animal control have heard noting back yet[/INST]Welcome to hcm Thank you for your query about dog bite.first you have to clean the biten area with water and then with cold water Then you have to immediately rush to the hospital. There they will another time examine the biten area and will clean it.You must not cover the wound with tight plasters and keep it open.They may apply some anti rabis vaccine in the biten area and will start you with anti rabis vaccine schedule.All the vaccinatens are given intramuscularly. No vaccination is given around the umblicus . hope this explainsRegardsDr.Amarnath.</s> |
<s>[INST]Hi im in my 9th of my pregnancyi never took any iron tablets all these days because i get vomit continously or stools with stomach painnow my HB level is 83 so doctor advised me to take iron injection so my question is will the injection darken the skin of my babykindly tell me will my baby gets black colour skin[/INST]Hello dear,I understand your concern.In my opinion the iron injections will not darken the baby skin.The iron injections are given in two methods like IM and IV.IM means intramuscular-Here the injection is given into buttock muscle.And that area might get darkened.But with proper technique called 'z' technique it might be lessened.IV is intravascular- Here the iron injection is mixed in normal saline and transfused over a period of 30-45 minutes.IM or IV injections are given on alternative days and appropriate dose is calculated prior .So with IM injections the injection site area might get darkened.But never the colour of baby skin is effected.So relax and go on with the treatment. Because as you are 9 months already the dietary iron and oral iron will not be able to improve your HB by the term.Nothing to worry.Iron injections will do the work.Hope this helps.Best regards...</s> |
<s>[INST]Hi it appears i have split my tounge from the right hand side to the back it is very sore feels like a lump under my tounge and is hard to swallow and cough feels like i am swallowing peices was wondering if there is anything i can do myself or would i have to vist hospital[/INST]Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have lump under tongue. The symptoms you mention in query can occur due to many reasons like traumatic fibrous, papilloma, lingual thyroid, lingual manual which is a cystic swelling, or transient Lingual Capsulitis. It could be due to allergic reaction to certain food substances. I would suggest you to consult oral pathologist for proper examination. Doctor will examine carefully and will make proper diagnosis and start treatment accordingly. Doctor may prescribe antibiotics, anti-inflammatory or vitamin B 12 supplements. Go for FNAC or Excision biopsy as prescribed by doctor. Doctor may prescribe MRI for further investigation. For now do warm saline rinses several times a day and maintain proper oral hygiene. Hope your concern has been resolved. Get Well Soon. Best Wishes,</s> |
<s>[INST]My father 83 had a stroke PCA Infarct in 1997 recently he has complaints of frequent vertigo The CT scan report says the following findings Tiny lacunar infarct in the bilateral gangliocapsular region atrophic changes in the brain parenchyma with difussed bilateral periventricular white matter hypodensity suggestive of chronic ischemic changes[/INST]Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.There is no medication that can correct The chronic ischemic changesYou can however prevent further damage Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care.</s> |
<s>[INST]I had a hysterectomy and pelvic floor prolapse surgery performed using the di vinci robotic method The surgeon used pig bladder stem cells to regenerate tissue for the prolapse problem The prolapse is worse than before the surgery I have seen e urogyn s and all confirm the pig bladder stem cells have been proven not to work What research papers are available to confirm the findings[/INST]Hi, dearI have gone through your question. I can understand your concern. Pig bladder stem cells are not effective to regenerate the tissue. Some clinical trials suggest it is not a giod option and not effective in most of the people. It works I small number of cases. So other treatment options should be used. 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]Hi doctor I am 26 years old Yesterday I had sex with my husband but unfortunately precaution was broken I do not want to get pregnant What should I do Please guide me[/INST]Hello. For further doubts consult an obstetrician and gynaecologist online --></s> |
<s>[INST]Hi my cousin is trying to recover from Endometrial cancer She has had four chemo treatments and is now having a really hard time Her mouth is burning and she is unable to eat anything as everything she tries seems to exacerbate the problem I would greatly appreciate it if someone could give me some suggestions as of course she needs to eat to keep her strength up Thank you so much Katherine[/INST]This is due to mucositis due to chemothetapy .plz take plenty of water, take folic acid tablets vitamin c and proteinixious diet, you can try lignocaine spray in mouth while having food. Take pain killer regularly along with some antibiotics and antifungal.</s> |
<s>[INST]Dear Doctor I am suffering the pain of lumber area (Disk) 4-5 and 1-2 vertebral area, I just finished What called Maysotherapy (sevral injections in the lumber area, but I still suffering the pain of the two legs specially in the Morning, what I should do to control this pain?. thanks & best wishes El Rababa[/INST]Read your problem...the pain in the lower back region is a very common problem. It can be due to several causes trivial to serious ones. This pain generally is of 2 types : localized to the lower back or radiating to the lower limbs. The reason could be post-traumatic, inflammation, infection or neoplastic. Some fall, lifting heavy weight, excessive back strain, infection leading to abscess formation, disc prolapse o infection, tumor growing inside, all can give similar complaints. You need to visit an orthopedic surgeon for check up. Investigations like x-ray, CT scan, MRI scan of the spine and pelvis, along with blood investigations is required before starting any medication.</s> |
<s>[INST]Sir I am from India and in serious trouble Used condom during sex but effected by infection Penis is discharging at the edge of the forescreen and wounds also appeared Hostipal Doctor recommended HIV and VDRL test and done both and are non reactive Now I have given one urine test ie RE CE Doctor is telling me nothing I am seeing any problems I am facing problems in itching sometimes bourning feelings and due to discharge in penis place unesiness felings Please advise and help me and to save my life Regards Partha Sarkar 0000[/INST]hii have gone through your problem and i can understand your problem. many a time these kind of patient attend my clinic.as your hiv is -ve and as well as test for syphilis is also -ve.than possibilities are there it may be a bacterial infection or a fungal infection.your urine report will tell the pus cell in urine as well as it will also clear the status of bacterial infection.so you need not to worry.whether it is bacterial or fungal both can be treated with antibiotics or antifungals.regardsDr. Arvind</s> |
<s>[INST]My mother in law had a laprasopic knee surgery a few months ago. Last Friday she wanted her asthma pump but it could not be found. She wanted her abruteral machine on but we did not have any medicine for it. Her veins on her forehead started to pop out. She started foaming at the mouth. We called the ambulance and rushed her to the hospital. As they was about to go take her down for a cat-scan, her heart stopped. What caused it? I thought it could have been a blood clot.[/INST]Hai, thanks for using Chat Doctor. She has had an acute attack of asthma or exacerbation, which when not taken timely action has various complications related to the lungs & the heart. This can cause raised pulmonary arterial pressures with reciprocation changes in the mean arterial pressures,co2 variations & intro cranial pressures. This frothy discharge is due to pulmonary oedemalaparoscopic surgery few months ago may not be related to the present problem. The other cause can be due to pulmonary embolism, or any thrombi/clot in the coronary vessels due to the displacement of the embolic, or if she had a post-operative deep vein thrombosis take care</s> |
<s>[INST]I have had back pain for 7 years, and learned to cope with it. For the past three days I have had severe back pain, mostly lower and neck area and abdominal pain as if I had diaharria, my stool comes out mucus and tissue like. I recently had some soft stool.[/INST]Back pain and abdominal pain may be of different origin, or may be of part of same disease like satiation syn Chat Doctor. Complete bed rest for a certain period of time is the initial mode of treatment in low back pain. Pain can be controlled by medication, exercise, weight reduction, lifestyle modification etc. And if the condition is not improving and impairing your activities of daily living then you have options like epidural injection and ultimately surgery. Take paracetamol 1 gm twice or thrice daily as required initially for some days.</s> |
<s>[INST]I used to have nevelon tablet for menstruation cycle as described by the doctor every month and it also used like contraceptive pillsmy question was after completion of the medicines I had an intercourse with my husband after 2 days right now am I save or having chances of becoming pregnant I had periods after 5 6 days after completion of the tablet now what I will do[/INST]Hi there, I have understood your concern and I will suggest you the best possible treatment options.Tablet Novelon is Avery good oral contraceptive pill and it also helps to regulate the menses. It's usually taken daily one tablet for 21 days and repeated after the gap of 7 pill free days.Most women get their periods in this pill free period of 7 days.As far as your doubt is concerned, sexual activity in this pill free period is definitely not going to lead to pregnancy. As these pills already supress the egg formation in the middle of the cycle.So you need not worry about the pregnancy.Please opt for a healthy diet and regular exercise regimen and daily folic acid supplementation.I hope this answer helps you.Thanks.Dr. Purushottam Neurgaonkar</s> |
<s>[INST]I have had pain in lower left area below breastsit feels as if its under the rib cagethe pain is also traveled to the right sidei experience shortness of breath stabbing with unbearable painchills sweats spasms in the areas of pain which also travel to the back Wheezing with a whistle sound What could this be I honestly feel like I am dyingdoctors thought it was intestinal problems but all test have came back fine My original ct scan said that ther was a thickening of the wallswhat walls I do not know The inflammation was shown to go under the breast across as well as down both sides[/INST]Hello dear, thanks for your question on HCM. I can understand your situation and problem. In my opinion you are having bronchitis. Your symptoms like cough, wheezing and shortness of breath are seen in bronchitis. And the thing you are mentioning "wall thickness" is seen in bronchitis. The bronchial walls are edematous and appears thickened. So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. PFT ( pulmonary function test ). PFT will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and antihistamine drug. So consult pulmonologist and first diagnose yourself and then start appropriate treatment.</s> |
<s>[INST]I have been smelling fuel or exhaust spells on off for a couple of weeks nobody else smells them For awhile now I have had a cracked tooth crown in need of repair as well as mercury fillings could they be causing this problem or some other reasonThank you[/INST]hiwelcome to HCMcracked tooth or crown could never be the reason because of smelling fuel or exhaust spells on & off.for your tooth, get an IOPA xray done and visit your dentist for cure.thank you</s> |
<s>[INST]Hi doctor I have recently started practicing rhythmic breathing for peace of mind The practice includes proper cycles of fast and slow breathing I have heard that such process might lead to hyperventilation and asthma problems Further while doing the process I feel some tingling and vibration in my fist and forehead I also feel mild headache at times after the process However overall the process gives peace of mind Should I discontinue the process Are there any harmful effects of the same[/INST]Hi. First of all, I congratulate you for adapting breathing exercise. It is scientifically proven exercise to control ventilation and calm down the mind. It is also helpful for the people with breathing problems and asthma. In no way it is harmful to the body. It is not at all causing asthma or any other problems. As you said, because of overventilation, you can experience some tingling, numbness, headache or lightheadedness. But, these effects are temporary and in long run it is very helpful for the control of breathing and meditation. So, I encourage you to continue this and be happy in life by learning the art of living. Till date it is the scientifically proven way of meditation without any side effects.</s> |
<s>[INST]Sir My Daughter Yashi Age 9yrs Wt only 15Kg she is having Typhoid from 25th July till date before 9th aug she was having fever in every 56hrs from 10th august she has fever at 3am on 10th 11th and 12th August we have given by the prescription of Doctor zifio 100mg 1 and 12 tablet twice a day and Crocin till 11th but on 11th evening Doctor change the Antibiotic to Azithral 200 liquid 75ml Twice a day for next 5days What to do I am worried about her health we taking all cares about the eating habit and as well as all the test were taken from xray to MT and as well as of Malaria but only Widal Test comes ve[/INST]Hi your concern is valid . If fever is not responding to oral antibiotics she needs a switch to parenteral antibiotics , also illness other than typhoid need to be ruled out.thanks</s> |
<s>[INST]Dear sir, I am 27 yrs old . I am trying to conceive for last 2 years . I consulted 3 doctors they have given enough of tablets but still I cant. Now at present i have consulted one doctor she told me take metatime 500 mg tablet , fertibex tablet and folic acid. Will i able to concieive with these tablets[/INST]Hello are trying for pregnancy from last 2 years & you didn't mention the cause of not getting pregnancy. Anyhow metatime i.e. metformin is a potent Chat Doctor. Fertile is clonidine and used in ovulatory infertility, this is used for stimulation of follicles to release ovum 9 from 12 to 15 days after 1st day of period date. While folic acid is an iron supplement. Your doctor is in right direction. Yes with the help (these tablets) of these tablets you can conceive. Good luck.</s> |
<s>[INST]Hello doctor Can I get pregnant without having sperm released inside my vagina during the intercourse How can I confirm if I maybe pregnant If I am pregnant what should I do for abortion without surgical means[/INST]Hi. Until there is ejaculation in the vagina or precum, there is no chance of pregnancy. So relax and do not worry. However, if you have a doubt then take an emergency contraceptive pill within 72 hours of intercourse. There is no chance of pregnancy. However, if you have crossed 72 hours of intercourse then please do not take any medication without expert advice. If you happen to miss your period then get a urine pregnancy test done with an early morning urine sample to ensure that you are not pregnant. However, if you have a doubt then get back to me.</s> |
<s>[INST]I am being treated by my dentist for an abscess and have been on antibiotics. I was scheduled for a root canal today, but I am not able to open my mouth due to swelling and tightness in my jaw. He indicated that there are times even though the abscess is being treated with antibiotics, the infection can settle into the jaw muscle and cause it to tighten up and that is likely causing the problem. He prescribed a muscle relaxer to see if that will loosen up the jaw muscle. I have been taking OTC pain relievers to help with the swelling and pain but wondered if you could tell me if there is a name for this condition and if there is anything else I can do to help myself or help speed up the healing process? The root canal has been put on hold for a week in the hopes by then I will be able to open my mouth/jaw enough to do the procedure. Thank you for your time.[/INST]Hello, It looks that you are suffering from a condition known as Erasmus, and it is the cause for difficulty in opening mouth. It can occur due to infection and abscess formation and can also be due to muscle spasms. You should continue taking antibiotics and muscle relaxant and also try to gently open the mouth as much as you can. Let the infection get reduced as it will help in reducing swelling and then the mouth opening will also get improved. Hope I have answered your query. Let me know if I can assist you further.</s> |
<s>[INST]I am a woman 29 yold I have a 6 months old baby after my cesarean delivery I had a lot of hair loss All time i am so tired and not enough energy i am full time service holder and i work 9 hours per day My hand and legs had all time pain what can i do[/INST]Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of hairfall, my treatment advice is - 1. Use a good herbal hair oil and shampoo for routine use. 2. Take good nutritious diet full of green leafy vegetables and milk. 3. Take an iron supplement and vitamin B12 supplement once daily for 3 months. Hope I have answered your query. Let me know if I can assist you further.</s> |
<s>[INST]yes, i am trying to get my husband to see a neurologist to find out how extensive his brain and heart damage is, and if they will ever heal after he got hurt at work last august while running an excavator at a dairy farm by the toxic gases from a liquid manure truck that ran all day every day for the entire 5 days he was there fixing the canal.[/INST]Hello. Thanks for asking from Chat Doctor. I can understand your concern. There are mainly four manure gases which cause tissue damage - HY Chat Doctor. They cause mainly irritation of breathing apparatus e.g. nose, oral cavity, larynx, trachea and lungs. This is followed by poor oxygen intake and ultimately hypoxia and asphyxia. Poor oxygen amount in blood leads to damage to brain, heart and rest organs. Direct damage to brain and heart occurs at high concentration of these gases which is usually fatal. Now in case of your husband, damage to heart and brain can only be predicted after evaluating his signs and symptoms. If he is conscious, oriented, following simple commands, able to answer simple "yes-no" questions, able to remember important date/ad</s> |
<s>[INST]My sister just had an MRI and was told she has had a stroke needed to see a neurologist ASAP The Drs office she is associated with is booked as many of them are on vacation I am trying to find a Dr in the area for her that will work with her primary does not think heshe is God[/INST]Hi,Thank you for posting your query.I have noted the details. The emergency to see a neurologist depends on the patient's symptoms as well as the MRI findings.If the MRI brain shows an acute infarct (fresh blood clot), then, an emergency consultation is required, as stroke treatments are time-bound (they do not work after certain periods of time).If there is acute-onset weakness of arm or leg, language dysfunction, headache, facial droop, etc,. then, again, she should see a neurologist immediately.If the above are not present, then, she can see a neurologist as per appointment.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: My blog:</s> |
<s>[INST]Basically i d like a second opinion When i was 14 i had an implanon inserted i had it until it expired early this year and another one inserted straight away i think it may have been nexiplon I have some serious concerns about being on the bar as i have had what i believe to be negative side effects my doctor insists its safe and im fine but i just dont know can you please tell me your opinions on this type of contraceptive[/INST]hello dear.understand your concern.as you said, you are 14,when you implant.according to me its early age for implantation,may be it can difficulties in future.I think you have to take another method for contraception like condom,diaphragm,hormonal tablets & patches....Implanon have some side effects like,bleeding,amenorrhoea,nausea,dizziness,loss of appetite,headache,changes in libido,acne,depression,infection at implantation site,etc...I hope,this will guide you.stay safe & healthy.thanks.Dr.sagar</s> |
<s>[INST]2 days ago i thought I had an allergic reaction to tomatoes in a salad I am mildly allergic to tomatoes they make my mouth itch and sting sometimes Nothing serious But this time the mouth pain got worse and my inside upper and lower lip and sides of my tongue became swollen painful and developed red welts I had trouble sleeping because of the mouth pain and now I feel very fatigued I have a low fever 998 and tender swollen glands only neck What can this be[/INST]Hi i do care for your concern. The history suggest hypersensitivity reaction to tomatoes. The condition is called as angioedema. Taking a shot of steroid such as dexa as soon as possible will relive the symptoms. It is advisable to take anti histamine tablets for three days to get rid of symptoms completely. The fever and swelling is also caused due to inflammation and will subside after treatment. Hope i have answered your question, If you have more feel free to ask. Thank you.</s> |
<s>[INST]I recently had unprotected sex with my girlfriend and I had no worries with my foreskin pulling back , but the next day my foreskin became verry tight , and felt different it had a leathery feel and now its verry pain ful to pull my foreskin half way across the head of my penis , what is this and what should I do?[/INST]Hello and welcome thanks for your query. I shall make an effort to provide you with good professional recommendations specific to your questions. Based on the information provided by you, it appears to be a case of STI (sexually transmitted infection)or some allergy to some substance that you might have come in contact with or inflammation due to injury during sex. You can soothe irritated skin with a cool soak. Water can wash away any remaining allergens and help inflamed tissues to shrink back to their normal size. Wearing breathable fabrics like cotton might also be helpful, as the inflamed skin might need to breathe in order to heal. You can apply any over the counter penis health cream. Itching over other areas can be ad Chat Doctor.</s> |
<s>[INST]hi dr thanks for your service actually my son is 7 months old and we are muslim so need to do khatna Circumcision when we went for this to the dpecialist he told us this is small one so come back after one year and my son has small penis could you please advice on that what should i do what is the treatment for that wait for your early reply thanks[/INST]Thank for you query at health care magic. from history it seems your child has small penis. i suggest you to consult a pediatrician as soon as possible only after seeing it size we can say is it normal or due to some endocrine disorder. Hope this information will help.RegardsDr Deepak Vaishnav</s> |
<s>[INST]I have just gotten back my blood work after applying for life insurance I am a 56 year old woman 115lbs and 5 133 and have had no health issues I am reasonable active play golf walk bile et My globulin level came back at 14 and I have an appointment with my doctor next week What kinds of things will he be looking for[/INST]without any symptoms if you have only a low globulin, and normal albumin I suggest you repeat the test. if it is still low you need to look for HIV which is known to cause low globulins. if negative, you may need a bone marrow evaluation, vaccination to prevent bacterial infections like pneumococcus and consultation with a haematologist .</s> |
<s>[INST]I have this weird beating on my ribcage, just under my shoulder blade and on my side. I think it could just be stress since I ve been overwhelmed lately, but this has never happened before. it s not steady beating, it comes and goes... what should I do?[/INST]Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, you need to be cautious, first get a consultation of a cardiologist and rule out the most dangerous cause of this type of pain, then only will other considerations become important. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks.</s> |
<s>[INST]I recently started having pain on the top of my foot mainly around the three smallest toes I have not injuried it in any way it is hard for me to walk and it swells badly It does not swell real bad if I stay off of it However it does still swell ice nor heat do not help Can you tell me what s wrong[/INST]Hi,Thanks for your query.According to your description , pain over your foot seems to be inflammatory in nature. It could be an acute attack of gout.I advice you to give you rest to the part affected, take anti-inflammatory drug like motrin 1tablet with food as and when required (upto 4 tablets daily) to reduce pain and inflammation and consult your doctor for thorough examination and rule out any infective cause.I do hope that you have found something helpful and I will be glad to answer any further query.Take care</s> |
<s>[INST]I have had this nasty infection on my right hand for about 6weeks it has progressively gotten worse to the point now it is oozing pus and is spreading I also have had sores in my mouth now for about 2 weeks nothing like my hand but again it s getting painful and just looks terrible[/INST]Hi, Thanks for the query. I understand your concern. Infection on right hand you have hs to be cleaned & dressed rdaily.. along with medicines ( antibiotics/ anti inflammatory drugs & vitamins b complex & vitamin C ). Long standing & non healing infection needs culture & sensitivity test of the exudate followed by specific antibiotic .. Get blood sugar test to find/ exclude diabetes...Control of diabetes helps healing. * You need to consult your family physician for expert guidance. Please don't worry. you would be alright with methodical treatment under expert advise. Thanks</s> |
<s>[INST]hi doctor myself yogesh from India, I have masturbating from 13 year of age. now I am 25 , I ejaculate quickly and when go to pee it smells very bad even I don t smoke, drink or had any sexual intercourse. and also when I am urinating some white stuff come off my penis.... please tell me whether I am facing any health problems and please do give remedies to it...[/INST]Thanks for asking in Chat Doctor forum In short: Urinary tract infection can cause thisExplanation: Masturbating and this is not related. Maybe you are having a urinary tract infection in the form of urethritis/prostatitis, and it may be your urethral discharge what you are saying about white stuff. So, I would like to suggest you to go for a doctor and get yourself and your urine examined for further investigation and treatment. Good luck</s> |
<s>[INST]my 5 year old has a lump below his left ear at the end of his hair line when you touch it lightly it does not hurt but if you apply a little pressure he says it hurts we also noticed he has been scratching his head on the center he has a dry scabby spot what does this mean[/INST]Hi,From history it seems that there might be having some infection on scalp giving rise enlarged lymph node in the neck.There might be having infection on scalp like fungal infection, dermatitis or dandruff.Consult your doctor and get examined and then go for treatment accordingly.Give him regular head bath.Ok and take care.</s> |
<s>[INST]Hello doctor I lost a tooth 20 years ago and now have severe gum disease and unsightly gaps where my other teeth have parted Are full dentures the best option[/INST]Hi. Regarding your query, since you have lost just one tooth and you are still young, full dentures are not required. You can go for a cleaning (scaling) first and replacement of the tooth that you lost. You can either go for a bridge or implant, depending on your needs and what the dentist feels is appropriate. Kindly consult with a general dentist or prosthodontist for the same. For more information consult a dentist online --></s> |
<s>[INST]I have prickling radiating pain above left breast and hand tingling The area hurts to press and worsens after lifting but sometime just resting I have chronic neck problems and have just been to the chiropractor a couple days ago My blood pressure is 142 68 pulse 94 Take blood pressure meds and Simvastatin and baby asprin[/INST]It seems to be a muscular problem.I recommend you to do an electrocardiogram to exclude cardiac problem and if it is ok you should start taking antiinflamator's and miorelaxant.Wish all the best</s> |
<s>[INST]I once had a pre cancerous bit of skin removed on my chest area just below my collar bone there is a minor scar there but just yesterday I noticed a lump and pain near that area under the skin what should I do or better yet who should I go to to check this out a primary care physician or a dermotologist[/INST]Hi.Thanks for your query.Noted the history and understood your concerns.The scar due to surgery for precancerous lesion on chest below clavicle can be enlarged due to the following reasons:Hypertrophied scar,Keloid formation.Recurrence of precancerous or cancerous lesion.I would advise you the following:As asked by you, meet/consult the Surgeon who operated you.Needs clinical evaluation and examination.The further management will depend upon the actual diagnosis and may need high resolution ultrasound and FNAC that is fine needle aspiration cytology.If this is a hypertrophied scar or a keloid, treatment is conservative and can be application of anti-scar ointments, local steroid injection.If pre cancerous or a cancer then needs wide local excision, send for histopathology and further management as per the reports.</s> |
<s>[INST]Hi I am 25 yrs old male having Genital warts in the foreskins only for about 8 years without knowing the diagnosis I do not know how I got it because I never did any sexual intercorse with anyone I used to think it to be a minor infection that it will heal with time And also I started to ignore it However three months ago I consulted a doctor he diagnosed it But the situation was that I have had to get married So I even did the VDRL HIV tests which were negative before marriage Then I started to apply PODOWART on that particular area once a week But I was told it will take months to heal In the meantime I informed my wife about it we took pracautions like abstinence while oral intercourse we used condom after washing my genital area We used to kiss each other This went for two months But my question is is there any chance that my wife has been transmitted HPV by myself And should I get her vaccinated with HPV vaccine immediately Does it advance to carcinoma Should I get her tested for HPV[/INST]Hello,,Genital wart is caused by Human Papillomavirus (HPV), which affects only the skin and it will be localized to the wart. I would suggest your sister to apply 5% Imiquade cream over the wart on alternate days for 4 months. Before application of this cream you need to apply Vaseline over the wart and then you have to apply the imiquade cream.Mean while to boost up the immunity she need to take orally capsule Zincolac, daily for 30 days. Once the wart is cleared by topical application of cream she will become free from infection.Once the wart is cleared by the topical medicines she will become will be non infectious.During the treatment she should adopt health life style like avoiding unprotected sexual activity, multiple sexual partners and going to commercial sex workers.Thank you.</s> |
<s>[INST]hey i have a 2 year old and he hardly every sleeps at night she will go to bed at 8 then up and wide awake at 10 then i stuggle to get her to sleep again then she wakes up again at 2 in the morning the she wil stay up the hole day what can i do to get her to sleep through[/INST]Tithe reason can be poor feeding habits, hunger, thirst, sleep disturbance due to bed sharing, uncomfortable room temperature, psychological stress etc. Ensure healthy adequate diet and fluids before sleeping and try to check for other reasons. Most kids improve as they grow. If still persists then visit a pediatrician for complete clinical evaluation to rule out organic or pathological causes. Take care</s> |
<s>[INST]my daughter is 18months nowshe had a throat infection and fever last week and the doctor prescribed amoxcillin antibioticthen nasal spray for blocked noseshe got the throat infection from meafter taking antibiotic for 5days she was normalthen started severe cough at nightthen went to doctor and said that she had a mild wheeze and was put nebulizer once and prescribed dilanyl 25ml three times and toplexil 25ml 3times for 5dayswe have finished 5days medicine but still she is coughing at the nightiam so worriediam in uaei have ventorlin syrup which my peadiatrician gave me when i went india last monthi have given her this medicine when she had cough and fever last timebut now can i give her this medicinepls help[/INST]Hi...Ventorlin is a medicine which is given for wheezing. If you feel that your child is having wheeze associated with severe cough and breathlessness you can give ventorlin as medicine till you see your pediatrician. Sometimes ventorlin can cause increased heart rate if given in excess dose. But as your pediatrician has already suggested nebulization, I see that your kid is having wheeze so you can go ahead and give ventolin.But get back to your doctor as soon as possible.Regards - Dr. Sumanth</s> |
<s>[INST]Initially it is just a lower back pain and extremely fatigue After I went for a massage the pain spread to the side of my pelvis And I have started to have diarrhea Everything I ate will come out as yellowish pale slimy stool And occassionally I have blood in my passing I become very weak and went to see the doctor The doctor prescribed me with a medication that stop diarrhea And it does stop it but the stool shape and color didn t change at all I also noticed that there is a thin film of white layer floating in my toilet bowl and it stink like hell After a day of torment my diarrhea is stabilized but my pee has a strong smell I have stomach cramps and farting a lot Stinking fart And I don t have any appetite Will u be able to diagnose what is causing all that[/INST]Hi, An infection of your gastrointestinal tract ( bacterial infection ) is the first thing to consider with such symptoms. Such infections may spread to the genitourinary tract too. However, it is impossible to be diagnosed online, this is a service that offers only advice. Proper medical evaluation and laboratory tests are necessary to get a correct diagnosis. Hope I have answered your query. Let me know if I can assist you further.</s> |
<s>[INST]HI WILL START WITH MY COUSINS QUERYHE IS 48 YRS OLDSLIGHTLY OVERWEIGHTALWAYS DIETINHIS LIVER ENZYMES ARE SLIGHTLY ELEVATEDSGOT AND SGPTIN 40S AND TBIL14CLINICALLY NORMALWAS ON FLUCONAZOLE FOR A WFEW WEEKSALSO ON A HIGH PROTEIN DIETAPART FROM THE DRUGSCAN HIGH PROTEIN DIETS CAUSE ELEVATED ENZYMES[/INST]Hi welcome to the health care magic Normally protein consumption doesn't lead elevated liver enzymes... But if high protein diet consumed regularly along with supplement product for few months than can lead elevated liver enzymes.. He is overweight, hence fatty liver or NASH condition might responsible here.. Slight elevation like around 40 as per history not significant More than two fold increase need investigation work up... Temporary viral infections, few drugs, skeletal muscle injury, muscule inflammation, Celiac disease etc are another cause Work up advisable with... -Serum cholesterol estimation -USG abdomen Take care Consult physician for examination with keeping all this in mind</s> |
<s>[INST]I am 39 years old female mom of 2 In 1998 while in Brazil I got h pylori was treated with an antibiotic and was never followed up with Since then my bowels have never been the same I went to my gp for my check up and my urine sample had blood noticied I guess with the dip stickcan H pylori cause unseen blood in the urine[/INST]Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.No, H. pylori has nothing to do with the blood in urine.It only causes infection in the stomach. It locate only in the stomach. And its pathogenicity is also limited in the stomach.So there is no question of blood in the urine.I suspect you must be having UTI, urinary tract infection. This can cause loose stool and burning and blood in the urine.I suggest you to do urine culture, sensitivity and Grams staining from the urine specimen. Taking treatment according to report will cure you rapidly.Please take good care of local hygiene and plenty of water can help you to flush out your bacteria.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.</s> |
<s>[INST]Hello I have a hard painful lump on my collar bone it could be my collar bone but Im not sure yet It burns if I put RUBA535 on it I also have had my root canals done and Im not sure if its caused by that I have not fallen or gotten hit in any way I have resently got a new job and Im quite tired because of the time change on my job but that is normal What could this lump on my collar bone be Thank you[/INST]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 or lymphoma. Or you may have soft tissue tumor or cyst. 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]my dad is 46 yrs old and has been complaining of chest and arm pain he keeps saying its just hart burn but his resting heart beat is 120 bpm his hands are cold an clammy and face is flushed he refuses to go to a doctor does anyone know what this may be[/INST]Thanks for your question on Healthcare Magic.I can understand your concern. Heart burn can not cause arm pain and tachycardia (rapid heart rate).Possibility of heart disease (coronary artery disease - CAD) is more likely.Rapid heart rate, chest and arm pain, cold hands, flushed face etc are suggestive of CAD more. So better to take him to cardiologist and get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test).He may need angiography if stress test is positive. So don't wait at home, take him to hospital and rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.</s> |
<s>[INST]Hello doctor,My daughter has a cavity and was told by the dentist that she needs a root canal on her 6 years molars. Is there any option we could fill the cavity vs having a root canal? She is in a lot of pain.[/INST]Hello, Welcome to Chat Doctor forum. Well, the condition of the tooth decides its treatment. If the dentist has suggested her root canal that means there is nothing that can save her tooth but only root canal. I suggest you go for that. Filling the tooth is only done when there is a small cavity and has not damaged the pulp of that tooth. For stopping pain temporarily, you can consult your dentist for medications. I can suggest Paracetamol or Ketorol-DT (Ketorolac) tablet in low concentration. For more information consult a dentist online</s> |
<s>[INST]my close realtive is having a problem of short term memory loss for the time being he used to forget everything frequency of occuring is fast he is of 62 now suffering from even high blood pressure bt is under control now can u please help me out in this[/INST]Hi seema; welcome to HealthcareMagic There may be some age related changes in brain like atrophic changes or mental stress that can cause loss of memory .So at age of 62 with hypertension it can happen.Please get the patient to examine by a neurophysician to find the cause of short term memory loss if require get investigated.Once the cause is known the treatment will be easier to do so please consult a doctor. Thanks</s> |
<s>[INST]Hello doctor I am 22 years old I need the treatment for physical urticaria by heat physical effort and tension[/INST]Hello. You told me about your problem of physical urticaria. Tests advised are CBC (complete blood count), ESR (erythrocyte sedimentation rate), ANA (antinuclear antibody), cryoglobulin, HBsAg (hepatitis B virus antigen), anti-HCV Ab (hepatitis C antibody). The first thing you should keep in mind is that there is no cure for cholinergic urticaria, and the treatment options are often limited. It is a chronic condition and will need long term treatment. You can have two or more different types of urticaria at the same time. Physical urticarias by heat, sun exposure are mainly due to cholinergic urticarias. They are responsive to most common antihistamines like Levocetirizine, Desloratidine, and Cetirizine. The first line of treatment and most important is to avoid the triggers and physical agents like chemicals, latex, cosmetics, plants, ointments, and stress. Also try to avoid exercise, heat, high temperature (fever), emotion or eating spicy food. You need to modify your diet and try to avoid hot drinks, hot foods and spiced foods. This gives a lot of relief in symptoms. Even tablet Danazol 200 mg twice daily is helpful in many cases. A dose of an antihistamine just before you do exercise may help to prevent or limit a flare-up of the rash. The use of cooling sprays, ice packs, or other materials may help to quickly resolve oncoming reactiions. Tablet Cyclosporin may be worth trying for antihistamine-resistant DU (demographic urticaria), especially in those patient cases characterized by severe itching. Unlike most other types of urticaria, physical urticaria is not usually helped by steroids. So better you avoid steroids in any form. It is not possible to predict how long the problem will last. In some cases, the condition may last for many years. In most cases, by avoiding the trigger and by taking antihistamines, the condition can be controlled. So a lot of patience is required before you get full relief. Meditation, prayer, or using mental relaxation techniques may help individuals to cope with attacks or the stress of living with the condition.</s> |
<s>[INST]I had a mild heart attack 2 weeks ago and had 3 stints put in onApril 7th Dr reported good results Also have severe Gerd Am still having some chest discomfort and the nitro gives me a headache I have heard that if the nitro gives you a headache it is not the heart Also my blood pressure has dropped to 7262 It is normally 13272 Do I need to be concerned I dont want to panic everytime I have chest pain[/INST]yes u are absolutely right. both conditions headache and drop in BP are well explained with nitroglycerin. ask your doctor to change it with nikorandil if needed. nothing more is required.</s> |
<s>[INST]I have had pain in my left shoulder and upper arm and tingling going down my arm sometimes like today my shoulder feels ok but have the tingling going down my arm into my thumb my thumb feels almost numb this has been going on for a month and a half[/INST]Hi there. Thanks for your question at HCMPain in the shoulder and upper arm radiating along the arm associated with numbness suggests compression of nerve in your neck. Analgesics either taken orally as tablets or as local applications in the form gel or lotions can provide considerable pain relief. They have soothening effect and relive pain most of the times. Also ice gel application can help during the initial few days. If the pain still persists after medications for a week physiotherapy under prescription in the form of neck strengthening exercises, ultrasonic massage can help provided u have no contraindications such therapy. Since your pain and numbness has persisted for a over 6 weeks, I would suggest you to visit your Orthopaedic, so that at least a baseline X ray and thorough examination can be done . Based on these and your response to medicines and physiotherapy, you might require an MRI. MRI can help localise the exact location and the cause for your compre4ssionand aid in better management. Disabling numbness and pain persisting for more than 6 weeks is one of the prime indications to get an MRI cervical spine done.Hope this helps youAll the best. Regards.Dr.SBK</s> |
<s>[INST]Hi doctor,This is regarding a male, 27 years. He is suffering from type 1 diabetes from the age of 5 years. He is having an erection but is unable to sustain it during the intercourse. Firstly, he is not sure if he is suffering from ED or is it just anxiety. Are there any tests to be sure of ED? Secondly, if it is diagnosed to be ED (which most probably can be), can this be cured? How will his sexual life be? If it is curable, can it be cured with natural methods or medicine or surgery? If it cannot be cured, is there an alternative for him to have a happy sexual life?[/INST]Hi. I have gone through your symptoms and I would like to know a few more details to answer your query better. Is he able to achieve an erection sufficient for vaginal penetration during intercourse? Is the loss of erection due to early ejaculation or happens without ejaculation? The mechanism of erection can be tested by a penile doppler study during which the response to medication can also be tested. If he is able to achieve an erection sufficient for vaginal penetration, then the cause is more likely to be either psychological or just early ejaculation. A detailed clinical examination is also required to make sure that there are no other abnormalities that can affect full erection. At this age, the cause is most likely anxiety, but given his history of diabetes, a full evaluation is necessary to rule or other causes. The treatment is based on his most predominant concerns, though it cannot be completely cured, it can definitely be managed to get a normal sexual life.</s> |
<s>[INST]I have been having pain off and on on my left side of chestFeels like in bone area under breatShould I be concernedI have seen a cardiologist within last year who states that I am fine cardiac wisesometimes the pain goes up into breat area as well[/INST]Thanks for your question on HCM. I can understand your situation and problem. Since your cardiac work up is normal, no need to worry for cardiac cause. In my opinion you should get done mammography to rule out breast related causes like infection, abscess etc. If this is also normal then you are mostly having muscular pain. So better to follow these steps for symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid bad postures in sleep and painful movements. 3. Start painkiller and muscle relaxant. 4. Apply warm water pad on affected site. Don't worry, you will be alright.</s> |
<s>[INST]My 13 mo old daughter has been throwing up everything for the past two days. We took her to the ER and they gave us nausea pills and x-rayed her lungs and found nothing. The pills seem to work for the most part but not entirely. I plan on taking her to her ped asap. Is there anything more I can do in the meantime besides hydrating her? She does not have a fever or diarreha. Any ideas?[/INST]Hi dear, Which nausea pill was prescribed? If no fever or loose stools, we need not worry. This may suggest gastritis or a viral illness. For such cases, I would have given syrup ondansetron 3ml 3 times a day for 3 days, sometimes with an acid suppressant like lansoprazole. Only resistant cases will need evaluation with an ultrasound and blood workup. Your doctor will guide you.Meanwhile, try giving feeds in smaller than usual amount, more frequently. This will improve retention. Hope I have answered your Quertle me know if I can assist you further Chat Doctor.</s> |
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