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alpaca-medic

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hi doctor I am married and have a child of two years I am five weeks pregnant now and I want to abort is it possible with pills or should I go for surgical abortion

hello I understand your concern here completely for further information consult an obstetrician and gynaecologist online

hello doctor I have type diabetes I am 29 years old my height is 7 and weight is 58 keg 34 days back I gave blood tests my fasting blood sugar was 313 postprandial 599 hba1c 14 to 109 to 12 30 vitamin 6 and ash 29 after five days I consulted a doctor and he gave me medicines and asked me to get back for a checkup after having them the medicines he suggested were cobadex cos isryl m1 glyciphage so 500 my and teneligliptin tablets 20 my then again three days later my fasting blood sugar 89 postprandial 195 lipid profile total cholesterol 186 triglycerides 252 hel cholesterol 46 lil cholesterol 90 cholesterol hel ratio vldl cholesterol 50 and total lipids 624 then I took these medicines and took a test again after 17 days the result was blood sugar fasting 100 30 and postprandial 136 20 now I stopped medicines please advise me what should I do how do I increase my weight without affecting my diabetes what type of diet should I take please guide

hello coming to your diabetic diet for further information consult a diabetologist online

hello doctor a little over two years ago I experienced some stress in my life that resulted in a high level of anxiety and depression I was prescribed pail and took it for one year at the time I was also taking divan and atenolol for hypertension pantoprazole for reflux and simvastatin for high cholesterol one positive side effect of the stress was that I lost 25 labs and went from 195 labs to 170 labs I also started to eat more healthy foods and started to exercise regularly one effect of my anxiety and depression is that I would awaken frequently during the night and morning between am and am and feel very agitated and get panic with upsetting thoughts over the past year or so I have managed to improve my condition with counseling meditation etc I am also no longer taking any medicine since my health dramatically improved I am at the point where I am doing well but still awaken very early about or am no matter when I go to bed I feel very anxious and my heart starts to pound I used to have bad thoughts but I have managed those and now just feel the physical feelings the thoughts diminish gradually throughout the day and seem to end at about am I am wondering whether I have a cortisol or adrenaline problem what are your thoughts regarding the same please guide

hi have a thyearoid function test done first for given weight loss and heart pounding you should also consider seeing a primary care physician pop and have an electrocardiogram ekg done revert back with the details asked and to an endocrinologist online

hello doctor my years old baby is not yet walking properly while walking her body shakes and she fell down I started doing massage using ayurveda please suggest any remedy for my baby

hi do not worry I read your query and understood your concern for further information consult an ayurveda specialist online

hi doctor I am 36 years old I cannot communicate with other people they say my conversation is weak boring and serious all the time I want to be a normal guy please guide

hi for further information consult a psychologist counsellor online

hi doctor we had sex before days of her period she had a pill after 64 hours she got her periods but it has been continuing for six days what is the chance of pregnancy please help

hello for further information consult an obstetrician and gynaecologist online

hi doctor I am 21 years old I am suffering from pimples and their dark spots what happens is one or two pimples appear and vanish in two to four days leaving dark spots behind the same thing repeats again and again now there is a lot of dark spots in my face I do not use oil in my hair and also avoid oily foods pimples contain something whitish what should I do please suggest

hello I can understand your concern you need to take proper medicine for the treatment of pimples so that dark spots will not appear seborrhea or hormonal imbalance acne vulgaris with post inflammatory hyperpigmentation revert back after six weeks to a dermatologist online

hi doctor I am taking the following psychiatric medications oleptal it 300 0 encorate chrono 300 0 zipsydon 80 0 flunil 60 0 zapiz 5 provanol 10 and waklert 150 0 I feel lazy and have low libido tented forte is not working for me please modify my dosage so that I do not feel lazy and also recommend some libido improving medicine also I had epileptic fit last year due to excess of bupropion so 450 but since then I have no fit my main problem is laziness so please adjust the dose accordingly thank you

hello for further information consult a psychiatrist online

hi doctor I am suffering from crohn disease and would like to try nutrigain please advice if there are any side effects

hello for further information consult a medical gastroenterologist online

hi doctor I am 25 years old I was diagnosed with vaginal yeast infection a week ago and immediately started my medication it includes oral gel and vaginal pessaries it was six days long course even though the symptoms vanished in less than a day I did not stop taking the medication today my boyfriend came back who generally stays abroad due to work the sex was painful and uncomfortable hence scared and I did not go ahead with it this is the first time I am facing problem down there I drink more than liters of water every day and avoid using common toilet as I live alone no family member sharing my house toilet as well a gynecologist did an internal checkup and found some white cottage cheesy colored discharge inside none of it ever came out in the panty is there any reason to alarm

hi normally treatment for vaginal yeast infection is given to both patient and sexual partner to prevent reinfection so your partner also needs to take treatment simultaneously what you can do now is you both can take tablet foran 150 my fluconazole single dose to prevent recurrence regarding your symptoms those are likely to be due to inadequate lubrication you can increase amount of foreplay to increase lubrication if it still hurts then use some lubricant like paraffin oil for further information consult an obstetrician and gynaecologist online

hi doctor my present ultrasound is showing mild hydrocephalus with breech presentation 36 weeks dilated 13 my ventricle no genetic disorder reported earlier done in second trimester all the previous ultrasound showed normal and sound growth of fetus reports attached for your reference thank you

hello antenatal infection mri brain and spine ultrasound abdomen and ad echo echocardiogram of the heart karyotype surgery if required revert back after mri to a paediatric surgeon online

hi doctor four days ago I visited a tattoo shop it is a small one and I think he will do only temporary ones suddenly I got a hit on the backside of my right thumb I stopped him as he did not change the needle little piercing was done till my epidermis of skin I am scared what should I do now

hi for further doubts consult a hiv aids specialist online

hello doctor I am suffering from vocal folds swelling I feel my voice is too low local ent specialist advised me to take steam through mouth please help me out

hi take plenty of fluid intake orally take absolute voice rest have steam inhalation take capsule rabeprazole 20 my once a day avoid spicy and fried foods avoid frequent throat cleaning avoid shouting screaming whispering and lengthy conversation for further information consult an ent otolaryngologist online

hi doctor I am having indigestion and vomiting since one month it is not frequent but twice or thrice in a week when I am having my dinner after eating half of the meals I feel some air in my stomach and suddenly vomit everything I am having this issue in the morning too when I wake up I feel my stomach is full indigestion is also there please suggest me some medicine thank you

hello it is usually due to changes in the oh of the stomach and changed secretions including hydrochloric acid go for some tests and upload the reports other causes may be a gross pathology of the gastrointestinal tract most probably in the upper gi tract for that an endoscopic examination is mandatory to rule it out h pyloric helicobacter pyloric screening test esophagogastroduodenoscopy end you need to consult a gastroenterologist for thorough evaluation and management he will go for end ask your physician for prescription of dexilant dexlansoprazole twice before meals and itopride thrice a day before meals take citrucel methylcellulose dietary fiber supplement with plenty of water take bland diet and avoid spicy hot and sour meals fast and fried food revert back with the investigation reports to an internal medicine physician online

hi doctor I am 32 weeks pregnant I am having pain on the right side of my face I have one half erupted wisdom tooth could it be the reason

hi for further information consult a dentist online

hi doctor I am a 69 year old retired internist I am not taking any regular medication other than aspirin 325 my I have no known allergies and have never smoked I do not have any medical history of thyearoid disease autoimmune diseases or paget disease around four to five weeks back I noted the onset of an intermittent occasional episode of either a high pitched ringing sound in the right ear or low pitched humming in the left ear I do not recall if they occurred at the same time although they might have each episode lasted for 10 to 20 seconds before abating spontaneously there was no associated vertigo or hearing changes last evening I noted the onset of the ringing noise in the right ear remained for 20 seconds as it began to abate the lower pitched humming noise began in the left ear and has remained since this was associated with a sensation of fullness pressure and slight muffled hearing in my left ear the humming is constant and non pulsatile it is not positional and there is no vertigo I do have a history of taj disorder and it seems that when I open my jaw fully the noise increases in volume I also noted last evening when I yawned deeply the right ear ringing noise appeared for a few seconds at times the humming noise reduces in intensity spontaneously for a few seconds this morning I also noted some fullness in my right ear with a crackling noise when swallowing I recently had an acute sinusitis that resolved after five weeks although there was no ear involvement I have been under stress and have not been sleeping well I have checked my blood pressure at various times during this episode all results are quite normal I had a complete physical examination two weeks ago with full blood panels all were quite normal please help

hello what you are suffering from is known as tinnitus it is not a disease itself rather a symptom due to various underlying causes like age related hypertension impacted wax fluid in middle ear patulous eustachian tube tmjd temperomandibular joint disorder hyperthyearoidism etc but as you have mentioned you are not suffering from any hearing loss vertigo and your blood pressure is also within normal limit and considering the characteristics of tinnitus it is mostly due to eustachian tube defect aspirin intake also causes and aggravates tinnitus so first do not worry and do a valsalva maneuver 20 to 30 times a day the procedure of which you can get in youtube then take steam three times a day get a pta pure tone audiometry and a tympanogram pta tympanogram end eustachian tube dysfunction valsalva maneuver steam inhalation mecobalamin methylcobalamin 5 my once daily ginkgo biloba one capsule once a day revert back with the investigation reports to an ent otolaryngologist online

hi doctor I have right arm elbow pain for few days now I play table tennis and cricket I got the pain after playing to for longer duration do you suggest me to take ray please guide with some medication

hi for further information consult an internal medicine physician online

hi doctor I have several spots on my penis from my childhood sometimes when I masturbate few times in a day it gets rip and start to hurt as I am going to be married soon I would like to get rid of these first

hi before giving you a solution I would like to get answer for the following questions revert back with the answers to a dermatologist online

hi doctor my father is an alcoholic he has not been eating for the last 15 days he is now suffering from insomnia he is able to see abnormal things like people standing near to him he has lost weight he is having heavy sweat at night on the forehead his tongue twists and has shivering hands his height is 8 and weight is 62 keg what is the problem with him now

hi sorry for your father condition if I am your doctor then I would like to treat you in the following way for further information consult an internal medicine physician online

hello doctor I am 31 years old I have two small affected areas on my penis head and it is not going away they get dry as they regrow and sometimes I peel off the dry part using a nail cutter I am really concerned about this it is not smooth as it used to be I am going to attach photos for your reference

hi I have read your question and I have also reviewed the images these are most likely warts or condyloma acuminata which is an infection caused by human papilloma virus hav the infection is usually acquired by sexual contact with an infected sexual partner are you sexually active hav infection human papilloma virus genital warts electrocautery or radiofrequency ablation revert back with the detailed history to a dermatologist online

hello doctor I am currently seeking help and I do not know how to go about it I am a 17 year old ex mental patient I stayed in rehabilitation center multiple times and due to it causing health problems I have been off all medicines for the past three months it went out of hand now with my paranoia I am not sleeping at all and when I do they are only short naps during the day when it is light outside the dark and night terrify me I have bad depression and serious anxiety I am still waiting for a diagnosis for me at night time seeing and hearing becomes so bad I am physically breaking down and emotionally unstable till the sun comes up and I really need help I have not had proper sleep for a month if I do manage to sleep my sleep paralysis is worse than ever I am so scared to see and hear things I am deathly anxious jumpy and constantly reduced to tears this cannot go on and I do not know what to do I fear to tell my mother as she will over panic and take me to rehabilitation center again I do not feel suicidal currently so no use for rehab at the moment I just need to know the problem and solution should I seek out more serious help please help me

hi I see that you are facing many issues at the moment it must be very difficult for you to deal with all these at once and you are still holding on bravely it is certainly very courageous of you as you are seeing and hearing things and you have mentioned that you are also having paranoid thoughts these symptoms point towards a diagnosis of paranoid schizophrenia you have also not been taking any medicines for the past three months and it may have worsened the condition the auditory and visual hallucinations that you are having are results of imbalances in the neurotransmitters which are chemicals in our brain helping us to think and function the medications normalize their levels and help you focus on necessary tasks since you have been diagnosed with borderline personality disorder bpd depression and anxiety disorder it will be very helpful for you to start medications for the symptoms you have mentioned in your query for that you must consult either your go or psychiatrist directly in your condition the role of counseling will be amplified only once you are able to do away with the paranoid thoughts and hallucinations schizophrenia bpd depression anxiety disorder prescribed medicines cognitive behavior therapy meditation for further information consult a psychologist counsellor online

hi doctor I fell on a wooden set of stairs last night and landed mostly on my right lower back from the morning I feel like someone is squeezing my kidney every time I move the pain is even more severe when I move my right leg I do not see any blood in my urine and I do not want to go all the way to the er for them to tell me nothing is wrong what shall I do my leg does not hurt but I can still feel the pain when I am not moving my leg but it increases dramatically when I do my pain is only on my lower right back please help

hi I feel sorry to hear this muscle injury bone injury ideal tuberosity or coccyx injury ray pelvis anteroposterior view take painkillers and muscle relaxants like a combination of diclofenac paracetamol and chlorzoxazone along with pantoprazole do not take these medications if you are in early pregnancy consult your doctor discuss with him her and take the medicine with consent revert back after three days to an internal medicine physician online

hi doctor my mother is 57 years old she has red patches and dark spots in the bottom of the foot it itches most of the time many doctors we have consulted but no positive result from their treatment please suggest the best medication

hi revert back with the details to a dermatologist online

hi doctor my 18 month old daughter has had problems since birth and I am desperate for a second opinion the history is complicated trying to explain the symptoms but I will do my best it was detected polyhydramnios in pregnancy my daughter born at 36 weeks days through emergency section due to pre eclampsia her weight was 3070g no tube passed three times due to polyhydramnios we went home on day two readmitted on day five for phototherapy till months of age several visits with health visitor and go for colic like symptoms and constipation she will scream in pain which opening her bowel and only opening her bowels every four to five days over this time they tried colief infacol lactulose glycerin suppositories ranitidine gaviscon and domperidone nine different formulas and we also tried all common natural remedies for reflux like keeping upright after feeding etc no alleviation of symptoms at all with exception of glycerin suppositories which did seem to help the constipation in months pediatric consultant suggests functional constipation and recommends higher dose of lactulose and movicol for 16 weeks he suggested that we are giving her too many glycerin suppositories and that is making her dependent on glycerin to open her bowels and so glycerin was stopped we delayed weaning whilst waiting for appointment at this point her symptoms completely changed to intermittent diarrhea and constipation bowel frequency increased to once a day colic like pain and she does not start vomiting until the consistency of the food moves up to a more solid consistency the laxatives made absolutely no difference in her 10 months of age the constipation has turned to diarrhea the doctor is happy that it was functional constipation and discharged her at months she had first acute episode of chronic diarrhea and forceful vomiting lasted for 16 days which coincides with the introduction of cow milk during 14 months of age she was introduced to solid food chronic forceful vomiting which does not seem to follow any pattern a food diary is followed for several weeks and there does not seem to be any consistent non ice allergy as a cause during her 14 months of age we had an appointment with dietician and switched from normal formula to pepsi and then neocate her chronic wheeze disappears overnight but chronic vomiting continues she troubleshoot overfeeding as a cause we are feeding her more as she is vomiting when we did not substitute the feeds she lost weight so if she vomited a feed we gave her another one hour later we fed her small quantities throughout the day to try and prevent vomiting again in 15 months consulted her dietician and he suggested definite non ice cow milk protein allergy and to try trial and error with other three common allergies soy wheat and dairy so then for a month we followed strict elimination of those three this month she had only neocate liquid diet plus corn snacks organix and one paella meal symptoms improved but sporadic forceful vomiting remains she tolerated only one baby paella meal well which is overcooked rice very mushy consistency now again we attempted to challenge the three foods back in and move beyond this one meal all attempts were failed her reaction to us seems to be much more about the consistency of the food rather than what the food is she can tolerate a large amount of breadcrumbs but cannot tolerate a piece of toast we continue with food diary and there really is no clear pattern which isolates one food again in her 17 months age when we consulted her dietician he was unsure whether the symptoms fit flies at all and suggests gastro referral then she had second acute episode we went a and on day five and was sent home with suggestion of gastroenteritis chronic vomiting and diarrhea lasted 15 days she lost 10 of her body weight sent home on neocate as the only diet but there is no evidence of gagging choking or problem swallowing no fussing or wriggling during feeding four months back her weight was 12 keg and now 10 keg her barium ray showed mild malrotation but at met it was decided this was not explanation of symptoms we have recently tried omeprazole to rule out severe reflux and it made no change genetic blood tests kidney and abdominal ultrasound were normal for us her symptoms now are identical to what they were like before the onset of weaning again she is suffering from intermittent colic pain and constipation but there is no vomiting she is not sleeping well at all we have increased her water intake and added lactulose and the stools are no longer hard but she still seems uncomfortable stools are very dark green we have tried a couple of solids she prefers crunchy food she tolerates corn based crisps as they basically dissolve into crumbs into your mouth we tried peas grapes and she passed all of the peas grapes and beans completely undigested in her feces without solids she does not sleep well at all because the neocate just does not fill her up for long enough and so she is screaming all night because she is hungry so we tried a few solids and she is still screaming half the night with colic like pain she is clearly in pain because she is absolutely screaming she is pretty inconsolable but the only thing that does relieve it is sucking on something like a bottle of water she is waking up about every 20 to 30 minutes throughout the night during the day she still has this colic like symptoms and she is tired and clingy and uninterested in playing she does tend to have one to two hours a day of good time where she will play happily one month back we had consultation with slt her elder sister is under slt

hi hirschsprung disease cmpa barium enema study continue on same diet till further plan revert back with the previous investigation reports to a paediatrician online

hi doctor I have a reddish rash on my inner thigh since months I have attached a picture for your reference it is annoying me a lot please help

hi I have reviewed the attached photographs attachments removed to protect patient identity according to me you are affected by ringworm infection I would recommend you to take tablet terbinafine 250 my once daily and apply sertaconazole cream on the affected area twice daily continue this for three weeks and revert back you will definitely notice some improvement but do not stop the medicine on your own as recurrence is the most common issue with this condition for itching take tablet levocetirizine my once or twice daily depending on the intensity of itching besides this keep the area as dry as possible avoid sharing of soap and towel wear loose cotton clothes and stay in cool and airy environment ringworm tina cruris revert back after three weeks to a dermatologist online