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How long should i wait before drinking alcohol and sharing food after being diagnosed with mono?

I recently found out that I have mono. I'm assuming I got it in the past 2-6 weeks. Since mono makes the liver susceptible to damage, how long should I wait until I can drink alcohol? Also, how long should I wait for things like kissing/sharing food and drink?

hi, It is ideal to refrain from alcohol for at least 3-4 weeks after fever subsides. Sharing food and drink with others is always not recommended in the interest of general health, however for mono patients, transmission stops within 1 week of subsidence of fever. Hope this helped.

<s>[INST] How long should i wait before drinking alcohol and sharing food after being diagnosed with mono? " : " I recently found out that I have mono. I'm assuming I got it in the past 2-6 weeks. Since mono makes the liver susceptible to damage, how long should I wait until I can drink alcohol? Also, how long should I wait for things like kissing/sharing food and drink? [/INST] hi, It is ideal to refrain from alcohol for at least 3-4 weeks after fever subsides. Sharing food and drink with others is always not recommended in the interest of general health, however for mono patients, transmission stops within 1 week of subsidence of fever. Hope this helped. </s>

Should i be worried about the swelling and yellowish bruise on the shin?

I injured my shin 2 days ago, at first it was very swollen and there was a grazing, as well as a bit of skin missing with a dark red wound in the middle but no bleeding. Now It is swollen around the wound and a very puffy yellow. with a reddish blue bruising around the swelling. is this going to require medical treatment?

Hi,I have studied your case There can be bony contusion.And associated hematoma due to soft tissue injury.Use splint or compressive crepe bandage to reduce swelling.Take precaution to avoid infection around hematoma.Yes you should now consult your doctor for clinical examination and rule out any vascular clot.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care.

<s>[INST] Should i be worried about the swelling and yellowish bruise on the shin? " : " I injured my shin 2 days ago, at first it was very swollen and there was a grazing, as well as a bit of skin missing with a dark red wound in the middle but no bleeding. Now It is swollen around the wound and a very puffy yellow. with a reddish blue bruising around the swelling. is this going to require medical treatment? [/INST] Hi,I have studied your case There can be bony contusion.And associated hematoma due to soft tissue injury.Use splint or compressive crepe bandage to reduce swelling.Take precaution to avoid infection around hematoma.Yes you should now consult your doctor for clinical examination and rule out any vascular clot.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. </s>

Unable to conceive with the right tube being blocked

i am 37 years ,my height is5.4feet and my weight is 55kg i am married in 2011 since then i having problem for my pregnancy, my right tube is block but doctor told you can conceive with one , i tried so many medicine and injection but no use . thanking you, please help

Hi,welcome to healthcare magic forum.i understood your problem.you one tube is blocked as you told,its true that you can conceive with the other tube but the chances will be less,not 100% because its a natural phenomena and we being doctor ,also don't know that through which tube you can conceive.so according to my opinion it will be safe for you to undergo surgery for the blocked tube and then keep on trying .good luck.

<s>[INST] Unable to conceive with the right tube being blocked " : " i am 37 years ,my height is5.4feet and my weight is 55kg i am married in 2011 since then i having problem for my pregnancy, my right tube is block but doctor told you can conceive with one , i tried so many medicine and injection but no use . thanking you, please help [/INST] Hi,welcome to healthcare magic forum.i understood your problem.you one tube is blocked as you told,its true that you can conceive with the other tube but the chances will be less,not 100% because its a natural phenomena and we being doctor ,also don't know that through which tube you can conceive.so according to my opinion it will be safe for you to undergo surgery for the blocked tube and then keep on trying .good luck. </s>

Is angiogram required for episodes of chest pain?

I'm a 45 year old male with mild-to-moderate restrictive lung issues (cause unknown). I've had a few episodes of chest pain radiating in left arm - went to the emerg once - they said there was something in ecg but enzymes were normal, so no heart attack. They referred me to a cardiologist who did stress test - was normal, nuclear scan - again normal but now he wants to do an angiogram. If all the tests are normal, should I still go through this test? As he explained there are some risks involved.

Hi,Usually when stress test is normal we don't go for further examinations, such as angiography. Rarely, there are cases, when suspicion remained, despite tests and the patient has additional risk factors, such as familly hystory of heart attacks, strokes, heavy smoker, very high cholesterol.In such cases we may order angiography to be in the safe side.Take care

<s>[INST] Is angiogram required for episodes of chest pain? " : " I'm a 45 year old male with mild-to-moderate restrictive lung issues (cause unknown). I've had a few episodes of chest pain radiating in left arm - went to the emerg once - they said there was something in ecg but enzymes were normal, so no heart attack. They referred me to a cardiologist who did stress test - was normal, nuclear scan - again normal but now he wants to do an angiogram. If all the tests are normal, should I still go through this test? As he explained there are some risks involved. [/INST] Hi,Usually when stress test is normal we don't go for further examinations, such as angiography. Rarely, there are cases, when suspicion remained, despite tests and the patient has additional risk factors, such as familly hystory of heart attacks, strokes, heavy smoker, very high cholesterol.In such cases we may order angiography to be in the safe side.Take care </s>

What are the symptoms of pregnancy?

Hi, may I answer your health queries right now ? Please type your query here... I did pregnacy test at home 2 times positive. I did the second test after the period which lasted 2 days not normal period.the next 3 days I visited the doctor did urine pregnacy also positive, then I feel I am gaining wait stomch bigger bloated...I visited the doctor obg..did blood test came Negative ..then I did home test again negative,,...but feeling bloated stomach bigger...I need help am I pregnant???Or am I sick...

HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] firstly you should have a missed period.2] Urine test for pregnancy is quite predictive in women with regular cycles.3] If beta HCG blood test is showing value less than 5, then these are non pregnant levels.4] If you have resumed bleeding , then it could be something like a very early non viable pregnancy or something like chemical pregnancy.5] Bloating sensation can be due to hormonal reasons or digestive tract disturbances also.6] If you are planning for pregnancy -I will suggest indulging in a healthy diet and regular exercise regime.Include plenty of fruits, salads, vegetables in the diet. Avoid deep fried foods, bakery products, and refined sugars.Start on B12, FOLIC ACID supplementation.I hope my answer helps you.Thanks.Wish you great health.

<s>[INST] What are the symptoms of pregnancy? " : " Hi, may I answer your health queries right now ? Please type your query here... I did pregnacy test at home 2 times positive. I did the second test after the period which lasted 2 days not normal period.the next 3 days I visited the doctor did urine pregnacy also positive, then I feel I am gaining wait stomch bigger bloated...I visited the doctor obg..did blood test came Negative ..then I did home test again negative,,...but feeling bloated stomach bigger...I need help am I pregnant???Or am I sick... [/INST] HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] firstly you should have a missed period.2] Urine test for pregnancy is quite predictive in women with regular cycles.3] If beta HCG blood test is showing value less than 5, then these are non pregnant levels.4] If you have resumed bleeding , then it could be something like a very early non viable pregnancy or something like chemical pregnancy.5] Bloating sensation can be due to hormonal reasons or digestive tract disturbances also.6] If you are planning for pregnancy -I will suggest indulging in a healthy diet and regular exercise regime.Include plenty of fruits, salads, vegetables in the diet. Avoid deep fried foods, bakery products, and refined sugars.Start on B12, FOLIC ACID supplementation.I hope my answer helps you.Thanks.Wish you great health. </s>

What causes memory loss and confusion?

The last 47 days I have been faithfully on the Whole30 Diet. I have been experiencing an increase in memory loss, confusion, lack of concentration, and fogginess throughout the day. I am 55 and female, 5 8 , 128 lbs. I am concerned about experiencing small episodes of not realizing that I forgot until much later. Thanks. D.

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It might be due to decreased sugar content in your body. Whole 30 diet is sugar free and it may decrease sugar content of your body. Consult a physician for the same. Avoid standing and working for long for time being. Hope I have answered your query. Let me know if I can assist you further.

<s>[INST] What causes memory loss and confusion? " : " The last 47 days I have been faithfully on the Whole30 Diet. I have been experiencing an increase in memory loss, confusion, lack of concentration, and fogginess throughout the day. I am 55 and female, 5 8 , 128 lbs. I am concerned about experiencing small episodes of not realizing that I forgot until much later. Thanks. D. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It might be due to decreased sugar content in your body. Whole 30 diet is sugar free and it may decrease sugar content of your body. Consult a physician for the same. Avoid standing and working for long for time being. Hope I have answered your query. Let me know if I can assist you further. </s>

Why am I having pain on the right kidney as stone was detected on the left kidney ?

detcted kedney stone in left kedney two mm size but my pain was on right side. doctor suggest me neeri tabs for two months. Is it any relation on right side pain? right kedney have no stone.

Welcome to Healthcare Magic Good Day If there is not stone in the right side there must be some problem with the liver or gall bladder. Any jaundice. Indigestion, gas, loose motion. It could also be musculoskeletal. Try applying Volini gel at that area. If pain reduces then it is not trouble.

<s>[INST] Why am I having pain on the right kidney as stone was detected on the left kidney ? " : " detcted kedney stone in left kedney two mm size but my pain was on right side. doctor suggest me neeri tabs for two months. Is it any relation on right side pain? right kedney have no stone. [/INST] Welcome to Healthcare Magic Good Day If there is not stone in the right side there must be some problem with the liver or gall bladder. Any jaundice. Indigestion, gas, loose motion. It could also be musculoskeletal. Try applying Volini gel at that area. If pain reduces then it is not trouble. </s>

Suggest remedy for elevated cholesterol level in blood

hi,im a 23 year old male,and i have high cholesterol. well,it's on the borderline. and i am a smoker as well. but im currently working on reducing it. should i be really worried? and what should i do from now on to reduce my cholesterol? what sort of diet should i follow? in the hostel i reside currently they use a lot of oil to cook food. what can i do?

Hello,Thank you for contacting HCMI understand your concern, I am Dr Arun Tank, Infectious Disease Specialist answering your query.Its very bad prognosis that you do not have high cholesterol at the age of 23 years.I advice you to stop the high oil diet, please start the exercise to reduce cholesterol.Yes high cholesterol diet is risky, you should work to reduce the cholesterol. I advice you should take high protein diet, high fiber diet absorbs cholesterol from intestine and protects from increasing it in the circulation.Regular daily exercise also helps reduce the cholesterol. if you run a 1 kilometer daily it will reduce the cholesterol. start doing exercise.You can ask for further queries here on bit.ly/DrArun.Thank you,Dr Arun TankInfectious Disease specialistWe wish you a best health at health care magic.

<s>[INST] Suggest remedy for elevated cholesterol level in blood " : " hi,im a 23 year old male,and i have high cholesterol. well,it's on the borderline. and i am a smoker as well. but im currently working on reducing it. should i be really worried? and what should i do from now on to reduce my cholesterol? what sort of diet should i follow? in the hostel i reside currently they use a lot of oil to cook food. what can i do? [/INST] Hello,Thank you for contacting HCMI understand your concern, I am Dr Arun Tank, Infectious Disease Specialist answering your query.Its very bad prognosis that you do not have high cholesterol at the age of 23 years.I advice you to stop the high oil diet, please start the exercise to reduce cholesterol.Yes high cholesterol diet is risky, you should work to reduce the cholesterol. I advice you should take high protein diet, high fiber diet absorbs cholesterol from intestine and protects from increasing it in the circulation.Regular daily exercise also helps reduce the cholesterol. if you run a 1 kilometer daily it will reduce the cholesterol. start doing exercise.You can ask for further queries here on bit.ly/DrArun.Thank you,Dr Arun TankInfectious Disease specialistWe wish you a best health at health care magic. </s>

Why am I experiencing nausea after taking meclizine for vertigo?

i have like a vertigo,i went to a clinic and that was i told,the dr prescribed a medicine for me .meclizine and methylpreddisolone that was yesterday in the afternoon and i fill the sntoms except i got better in nausea.WHAT DO YUO ADVISE ME TO DO NEXT.

Hi.Welcome and thanks for writing on HCM.Meclizine is a drug used to prevent nausea, vomiting and dizziness due to motion sickness.Please upload the question properly so that we can help you better.Hope this helps.

<s>[INST] Why am I experiencing nausea after taking meclizine for vertigo? " : " i have like a vertigo,i went to a clinic and that was i told,the dr prescribed a medicine for me .meclizine and methylpreddisolone that was yesterday in the afternoon and i fill the sntoms except i got better in nausea.WHAT DO YUO ADVISE ME TO DO NEXT. [/INST] Hi.Welcome and thanks for writing on HCM.Meclizine is a drug used to prevent nausea, vomiting and dizziness due to motion sickness.Please upload the question properly so that we can help you better.Hope this helps. </s>

What is the alternative treatment for dialysis?

HI SIR , MY FATHER IS ON DIALYSIS IN 2 TIME IN WEEKLY... HE IS A DIABETIC PATIENT AGE IS 58 AND ACCORDING TO DR. HE HAS A KIDENY DISORDERS . CREATININE LEVEL AND UREA LEVEL IS HIGHFOLLOWING SYMPTOMS ARE SEEN :::1.BACKPAIN2. SWELLING BETWEEN BOTH LEGS3. HEADACHE. 4. WEAKNESS. ACCORDING TO DR. ONLY DIALYSIS IS OPTION ,, HERE MY QUESTION ANY OTHER SOLUTION ON THIS CONDITION .,

Hello.Welcome to HCM. I have read your question and understand your concerns.once END STAGE KIDNEY DISEASE occurs there are only 2 options available to the patients.1. Regular maintenance dialysis for life time.2. Kidney transplantation. My advice to you is-1.If you can find a suitable donor for kidney transplantation then it will be the best treatment available.Meanwhile maintain regular dialysis is essential for continuation of life.we cant stop dialysis of a failing kidneys otherwise person cant survive more than few weeks.2.The symptoms you have mentioned are all due to kidney failure.Just ask your doc about inj.erythropoitein to increase his HB levels.Avoid excessive salt and water use.Avoid any type of pain killers and excessive protein diet.3.Do his kidney profile every monthly and keep in regular followup of your nephrologist.Thank you.

<s>[INST] What is the alternative treatment for dialysis? " : " HI SIR , MY FATHER IS ON DIALYSIS IN 2 TIME IN WEEKLY... HE IS A DIABETIC PATIENT AGE IS 58 AND ACCORDING TO DR. HE HAS A KIDENY DISORDERS . CREATININE LEVEL AND UREA LEVEL IS HIGHFOLLOWING SYMPTOMS ARE SEEN :::1.BACKPAIN2. SWELLING BETWEEN BOTH LEGS3. HEADACHE. 4. WEAKNESS. ACCORDING TO DR. ONLY DIALYSIS IS OPTION ,, HERE MY QUESTION ANY OTHER SOLUTION ON THIS CONDITION ., [/INST] Hello.Welcome to HCM. I have read your question and understand your concerns.once END STAGE KIDNEY DISEASE occurs there are only 2 options available to the patients.1. Regular maintenance dialysis for life time.2. Kidney transplantation. My advice to you is-1.If you can find a suitable donor for kidney transplantation then it will be the best treatment available.Meanwhile maintain regular dialysis is essential for continuation of life.we cant stop dialysis of a failing kidneys otherwise person cant survive more than few weeks.2.The symptoms you have mentioned are all due to kidney failure.Just ask your doc about inj.erythropoitein to increase his HB levels.Avoid excessive salt and water use.Avoid any type of pain killers and excessive protein diet.3.Do his kidney profile every monthly and keep in regular followup of your nephrologist.Thank you. </s>

Suggest risk with kidney reflux with scars

My daughter has kidney reflux in her left kidney, she is 5 years old. She has severe kidney scarring and her kidney was functioning at 32 % last August, since then she has had about 5 kidney infections - should we be concerened about her future kidney functioning? Will this result in problems later in life?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Long standing reflux can result in scarring of the kidney and later kidney failure. It has to be corrected surgically to prevent further complications including scarring and kidney failure. Consult a urologist and most probably she will require surgical correction like pyeloplasty. Hope I have answered your query. Let me know if I can assist you further.

<s>[INST] Suggest risk with kidney reflux with scars " : " My daughter has kidney reflux in her left kidney, she is 5 years old. She has severe kidney scarring and her kidney was functioning at 32 % last August, since then she has had about 5 kidney infections - should we be concerened about her future kidney functioning? Will this result in problems later in life? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Long standing reflux can result in scarring of the kidney and later kidney failure. It has to be corrected surgically to prevent further complications including scarring and kidney failure. Consult a urologist and most probably she will require surgical correction like pyeloplasty. Hope I have answered your query. Let me know if I can assist you further. </s>

Restless leg syndrome. On Ropinirole, vitamin and magnesium supplements. Spasm and twitch in legs. Visit to neurologist needed?

Suffering from Restless Leg Syndrome for many years. It has gotten unbearable over the last 10 months. I am taking Ropinirole, the generic equivalent of Requip. Also taking iron, Vit C, B & D & magnesium supplements. Nothing is working. My legs spasm and twitch, especially in the afternoon and evening. I cannot relax. Any suggestions on what else I can do? Should I see a neurologist? Thanks for any assistance you can provide.

Hi,Thank you for posting your query.Yes, it may be a good idea to consult a neurologist to determine whether you require a change in medications or the dosage of current medications.Ropinirole is a good medicine for treating restless legs syndrome. In addition, pramipexole is also effective in many people.I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My blog:

<s>[INST] Restless leg syndrome. On Ropinirole, vitamin and magnesium supplements. Spasm and twitch in legs. Visit to neurologist needed? " : " Suffering from Restless Leg Syndrome for many years. It has gotten unbearable over the last 10 months. I am taking Ropinirole, the generic equivalent of Requip. Also taking iron, Vit C, B & D & magnesium supplements. Nothing is working. My legs spasm and twitch, especially in the afternoon and evening. I cannot relax. Any suggestions on what else I can do? Should I see a neurologist? Thanks for any assistance you can provide. [/INST] Hi,Thank you for posting your query.Yes, it may be a good idea to consult a neurologist to determine whether you require a change in medications or the dosage of current medications.Ropinirole is a good medicine for treating restless legs syndrome. In addition, pramipexole is also effective in many people.I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My blog: </s>

What causes blisters on head in an infant?

hi My one year old daughter has blisters in her head. they were first thought to be due to exposure to a pet or fungi and the treatment has not worked. theses blisters are spreading and are usually puss filled. any ideas. we have scheduled to see a dermitologist.

Hi...by what you quote I feel that it could be a pyoderma or skin and soft tissue infection of the scalp. Rather than looking to just treat it, we need yo also workup why she got it.Apart from treating it with antibiotics I would also consider working up for any underlying immunodeficiency.Regards - Dr. Sumanth

<s>[INST] What causes blisters on head in an infant? " : " hi My one year old daughter has blisters in her head. they were first thought to be due to exposure to a pet or fungi and the treatment has not worked. theses blisters are spreading and are usually puss filled. any ideas. we have scheduled to see a dermitologist. [/INST] Hi...by what you quote I feel that it could be a pyoderma or skin and soft tissue infection of the scalp. Rather than looking to just treat it, we need yo also workup why she got it.Apart from treating it with antibiotics I would also consider working up for any underlying immunodeficiency.Regards - Dr. Sumanth </s>

What does a lump under the left breast indicate?

For a year I ve had a rib shaped lump under my left breast. It starts just under and stick outs in the part where my rib connects to my sternum. The lower part of my sternum is also protruding quite a lot. I ve said it to 3 doctors and they ve all brushed it off as just the way my ribs are but it still scares me and makes me quite uncomfortable as they didn t even properly look or feel. Do you think it s worth getting another opinion? It does look like just a single rib sticking out at the part where it connects to the sternum but it just makes me feel uncomfortable with my body and worried it s a tumour or something

Hello dear , hiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* There are different possibilities for this lump as - sebaceous cyst - neurofiborma - lipoma - bony growth - others .* Needs primary evaluation with x-ray , ultrasound and if required MRI examination for the definite diagnosis and management .Hope this will help you for sure .Wishing you fine health ahead .Regards .

<s>[INST] What does a lump under the left breast indicate? " : " For a year I ve had a rib shaped lump under my left breast. It starts just under and stick outs in the part where my rib connects to my sternum. The lower part of my sternum is also protruding quite a lot. I ve said it to 3 doctors and they ve all brushed it off as just the way my ribs are but it still scares me and makes me quite uncomfortable as they didn t even properly look or feel. Do you think it s worth getting another opinion? It does look like just a single rib sticking out at the part where it connects to the sternum but it just makes me feel uncomfortable with my body and worried it s a tumour or something [/INST] Hello dear , hiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* There are different possibilities for this lump as - sebaceous cyst - neurofiborma - lipoma - bony growth - others .* Needs primary evaluation with x-ray , ultrasound and if required MRI examination for the definite diagnosis and management .Hope this will help you for sure .Wishing you fine health ahead .Regards . </s>

How long will it take to get infected with HPV?

Hi, may I answer your health queries right now ? Please type your query here...I wanted to know how long can it take to get hpv. If I have been with the same partner for 5 years and one other before that could it take five years to get worse or show up

Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Usually, if you infected with HPV, then the incubation period can be up to a few days to one year. But after 5 years usually, symptoms don't appear.If infected with HPV, then wart can appear over genital. If you have any clinical complaint, then kindly mention it for giving more comments.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Parth Goswami

<s>[INST] How long will it take to get infected with HPV? " : " Hi, may I answer your health queries right now ? Please type your query here...I wanted to know how long can it take to get hpv. If I have been with the same partner for 5 years and one other before that could it take five years to get worse or show up [/INST] Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Usually, if you infected with HPV, then the incubation period can be up to a few days to one year. But after 5 years usually, symptoms don't appear.If infected with HPV, then wart can appear over genital. If you have any clinical complaint, then kindly mention it for giving more comments.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Parth Goswami </s>

How can I stop addiction of pentazocine injection?

Hi, Dr. I am addicted to taking pentazocine injection for my pain and it works well but lately I discovered that I am addicted to this drugs. How can I stop this adduction please I really need your help on alternatives and how I can stop this.RegardsFunsho

Hello Funsho, it would be better if you made some more things clear to us..regarding..*What is the reason for taking pentazocine injection?* Are u addicted to take it without prescription?* Since how many days or years are you taking it?*Your age and Are you combining it with other drugs?Its really a grave situation if you are really addicted to it and it may require residential treatment center to completely treat it.Hope it helps..

<s>[INST] How can I stop addiction of pentazocine injection? " : " Hi, Dr. I am addicted to taking pentazocine injection for my pain and it works well but lately I discovered that I am addicted to this drugs. How can I stop this adduction please I really need your help on alternatives and how I can stop this.RegardsFunsho [/INST] Hello Funsho, it would be better if you made some more things clear to us..regarding..*What is the reason for taking pentazocine injection?* Are u addicted to take it without prescription?* Since how many days or years are you taking it?*Your age and Are you combining it with other drugs?Its really a grave situation if you are really addicted to it and it may require residential treatment center to completely treat it.Hope it helps.. </s>

What is Forcan-150 given for ?

Hi why we con use forcon-150

Forcan 150 or fluconazole is to be taken once a week after meals preferably with an antacid for fungal or ringworm infections on skin, arm-pits or groin. Along with Forcan you can use a locally acting cream like quadriderm and keep the part dry. Continue for 4-8 weeks and do a haemogram test every 15 days

<s>[INST] What is Forcan-150 given for ? " : " Hi why we con use forcon-150 [/INST] Forcan 150 or fluconazole is to be taken once a week after meals preferably with an antacid for fungal or ringworm infections on skin, arm-pits or groin. Along with Forcan you can use a locally acting cream like quadriderm and keep the part dry. Continue for 4-8 weeks and do a haemogram test every 15 days </s>

Suggest medication for a semen infection

The result of semen culture test is gram positive cocci and doctor advised me to take niftran 100 mg for 2 months even after that i dint get relief from the infection and again he advised me to take for another two months..i am fed up of taking tablets whats wrong with me please suggest ...thank you

Hi thanks for asking question.After 2 month effect of nitrofurantoin has not come.Better to switch over to other antibiotic like cefixime or amoxiclavulateWith this drugs you will surely get relief.Do your USG abdomen also.Drink more water.Fruit juice taken more.Avoid spicy food.Hope I have solved your query.Don't worry.

<s>[INST] Suggest medication for a semen infection " : " The result of semen culture test is gram positive cocci and doctor advised me to take niftran 100 mg for 2 months even after that i dint get relief from the infection and again he advised me to take for another two months..i am fed up of taking tablets whats wrong with me please suggest ...thank you [/INST] Hi thanks for asking question.After 2 month effect of nitrofurantoin has not come.Better to switch over to other antibiotic like cefixime or amoxiclavulateWith this drugs you will surely get relief.Do your USG abdomen also.Drink more water.Fruit juice taken more.Avoid spicy food.Hope I have solved your query.Don't worry. </s>

Q. What shall I do for allergy on the head of the penis?

Hi doctor, I have some kind of allergy on the head of my penis. Please tell me how to resolve it and which doctor should I consult. My age is 25. I did not consult any doctor before this. I do catch a cold in a month or two and I skip my diet many days. I saw this allergy a month ago when my girlfriend got tonsillitis after having oral sex. She said it was because of this. It has still not resolved, I thought it as nothing much and it is in the same manner since then. I do wash it regularly and I use to masturbate too much.

Hello. Revert back with the answers to the above questions to an internal medicine physician online -->

<s>[INST] Q. What shall I do for allergy on the head of the penis? " : " Hi doctor, I have some kind of allergy on the head of my penis. Please tell me how to resolve it and which doctor should I consult. My age is 25. I did not consult any doctor before this. I do catch a cold in a month or two and I skip my diet many days. I saw this allergy a month ago when my girlfriend got tonsillitis after having oral sex. She said it was because of this. It has still not resolved, I thought it as nothing much and it is in the same manner since then. I do wash it regularly and I use to masturbate too much. [/INST] Hello. Revert back with the answers to the above questions to an internal medicine physician online --> </s>

What causes chest discomfort?

I feel uneasiness in left part of my chest.. around 6th rib (*not sure how to specify) .. I feel pain sometimes.. sometimes unusual pressure feeling in that area.. I feel like keeping that part of my chest pressed with my palm... And the feeling of uneasiness lasts even for hours sometimes... Is it a heart problem? .. I dont see any other symptoms similar to what I read on the internet...

When pts. With such complain come to my clinic i like to elaborate their symptoms like:- is the pain referred to shoulders , arms or anywhere else- is it dull aching or a sharp shooting kind of painis fever , sweating , cough or breathlessness presentit will be then easier for me to opine on the same

<s>[INST] What causes chest discomfort? " : " I feel uneasiness in left part of my chest.. around 6th rib (*not sure how to specify) .. I feel pain sometimes.. sometimes unusual pressure feeling in that area.. I feel like keeping that part of my chest pressed with my palm... And the feeling of uneasiness lasts even for hours sometimes... Is it a heart problem? .. I dont see any other symptoms similar to what I read on the internet... [/INST] When pts. With such complain come to my clinic i like to elaborate their symptoms like:- is the pain referred to shoulders , arms or anywhere else- is it dull aching or a sharp shooting kind of painis fever , sweating , cough or breathlessness presentit will be then easier for me to opine on the same </s>

Cause for swelling and pain in the mouth after teeth extraction?

I just got my wisdom teeth removed as of last Friday I had one extra wisdom tooth a total of 5. My jaw is locked where I cannot open it more than half an inch, I have a black eye and an extremely swollen cheek is this normal and what should I do about the locked jaw?

Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have undergone extraction of wisdom tooth now you feel like swollen cheek and locked jaw , after extraction of wisdom tooth swelling happens wait for one week if it is remains same then consult your dentist for oral examination. Do follow post operative instructions given by your dentist Take proper course of antibiotics prescribed .Hope this will help you.

<s>[INST] Cause for swelling and pain in the mouth after teeth extraction? " : " I just got my wisdom teeth removed as of last Friday I had one extra wisdom tooth a total of 5. My jaw is locked where I cannot open it more than half an inch, I have a black eye and an extremely swollen cheek is this normal and what should I do about the locked jaw? [/INST] Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have undergone extraction of wisdom tooth now you feel like swollen cheek and locked jaw , after extraction of wisdom tooth swelling happens wait for one week if it is remains same then consult your dentist for oral examination. Do follow post operative instructions given by your dentist Take proper course of antibiotics prescribed .Hope this will help you. </s>

Suggest cause for movement of the eyeball in the upper direction

My son is 3 years 7 months today suddenly his eyeball was move on upper direction and same time he was semi unconceious stage after few minutes he vometed then he is chewing his teeth. We taken him to hospital Doctor recommended tests. According to u what will be the possible cause for same

Hello, I think he is having a seizure according to your description. Epilepsy is possible. Possibly the doctor should recommend you to visit a neurologist and do an EEG to check the brain function. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olgeta Xhufka, General & Family Physician

<s>[INST] Suggest cause for movement of the eyeball in the upper direction " : " My son is 3 years 7 months today suddenly his eyeball was move on upper direction and same time he was semi unconceious stage after few minutes he vometed then he is chewing his teeth. We taken him to hospital Doctor recommended tests. According to u what will be the possible cause for same [/INST] Hello, I think he is having a seizure according to your description. Epilepsy is possible. Possibly the doctor should recommend you to visit a neurologist and do an EEG to check the brain function. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olgeta Xhufka, General & Family Physician </s>

What causes an increase in AST/ALT levels?

Hi, may I answer your health queries? Please type your query here... I recently had a liver panel drawn. Everything was within normal range except AST/ALT. My AST was121, and my ALT was 92. I have been taking sertraline for about 10 years. I don't know if that could have any effect on these levels. I also have hemochromatosis that is being treated with phlebotomies. Thank you, Sherry Sparrow

Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Sertraline do not cause any effect on liver. Hemochromatosis may cause elevation.Increase in AST and ALT has many other cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you drink.I hope I have answered your query and this will help you . Wish you a good health

<s>[INST] What causes an increase in AST/ALT levels? " : " Hi, may I answer your health queries? Please type your query here... I recently had a liver panel drawn. Everything was within normal range except AST/ALT. My AST was121, and my ALT was 92. I have been taking sertraline for about 10 years. I don't know if that could have any effect on these levels. I also have hemochromatosis that is being treated with phlebotomies. Thank you, Sherry Sparrow [/INST] Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Sertraline do not cause any effect on liver. Hemochromatosis may cause elevation.Increase in AST and ALT has many other cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you drink.I hope I have answered your query and this will help you . Wish you a good health </s>

Is is possible to take too much foreskin off causing intense pain in circumcision?

Hi I am 42 years old and had a circumcision done 1 month ago. Stiches are gone healing well but doctor left too little skin and am in pain and more so on morning erections, went to doctor today and says it is normal, Is is possible to take too muckh foreskin off.

DearWe understand your concernsI went through your details. I suggest you not to worry much. Circumcision is a surgical procedure and there are protocols to be followed. The doctor knows it. He did it right according to the circumstances and the presented case. Doctor must have considered your age factor. As age advnces, lubrications lessens nd might cause pain during intercourse. You have nothing to worry when the wound is healing.Over and above, minimal foreskin help you to have more pleasure during intercourse and to keep the area clean and hygienic.Hope this answers your query. Available for further clarifications.Good luck.

<s>[INST] Is is possible to take too much foreskin off causing intense pain in circumcision? " : " Hi I am 42 years old and had a circumcision done 1 month ago. Stiches are gone healing well but doctor left too little skin and am in pain and more so on morning erections, went to doctor today and says it is normal, Is is possible to take too muckh foreskin off. [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. Circumcision is a surgical procedure and there are protocols to be followed. The doctor knows it. He did it right according to the circumstances and the presented case. Doctor must have considered your age factor. As age advnces, lubrications lessens nd might cause pain during intercourse. You have nothing to worry when the wound is healing.Over and above, minimal foreskin help you to have more pleasure during intercourse and to keep the area clean and hygienic.Hope this answers your query. Available for further clarifications.Good luck. </s>

Reddish itchy spots on the body. Need medication

Hi, My brother was in portugal recently and when he came home he had itchy skin. over the past few monbths the itching has spread throughout the family. we all have itchy skin and when we scratch, red spots appear. scratching only makes the problem worse. some creams has relieved the itch however none have solved the problem completely. what could this be and what may be casuing it? thank you.

Hi There, It seems like your brother is suffering from Scabies and he has spread the infestations in the house. But not to worry at all you just have to use Permethrine 5% cream as directed on the literature of the medication.The important thing to be noted here is that all the family members have to apply the cream once at the same time and then have to reapeat it after a week. The itch will be there for a week or so thats why i have told you to reapeat the application again after a week,but in the mean time you can apply Calamine lotion only on the affected areas for three times aday along with some oral anti allergics and everything will be fine. I hope this will help. thanks very much and all the best.

<s>[INST] Reddish itchy spots on the body. Need medication " : " Hi, My brother was in portugal recently and when he came home he had itchy skin. over the past few monbths the itching has spread throughout the family. we all have itchy skin and when we scratch, red spots appear. scratching only makes the problem worse. some creams has relieved the itch however none have solved the problem completely. what could this be and what may be casuing it? thank you. [/INST] Hi There, It seems like your brother is suffering from Scabies and he has spread the infestations in the house. But not to worry at all you just have to use Permethrine 5% cream as directed on the literature of the medication.The important thing to be noted here is that all the family members have to apply the cream once at the same time and then have to reapeat it after a week. The itch will be there for a week or so thats why i have told you to reapeat the application again after a week,but in the mean time you can apply Calamine lotion only on the affected areas for three times aday along with some oral anti allergics and everything will be fine. I hope this will help. thanks very much and all the best. </s>

Will the yellow blister caused after chickenpox in the penis be cured?

Hi,it has been 6days i've got chickenpox..my problem is that i have got a blister which has become yellow on the head of my penis..my doctor prescribed me to get "Aciclovir"tablets.so im taking them for 4days..wd that yellow blister b ok with the time or what should i do? Thank you !

Hello,Welcome to HCM, The symptoms of chicken pox is very severe in adults as compared to children, the complications are more in adults as compared to the children.Chicken pox is a disease which affects all the organs in the body including genitals and it produces very bad symptoms like severe plemorphic rashes with excruciating pain.It is a self limiting disease and one attack will give lifelong immunity, the antiviral drugs like acyclovir will not cure the disease but it will prevents the multiplication of the virus and prevents the complications.The rashes will subside in the same order of the appearance, if there is any pus better to take a course of oral antibiotics along with the antiviral drugs. The symptoms will come down in 10-15 days after the appearance of the rashes.Thank you.

<s>[INST] Will the yellow blister caused after chickenpox in the penis be cured? " : " Hi,it has been 6days i've got chickenpox..my problem is that i have got a blister which has become yellow on the head of my penis..my doctor prescribed me to get "Aciclovir"tablets.so im taking them for 4days..wd that yellow blister b ok with the time or what should i do? Thank you ! [/INST] Hello,Welcome to HCM, The symptoms of chicken pox is very severe in adults as compared to children, the complications are more in adults as compared to the children.Chicken pox is a disease which affects all the organs in the body including genitals and it produces very bad symptoms like severe plemorphic rashes with excruciating pain.It is a self limiting disease and one attack will give lifelong immunity, the antiviral drugs like acyclovir will not cure the disease but it will prevents the multiplication of the virus and prevents the complications.The rashes will subside in the same order of the appearance, if there is any pus better to take a course of oral antibiotics along with the antiviral drugs. The symptoms will come down in 10-15 days after the appearance of the rashes.Thank you. </s>

After having food i feel,something stay in my food pipe

i eat easily food,,but after eating,i feel,something stay in my food pipe,,ear/gas come out through mouth,,i force to come out gas which stay in my food pipe,,,i feel that,,,doctor give me gastic tablet,,,,,for 6 week,,,i use it and go normal,,,again n again come this problem .is it cancer syndrome?doctor say acid come out ,,when i sleeped.10 year i use tobacoo

Im thinking GERD.

<s>[INST] After having food i feel,something stay in my food pipe " : " i eat easily food,,but after eating,i feel,something stay in my food pipe,,ear/gas come out through mouth,,i force to come out gas which stay in my food pipe,,,i feel that,,,doctor give me gastic tablet,,,,,for 6 week,,,i use it and go normal,,,again n again come this problem .is it cancer syndrome?doctor say acid come out ,,when i sleeped.10 year i use tobacoo [/INST] Im thinking GERD. </s>

Diagnosed Mvp, mild mr. Prescribed antidepressants. Feels sleepy, depressed. Right treatment?

SIR , THIS IS REGARDING MY WIFE DIAGNOISED WITH MVP AND MILD M.R. SHE WAS PRESCRIBED WITH ANTI DEPRESSANTS LIKE STRESSNILL AND NOW NEXITO LS BUT AFTER TAKING NEXITO L.S. SHE FEELS VERYSLEEPY AND DEPRESSED ON THE CONTRARY MUST SHE CONTINUE THE MEDICINE OR IS THERE ANY OTHER DRUG WHICH WILL CURE HER MAKE HER BRISK AND VIGILANT SHE IS HAVING FOR THE LAST 4 YEARS , WHEN SHE WAS TAKING D-ANCIT TABLET SHE WAS DOING WELL BUT NOW THEY HAVE STOPPED IN INDIA PLEASE DOCTORS GIVE ME A VALUABLE ADVICE , THANKING YOU.

mvp mainly present as one of the anxiety disorder.since this is only mild mitral regurgitation.the only thing is regular follow up.coming to the drugs part any stress buster(anxiolytics) will do.try to use non medicational stress busters like yoga,meditation,games.keep her occupied always in some work.so that we can slowly taper off the anxiolytic medications.

<s>[INST] Diagnosed Mvp, mild mr. Prescribed antidepressants. Feels sleepy, depressed. Right treatment? " : " SIR , THIS IS REGARDING MY WIFE DIAGNOISED WITH MVP AND MILD M.R. SHE WAS PRESCRIBED WITH ANTI DEPRESSANTS LIKE STRESSNILL AND NOW NEXITO LS BUT AFTER TAKING NEXITO L.S. SHE FEELS VERYSLEEPY AND DEPRESSED ON THE CONTRARY MUST SHE CONTINUE THE MEDICINE OR IS THERE ANY OTHER DRUG WHICH WILL CURE HER MAKE HER BRISK AND VIGILANT SHE IS HAVING FOR THE LAST 4 YEARS , WHEN SHE WAS TAKING D-ANCIT TABLET SHE WAS DOING WELL BUT NOW THEY HAVE STOPPED IN INDIA PLEASE DOCTORS GIVE ME A VALUABLE ADVICE , THANKING YOU. [/INST] mvp mainly present as one of the anxiety disorder.since this is only mild mitral regurgitation.the only thing is regular follow up.coming to the drugs part any stress buster(anxiolytics) will do.try to use non medicational stress busters like yoga,meditation,games.keep her occupied always in some work.so that we can slowly taper off the anxiolytic medications. </s>

Could the hard lump on the inner thighs be due to swollen lymph node or cyst?

I developed overnight, what I found to feel like a tender semi-hardened bump on my left inner/upper thigh. It felt tender, like a bruise. IThe feeling woke me up a couple of times in the night (but, never at all in the day before).But, in the morning, I can tell that it was tender and didn t go down. It seemed to get bigger. It was on the night of the 11th/morning of the 12th. Now, it s a few days later and the feeling is still there, just slightly bigger, but mostly, harder. I just don t see how something can just develope overnight....confused. Don t know it it s a cyst, or a lymph node...or dare I say...anything else

Hi, dear. I have gone through your question. I can understand your concern. Its mostly non serious lesion. You may have either some benign cyst or enlarged lymphnode due to infection. You should go for examination and if needed go for fine needle aspiration cytology. Then take treatment accordingly. Don't worry about malignant lesion because malignant mass can not develop overnight. So don't worry. Just be relaxed. 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>[INST] Could the hard lump on the inner thighs be due to swollen lymph node or cyst? " : " I developed overnight, what I found to feel like a tender semi-hardened bump on my left inner/upper thigh. It felt tender, like a bruise. IThe feeling woke me up a couple of times in the night (but, never at all in the day before).But, in the morning, I can tell that it was tender and didn t go down. It seemed to get bigger. It was on the night of the 11th/morning of the 12th. Now, it s a few days later and the feeling is still there, just slightly bigger, but mostly, harder. I just don t see how something can just develope overnight....confused. Don t know it it s a cyst, or a lymph node...or dare I say...anything else [/INST] Hi, dear. I have gone through your question. I can understand your concern. Its mostly non serious lesion. You may have either some benign cyst or enlarged lymphnode due to infection. You should go for examination and if needed go for fine needle aspiration cytology. Then take treatment accordingly. Don't worry about malignant lesion because malignant mass can not develop overnight. So don't worry. Just be relaxed. 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>

Can back surgery cause constant pain?

My dad had back surgery for a buldging disk. He now has 4 pins in his back. He is diabetic and has some nerve damage. He went home and fell about a week later. He was sent to 2 different rehab centers because he can no longer walk. It's been 2 months now since the surgery and he is still unable to stand for 30 seconds and cannot walk at all. Could the back surgery have gone wrong? He was walking fine before the surgery. I don't like to see him suffer. He is in constant pain and is on neurotin and oxy's among other drugs. Do you have any sugguestions on what we can do to help him? Crystal

It is simply a case of FAILED BACK SURGERY SYNDROME. Numerous causes are listed in the literature. You should go to a good interventional pain physician to diagnose the current cause of pain like arachnoiditis, facet arthropathy, wrong surgery, nerve damage etc. Also he can suggest you medical as well as interventional management of this severe pain.

<s>[INST] Can back surgery cause constant pain? " : " My dad had back surgery for a buldging disk. He now has 4 pins in his back. He is diabetic and has some nerve damage. He went home and fell about a week later. He was sent to 2 different rehab centers because he can no longer walk. It's been 2 months now since the surgery and he is still unable to stand for 30 seconds and cannot walk at all. Could the back surgery have gone wrong? He was walking fine before the surgery. I don't like to see him suffer. He is in constant pain and is on neurotin and oxy's among other drugs. Do you have any sugguestions on what we can do to help him? Crystal [/INST] It is simply a case of FAILED BACK SURGERY SYNDROME. Numerous causes are listed in the literature. You should go to a good interventional pain physician to diagnose the current cause of pain like arachnoiditis, facet arthropathy, wrong surgery, nerve damage etc. Also he can suggest you medical as well as interventional management of this severe pain. </s>

Can a female undergoing TB treatment have intercourse and be pregnant?

hello, my wife is a tb patient (ongoing treatment from march 2013 and the treatment will be completing in dec 2013) if she becomes pregnant while on going treatment or after the treatment, if their any problem to the baby, and for me for doing the intercourse.please advise. thanks

HeloThanks for writing to us with your health concern.There are two phases of tuberculosis treatment.The first intensive phase is generally of 2 months.It consists of a 4 drug regimen.The latent phase treatment might be of 4 months or 6 months or longer.THis contains traditionally 3 or 2 drugs, unless she is having a relapse or multi drug resistant disease.Now, during the intensive phase, conception should be avoided.After the first 2 months of treatment, anytime you can try for pregnancy.Intercourse is safe and pregnancy also is safe during this time.There will be no risk to the baby.Do not worry at all.Take care.

<s>[INST] Can a female undergoing TB treatment have intercourse and be pregnant? " : " hello, my wife is a tb patient (ongoing treatment from march 2013 and the treatment will be completing in dec 2013) if she becomes pregnant while on going treatment or after the treatment, if their any problem to the baby, and for me for doing the intercourse.please advise. thanks [/INST] HeloThanks for writing to us with your health concern.There are two phases of tuberculosis treatment.The first intensive phase is generally of 2 months.It consists of a 4 drug regimen.The latent phase treatment might be of 4 months or 6 months or longer.THis contains traditionally 3 or 2 drugs, unless she is having a relapse or multi drug resistant disease.Now, during the intensive phase, conception should be avoided.After the first 2 months of treatment, anytime you can try for pregnancy.Intercourse is safe and pregnancy also is safe during this time.There will be no risk to the baby.Do not worry at all.Take care. </s>

Q. Will Nano-Leo give permanent solution for erection problem?

Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.

Hi. For further doubts consult a sexologist online -->

<s>[INST] Q. Will Nano-Leo give permanent solution for erection problem? " : " Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> </s>

What causes random movements in the pelvic area?

For the past few days I have had random pulling movements in my pelvic area. Its painless and like a thump, only inward. You can see my stomach move inward quickly and then return to its normal level. This can happen 2-3 times in a minute but then go many hours before another thump happens.

Hi.Thanks for a good history. This is suggestive of an intestinal obstruction of sub-acute variety and you need to get investigated in the form of Standing X-ray Abdomen and enteroclysis if required. You may need to know the diagnosis to decide whether you need an medical treatment or surgical exploration.

<s>[INST] What causes random movements in the pelvic area? " : " For the past few days I have had random pulling movements in my pelvic area. Its painless and like a thump, only inward. You can see my stomach move inward quickly and then return to its normal level. This can happen 2-3 times in a minute but then go many hours before another thump happens. [/INST] Hi.Thanks for a good history. This is suggestive of an intestinal obstruction of sub-acute variety and you need to get investigated in the form of Standing X-ray Abdomen and enteroclysis if required. You may need to know the diagnosis to decide whether you need an medical treatment or surgical exploration. </s>

What does a lump on the lower leg indicate?

I have started walking - trying to speed walk. I have a tight, hard spot on the lower left leg. Feels like a tight muscle. It is not read, but it is slightly larger than my other leg. What should I do for this? Or is this something I should see my doctor forI mean it's not "red".

Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* There are different issues which may present as - wart - hematoma or cellulitis - sebaceous cyst or lipoma - others* Must visit your doctor and get clinical examination .Hope this will help you for sure .Wishing you fine recovery .Welcome for any further guidance .Regards .

<s>[INST] What does a lump on the lower leg indicate? " : " I have started walking - trying to speed walk. I have a tight, hard spot on the lower left leg. Feels like a tight muscle. It is not read, but it is slightly larger than my other leg. What should I do for this? Or is this something I should see my doctor forI mean it's not "red". [/INST] Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* There are different issues which may present as - wart - hematoma or cellulitis - sebaceous cyst or lipoma - others* Must visit your doctor and get clinical examination .Hope this will help you for sure .Wishing you fine recovery .Welcome for any further guidance .Regards . </s>

Had chalazion, after sty on eye. Home remedies?

I've had a Chalazion for about three weeks. It resulted after a sty formed on my left eye. It's not very large (smaller than a pea) and I just started adding heat to it. I'm starting a new job On Monday, and being that I can't take off right away I'm hoping it can be treated without surgery. Are there any home remedies that could help me?

Hello & thanks for your Q on HCM I recommend applying a warm compress to the cyst up to four times a day until the swelling reduces and finally disappears. Hold the warm compress on the affected area for 10 to 15 minutes at a time to soften the blockage and speed up the draining process. Always wash your hands well before applying the compress and use a fresh clean cloth. Never heat the water for a compress in a microwave as it can become too hot and burn the delicate skin of the eyelids. Instead of tap water, you could use normal saline solution. ( salt water). Other home remedies for eye cysts are Use of guava leaves as a compress. Warm these leaves and place them in a clean dry cloth. Place this cloth over the swelling and leave it on for a while to reduce pain and redness. Boil some acacia leaves in water. Remove the leaves and use this water to soak a towel or clean cloth. Place the warm compress over the eyelids to remove in order to get rid of the chalazion cyst naturally. Apply a mixture of rosewater and honey directly on the eye which has a soothing effect and helps the eye heal at a faster rate. Tea bag eye treatments are effective in treating an eye cyst- the used teabag of chamomile tea should be chilled for a while and then applied to the affected eye for 5 to 10 minutes or so. Hope that it helpful & all the best for your new job

<s>[INST] Had chalazion, after sty on eye. Home remedies? " : " I've had a Chalazion for about three weeks. It resulted after a sty formed on my left eye. It's not very large (smaller than a pea) and I just started adding heat to it. I'm starting a new job On Monday, and being that I can't take off right away I'm hoping it can be treated without surgery. Are there any home remedies that could help me? [/INST] Hello & thanks for your Q on HCM I recommend applying a warm compress to the cyst up to four times a day until the swelling reduces and finally disappears. Hold the warm compress on the affected area for 10 to 15 minutes at a time to soften the blockage and speed up the draining process. Always wash your hands well before applying the compress and use a fresh clean cloth. Never heat the water for a compress in a microwave as it can become too hot and burn the delicate skin of the eyelids. Instead of tap water, you could use normal saline solution. ( salt water). Other home remedies for eye cysts are Use of guava leaves as a compress. Warm these leaves and place them in a clean dry cloth. Place this cloth over the swelling and leave it on for a while to reduce pain and redness. Boil some acacia leaves in water. Remove the leaves and use this water to soak a towel or clean cloth. Place the warm compress over the eyelids to remove in order to get rid of the chalazion cyst naturally. Apply a mixture of rosewater and honey directly on the eye which has a soothing effect and helps the eye heal at a faster rate. Tea bag eye treatments are effective in treating an eye cyst- the used teabag of chamomile tea should be chilled for a while and then applied to the affected eye for 5 to 10 minutes or so. Hope that it helpful & all the best for your new job </s>

What is the treatment for back pain?

Hi sir, I am Sreeju from Muscat,Oman. My Native place Thrissur,Kerala.one of my uncle suffering from backpain(totally turned his backbone).Last friday he calll your clinic,but he did'n get you. So any solution for his problem. Can i get your GSM no. Then he will directly contact & tell his problem. Please sir...Thanks & RegardsSreeju.

Back pain occurs due to bad posture or any pathology...so it has to find proper diagnosis the reason of back pain ...after this better treatment finds...

<s>[INST] What is the treatment for back pain? " : " Hi sir, I am Sreeju from Muscat,Oman. My Native place Thrissur,Kerala.one of my uncle suffering from backpain(totally turned his backbone).Last friday he calll your clinic,but he did'n get you. So any solution for his problem. Can i get your GSM no. Then he will directly contact & tell his problem. Please sir...Thanks & RegardsSreeju. [/INST] Back pain occurs due to bad posture or any pathology...so it has to find proper diagnosis the reason of back pain ...after this better treatment finds... </s>

Had pelvic pain in the abdomen which was diagnosed to be kidney stone which still appears on X-ray. What to do now?

Hi I had pelvic pain in abdomen went to dr blood test revealed no infection but blood in urine. They assumed it was a kidney stone and gave me flow max pain seems to be getting better still have not passed a stone.went to urologist yesterday for x rays they found two small images could still not identify if it was a stone. Had sex with wife tonight afterwards urine seems to be weak & dribbling could this be a prostate issue I am a 39 yr old male? Thank you

Hi Welcome to Health care magic forum. In X ray it may not be revealed,satisfactorily, You may need to have ultrasound scanning for clear image, I advise you to consult the urologist again for diagnosis. The other possibility may be the urinary tract infection.for that urine examination, and culture of urine may be needed. Take more of green leafy vegetables, pulses, sprouts and protein rich food, to develop the resistance, and support the treatment. Wising for a quick and complete recovery. Thank you.

<s>[INST] Had pelvic pain in the abdomen which was diagnosed to be kidney stone which still appears on X-ray. What to do now? " : " Hi I had pelvic pain in abdomen went to dr blood test revealed no infection but blood in urine. They assumed it was a kidney stone and gave me flow max pain seems to be getting better still have not passed a stone.went to urologist yesterday for x rays they found two small images could still not identify if it was a stone. Had sex with wife tonight afterwards urine seems to be weak & dribbling could this be a prostate issue I am a 39 yr old male? Thank you [/INST] Hi Welcome to Health care magic forum. In X ray it may not be revealed,satisfactorily, You may need to have ultrasound scanning for clear image, I advise you to consult the urologist again for diagnosis. The other possibility may be the urinary tract infection.for that urine examination, and culture of urine may be needed. Take more of green leafy vegetables, pulses, sprouts and protein rich food, to develop the resistance, and support the treatment. Wising for a quick and complete recovery. Thank you. </s>

Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?

Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?

Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->

<s>[INST] Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? " : " Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> </s>

Does lump under chin indicate blocked salivary gland?

Hi I'm a 15 year old female and I noticed a round, hard lump under chin while I was washing my face the other day. It doesn't hurt, which is scaring me that it might be cancer, except I have no family history of cancer. I was told that it could be a blocked salivary gland...

Hi, dearI have gone through your question. I can understand your concern.You may have siledenitis( infection in salivary gland), or sub mandibular lymphnode enlargement. Chances of cancer at age of 15 is very rare. SO don't worry much about that. You should take a course of antibiotics. If it does not respond to treatment then ultrasound study and biopsy is advisable. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.

<s>[INST] Does lump under chin indicate blocked salivary gland? " : " Hi I'm a 15 year old female and I noticed a round, hard lump under chin while I was washing my face the other day. It doesn't hurt, which is scaring me that it might be cancer, except I have no family history of cancer. I was told that it could be a blocked salivary gland... [/INST] Hi, dearI have gone through your question. I can understand your concern.You may have siledenitis( infection in salivary gland), or sub mandibular lymphnode enlargement. Chances of cancer at age of 15 is very rare. SO don't worry much about that. You should take a course of antibiotics. If it does not respond to treatment then ultrasound study and biopsy is advisable. Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. </s>

Q. Why do periods get delayed after first time sex?

Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?

Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->

<s>[INST] Q. Why do periods get delayed after first time sex? " : " Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> </s>

What causes left shoulder blade pain?

My left shoulder blade has been painful for 10 days now, I ve rested it, taken paracetamol / ibuprofen alternately every 2hours, tries hot & cold compresses & pain relief gel but nothing is helping! ... I ve had no obvious injury and dont think it s through awkward sleepIing position. It s a cramp like pain and I occasionally get an electrical shock feeling un the shoulder blade ...

Hello, I suggest you to do MRI or Ct scan and a blood test. There are many causes that can give you these symptoms like bad posture, lifting heavy things, heart problems musculoskeletal disorders etc. I suggest to do MRI abdominal ultrasound Electrocardiogram and blood test. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician

<s>[INST] What causes left shoulder blade pain? " : " My left shoulder blade has been painful for 10 days now, I ve rested it, taken paracetamol / ibuprofen alternately every 2hours, tries hot & cold compresses & pain relief gel but nothing is helping! ... I ve had no obvious injury and dont think it s through awkward sleepIing position. It s a cramp like pain and I occasionally get an electrical shock feeling un the shoulder blade ... [/INST] Hello, I suggest you to do MRI or Ct scan and a blood test. There are many causes that can give you these symptoms like bad posture, lifting heavy things, heart problems musculoskeletal disorders etc. I suggest to do MRI abdominal ultrasound Electrocardiogram and blood test. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician </s>

What could be the side effects of rectacele surgery?

I have two questions: I am 74 years old and am scheduled for rectacele surgery in January. My family doc was hesitant to recommend the surgery. After talking with my Urologist, he gave me the choice of surgery or living with the symptoms. I had bladder suspension surgery in 2009. Is there some danger here that I am not aware of? I have opted to have the surgery based on my age and knowing that if it gets worse, surgery later on might be compromised by age and other factors that may or may not be present it at that time. Also, I am scheduled for a colonoscopy next week. Would it be advisable to wait to have the colonoscopy until after the rectacele surgery has healed?

Hi,You very well understand the fact that any surgery at this stage is considered risky and that is the reason you have been counselled in detail by your doctor.Colonoscopy is usually done prior to the surgery,hence it will be preferable to get it done now.

<s>[INST] What could be the side effects of rectacele surgery? " : " I have two questions: I am 74 years old and am scheduled for rectacele surgery in January. My family doc was hesitant to recommend the surgery. After talking with my Urologist, he gave me the choice of surgery or living with the symptoms. I had bladder suspension surgery in 2009. Is there some danger here that I am not aware of? I have opted to have the surgery based on my age and knowing that if it gets worse, surgery later on might be compromised by age and other factors that may or may not be present it at that time. Also, I am scheduled for a colonoscopy next week. Would it be advisable to wait to have the colonoscopy until after the rectacele surgery has healed? [/INST] Hi,You very well understand the fact that any surgery at this stage is considered risky and that is the reason you have been counselled in detail by your doctor.Colonoscopy is usually done prior to the surgery,hence it will be preferable to get it done now. </s>

What causes a delayed period with negative pregnancy test?

hi i have been trying to get pregnant for 7 months now and this month im now late on my period i was really happy that finally it may have worked but when i took a test at 2 days late it was negative i did another one today at 4 days late and again negative could i still be pregnant??

Hello,Causes of delay are stress, obesity, PCOD, illness, pregnancy, and hormonal imbalance. You take a course of Meprate for early days and see if you are getting period. It won't harm your baby if you are pregnant.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal

<s>[INST] What causes a delayed period with negative pregnancy test? " : " hi i have been trying to get pregnant for 7 months now and this month im now late on my period i was really happy that finally it may have worked but when i took a test at 2 days late it was negative i did another one today at 4 days late and again negative could i still be pregnant?? [/INST] Hello,Causes of delay are stress, obesity, PCOD, illness, pregnancy, and hormonal imbalance. You take a course of Meprate for early days and see if you are getting period. It won't harm your baby if you are pregnant.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal </s>

Suggest remedy for pain in tip of penis after being hit by a board

I was surfing the other day and as I was getting up on my board i hit a bump which caused me to hit my penise on my board felt like right in the tip and ever sense then right under the head of my penice it hurts when I cough or sneeze and sometimes when I move it wrong can I get some help I don't see some brusing but I would just like someone else word on this please and thank you

HelloThanks for query .The pain at the tip of the penis after getting hit by a board is mostly due to trivial injury to the tip of penis .You need to take broad spectrum antibiotic like Cefotaxime along with anti inflammatory drug like Diclofenac twice daily along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.This should get cured witin a week ,Dr.Patil.

<s>[INST] Suggest remedy for pain in tip of penis after being hit by a board " : " I was surfing the other day and as I was getting up on my board i hit a bump which caused me to hit my penise on my board felt like right in the tip and ever sense then right under the head of my penice it hurts when I cough or sneeze and sometimes when I move it wrong can I get some help I don't see some brusing but I would just like someone else word on this please and thank you [/INST] HelloThanks for query .The pain at the tip of the penis after getting hit by a board is mostly due to trivial injury to the tip of penis .You need to take broad spectrum antibiotic like Cefotaxime along with anti inflammatory drug like Diclofenac twice daily along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.This should get cured witin a week ,Dr.Patil. </s>

Can I take eziday instead of irbesartan for blood pressure?

Hello: I am traveling in a foreign country and have ran out of my blood pressure medication. I am taking IRBESARTAN (APROVEL) 75mg. I have been offered EZIDAY in it's place, can I take this for about one week until I get home? YYYY@YYYY Thank you

Hi & Welcome to HCM.I appreciate your concern for possible switching over of the medicines for high BP.Since you have been taking Irbesartan 75 mg once daily and now travelling to a foreign country you can be take Eziday as you have been offered.In terms of effective control of BP Irbesartan 75 mg once daily can be considered equivalent to Losartan 25 mg once daily. Wishing you best of your health.

<s>[INST] Can I take eziday instead of irbesartan for blood pressure? " : " Hello: I am traveling in a foreign country and have ran out of my blood pressure medication. I am taking IRBESARTAN (APROVEL) 75mg. I have been offered EZIDAY in it's place, can I take this for about one week until I get home? YYYY@YYYY Thank you [/INST] Hi & Welcome to HCM.I appreciate your concern for possible switching over of the medicines for high BP.Since you have been taking Irbesartan 75 mg once daily and now travelling to a foreign country you can be take Eziday as you have been offered.In terms of effective control of BP Irbesartan 75 mg once daily can be considered equivalent to Losartan 25 mg once daily. Wishing you best of your health. </s>

What are the symptoms and treatment for chicken pox?

Hi Doctor.. May I know the symptoms of Chicken pox.. All of a sudden I am facing severe body ache for two days and i found 5 small like heat bubbles in my leg, hand and hip.. I consulted a doctor last nite and he suggest ACE-Proxyvon tablets for two days... Worried will it a chicken pox.. please advice

Thanks for contacting HCM fro your medical questions.I am sorry to hear that you have a recent infection with body aches and blisters. This could be chicken pox but we usually see this in children and sometimes with young adults. In young adults the symptoms are generally much more severe. With more lesions more pain and potentially with pneumonia. Unfortunately, the only treatment is to help the symptoms. Use Tylenol for the fever, calamine lotion and oat meal baths from aveeno and plenty of rest. If you do develop problems breathing then I recommend you seek medical attention.Hope I answered your question. Please feel free to contact us again for you medical concerns and questions

<s>[INST] What are the symptoms and treatment for chicken pox? " : " Hi Doctor.. May I know the symptoms of Chicken pox.. All of a sudden I am facing severe body ache for two days and i found 5 small like heat bubbles in my leg, hand and hip.. I consulted a doctor last nite and he suggest ACE-Proxyvon tablets for two days... Worried will it a chicken pox.. please advice [/INST] Thanks for contacting HCM fro your medical questions.I am sorry to hear that you have a recent infection with body aches and blisters. This could be chicken pox but we usually see this in children and sometimes with young adults. In young adults the symptoms are generally much more severe. With more lesions more pain and potentially with pneumonia. Unfortunately, the only treatment is to help the symptoms. Use Tylenol for the fever, calamine lotion and oat meal baths from aveeno and plenty of rest. If you do develop problems breathing then I recommend you seek medical attention.Hope I answered your question. Please feel free to contact us again for you medical concerns and questions </s>

What causes heaviness in lower leg?

I ve noticed the last day or so that my left lower leg feels like a bit heavy...and tingles a bit. I noticed that when I m walking it seems my step is heavier than my right...I can hear it, I thought I just wasn t picking my left foot up...walking a little lazy, but when I m trying to pull my toes up on my left foot my toes spread out a bit and I can t pull my toes up like I can with my right foot.....Very odd for me. I m 50 years old, weigh about 118 pounds, take good care of myself, I ve never had anything like this happen.

HiYou need to have a doctor evaluate this and get an MRI scan of your lumbar spine because it's likely your have a ruptured disc in your back that is pressing on a nerve root

<s>[INST] What causes heaviness in lower leg? " : " I ve noticed the last day or so that my left lower leg feels like a bit heavy...and tingles a bit. I noticed that when I m walking it seems my step is heavier than my right...I can hear it, I thought I just wasn t picking my left foot up...walking a little lazy, but when I m trying to pull my toes up on my left foot my toes spread out a bit and I can t pull my toes up like I can with my right foot.....Very odd for me. I m 50 years old, weigh about 118 pounds, take good care of myself, I ve never had anything like this happen. [/INST] HiYou need to have a doctor evaluate this and get an MRI scan of your lumbar spine because it's likely your have a ruptured disc in your back that is pressing on a nerve root </s>

Which Logynon colour pill should be taken first?

I am about to begin taking Logynon pills for the 1st time today. The order 21-pill pack starts with 6 medium brown pills followed by 5 white pills followed by 10 yellow pills. Today is Friday and I need to know which color pill to begin with. Thank you.

Hi,Logynon should be taken every day without a break. You take an active pill each day for 21 days, followed by an inactive pill each day for 7 days. Start with the light brown tablet marked '1' and follow the arrow mark. One tablet is taken every day for 21 days and you then have a seven day break from pill-taking.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician

<s>[INST] Which Logynon colour pill should be taken first? " : " I am about to begin taking Logynon pills for the 1st time today. The order 21-pill pack starts with 6 medium brown pills followed by 5 white pills followed by 10 yellow pills. Today is Friday and I need to know which color pill to begin with. Thank you. [/INST] Hi,Logynon should be taken every day without a break. You take an active pill each day for 21 days, followed by an inactive pill each day for 7 days. Start with the light brown tablet marked '1' and follow the arrow mark. One tablet is taken every day for 21 days and you then have a seven day break from pill-taking.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician </s>

What is the cure for ejaculation problem?

I'm having problems ejaculating. I take a lot of meds BC I have had a spinal injury. I can get an erection, I can get to where I'm about to get off but my body will not let it happen. I take high doses of pain meds, lyrics, zanaflex, what can I do to be able to finish getting off??

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.Your current medication are right and should be continued.Such a problem in spinal injury is common.I advice you should start physiotherapy.Nearby physiotherapist can guide us how to do daily exercise.Exercise plus electrotherapy, heat therapy etc. can also work in such a condition.You should also do a exercise like holding and release the urine as much time as you can do in a day. Such exercise will make you able to ejaculate in some days.Please also continue leg exercise. Maintain good hygiene as it can also help in preventing exercise.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.

<s>[INST] What is the cure for ejaculation problem? " : " I'm having problems ejaculating. I take a lot of meds BC I have had a spinal injury. I can get an erection, I can get to where I'm about to get off but my body will not let it happen. I take high doses of pain meds, lyrics, zanaflex, what can I do to be able to finish getting off?? [/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.Your current medication are right and should be continued.Such a problem in spinal injury is common.I advice you should start physiotherapy.Nearby physiotherapist can guide us how to do daily exercise.Exercise plus electrotherapy, heat therapy etc. can also work in such a condition.You should also do a exercise like holding and release the urine as much time as you can do in a day. Such exercise will make you able to ejaculate in some days.Please also continue leg exercise. Maintain good hygiene as it can also help in preventing exercise.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. </s>

Heat, redness and swelling around navel. Why is it painful?

Hello. I am having horrible pain, swelling , redness, and heat in and around my navel. The pain is worse toward the inside of the navel with the swelling, redness, and heat mostly about an inch or two around the outside of the navel. Any ideas of what could cause this. It is painful for me to sit down and stand up. Once I am down or up, the pain isn t as severe. If I lay on either side or my stomach the pain persists.

Its called oomphalitis, You neeou need medication to treatd to show this to your doctor as you need medications to treat this and further investigations as sometimes its because navel sometimes remains connected to the intestine (normally it gets separated during development)

<s>[INST] Heat, redness and swelling around navel. Why is it painful? " : " Hello. I am having horrible pain, swelling , redness, and heat in and around my navel. The pain is worse toward the inside of the navel with the swelling, redness, and heat mostly about an inch or two around the outside of the navel. Any ideas of what could cause this. It is painful for me to sit down and stand up. Once I am down or up, the pain isn t as severe. If I lay on either side or my stomach the pain persists. [/INST] Its called oomphalitis, You neeou need medication to treatd to show this to your doctor as you need medications to treat this and further investigations as sometimes its because navel sometimes remains connected to the intestine (normally it gets separated during development) </s>

Suggest treatment for stress

I had two electric shocks today then sweating really bad I sat down and pulse rate was pounding, no pain anywhere else I laid down went away, is this anxiety I had quadruple bypass in 2009 just saw my doctor 5 month ago and had stress test done all was normal. I have been under stress due to my gf mother having cancer and is slowly deteriorating in our home and we are doing are best to help her be as comfortable as possible. Thanks

DearWe understand your concernsI went through your details. I suggest you not to worry much. I can understand the stressful situation you are in. The best method is to understand stress and be away from it. Being in a stressful situation and being emotionally away from that stress. That is an art and needs to be practiced. There could be so many other occaassions in future when such stressful situations present itself. Breathing is a good technique to overcome stress. Researches have shown that medicines alone cannot cure mental disorders. Psychotherapy to have life style changes, Yoga and meditationn to streamline thought process and metabolism can be practiced for easy and permanent cure. Contact a psychologist for further information.If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to over come your problems.Hope this answers your query. Available for further clarifications.Good luck.

<s>[INST] Suggest treatment for stress " : " I had two electric shocks today then sweating really bad I sat down and pulse rate was pounding, no pain anywhere else I laid down went away, is this anxiety I had quadruple bypass in 2009 just saw my doctor 5 month ago and had stress test done all was normal. I have been under stress due to my gf mother having cancer and is slowly deteriorating in our home and we are doing are best to help her be as comfortable as possible. Thanks [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. I can understand the stressful situation you are in. The best method is to understand stress and be away from it. Being in a stressful situation and being emotionally away from that stress. That is an art and needs to be practiced. There could be so many other occaassions in future when such stressful situations present itself. Breathing is a good technique to overcome stress. Researches have shown that medicines alone cannot cure mental disorders. Psychotherapy to have life style changes, Yoga and meditationn to streamline thought process and metabolism can be practiced for easy and permanent cure. Contact a psychologist for further information.If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to over come your problems.Hope this answers your query. Available for further clarifications.Good luck. </s>

Will Levolin and Azithral help to treat phlegm in a child?

Hi, My son is 5 years old and he has been having phlegm with mild cough for over 2 weeks. Lastweek when I took him to a doctor, he prescriped Respinil syrup. 2 days back he had fever and I took him to the doc and he prescriped Levolin , azithral ,cetrizine syrup and crocin syrup in case of fever. His temperature is at 103 and just now it is gradually reducing. But I was searching on the levolin and azithral on google and looks like they are for cough. But he does not have cough now and it is only the phelgm which is causing the fever. So was just wondering that in the medicine the doc prescribed which would help reduce the phlegm?

Phelgum is manifestation of lower respiratory tract infection. These medications collectively act to improve the infection. Once infection will be cured there will be no phlegum. So continue the treatment.

<s>[INST] Will Levolin and Azithral help to treat phlegm in a child? " : " Hi, My son is 5 years old and he has been having phlegm with mild cough for over 2 weeks. Lastweek when I took him to a doctor, he prescriped Respinil syrup. 2 days back he had fever and I took him to the doc and he prescriped Levolin , azithral ,cetrizine syrup and crocin syrup in case of fever. His temperature is at 103 and just now it is gradually reducing. But I was searching on the levolin and azithral on google and looks like they are for cough. But he does not have cough now and it is only the phelgm which is causing the fever. So was just wondering that in the medicine the doc prescribed which would help reduce the phlegm? [/INST] Phelgum is manifestation of lower respiratory tract infection. These medications collectively act to improve the infection. Once infection will be cured there will be no phlegum. So continue the treatment. </s>

Can I drink alcohol after typhoid?

I had an infection with salmonella para typhi a & i was on treatment with IV ciproflixacin for 2 week followed by 1 week oral. last date when i had a fever (104 F) was 12th August 2011 i .e almost 18 days before. Can i start using alcohol now or how long should i abstain from using alcohol ?

Thanks for asking in healthcaremagic forum I understand your situation. As a doctor I would advise my patients to take atleast 6-8 wks of rest after typhois as the body takes time to recover and usually the immunity of the body will be less following any infection. All the best.

<s>[INST] Can I drink alcohol after typhoid? " : " I had an infection with salmonella para typhi a & i was on treatment with IV ciproflixacin for 2 week followed by 1 week oral. last date when i had a fever (104 F) was 12th August 2011 i .e almost 18 days before. Can i start using alcohol now or how long should i abstain from using alcohol ? [/INST] Thanks for asking in healthcaremagic forum I understand your situation. As a doctor I would advise my patients to take atleast 6-8 wks of rest after typhois as the body takes time to recover and usually the immunity of the body will be less following any infection. All the best. </s>

Q. For how long should I take Kalachikai powder to overcome PCOD problem?

Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?

Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->

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

What does a lump on bottom of head indicate?

I just noticed a small lump or nodule of the back of my sons head like at the bottom of where the hair ends. It s between .25 and .45 in in diameter. Also found two other smaller bumps on the other side of his head. When I touch it he doesn t wince like t hurts but I m very worried. He s 20 months. My dagger passed away from lymphoma but I m not sure it s connected. Also he scratches the back if his head a lot - it thought it was just his eczema but maybe it s related. I m going to make an appt with a pediatrician but I have to find one. We just moved to a new state about 5 weeks ago.

HI...please do not be worried. The swellings you are palpating are just enlarged lymph nodes and in the area you are mentioneng the most common reason for them to get are seborrhea/ dandruff or small injury to the scalp. If there is nor chronic fever and weight loss, or sever pallor you need not be worried about them. But I suggest you get him evaluated by a pediatrician.Regards - Dr. Sumanth

<s>[INST] What does a lump on bottom of head indicate? " : " I just noticed a small lump or nodule of the back of my sons head like at the bottom of where the hair ends. It s between .25 and .45 in in diameter. Also found two other smaller bumps on the other side of his head. When I touch it he doesn t wince like t hurts but I m very worried. He s 20 months. My dagger passed away from lymphoma but I m not sure it s connected. Also he scratches the back if his head a lot - it thought it was just his eczema but maybe it s related. I m going to make an appt with a pediatrician but I have to find one. We just moved to a new state about 5 weeks ago. [/INST] HI...please do not be worried. The swellings you are palpating are just enlarged lymph nodes and in the area you are mentioneng the most common reason for them to get are seborrhea/ dandruff or small injury to the scalp. If there is nor chronic fever and weight loss, or sever pallor you need not be worried about them. But I suggest you get him evaluated by a pediatrician.Regards - Dr. Sumanth </s>

STOMACH PAIN, PARASITES OR WORMS IN ME?

Parasites or worms. Help i am 47 and have Rheumaotid Arthritis . I think I have something alive inside my stomach and intestines. I have for quite sometime now had stomach pains very bad pains that make me gasp but they come and go so fast. The following day or 24 to 48 hours later I go to the bathroom and I found cacoons pods egg whatevere they are called they scared me. I thought maybe it was a mushroom or lima bean but I had not eaten them in years. It went away and came back a couple days later but bigger. Then these strings started showing up but coming out of the cacoons. The were like hair ansd now they are bigger than dental floss but just as strong. My bowel movements are pretty much all cacoons now. It is the foulest oder ever! They are huge cacoons ,,, and strings. I don t eat the amount coming out of me they are so big it is hard to get them out. i AM UTTERLY GROSSED OUT, SCARED AND embarrassed. I am clean so why would this happen? If I don tn eat the pains are more severe. Could they be in other parts of me and is this urgent or not. AAAAAACK!!!!! How do i get this to go away. i scared

sir, u have intestinal worm infestation,so sir now start dewoming, u can do that by taking a tablet albendazole 400mg one in the night,and then take 200mg after one week, eat healthy eat lots of green vegetables more of fibre diet and drink lots of water, you will be relieved of your symptom.

<s>[INST] STOMACH PAIN, PARASITES OR WORMS IN ME? " : " Parasites or worms. Help i am 47 and have Rheumaotid Arthritis . I think I have something alive inside my stomach and intestines. I have for quite sometime now had stomach pains very bad pains that make me gasp but they come and go so fast. The following day or 24 to 48 hours later I go to the bathroom and I found cacoons pods egg whatevere they are called they scared me. I thought maybe it was a mushroom or lima bean but I had not eaten them in years. It went away and came back a couple days later but bigger. Then these strings started showing up but coming out of the cacoons. The were like hair ansd now they are bigger than dental floss but just as strong. My bowel movements are pretty much all cacoons now. It is the foulest oder ever! They are huge cacoons ,,, and strings. I don t eat the amount coming out of me they are so big it is hard to get them out. i AM UTTERLY GROSSED OUT, SCARED AND embarrassed. I am clean so why would this happen? If I don tn eat the pains are more severe. Could they be in other parts of me and is this urgent or not. AAAAAACK!!!!! How do i get this to go away. i scared [/INST] sir, u have intestinal worm infestation,so sir now start dewoming, u can do that by taking a tablet albendazole 400mg one in the night,and then take 200mg after one week, eat healthy eat lots of green vegetables more of fibre diet and drink lots of water, you will be relieved of your symptom. </s>

Can nausea and cloudy yellow urine suggest pregnancy?

I have been on Triphasil for 9 years. just this last mont, I have stopped. My husband and I had sex 1-2 weeks from my last period. I have been feeling nausea, back pain, and very hot. I have taken 2 home pregnancy tests, both negative. My urine is yellow an cloudy. Can i be pregnant? thank you

It's rare that you would have started ovulating immediately after stopping pills that you were taking since 9 yrs. So I think you are not pregnant. Go for urine complete examination as you can have uti, cloudy and yellow urine indicates infection.

<s>[INST] Can nausea and cloudy yellow urine suggest pregnancy? " : " I have been on Triphasil for 9 years. just this last mont, I have stopped. My husband and I had sex 1-2 weeks from my last period. I have been feeling nausea, back pain, and very hot. I have taken 2 home pregnancy tests, both negative. My urine is yellow an cloudy. Can i be pregnant? thank you [/INST] It's rare that you would have started ovulating immediately after stopping pills that you were taking since 9 yrs. So I think you are not pregnant. Go for urine complete examination as you can have uti, cloudy and yellow urine indicates infection. </s>

What causes itchy red bumps on chest and back in children?

my 8 year old daughter just came to me with these red bumps on her back and chest and says they are itchy. she said they have been there for a couple days now but this is the first time i have seen them and would have noticed them before had they been there, not sure what it could be.

Hi...Thank you for consulting in Health Care magic.By what you quote it should be an urticarial or a simple skin allergy. You can use Hydroxyzine at 1-2mg/kg/dose every 6th to 8th hourly for 7-10 days. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine but I suggest you get the kid evaluated with your paediatrician.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,

<s>[INST] What causes itchy red bumps on chest and back in children? " : " my 8 year old daughter just came to me with these red bumps on her back and chest and says they are itchy. she said they have been there for a couple days now but this is the first time i have seen them and would have noticed them before had they been there, not sure what it could be. [/INST] Hi...Thank you for consulting in Health Care magic.By what you quote it should be an urticarial or a simple skin allergy. You can use Hydroxyzine at 1-2mg/kg/dose every 6th to 8th hourly for 7-10 days. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine but I suggest you get the kid evaluated with your paediatrician.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., </s>

Suggest remedies for pain and swelling in gums during teething

My baby wills 2 in about 3 months , her molars are starting to grow. About two days ago I noticed her moth smelling n every day it smells more even if I brush them it doesn't make a difference. Her whole gums are purple and look swollen even where her old teeth are. I noticed today her mouth hurts to eat even if I give her a banana , she will not bite it down like she used it . The only thing she'll eat at this point is her bottle. I tried making a dentist appointment but the earlies they have is till August. What can I do in the mean time?? Or why does her moth hurt and smell so bad?? Is that normal teething ??

HiWith your query, smell might be dye to tongue coatings take a gauze piece roll it your index finger and slowly clean her tongue in the morning and evening and coming to the erupting tooth there will be discomfort to them but only for while so unless you notice something unusual nothing to worry. If symptoms persist please consult pediatrician.hope this helps you.

<s>[INST] Suggest remedies for pain and swelling in gums during teething " : " My baby wills 2 in about 3 months , her molars are starting to grow. About two days ago I noticed her moth smelling n every day it smells more even if I brush them it doesn't make a difference. Her whole gums are purple and look swollen even where her old teeth are. I noticed today her mouth hurts to eat even if I give her a banana , she will not bite it down like she used it . The only thing she'll eat at this point is her bottle. I tried making a dentist appointment but the earlies they have is till August. What can I do in the mean time?? Or why does her moth hurt and smell so bad?? Is that normal teething ?? [/INST] HiWith your query, smell might be dye to tongue coatings take a gauze piece roll it your index finger and slowly clean her tongue in the morning and evening and coming to the erupting tooth there will be discomfort to them but only for while so unless you notice something unusual nothing to worry. If symptoms persist please consult pediatrician.hope this helps you. </s>

Severe pain in jaw and teeth, taking Advil, feel pressurised in teeth and headache. Solution?

Hi, I have been suffering from moderate to severe pain in my jaw and teeth on the left side of my face for two days. It becomes a mild pain with advil every 6 hours or so, but now that isn t working. It is the entire top and bottom rows of teeth about 6-7 top and bottom, just on my left side. I am not experiencing a throbbing pain, just a steady pressure of pain. I have also been experiencing migrane headaches about 7-8 in the past 7-10 days.

hello, thanks for posting your query. sINCE you are getting frequent toothache as well as jaw pain there may be decayed or periodontally compromised teeth in the involved area. Frequent intake of analgesics will not give permanent relief. Please get your decayed teeth filled. deep scaling and root planning has to be done. ABscess has to be drained and curetted, Maintain good oral hygiene. bRush your teeth twice daily. if ANY ROOT STUMPS OR GROSSLY decAYED teeth present,it has to be removed. Please do visit your dentist for the reference. take care

<s>[INST] Severe pain in jaw and teeth, taking Advil, feel pressurised in teeth and headache. Solution? " : " Hi, I have been suffering from moderate to severe pain in my jaw and teeth on the left side of my face for two days. It becomes a mild pain with advil every 6 hours or so, but now that isn t working. It is the entire top and bottom rows of teeth about 6-7 top and bottom, just on my left side. I am not experiencing a throbbing pain, just a steady pressure of pain. I have also been experiencing migrane headaches about 7-8 in the past 7-10 days. [/INST] hello, thanks for posting your query. sINCE you are getting frequent toothache as well as jaw pain there may be decayed or periodontally compromised teeth in the involved area. Frequent intake of analgesics will not give permanent relief. Please get your decayed teeth filled. deep scaling and root planning has to be done. ABscess has to be drained and curetted, Maintain good oral hygiene. bRush your teeth twice daily. if ANY ROOT STUMPS OR GROSSLY decAYED teeth present,it has to be removed. Please do visit your dentist for the reference. take care </s>

Suggest treatment for persistent high fever in a child

My 4.5 years old daughter is getting high fever upto 104 F with shivering for last 3 days. She is getting it at interval of 5-6 hours. We gave her combination of meftal p and crocin 1st day followed by mefalgesic DS 2nd day. However, she is still getting the fever. Kindly suggest.

hi, fever for 3 days can be due to upper respiratory tract infection, typhoid, Malaria infection. You should do blood test like complete blood count, typhidot IGM, malarial antigen test. Continue giving paracetamol syrup. you should do the test immediately. Based on above report antibiotic needs to be started. An examination by doctor should be done so that we may not miss any important finding. Take care.

<s>[INST] Suggest treatment for persistent high fever in a child " : " My 4.5 years old daughter is getting high fever upto 104 F with shivering for last 3 days. She is getting it at interval of 5-6 hours. We gave her combination of meftal p and crocin 1st day followed by mefalgesic DS 2nd day. However, she is still getting the fever. Kindly suggest. [/INST] hi, fever for 3 days can be due to upper respiratory tract infection, typhoid, Malaria infection. You should do blood test like complete blood count, typhidot IGM, malarial antigen test. Continue giving paracetamol syrup. you should do the test immediately. Based on above report antibiotic needs to be started. An examination by doctor should be done so that we may not miss any important finding. Take care. </s>

After treatment for tuberculosis symptoms still remain what is the remedy for it?

I have tuberculosis frm two years...8 month treatment have been compltd but all symptoms is active....rifampicin not cause orange urine....after taking milk I feel covering on my hands........after lunch ...cause stool immidietly....plz solve my prbs....

Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you are mostly having drug resistant tuberculosis. In this form of tuberculosis, routine tb drugs like rifampicin and isoniazid are not sensitive and tb bacilli are resistant to them. So with standard anti tb drugs, patient is not improving. You are facing the same problem. So better to consult pulmonologist and get done 1. Chest x ray 2. Sputum culture for AFB (tb bacilli) and sensitivity report. By this culture and sensitivity report, we can identify the effective drugs and start accordingly. So consult pulmonologist and first rule out drug resistant tuberculosis in your case. Wish you good health. Thanks.

<s>[INST] After treatment for tuberculosis symptoms still remain what is the remedy for it? " : " I have tuberculosis frm two years...8 month treatment have been compltd but all symptoms is active....rifampicin not cause orange urine....after taking milk I feel covering on my hands........after lunch ...cause stool immidietly....plz solve my prbs.... [/INST] Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you are mostly having drug resistant tuberculosis. In this form of tuberculosis, routine tb drugs like rifampicin and isoniazid are not sensitive and tb bacilli are resistant to them. So with standard anti tb drugs, patient is not improving. You are facing the same problem. So better to consult pulmonologist and get done 1. Chest x ray 2. Sputum culture for AFB (tb bacilli) and sensitivity report. By this culture and sensitivity report, we can identify the effective drugs and start accordingly. So consult pulmonologist and first rule out drug resistant tuberculosis in your case. Wish you good health. Thanks. </s>

What could cause panic attacks?

I have been having panic attacks tonight I had a humming in my left ear followed by a warm washing feeling over my body. I then felt the same way I do when I have a panic attack. Hard to breath, sweat, headache and a very nervous felling. Does the ear thing go along with panic attacks.

yes during panic attacks variety of things can happen . or normal sensations can appear strange. dont worry take advice of a psychiatrist,take antianxiety drugs, you will fell better. need to know about your worries and problems which can also trigger such attacks.do regular morning evening walk.

<s>[INST] What could cause panic attacks? " : " I have been having panic attacks tonight I had a humming in my left ear followed by a warm washing feeling over my body. I then felt the same way I do when I have a panic attack. Hard to breath, sweat, headache and a very nervous felling. Does the ear thing go along with panic attacks. [/INST] yes during panic attacks variety of things can happen . or normal sensations can appear strange. dont worry take advice of a psychiatrist,take antianxiety drugs, you will fell better. need to know about your worries and problems which can also trigger such attacks.do regular morning evening walk. </s>

How to treat tightness in chest with BP -152/100 and pulse 80?

Hi, may I answer your health queries right now ? Please type your query here...I am 30 years old & my blood pressure is 152 over 100 with a pulse of 80 my doctor gave me B.P. Medication but I didn't get it until this morning when my chest felt tight. Should I get to a doctor or hospital or just take my medication?

As per your age your BP is definitely on highr side.I would like to know if you have any habits,like smoking or drinking.Chest tightness ...is it increasing on exertion?You have to rule it out ....its cardiac or non cardiac.Other thing is ....hows your stress level.....Stress can also cause these symptoms.

<s>[INST] How to treat tightness in chest with BP -152/100 and pulse 80? " : " Hi, may I answer your health queries right now ? Please type your query here...I am 30 years old & my blood pressure is 152 over 100 with a pulse of 80 my doctor gave me B.P. Medication but I didn't get it until this morning when my chest felt tight. Should I get to a doctor or hospital or just take my medication? [/INST] As per your age your BP is definitely on highr side.I would like to know if you have any habits,like smoking or drinking.Chest tightness ...is it increasing on exertion?You have to rule it out ....its cardiac or non cardiac.Other thing is ....hows your stress level.....Stress can also cause these symptoms. </s>

Suggest treatment for weakness after angioplasty

Dear Doctor, My father got his angioplasty done last month on 1st june 2010. But, he has been experiencing stomach upsets like constipations since then. Also, he complains of constant weakness in whole body. Could you please suggest, why this is happening ? and in how much time will he get normal ?

Hello, I understand your concern and would explain that your symptoms could be related to antiplatelet agents. For this reason, I recommend checking his complete blood count for anemia and performing a fibrogastroscopy. Cardiac ultrasound is also necessary in order to exclude heart failure. I would also recommend checking thyroid hormone levels for possible thyroid gland dysfunction and blood electrolytes. Depression cannot be excluded either. If all the above tests result normal, I would recommend consulting with a specialist in this field. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist

<s>[INST] Suggest treatment for weakness after angioplasty " : " Dear Doctor, My father got his angioplasty done last month on 1st june 2010. But, he has been experiencing stomach upsets like constipations since then. Also, he complains of constant weakness in whole body. Could you please suggest, why this is happening ? and in how much time will he get normal ? [/INST] Hello, I understand your concern and would explain that your symptoms could be related to antiplatelet agents. For this reason, I recommend checking his complete blood count for anemia and performing a fibrogastroscopy. Cardiac ultrasound is also necessary in order to exclude heart failure. I would also recommend checking thyroid hormone levels for possible thyroid gland dysfunction and blood electrolytes. Depression cannot be excluded either. If all the above tests result normal, I would recommend consulting with a specialist in this field. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist </s>

What causes nausea and tender tummy?

hi im 25 n mother to 3 kids my youngest being 2, ive started puttin on weight in my stomach and also felt very nauseous , i ave vomited 3 times in the last 3 weeks . i was a week late this month but i took a bang to the stomach an came on a day later , ive noticed my breasts r gettin bigger n ave sum white liquid cumin out of my rite breast . all my tests say neg . please help , ive also got a tender tummy

Hi and welcome to HCM, This could be due to food poisoining, indigestion or gastritis. If this condition prolonged please consult your doctor. Detailed investigation is necessary. wish you speedy recoveryThanks for writing into us.

<s>[INST] What causes nausea and tender tummy? " : " hi im 25 n mother to 3 kids my youngest being 2, ive started puttin on weight in my stomach and also felt very nauseous , i ave vomited 3 times in the last 3 weeks . i was a week late this month but i took a bang to the stomach an came on a day later , ive noticed my breasts r gettin bigger n ave sum white liquid cumin out of my rite breast . all my tests say neg . please help , ive also got a tender tummy [/INST] Hi and welcome to HCM, This could be due to food poisoining, indigestion or gastritis. If this condition prolonged please consult your doctor. Detailed investigation is necessary. wish you speedy recoveryThanks for writing into us. </s>

What causes tremor and tiredness in left hand?

I have a slight tremor with my left hand. it s been going on for months and some days it s better than others. I have noticed recently that my forearm seems a little tired also but not all the time. What are some possible causes? I am not on any medication

Hello, Your symptoms could be related to a pinched nerve. For this reason, I recommend consulting with a neurologist for a physical exam and performing nerve conduction studies. A brain and cervical spine MRI may be needed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist

<s>[INST] What causes tremor and tiredness in left hand? " : " I have a slight tremor with my left hand. it s been going on for months and some days it s better than others. I have noticed recently that my forearm seems a little tired also but not all the time. What are some possible causes? I am not on any medication [/INST] Hello, Your symptoms could be related to a pinched nerve. For this reason, I recommend consulting with a neurologist for a physical exam and performing nerve conduction studies. A brain and cervical spine MRI may be needed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist </s>

Q. I believe that I have narcissistic personality disorder and pathological lying. Kindly help.

Hello doctor, I believe I am suffering from a narcissistic personality disorder and pathological lying. From health conditions to plain misconceptions of me as a person. I want to live an honest and pure life, and I want to steer away from these lies I have succumbed to over the past couple aching years. I want to be able to do this without losing the people I care about. I have thought about just coming clean completely and telling them every false thing about me, but I will never have that type of courage. These are people I never want to betray. I need guidance, and I need advice, I feel as though my entire life is a lie, and it makes me genuinely suicidal at times. I am seventeen, please help.

Hello. I can understand your concern regarding your personality trait. We all are having specific personalities, and this is completely normal until it affects our social life. We all suppress our nature with our consciousness. If you think your daily life is changing because of your narcissism, it will be better if you will go for counseling. About your pathological lying, I will suggest you forget whatever you lied in the past. Now start with real life. Talk to your friends. Do not worry that you would lose any friend by confronting the truth. If you lose someone, then he is not your true friend. Never feel guilty about your past. Start a new life with full positive energy with enthusing and confidence. I hope my answer helped you.

<s>[INST] Q. I believe that I have narcissistic personality disorder and pathological lying. Kindly help. " : " Hello doctor, I believe I am suffering from a narcissistic personality disorder and pathological lying. From health conditions to plain misconceptions of me as a person. I want to live an honest and pure life, and I want to steer away from these lies I have succumbed to over the past couple aching years. I want to be able to do this without losing the people I care about. I have thought about just coming clean completely and telling them every false thing about me, but I will never have that type of courage. These are people I never want to betray. I need guidance, and I need advice, I feel as though my entire life is a lie, and it makes me genuinely suicidal at times. I am seventeen, please help. [/INST] Hello. I can understand your concern regarding your personality trait. We all are having specific personalities, and this is completely normal until it affects our social life. We all suppress our nature with our consciousness. If you think your daily life is changing because of your narcissism, it will be better if you will go for counseling. About your pathological lying, I will suggest you forget whatever you lied in the past. Now start with real life. Talk to your friends. Do not worry that you would lose any friend by confronting the truth. If you lose someone, then he is not your true friend. Never feel guilty about your past. Start a new life with full positive energy with enthusing and confidence. I hope my answer helped you. </s>

Suggest treatment for fever and elevated TLC

Hello Doctor, My mom has a problem of increasing TLC when she take any strong medicine her TLC increasing as a result she had a fever of 100C. Plz doctor help us and she also suffering from Thyroid problem and RA Factor positive past 15-20 years. Waiting for ur reply

HI Thanks for posting your query to Healthcaremagic . It's not high TLC causing the fever but the other way , Fever causing high TLC . Fever is most of the time due to infections . A high TLC with fever points towards Bacterial Infection . She needs to be tested to detect which bacteria is infecting her . I advise to test CBC, IgM Typhi Dot , Smear for Malaria , Urine routine and revert back with reports . Ask your doctor to start an antibiotic therapy for her . Any further clarifications feel free to ask . Regards.

<s>[INST] Suggest treatment for fever and elevated TLC " : " Hello Doctor, My mom has a problem of increasing TLC when she take any strong medicine her TLC increasing as a result she had a fever of 100C. Plz doctor help us and she also suffering from Thyroid problem and RA Factor positive past 15-20 years. Waiting for ur reply [/INST] HI Thanks for posting your query to Healthcaremagic . It's not high TLC causing the fever but the other way , Fever causing high TLC . Fever is most of the time due to infections . A high TLC with fever points towards Bacterial Infection . She needs to be tested to detect which bacteria is infecting her . I advise to test CBC, IgM Typhi Dot , Smear for Malaria , Urine routine and revert back with reports . Ask your doctor to start an antibiotic therapy for her . Any further clarifications feel free to ask . Regards. </s>

Suggest remedy for spot on chest with smelly pus

I have a spot on my chest that I originally thought was acne, but now it has some discoloration and if you squeeze it some really rank smelling pus comes out. It is only one spot and it is about the size of a dime maybe smaller. What is this and is there a remedy?

Is there any itching or pain on the area. it May be just an infection of the sweat or sebaceous glands. if u have diabetes just have a routine checkup and maintain the level. when the pustule is ripe, just remove the pus and clean it with dettol and apply a paste of Turmeric and neem leaves. it Will heal quickly.

<s>[INST] Suggest remedy for spot on chest with smelly pus " : " I have a spot on my chest that I originally thought was acne, but now it has some discoloration and if you squeeze it some really rank smelling pus comes out. It is only one spot and it is about the size of a dime maybe smaller. What is this and is there a remedy? [/INST] Is there any itching or pain on the area. it May be just an infection of the sweat or sebaceous glands. if u have diabetes just have a routine checkup and maintain the level. when the pustule is ripe, just remove the pus and clean it with dettol and apply a paste of Turmeric and neem leaves. it Will heal quickly. </s>

Suggest treatment for sore red bump on scrotum

Ok, so I had this sore red bump on my scrotum, I had plans to go to the DR. tomorrow about it. However it suddenly just burst with quite a large amount of puss. I cleaned it out fairly well with soap and warm water, bandaged it up. But what do i do now

Hi,It seems that you might be having some ingrown hair follicle infection giving rise swelling, induration and pus formation.Clean local part with antiseptic lotion and dress it withantibiotic cream.Go for one course of antibiotic medicine for 3 days.Keep local hygiene proper.Ok and take care.

<s>[INST] Suggest treatment for sore red bump on scrotum " : " Ok, so I had this sore red bump on my scrotum, I had plans to go to the DR. tomorrow about it. However it suddenly just burst with quite a large amount of puss. I cleaned it out fairly well with soap and warm water, bandaged it up. But what do i do now [/INST] Hi,It seems that you might be having some ingrown hair follicle infection giving rise swelling, induration and pus formation.Clean local part with antiseptic lotion and dress it withantibiotic cream.Go for one course of antibiotic medicine for 3 days.Keep local hygiene proper.Ok and take care. </s>

Swelling under the eye. Bell's palsy diagnosed. On steroid. In pain. Is this something else?

The right side of my face next to my nose, under my eye is swollen, this has happnened in the past and the Dr diagonosed it as 7th nerve bells palsey. He gave me prednisone and it went away. I've had scans, and nothing but a "mass" shows up, they ruled out cancer or anything else. It's back again, very painful. The Dr. I saw yesterday said he does not think it's bells palsey b/c my face if not drooping, but based on my history, gave me another round of predinsone. It's not come down any yet & still hurts. Could this be something else?

Hi,Thank you for posting your query.Bell's palsy leads to paralysis of facial muscles on one half of face. This includes inability to close one eye, facial asymmetry, inability to blow out cheek on one side, etc.So, your symptoms are not like Bell's palsy.If you can upload a picture of face swelling, it would be helpful.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My email: drsudhirkumar@yahoo.com

<s>[INST] Swelling under the eye. Bell's palsy diagnosed. On steroid. In pain. Is this something else? " : " The right side of my face next to my nose, under my eye is swollen, this has happnened in the past and the Dr diagonosed it as 7th nerve bells palsey. He gave me prednisone and it went away. I've had scans, and nothing but a "mass" shows up, they ruled out cancer or anything else. It's back again, very painful. The Dr. I saw yesterday said he does not think it's bells palsey b/c my face if not drooping, but based on my history, gave me another round of predinsone. It's not come down any yet & still hurts. Could this be something else? [/INST] Hi,Thank you for posting your query.Bell's palsy leads to paralysis of facial muscles on one half of face. This includes inability to close one eye, facial asymmetry, inability to blow out cheek on one side, etc.So, your symptoms are not like Bell's palsy.If you can upload a picture of face swelling, it would be helpful.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My email: drsudhirkumar@yahoo.com </s>

What causes swelling behind the neck?

My sister has some lumpy areas up around the back of neck...she says she is experiencing some burning, she also says it is painful to sit too long in a hard backed chair....she was wondering if she should be concerned because it is a weekend, however she does have an appointment on Monday

Hi, It can be a hematoma or an enlarged lymph node. As of now, you can take analgesics like acetaminophen or diclofenac for pain relief. If symptoms persist, you can consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further.

<s>[INST] What causes swelling behind the neck? " : " My sister has some lumpy areas up around the back of neck...she says she is experiencing some burning, she also says it is painful to sit too long in a hard backed chair....she was wondering if she should be concerned because it is a weekend, however she does have an appointment on Monday [/INST] Hi, It can be a hematoma or an enlarged lymph node. As of now, you can take analgesics like acetaminophen or diclofenac for pain relief. If symptoms persist, you can consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. </s>

What causes cough while on Hydromet syrup for bronchitis?

I was given Hydromet Syrup, Avelox (anti-biotic), and some sort of steroid inhaler that I use twice a day about a week ago from an urgent care clinic when I was told I have bronchitis. Just over a week later my symptoms are no better and I am still feeling quite unwell. I am a school teacher and am exposed to a great many things while at work, but I have never been sick for so long with such a bad cough. Should I contact the doctor again?

HiYes i tthink that you should be examined by your treating doctor again for evaluating the situation. Regards Dr.Jolanda

<s>[INST] What causes cough while on Hydromet syrup for bronchitis? " : " I was given Hydromet Syrup, Avelox (anti-biotic), and some sort of steroid inhaler that I use twice a day about a week ago from an urgent care clinic when I was told I have bronchitis. Just over a week later my symptoms are no better and I am still feeling quite unwell. I am a school teacher and am exposed to a great many things while at work, but I have never been sick for so long with such a bad cough. Should I contact the doctor again? [/INST] HiYes i tthink that you should be examined by your treating doctor again for evaluating the situation. Regards Dr.Jolanda </s>

Treatment for burning sensation in tongue after eating?

Dear Doctor, I have two more cases for my wife's parents and they are as follows:1. Mother in Law, she is around 53 years old. Last 3-4 months she is having problem in her mouth mainly in her tongue/front side of the tongue. She can't eat anything. When eating she feels like something burning effect on the end of her tongue, but can't see anything there. Some doctors even told her that it was due to broken teeth and she removed 2-3 teeth, but the problem is still there. Some doctors told that it is due to some vitamin problem and treated without any effect. She is taking local homeo treatment for around 1 month without any relief. Please give some advice/treatment/medicines for her.2. Father in law, he is around 62 years old and now he is having itching all over his body. Its now around 6 months and done treatment in all types. Now he is taking treatment with local homeo doctor but without any relief. in thighs it become dark colour and in night it feels too much itching. Please advise him a good treatment. Your urgent reply is awaited.

Hello, Welcome Thanks for consulting HCM, I have gone through your query ,as you are asking about mother in law , burning sensation on tongue dont worry , it cant bedue to inflammation on tongue or depapillation of papilla you do you can apply Ointment Mucopain or Dologel three times daily on tongue for one week Take one capsule of vitamin B complex twice daily for 5 days If she wont get relief then consult dentist for Local examination and investigations if necessary then Biopsy As you are asking for father in law for this you should consult dermatologist for that. Hope this will help you.

<s>[INST] Treatment for burning sensation in tongue after eating? " : " Dear Doctor, I have two more cases for my wife's parents and they are as follows:1. Mother in Law, she is around 53 years old. Last 3-4 months she is having problem in her mouth mainly in her tongue/front side of the tongue. She can't eat anything. When eating she feels like something burning effect on the end of her tongue, but can't see anything there. Some doctors even told her that it was due to broken teeth and she removed 2-3 teeth, but the problem is still there. Some doctors told that it is due to some vitamin problem and treated without any effect. She is taking local homeo treatment for around 1 month without any relief. Please give some advice/treatment/medicines for her.2. Father in law, he is around 62 years old and now he is having itching all over his body. Its now around 6 months and done treatment in all types. Now he is taking treatment with local homeo doctor but without any relief. in thighs it become dark colour and in night it feels too much itching. Please advise him a good treatment. Your urgent reply is awaited. [/INST] Hello, Welcome Thanks for consulting HCM, I have gone through your query ,as you are asking about mother in law , burning sensation on tongue dont worry , it cant bedue to inflammation on tongue or depapillation of papilla you do you can apply Ointment Mucopain or Dologel three times daily on tongue for one week Take one capsule of vitamin B complex twice daily for 5 days If she wont get relief then consult dentist for Local examination and investigations if necessary then Biopsy As you are asking for father in law for this you should consult dermatologist for that. Hope this will help you. </s>

What causes sudden episode of cold sweat and fainting?

Last night I woke up to use the bathroom. I got cold sweats and fainted. After my daughter helped me up and left I fainted again. I hit my head and left side of my body pretty hard on the tile. I now have a burning feeling on the side of my head and arm. Do I have Anything to worry about.

Hi, I am Dr.Bruno. I have read your question with care and understand your concerns. Let me try to help you Question : What causes sudden episode of cold sweat and fainting?Answer : Low Blood Circulation can cause sudden episode of cold sweat and fainting Question : Do I have Anything to worry about.Answer : Yes. Please consult your cardiologist immediately. Low Blood Circulation is an emergency 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.Let me know if I can assist you further.Take care.

<s>[INST] What causes sudden episode of cold sweat and fainting? " : " Last night I woke up to use the bathroom. I got cold sweats and fainted. After my daughter helped me up and left I fainted again. I hit my head and left side of my body pretty hard on the tile. I now have a burning feeling on the side of my head and arm. Do I have Anything to worry about. [/INST] Hi, I am Dr.Bruno. I have read your question with care and understand your concerns. Let me try to help you Question : What causes sudden episode of cold sweat and fainting?Answer : Low Blood Circulation can cause sudden episode of cold sweat and fainting Question : Do I have Anything to worry about.Answer : Yes. Please consult your cardiologist immediately. Low Blood Circulation is an emergency 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.Let me know if I can assist you further.Take care. </s>

Is Tetanus injection required after injury with iron rod?

hi.. my mother was walking in the backyard a couple of days back, and she kicked what she thot was a stick, but in reality was a small piece of an iron rod, which gave her a small little scratch near the toe.. she says she doesnt ned a tetanus injection, but i wanted to make sure if she's right in her decision of not getting it.. wat do u think?

Hi, Thanks for posting in HCM. Toxoid is indicated for booster injection only for persons 7 years of age or older against tetanus. Injury in any form which has an open wound or penetrative is an indication for taking injection as it carries a risk of contacting tetanus. Ideally it needs to be taken within 24 hours after an injury to be more effective. However, one injection would offer protection for a period of 6 months. Hence, if your mother has only an abrasion of the skin without any penetrative wound, then there is no absolute necessity to take the injection. It can be managed by cleaning the wound with antiseptic and applying antibacterial cream. Otherwise, with penetrative wound, it is a must, along with taking other measures. Hope the information provided would be helpful. All the best.

<s>[INST] Is Tetanus injection required after injury with iron rod? " : " hi.. my mother was walking in the backyard a couple of days back, and she kicked what she thot was a stick, but in reality was a small piece of an iron rod, which gave her a small little scratch near the toe.. she says she doesnt ned a tetanus injection, but i wanted to make sure if she's right in her decision of not getting it.. wat do u think? [/INST] Hi, Thanks for posting in HCM. Toxoid is indicated for booster injection only for persons 7 years of age or older against tetanus. Injury in any form which has an open wound or penetrative is an indication for taking injection as it carries a risk of contacting tetanus. Ideally it needs to be taken within 24 hours after an injury to be more effective. However, one injection would offer protection for a period of 6 months. Hence, if your mother has only an abrasion of the skin without any penetrative wound, then there is no absolute necessity to take the injection. It can be managed by cleaning the wound with antiseptic and applying antibacterial cream. Otherwise, with penetrative wound, it is a must, along with taking other measures. Hope the information provided would be helpful. All the best. </s>

Suggest treatment to become pregnant

Hi..Iam diagonised with foliculer stuty,I had taken on fertyl 50mg from 2nd to 6th day of periods at night after food. On 14 day my egg is 22mm and doctor suggested to concieve. we concieved on 14 and 16 days.But now after 35 days the pregnancy test shows negative results. what could be the reason of negative test and even I didn't got period 'yet .Please suggest me what to do to get pregnant, doctor we are looking for pregnancy desperately.

Hi,Thanks for writing to HCM. Though your pregnancy test came negative you may be pregnant. This can be confirmed by serum b-hcg level. Sometimes after fertilisation it take time for impaction of embryo.Other possibility is after egg became 22mm it could have become a cyst instead of rupturing. After one week I suggest you to get one more ultrasound scan done. For increasing chances of pregnancy you can 1)after taking fertyl tablet when your egg is of size more then 19mm you take hcg injection under your doctor guidance. 2)after confirming your egg is ruptured you get intra uterine ingestion(IUI) of semen by your doctor. But before getting IUI you should get tubal patency done. Hope I have been helpful.RegardsDr.Deepika Patil

<s>[INST] Suggest treatment to become pregnant " : " Hi..Iam diagonised with foliculer stuty,I had taken on fertyl 50mg from 2nd to 6th day of periods at night after food. On 14 day my egg is 22mm and doctor suggested to concieve. we concieved on 14 and 16 days.But now after 35 days the pregnancy test shows negative results. what could be the reason of negative test and even I didn't got period 'yet .Please suggest me what to do to get pregnant, doctor we are looking for pregnancy desperately. [/INST] Hi,Thanks for writing to HCM. Though your pregnancy test came negative you may be pregnant. This can be confirmed by serum b-hcg level. Sometimes after fertilisation it take time for impaction of embryo.Other possibility is after egg became 22mm it could have become a cyst instead of rupturing. After one week I suggest you to get one more ultrasound scan done. For increasing chances of pregnancy you can 1)after taking fertyl tablet when your egg is of size more then 19mm you take hcg injection under your doctor guidance. 2)after confirming your egg is ruptured you get intra uterine ingestion(IUI) of semen by your doctor. But before getting IUI you should get tubal patency done. Hope I have been helpful.RegardsDr.Deepika Patil </s>

How to live long with scoliosis?

53 female scoliosis corrected with harrington rod lumbar curve jn 1972, still haveto significant upper curve, short ofto breath ,just diagnosed w/copd have 2% o2 at night quit smoking after 25the yrs what am i looking at for longevity? I will not carry around daytime o2!

Hello!Welcome on Healthcaremagic!I recommend performing physiotherapy and avoiding smoking contacts. Inhalation steroids or beta-stimulants can help improve your situation. But, unfortunately there is not too much to be done in this clinical situation. Hope you will find this answer helpful!Best wishes, Dr. Aida

<s>[INST] How to live long with scoliosis? " : " 53 female scoliosis corrected with harrington rod lumbar curve jn 1972, still haveto significant upper curve, short ofto breath ,just diagnosed w/copd have 2% o2 at night quit smoking after 25the yrs what am i looking at for longevity? I will not carry around daytime o2! [/INST] Hello!Welcome on Healthcaremagic!I recommend performing physiotherapy and avoiding smoking contacts. Inhalation steroids or beta-stimulants can help improve your situation. But, unfortunately there is not too much to be done in this clinical situation. Hope you will find this answer helpful!Best wishes, Dr. Aida </s>

Is Pexep Cr25 is better than Prothiaden 75 for depression?

I was taking Prothiaden 75mg, one tablet every night. Now Doctor has changed and giving Pexep Cr25 every morning after break fast. I have depression since 9 years and on medication. Is Pexep Cr 25 is better than Prothiaden 75? Has any side effect? Should I take life long?

HIThanks for healthcare magicProthiaden is a tricyclic antidepressant and pexep contains paroxetine, which is a SSRIs. Proxetine is better than prothiaden in efficacy and in tolerance. It has lesser side effects as compared to prothiaden. It has few side effects like gastritis, nausea, sexual dysfunction, but these are very minor side effects. According to your duration of illness, may be you have to take it for life long.Thanks

<s>[INST] Is Pexep Cr25 is better than Prothiaden 75 for depression? " : " I was taking Prothiaden 75mg, one tablet every night. Now Doctor has changed and giving Pexep Cr25 every morning after break fast. I have depression since 9 years and on medication. Is Pexep Cr 25 is better than Prothiaden 75? Has any side effect? Should I take life long? [/INST] HIThanks for healthcare magicProthiaden is a tricyclic antidepressant and pexep contains paroxetine, which is a SSRIs. Proxetine is better than prothiaden in efficacy and in tolerance. It has lesser side effects as compared to prothiaden. It has few side effects like gastritis, nausea, sexual dysfunction, but these are very minor side effects. According to your duration of illness, may be you have to take it for life long.Thanks </s>

Suggest remedy for sleeping disorder

My daughter is turning 2 in January. She has never slept through and wakes about 5 times per night, sometimes every hour!! She has also increased her amount of bottles at night even though i tried to cut down on it. She is very restless and wakes frequently.

Hi, You have to get the child fully evaluated for these symptoms. Neurological assessment has to be done. You should get it as soon as possible.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Deepak, Pediatrician

<s>[INST] Suggest remedy for sleeping disorder " : " My daughter is turning 2 in January. She has never slept through and wakes about 5 times per night, sometimes every hour!! She has also increased her amount of bottles at night even though i tried to cut down on it. She is very restless and wakes frequently. [/INST] Hi, You have to get the child fully evaluated for these symptoms. Neurological assessment has to be done. You should get it as soon as possible.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Deepak, Pediatrician </s>

Being treated for liver mets, missed chemo and started Avastin. Elevated bilirubin, doesn t want to hospice. Any opinions ?

My mom is being treated for liver mets, primary was small bowel CA. DIAGNOSED ANFTER HAVING AN OBSTRUCTION AND CHRONS for 30 years. Treated for liver mets and after 4 rounds had no evidence of disease. Was back in the hospital with GI issues, missed 3 rounds of chemo and liver mets are back...started new regimen Avastin and something that started with an I. Blood work thrown off and has an elevated bilirubin. Doc said to call hospice and doesn't want to treat her anymore. She was jaundice and it looks like it's actually going away. Perfect health, feels great. Do I get another opinion? Thank you so much.

hello thanks forposing your worryon our forum.she actually would need continue follow up by the doctor.i think the disease is really advanced and she simply need to keep respecting the instructions given by the doctor. thanks

<s>[INST] Being treated for liver mets, missed chemo and started Avastin. Elevated bilirubin, doesn t want to hospice. Any opinions ? " : " My mom is being treated for liver mets, primary was small bowel CA. DIAGNOSED ANFTER HAVING AN OBSTRUCTION AND CHRONS for 30 years. Treated for liver mets and after 4 rounds had no evidence of disease. Was back in the hospital with GI issues, missed 3 rounds of chemo and liver mets are back...started new regimen Avastin and something that started with an I. Blood work thrown off and has an elevated bilirubin. Doc said to call hospice and doesn't want to treat her anymore. She was jaundice and it looks like it's actually going away. Perfect health, feels great. Do I get another opinion? Thank you so much. [/INST] hello thanks forposing your worryon our forum.she actually would need continue follow up by the doctor.i think the disease is really advanced and she simply need to keep respecting the instructions given by the doctor. thanks </s>

Suggest things to avoid to keep kidney safe.

Good Day Doctor, i born with just one kidney so i wana know the the preventions what should i eat and what i should avoid and wana know is it problem if it is congenital and the other kidney is punctioning well thanks alot waiting for ur kind reply

Hello and welcome to HCM.As an Urologist, let me assure you that having a single kidney by birth, is a congenital anomaly. You don't need to worry at all.A person needs only one healthy kidney for normal body functions.A person with two healthy functioning kidneys, can donate one to another person, having failed kidneys, in a kidney transplantation operation.A person born with one kidney has a larger sized kidney, than in people having two kidneys. There's no special dietary cautions or any thing to avoid. If you've any doubts, you may contact me here, by name.Wish you well.

<s>[INST] Suggest things to avoid to keep kidney safe. " : " Good Day Doctor, i born with just one kidney so i wana know the the preventions what should i eat and what i should avoid and wana know is it problem if it is congenital and the other kidney is punctioning well thanks alot waiting for ur kind reply [/INST] Hello and welcome to HCM.As an Urologist, let me assure you that having a single kidney by birth, is a congenital anomaly. You don't need to worry at all.A person needs only one healthy kidney for normal body functions.A person with two healthy functioning kidneys, can donate one to another person, having failed kidneys, in a kidney transplantation operation.A person born with one kidney has a larger sized kidney, than in people having two kidneys. There's no special dietary cautions or any thing to avoid. If you've any doubts, you may contact me here, by name.Wish you well. </s>

Q. I am losing control of myself. Should I visit ER?

Hi doctor, I am a 26 year old female. My weight is about 310 to 315 lbs. My height is 5'7". I am in need to know if I am crazy or need to go to the ER. I have for some time now been having these sorts of attacks. I could not breathe, feel extremely hot and break in sweats. My chest is tight. My eyes get blurry. I feel like losing control of myself. For some reason, my left arm feels so weird, numb and tingling with lots of pressure.

Hi. For further information consult a family physician online -->

<s>[INST] Q. I am losing control of myself. Should I visit ER? " : " Hi doctor, I am a 26 year old female. My weight is about 310 to 315 lbs. My height is 5'7". I am in need to know if I am crazy or need to go to the ER. I have for some time now been having these sorts of attacks. I could not breathe, feel extremely hot and break in sweats. My chest is tight. My eyes get blurry. I feel like losing control of myself. For some reason, my left arm feels so weird, numb and tingling with lots of pressure. [/INST] Hi. For further information consult a family physician online --> </s>

What causes swollen tender breasts and pain in armpits?

For two months of and on swollen tender breasts along with armpits pain left and right side. Also, had a cold or flu a month ago and still have the phlegmmy cough. Sometimes I cough all night but the cough is always worse in the morning. I have been smoking 1 pack per day for 14 months. I have quit off and on through the years. Maybe 16 years total of smoking. I m a 44 year old female. Thank you.

Hi,It seems that you might be having some infection in your breast giving rise enalarged, tender lymph nodes in armpits.consult Gynaec and get yuor breasts thoroughly examined for infection or any lump in the breast.After examination she will advice treatment accordingly.Quit smoking as soon as possible.Do deep breathing exercises.Ok and take care.

<s>[INST] What causes swollen tender breasts and pain in armpits? " : " For two months of and on swollen tender breasts along with armpits pain left and right side. Also, had a cold or flu a month ago and still have the phlegmmy cough. Sometimes I cough all night but the cough is always worse in the morning. I have been smoking 1 pack per day for 14 months. I have quit off and on through the years. Maybe 16 years total of smoking. I m a 44 year old female. Thank you. [/INST] Hi,It seems that you might be having some infection in your breast giving rise enalarged, tender lymph nodes in armpits.consult Gynaec and get yuor breasts thoroughly examined for infection or any lump in the breast.After examination she will advice treatment accordingly.Quit smoking as soon as possible.Do deep breathing exercises.Ok and take care. </s>

Q. I am 19 years old. What should I do to grow beard?

Hello doctor,I am 19 years old, and I want a beard on my face. What should I do? Please help.

Hello. I read your query. First of all, I want to tell you that beard growth is related to your hormones, mainly testosterone. Sometimes in some men, it took longer to grow a beard. You are still in your teen years. So do not worry and wait for some more years because as you will grow older, you will get more facial hair. The beard growth also depends on genetics too, so watch out your father and uncles too for their growth. Because some men get full facial hair in the late twenties. There is no food, supplement, or vitamin to increase the beard. So beware of these kinds of ads or supplements. Some people use testosterone gels or testosterone pills to increase their beard, but in the long run, these things have potential side effects. My suggestion to you is wait for some more years because you already have some facial hair and they will increase with time, so you do not have to worry. After some years, if you do not get as many hairs as you want, then you can opt-out for facial hair transplant. But do not do it so early because you are too young and you will get your beard to grow naturally after some years. I hope this helps. Failure of gonads or testes in men. Serum testosterone, FSH (follicle-stimulating hormone), LH (luteinizing hormone), Prolactin levels. After two months.

<s>[INST] Q. I am 19 years old. What should I do to grow beard? " : " Hello doctor,I am 19 years old, and I want a beard on my face. What should I do? Please help. [/INST] Hello. I read your query. First of all, I want to tell you that beard growth is related to your hormones, mainly testosterone. Sometimes in some men, it took longer to grow a beard. You are still in your teen years. So do not worry and wait for some more years because as you will grow older, you will get more facial hair. The beard growth also depends on genetics too, so watch out your father and uncles too for their growth. Because some men get full facial hair in the late twenties. There is no food, supplement, or vitamin to increase the beard. So beware of these kinds of ads or supplements. Some people use testosterone gels or testosterone pills to increase their beard, but in the long run, these things have potential side effects. My suggestion to you is wait for some more years because you already have some facial hair and they will increase with time, so you do not have to worry. After some years, if you do not get as many hairs as you want, then you can opt-out for facial hair transplant. But do not do it so early because you are too young and you will get your beard to grow naturally after some years. I hope this helps. Failure of gonads or testes in men. Serum testosterone, FSH (follicle-stimulating hormone), LH (luteinizing hormone), Prolactin levels. After two months. </s>

Suffering from itchy and clogged nose, continues sneezing. Suggest effective home remedy?

My mom is suffering from itchy nose,with sometimes clogged or spontaneous sneeze for three months. She took possible home alternative med, but it just stop for a couple of days.. She even consulted an specialist and gave her some medicines which are quite expensive. can you recommend an effective home alternative medicine for her?? thank you Doctor, God bless you and your vocation.

use nilgiri nasya ( chinkini nasya ) to sneeze and clear the nose. use a mask to cover the nose and mouth area. keep urself warm. blow ur nose and keep it empty. avoid cold , banana, icecreams and curds.

<s>[INST] Suffering from itchy and clogged nose, continues sneezing. Suggest effective home remedy? " : " My mom is suffering from itchy nose,with sometimes clogged or spontaneous sneeze for three months. She took possible home alternative med, but it just stop for a couple of days.. She even consulted an specialist and gave her some medicines which are quite expensive. can you recommend an effective home alternative medicine for her?? thank you Doctor, God bless you and your vocation. [/INST] use nilgiri nasya ( chinkini nasya ) to sneeze and clear the nose. use a mask to cover the nose and mouth area. keep urself warm. blow ur nose and keep it empty. avoid cold , banana, icecreams and curds. </s>

Will the stent be removed on its own?

Right upper ureter 5.5mm stone. stent placed 3wks ago. Can this stone pass on its own or should I have eswl done? Affraid of side effects or damage such as high blood pressure or diabetes. I am 57 and both run in my family. Can the stent be removed and try to pass on my own?

HelloThanks for query .You have been detected to have obstructive uropathy due to 5.5 mm sized stone in your Rt upper ureter and D.J stent has been placed in the ureter ..The main aim of putting the stent is to restore the flow of urine from kidney to bladder and to save the kidney from damage due to back pressure changes caused by impacted stone ,This stent also causes passive dilatation of ureter and in most of the cases help to pass the stone down spontaneously .The stent has to be removed after one month after doing Ultrasound Scanning of Abdomen and locating the site of the stone .In case (if required) the stone can be delivered out by endoscopic procedure URS which is very simple as the ureter is widely dilated .Dr.Patil.

<s>[INST] Will the stent be removed on its own? " : " Right upper ureter 5.5mm stone. stent placed 3wks ago. Can this stone pass on its own or should I have eswl done? Affraid of side effects or damage such as high blood pressure or diabetes. I am 57 and both run in my family. Can the stent be removed and try to pass on my own? [/INST] HelloThanks for query .You have been detected to have obstructive uropathy due to 5.5 mm sized stone in your Rt upper ureter and D.J stent has been placed in the ureter ..The main aim of putting the stent is to restore the flow of urine from kidney to bladder and to save the kidney from damage due to back pressure changes caused by impacted stone ,This stent also causes passive dilatation of ureter and in most of the cases help to pass the stone down spontaneously .The stent has to be removed after one month after doing Ultrasound Scanning of Abdomen and locating the site of the stone .In case (if required) the stone can be delivered out by endoscopic procedure URS which is very simple as the ureter is widely dilated .Dr.Patil. </s>

Can asthma cause shortness of breath during yawning and sleeping?

hi doctor..i haven t been sleeping well for the past 3 years, I don t fall asleep at night. and now I m experiencing shortage of breath especially after yawning. I have a coming and going pain between my breasts. please help I want to go back to my sleeping routines and what can I take for the pain and what could be the problem that causes the pain? and about breathing could that mean I m asthmatic..?

Hello,Welcome to HCM and thanks for your query. I understand your concern. Unfortunately to help you find a solution to your sleeping problem, I require more information like whether you are over weight or obese, snore at night etc. The pain between the breasts especially if it is burning and more at night , is suggestive of GERD a provoker for asthma. Sleep apnoea is a common cause of improper sleep at night. Nocturnal exacerbation of asthma also makes one sleepless. Take care,

<s>[INST] Can asthma cause shortness of breath during yawning and sleeping? " : " hi doctor..i haven t been sleeping well for the past 3 years, I don t fall asleep at night. and now I m experiencing shortage of breath especially after yawning. I have a coming and going pain between my breasts. please help I want to go back to my sleeping routines and what can I take for the pain and what could be the problem that causes the pain? and about breathing could that mean I m asthmatic..? [/INST] Hello,Welcome to HCM and thanks for your query. I understand your concern. Unfortunately to help you find a solution to your sleeping problem, I require more information like whether you are over weight or obese, snore at night etc. The pain between the breasts especially if it is burning and more at night , is suggestive of GERD a provoker for asthma. Sleep apnoea is a common cause of improper sleep at night. Nocturnal exacerbation of asthma also makes one sleepless. Take care, </s>

Suggest treatment for pus filled lumps on face and head

Hi,I keep getting puss filled lumps in various places. Get them on my back which have been leaving scars, also on my face. Most recently the back of my head where it has left bald spots. Is there anyway to stop this as its quite embarassing?Thankyou

Welcome to Health care magic.1. The history seems like infective aetiology probable causes could be hair follicular infection with collection of pus within.2.In this case a course of antibiotic will be helpful to treat the infection.3. Use antiseptic liquid in the water used for bath and head wash that will help in disinfecting the area.4.Never ever press or scratch the lumps, it only increases the healing time and increase infection and complications.5.Maintain cleanliness of the hair and area hygiene to avoid further infection, mean while a course of antibiotic can be requested from your GP. good luck.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you.

<s>[INST] Suggest treatment for pus filled lumps on face and head " : " Hi,I keep getting puss filled lumps in various places. Get them on my back which have been leaving scars, also on my face. Most recently the back of my head where it has left bald spots. Is there anyway to stop this as its quite embarassing?Thankyou [/INST] Welcome to Health care magic.1. The history seems like infective aetiology probable causes could be hair follicular infection with collection of pus within.2.In this case a course of antibiotic will be helpful to treat the infection.3. Use antiseptic liquid in the water used for bath and head wash that will help in disinfecting the area.4.Never ever press or scratch the lumps, it only increases the healing time and increase infection and complications.5.Maintain cleanliness of the hair and area hygiene to avoid further infection, mean while a course of antibiotic can be requested from your GP. good luck.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. </s>

What causes dizziness, nausea and fainting?

Having moved to Qld from southern NZ I am struggling with the heat. When I went to donate blood the other day my blood pressure was so low they would not take any. How ever after sitting in the air con for half an hour it came back up to an acceptable level. For sometime on hot days I have been feeling dizzy faint nauseous and get bad headaches. I keep my fluid intake up and also take hydralytes. Should I been concerned and is there anything else I can do.

Hi welcome to hcmI understand your query and concern.Your symptoms are suggestive of Myocardial infarction leading to Right sided heart failure.I advise you to get an ECG,2D Echo of your heart,lipid profile,hsCRP.Troponin I and chest x ray immediately to confirm the diagnosis.Monitor your blood pressure,heart rate immediately.Drugs like clopilet,ecosprin , atorvas, betaloc,pantop.Avoid stress and anxiety.Avoid smoking and alcohol.I also Exercise daily for 30 min.Coronary angiogram with or without stenting will be the procedure of choice.Exercise regularly for 30 min.Stress management is mandatory in your case.Consult your cardiologist for expert management and follow up.Hope I have answered your query at the moment.Post your further queries if any,Thank you

<s>[INST] What causes dizziness, nausea and fainting? " : " Having moved to Qld from southern NZ I am struggling with the heat. When I went to donate blood the other day my blood pressure was so low they would not take any. How ever after sitting in the air con for half an hour it came back up to an acceptable level. For sometime on hot days I have been feeling dizzy faint nauseous and get bad headaches. I keep my fluid intake up and also take hydralytes. Should I been concerned and is there anything else I can do. [/INST] Hi welcome to hcmI understand your query and concern.Your symptoms are suggestive of Myocardial infarction leading to Right sided heart failure.I advise you to get an ECG,2D Echo of your heart,lipid profile,hsCRP.Troponin I and chest x ray immediately to confirm the diagnosis.Monitor your blood pressure,heart rate immediately.Drugs like clopilet,ecosprin , atorvas, betaloc,pantop.Avoid stress and anxiety.Avoid smoking and alcohol.I also Exercise daily for 30 min.Coronary angiogram with or without stenting will be the procedure of choice.Exercise regularly for 30 min.Stress management is mandatory in your case.Consult your cardiologist for expert management and follow up.Hope I have answered your query at the moment.Post your further queries if any,Thank you </s>

Suggest treatment for chronic rhinosinusitis

hi i am suffering from chronic rhinosinusitis from last 2 month ,,my bones of right side got swelling due to infection of bacteria . I had an functional Endoscopic surgery 15 days ago. For few day i was felling good because all the cough is coming out properly from nose passage easily.But from last 3-4 day again the problem started like nothing is coming out of nose it got jam inside i think and headack is the also the.what should i do i dont want to go for any other surgery.Is there any other way to cure the disease...waiting for ur reply

Hi,Welcome to health care magic.I understand that you do not want to undergo another surgery. I suggest you take a nasal swab and send it for culture and sensitivity to rule out any recurrent infection. Appropriate antibiotics have to be taken based on that test result.You can also try some steaming which will help reduce the blockage of sinuses and aid the drainage.Thanks.

<s>[INST] Suggest treatment for chronic rhinosinusitis " : " hi i am suffering from chronic rhinosinusitis from last 2 month ,,my bones of right side got swelling due to infection of bacteria . I had an functional Endoscopic surgery 15 days ago. For few day i was felling good because all the cough is coming out properly from nose passage easily.But from last 3-4 day again the problem started like nothing is coming out of nose it got jam inside i think and headack is the also the.what should i do i dont want to go for any other surgery.Is there any other way to cure the disease...waiting for ur reply [/INST] Hi,Welcome to health care magic.I understand that you do not want to undergo another surgery. I suggest you take a nasal swab and send it for culture and sensitivity to rule out any recurrent infection. Appropriate antibiotics have to be taken based on that test result.You can also try some steaming which will help reduce the blockage of sinuses and aid the drainage.Thanks. </s>

Can Clofert be taken for the infertility problem and what is the dosage?

Hi Doctor, I am Susmita. I have been married for 12 years and i have a daughter of 8 years old. Now i am planning for a baby but not getting Preg. for last 8 Months. My USG Report is OK. My TSH Level is in Border Line. Semen analysis Report of my Husband is Ok. My Mens. Cycle period is 26-31 Days. Wheather i can take Clofert and if yes prescribe the dose of it and also suggest what to do?

Hi,Welcome to HealthcareMagic.Yes you may take clofert. This will increase chances of multiple ovulation thus increasing the chances of conception. It is taken 100mg daily once for 5 days starting from day 2 . It is taken under guidance of your gynaecologist. With this I suggest you to go for follicular study to know the size of follicle and when to plan intercourse.This may be tried for 3 - 4 cycles before proceeding further. Hope I have answered your query.RegardsDr Deepika Patil

<s>[INST] Can Clofert be taken for the infertility problem and what is the dosage? " : " Hi Doctor, I am Susmita. I have been married for 12 years and i have a daughter of 8 years old. Now i am planning for a baby but not getting Preg. for last 8 Months. My USG Report is OK. My TSH Level is in Border Line. Semen analysis Report of my Husband is Ok. My Mens. Cycle period is 26-31 Days. Wheather i can take Clofert and if yes prescribe the dose of it and also suggest what to do? [/INST] Hi,Welcome to HealthcareMagic.Yes you may take clofert. This will increase chances of multiple ovulation thus increasing the chances of conception. It is taken 100mg daily once for 5 days starting from day 2 . It is taken under guidance of your gynaecologist. With this I suggest you to go for follicular study to know the size of follicle and when to plan intercourse.This may be tried for 3 - 4 cycles before proceeding further. Hope I have answered your query.RegardsDr Deepika Patil </s>

Prolonged periods. Sharp pains in abdomen. Had ovarian cyst, cervical cancer previously. Cancer relapsed?

hi I am 24 years old I have been on my period for a month and 4 days it has not stopped. in the past I have had ovarian cyst and cervical cancer (stage 2) which my doctor told me she got back that was back in april, Could the cancer maybe back or the cyst or could it be something else that is causing me to bleed? I have been having really sharp pains in my stomach today and in the lower area. I do not have much of energy. I would go back to my doctor, but now I do not have any insurance and I do not have the money to go back.

Hi, I can understand your concern. You should have to mention the details of treatment you have received. Anyway cervical cancer has a chance to relapse. excessive bleeding is warning sign. you have to mention your cervical cytology report that is the pap smear report . If anything suspicious was found then you should proceed with a biopsy to rule out recurrence. Please do not delay . Consult your doctor immediately.

<s>[INST] Prolonged periods. Sharp pains in abdomen. Had ovarian cyst, cervical cancer previously. Cancer relapsed? " : " hi I am 24 years old I have been on my period for a month and 4 days it has not stopped. in the past I have had ovarian cyst and cervical cancer (stage 2) which my doctor told me she got back that was back in april, Could the cancer maybe back or the cyst or could it be something else that is causing me to bleed? I have been having really sharp pains in my stomach today and in the lower area. I do not have much of energy. I would go back to my doctor, but now I do not have any insurance and I do not have the money to go back. [/INST] Hi, I can understand your concern. You should have to mention the details of treatment you have received. Anyway cervical cancer has a chance to relapse. excessive bleeding is warning sign. you have to mention your cervical cytology report that is the pap smear report . If anything suspicious was found then you should proceed with a biopsy to rule out recurrence. Please do not delay . Consult your doctor immediately. </s>

How to cure burning sensation on tongue and is covered by white layer?

Hi doc,I have my tongue covered by white layer and get pain in my throat sometimes and I really don't feel to eat anything. More over I get burning sensation in my throat many times. Please advise what's the matter with me. And I am facing this problem since a very long time.

thanks for your query,the burning sensation in the tongue could be because of many conditions like candidiasis, anemic stomatitis, ulcers, fissured tongue, lichen planus....the burning sensation in the throat could be because of infection or ulcers...consult a oral physician or an ENT surgeon for complete examination of the oral cavity for a prompt diagnosis and management..

<s>[INST] How to cure burning sensation on tongue and is covered by white layer? " : " Hi doc,I have my tongue covered by white layer and get pain in my throat sometimes and I really don't feel to eat anything. More over I get burning sensation in my throat many times. Please advise what's the matter with me. And I am facing this problem since a very long time. [/INST] thanks for your query,the burning sensation in the tongue could be because of many conditions like candidiasis, anemic stomatitis, ulcers, fissured tongue, lichen planus....the burning sensation in the throat could be because of infection or ulcers...consult a oral physician or an ENT surgeon for complete examination of the oral cavity for a prompt diagnosis and management.. </s>

What causes swelling in gums and lips post strep infection?

My son was diagnosed with strep throat on Thursday. They prescribed him amoxicilin (give twice a day) and told me to continue to alternate tylenol and ibproufen. I have been doing as the directions say and today he is complaining of his mouth hurting and he went to brush his teeth and his gums were bleeding. His gums are also swollen and it looks like his lips are swelling up as well. Are these symptoms due to the strep, or is he having a allergic reaction to the medicine. Also, his father is allergic to amoxicilin.

Thanks for your query, I have gone through your query.The swelling in the lips and gums looks like it is secondary to allergic reaction to amoxicillin resulting in angoedema. Stop taking amoxicillin and consult your pediatrist and get it ruled out. The other cause of bleeding gums can be a gum infection secondary to deposits, so get the teeth cleaned.I hope my answer will help you, take care.

<s>[INST] What causes swelling in gums and lips post strep infection? " : " My son was diagnosed with strep throat on Thursday. They prescribed him amoxicilin (give twice a day) and told me to continue to alternate tylenol and ibproufen. I have been doing as the directions say and today he is complaining of his mouth hurting and he went to brush his teeth and his gums were bleeding. His gums are also swollen and it looks like his lips are swelling up as well. Are these symptoms due to the strep, or is he having a allergic reaction to the medicine. Also, his father is allergic to amoxicilin. [/INST] Thanks for your query, I have gone through your query.The swelling in the lips and gums looks like it is secondary to allergic reaction to amoxicillin resulting in angoedema. Stop taking amoxicillin and consult your pediatrist and get it ruled out. The other cause of bleeding gums can be a gum infection secondary to deposits, so get the teeth cleaned.I hope my answer will help you, take care. </s>

Can Insulin shots be safely avoided for a few days on doctor's advise?

my father inlaw who is 74 was sent home and told not to take his insulin on Tues , until he consults his doctor who then said he was to only take 10 units a day ( was 56 and 58 units) his levels are at 17.1 now yesterday was 14.9 at 7 pm , day before 15 at 7 pm his doctors apt isn't till tues afternoon should we be concerned , he just got out of hospital ( kidney were 1000) and his heart is only pumping 25 % ( past couple years

Hello and thank you for asking!I can understand your concern regarding to your father's health.The dose of insulin should be increased because the blood glucose levels you reported are too high.You should report the type of insulin he is taking actually and the number of injections per day, so i can help you to increase the doses depending on glucose level.You should not wait too much as this high levels may be problematic for his situation.Will be a pleasure to help you further.Best wishes,Dr.Mirjeta

<s>[INST] Can Insulin shots be safely avoided for a few days on doctor's advise? " : " my father inlaw who is 74 was sent home and told not to take his insulin on Tues , until he consults his doctor who then said he was to only take 10 units a day ( was 56 and 58 units) his levels are at 17.1 now yesterday was 14.9 at 7 pm , day before 15 at 7 pm his doctors apt isn't till tues afternoon should we be concerned , he just got out of hospital ( kidney were 1000) and his heart is only pumping 25 % ( past couple years [/INST] Hello and thank you for asking!I can understand your concern regarding to your father's health.The dose of insulin should be increased because the blood glucose levels you reported are too high.You should report the type of insulin he is taking actually and the number of injections per day, so i can help you to increase the doses depending on glucose level.You should not wait too much as this high levels may be problematic for his situation.Will be a pleasure to help you further.Best wishes,Dr.Mirjeta </s>

How can a skin cut on the penis be treated?

About 2-3 days ago during sex my frenulum ripped and there was a lot of blood but not a lot of pain. I am uncircumcised and so far the cut has a scab on the upper part of the cut and i think it’s healing but besides that the inside of my foreskin that’s usually on the outside when I pull the skin back Is swollen do I put ice on it or leave it for it to go down also what do I do about the cut can I just clean it and let it heal overtime.

Hi, I have gone through your question and I understand your concerns but please apply warm compresses on the wound along with an antibiotic ointment three times daily to fasten healing and prevent infection. Hope I have answered your query. Let me know if I can assist you further.

<s>[INST] How can a skin cut on the penis be treated? " : " About 2-3 days ago during sex my frenulum ripped and there was a lot of blood but not a lot of pain. I am uncircumcised and so far the cut has a scab on the upper part of the cut and i think it’s healing but besides that the inside of my foreskin that’s usually on the outside when I pull the skin back Is swollen do I put ice on it or leave it for it to go down also what do I do about the cut can I just clean it and let it heal overtime. [/INST] Hi, I have gone through your question and I understand your concerns but please apply warm compresses on the wound along with an antibiotic ointment three times daily to fasten healing and prevent infection. Hope I have answered your query. Let me know if I can assist you further. </s>

What causes wheezing, high fever symptoms after taking Naprosyn and levocetirizine?

I am taking naprosyn and levocetirizine. I thought I had a cold.Last month I had high fever and same symptoms- this time, no fever. Doctor thought allergies and complications. I am feeling a little wheezy tonight, and was checking to see if this is a side effect of either medication.

Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. Naprosyn can cause wheezing. If you think naprosyn causes/increases wheezing, I would suggest you to avoid it. It is also possible that other NSAIDs (like ibuprofen, diclofenac, etc) would also aggravate wheezing.I usually suggest my asthma patients to use paracetamol as safest drug for fever and pains.2. Levocetirizine usually does not cause wheezing. On the contrary, if you have nose symptoms like rhinitis also, I would suggest you to take an antihistamine like levocetirizine.3. High fever as a side effect is rare with both naprosyn and levocetirizine. I would not think high fever due to side effect of any of these medications.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards.

<s>[INST] What causes wheezing, high fever symptoms after taking Naprosyn and levocetirizine? " : " I am taking naprosyn and levocetirizine. I thought I had a cold.Last month I had high fever and same symptoms- this time, no fever. Doctor thought allergies and complications. I am feeling a little wheezy tonight, and was checking to see if this is a side effect of either medication. [/INST] Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. Naprosyn can cause wheezing. If you think naprosyn causes/increases wheezing, I would suggest you to avoid it. It is also possible that other NSAIDs (like ibuprofen, diclofenac, etc) would also aggravate wheezing.I usually suggest my asthma patients to use paracetamol as safest drug for fever and pains.2. Levocetirizine usually does not cause wheezing. On the contrary, if you have nose symptoms like rhinitis also, I would suggest you to take an antihistamine like levocetirizine.3. High fever as a side effect is rare with both naprosyn and levocetirizine. I would not think high fever due to side effect of any of these medications.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards. </s>

How can amenorrhea be treated despite fertility treatments failure?

HI,am 26 years old and am married for d past 7 years now but without a baby,although my Docs have comfirmed to me that i've PCOS,i've tried 1 IUI,1 IVF,1 FET.My major problem now is my period is becoming more irregular,unlike before my period usually comes back after three month,but now i dont 've a specific date and is been like that about 2 and a half years now,and i've to be taken primolut n each time i want my period back.last two weeks i took primolut n for 5 days twice a day,and up till now i didnt see my period,could that be that am resistant to primolut n,or could it be the effects of the IVF/FET drugs and shots? or could i be pregnant without knowing i am??? PLEASE am confuse. thank you alot.

Hello,Check yourself with a urine pregnancy kit, since you do not have a specific date on your period you should have a USG done to confirm if you are pregnant or not. Second is to set right your PCOD .. Having a healthy lifestyle alone with regular exercise. By now you should be taking regular medication to control your PCOD. PCOD is a lifestly disease. It doesn't not affect pregnancy but you have to be vigilant in your fertile period. Observation on your mestrual cycle. Irregular periods will set right on healthy lifestyle without any medication.First consider a check up with your gynec to confirm if you are pregnant or not .Thank you

<s>[INST] How can amenorrhea be treated despite fertility treatments failure? " : " HI,am 26 years old and am married for d past 7 years now but without a baby,although my Docs have comfirmed to me that i've PCOS,i've tried 1 IUI,1 IVF,1 FET.My major problem now is my period is becoming more irregular,unlike before my period usually comes back after three month,but now i dont 've a specific date and is been like that about 2 and a half years now,and i've to be taken primolut n each time i want my period back.last two weeks i took primolut n for 5 days twice a day,and up till now i didnt see my period,could that be that am resistant to primolut n,or could it be the effects of the IVF/FET drugs and shots? or could i be pregnant without knowing i am??? PLEASE am confuse. thank you alot. [/INST] Hello,Check yourself with a urine pregnancy kit, since you do not have a specific date on your period you should have a USG done to confirm if you are pregnant or not. Second is to set right your PCOD .. Having a healthy lifestyle alone with regular exercise. By now you should be taking regular medication to control your PCOD. PCOD is a lifestly disease. It doesn't not affect pregnancy but you have to be vigilant in your fertile period. Observation on your mestrual cycle. Irregular periods will set right on healthy lifestyle without any medication.First consider a check up with your gynec to confirm if you are pregnant or not .Thank you </s>