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Ultrasound shows Hepatomegaly, right renal conretion, cystitis, penis twisted towards left. Treatment ?

My age is 35, hight is 5 fit 6.5 inch. My weight maintained 70-74 KG. My ultrasound shown : 1) Hepatomegaly with fatty infiltration of liver grade-II. 2) Right Renal Conretion 3) Cystitis. In spite of this, My penis twisted towards left side showing some veins on right side. Sometimes, some veins on left testicle emerged whenever the hot season or rainy season. Some ache occurred on the right stomach to backside with waist. May kindly tell the reasons and the treatment etc ?

HI, thanks for using healthcare magicPeyronie's disease is a condition where the penis is curved. The extent of the curve can vary from one person with the condition to the other. The exact cause is not known.There are different treatments that can be tried such as the use of oral medication, injections.Some examples of oral medication are vitamin E,colchicine, verapamil, co enzyme q.Surgery is the last resort.You can consider visiting an urologist for management of this condition.In terms of the fatty liver, this is common. At present the ultrasound did not show any inflammation of the liver or evidence of failure. This means that by adjusting your diet and activity, it would be possible to prevent any further liver problems.You can consider reducing your use of carbohydrates,this has actually been found to be the best way to help with fatty liver.Cystitis means inflammation of the bladder,this is most commonly due to infection which is treated with antibiotics.I hope this helps

<s>[INST] Ultrasound shows Hepatomegaly, right renal conretion, cystitis, penis twisted towards left. Treatment ? " : " My age is 35, hight is 5 fit 6.5 inch. My weight maintained 70-74 KG. My ultrasound shown : 1) Hepatomegaly with fatty infiltration of liver grade-II. 2) Right Renal Conretion 3) Cystitis. In spite of this, My penis twisted towards left side showing some veins on right side. Sometimes, some veins on left testicle emerged whenever the hot season or rainy season. Some ache occurred on the right stomach to backside with waist. May kindly tell the reasons and the treatment etc ? [/INST] HI, thanks for using healthcare magicPeyronie's disease is a condition where the penis is curved. The extent of the curve can vary from one person with the condition to the other. The exact cause is not known.There are different treatments that can be tried such as the use of oral medication, injections.Some examples of oral medication are vitamin E,colchicine, verapamil, co enzyme q.Surgery is the last resort.You can consider visiting an urologist for management of this condition.In terms of the fatty liver, this is common. At present the ultrasound did not show any inflammation of the liver or evidence of failure. This means that by adjusting your diet and activity, it would be possible to prevent any further liver problems.You can consider reducing your use of carbohydrates,this has actually been found to be the best way to help with fatty liver.Cystitis means inflammation of the bladder,this is most commonly due to infection which is treated with antibiotics.I hope this helps </s>

What is the rason for dry cough ?

What is the rason for dry cough . even though I was using antibiotics past week i have still. it is suffering me a lot

better you consult doctor and follow advice you may need some tests to be done blood test to rule out eosinophillia that may be cause of dry cough irritation of throat and upper respiratory tract can give rise to dry cough warm saline gargle and steam inhalation will be helpful throat lozenges some time helps specific medicines is required as per reports get examined by physician and start treatment accordingly

<s>[INST] What is the rason for dry cough ? " : " What is the rason for dry cough . even though I was using antibiotics past week i have still. it is suffering me a lot [/INST] better you consult doctor and follow advice you may need some tests to be done blood test to rule out eosinophillia that may be cause of dry cough irritation of throat and upper respiratory tract can give rise to dry cough warm saline gargle and steam inhalation will be helpful throat lozenges some time helps specific medicines is required as per reports get examined by physician and start treatment accordingly </s>

Suggest remedy for persistent cough

Hello. I think that I might have bronchitis. It all started in 10/21. Usually when the seasons change up here in Northern California, I get Nasal Drainage. Usually after the Nasal Drainage, I get a sore throat and a little bit of a cough. It s usually gone within seven days. But this is different. After about a week passed (and mind you I never got a sore throat), I started coughing. I figured my immunity was up and my throat was spared. But the coughing has persisted up to this day. How do I get rid of this garbage?

Hi,It seems that you might be having lower respiratory tract infection, mainly bacterial.Go for one antibiotic medicine course for 5-7 days.Take some cough suppressant syrup to get symptomatic relief.Avoid cold drinks and junk food.Ok and take care.

<s>[INST] Suggest remedy for persistent cough " : " Hello. I think that I might have bronchitis. It all started in 10/21. Usually when the seasons change up here in Northern California, I get Nasal Drainage. Usually after the Nasal Drainage, I get a sore throat and a little bit of a cough. It s usually gone within seven days. But this is different. After about a week passed (and mind you I never got a sore throat), I started coughing. I figured my immunity was up and my throat was spared. But the coughing has persisted up to this day. How do I get rid of this garbage? [/INST] Hi,It seems that you might be having lower respiratory tract infection, mainly bacterial.Go for one antibiotic medicine course for 5-7 days.Take some cough suppressant syrup to get symptomatic relief.Avoid cold drinks and junk food.Ok and take care. </s>

Was on ports for years. Clots found during ultrasound can be harmful to health?

Hi, My name is Debra. For the past fifteen years I have required having central lines and most recent ports for years. Having them I have aquired many infections, requiring the pull of one port by replacing another one. This has just happened. My vascular surgeon was doing an ultra-sound and found a recent clot one side and two one the other. I can never have another port. This was very concerning to me. First, What am I going to do and then, What are these clots made of and are they harmful to my health?

GreetingsClot formation or thrombosis is a known complication of catheters and ports. If you have developed clot then the port has to be removed and you will require anti coagulation therapy for atleast 6 months. If anticoagulation not taken, then only it can be harmful.regards

<s>[INST] Was on ports for years. Clots found during ultrasound can be harmful to health? " : " Hi, My name is Debra. For the past fifteen years I have required having central lines and most recent ports for years. Having them I have aquired many infections, requiring the pull of one port by replacing another one. This has just happened. My vascular surgeon was doing an ultra-sound and found a recent clot one side and two one the other. I can never have another port. This was very concerning to me. First, What am I going to do and then, What are these clots made of and are they harmful to my health? [/INST] GreetingsClot formation or thrombosis is a known complication of catheters and ports. If you have developed clot then the port has to be removed and you will require anti coagulation therapy for atleast 6 months. If anticoagulation not taken, then only it can be harmful.regards </s>

Took levonelle 1. Had smelly bleeding. Took antibiotics. Had unprotected sex. Stopped bleeding. Take morning after pill?

hi my name is neha i had levonelle one and after that my period was for 2 days i.e from 6th feb to 7th feb and it was very little and after a week i started spotting and on i.e from 13th feb to 15th feb after 15th it started bleeding more and it was little smelly so i stared eating antibiotic from 19th to 21st and on 21st i had unprotected sex after that i stopped bleeding ,i m worried if i should take morning after pill aain because i can get pregnant.please guide me asap

hi, Thank you for the query.you can do one urine pregnancy test which will let you know if you are pregnant. If it is negative, you can wait and repeat it after a week.If it is positive, a test called serum b-hCG can be done twice with a gap of 48 hours. .this test will help you to know if the pregnancy is continuing or it is aborting .If the urine pregnancy test is positive please meet a gynaecologist for further evaluation.I would advise you to have some reliable method of contraception as emergency contraception like morning after pill cannot be used frequently

<s>[INST] Took levonelle 1. Had smelly bleeding. Took antibiotics. Had unprotected sex. Stopped bleeding. Take morning after pill? " : " hi my name is neha i had levonelle one and after that my period was for 2 days i.e from 6th feb to 7th feb and it was very little and after a week i started spotting and on i.e from 13th feb to 15th feb after 15th it started bleeding more and it was little smelly so i stared eating antibiotic from 19th to 21st and on 21st i had unprotected sex after that i stopped bleeding ,i m worried if i should take morning after pill aain because i can get pregnant.please guide me asap [/INST] hi, Thank you for the query.you can do one urine pregnancy test which will let you know if you are pregnant. If it is negative, you can wait and repeat it after a week.If it is positive, a test called serum b-hCG can be done twice with a gap of 48 hours. .this test will help you to know if the pregnancy is continuing or it is aborting .If the urine pregnancy test is positive please meet a gynaecologist for further evaluation.I would advise you to have some reliable method of contraception as emergency contraception like morning after pill cannot be used frequently </s>

Less beard, moustache, elevated FSH and LH levels after losing the only right testis for germ cell tumour.

hi my problem is that i had germs cell tumor in 2009 and lost my only right testis, now cancer is gone, and i am fine now, but facing a problem that less beard and moustache, i have checked my testosterone level that is normal, but FSH and LH level is high, and more than normal level. and my hair is thinning day by day,

HIThank for asking to HCMI really understand your concern, and let me tell you that even in normal person those are not having such history as you have may not be having hair of beard and moustache this could be normal one some time, if your hormone level is normal then no need to worry have nice day.

<s>[INST] Less beard, moustache, elevated FSH and LH levels after losing the only right testis for germ cell tumour. " : " hi my problem is that i had germs cell tumor in 2009 and lost my only right testis, now cancer is gone, and i am fine now, but facing a problem that less beard and moustache, i have checked my testosterone level that is normal, but FSH and LH level is high, and more than normal level. and my hair is thinning day by day, [/INST] HIThank for asking to HCMI really understand your concern, and let me tell you that even in normal person those are not having such history as you have may not be having hair of beard and moustache this could be normal one some time, if your hormone level is normal then no need to worry have nice day. </s>

What are the symptoms of potential pregnancy?

Hello, I have a bit of a complicated situation...I had previously screwed up my birth control and was off of my period for 3 months. I got back on birth control and had intercourse 3 days after unprotected. around the 12th and 13th of this month. then around the 17th i started having light bleeding. more like a dark brown discharge. Its not quite heavy enough to be a period but more than regular discharge. could i be pregnant?

if you take my opinion then yes you might be pregnant but still you need to confirm your pregnancy by a simple urine pregnancy test and then an abdominal ultrasound can be helpful for final diagnosis

<s>[INST] What are the symptoms of potential pregnancy? " : " Hello, I have a bit of a complicated situation...I had previously screwed up my birth control and was off of my period for 3 months. I got back on birth control and had intercourse 3 days after unprotected. around the 12th and 13th of this month. then around the 17th i started having light bleeding. more like a dark brown discharge. Its not quite heavy enough to be a period but more than regular discharge. could i be pregnant? [/INST] if you take my opinion then yes you might be pregnant but still you need to confirm your pregnancy by a simple urine pregnancy test and then an abdominal ultrasound can be helpful for final diagnosis </s>

Q. Does my foot X-ray show any broken bones?

Hello doctor, I recently had an accident while cycling and twisted my foot. The foot is quite swollen. I have attached X-rays. Are any of the bones in my foot broken? What should I do to recover?

Hi. How was your day? I have gone through your query and the attached X-rays in detail and understand your concern. There seems to be an incomplete fracture of the midfoot bone which is the main cause of the swelling of the foot. The first thing you should do is get the foot plastered in a below knee plaster cast or splint for at least one month. Do not bear weight on this affected limb during this period. Keep the leg elevated over a pillow. You should take analgesic anti-inflammatory tablets along with proteolytic enzymes like Trypsin, Chymotrypsin or Serratiopeptidase. Supplements of Calcium and Vitamin D3 should help.

<s>[INST] Q. Does my foot X-ray show any broken bones? " : " Hello doctor, I recently had an accident while cycling and twisted my foot. The foot is quite swollen. I have attached X-rays. Are any of the bones in my foot broken? What should I do to recover? [/INST] Hi. How was your day? I have gone through your query and the attached X-rays in detail and understand your concern. There seems to be an incomplete fracture of the midfoot bone which is the main cause of the swelling of the foot. The first thing you should do is get the foot plastered in a below knee plaster cast or splint for at least one month. Do not bear weight on this affected limb during this period. Keep the leg elevated over a pillow. You should take analgesic anti-inflammatory tablets along with proteolytic enzymes like Trypsin, Chymotrypsin or Serratiopeptidase. Supplements of Calcium and Vitamin D3 should help. </s>

Itchy reddish bumps spreading on the body. What is causing this?<br>

I have been having large itchy red bumps the last three days. They get so itchy swollen and hard and have been itching for a few days. Some of them as big as a fifty cent coin. There are also small groups of them in a bunch that seems to increase in numbers after scratching . In the center of some of them there is sometimes water.

Hello,Thanks for the queryyou might be suffering from an endogenous eczema.Treatment with oral steroids is required.Oral anti histamines can be helpful.Please meet a dermatologist to confirm diagnosis,Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link. you a good health.Thank you

<s>[INST] Itchy reddish bumps spreading on the body. What is causing this?<br> " : " I have been having large itchy red bumps the last three days. They get so itchy swollen and hard and have been itching for a few days. Some of them as big as a fifty cent coin. There are also small groups of them in a bunch that seems to increase in numbers after scratching . In the center of some of them there is sometimes water. [/INST] Hello,Thanks for the queryyou might be suffering from an endogenous eczema.Treatment with oral steroids is required.Oral anti histamines can be helpful.Please meet a dermatologist to confirm diagnosis,Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link. you a good health.Thank you </s>

What does this MRI report of spine indicate?

Explain the results of my MRI, I did have it done with and without contrast. What about treatment for me? At the L2/L3 level, there is diffuse disc bulge producing mild bilateral neural foraminal stenosis. At the L3/L4 level, there is diffuse disc bulge with ligamentum flavum hypertrophy producing moderate bilateral neural foramen stenosis. At the L4/L5 level, there is diffuse disc bulge producing moderate degree of bilateral neural foramen stenosis. At the L5/S1 level, there is diffuse disc bulge producing moderate degree of bilateral neural foramen stenosis.

Hi and thanks for using HCM. MRI results show there is degenerative disc disease of your vertebral column, compressing partially lumbar nerves and medulla. Treatment depends on your symptoms, if there is unsupportable pain even with medication,difficulty walking, urination disorders, then you need decompressive surgery. Otherwise treatment is conservative and I suggest you to consult a Neurologist and discuss further treatment steps ( NSAID drugs, physical therapy, etc). Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

<s>[INST] What does this MRI report of spine indicate? " : " Explain the results of my MRI, I did have it done with and without contrast. What about treatment for me? At the L2/L3 level, there is diffuse disc bulge producing mild bilateral neural foraminal stenosis. At the L3/L4 level, there is diffuse disc bulge with ligamentum flavum hypertrophy producing moderate bilateral neural foramen stenosis. At the L4/L5 level, there is diffuse disc bulge producing moderate degree of bilateral neural foramen stenosis. At the L5/S1 level, there is diffuse disc bulge producing moderate degree of bilateral neural foramen stenosis. [/INST] Hi and thanks for using HCM. MRI results show there is degenerative disc disease of your vertebral column, compressing partially lumbar nerves and medulla. Treatment depends on your symptoms, if there is unsupportable pain even with medication,difficulty walking, urination disorders, then you need decompressive surgery. Otherwise treatment is conservative and I suggest you to consult a Neurologist and discuss further treatment steps ( NSAID drugs, physical therapy, etc). Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. </s>

Medical advice on baby s health

a baby 3 yrs has fever ,tept 101, has given meftalp 5 ml 6 hourly for 3 days and valium 2mg twice daile for 3 days as she has febrile fits earlier . now she hs energetic for sometimes and suddenly bocomming gloomt. is it something need medical consultation?

Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Mefenamic acid which is an NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology

<s>[INST] Medical advice on baby s health " : " a baby 3 yrs has fever ,tept 101, has given meftalp 5 ml 6 hourly for 3 days and valium 2mg twice daile for 3 days as she has febrile fits earlier . now she hs energetic for sometimes and suddenly bocomming gloomt. is it something need medical consultation? [/INST] Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Mefenamic acid which is an NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology </s>

Suffering from sever acne. No visible improvement with medication, taking healthy diet. Remedy?

Good afternoon Dotor, I am 25 years old suffering from severe acne from the last 5 months.i consulted a doctor he gave me azithromyin tablet for three days and antoxid hc for 3 months,Seba med toner.But there are no visible improvement. i drink 4 litres of water everyday.i realy take care of my diet with fruts and veggies but there are no improvement on my pimples .

Hi, acne treatment depends upon its severity whether it is mild, moderate or severe in nature. In other words, it has to be seen what kind of lesions one is having predominantly that is whether you are having more of comedones or papules or pustules or severe nodules cysts and abscesses. The treatment plan changes accordingly. The chances of scarring and pigmentation are more with pustular nodular acne or with cysts and abscesses. In your case, you can continue with tab azithromycin as prescribed, along with topical application of benzoyl peroxide 2.5% in morning and adapalene gel in night. Use a salicylic acid based face cleanser. Follow this schedule for 3 weeks, if you dont have much of response, then one can think of adding isotretinoin or doing chemical peels(glycolic acid or salicylic peels). For the same, you need to consult a dermatologist. Take care.

<s>[INST] Suffering from sever acne. No visible improvement with medication, taking healthy diet. Remedy? " : " Good afternoon Dotor, I am 25 years old suffering from severe acne from the last 5 months.i consulted a doctor he gave me azithromyin tablet for three days and antoxid hc for 3 months,Seba med toner.But there are no visible improvement. i drink 4 litres of water everyday.i realy take care of my diet with fruts and veggies but there are no improvement on my pimples . [/INST] Hi, acne treatment depends upon its severity whether it is mild, moderate or severe in nature. In other words, it has to be seen what kind of lesions one is having predominantly that is whether you are having more of comedones or papules or pustules or severe nodules cysts and abscesses. The treatment plan changes accordingly. The chances of scarring and pigmentation are more with pustular nodular acne or with cysts and abscesses. In your case, you can continue with tab azithromycin as prescribed, along with topical application of benzoyl peroxide 2.5% in morning and adapalene gel in night. Use a salicylic acid based face cleanser. Follow this schedule for 3 weeks, if you dont have much of response, then one can think of adding isotretinoin or doing chemical peels(glycolic acid or salicylic peels). For the same, you need to consult a dermatologist. Take care. </s>

Have pre-diabetes, neuropathy. MRI shows spinal stenosis and spurs. What to do next?

My husband is suffering with a neouropathy that came on very fast this winter. He has pre-diabetes but the blood sugar is usually kept at under 100. He has had MRIs and they found spinal stenosis and spurs, but no MS. His neuropathy has steadily moved upward from his feet all the way to his groin area and even hips. It at times is very painful as well as the numbness and stabbing pains. We are at wits end of what to do next. Why would it come on so fast. His doctor doesn't seem to think it is all caused from the pre-diabetes. His lower back is numb as well, and it hurts. Any suggestions?

Hi,Thank you for posting your query.I can understand the discomfort your husband is facing. In order for me to make a complete diagnosis, I would like to see the MRI and nerve conduction studies reports.I think his symptoms are a combination of neuropathy and lumbar canal stenosis.For neuropathic symptoms, pregabalin or gabapentin would help.Lumbar stenosis, if severe, may require surgery.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.comMy blog:

<s>[INST] Have pre-diabetes, neuropathy. MRI shows spinal stenosis and spurs. What to do next? " : " My husband is suffering with a neouropathy that came on very fast this winter. He has pre-diabetes but the blood sugar is usually kept at under 100. He has had MRIs and they found spinal stenosis and spurs, but no MS. His neuropathy has steadily moved upward from his feet all the way to his groin area and even hips. It at times is very painful as well as the numbness and stabbing pains. We are at wits end of what to do next. Why would it come on so fast. His doctor doesn't seem to think it is all caused from the pre-diabetes. His lower back is numb as well, and it hurts. Any suggestions? [/INST] Hi,Thank you for posting your query.I can understand the discomfort your husband is facing. In order for me to make a complete diagnosis, I would like to see the MRI and nerve conduction studies reports.I think his symptoms are a combination of neuropathy and lumbar canal stenosis.For neuropathic symptoms, pregabalin or gabapentin would help.Lumbar stenosis, if severe, may require surgery.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.comMy blog: </s>

Suggest treatment for itching on foot in a child

Hi, may I answer your health queries right now ? Please type your query here...my 2 1/4 yr old daughter wakes up in the middle of the night and scratches the sole of her foot , sometimes in the front too .. her sleep gets disturbed and she wants me to soothe her sole till she is alright

Hello and welcome to healthcare clinic.As short term treatment soothing effect cab be achieved by zinc oxide cream and if sleep is distrubed syrup citrizine can be given.For long term treatment and prevention prohibit your child from walking barefoot.Improve hygiene clean all the fomites,wash the bed sheets and dry them in direct sun.

<s>[INST] Suggest treatment for itching on foot in a child " : " Hi, may I answer your health queries right now ? Please type your query here...my 2 1/4 yr old daughter wakes up in the middle of the night and scratches the sole of her foot , sometimes in the front too .. her sleep gets disturbed and she wants me to soothe her sole till she is alright [/INST] Hello and welcome to healthcare clinic.As short term treatment soothing effect cab be achieved by zinc oxide cream and if sleep is distrubed syrup citrizine can be given.For long term treatment and prevention prohibit your child from walking barefoot.Improve hygiene clean all the fomites,wash the bed sheets and dry them in direct sun. </s>

What causes intense pressure and popping sound in the lower back?

I am 16 and I have smoked weed nearly 2 years, in the last week Ive been getting intense pressure and popping sounds in the lower back of my head and upper neck.The pressure gets more and more intense as I come off the high. It will get worse when I look at a screen for a while or simply start thinking about it. How can I avoid this pressure, I have a slight addiction to pot physically and if slowing it to less then once a day would help I d really like to know.

Hello, I have studied your case.Most probable reason for your symptoms could be postural problem as you may be sitting for long time and working on computer/table for long time.When such patient comes to my hospital we usually take x ray spine or if required MRI to see for any nerve compression.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor.Some exercises which can be done after pain has reduced include- Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg.Now lift both hand and leg simultaneously, 6 inch off the ground and stayPosition for around 10 breathes. Core stabilizing spine exercises will help.You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.I will advise to check your vit B12 and vit D3 level.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. If you find this answer helpful do not hesitate to rate this answer at end of discussion.Take care.

<s>[INST] What causes intense pressure and popping sound in the lower back? " : " I am 16 and I have smoked weed nearly 2 years, in the last week Ive been getting intense pressure and popping sounds in the lower back of my head and upper neck.The pressure gets more and more intense as I come off the high. It will get worse when I look at a screen for a while or simply start thinking about it. How can I avoid this pressure, I have a slight addiction to pot physically and if slowing it to less then once a day would help I d really like to know. [/INST] Hello, I have studied your case.Most probable reason for your symptoms could be postural problem as you may be sitting for long time and working on computer/table for long time.When such patient comes to my hospital we usually take x ray spine or if required MRI to see for any nerve compression.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor.Some exercises which can be done after pain has reduced include- Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg.Now lift both hand and leg simultaneously, 6 inch off the ground and stayPosition for around 10 breathes. Core stabilizing spine exercises will help.You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.I will advise to check your vit B12 and vit D3 level.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. If you find this answer helpful do not hesitate to rate this answer at end of discussion.Take care. </s>

Swollen jaw under ear causing tingling while eating from that side. What could be the cause?

Hello, i have begun to get a swollen jaw right under my left ear. It s only on the left side and doesn t cause much pain. I have a weird sensation like tingling when i eat something on that side. My teeth don t hurt at all and yes i do have my wisdom teeth in and have had them since i was 18 years old. I am now 36. This is the first time this has occurred. I also sleep on my left side most of the time and was wondering if this could be a cause.

hello dearyou look like you are having parotid salivary gland swalling, and there multiple causes for thatyou shoud know that there is systemic conditions like diabetes, caushings disease ,alcoholism, hepatic cirrosis , gout ,and myxoedema can cause painless swalling on the salivary glansalso we put in mind mumps, it is aself limiting viral infection, it can cause the same symptoms you have especially if you already took mummps vaccination, but in your mind if you had previosly infected by mummps then it is very unlikely to get second infectionfinally , if your condition would not subside within 14 days then i recomand you to visit your doctor for clinical examinationhope you all the healthiness

<s>[INST] Swollen jaw under ear causing tingling while eating from that side. What could be the cause? " : " Hello, i have begun to get a swollen jaw right under my left ear. It s only on the left side and doesn t cause much pain. I have a weird sensation like tingling when i eat something on that side. My teeth don t hurt at all and yes i do have my wisdom teeth in and have had them since i was 18 years old. I am now 36. This is the first time this has occurred. I also sleep on my left side most of the time and was wondering if this could be a cause. [/INST] hello dearyou look like you are having parotid salivary gland swalling, and there multiple causes for thatyou shoud know that there is systemic conditions like diabetes, caushings disease ,alcoholism, hepatic cirrosis , gout ,and myxoedema can cause painless swalling on the salivary glansalso we put in mind mumps, it is aself limiting viral infection, it can cause the same symptoms you have especially if you already took mummps vaccination, but in your mind if you had previosly infected by mummps then it is very unlikely to get second infectionfinally , if your condition would not subside within 14 days then i recomand you to visit your doctor for clinical examinationhope you all the healthiness </s>

When will hemoglobin level normalize after taking blood transfusion?

I had a GI hemorrhage and I was in ICU for 5 days Then I was in the hostipal for another 3 days . Iwas given 3 units of blood & 3 units of iron in my IV. I went to get blood drawn the other day & my hemoglobin level is 10.1. . While in the hostipal tests reveal I have ulcers, diverticulosis & diverticulitis &hemmoriods. How long will it take for my hemoglobin level to come back up to normal?

Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you that since you have ulcers, diverticulitis & hemorrhoids all of which are bleeding condition in your intestines it is necessary for you to take treatment till you get all this corrected. your hemoglobin is good right now so at this moment you can start with the oral iron therapy.I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease.

<s>[INST] When will hemoglobin level normalize after taking blood transfusion? " : " I had a GI hemorrhage and I was in ICU for 5 days Then I was in the hostipal for another 3 days . Iwas given 3 units of blood & 3 units of iron in my IV. I went to get blood drawn the other day & my hemoglobin level is 10.1. . While in the hostipal tests reveal I have ulcers, diverticulosis & diverticulitis &hemmoriods. How long will it take for my hemoglobin level to come back up to normal? [/INST] Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you that since you have ulcers, diverticulitis & hemorrhoids all of which are bleeding condition in your intestines it is necessary for you to take treatment till you get all this corrected. your hemoglobin is good right now so at this moment you can start with the oral iron therapy.I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease. </s>

Q. Can immunotherapy be started for lung cancer PD-L1?

Hello doctor, My wife has lung cancer PD-L1. I need your advice regarding the continuation of this therapy. Docetaxel and Nintedanib are suggested. I think it is too heavy. I would prefer immunotherapy, if possible.

Hi, Welcome to icliniq.com. I would suggest going with Abraxane or Avastin plus Nivolumab combination for the following reasons: For more information consult a medical oncologist online -->

<s>[INST] Q. Can immunotherapy be started for lung cancer PD-L1? " : " Hello doctor, My wife has lung cancer PD-L1. I need your advice regarding the continuation of this therapy. Docetaxel and Nintedanib are suggested. I think it is too heavy. I would prefer immunotherapy, if possible. [/INST] Hi, Welcome to icliniq.com. I would suggest going with Abraxane or Avastin plus Nivolumab combination for the following reasons: For more information consult a medical oncologist online --> </s>

Suggest remedy for streptococcus eye infection in children

Hello, my daughter is 3 and a half months old and has a Streptococcus pneumoniae infection of the left eye, I think that it's in the nasolacrimal canal. We made the necesarry tests, and acording to the antibiogram, the bacteria is sensitive to ciprofloxacin and chloramphenicol. We did 2 week treatment (ciprofloxacin drops during the day and chloramphenicol ointment during the night), but the bacteria keeps coming back :-(. I'm a pharmacist and I really tried everything I know, consulting her pediatrician and ophtalmologist, but no luck! Please help!

Welcome to HCMI have carefully read and understood you queryI hope you will find this usefulUnfortunately the Nasolacrimal duct infection keeps coming back as it has a blockage inside which needs to be addressed surgicaalu at the age of 8 to 9 months.But not very late than that.Surgical treatment includes probing and syringing of the duct for mechanical removal of the blockage. Probing failures are treated with more aggressive surgical procedures including balloon dacryoplasty and nasolacrimal duct intubation. Endoscopic dacryocystorhinostomy is generally reserved for intubation and balloon dacryoplasty failuresBut before that,the mangement is at home.Don't use cipro or chloramphenicol too much.Replace it with netilmycin which better in case of NLD infections in infants with less after effects.Important is to massage the medial side of the eye along the nose with the little finger,where the duct is.Give ten strokes four times a day.This is very effective in removing the blockage with pressure.But don't exert excessive pressure.If it does not work for till 8 months of age,see an ophthalmologist for intervention.I will be happy to know if you have found answer to your queryThank youDr Faeza Sherdil

<s>[INST] Suggest remedy for streptococcus eye infection in children " : " Hello, my daughter is 3 and a half months old and has a Streptococcus pneumoniae infection of the left eye, I think that it's in the nasolacrimal canal. We made the necesarry tests, and acording to the antibiogram, the bacteria is sensitive to ciprofloxacin and chloramphenicol. We did 2 week treatment (ciprofloxacin drops during the day and chloramphenicol ointment during the night), but the bacteria keeps coming back :-(. I'm a pharmacist and I really tried everything I know, consulting her pediatrician and ophtalmologist, but no luck! Please help! [/INST] Welcome to HCMI have carefully read and understood you queryI hope you will find this usefulUnfortunately the Nasolacrimal duct infection keeps coming back as it has a blockage inside which needs to be addressed surgicaalu at the age of 8 to 9 months.But not very late than that.Surgical treatment includes probing and syringing of the duct for mechanical removal of the blockage. Probing failures are treated with more aggressive surgical procedures including balloon dacryoplasty and nasolacrimal duct intubation. Endoscopic dacryocystorhinostomy is generally reserved for intubation and balloon dacryoplasty failuresBut before that,the mangement is at home.Don't use cipro or chloramphenicol too much.Replace it with netilmycin which better in case of NLD infections in infants with less after effects.Important is to massage the medial side of the eye along the nose with the little finger,where the duct is.Give ten strokes four times a day.This is very effective in removing the blockage with pressure.But don't exert excessive pressure.If it does not work for till 8 months of age,see an ophthalmologist for intervention.I will be happy to know if you have found answer to your queryThank youDr Faeza Sherdil </s>

Does common cold affect IVF process?

Dear dr,My wife is taking hormone for preparing IVF. Egg collection has been done and will transfer embryo in next four days. She gets a cold now. Can cold affect IVF process? May we have your advice?Can she take decolgen forte to stop cold?Thank you

HAIWELCOME TO HCMCOMMON COLD wont affect implantation.she may need antibiotic to settle this. high fever may hamper implantation.

<s>[INST] Does common cold affect IVF process? " : " Dear dr,My wife is taking hormone for preparing IVF. Egg collection has been done and will transfer embryo in next four days. She gets a cold now. Can cold affect IVF process? May we have your advice?Can she take decolgen forte to stop cold?Thank you [/INST] HAIWELCOME TO HCMCOMMON COLD wont affect implantation.she may need antibiotic to settle this. high fever may hamper implantation. </s>

Q. Which is better for moderate OS ASD - medicines or surgery?

Hi doctor, Recently, we came to know that my mother has a congenital heart disease (moderate OS ASD with left to right shunt) at the age of 46. And we consulted the doctors. One of them said it can be cured by medicines and another said surgery will be a better option. So, please help us as soon as possible.

Hello. OS ASD (ostium secundum atrial septal defect) cannot be cured by medicines. Because it is diagnosed at 46 years, we need to close it. If she would be above 65 years of age, we could have left it. If we do not close it now, it will increase symptoms like breathing difficulty, etc. There are two options for closure: For more information consult a cardiologist online -->

<s>[INST] Q. Which is better for moderate OS ASD - medicines or surgery? " : " Hi doctor, Recently, we came to know that my mother has a congenital heart disease (moderate OS ASD with left to right shunt) at the age of 46. And we consulted the doctors. One of them said it can be cured by medicines and another said surgery will be a better option. So, please help us as soon as possible. [/INST] Hello. OS ASD (ostium secundum atrial septal defect) cannot be cured by medicines. Because it is diagnosed at 46 years, we need to close it. If she would be above 65 years of age, we could have left it. If we do not close it now, it will increase symptoms like breathing difficulty, etc. There are two options for closure: For more information consult a cardiologist online --> </s>

Can the redness on upper arm be due to celluitis? Nodes were removed because of breast cancer

I just noticed some redness on my upper arm, wondered if this could be celluitis? 26 nodes were removed in 2010 because breast cancer had spread into 14 of them. I was diagnosed with stage 3 estrogen receptor positive br. cancer in my left breast. I had carpal tunel surgery on my right hand on Dec.11. so I have probably overused my left arm. I put on the quilted Carisa sleeve tonight. Don't know for sure if I should wear it with possible cellulitis? I am also getting over some type of cold virus. Thanks for your time!

HI. It is difficult to say the real reason for swelling. To develop lymph-edema after 3 years of nodes surgery is difficult to say( although it can). Have you got a swelling with elevated local temperature? Any malaise , fever? Has it got a throbbing pain and pain on movement ? If yes - it can be cellulitis. I would advise to consult a Doctor urgently if this is the same arm where surgery of lymph node removal was taken, as the lymphatics are already less to work.

<s>[INST] Can the redness on upper arm be due to celluitis? Nodes were removed because of breast cancer " : " I just noticed some redness on my upper arm, wondered if this could be celluitis? 26 nodes were removed in 2010 because breast cancer had spread into 14 of them. I was diagnosed with stage 3 estrogen receptor positive br. cancer in my left breast. I had carpal tunel surgery on my right hand on Dec.11. so I have probably overused my left arm. I put on the quilted Carisa sleeve tonight. Don't know for sure if I should wear it with possible cellulitis? I am also getting over some type of cold virus. Thanks for your time! [/INST] HI. It is difficult to say the real reason for swelling. To develop lymph-edema after 3 years of nodes surgery is difficult to say( although it can). Have you got a swelling with elevated local temperature? Any malaise , fever? Has it got a throbbing pain and pain on movement ? If yes - it can be cellulitis. I would advise to consult a Doctor urgently if this is the same arm where surgery of lymph node removal was taken, as the lymphatics are already less to work. </s>

What causes elevated liver enzymes, diarrhea and acidity?

hi i have had issues with elevated liver enzymes, i have had tons of tests and no clue! but i do have diareah and gas bad, theres also little tiny black specks about the size of salt grains in my stool, i did feel one and they are hard like sand grains. any idea what thay may be from?

Hi thanks for asking question...Certain gastroenteric problems like malabsorption syndrome by celiac disease can lead elevated liver enzymes.For that antibody detection or endoscopic biopsy needed....Get your stool examined for parasitic infection.If egg or trophozoites seen treated accordingly...USG done for detection of fatty liver and other intestinal problem...If no cause clear then colonoscopy with biopsy may need to rule out inflammatory bowel disease, polyp or any non specific colitis....Take care....Dr.Parth

<s>[INST] What causes elevated liver enzymes, diarrhea and acidity? " : " hi i have had issues with elevated liver enzymes, i have had tons of tests and no clue! but i do have diareah and gas bad, theres also little tiny black specks about the size of salt grains in my stool, i did feel one and they are hard like sand grains. any idea what thay may be from? [/INST] Hi thanks for asking question...Certain gastroenteric problems like malabsorption syndrome by celiac disease can lead elevated liver enzymes.For that antibody detection or endoscopic biopsy needed....Get your stool examined for parasitic infection.If egg or trophozoites seen treated accordingly...USG done for detection of fatty liver and other intestinal problem...If no cause clear then colonoscopy with biopsy may need to rule out inflammatory bowel disease, polyp or any non specific colitis....Take care....Dr.Parth </s>

Does swollen cheek with pain in cheek bone means it is broken?

I recently was playing basketball and I don t remember if I hit someones elbow or the basketball but between hitting my nose and my cheekbone it hurt at the time however my nose feels fine but my cheeck is swollen and when I have pressed on it does hurt, it also crackles. Does that mean its broken? The front of my teeth are also numb and have been for a couple of days now and I have some cause for worrying. The obvious is to go see a doctor I just wanted to know what I might be dealing with before I go thanks.

Hello,The symptoms seem to be related to an injury of the cheekbone. An X-ray is needed to investigate for a fracture. Meanwhile, I suggest using anti-inflammatory medications such as Acetaminophen to relieve the inflammation. I also recommend to use cold compresses at the painful site.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician

<s>[INST] Does swollen cheek with pain in cheek bone means it is broken? " : " I recently was playing basketball and I don t remember if I hit someones elbow or the basketball but between hitting my nose and my cheekbone it hurt at the time however my nose feels fine but my cheeck is swollen and when I have pressed on it does hurt, it also crackles. Does that mean its broken? The front of my teeth are also numb and have been for a couple of days now and I have some cause for worrying. The obvious is to go see a doctor I just wanted to know what I might be dealing with before I go thanks. [/INST] Hello,The symptoms seem to be related to an injury of the cheekbone. An X-ray is needed to investigate for a fracture. Meanwhile, I suggest using anti-inflammatory medications such as Acetaminophen to relieve the inflammation. I also recommend to use cold compresses at the painful site.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician </s>

Suggest treatment for testicular varicocele

Hi I had vericocles in my teaticles confirmed with ultrasound but since it was not that painful the eurologist I consulted did not prescribe any medication. However it has now reappeared and is very discomforting. Tell can it be treated with medicine ?

hello and regards.varicocele means testicular veins enlargement.it may affect your fertility.kindly consult your urologist.the treatment is varicoceletomy meaning surgical removal of the dilated veins.he will guide you in proper way.hope my answer would have helped you.

<s>[INST] Suggest treatment for testicular varicocele " : " Hi I had vericocles in my teaticles confirmed with ultrasound but since it was not that painful the eurologist I consulted did not prescribe any medication. However it has now reappeared and is very discomforting. Tell can it be treated with medicine ? [/INST] hello and regards.varicocele means testicular veins enlargement.it may affect your fertility.kindly consult your urologist.the treatment is varicoceletomy meaning surgical removal of the dilated veins.he will guide you in proper way.hope my answer would have helped you. </s>

What causes lumps in thigh after bruise is healed?

I got a bruise, about 8 in by 5 in on my inner thigh about three weeks ago. It's pretty much healed, just some discoloration on the edges, but there are two hard lumps where the rest of the bruise use to be. The lumps are very sensitive and even hurt without contact. Should I be concerned? Should I seek medical attention?

Hi,These will be hematomas. A hematoma is a collection of blood in the tissues following a bruise which then becomes firm as the blood clots and the surrounding tissues start to heal. It is not serious and will disappear but this may take a couple of weeks and in the meantime it may be tender. Paracetamol and ibuprofen will help. Regards,Dr K A Pottinger

<s>[INST] What causes lumps in thigh after bruise is healed? " : " I got a bruise, about 8 in by 5 in on my inner thigh about three weeks ago. It's pretty much healed, just some discoloration on the edges, but there are two hard lumps where the rest of the bruise use to be. The lumps are very sensitive and even hurt without contact. Should I be concerned? Should I seek medical attention? [/INST] Hi,These will be hematomas. A hematoma is a collection of blood in the tissues following a bruise which then becomes firm as the blood clots and the surrounding tissues start to heal. It is not serious and will disappear but this may take a couple of weeks and in the meantime it may be tender. Paracetamol and ibuprofen will help. Regards,Dr K A Pottinger </s>

Does chemotherapy cause bloody mucousy discharge?

Am undergoing chemotherapy for breast cancer. I have had 4 treatments of AC followed by 2 treatments of taxotere. I will have 7 more. The last two weeks I have been having diahrrea with bloody mucousy stools and when they are semiformed they look like raw ground beef. I have been having severe cramping in my lower intestines.

Hi,Thanks for writing in.Certain chemotherapy agents are toxic to the bowel and might cause undesired altered bowel symptoms. It is possible that you are having such a side effect due to your chemotherapy.Please consult your doctor and keep them informed of your altered stools and also get treated for the same. The cramping might also be for the same reason. Please do not wait any longer and discuss with your doctor immediately. In some cases changing the chemotherapy protocol and adding additional treatment medicine might be required to stop your symptoms and continue with treatment. Please do not worry.

<s>[INST] Does chemotherapy cause bloody mucousy discharge? " : " Am undergoing chemotherapy for breast cancer. I have had 4 treatments of AC followed by 2 treatments of taxotere. I will have 7 more. The last two weeks I have been having diahrrea with bloody mucousy stools and when they are semiformed they look like raw ground beef. I have been having severe cramping in my lower intestines. [/INST] Hi,Thanks for writing in.Certain chemotherapy agents are toxic to the bowel and might cause undesired altered bowel symptoms. It is possible that you are having such a side effect due to your chemotherapy.Please consult your doctor and keep them informed of your altered stools and also get treated for the same. The cramping might also be for the same reason. Please do not wait any longer and discuss with your doctor immediately. In some cases changing the chemotherapy protocol and adding additional treatment medicine might be required to stop your symptoms and continue with treatment. Please do not worry. </s>

Can taking Ramipril for BP cause sharp pains on left side of neck?

hello, i have been taking ramipril for bp for 4+ years. for the past three weeks now i have been having dizzy spells and sharp pains in the left side of my neck. could this be related to the ramipril? some info;- 38 yrs old, anxiety sufferer, smoker,

hi. I have read your question thoroughly.Regarding ramipril, yes it can cause dizzy spells owing to its blood pressure lowering effect, but it does not cause sharp pain in the neck.As you have been an anxiety sufferer and a smoker as well, the sharp pain in the neck is probably, either a PSYCHOSOMATIC PAIN which means that patient feels pain in the absence of any medical explaination and in the absence of physical and biochemical evidence, or it is a MUSCULOSKELETAL PAIN which means either a faulty sleeping position or a wrong exercising technique is causing it. the best way to proceed is as;1: To have regular blood pressure check ups to see if the it's the lower BP that is causing the dizzy spells. 2: To reduce smoking as much as possible which is helpful for the treatment of both Hypertension and anxiety disorder. 3: To have regular brisk walk and have healthy activities like exercising for half an hour a day that would help in reducing anxiety and ultimately will have pain alleviating effect. 4: To adopt a healthy diet, rich in vegetables, fruits, low fat content foods, fish and intermediate glycemic index foods that would speed up the treatment process alongside the other measures. I hope you find this helpful. regardsDr. Abdur Rehman Alozai

<s>[INST] Can taking Ramipril for BP cause sharp pains on left side of neck? " : " hello, i have been taking ramipril for bp for 4+ years. for the past three weeks now i have been having dizzy spells and sharp pains in the left side of my neck. could this be related to the ramipril? some info;- 38 yrs old, anxiety sufferer, smoker, [/INST] hi. I have read your question thoroughly.Regarding ramipril, yes it can cause dizzy spells owing to its blood pressure lowering effect, but it does not cause sharp pain in the neck.As you have been an anxiety sufferer and a smoker as well, the sharp pain in the neck is probably, either a PSYCHOSOMATIC PAIN which means that patient feels pain in the absence of any medical explaination and in the absence of physical and biochemical evidence, or it is a MUSCULOSKELETAL PAIN which means either a faulty sleeping position or a wrong exercising technique is causing it. the best way to proceed is as;1: To have regular blood pressure check ups to see if the it's the lower BP that is causing the dizzy spells. 2: To reduce smoking as much as possible which is helpful for the treatment of both Hypertension and anxiety disorder. 3: To have regular brisk walk and have healthy activities like exercising for half an hour a day that would help in reducing anxiety and ultimately will have pain alleviating effect. 4: To adopt a healthy diet, rich in vegetables, fruits, low fat content foods, fish and intermediate glycemic index foods that would speed up the treatment process alongside the other measures. I hope you find this helpful. regardsDr. Abdur Rehman Alozai </s>

What does red, sore tongue with white ring around it in a child mean?

My 4 year old daughter has been complaining about her tongue hurting this weekend. I took a look and found a sore that is red in the middle with a white ring around it on the side of her tongue on the underside. Should I take her to the dr (is it contagious or serious) or will it clear up on its own?

Thanks for your query, I have gone through your query.The red sore tongue with a white ring around it can be a geographic tongue or benign migratory glossitis. Usually this occurs following stress or nutritional deficiency. Nothing to be panic, you can give topical anesthetic and analgesics like lignocaine and choline salicylate respectively. If it is not subsiding in a week, then consult a pediatric dental surgeon and get it evaluated.I hope my answer will help you, take care.

<s>[INST] What does red, sore tongue with white ring around it in a child mean? " : " My 4 year old daughter has been complaining about her tongue hurting this weekend. I took a look and found a sore that is red in the middle with a white ring around it on the side of her tongue on the underside. Should I take her to the dr (is it contagious or serious) or will it clear up on its own? [/INST] Thanks for your query, I have gone through your query.The red sore tongue with a white ring around it can be a geographic tongue or benign migratory glossitis. Usually this occurs following stress or nutritional deficiency. Nothing to be panic, you can give topical anesthetic and analgesics like lignocaine and choline salicylate respectively. If it is not subsiding in a week, then consult a pediatric dental surgeon and get it evaluated.I hope my answer will help you, take care. </s>

Have persistent vaginal itching. Suggested no infection. pH imbalance in vagina. Will constant use of vagisil affect getting pregnant?

I have persistent vaginal itching since years. Consulted a gynaecologist he said there is no infection the itching is just because of ph imbalance in vagina. We are planning for a baby now, dont know the regular use of vagisil anti itch cream is safe or not. I am very uncomfortable all day long if I dont use the cream. I feel irritated and odd. Please suggest something.

hi.. you have dryness and itching in vagina, and your doctor has diagnosed has hormonal imbalance.. but this imbalance needs to be corrected before you plan for pregnancy.. see your gynaecologist for this... no drug should be used other than advised or prescribed by the obstetrician during this period.. all the very best..

<s>[INST] Have persistent vaginal itching. Suggested no infection. pH imbalance in vagina. Will constant use of vagisil affect getting pregnant? " : " I have persistent vaginal itching since years. Consulted a gynaecologist he said there is no infection the itching is just because of ph imbalance in vagina. We are planning for a baby now, dont know the regular use of vagisil anti itch cream is safe or not. I am very uncomfortable all day long if I dont use the cream. I feel irritated and odd. Please suggest something. [/INST] hi.. you have dryness and itching in vagina, and your doctor has diagnosed has hormonal imbalance.. but this imbalance needs to be corrected before you plan for pregnancy.. see your gynaecologist for this... no drug should be used other than advised or prescribed by the obstetrician during this period.. all the very best.. </s>

How to treat toenail injury in a child?

My 5 year old s foot was caught on a door and the door ripped off his big toe nail. His nail is bent backwards but still attached on his toe. I put some neosporin spray on his toe and wrapped it with bandaid and ace wrap. Can i wait till tomorrow to bring him to the doctor?

Hi, If the bleeding has stopped and the kid is not in severe pain I think you can wait until morning. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology

<s>[INST] How to treat toenail injury in a child? " : " My 5 year old s foot was caught on a door and the door ripped off his big toe nail. His nail is bent backwards but still attached on his toe. I put some neosporin spray on his toe and wrapped it with bandaid and ace wrap. Can i wait till tomorrow to bring him to the doctor? [/INST] Hi, If the bleeding has stopped and the kid is not in severe pain I think you can wait until morning. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology </s>

Are there any foods i can consume to build up my immune system,and any advice to battle the BK virus with rejection?

I am a kidney transplant patient and having issues with the BK virus. I have experienced rejection at first and was treated with steroid regimen about 3 different occasions. Then the BK virus showed high counts in my lab results. My nephrologist tried to adjust my immune suppressant medications, but my BK readings were still high. My doctor told me he can treat for rejection and he can treat for the BK virus, but he does not know how to treat for both occurring at the same time. Any suggestions? I have had my new kidney for 4 1/2 years now. In this period of time, my creatnine level has gone from 1.0 to 3.7.Are there any foods I can consume to build up my immune system, and any advice to battle the BK virus with rejection? I am a 56 yr old male and also have diabetes and high blood pressure, my blood sugar is under control and blood pressure readings are normal.

HiThanks for your query.If you have both rejection and a BK Virus infection then the treatment can be tricky. Some patients in a similar situation have shown benefits with Iv Immunoglobulins (IVIG).I would also recommend a kidney biopsy if its not already done.Unfortunately there is no way to treat BK virus by making modifications in your diet.Hope this helpsGood luck

<s>[INST] Are there any foods i can consume to build up my immune system,and any advice to battle the BK virus with rejection? " : " I am a kidney transplant patient and having issues with the BK virus. I have experienced rejection at first and was treated with steroid regimen about 3 different occasions. Then the BK virus showed high counts in my lab results. My nephrologist tried to adjust my immune suppressant medications, but my BK readings were still high. My doctor told me he can treat for rejection and he can treat for the BK virus, but he does not know how to treat for both occurring at the same time. Any suggestions? I have had my new kidney for 4 1/2 years now. In this period of time, my creatnine level has gone from 1.0 to 3.7.Are there any foods I can consume to build up my immune system, and any advice to battle the BK virus with rejection? I am a 56 yr old male and also have diabetes and high blood pressure, my blood sugar is under control and blood pressure readings are normal. [/INST] HiThanks for your query.If you have both rejection and a BK Virus infection then the treatment can be tricky. Some patients in a similar situation have shown benefits with Iv Immunoglobulins (IVIG).I would also recommend a kidney biopsy if its not already done.Unfortunately there is no way to treat BK virus by making modifications in your diet.Hope this helpsGood luck </s>

What is the cause for a strange smell in my urine and rashes in my arm pit?

Over the past few weeks I have noticed a strange odor in my urine. I can sometimes smell this odor in my nose without urinating. At the same time I seem to have developed 2 small rash like areas under my left arm pit that does not respond to any local creams. I am otherwise a healthy 42 year old male that rarely drinks and does not smoke. Any idea what is going on?

Hi,It appears from your query that your mother is suffering from the condition medically called as "bromhidrosis" with fungal infection at arm pits.Our body contains innumerable bacterias allover the body known as "normal flora". On the skin especially these bacterias breakdown the compounds present in the sweat. Because of these bacterias a typical body odor is produced in everybody.Now in certain persons the eating habit and diet plays a vital role in body odor. If any body is eating lot of garlic, onions or related food then it is quite common that the chemicals in these are secreted in sweat. So there is different pungent smell of the sweat coming out of pores.Maintain good body hygiene by bathing two times. Antiperspirant powders can be used frequently. Stay away from hot and humid climate. wear cotton clothes changed two times daily.Apply an anti-fungal cream containing clotirmazole in it to reduce the fugal infection at arm pit area.Take care.

<s>[INST] What is the cause for a strange smell in my urine and rashes in my arm pit? " : " Over the past few weeks I have noticed a strange odor in my urine. I can sometimes smell this odor in my nose without urinating. At the same time I seem to have developed 2 small rash like areas under my left arm pit that does not respond to any local creams. I am otherwise a healthy 42 year old male that rarely drinks and does not smoke. Any idea what is going on? [/INST] Hi,It appears from your query that your mother is suffering from the condition medically called as "bromhidrosis" with fungal infection at arm pits.Our body contains innumerable bacterias allover the body known as "normal flora". On the skin especially these bacterias breakdown the compounds present in the sweat. Because of these bacterias a typical body odor is produced in everybody.Now in certain persons the eating habit and diet plays a vital role in body odor. If any body is eating lot of garlic, onions or related food then it is quite common that the chemicals in these are secreted in sweat. So there is different pungent smell of the sweat coming out of pores.Maintain good body hygiene by bathing two times. Antiperspirant powders can be used frequently. Stay away from hot and humid climate. wear cotton clothes changed two times daily.Apply an anti-fungal cream containing clotirmazole in it to reduce the fugal infection at arm pit area.Take care. </s>

Suggest ways to get off masturbation, fear, difficulty to speak with low self esteem

namskar iam 33 years old living in chiplun maharashtra when i was 12 years old i keep sex relation with same age boy that effect from that time till now i am doing hastmaithun ,i cant speak properly words from words strat r i am very frieghtened whenever i drive car i very in tens so wht remedies on aboe cause

DearWe understand your concernsI went through your details. I suggest you not to worry much. You must understand that the masturbation is normal and cannot harm your health if practiced moderately. At your age, Masturbation thrice or four times a week can be called moderate and cannot harm your health. But anxiety about the masturbation habit is different. That anxiety can harm your mental health. I do think that the pronunciation problem could somehow associated with your anxiety. Do consult a psychologist.If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.

<s>[INST] Suggest ways to get off masturbation, fear, difficulty to speak with low self esteem " : " namskar iam 33 years old living in chiplun maharashtra when i was 12 years old i keep sex relation with same age boy that effect from that time till now i am doing hastmaithun ,i cant speak properly words from words strat r i am very frieghtened whenever i drive car i very in tens so wht remedies on aboe cause [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. You must understand that the masturbation is normal and cannot harm your health if practiced moderately. At your age, Masturbation thrice or four times a week can be called moderate and cannot harm your health. But anxiety about the masturbation habit is different. That anxiety can harm your mental health. I do think that the pronunciation problem could somehow associated with your anxiety. Do consult a psychologist.If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. </s>

How to increase blood platelet count?

My husband has been taking Plavix and baby aspirin for four years. He had stents put in in 2005 and 2010. In 2010 his platelet count began decreasing. Right now it is about 74,000. I am concerned. We have seen a hemotologist and so far just testing his blood and we have stopped taking Plavix.

Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Do not stop plavix.2. Platelet count of 74000 is not to be worried about. Any count above 20000-30000 is good.3. After stent, need to continue with plavix and baby aspirin. Otherwise risk of thrombus formation is high.4. Continue with Vit B12 supplements, it could help in improving platelet count. Continue Plavix, not to worry.Hope it helps.Any further queries, happy to help again.

<s>[INST] How to increase blood platelet count? " : " My husband has been taking Plavix and baby aspirin for four years. He had stents put in in 2005 and 2010. In 2010 his platelet count began decreasing. Right now it is about 74,000. I am concerned. We have seen a hemotologist and so far just testing his blood and we have stopped taking Plavix. [/INST] Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Do not stop plavix.2. Platelet count of 74000 is not to be worried about. Any count above 20000-30000 is good.3. After stent, need to continue with plavix and baby aspirin. Otherwise risk of thrombus formation is high.4. Continue with Vit B12 supplements, it could help in improving platelet count. Continue Plavix, not to worry.Hope it helps.Any further queries, happy to help again. </s>

Suggest treatment for swollen and painful knee

I got hit with a ball on my inner knee.I went to the hospital and they said it was sprained..a month later Ihad to get physical therapy ... my knee is very larger then the other.. I have a little ball on my knee that I can move and it seems to grow...what can it be?

HelloIt is difficult to diagnose accurately without physical examination. Some times such condition arises after physical trauma. Muscle of affected area becomes hard. I would suggest you to consult any physician for proper diagnosis. Meanwhile you can start with Homeopathic treatment . Medicine helps to treat muscle injury. You can start with Arnica 30 6 pills twice in dayRhus tox 30 6 pills twice in day This will help to solve your problem Take medicine for 15 days Thanks Dr Ratnesh

<s>[INST] Suggest treatment for swollen and painful knee " : " I got hit with a ball on my inner knee.I went to the hospital and they said it was sprained..a month later Ihad to get physical therapy ... my knee is very larger then the other.. I have a little ball on my knee that I can move and it seems to grow...what can it be? [/INST] HelloIt is difficult to diagnose accurately without physical examination. Some times such condition arises after physical trauma. Muscle of affected area becomes hard. I would suggest you to consult any physician for proper diagnosis. Meanwhile you can start with Homeopathic treatment . Medicine helps to treat muscle injury. You can start with Arnica 30 6 pills twice in dayRhus tox 30 6 pills twice in day This will help to solve your problem Take medicine for 15 days Thanks Dr Ratnesh </s>

Q. What could cause frequent irregular periods resulting in anemia and weight loss?

Hello doctor, I am a teenager and I got periods five and a half years back. In the start they were irregular. I took medicines for 21 days and I got my periods after a month but as soon as I left them after three months my periods became irregular. Then for some time I did not take any medicine, but still, my periods were irregular. I used to get two to three menses in a month. I got very sick and anemic. I stayed in the hospital for three days where I was given intravenous iron treatment, three bottles. I had regular periods after that for a year or less. But my doctor told me to consult a specialist. After that, they were again irregular and then I had them for five months without stopping. I have taken many medicines but all in vain. It has been five years and my periods are irregular. Still, I have got two menses in this month. I have become so skinny and my weight has not increased for the last five years. I will be very grateful if you suggest me something to get better. My ultrasound results do not have any problem.

Hello. I understand you are deeply troubled by your menstrual cycles. Heavy and frequent bleeding as you suggested will cause anemia and weakness and needs to be treated. On the other hand, if periods are infrequent and less flow, you can treat it without medications too. In your case, your BMI (body mass index) is very low which is not healthy at all. First, you need to eat healthily. Include lots of proteins and lots of iron-rich foods in your diet. Secondly, the cause of this bleeding is a hormonal imbalance which usually gets better as you move on to your 20s. Meanwhile, you will have to take hormonal tablets regularly for at least one to two years at a go without changing the medications. I hope this helps.

<s>[INST] Q. What could cause frequent irregular periods resulting in anemia and weight loss? " : " Hello doctor, I am a teenager and I got periods five and a half years back. In the start they were irregular. I took medicines for 21 days and I got my periods after a month but as soon as I left them after three months my periods became irregular. Then for some time I did not take any medicine, but still, my periods were irregular. I used to get two to three menses in a month. I got very sick and anemic. I stayed in the hospital for three days where I was given intravenous iron treatment, three bottles. I had regular periods after that for a year or less. But my doctor told me to consult a specialist. After that, they were again irregular and then I had them for five months without stopping. I have taken many medicines but all in vain. It has been five years and my periods are irregular. Still, I have got two menses in this month. I have become so skinny and my weight has not increased for the last five years. I will be very grateful if you suggest me something to get better. My ultrasound results do not have any problem. [/INST] Hello. I understand you are deeply troubled by your menstrual cycles. Heavy and frequent bleeding as you suggested will cause anemia and weakness and needs to be treated. On the other hand, if periods are infrequent and less flow, you can treat it without medications too. In your case, your BMI (body mass index) is very low which is not healthy at all. First, you need to eat healthily. Include lots of proteins and lots of iron-rich foods in your diet. Secondly, the cause of this bleeding is a hormonal imbalance which usually gets better as you move on to your 20s. Meanwhile, you will have to take hormonal tablets regularly for at least one to two years at a go without changing the medications. I hope this helps. </s>

Q. Are my dark nails normal?

Hello doctor,These are my nail picture. Are they normal? I think they are little dark. My mom says I had this kind of nails from childhood. I am physically active gymmer for last two years. I play cricket at the professional level. Just want to confirm and get peace of mind. I had full body blood test last year and all went alright. My hemoglobin is 16.

Hi. I saw your pictures (attachment removed to protect patient identity). Nails are absolutely normal with minimal pitting in few nails which is considered as normal physiological changes in many individuals and dryness in proximal nail folds in few nails, for which you can try Xerina moisturizer (Glycolic acid, Urea, etc.) twice daily after bath on affected nails. No further evaluation is required. For more information consult a dermatologist online -->

<s>[INST] Q. Are my dark nails normal? " : " Hello doctor,These are my nail picture. Are they normal? I think they are little dark. My mom says I had this kind of nails from childhood. I am physically active gymmer for last two years. I play cricket at the professional level. Just want to confirm and get peace of mind. I had full body blood test last year and all went alright. My hemoglobin is 16. [/INST] Hi. I saw your pictures (attachment removed to protect patient identity). Nails are absolutely normal with minimal pitting in few nails which is considered as normal physiological changes in many individuals and dryness in proximal nail folds in few nails, for which you can try Xerina moisturizer (Glycolic acid, Urea, etc.) twice daily after bath on affected nails. No further evaluation is required. For more information consult a dermatologist online --> </s>

What is the treatment for epilepsy to 7 year old?

My daughter is 7 years old. She is having epilepsy sinceshe was 2 yrs old. She took 3yrs medicine called Valpharine. During those 3 yrs she was never attacked.Then Doctor stopped medicine. Againshe had mild attack twice in last 6 months. Doctor has started again medicine.

Hi,Welcome to HCM,I am sorry to hear about your child's condition and setback. But I would like to reassure that the condition is not too bad and out of control. The good things is that she was under control with just one drug and the attacks are not many even after stopping. The drug your doctor has started is a very good drug. I would suggest you to continue the same and what you must understand is that some children can take really long until there seizures get under control. So be patient and carry on what you have been doing. That's the best you child can get now. Take care.

<s>[INST] What is the treatment for epilepsy to 7 year old? " : " My daughter is 7 years old. She is having epilepsy sinceshe was 2 yrs old. She took 3yrs medicine called Valpharine. During those 3 yrs she was never attacked.Then Doctor stopped medicine. Againshe had mild attack twice in last 6 months. Doctor has started again medicine. [/INST] Hi,Welcome to HCM,I am sorry to hear about your child's condition and setback. But I would like to reassure that the condition is not too bad and out of control. The good things is that she was under control with just one drug and the attacks are not many even after stopping. The drug your doctor has started is a very good drug. I would suggest you to continue the same and what you must understand is that some children can take really long until there seizures get under control. So be patient and carry on what you have been doing. That's the best you child can get now. Take care. </s>

Q. My son has an urge to smoke after his bipolar drugs are changed. What to do?

Hello doctor, My son is a bipolar patient, he is not taking drinks, and smoking mean while for the last four months. He is under treatment for bipolar disorder. Now, after four months of treatment, we put him to college after the gap of two years, but he just went for a week and not going now. He was on Quitiapine 300, but he got angry so the doctor increased his medication to Quitiapine SR 500 and Oxetol 300 twice. I am too worried after the change in the medication my son has an urge for smoking.

Hello. From your description, I understand that your son has developed bipolar disorder or psychosis in the background of substance misuse. He is on medications (Qutiapine and Oxetal), which are mood stabilizers and antipsychotic medicines, which will be helpful to treat your son's condition. Additionally, your son needs to have psychological therapy support to manage his mental health condition and prevent relapse of drug use. Therapy and motivational interviewing will help to treat urge to have cigarettes and other drugs. Your son will need continuing support in his journey of recovery. Encourage him to eat healthily, exercise regularly, see helpful friends, family, and keep himself occupied positively. Continue regular reviews with your doctor and treating team.

<s>[INST] Q. My son has an urge to smoke after his bipolar drugs are changed. What to do? " : " Hello doctor, My son is a bipolar patient, he is not taking drinks, and smoking mean while for the last four months. He is under treatment for bipolar disorder. Now, after four months of treatment, we put him to college after the gap of two years, but he just went for a week and not going now. He was on Quitiapine 300, but he got angry so the doctor increased his medication to Quitiapine SR 500 and Oxetol 300 twice. I am too worried after the change in the medication my son has an urge for smoking. [/INST] Hello. From your description, I understand that your son has developed bipolar disorder or psychosis in the background of substance misuse. He is on medications (Qutiapine and Oxetal), which are mood stabilizers and antipsychotic medicines, which will be helpful to treat your son's condition. Additionally, your son needs to have psychological therapy support to manage his mental health condition and prevent relapse of drug use. Therapy and motivational interviewing will help to treat urge to have cigarettes and other drugs. Your son will need continuing support in his journey of recovery. Encourage him to eat healthily, exercise regularly, see helpful friends, family, and keep himself occupied positively. Continue regular reviews with your doctor and treating team. </s>

What is the cause for my severe one sided abdominal pain that moves to my thighs ?

I am a 33 yr old female .I have lower right sider abdominal pain which goes toward my inner thie since last 4-5 month also same sided back pain .month ago my laproscopicappendectomy is done but the pain haven t stopped infact increased(my abd ct andsonography and bld test are normal) pl. advize..it is kin of very much of tension coming on my nerves also my stomch feel very heavy and give me pain more when i m standing and walking although it is continuous even after taking pain killer .some relief i there only when i lie down. also i have motions 3-4 time a day i m really worried and feel like misguided .(what is this exactly ibs, or nerve or anything else)I would like to add some more points which according to me must be considered as I don’t want to keep a single point to be neglected, yes this is my life and I have to be really concerned about it at least now looking into the past history. I had a small accident before 2 yrs back where I was collapsed from nearly 2ft high platform unknowingly ,that time I had ligament rupture in my right foot and ankle after 2 month of rest and physiotherapy I started walking gradually. I am really worried and want to seriously look into not only for present issue but for the future.

dear snehal first of all better consult your laproscopic surgeon who had done operation of your appendix to rule out no issues with that secondly as per your symptoms this could be chronic dysentery where pain and stool are very common and never diagnosed under any sonography better go for your stool examination about the accident if that accident injured your abdominal organs then and only then you need to worry about that accident otherwise just forget it one more thing i need to clear out is just check your urine if there is any burning or pain or hot feeling while passing the urine is there then it could be stone inside your kidney or ureter or bladder which might be very tiny in size so could not rule out during USG better go with urine and stool examination and come to us with the reports bye tc hope you got your query solved for more queries visit - www.homeotouch.com mail- drpremalshah@gmail.com call- +91 98254 44736

<s>[INST] What is the cause for my severe one sided abdominal pain that moves to my thighs ? " : " I am a 33 yr old female .I have lower right sider abdominal pain which goes toward my inner thie since last 4-5 month also same sided back pain .month ago my laproscopicappendectomy is done but the pain haven t stopped infact increased(my abd ct andsonography and bld test are normal) pl. advize..it is kin of very much of tension coming on my nerves also my stomch feel very heavy and give me pain more when i m standing and walking although it is continuous even after taking pain killer .some relief i there only when i lie down. also i have motions 3-4 time a day i m really worried and feel like misguided .(what is this exactly ibs, or nerve or anything else)I would like to add some more points which according to me must be considered as I don’t want to keep a single point to be neglected, yes this is my life and I have to be really concerned about it at least now looking into the past history. I had a small accident before 2 yrs back where I was collapsed from nearly 2ft high platform unknowingly ,that time I had ligament rupture in my right foot and ankle after 2 month of rest and physiotherapy I started walking gradually. I am really worried and want to seriously look into not only for present issue but for the future. [/INST] dear snehal first of all better consult your laproscopic surgeon who had done operation of your appendix to rule out no issues with that secondly as per your symptoms this could be chronic dysentery where pain and stool are very common and never diagnosed under any sonography better go for your stool examination about the accident if that accident injured your abdominal organs then and only then you need to worry about that accident otherwise just forget it one more thing i need to clear out is just check your urine if there is any burning or pain or hot feeling while passing the urine is there then it could be stone inside your kidney or ureter or bladder which might be very tiny in size so could not rule out during USG better go with urine and stool examination and come to us with the reports bye tc hope you got your query solved for more queries visit - www.homeotouch.com mail- drpremalshah@gmail.com call- +91 98254 44736 </s>

What causes severe pain on tongue while on metal bands?

Hi, so I've had braces for about 6 months now.Around my 4 back teeth I have these metal bands that wrap completely around, keeping my wire in I think. Anyways,If I touch my tongue to my back bottom tooth, even the slightest, I get a severe sharp pain. What could be wrong?

Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain a sharp pain on touching the teeth when you have your braces placed is commonly due to movement of the teeth that leads to transient inflammation of the tissues during the movement of the teeth..It can initially cause severe pain during chewing even softest foods and even on touching the teeth..Gradually as the treatment will progress and the teeth will move to the appropriate position, gradually the pain will subside..I would therefore suggest you to apply numbing gel containing Lignocaine over the gums in that area.Take anti-inflammatory painkillers like Ibuprofen..You should take semisolid and very soft foods like rice, bread etc..Hope this helps..Regards..

<s>[INST] What causes severe pain on tongue while on metal bands? " : " Hi, so I've had braces for about 6 months now.Around my 4 back teeth I have these metal bands that wrap completely around, keeping my wire in I think. Anyways,If I touch my tongue to my back bottom tooth, even the slightest, I get a severe sharp pain. What could be wrong? [/INST] Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain a sharp pain on touching the teeth when you have your braces placed is commonly due to movement of the teeth that leads to transient inflammation of the tissues during the movement of the teeth..It can initially cause severe pain during chewing even softest foods and even on touching the teeth..Gradually as the treatment will progress and the teeth will move to the appropriate position, gradually the pain will subside..I would therefore suggest you to apply numbing gel containing Lignocaine over the gums in that area.Take anti-inflammatory painkillers like Ibuprofen..You should take semisolid and very soft foods like rice, bread etc..Hope this helps..Regards.. </s>

After removal of lipoma from spine why am I having soreness ?

had limpoma removed from spine area between shoulder blades. now getting soreness from an area just a bit away. feel tingerly at times

Hello. Soreness in the near peripheral area surrounding the incision where the surgical procedure was done to remove the lipoma can be present as reciprocate reaction to the manipulation of the tissues of that area during the surgery. This will subside on its own within some days time. If there is associated itchiness or other symptoms then consult with your physician about this. Regards.

<s>[INST] After removal of lipoma from spine why am I having soreness ? " : " had limpoma removed from spine area between shoulder blades. now getting soreness from an area just a bit away. feel tingerly at times [/INST] Hello. Soreness in the near peripheral area surrounding the incision where the surgical procedure was done to remove the lipoma can be present as reciprocate reaction to the manipulation of the tissues of that area during the surgery. This will subside on its own within some days time. If there is associated itchiness or other symptoms then consult with your physician about this. Regards. </s>

Q. Can I use health supplement for fatigue?

Hi doctor, I have fatigue issues. Can you suggest a health supplement. I was thinking of using Amway Nutrilite Siberian Ginseng With Ginkgo Biloba. Further I am currently having vitamin B12 and Vitamin D deficiency for which I am using specific supplement as suggested by my physician which includes Mecobalamin 1500 mcg and Cholecalciferol granules in addition to spending some time in sun. I further wanted to know whether Amway Nutrilite Siberian Ginseng With Ginkgo Biloba will react with any of the current medication. Also, I have attached my latest blood test reports.

Hi. I appreciate your efforts for uploading the laboratory reports (attachment removed to protect patient identity). 1. You are suffering from fatigue syndrome and the reason for that is you have low vitamin and nutrient levels, deranged liver functions (although little one), high cholesterol and deranged lipid profile. 2. Yes, you may use the Amway product. It is a good brand for dermatological and dietary supplements. But there is little to no research available from third party or independent unbiased researchers. So, the safety of dietary products and other drug interactions with your other medications are not much documented. 3. Your supplements are good for vitamins. 4. You have to lower your weight, increase physical activity and have to keep a check on your cholesterol levels to keep in normal range. 5. Try diet modifications too. If these things do not work I will suggest then to start some lipid lowering medicine like statin. 6. Avoid alcohol and smoking if you do. It is hazardous for your liver which already is not working good. 1. HbSAg (hepatitis B surface antigen) and Anti-HCV (human papillomavirus) both by ELISA (enzyme-linked immunosorbent assay). 2. Ultrasound abdomen complete. 1. Take capsule SeaMega for fatigue and your cholesterol. 2. Take Salmon fish in food. Revert back with the laboratory reports to an internal medicine physician online.--->

<s>[INST] Q. Can I use health supplement for fatigue? " : " Hi doctor, I have fatigue issues. Can you suggest a health supplement. I was thinking of using Amway Nutrilite Siberian Ginseng With Ginkgo Biloba. Further I am currently having vitamin B12 and Vitamin D deficiency for which I am using specific supplement as suggested by my physician which includes Mecobalamin 1500 mcg and Cholecalciferol granules in addition to spending some time in sun. I further wanted to know whether Amway Nutrilite Siberian Ginseng With Ginkgo Biloba will react with any of the current medication. Also, I have attached my latest blood test reports. [/INST] Hi. I appreciate your efforts for uploading the laboratory reports (attachment removed to protect patient identity). 1. You are suffering from fatigue syndrome and the reason for that is you have low vitamin and nutrient levels, deranged liver functions (although little one), high cholesterol and deranged lipid profile. 2. Yes, you may use the Amway product. It is a good brand for dermatological and dietary supplements. But there is little to no research available from third party or independent unbiased researchers. So, the safety of dietary products and other drug interactions with your other medications are not much documented. 3. Your supplements are good for vitamins. 4. You have to lower your weight, increase physical activity and have to keep a check on your cholesterol levels to keep in normal range. 5. Try diet modifications too. If these things do not work I will suggest then to start some lipid lowering medicine like statin. 6. Avoid alcohol and smoking if you do. It is hazardous for your liver which already is not working good. 1. HbSAg (hepatitis B surface antigen) and Anti-HCV (human papillomavirus) both by ELISA (enzyme-linked immunosorbent assay). 2. Ultrasound abdomen complete. 1. Take capsule SeaMega for fatigue and your cholesterol. 2. Take Salmon fish in food. Revert back with the laboratory reports to an internal medicine physician online.---> </s>

How to treat manic disorder bipolar disease?

Sir my uncle is diagnosed manic disorder bipolar disease . Onset of symptoms on 31-03-14 and diagnosed on 04-04-14 in psychetric hospital hoshiarpur by dr. Baljeet saini. He is admitted in hospital on 04-04-14 and today 07-07-14 he discharged . I feel some relif in health like agresiveness, voilent behaiviour but he still have some symptoms. Doctor yold me it will be cure in 7-15 days because of acute onset. Pt has no past history of same disease, lts frst time happen. He also not having any addiction of drugs and alcohal. He is a businessman and political person may be he takes some tension regarding these and get dipreesed before this onset he is good and doing all his work well. So i wants ur sugession that is it curable or not? Is he does his work well as past or not? . Pls give me best suggession.

Hi,I read your query and can understand your concern about your uncle. You have mentioned that your uncle was diagnosed with manic episode and it was only the first episode ever. It would have been helpful if you would have mentioned his age and symptoms other than aggressiveness. Your uncle being on treatment and improving is a good sign and there is a very high chance that he will recover completely. However, his medications must be continued for months even after he is fully recovered. If it was a first episode illness, and there is no family history, its very difficult to say whether this will happen again or not. Making sure that he continues the treatment will certainly decrease this probability.Hope I was able to help you. Best wishes.

<s>[INST] How to treat manic disorder bipolar disease? " : " Sir my uncle is diagnosed manic disorder bipolar disease . Onset of symptoms on 31-03-14 and diagnosed on 04-04-14 in psychetric hospital hoshiarpur by dr. Baljeet saini. He is admitted in hospital on 04-04-14 and today 07-07-14 he discharged . I feel some relif in health like agresiveness, voilent behaiviour but he still have some symptoms. Doctor yold me it will be cure in 7-15 days because of acute onset. Pt has no past history of same disease, lts frst time happen. He also not having any addiction of drugs and alcohal. He is a businessman and political person may be he takes some tension regarding these and get dipreesed before this onset he is good and doing all his work well. So i wants ur sugession that is it curable or not? Is he does his work well as past or not? . Pls give me best suggession. [/INST] Hi,I read your query and can understand your concern about your uncle. You have mentioned that your uncle was diagnosed with manic episode and it was only the first episode ever. It would have been helpful if you would have mentioned his age and symptoms other than aggressiveness. Your uncle being on treatment and improving is a good sign and there is a very high chance that he will recover completely. However, his medications must be continued for months even after he is fully recovered. If it was a first episode illness, and there is no family history, its very difficult to say whether this will happen again or not. Making sure that he continues the treatment will certainly decrease this probability.Hope I was able to help you. Best wishes. </s>

Why does my leg hurt so much at night?

Hi had car accident truck hit use back side of car went to doctor had MRI they saw 10 hernia was cause. By the accidentit hurts taking pain pills my left leg hearts slot at night have truble sleeping cause my feet feels like I am gotng to. Have crammed on my feet have to be moving them until I go to sleep

Hello, The pain in the legs that you are having can be due to a muscle spasm or due to a nerve root compression due to a herniated disc. MRI scan can help in the proper diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon

<s>[INST] Why does my leg hurt so much at night? " : " Hi had car accident truck hit use back side of car went to doctor had MRI they saw 10 hernia was cause. By the accidentit hurts taking pain pills my left leg hearts slot at night have truble sleeping cause my feet feels like I am gotng to. Have crammed on my feet have to be moving them until I go to sleep [/INST] Hello, The pain in the legs that you are having can be due to a muscle spasm or due to a nerve root compression due to a herniated disc. MRI scan can help in the proper diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon </s>

What causes tiny blisters on the leg with pus oozing in a COPD suffering patient?

i Was recently diagnosed with COPD have been using neublizer treatments 2 x's day. Recently developed lower leg extremity with little tiny blisters that are oozing.Not working at the moment, I'm sorry, won't be able to proceed with the fee. Thank you for your time.

thanks for your question i completely understand your question it seems two of the diseases are different. these blisters do not occur in copd not they seem like , side effect of any drug.in copd patients there is hyper pigmentation of knees and elbows and pressure sores over the knees and elbows due to sitting in same position for quite a long time u need to see a dermatologist thanks feel free to ask more questions may god bless you with good health

<s>[INST] What causes tiny blisters on the leg with pus oozing in a COPD suffering patient? " : " i Was recently diagnosed with COPD have been using neublizer treatments 2 x's day. Recently developed lower leg extremity with little tiny blisters that are oozing.Not working at the moment, I'm sorry, won't be able to proceed with the fee. Thank you for your time. [/INST] thanks for your question i completely understand your question it seems two of the diseases are different. these blisters do not occur in copd not they seem like , side effect of any drug.in copd patients there is hyper pigmentation of knees and elbows and pressure sores over the knees and elbows due to sitting in same position for quite a long time u need to see a dermatologist thanks feel free to ask more questions may god bless you with good health </s>

How does the pregnancy test result vary in two days interval?

Hello, I was at the emerge on May 1st and had a urine pregnancy test as it came back negative, on May 4th i did two over the counter test one resulted with two lines (pregnant) and the othe other clearblue test told me positive 3 plus??? how far along can I be with a negative test two days prior??

HAI WELCOME TO HCM IMPLANTATION OF EMBRYO TAKE 14 DAYS FROM OVULATION AND HCG PRODUCTION.IT IS POSSIBLE FOR AN POSITIVE TEST AFTER NEGATIVE TEST WHICH IS DUE TO HCG PRODUCTION OF PLACENTA BY AN DEVELOPING EMBRYO.TAKE FOLIC ACID REGULARLY.PELVIC SCAN WILL REVEAL FOETAL POLE WITH HEARTBEAT BY 6,5 WEEKS.

<s>[INST] How does the pregnancy test result vary in two days interval? " : " Hello, I was at the emerge on May 1st and had a urine pregnancy test as it came back negative, on May 4th i did two over the counter test one resulted with two lines (pregnant) and the othe other clearblue test told me positive 3 plus??? how far along can I be with a negative test two days prior?? [/INST] HAI WELCOME TO HCM IMPLANTATION OF EMBRYO TAKE 14 DAYS FROM OVULATION AND HCG PRODUCTION.IT IS POSSIBLE FOR AN POSITIVE TEST AFTER NEGATIVE TEST WHICH IS DUE TO HCG PRODUCTION OF PLACENTA BY AN DEVELOPING EMBRYO.TAKE FOLIC ACID REGULARLY.PELVIC SCAN WILL REVEAL FOETAL POLE WITH HEARTBEAT BY 6,5 WEEKS. </s>

Back pain, pain under shoulder blades and near spine, couple of hard lumps found. Should be concerned ?

i have what I have always refered to as back pain , under my shoulder blades and near my spine , my daughter offered to give me a massage and felt a couple of hard lumps and when pressed hurt. However after the massage the paid reduced and the lumps moved - should i be concerned i am nearly 50 and have always assumped it was an age related thing. thanks

Hai, Thanks for writing in. Seems you are suffering from spondylosis of spine. Spondylotic pain can radiate up / down your spine or around shoulder blades or even to your limbs. Those lumps are nothing but spastic muscles caused due to pain. I would suggest you to get your spine examined by your doctor. He might order for an Xray or if needed anMRI of your spine after doing relevant clinical examination. Usually such lumps get resolved with physiotherapy, but may recur if the cause for back pain is not treated properly. Till then take rest on hard surface, avoid pillows, hot packs locally and analgesics/muscle relaxants might help you relieve the pain and spasm. Get well soon. Regards.

<s>[INST] Back pain, pain under shoulder blades and near spine, couple of hard lumps found. Should be concerned ? " : " i have what I have always refered to as back pain , under my shoulder blades and near my spine , my daughter offered to give me a massage and felt a couple of hard lumps and when pressed hurt. However after the massage the paid reduced and the lumps moved - should i be concerned i am nearly 50 and have always assumped it was an age related thing. thanks [/INST] Hai, Thanks for writing in. Seems you are suffering from spondylosis of spine. Spondylotic pain can radiate up / down your spine or around shoulder blades or even to your limbs. Those lumps are nothing but spastic muscles caused due to pain. I would suggest you to get your spine examined by your doctor. He might order for an Xray or if needed anMRI of your spine after doing relevant clinical examination. Usually such lumps get resolved with physiotherapy, but may recur if the cause for back pain is not treated properly. Till then take rest on hard surface, avoid pillows, hot packs locally and analgesics/muscle relaxants might help you relieve the pain and spasm. Get well soon. Regards. </s>

What causes red, painful bump on foreskin?

i have a small bump on my foreskin near the vein for a few months, 1 day the bump swelled and the area was red and painful. a few days later, the red painful bump was leaking what looked like pus. so i burst it. out came the pus and blood. i left it to scab for a few days. and then it was leaking pus again. so i applied pressure again and now there are 2 small yellow/white dots on the bump. what is happening doctor?

Hi, If you had any unprotected sex, it can be a sexually transmitted infection. If not it can be due to acne or abscess. A local antibiotic application can help you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist

<s>[INST] What causes red, painful bump on foreskin? " : " i have a small bump on my foreskin near the vein for a few months, 1 day the bump swelled and the area was red and painful. a few days later, the red painful bump was leaking what looked like pus. so i burst it. out came the pus and blood. i left it to scab for a few days. and then it was leaking pus again. so i applied pressure again and now there are 2 small yellow/white dots on the bump. what is happening doctor? [/INST] Hi, If you had any unprotected sex, it can be a sexually transmitted infection. If not it can be due to acne or abscess. A local antibiotic application can help you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist </s>

85 years. Blurry vision and dizziness after lunch. On midrodrine for low BP. Suggested vascular work up of veins in neck and skull. Opinion?

in the last 4 days my 85 year old dad has had blurry vision within 30 minutes of eating his noon time meal and felt dizzy. he has normally low blood pressure and takes midrodrine for it. i took him to urgent care to be checked and they did find anything abnormal and suggested he take a baby asprin every morning until he can get a vascular work up of the veins in his neck and skull. we just checked his blood sugar level and it is 113. he is supposed to fly on 6/4/13 and on 6/5/13, is this going to be a problem and what is your opinion of all this?

Hi,Thank you for posting your query.Most likely, your dad has symptoms of TIA- transient ischemic attack. In this condition, the blood supply to the brain is diminished for some time, during which the symptoms occur. Complete improvement usually occurs within a few hours at the most.Carotid duplex study of the neck should be combined with MR angiogram of the brain.Aspirin should be continued. I would advise him to postpone his travel for now, till the work up is done.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.comMy blog:

<s>[INST] 85 years. Blurry vision and dizziness after lunch. On midrodrine for low BP. Suggested vascular work up of veins in neck and skull. Opinion? " : " in the last 4 days my 85 year old dad has had blurry vision within 30 minutes of eating his noon time meal and felt dizzy. he has normally low blood pressure and takes midrodrine for it. i took him to urgent care to be checked and they did find anything abnormal and suggested he take a baby asprin every morning until he can get a vascular work up of the veins in his neck and skull. we just checked his blood sugar level and it is 113. he is supposed to fly on 6/4/13 and on 6/5/13, is this going to be a problem and what is your opinion of all this? [/INST] Hi,Thank you for posting your query.Most likely, your dad has symptoms of TIA- transient ischemic attack. In this condition, the blood supply to the brain is diminished for some time, during which the symptoms occur. Complete improvement usually occurs within a few hours at the most.Carotid duplex study of the neck should be combined with MR angiogram of the brain.Aspirin should be continued. I would advise him to postpone his travel for now, till the work up is done.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.comMy blog: </s>

Suggest treatment for vomiting

my two year old son was fine and was playing all day yesterday and he went to bed and woke up throwing up and will cry out all threw the night but he hasnt had fever or coughing or anything to go with it? i dont know what it could be? or what i can give him that may stop it? thanks

Thanks for consulting at Healthcare Magic.Vomiting in your child might have been caused due to infection, reflux, or food poisoning. Give Ondansetaron or Domperidone for vomitings and ORS solution to prevent dehydration.If no relief consult your doctor.

<s>[INST] Suggest treatment for vomiting " : " my two year old son was fine and was playing all day yesterday and he went to bed and woke up throwing up and will cry out all threw the night but he hasnt had fever or coughing or anything to go with it? i dont know what it could be? or what i can give him that may stop it? thanks [/INST] Thanks for consulting at Healthcare Magic.Vomiting in your child might have been caused due to infection, reflux, or food poisoning. Give Ondansetaron or Domperidone for vomitings and ORS solution to prevent dehydration.If no relief consult your doctor. </s>

What causes a lump under the skin near the inner thigh and groin?

I am 54 year old female and just discovered a hard lump under my skin near my inner thigh and groin area. When I felt the lump I squeezed and a lump came up- you can not see the lump only when you squeeze and it is sticks out. It feels hard an seems to be deep Any idea what this could mean?

HiIt looks like a Enlarged lymphnode. Please get an Ultrasound of the affected area for a clue.If it is a Enlarged lymphnode, get an FNAC( Fine Needle aspiration Cytology ) of the swelling for exact diagnosis. Hope I answered your query. Regards

<s>[INST] What causes a lump under the skin near the inner thigh and groin? " : " I am 54 year old female and just discovered a hard lump under my skin near my inner thigh and groin area. When I felt the lump I squeezed and a lump came up- you can not see the lump only when you squeeze and it is sticks out. It feels hard an seems to be deep Any idea what this could mean? [/INST] HiIt looks like a Enlarged lymphnode. Please get an Ultrasound of the affected area for a clue.If it is a Enlarged lymphnode, get an FNAC( Fine Needle aspiration Cytology ) of the swelling for exact diagnosis. Hope I answered your query. Regards </s>

Please explain this biopsy report

Can anyone explain this biopsy report ? "Extensively nacrotic biopsy with scanty viable round cell infiltrate suggestive of malignant round cell tumour . Immunohistochemistry is noncontributory since the viable tumour is scanty. Hence it is difficult to give a conclusive diagnosis."

Hey this is completely incomplete description about the biopsy report. You have not mentioned from where is it taken. What is your current problem. I think no one can help you with this report. I can barely understand that this is from Kidney as you jhave put Wilm's tumor. Am I right?

<s>[INST] Please explain this biopsy report " : " Can anyone explain this biopsy report ? "Extensively nacrotic biopsy with scanty viable round cell infiltrate suggestive of malignant round cell tumour . Immunohistochemistry is noncontributory since the viable tumour is scanty. Hence it is difficult to give a conclusive diagnosis." [/INST] Hey this is completely incomplete description about the biopsy report. You have not mentioned from where is it taken. What is your current problem. I think no one can help you with this report. I can barely understand that this is from Kidney as you jhave put Wilm's tumor. Am I right? </s>

Q. I have been prescribed with Inderal and Cheer Up. Will I gain weight?

Hello doctor, I am a 23-year-old girl and my physician has prescribed me Inderal and Cheer Up at night for a month. Will these medicines lead to a gain in my weight because I have my wedding after two months and I do not want to put any extra pound.

Hi. While Cefiget (Cefixime) is fine to give in a urinary tract infection. If you are having UTI for more than two months, rather than taking an empirical (experimental) antibiotics, you should go for a urine culture and sensitivity testing. Hope you are not suffering from any psychiatric illness. Otherwise, I do not see any indication of prescribing Cheerup (Escitalopram), Lacosbar (Lacosamide) and Inderal (Propranolol). Those medications are given to patients suffering from neuro-psychiatrist manifestation (except for Propranolol). Both Escitalopram and Lacosamide are associated with an increase in suicidal tendencies, while Escitalopram also affects sexual function and can cause loss of libido, and can cause anorgasmia in females. However, no effect on body shape or weight gain has been observed with Lacosamide and Propranolol, but Escitalopram can cause weight gain in about 1 % individuals.

<s>[INST] Q. I have been prescribed with Inderal and Cheer Up. Will I gain weight? " : " Hello doctor, I am a 23-year-old girl and my physician has prescribed me Inderal and Cheer Up at night for a month. Will these medicines lead to a gain in my weight because I have my wedding after two months and I do not want to put any extra pound. [/INST] Hi. While Cefiget (Cefixime) is fine to give in a urinary tract infection. If you are having UTI for more than two months, rather than taking an empirical (experimental) antibiotics, you should go for a urine culture and sensitivity testing. Hope you are not suffering from any psychiatric illness. Otherwise, I do not see any indication of prescribing Cheerup (Escitalopram), Lacosbar (Lacosamide) and Inderal (Propranolol). Those medications are given to patients suffering from neuro-psychiatrist manifestation (except for Propranolol). Both Escitalopram and Lacosamide are associated with an increase in suicidal tendencies, while Escitalopram also affects sexual function and can cause loss of libido, and can cause anorgasmia in females. However, no effect on body shape or weight gain has been observed with Lacosamide and Propranolol, but Escitalopram can cause weight gain in about 1 % individuals. </s>

What does a lump on upper thigh indicate?

I have a lump on my upper left thigh it s gotten a little bigger in the past 4 days it doesn t hurt but up from it a little it feels like a little deep muscle pain or something that comes and go sometimes. It s measures 6 1/2 inches by 5 in. It firm in the middle and the outer regions around is very soft. What is this?

Hello and welcome to HCM,Lump on upper part of thigh is most probably due to soft tissue swelling.Associated muscle pain suggests a swelling arising from muscles.A clinical assessment of the swelling is required.Imaging of the upper thigh is also required to know the origin and extent of the swelling.After imaging study, aspiration cytology of the swelling is required.In aspiration cytology, cells are aspirated, spread on slide and stained with appropriate stains.By studying the stained cells, the origin and nature of the swelling can be assessed and thus appropriate treatment can be instituted.Thanks and take careDr Shailja P Wahal

<s>[INST] What does a lump on upper thigh indicate? " : " I have a lump on my upper left thigh it s gotten a little bigger in the past 4 days it doesn t hurt but up from it a little it feels like a little deep muscle pain or something that comes and go sometimes. It s measures 6 1/2 inches by 5 in. It firm in the middle and the outer regions around is very soft. What is this? [/INST] Hello and welcome to HCM,Lump on upper part of thigh is most probably due to soft tissue swelling.Associated muscle pain suggests a swelling arising from muscles.A clinical assessment of the swelling is required.Imaging of the upper thigh is also required to know the origin and extent of the swelling.After imaging study, aspiration cytology of the swelling is required.In aspiration cytology, cells are aspirated, spread on slide and stained with appropriate stains.By studying the stained cells, the origin and nature of the swelling can be assessed and thus appropriate treatment can be instituted.Thanks and take careDr Shailja P Wahal </s>

Suggest treatment for multiple meyloma

My husband is 77 yrs old and was diagnosed with Multiple Meyloma 1 year ago and had a liaison on his right hip and a small one on is L5. Has not taken chemo since June, but several radiation treatments. He is again having more pain in his hip and is taking some oxycodine for pain, do you have any other suggestions?

Hi madam. Please consult an oncoulogist. Better idea will be to start chemotherapy. Because radiotherapy he has taken and it has not much worked so we need to change the treatment plan.

<s>[INST] Suggest treatment for multiple meyloma " : " My husband is 77 yrs old and was diagnosed with Multiple Meyloma 1 year ago and had a liaison on his right hip and a small one on is L5. Has not taken chemo since June, but several radiation treatments. He is again having more pain in his hip and is taking some oxycodine for pain, do you have any other suggestions? [/INST] Hi madam. Please consult an oncoulogist. Better idea will be to start chemotherapy. Because radiotherapy he has taken and it has not much worked so we need to change the treatment plan. </s>

Q. How long should my husband and I wait to try for a baby if we did cocaine?

Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.

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

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

What causes stomach pain in kids?

hi my 5yo child has complained about stomache pains (for about two weeks) around her navel after eating and now won t eat because she is worried of them coming back!!!!!! she is really quite skinny and is losing more weight . she has been to the doctors twice they just send me away saying it could be viral. can you help

Hello,Your description is indicative of worm infestation, please, get her checked for the same. If she has an evening rise of temperature along with the loss of the weight, then check for tuberculosis and other possibilities.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ratna Mulay

<s>[INST] What causes stomach pain in kids? " : " hi my 5yo child has complained about stomache pains (for about two weeks) around her navel after eating and now won t eat because she is worried of them coming back!!!!!! she is really quite skinny and is losing more weight . she has been to the doctors twice they just send me away saying it could be viral. can you help [/INST] Hello,Your description is indicative of worm infestation, please, get her checked for the same. If she has an evening rise of temperature along with the loss of the weight, then check for tuberculosis and other possibilities.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ratna Mulay </s>

What causes a lump under the eye?

hi, my 10month old infant had fever and flu last week. and about three days ago, I noticed a small bump at the outer corner of her left eye. there isn t any redness and doesn t seem to bother her. we have been using the eyedrop prescribed by doctor for 3 days but the bump doesnt go away. what could be the possible reasons and what should we do?

Hi,Dear ,Good Evening.Thanks for you query to HCM.This is Dr.Savaskar from India helping your out of the health query. I studied your query in-depth and understood your health concerns.-In My opinion the Cause of the lump under the eye, in referrence to the facts of your query--is-Chalazion-which is the infection of the Meibobian Gland at the outer corner of the eyelid and usually goes after warm compresses and anti-inflammatory treatment in few weeks time.-It could be -Stye -infection of the hairfollicle of the outer eye on lt side.Treatment-is Antibiotics-eye drops /anti-inflammatory drops / hot compresses by hot sponges for both the conditions.-Oral Syrups could be added if the response is slow-which may be a case in your babies case.Hope this would help you to resolve the issue with your Eye specialist doctor.Wellcome for furher queries in this issue to HCM.Wishing a fast recovery for your baby.Have a Good day.RegradsDr.Savaskar M.N.M.S.Genl-CVTS

<s>[INST] What causes a lump under the eye? " : " hi, my 10month old infant had fever and flu last week. and about three days ago, I noticed a small bump at the outer corner of her left eye. there isn t any redness and doesn t seem to bother her. we have been using the eyedrop prescribed by doctor for 3 days but the bump doesnt go away. what could be the possible reasons and what should we do? [/INST] Hi,Dear ,Good Evening.Thanks for you query to HCM.This is Dr.Savaskar from India helping your out of the health query. I studied your query in-depth and understood your health concerns.-In My opinion the Cause of the lump under the eye, in referrence to the facts of your query--is-Chalazion-which is the infection of the Meibobian Gland at the outer corner of the eyelid and usually goes after warm compresses and anti-inflammatory treatment in few weeks time.-It could be -Stye -infection of the hairfollicle of the outer eye on lt side.Treatment-is Antibiotics-eye drops /anti-inflammatory drops / hot compresses by hot sponges for both the conditions.-Oral Syrups could be added if the response is slow-which may be a case in your babies case.Hope this would help you to resolve the issue with your Eye specialist doctor.Wellcome for furher queries in this issue to HCM.Wishing a fast recovery for your baby.Have a Good day.RegradsDr.Savaskar M.N.M.S.Genl-CVTS </s>

Q. Is mole with hair a non-cancerous one?

Hi doctor, About a month ago I vigorously scratched off a mole that was on my back. While lifting weight and lying on my back, it got irritated. I have had the mole for at least seven years. It has always been relatively big and light brown shade. However, when I picked it off it went away at first, then about a month later it has gradually started to come back. Now, it is not even, looks irregular and varied in color a little bit. It has also grown a hair in it. In interner, I searched pictures of melanoma and freaked out. I do not have a history of skin cancer in my family. I am 24 years old and I go to the beach and pool quite often. I have not always worn sunscreen, but most of the time I wear SPF 15. I am not on any medication.

Hi. For further information consult a dermatologist online -->

<s>[INST] Q. Is mole with hair a non-cancerous one? " : " Hi doctor, About a month ago I vigorously scratched off a mole that was on my back. While lifting weight and lying on my back, it got irritated. I have had the mole for at least seven years. It has always been relatively big and light brown shade. However, when I picked it off it went away at first, then about a month later it has gradually started to come back. Now, it is not even, looks irregular and varied in color a little bit. It has also grown a hair in it. In interner, I searched pictures of melanoma and freaked out. I do not have a history of skin cancer in my family. I am 24 years old and I go to the beach and pool quite often. I have not always worn sunscreen, but most of the time I wear SPF 15. I am not on any medication. [/INST] Hi. For further information consult a dermatologist online --> </s>

Is surgery only solution for cancerous lumps in breast?

Right now I am schedual to start chemotherapy for breast cancer my oncology and radiation doctors seems to think I need a second surgery when my surgeon took out the lympnos he took out 8 and out of those 8 six had cancer the surgeon do not want to do a second surgery now I don't know if I should get a second opinion or not.

Hi,Thanks for writing in.Surgery is the treatment recommended when cancer is in early stages. Since your surgeon had found 6 out of 8 lymphnodes having signs of cancer therefore it is important to do more exploration and clear up the disease.Chemotherapy and radiation are also required but surgery is important to reduce the bulk of cancer. Though it might sound difficult for you at the moment however doing a second surgery will be able to reduce disease and help you achieve a better response to chemotherapy and radiation therapy. Early treatment is the key to survival in cancer. Please do not worry.

<s>[INST] Is surgery only solution for cancerous lumps in breast? " : " Right now I am schedual to start chemotherapy for breast cancer my oncology and radiation doctors seems to think I need a second surgery when my surgeon took out the lympnos he took out 8 and out of those 8 six had cancer the surgeon do not want to do a second surgery now I don't know if I should get a second opinion or not. [/INST] Hi,Thanks for writing in.Surgery is the treatment recommended when cancer is in early stages. Since your surgeon had found 6 out of 8 lymphnodes having signs of cancer therefore it is important to do more exploration and clear up the disease.Chemotherapy and radiation are also required but surgery is important to reduce the bulk of cancer. Though it might sound difficult for you at the moment however doing a second surgery will be able to reduce disease and help you achieve a better response to chemotherapy and radiation therapy. Early treatment is the key to survival in cancer. Please do not worry. </s>

What causes changes in blood thickness while on 'acitrom'?

my wife has undergone Mitral valve (Mechanical valve) and Triscupid valve repair in Oct 2010. She is taking Acitrom 2 mg daily. last month the blood thickness was 1.1, 1.3, 4.1 & 1.4 four weeks time. What food she can take? and y the blood thickness is varying drastically?

HIThank for asking to HCMI really appreciate your concern and I would like to say that if your wife had a heart valve replacement surgery and mechanical valve is there then her INR should be maintain and for that she need to get done this test from time to time and medicine need to be taken accordingly least concern with the diet, hope this information helps you, have a nice day.

<s>[INST] What causes changes in blood thickness while on 'acitrom'? " : " my wife has undergone Mitral valve (Mechanical valve) and Triscupid valve repair in Oct 2010. She is taking Acitrom 2 mg daily. last month the blood thickness was 1.1, 1.3, 4.1 & 1.4 four weeks time. What food she can take? and y the blood thickness is varying drastically? [/INST] HIThank for asking to HCMI really appreciate your concern and I would like to say that if your wife had a heart valve replacement surgery and mechanical valve is there then her INR should be maintain and for that she need to get done this test from time to time and medicine need to be taken accordingly least concern with the diet, hope this information helps you, have a nice day. </s>

Would having back pain be due to recurring spondylitis?

Good Morning. My father has back pain, which he fears may be a recurring spondolytis (excuse the spelling) due to lack of exercise in the last two months. The time 12:50 am, and the two pain killers which are available at the house are Crocin Pain Relief and Drotin - M. Please suggest?

Hi there I would suggest that you give him crocin 1000 mg dissolved in water immediately .Crushing and dissolving it in water will get it instantly absorbed in the body resulting in faster pain relief .Drotin or Drotavarin is an anti spasmodic drug which is mostly used for abdominal spasms and its analgesic effects have yet to be proved .Crocin or paracetamol is a very safe drug and can be given upto 3 to 4 grams daily without any side effects .Complete bed rest and hot fomentation is recommended .I hope my advice has helped Good luck

<s>[INST] Would having back pain be due to recurring spondylitis? " : " Good Morning. My father has back pain, which he fears may be a recurring spondolytis (excuse the spelling) due to lack of exercise in the last two months. The time 12:50 am, and the two pain killers which are available at the house are Crocin Pain Relief and Drotin - M. Please suggest? [/INST] Hi there I would suggest that you give him crocin 1000 mg dissolved in water immediately .Crushing and dissolving it in water will get it instantly absorbed in the body resulting in faster pain relief .Drotin or Drotavarin is an anti spasmodic drug which is mostly used for abdominal spasms and its analgesic effects have yet to be proved .Crocin or paracetamol is a very safe drug and can be given upto 3 to 4 grams daily without any side effects .Complete bed rest and hot fomentation is recommended .I hope my advice has helped Good luck </s>

Child diagnosed with tonsillitis taking amoxicillin. Swollen gums with pain. Need to see doctor again?

My daughter aged 5 1/2, has been diagnosed with tonsillitis & prescribed Amoxycilin 3 times a day. Before starting the antibiotics she also had large glands in her neck, some mouth ulcers , complaining of a sore mouth, & a high temperature. She as been taking antibiotics for 2 days. She is saying her mouth hurts more & it looks like her gums are swollen & red. Do I need to take her back to Drs? Are swollen gums common to tonsillitis?

Hi and welcome , Your daughter presents with symptoms of acute pahryngitis. It is often bacterial or sometimes viral infection of the throat mucous membrane leading to inflammation , redness , pain ,sore throat , difficulty in swallowing , fever , enlarged lymph nodes , white patches in the throat and ulceration. Swelling in the gums can be associated with bacterial infection due to improper oral hygiene , accumulation of plaque and calculus . i suggest you to have amoxicillin with clavulanate 325mg two times daily along with and analgesic for sore throat. mouth gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine gives soothing effect to throat and helps in healing. consult a dentist get the thorough scaling of gums and root planing to of teeth which will subside the gum swelling. i hope this helps , take care.

<s>[INST] Child diagnosed with tonsillitis taking amoxicillin. Swollen gums with pain. Need to see doctor again? " : " My daughter aged 5 1/2, has been diagnosed with tonsillitis & prescribed Amoxycilin 3 times a day. Before starting the antibiotics she also had large glands in her neck, some mouth ulcers , complaining of a sore mouth, & a high temperature. She as been taking antibiotics for 2 days. She is saying her mouth hurts more & it looks like her gums are swollen & red. Do I need to take her back to Drs? Are swollen gums common to tonsillitis? [/INST] Hi and welcome , Your daughter presents with symptoms of acute pahryngitis. It is often bacterial or sometimes viral infection of the throat mucous membrane leading to inflammation , redness , pain ,sore throat , difficulty in swallowing , fever , enlarged lymph nodes , white patches in the throat and ulceration. Swelling in the gums can be associated with bacterial infection due to improper oral hygiene , accumulation of plaque and calculus . i suggest you to have amoxicillin with clavulanate 325mg two times daily along with and analgesic for sore throat. mouth gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine gives soothing effect to throat and helps in healing. consult a dentist get the thorough scaling of gums and root planing to of teeth which will subside the gum swelling. i hope this helps , take care. </s>

What causes dry heaving in child?

My baby keeps dry heaving, he s 3 weeks old I m wondering if it s reflux or just a dry throat as he sleeps with his mouth open, there isn t a pattern to him heaving it s just now and again sometimes he brings up milk but other times its just the heaving, he is very good with his wind! It comes out both ends a lot! I m worried he s going to choke while he s asleep..

Hi...this happens in kids who are over weight and re being over fed. They tend to regurgitate the feed which is excess and that's what comes out. If he is otherwise active do not worry.Regards - Dr. Sumanth

<s>[INST] What causes dry heaving in child? " : " My baby keeps dry heaving, he s 3 weeks old I m wondering if it s reflux or just a dry throat as he sleeps with his mouth open, there isn t a pattern to him heaving it s just now and again sometimes he brings up milk but other times its just the heaving, he is very good with his wind! It comes out both ends a lot! I m worried he s going to choke while he s asleep.. [/INST] Hi...this happens in kids who are over weight and re being over fed. They tend to regurgitate the feed which is excess and that's what comes out. If he is otherwise active do not worry.Regards - Dr. Sumanth </s>

Suggest treatment for a rash on the penis tip post unprotected oral sex

hi I have oral sex with sex worker unprotected receiving and cumed inside her mouth after 12 days exposer I have rash on penile tip and ppp rash is yeast disapper after treatment Fluconazoe and one cream but ppp is present and little pain while urinate starting no other symtoms pls guide I fear HIV can I go far hiv test

Hi, the rash on your penis could have been candidiasis and you received the correct treatment. The pain to urinate can be a urethritis caused by chlamydia or gonococcus, or other bacteria. You should see a doctor, he will request tests including HIV, VDRL, urine test and urethral swab.

<s>[INST] Suggest treatment for a rash on the penis tip post unprotected oral sex " : " hi I have oral sex with sex worker unprotected receiving and cumed inside her mouth after 12 days exposer I have rash on penile tip and ppp rash is yeast disapper after treatment Fluconazoe and one cream but ppp is present and little pain while urinate starting no other symtoms pls guide I fear HIV can I go far hiv test [/INST] Hi, the rash on your penis could have been candidiasis and you received the correct treatment. The pain to urinate can be a urethritis caused by chlamydia or gonococcus, or other bacteria. You should see a doctor, he will request tests including HIV, VDRL, urine test and urethral swab. </s>

Can an ankle fracture be treated when the X-ray report is normal?

WHILE STEPPING DOWN FROM STEPS, SLIPPED AND MY RIGHT FOOT TWISTED . AFTER THAT MY ANKLE BOUND BY DOCTOR. BUT IT WAS NOT PROPERLY BOUND AND NOT HEALED PROPERLY. BECAUSE OF NERVE TWIST FULL BODY OF NERVES ARE EFFECTED INCLUDING LEFT LEG AND RIGHT SIDE OF SPINAL CORD. AS PER X- RAY, BONE CONDITION OF ANKLE IS GOOD. NOW TWO MONTHS OVER, NOT HEALED PROPERLY. WHETHER INFECTION OF NERVES MAY EFFECT THE BONES? PLEASE GUIDE.

Dear patient If Xray is normal means there is no fracture. On the one hand you are saying fracture is healed and then you say xray report is normal. This is not possible. If your xray is normal you may have sprained your left ankle with ligament injuries. For which you are given slab for month. Sprain should be relieved by now and u should be painfree. If there is constant pain there should be other possibilities than sprain. I would like to advise mri of the left ankle to rule out other pathology. Please get it done from radiology centre nearby you. Meanwhile start tab diclofenac sodium 50 mg twice a day for pain relief. Please consult orthopaedic surgeon nearby your area with report.

<s>[INST] Can an ankle fracture be treated when the X-ray report is normal? " : " WHILE STEPPING DOWN FROM STEPS, SLIPPED AND MY RIGHT FOOT TWISTED . AFTER THAT MY ANKLE BOUND BY DOCTOR. BUT IT WAS NOT PROPERLY BOUND AND NOT HEALED PROPERLY. BECAUSE OF NERVE TWIST FULL BODY OF NERVES ARE EFFECTED INCLUDING LEFT LEG AND RIGHT SIDE OF SPINAL CORD. AS PER X- RAY, BONE CONDITION OF ANKLE IS GOOD. NOW TWO MONTHS OVER, NOT HEALED PROPERLY. WHETHER INFECTION OF NERVES MAY EFFECT THE BONES? PLEASE GUIDE. [/INST] Dear patient If Xray is normal means there is no fracture. On the one hand you are saying fracture is healed and then you say xray report is normal. This is not possible. If your xray is normal you may have sprained your left ankle with ligament injuries. For which you are given slab for month. Sprain should be relieved by now and u should be painfree. If there is constant pain there should be other possibilities than sprain. I would like to advise mri of the left ankle to rule out other pathology. Please get it done from radiology centre nearby you. Meanwhile start tab diclofenac sodium 50 mg twice a day for pain relief. Please consult orthopaedic surgeon nearby your area with report. </s>

Why do I get abdominal pain after eating egg ?

Hi sir/madam i am 27years old male from india i am suffering from egg allergy from 13 years. Whenever i eat eggs&egg products i suffer from severe abdominal pain ..till the age of 14 i use to intkake eggs properly after that this problem started. Is there any solution for this.. i am very much fomd off eggs..plzz suggest me a proper solution.. the problem occurs due to egg whites...

hiwelcome to healthcare magic forum there is specific allergen in egg also there is food allergy test ,get done it ,so we will find the exact reason if egg core or white matter cause allergy there is some medicine that can be taken and than you can eat eggs with no reaction better to consult doctor drink more water after taking egg will reduce the chance of reaction .i hope i answered your question

<s>[INST] Why do I get abdominal pain after eating egg ? " : " Hi sir/madam i am 27years old male from india i am suffering from egg allergy from 13 years. Whenever i eat eggs&egg products i suffer from severe abdominal pain ..till the age of 14 i use to intkake eggs properly after that this problem started. Is there any solution for this.. i am very much fomd off eggs..plzz suggest me a proper solution.. the problem occurs due to egg whites... [/INST] hiwelcome to healthcare magic forum there is specific allergen in egg also there is food allergy test ,get done it ,so we will find the exact reason if egg core or white matter cause allergy there is some medicine that can be taken and than you can eat eggs with no reaction better to consult doctor drink more water after taking egg will reduce the chance of reaction .i hope i answered your question </s>

What does a lump on elbow indicate?

For a little over 3 weeks, I have been having a sort of elbow lump- there was some redness around, a bit of swelling and not much pain. Even now the lump is protruding and looks odd -theres no pain but looks ugly I used to get gout attacks on my toe and knees upto six months ago but they have subsided- I have been using allopurinol and colchicine I have been advised by the doctor to continue using allopurinol one tab a day and if there is pain to have colchicine Is there any other way of getting rid of the elbow lump, my doctor is not very responsive Thanks for your advise and help Ash

it is called gouty tophus and needs aspiration and microscopic examination for a confirmationin worse case it should be surgically removed!

<s>[INST] What does a lump on elbow indicate? " : " For a little over 3 weeks, I have been having a sort of elbow lump- there was some redness around, a bit of swelling and not much pain. Even now the lump is protruding and looks odd -theres no pain but looks ugly I used to get gout attacks on my toe and knees upto six months ago but they have subsided- I have been using allopurinol and colchicine I have been advised by the doctor to continue using allopurinol one tab a day and if there is pain to have colchicine Is there any other way of getting rid of the elbow lump, my doctor is not very responsive Thanks for your advise and help Ash [/INST] it is called gouty tophus and needs aspiration and microscopic examination for a confirmationin worse case it should be surgically removed! </s>

Suggest treatment for child suffering from loose motions

my child is suffering from loose motions past 5 days. he is 8 months old and i started cow milk at 6months. he was ok all this time .I then shifted to lactogen , stil his motions are non stop. Also giving him prowell syrup morning and evening. What is the cure. Also , did his stool tests where the PH result was 9 and positive , please help

Hi,Probably he is having acute gastro enteritis- infection of the bowel. In such cases, along with probiotics (like prowell syrup), I used to give zinc sulfate syrup 5ml once daily for 14 days (this can hasten the recovery). If it is not getting down by 3-4 days, fever comes or stool becomes blood stained, I would have given an antibiotic too to clear the infection. kindly discuss with your doctor. Meanwhile give ORS solution/salted rice water after each stools to avoid dehydration and avoid fruit juices and sugary items as these can exacerbate diarrhea.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician

<s>[INST] Suggest treatment for child suffering from loose motions " : " my child is suffering from loose motions past 5 days. he is 8 months old and i started cow milk at 6months. he was ok all this time .I then shifted to lactogen , stil his motions are non stop. Also giving him prowell syrup morning and evening. What is the cure. Also , did his stool tests where the PH result was 9 and positive , please help [/INST] Hi,Probably he is having acute gastro enteritis- infection of the bowel. In such cases, along with probiotics (like prowell syrup), I used to give zinc sulfate syrup 5ml once daily for 14 days (this can hasten the recovery). If it is not getting down by 3-4 days, fever comes or stool becomes blood stained, I would have given an antibiotic too to clear the infection. kindly discuss with your doctor. Meanwhile give ORS solution/salted rice water after each stools to avoid dehydration and avoid fruit juices and sugary items as these can exacerbate diarrhea.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician </s>

What causes the heart to beat faster?

Hi, I am a 16 year old boy and have had a very healthy heart at every checkup. My cholestoral, blood pressure has been very good but just starting in August I have noticed my heart beating faster and I have been short of breath and very tired and sometimes dizzy. These symptoms happen every now and then and Ive been pretty stressed lately. I went to my regular doctor and he took blood and an EKG and found everything to be fine. It still occurs every once in a while and my whole body fills warm

Hi thereAfter going through your query I understand your concern.I would like to tell you that predominantly your symptoms are suggestive of anxiety disorder but as you are young so kindly get one echocardiography done to rule out any congenital heart disease.Hope to have been helpful.Kind Regards Dr Navneet Bansal

<s>[INST] What causes the heart to beat faster? " : " Hi, I am a 16 year old boy and have had a very healthy heart at every checkup. My cholestoral, blood pressure has been very good but just starting in August I have noticed my heart beating faster and I have been short of breath and very tired and sometimes dizzy. These symptoms happen every now and then and Ive been pretty stressed lately. I went to my regular doctor and he took blood and an EKG and found everything to be fine. It still occurs every once in a while and my whole body fills warm [/INST] Hi thereAfter going through your query I understand your concern.I would like to tell you that predominantly your symptoms are suggestive of anxiety disorder but as you are young so kindly get one echocardiography done to rule out any congenital heart disease.Hope to have been helpful.Kind Regards Dr Navneet Bansal </s>

What causes painful bump on head?

A week and a day ago, I got pushed to the ground and received a humungous bump on the top-left side of my head. That night it swelled down a lot, but the next day I almost fainted for the first time in my life. Since that day, I still have a bump, I have a great lack of focus, and sometimes feel a mild pain or numb/cold feeling in the spot of the bump. Is this a serious head injury?

Hi, dearI have gone through your question. I can understand your concern. You have history of head injury. You external bump is due to hematoma formation. You should take analgesic plus anti inflammatory drugs like ibuprofen. You should also go for ctscan once to rule out internal head injury. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.

<s>[INST] What causes painful bump on head? " : " A week and a day ago, I got pushed to the ground and received a humungous bump on the top-left side of my head. That night it swelled down a lot, but the next day I almost fainted for the first time in my life. Since that day, I still have a bump, I have a great lack of focus, and sometimes feel a mild pain or numb/cold feeling in the spot of the bump. Is this a serious head injury? [/INST] Hi, dearI have gone through your question. I can understand your concern. You have history of head injury. You external bump is due to hematoma formation. You should take analgesic plus anti inflammatory drugs like ibuprofen. You should also go for ctscan once to rule out internal head injury. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>

What is the treatment for white patches on skin?

Hi Doctor,My 6yrs kid is having white patches on cheeks, I consult few skin specialist and they said it is due to cold and dry weather.How we can take care of it?I am from India, Bangalore, where weather condition is cold and dry.Do I need to do some Allergyc test?

Hi...you do not need an allergy test. By what you quote I feel that he is having Pityriasis alba and mild variety of fungal infectoin of the skin.But, skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.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 is the treatment for white patches on skin? " : " Hi Doctor,My 6yrs kid is having white patches on cheeks, I consult few skin specialist and they said it is due to cold and dry weather.How we can take care of it?I am from India, Bangalore, where weather condition is cold and dry.Do I need to do some Allergyc test? [/INST] Hi...you do not need an allergy test. By what you quote I feel that he is having Pityriasis alba and mild variety of fungal infectoin of the skin.But, skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.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>

What is the treatment for mild fever , headache and dizziness?

12 year old daughter, has had low grade fever 99.9 dizziness lower belly pain headaches and blood presure any where between 164/104 to 98/88 heart rate well sitting 98 standing 140 have been to primary 8 times ent once neuroly once.worked up for renal results normal cbc shows viral had ekg normal

Hi Dear,Welcome to HCM.Understanding your concern. As per your query your daughter have symptoms of mild fever , headache and dizziness which is because you are suffering from viral infection. It could be due to co-infection bacterial infection / upper respiratory tract infection as well. Need not to worry. I would suggest you to take antipyretics for fever relief such as calpol, paracetamol or adol suppositories acetaminophen.If fever increases do tepid sponging as well with cold water. Take throat lozenges as well. I would suggest you to consult ENT specialist without any delay . Doctor may order blood test , throat swab test or virus culture test. Doctor may prescribe antibiotics along with decongestants. Give child multivitamin tablets. Gargle with saline water. take steam inhalation. Use mist humidifiers in room. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari

<s>[INST] What is the treatment for mild fever , headache and dizziness? " : " 12 year old daughter, has had low grade fever 99.9 dizziness lower belly pain headaches and blood presure any where between 164/104 to 98/88 heart rate well sitting 98 standing 140 have been to primary 8 times ent once neuroly once.worked up for renal results normal cbc shows viral had ekg normal [/INST] Hi Dear,Welcome to HCM.Understanding your concern. As per your query your daughter have symptoms of mild fever , headache and dizziness which is because you are suffering from viral infection. It could be due to co-infection bacterial infection / upper respiratory tract infection as well. Need not to worry. I would suggest you to take antipyretics for fever relief such as calpol, paracetamol or adol suppositories acetaminophen.If fever increases do tepid sponging as well with cold water. Take throat lozenges as well. I would suggest you to consult ENT specialist without any delay . Doctor may order blood test , throat swab test or virus culture test. Doctor may prescribe antibiotics along with decongestants. Give child multivitamin tablets. Gargle with saline water. take steam inhalation. Use mist humidifiers in room. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari </s>

Will masturbation lead to infertility?

Last 3 months we are trying for child. But we are not able to conceive. In my young age i was involved in mastrubation. Is it the cause. Because i have tested my semen its normal only. And my wife's test are also normal. Please suggest me how to get conceive.

HaiAs per modern science masturbation didn't lead to infertility.So no need worry about this problem furthermore. As your semen test and your wife reports are normal you can try for another 2 to 3 month.I suggest to visit a infertility specialist for counselling about intercourse because some technique will help that you may not be known.hope i answered your query.Thank youhave a cheerful life

<s>[INST] Will masturbation lead to infertility? " : " Last 3 months we are trying for child. But we are not able to conceive. In my young age i was involved in mastrubation. Is it the cause. Because i have tested my semen its normal only. And my wife's test are also normal. Please suggest me how to get conceive. [/INST] HaiAs per modern science masturbation didn't lead to infertility.So no need worry about this problem furthermore. As your semen test and your wife reports are normal you can try for another 2 to 3 month.I suggest to visit a infertility specialist for counselling about intercourse because some technique will help that you may not be known.hope i answered your query.Thank youhave a cheerful life </s>

Suggest treatment to increase height

hi, I am 30 years old, my height is 5.3 and i want to increase my height, after seeing lot of advertisement in Teleshopping relating to height growth i can t judge it is true or false. can you please suggest me is there any chance to grow atleast 3 inch.

Hello, Height is a genetically determined factor and thus can not be changed. You can increase the height only by complex orthopaedic procedures like “illizarrow” technique. However, it is not required in your case. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician

<s>[INST] Suggest treatment to increase height " : " hi, I am 30 years old, my height is 5.3 and i want to increase my height, after seeing lot of advertisement in Teleshopping relating to height growth i can t judge it is true or false. can you please suggest me is there any chance to grow atleast 3 inch. [/INST] Hello, Height is a genetically determined factor and thus can not be changed. You can increase the height only by complex orthopaedic procedures like “illizarrow” technique. However, it is not required in your case. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician </s>

Severe kidney pain, migraine, fever, dizziness. Taking duromine. Should i meet a doctor?

Hi,I am experiencing severe kidney pain, currently have a migrain and fever. The pain radiates down in to my buttocks and legs. I do not have a history of any kidney infections. I have been taking Duromine for 4 days now. I am 22years old, weight 78kg and heigt 1.65m. I am also experiencing some light dizziness and disorientation.Could you please advise me if i need to go see my GP?Thank You

Hi dear and welcome to health care magic ...Dear this pain seems more or less muscular rather then of kidney ....as kidney pain may radiate to grion not to thigh ...do you have increase urinary frequency or burning micturation ,if yes it means there is some infection....is urine colour red ? if yes it means renal stone ....i advise you a urine routine test and abdominal ultra sound ....mean while take tab nuberol on Emperic bases,if pain is muscular it will resolve with this treatment ...wish you good health ...

<s>[INST] Severe kidney pain, migraine, fever, dizziness. Taking duromine. Should i meet a doctor? " : " Hi,I am experiencing severe kidney pain, currently have a migrain and fever. The pain radiates down in to my buttocks and legs. I do not have a history of any kidney infections. I have been taking Duromine for 4 days now. I am 22years old, weight 78kg and heigt 1.65m. I am also experiencing some light dizziness and disorientation.Could you please advise me if i need to go see my GP?Thank You [/INST] Hi dear and welcome to health care magic ...Dear this pain seems more or less muscular rather then of kidney ....as kidney pain may radiate to grion not to thigh ...do you have increase urinary frequency or burning micturation ,if yes it means there is some infection....is urine colour red ? if yes it means renal stone ....i advise you a urine routine test and abdominal ultra sound ....mean while take tab nuberol on Emperic bases,if pain is muscular it will resolve with this treatment ...wish you good health ... </s>

Q. I am unable to recollect things suddenly for sometime. What could be the reason?

Hello doctor, I am having blood pressure and diabetes. Currently, I am using Triolmezest 40 mg and Starpress XL 25 mg for blood pressure and Glimestar-M1 for diabetes. All levels are normal including lipid, echo, HbA1c, etc. Two days back, all of a sudden, my neck started paining and there was a blurredness for sometime. After closing my eyes for few minutes, I was normal. Neck pain continued and after one period I was not able to recollect the names of the people for five to ten minutes and fully conscious. After 10 minutes, I was able to recollect everything. Of course, I was under little stress. Kindly suggest what could be the reason or is it normal for everybody? Kindly advise the precautions and any diagnostics. Longtime back, I was diagnosed for spondylitis but there is no pain usually.

Hello, Welcome to icliniq.com. Since you are a diabetic and hypertensive, in such a case I would like to evaluate you for the possibility of transient ischemic stroke (TIA). I would recommend an MRI (magnetic resonance imaging) brain and a color Doppler. If all results are normal, then this could be a postural fainting attack, cervical myalgia or could be simply stress-induced. So, go ahead with the tests. Start exercises, meditation for stress relief. Never skip your breakfast. Do not stand for long hours. Drink plenty of fluids. Also, keep a watch on your blood pressure. I hope this helps.

<s>[INST] Q. I am unable to recollect things suddenly for sometime. What could be the reason? " : " Hello doctor, I am having blood pressure and diabetes. Currently, I am using Triolmezest 40 mg and Starpress XL 25 mg for blood pressure and Glimestar-M1 for diabetes. All levels are normal including lipid, echo, HbA1c, etc. Two days back, all of a sudden, my neck started paining and there was a blurredness for sometime. After closing my eyes for few minutes, I was normal. Neck pain continued and after one period I was not able to recollect the names of the people for five to ten minutes and fully conscious. After 10 minutes, I was able to recollect everything. Of course, I was under little stress. Kindly suggest what could be the reason or is it normal for everybody? Kindly advise the precautions and any diagnostics. Longtime back, I was diagnosed for spondylitis but there is no pain usually. [/INST] Hello, Welcome to icliniq.com. Since you are a diabetic and hypertensive, in such a case I would like to evaluate you for the possibility of transient ischemic stroke (TIA). I would recommend an MRI (magnetic resonance imaging) brain and a color Doppler. If all results are normal, then this could be a postural fainting attack, cervical myalgia or could be simply stress-induced. So, go ahead with the tests. Start exercises, meditation for stress relief. Never skip your breakfast. Do not stand for long hours. Drink plenty of fluids. Also, keep a watch on your blood pressure. I hope this helps. </s>

Q. What are the causes of vaginal bleeding, five years after menopause?

Hello doctor,My mother was not having her periods from the past five years, but from yesterday, she started bleeding again. In these five years, she has not even bled for a single day. Why is she bleeding all of a sudden? What can be the cause?

Hello. Five years no menstruation and now bleeding needs some detailed examination and investigations. Consult a nearby gynecologist, and let him or her see the source of the bleeding. Get an ultrasonography done. If bleeding is from the uterus, then your mom might need to get a D and C (dilatation and curettage). It is a minor operation, and the tissues are sent for testing. Basically, we have to rule out whether there any cancer cells or not. She may even require a CT scan. If nothing is found and every report comes normal, then she will be given some medicines accordingly. And no need to worry. If something is found in the reports, then it may require major operations, but it will all depend on the reports. So first, consult a nearby gynecologist. For further queries consult an obstetrician and gynaecologist online -->

<s>[INST] Q. What are the causes of vaginal bleeding, five years after menopause? " : " Hello doctor,My mother was not having her periods from the past five years, but from yesterday, she started bleeding again. In these five years, she has not even bled for a single day. Why is she bleeding all of a sudden? What can be the cause? [/INST] Hello. Five years no menstruation and now bleeding needs some detailed examination and investigations. Consult a nearby gynecologist, and let him or her see the source of the bleeding. Get an ultrasonography done. If bleeding is from the uterus, then your mom might need to get a D and C (dilatation and curettage). It is a minor operation, and the tissues are sent for testing. Basically, we have to rule out whether there any cancer cells or not. She may even require a CT scan. If nothing is found and every report comes normal, then she will be given some medicines accordingly. And no need to worry. If something is found in the reports, then it may require major operations, but it will all depend on the reports. So first, consult a nearby gynecologist. For further queries consult an obstetrician and gynaecologist online --> </s>

How to detect if a stent is working or not?

I have question regarding a stent which was put in 10 years ago. What is the best way to detect if the stent is still working properly. My doctor has ordered a Stress Test, but said the large medical centers might have a better way of detecting this. My blood pressure is normal, but I have felt a little pressure in my chest. Of course, this pressure could be the result of a pulled muscle, but I don t know how to know the exact cause. The pressure is not a problem at this moment. Thanks so much for your help! HGE

Hi, Coronary angiography would be the gold standard. However, by angiography, the incidence of restenosis is significantly higher than clinical restenosis because many patients have mild restenosis that does not result in a recurrence of symptoms. Coronary CT angiography (CTA) with dose modulation is a non-invasive alternative. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist

<s>[INST] How to detect if a stent is working or not? " : " I have question regarding a stent which was put in 10 years ago. What is the best way to detect if the stent is still working properly. My doctor has ordered a Stress Test, but said the large medical centers might have a better way of detecting this. My blood pressure is normal, but I have felt a little pressure in my chest. Of course, this pressure could be the result of a pulled muscle, but I don t know how to know the exact cause. The pressure is not a problem at this moment. Thanks so much for your help! HGE [/INST] Hi, Coronary angiography would be the gold standard. However, by angiography, the incidence of restenosis is significantly higher than clinical restenosis because many patients have mild restenosis that does not result in a recurrence of symptoms. Coronary CT angiography (CTA) with dose modulation is a non-invasive alternative. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist </s>

What could be the severe pain in chest and numbness in arm mean?

For almost a week I've had chest pains in the left side. I went to the er after waking up and my arm being completely numb. They did blood work EKG chest X-rays and everything came back clear. But I still have this very sick feeling I'm overly tired even though it feels like all I do is sleep and my left side keeps getting the tingly numb feeling. I'm getting kind if worried its causing a slight headache. Any guess on what this could be ?

Hi. Thank you for using HCM.Your age would be helpful in this differential diagnosis. Nevertheless, I would recommend a cardiac stress test. My opinion is tat you should also have a plain posterior-anterior and lateral X-ray of the neck. I hope I was helpful. Greetings.

<s>[INST] What could be the severe pain in chest and numbness in arm mean? " : " For almost a week I've had chest pains in the left side. I went to the er after waking up and my arm being completely numb. They did blood work EKG chest X-rays and everything came back clear. But I still have this very sick feeling I'm overly tired even though it feels like all I do is sleep and my left side keeps getting the tingly numb feeling. I'm getting kind if worried its causing a slight headache. Any guess on what this could be ? [/INST] Hi. Thank you for using HCM.Your age would be helpful in this differential diagnosis. Nevertheless, I would recommend a cardiac stress test. My opinion is tat you should also have a plain posterior-anterior and lateral X-ray of the neck. I hope I was helpful. Greetings. </s>

Q. Please explain the poisonous effect of phenol ingestion.

Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.

Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->

<s>[INST] Q. Please explain the poisonous effect of phenol ingestion. " : " Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> </s>

Suggest treatment for insomnia , depression and high blood pressure

A technician replaced a part on my ac unit today and noticed a gas leak. I ve experienced all the symptoms of exposure dizziness, headache, insomnia, depression...also, recent lab works indicated deficiency in Vit D, high cholesterol, high blood pressure. If the leak has been addressed, should I seek medical assistance

Hello Sir / Madam,Thanks for writing in to HCM.Since your blood reports suggest increased lipid profile along with high BP , it is essential that yo consult a cardiologist for further investigations like :ECG,ECHO, Treadmill tests for further cardiac evaluation.Also , vitamin D supplementation( Calcitriol tablets) are required since there is deficiency.Regards,Dr.RiyankaRegards,Dr.Riyanka

<s>[INST] Suggest treatment for insomnia , depression and high blood pressure " : " A technician replaced a part on my ac unit today and noticed a gas leak. I ve experienced all the symptoms of exposure dizziness, headache, insomnia, depression...also, recent lab works indicated deficiency in Vit D, high cholesterol, high blood pressure. If the leak has been addressed, should I seek medical assistance [/INST] Hello Sir / Madam,Thanks for writing in to HCM.Since your blood reports suggest increased lipid profile along with high BP , it is essential that yo consult a cardiologist for further investigations like :ECG,ECHO, Treadmill tests for further cardiac evaluation.Also , vitamin D supplementation( Calcitriol tablets) are required since there is deficiency.Regards,Dr.RiyankaRegards,Dr.Riyanka </s>

Fatigue, tremors in hands after exertion, insomnia, night sweats, headache, ears ringing

my husband is experiencing a wide range of symptoms that have been coming and goin over the last 2 yrs. they are: extreme, abnormal fatigue , tremors in hands after exertion, insomnia , night sweats , headaches, ringing in ears, and most recently hives . He has a swollen lymph node in his neck that will go down some with antibiotics but then comes right back....although the size varies from week to week....

Thank you for writing. As you have mentioned, there are wide range of symptoms that your husband has. He needs thorough evaluation by an internist to determine the exact cause of his illness. Common diseases that need to be excluded are thyroid problems (especially hyperthyroidism), occult infections, etc. Dr Sudhir Kumar MD (Medicine) DM (Neurology) Senior Consultant Neurologist Apollo Health City, Hyderabad

<s>[INST] Fatigue, tremors in hands after exertion, insomnia, night sweats, headache, ears ringing " : " my husband is experiencing a wide range of symptoms that have been coming and goin over the last 2 yrs. they are: extreme, abnormal fatigue , tremors in hands after exertion, insomnia , night sweats , headaches, ringing in ears, and most recently hives . He has a swollen lymph node in his neck that will go down some with antibiotics but then comes right back....although the size varies from week to week.... [/INST] Thank you for writing. As you have mentioned, there are wide range of symptoms that your husband has. He needs thorough evaluation by an internist to determine the exact cause of his illness. Common diseases that need to be excluded are thyroid problems (especially hyperthyroidism), occult infections, etc. Dr Sudhir Kumar MD (Medicine) DM (Neurology) Senior Consultant Neurologist Apollo Health City, Hyderabad </s>

Why should my husband take medicines inspite of having normal sperm count?

am married for past 6 months and am not pregnant still. my husband s sperm count is 75% and i went for general checkup. doctor prescribed Fertisure F and M tablets.. my husband have normal sperm count then why should he take suppliments?? any reason for that??

Hi,I read your query and I understand your concerns.Following is my reply:1) If your husband's sperm count and motility , morphology are fine there is no need of these medicines.2) Please discuss with your doctor if there is any abnormality of the same.Let me know if you have anymore questions.Regards,Dr. Mahesh Koregol

<s>[INST] Why should my husband take medicines inspite of having normal sperm count? " : " am married for past 6 months and am not pregnant still. my husband s sperm count is 75% and i went for general checkup. doctor prescribed Fertisure F and M tablets.. my husband have normal sperm count then why should he take suppliments?? any reason for that?? [/INST] Hi,I read your query and I understand your concerns.Following is my reply:1) If your husband's sperm count and motility , morphology are fine there is no need of these medicines.2) Please discuss with your doctor if there is any abnormality of the same.Let me know if you have anymore questions.Regards,Dr. Mahesh Koregol </s>

What causes sharp pain in the calf?

I just had a situation where I suddenly had a very sharp pain on the outside of my right calf, and it intensified each time I attempted to put any weight in it by walking. The initial level of pain only lasted about 5 minutes and began to subside. Now i am experiencing a cool feeling in the same leg. FYI - I am just recovering for a bad case of Shingles, but it wasn t on the same side of my body as the leg pain.

Hi, Get your colour Doppler of the affected leg done it might be blockage of arteries or veins in your leg. Take it as a serious situation and get your Doppler done as soon as possible. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon

<s>[INST] What causes sharp pain in the calf? " : " I just had a situation where I suddenly had a very sharp pain on the outside of my right calf, and it intensified each time I attempted to put any weight in it by walking. The initial level of pain only lasted about 5 minutes and began to subside. Now i am experiencing a cool feeling in the same leg. FYI - I am just recovering for a bad case of Shingles, but it wasn t on the same side of my body as the leg pain. [/INST] Hi, Get your colour Doppler of the affected leg done it might be blockage of arteries or veins in your leg. Take it as a serious situation and get your Doppler done as soon as possible. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon </s>

Is feeling sleepy normal after taking novelon?

I have irregular menstrual cycles due to increased thyroid levels and PCOS, hence my gynae suggested I take Novelon for 21 days to regularise the cycle. yesterday night i took the first one and today morning i feel extremely sleepy. is this normal or should i talk to my doctor?

HiDizziness or fatigue can occur with Novelon. Watch the pattern for the next few days and if the dizziness continues,it could be because of the drug.Side effects may reduce in the subsequent cycles and hence continue the drug for few more days. Incase of severe allergy to the drug such as rashes or swelling of face or lips or difficulty in swallowing ,the drug should be stopped.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician

<s>[INST] Is feeling sleepy normal after taking novelon? " : " I have irregular menstrual cycles due to increased thyroid levels and PCOS, hence my gynae suggested I take Novelon for 21 days to regularise the cycle. yesterday night i took the first one and today morning i feel extremely sleepy. is this normal or should i talk to my doctor? [/INST] HiDizziness or fatigue can occur with Novelon. Watch the pattern for the next few days and if the dizziness continues,it could be because of the drug.Side effects may reduce in the subsequent cycles and hence continue the drug for few more days. Incase of severe allergy to the drug such as rashes or swelling of face or lips or difficulty in swallowing ,the drug should be stopped.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician </s>

Is it possible to spread cancer from one peson to anothere person ?

Hi, this is neelakumar from chennai is there possible to spread cancer from one peson to anothere person ?

No this can never happen

<s>[INST] Is it possible to spread cancer from one peson to anothere person ? " : " Hi, this is neelakumar from chennai is there possible to spread cancer from one peson to anothere person ? [/INST] No this can never happen </s>

Should I be worried about persistent infection in right lung?

I was diagnosed with diffuse large b cell lymphoma July 2013 and have finished chemo. PET scan (23.01.14) showed small infection in right lung that had been noticed in Nov/Dec hospital admission. Why would there be an ongoing or persistent infection in right lung?

Thanks for your question on HCM.Diffuse large B cell lymphoma is blood malignancy. In blood malignancy immunity of the patient is very compromised. And chemotherapy makes it even worse.So these patients are at great risk of infection. In such patients infections tend to stay longer and chances of resistant or uncommon infection are more.So possibility of Fungal infection, tubercular infection or parasitic infection is high.Since you are having chronic lung infection , fungal and tubercular infection appears more .Better to consult pulmonologist and get done bronchoscopy and BAL (Bronchoalveolar lavage) analysis to find out the causative organism and start appropriate treatment.

<s>[INST] Should I be worried about persistent infection in right lung? " : " I was diagnosed with diffuse large b cell lymphoma July 2013 and have finished chemo. PET scan (23.01.14) showed small infection in right lung that had been noticed in Nov/Dec hospital admission. Why would there be an ongoing or persistent infection in right lung? [/INST] Thanks for your question on HCM.Diffuse large B cell lymphoma is blood malignancy. In blood malignancy immunity of the patient is very compromised. And chemotherapy makes it even worse.So these patients are at great risk of infection. In such patients infections tend to stay longer and chances of resistant or uncommon infection are more.So possibility of Fungal infection, tubercular infection or parasitic infection is high.Since you are having chronic lung infection , fungal and tubercular infection appears more .Better to consult pulmonologist and get done bronchoscopy and BAL (Bronchoalveolar lavage) analysis to find out the causative organism and start appropriate treatment. </s>

What causes pink vaginal spotting during pregnancy while having uterine septum?

I am 8 weeks pregnant and I have started spotting. It is light and pinkish red in color. I have a uterine septum as well. I had an ultra sound this past Friday and she said everything looked ok. Should I go to the ER or can I wait to see my Dr. tomorrow?

Hi, Dr Purushottam Neurgaonkar here. I welcome you to HCM VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. Any kind of spotting or bleeding during pregnancy needs close attention. You should be cautious about it, but need not panic.I will suggest you to take bed rest. Use of vitamin C tablets, capsule Gynaec CVP will be of help. Also Use of Tab Susten SR 200 mg 2 times a day for a week is advisable. You can repeat USG if necessary, also Injection HCG 5000 II.U can be taken once a week till 14 weeks of pregnancy. Please continue with B 12 Folic acid as before. Do not worry . Be cool ,calm.relaxed .I hope this answer helps you. Thanks Dr Purushottam Neurgaonkar

<s>[INST] What causes pink vaginal spotting during pregnancy while having uterine septum? " : " I am 8 weeks pregnant and I have started spotting. It is light and pinkish red in color. I have a uterine septum as well. I had an ultra sound this past Friday and she said everything looked ok. Should I go to the ER or can I wait to see my Dr. tomorrow? [/INST] Hi, Dr Purushottam Neurgaonkar here. I welcome you to HCM VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. Any kind of spotting or bleeding during pregnancy needs close attention. You should be cautious about it, but need not panic.I will suggest you to take bed rest. Use of vitamin C tablets, capsule Gynaec CVP will be of help. Also Use of Tab Susten SR 200 mg 2 times a day for a week is advisable. You can repeat USG if necessary, also Injection HCG 5000 II.U can be taken once a week till 14 weeks of pregnancy. Please continue with B 12 Folic acid as before. Do not worry . Be cool ,calm.relaxed .I hope this answer helps you. Thanks Dr Purushottam Neurgaonkar </s>

What does BP level of 155/78 and resting 49 pulse indicate?

Hi, I have a couple of questions if that's ok to do so.... I have 155/78 blood pressure with a resting 49 pulse. I'm 18 years old and weigh 189 lbs and I'm a male, I work full-time for a summer job which requires lots of cardiovascular exercise, so I would assume I'm getting enough physical activity throughout the days. Just curious if this is normal or if I have a high-blood pressure... If not, then another query would be required regarding why am I always so tired during whatever time it is. I eat healthily, I'm not exactly a couch potato, and I really can't find another explanation other than if I had high blood pressure, I'm not under much stress either at the moment..... Anyways, thanks, and please excuse the wall of text, I know how unattractive they are to read.

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. 155/78 is more than normal and 49 pulse is slow. I will suggest that you should take ECG and stress echocardiography. If both come normal then start tab Amlodipine for blood pressure. Also start a multivitamin antioxidant combination once a day. Hope I have answered your query. Let me know if I can assist you further.

<s>[INST] What does BP level of 155/78 and resting 49 pulse indicate? " : " Hi, I have a couple of questions if that's ok to do so.... I have 155/78 blood pressure with a resting 49 pulse. I'm 18 years old and weigh 189 lbs and I'm a male, I work full-time for a summer job which requires lots of cardiovascular exercise, so I would assume I'm getting enough physical activity throughout the days. Just curious if this is normal or if I have a high-blood pressure... If not, then another query would be required regarding why am I always so tired during whatever time it is. I eat healthily, I'm not exactly a couch potato, and I really can't find another explanation other than if I had high blood pressure, I'm not under much stress either at the moment..... Anyways, thanks, and please excuse the wall of text, I know how unattractive they are to read. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. 155/78 is more than normal and 49 pulse is slow. I will suggest that you should take ECG and stress echocardiography. If both come normal then start tab Amlodipine for blood pressure. Also start a multivitamin antioxidant combination once a day. Hope I have answered your query. Let me know if I can assist you further. </s>

Growing number of moles on inner labia. Have undergone LEEP procedure. Is this normal?

I saw my gyn in March 2013 and had pointed out a new mole (light brown, eraser sized w a hair) on my labia - she shrugged her shoulders and said "it's a simple mole, make sure it doesn't change" it hasn't changed. But I have since then noticed 2-3 more very Small, similar sized moles beginning to grow on the inner lips. I previously had a leep procedure in April 2013 for CIN 111 cells in cervix. (2 good paps since) I have an appointment to see ,my doc in 2 weeks but am FREAKING out... Please help. Why is this happening? What could be the cause? I am an esthetician for a plastic surgeon and am familiar with what skin cancer can look like, this does not appear to be abnormal in any way. Thanks!

Hi,Thanks for writing to us.The description in no way sounds alarming. It could be a mole, cherry angioma, warts, molluscum contagiosum, angiokeratoma etc. I do not think it is cancerous. However apart from your gynaecologist, I would advise that you seek an opinion from your dermatologist too.Regards

<s>[INST] Growing number of moles on inner labia. Have undergone LEEP procedure. Is this normal? " : " I saw my gyn in March 2013 and had pointed out a new mole (light brown, eraser sized w a hair) on my labia - she shrugged her shoulders and said "it's a simple mole, make sure it doesn't change" it hasn't changed. But I have since then noticed 2-3 more very Small, similar sized moles beginning to grow on the inner lips. I previously had a leep procedure in April 2013 for CIN 111 cells in cervix. (2 good paps since) I have an appointment to see ,my doc in 2 weeks but am FREAKING out... Please help. Why is this happening? What could be the cause? I am an esthetician for a plastic surgeon and am familiar with what skin cancer can look like, this does not appear to be abnormal in any way. Thanks! [/INST] Hi,Thanks for writing to us.The description in no way sounds alarming. It could be a mole, cherry angioma, warts, molluscum contagiosum, angiokeratoma etc. I do not think it is cancerous. However apart from your gynaecologist, I would advise that you seek an opinion from your dermatologist too.Regards </s>

What does the cardiac risk assessment test indicate?

Hi, I had a Cardiac Risk Assessment 1 week ago today at the local hospital as part of a Cardiac Assessment Screening that was offered. I am a 57 year old caucasion male, I am 5 7 186 lbs. The assessment included an ECG. The results are as follows: Vent rate 64 BPM Sinus rhythm, PR interval 158ms Right bundle branch block, QRS duration 148 ms Abnormal ECG, QT/QTc 430/443 ms no previous ECGs available, P-R-T axes 44 -20 14. Up until the last 3 years I stayed fit by going to the gym and working out on the treadmill and using the weight machines for strength training. My goal this year is to get fit again by returning to the gym. I would appreciate some insight as to what these results mean. I plan on contacting a local physician to be evaluated, but am concerned about the results of the ECG. Sincerely, Kevin M. B

Hello Kevin,I have gone through your history .Right bundle branch is usually not a serious abnormality .it is possible you may be having long standing RBBB without any significant heart disease .But when it is picked up for the first time we need to confirm that it is not due to any lesion of heart .If you have old ECG taken in past (by chance) and it too showed same finding then you may consider as benign condition.however it is advisable to get echocardiogram and stress test done.If they are normal you safely resume Gym.and live normal life.My best wishes.

<s>[INST] What does the cardiac risk assessment test indicate? " : " Hi, I had a Cardiac Risk Assessment 1 week ago today at the local hospital as part of a Cardiac Assessment Screening that was offered. I am a 57 year old caucasion male, I am 5 7 186 lbs. The assessment included an ECG. The results are as follows: Vent rate 64 BPM Sinus rhythm, PR interval 158ms Right bundle branch block, QRS duration 148 ms Abnormal ECG, QT/QTc 430/443 ms no previous ECGs available, P-R-T axes 44 -20 14. Up until the last 3 years I stayed fit by going to the gym and working out on the treadmill and using the weight machines for strength training. My goal this year is to get fit again by returning to the gym. I would appreciate some insight as to what these results mean. I plan on contacting a local physician to be evaluated, but am concerned about the results of the ECG. Sincerely, Kevin M. B [/INST] Hello Kevin,I have gone through your history .Right bundle branch is usually not a serious abnormality .it is possible you may be having long standing RBBB without any significant heart disease .But when it is picked up for the first time we need to confirm that it is not due to any lesion of heart .If you have old ECG taken in past (by chance) and it too showed same finding then you may consider as benign condition.however it is advisable to get echocardiogram and stress test done.If they are normal you safely resume Gym.and live normal life.My best wishes. </s>

Could topomax be causing kidney stones?

I currently take 150 mg of topomax daily. Have been for several years. I recently have had a terrible time with kidney stones. 4 in the past 2 weeks. One 5mm, 3mm, 6mm, and 8mm which had to be removed by surgery. Could the topomax be causing my stones?

Yeah topamax can cause kidney stones but there might be some other causes for it like Increased calcium levels so you should analyse the stones and get through check up

<s>[INST] Could topomax be causing kidney stones? " : " I currently take 150 mg of topomax daily. Have been for several years. I recently have had a terrible time with kidney stones. 4 in the past 2 weeks. One 5mm, 3mm, 6mm, and 8mm which had to be removed by surgery. Could the topomax be causing my stones? [/INST] Yeah topamax can cause kidney stones but there might be some other causes for it like Increased calcium levels so you should analyse the stones and get through check up </s>

Q. Should I be concerned about minimally productive chest and nose congestion?

Hi doctor,I have been experiencing minimally productive chest, throat, nose congestion since yesterday. Been coughing as well but voluntarily, in attempts to clear my congestion. What gets produced, if anything, is barely anything and does not help the clogged feeling at the back of nose or top of my throat. My ears, mainly my left one, started feeling a bit sore this morning. Also, I am running a bit warmer than usual, 99.5 to 99.8. But before I get too detailed I will just wrap this up. Should I be concerned? Mainly because if whatever I am doing involves a medium to high level of physical activity. I start wheezing due to the congestion. I cannot exhale and begin to feel kinda short of breathe. Other than this I am not too worried and plan to cancel my appointment with my primary if things start to clear up in two days.

Hello. Have you seen your throat? Is it congested or are there any pus points over tonsils and throat? It is better if you could upload the picture of the throat. It is likely a viral infection involving the respiratory tract with may be superimposed bacterial component as well. You may need antibiotics like Azithromycin. Also, have Betadine gargles four times a day. For a cough, you have syrup Alex (Dextromethorphan) two teaspoons whenever needed up to three times a day and tablet Allegra 120 mg once a day for 3 to 4 days for running nose. Avoid cold food items. May use Xylometazoline nasal drops for congestion and keep Asthalin (Salbutamol) inhalation ready if having wheezing and shortness of breath. For more information consult a general medicine physician online -->

<s>[INST] Q. Should I be concerned about minimally productive chest and nose congestion? " : " Hi doctor,I have been experiencing minimally productive chest, throat, nose congestion since yesterday. Been coughing as well but voluntarily, in attempts to clear my congestion. What gets produced, if anything, is barely anything and does not help the clogged feeling at the back of nose or top of my throat. My ears, mainly my left one, started feeling a bit sore this morning. Also, I am running a bit warmer than usual, 99.5 to 99.8. But before I get too detailed I will just wrap this up. Should I be concerned? Mainly because if whatever I am doing involves a medium to high level of physical activity. I start wheezing due to the congestion. I cannot exhale and begin to feel kinda short of breathe. Other than this I am not too worried and plan to cancel my appointment with my primary if things start to clear up in two days. [/INST] Hello. Have you seen your throat? Is it congested or are there any pus points over tonsils and throat? It is better if you could upload the picture of the throat. It is likely a viral infection involving the respiratory tract with may be superimposed bacterial component as well. You may need antibiotics like Azithromycin. Also, have Betadine gargles four times a day. For a cough, you have syrup Alex (Dextromethorphan) two teaspoons whenever needed up to three times a day and tablet Allegra 120 mg once a day for 3 to 4 days for running nose. Avoid cold food items. May use Xylometazoline nasal drops for congestion and keep Asthalin (Salbutamol) inhalation ready if having wheezing and shortness of breath. For more information consult a general medicine physician online --> </s>

Q. What causes single heart palpitations?

Hi doctor, I am 21 years old and having regular single heart palpations. I have an Apple Watch which provides an ECG and this shows my heart is beating at regular intervals, but there is fairly regularly a single beat which is much larger. I can feel this in my stomach/chest area and feels like a heavy beat or a missed beat. I will upload a couple of PDF results to show you. You can quite clearly see when these large beats take place. I sometimes get chest pain but I usually attribute this to my stomach or anxiety, and the chest pain does not tend to accompany the heart palpitation. My main worry is it is quite regularly happening and it is one singular beat which is ‘off’. I have bad bloating which has been for the last month or two which comes and goes, but am unsure if this is related.

Hello. I have gone through the results you attached (attachment removed to protect patient identity). You are experiencing missed beats aslo known as premature ventricular contractions. They are are usually benign (harmless). Your symptoms can be worsened by drinking, caffeine, smoking or some medications. I usually do not prescribe my patients medication at first except it affects your daily activity. Firstly, avoid trigerrs like alcohol, drugs, sleeplessness, etc. Try to exercise regularly. Atleast 3 or 4 times a week. For a duration of 30 minutes. Make sure to sleep 6 to 7 hours daily at night. If your symptoms persist, you will need a Beta-Blocker medication. It acts by regulating how your heart beats. Ablation is the definite treatment of choice if all measures fail but am hopeful it will not get to that. I wish you good health. Best regards.

<s>[INST] Q. What causes single heart palpitations? " : " Hi doctor, I am 21 years old and having regular single heart palpations. I have an Apple Watch which provides an ECG and this shows my heart is beating at regular intervals, but there is fairly regularly a single beat which is much larger. I can feel this in my stomach/chest area and feels like a heavy beat or a missed beat. I will upload a couple of PDF results to show you. You can quite clearly see when these large beats take place. I sometimes get chest pain but I usually attribute this to my stomach or anxiety, and the chest pain does not tend to accompany the heart palpitation. My main worry is it is quite regularly happening and it is one singular beat which is ‘off’. I have bad bloating which has been for the last month or two which comes and goes, but am unsure if this is related. [/INST] Hello. I have gone through the results you attached (attachment removed to protect patient identity). You are experiencing missed beats aslo known as premature ventricular contractions. They are are usually benign (harmless). Your symptoms can be worsened by drinking, caffeine, smoking or some medications. I usually do not prescribe my patients medication at first except it affects your daily activity. Firstly, avoid trigerrs like alcohol, drugs, sleeplessness, etc. Try to exercise regularly. Atleast 3 or 4 times a week. For a duration of 30 minutes. Make sure to sleep 6 to 7 hours daily at night. If your symptoms persist, you will need a Beta-Blocker medication. It acts by regulating how your heart beats. Ablation is the definite treatment of choice if all measures fail but am hopeful it will not get to that. I wish you good health. Best regards. </s>

Suggest treatment for lumps on the head

I m a50 year old man, recently had a couple of lumps on my head, that repeat, just over last 3 months. Not went to a doctor yet, but some where like pimples, that when squeezed, go a way. But I now have one that is like a lump, and only sore, when you press it. I also have a couple of smaller ones-pimple like too

Hello and welcome to HCM,Multiple lumps on the head need a clinical assessment.Adnexal tumors or tumors arising from skin adenexa can form multiple lumps on the head.If possible, aspiration of the swellings will be required to know their nature.In case aspiration is not possible, an excsion biopsy will be required.Thus, consult your primary health care provider for clinical assessment, relevant investigations and thus management.Thanks and take careDr Shailja Puri

<s>[INST] Suggest treatment for lumps on the head " : " I m a50 year old man, recently had a couple of lumps on my head, that repeat, just over last 3 months. Not went to a doctor yet, but some where like pimples, that when squeezed, go a way. But I now have one that is like a lump, and only sore, when you press it. I also have a couple of smaller ones-pimple like too [/INST] Hello and welcome to HCM,Multiple lumps on the head need a clinical assessment.Adnexal tumors or tumors arising from skin adenexa can form multiple lumps on the head.If possible, aspiration of the swellings will be required to know their nature.In case aspiration is not possible, an excsion biopsy will be required.Thus, consult your primary health care provider for clinical assessment, relevant investigations and thus management.Thanks and take careDr Shailja Puri </s>

Should i be concerned as i am having a lump to the right side of my Adam's apple?

i have a lump to the right hand side of my Adam's apple. it has been there approx 3 weeks now, Sore to touch and about 1 fingers width in diamater. should i be concerned. i recently got a MAD mandibular advancement device fitted to help with my sleeping - could this be a swollen salivary gland??

HI. This is most probably a swollen lymph node. There is a history of MAD. Get a 7 days course of antibiotics and anti-inflammatory medicines. IF it does not solve you may go further for investigation after consultation with your treating Doctor.

<s>[INST] Should i be concerned as i am having a lump to the right side of my Adam's apple? " : " i have a lump to the right hand side of my Adam's apple. it has been there approx 3 weeks now, Sore to touch and about 1 fingers width in diamater. should i be concerned. i recently got a MAD mandibular advancement device fitted to help with my sleeping - could this be a swollen salivary gland?? [/INST] HI. This is most probably a swollen lymph node. There is a history of MAD. Get a 7 days course of antibiotics and anti-inflammatory medicines. IF it does not solve you may go further for investigation after consultation with your treating Doctor. </s>

Had maxillo-mandibular advancement, pain in jaw. Is it due to titanium plate?

Not sure where to ask this but I had MMA (double jaw ) surgery two years ago and have had consistent pain in the lower left jaw from ear to chin . I have tried all sorts of natural and medical ways to take the pain away but it doesn t seem to work. Could the titanium plate be the source of this pain? My oral surgeon is willing to take it out but doesn t know if it has anything to do with the pain. It feels like the bone hurts.

hello..ur pain as per description seems to be neural in origin especially related to mandibular nerve.. I can not say with surity that titanium plates are the cause of pain.. but after MMA few patients get the pain u had described.. first of all I would like to know whether the compression of nerve is there by titanium plate.. it is very difficult to find out even by best non-invasive investigations.. If plates are compressing the nerves ur pain will be relieved permanently.. I would like to know about any nerve injury during the MMA procedure.. The nerve injury is one complication which can occur even by best precautions.. please consult a good neurosurgeon .. ur description of pain is very less.. its episodic , continuous, sharp,dull,location,radiating nature,etc .. will be deciding factor in your treatment plan.. muscular pain after 2 yrs of surgery is not common. so i had ruled it out.. and bone/ligament inflammation causing the pain in ur case is also not possible after 2yrs.. as their healing takes place by then.. take multivits like vit B1,B2,B6, B12, calcium, magnesium, alpha-lipoic acid and acetyl L-carnitine .. These help in nerve cell growth..

<s>[INST] Had maxillo-mandibular advancement, pain in jaw. Is it due to titanium plate? " : " Not sure where to ask this but I had MMA (double jaw ) surgery two years ago and have had consistent pain in the lower left jaw from ear to chin . I have tried all sorts of natural and medical ways to take the pain away but it doesn t seem to work. Could the titanium plate be the source of this pain? My oral surgeon is willing to take it out but doesn t know if it has anything to do with the pain. It feels like the bone hurts. [/INST] hello..ur pain as per description seems to be neural in origin especially related to mandibular nerve.. I can not say with surity that titanium plates are the cause of pain.. but after MMA few patients get the pain u had described.. first of all I would like to know whether the compression of nerve is there by titanium plate.. it is very difficult to find out even by best non-invasive investigations.. If plates are compressing the nerves ur pain will be relieved permanently.. I would like to know about any nerve injury during the MMA procedure.. The nerve injury is one complication which can occur even by best precautions.. please consult a good neurosurgeon .. ur description of pain is very less.. its episodic , continuous, sharp,dull,location,radiating nature,etc .. will be deciding factor in your treatment plan.. muscular pain after 2 yrs of surgery is not common. so i had ruled it out.. and bone/ligament inflammation causing the pain in ur case is also not possible after 2yrs.. as their healing takes place by then.. take multivits like vit B1,B2,B6, B12, calcium, magnesium, alpha-lipoic acid and acetyl L-carnitine .. These help in nerve cell growth.. </s>