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Diagnosed with high RBC. How to bring it normal?

good evening sir ... recently in normal routine check up , my wife was diagnosed with high RBC ~ 9 Lacs. I am staying in Banerghatta road ..pl let me know the hospital where we can consult you with all the reports. Request early appointment . Also complete address and contact no. as I am recently transferred to Bangalore. Thanks Sanjay Anand

Hi, Welcome to HCM In high RBC count> 9 Lacs. you need to consult a Hematologist. What is the Hemoglobin level and PCV. It could be primary or secondary which is related to some other disease like heart diseases,or Lung diseases,some endocrine disorders and few medicines. It would be prudent to visit a Hematologist in Bangalore. Investigate properly and depending on exact cause treatment can be planned. In primary form a Venesection and removal of blood intermettantly,other way is chemotherapy or radioactive Phosphorus. Hope this information helps you Take care Best of Luck

<s>[INST] Diagnosed with high RBC. How to bring it normal? " : " good evening sir ... recently in normal routine check up , my wife was diagnosed with high RBC ~ 9 Lacs. I am staying in Banerghatta road ..pl let me know the hospital where we can consult you with all the reports. Request early appointment . Also complete address and contact no. as I am recently transferred to Bangalore. Thanks Sanjay Anand [/INST] Hi, Welcome to HCM In high RBC count> 9 Lacs. you need to consult a Hematologist. What is the Hemoglobin level and PCV. It could be primary or secondary which is related to some other disease like heart diseases,or Lung diseases,some endocrine disorders and few medicines. It would be prudent to visit a Hematologist in Bangalore. Investigate properly and depending on exact cause treatment can be planned. In primary form a Venesection and removal of blood intermettantly,other way is chemotherapy or radioactive Phosphorus. Hope this information helps you Take care Best of Luck </s>

Suggest treatment for pain in lower abdominal area

I'm having a lot of pain near the lower abdominal area.There is more gas then normal, alot of cramping, and sharp pains above the genital area.When I perform a bowel movement, sometimes its relieving, but at the same time it's painful. It's painful to urinate too, as if I have a kidney stone.I'm beginning to catch some sort of fever/cold as well. I don't know how or what I should do, or what it could possibly be.. all I know is that I'm in an increasing amount of pain each day.Please, let me know of any thing you might think it is

Hi,From history it seems that you might be having urinary tract infection or kidney stone as history suggests.Go for routine and microscopic for pus cells and blood cells.Might require ultra sound abdomen.After reports go for treatment accordingly.Take plenty of water.Ok and take care.

<s>[INST] Suggest treatment for pain in lower abdominal area " : " I'm having a lot of pain near the lower abdominal area.There is more gas then normal, alot of cramping, and sharp pains above the genital area.When I perform a bowel movement, sometimes its relieving, but at the same time it's painful. It's painful to urinate too, as if I have a kidney stone.I'm beginning to catch some sort of fever/cold as well. I don't know how or what I should do, or what it could possibly be.. all I know is that I'm in an increasing amount of pain each day.Please, let me know of any thing you might think it is [/INST] Hi,From history it seems that you might be having urinary tract infection or kidney stone as history suggests.Go for routine and microscopic for pus cells and blood cells.Might require ultra sound abdomen.After reports go for treatment accordingly.Take plenty of water.Ok and take care. </s>

What causes pain in neck & head with blurry vision ?

I was power walking/ jogging three weeks ago and my neck started to hurt and felt like I had whip-lash. I woke up in the middle of the night with a severe headache and it , along with the neck pain, has persisted since. I take ibuprophen and tylenol so I can rest, but at times the headache is bad enough I have blurry vision. What might have caused this? ( I have a Dr. appointment in four weeks.)

hi,what you are describing is typical of a few diseases.it could be due to causes in the neck itself, most commonly arthritis in the neck bones (also known as cervical spondylosis) may be causing compressing on a nerve of two around them leading to pain, or they may be compressing the blood vessels carrying blood to your brain, causing pain and blurring of vision. the blurring of vision could also be due to a low blood pressure if you ran too much without replacing body fluids properly causing your blood pressure to drop.or it could be something in your brain itself causing blurring or maybe even glaucoma (a disease of the eye >> which can be an emergency)you have to ask yourself if this is the first episode of such symptoms or have they been recurring.i do recommend getting examined by a general physician first to get a hint into what may be the cause of the problem and if required a specialist referral to an orthopedician for the neck problem or a neurologist for the headache , or even an ophthalmologist for the eyes could be organised. regards/

<s>[INST] What causes pain in neck & head with blurry vision ? " : " I was power walking/ jogging three weeks ago and my neck started to hurt and felt like I had whip-lash. I woke up in the middle of the night with a severe headache and it , along with the neck pain, has persisted since. I take ibuprophen and tylenol so I can rest, but at times the headache is bad enough I have blurry vision. What might have caused this? ( I have a Dr. appointment in four weeks.) [/INST] hi,what you are describing is typical of a few diseases.it could be due to causes in the neck itself, most commonly arthritis in the neck bones (also known as cervical spondylosis) may be causing compressing on a nerve of two around them leading to pain, or they may be compressing the blood vessels carrying blood to your brain, causing pain and blurring of vision. the blurring of vision could also be due to a low blood pressure if you ran too much without replacing body fluids properly causing your blood pressure to drop.or it could be something in your brain itself causing blurring or maybe even glaucoma (a disease of the eye >> which can be an emergency)you have to ask yourself if this is the first episode of such symptoms or have they been recurring.i do recommend getting examined by a general physician first to get a hint into what may be the cause of the problem and if required a specialist referral to an orthopedician for the neck problem or a neurologist for the headache , or even an ophthalmologist for the eyes could be organised. regards/ </s>

How can i get pregnant while having hormonal imbalance?

i am 28 years old i have one girl child she is 41/2years and i am trying for 2nd child i was having harmonal imbalance problem now it is ok we are trying since 2 years i am not getting pregnant and thriod,is normal utreus is also normal today is 13th day my doctor is suggested for follicular scan

Hello dearI understand you concernFirst you have to find the cause of hormonal imbalance.Your problem could be due to ovarian dysfunction, insulin resistance.Reproductive hormone analysis, USG scan and ovarian follicle study will help in the diagnosis.Treatment will depend on the cause.Progesterone pill in second half of period will useMetformin to regularize the glucose homeostasis.Make sure that your partner profile is also normalAvoid stress, take healthy diet with green leafy vegetables & fresh fruits, drink plenty of water, do regular exercise and maintain your weight according to BMI.Hope this may help youContact further if follow up neededBest regardsDr. Sagar

<s>[INST] How can i get pregnant while having hormonal imbalance? " : " i am 28 years old i have one girl child she is 41/2years and i am trying for 2nd child i was having harmonal imbalance problem now it is ok we are trying since 2 years i am not getting pregnant and thriod,is normal utreus is also normal today is 13th day my doctor is suggested for follicular scan [/INST] Hello dearI understand you concernFirst you have to find the cause of hormonal imbalance.Your problem could be due to ovarian dysfunction, insulin resistance.Reproductive hormone analysis, USG scan and ovarian follicle study will help in the diagnosis.Treatment will depend on the cause.Progesterone pill in second half of period will useMetformin to regularize the glucose homeostasis.Make sure that your partner profile is also normalAvoid stress, take healthy diet with green leafy vegetables & fresh fruits, drink plenty of water, do regular exercise and maintain your weight according to BMI.Hope this may help youContact further if follow up neededBest regardsDr. Sagar </s>

Pain in kidney area, light headedness, chest pressure. Is this bad?

Hi I have for the past 4 weeks or more had aching and burning pains in my kidney areas. I also get random burning and aches around the front. In the past week I feel light headed, always tired, pressure on my chest and also every know and again get aching above my right armpit and the inside of my right arm by elbow . Is this bad? Don t have a doctor round here and move again in two weeks.

Hi, You need to meet physician or any good qualified doctor available in view of pain at multiple sites. It requires thorough evaluation and investigations. Take care.

<s>[INST] Pain in kidney area, light headedness, chest pressure. Is this bad? " : " Hi I have for the past 4 weeks or more had aching and burning pains in my kidney areas. I also get random burning and aches around the front. In the past week I feel light headed, always tired, pressure on my chest and also every know and again get aching above my right armpit and the inside of my right arm by elbow . Is this bad? Don t have a doctor round here and move again in two weeks. [/INST] Hi, You need to meet physician or any good qualified doctor available in view of pain at multiple sites. It requires thorough evaluation and investigations. Take care. </s>

Suggest remedy for hair loss

Hi,I m 24 mail I have done hair transplant nd my dr had suggest me finpesia 1mg nd tugain 5% bt I have read that it s r top baldness not frontal nd I have done transplant on frontal only can u help me ? Nd I have noticed more hair loss on top area where hair groth is normal can I apply tugain there also?

Hi.As per your case history of hairfall.My treatment advice is – 1. Take good nutritious diet full of green leafy vegetables and milk.2. Use a good herbal shampoo and coconut hair oil for regular use.3. Take an iron supplement once daily and vitamin b12 supplement once daily for 3 months.4. Other treatment options are topical minoxidil, oral finasteride and mesotherpy done by a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS, DDVL.

<s>[INST] Suggest remedy for hair loss " : " Hi,I m 24 mail I have done hair transplant nd my dr had suggest me finpesia 1mg nd tugain 5% bt I have read that it s r top baldness not frontal nd I have done transplant on frontal only can u help me ? Nd I have noticed more hair loss on top area where hair groth is normal can I apply tugain there also? [/INST] Hi.As per your case history of hairfall.My treatment advice is – 1. Take good nutritious diet full of green leafy vegetables and milk.2. Use a good herbal shampoo and coconut hair oil for regular use.3. Take an iron supplement once daily and vitamin b12 supplement once daily for 3 months.4. Other treatment options are topical minoxidil, oral finasteride and mesotherpy done by a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS, DDVL. </s>

Suggest treatment for painful and swollen scrotum

Hi Doctor. Inside my penis I had some small growth on the skin that the doctor told me is called verucca tyle of whats. I was given a cream that has made my srotum swell and cracks due to the thickness. Am now in serious pain and am fearing an infection since am diabetic.Please advise on how to tavkle the swelling and the pain...tom

Thanks for contacting HCMI am sorry to hear that you are having swelling and pain of the scrotum. This sounds like you do have a bacterial infection and need additional treatment. I recommend that you seek medical attention from a urologist or your primary care giver. You are at a higher risk of infection due to you being a diabetic. Hope I answered your question. Please contact us again with your medical questions or concerns

<s>[INST] Suggest treatment for painful and swollen scrotum " : " Hi Doctor. Inside my penis I had some small growth on the skin that the doctor told me is called verucca tyle of whats. I was given a cream that has made my srotum swell and cracks due to the thickness. Am now in serious pain and am fearing an infection since am diabetic.Please advise on how to tavkle the swelling and the pain...tom [/INST] Thanks for contacting HCMI am sorry to hear that you are having swelling and pain of the scrotum. This sounds like you do have a bacterial infection and need additional treatment. I recommend that you seek medical attention from a urologist or your primary care giver. You are at a higher risk of infection due to you being a diabetic. Hope I answered your question. Please contact us again with your medical questions or concerns </s>

Can Maxoza and fertomid cause any problem if used for long run?

Hi I am taking Maxoza 5mg and fertomid twice a day to increase my sperm count and mortility level. Is there any side effects. I am also suffering from hypertention since the age of 17. Now I am 31 years old and married three years back and have no isuues. I am a bit worried. Please help me and suggest.

HiThese drugs should definitely not to be used in the long run due to the side effects.Monitor your sperm count and motility after a month and on improvement,you can slowly stop the drug.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician

<s>[INST] Can Maxoza and fertomid cause any problem if used for long run? " : " Hi I am taking Maxoza 5mg and fertomid twice a day to increase my sperm count and mortility level. Is there any side effects. I am also suffering from hypertention since the age of 17. Now I am 31 years old and married three years back and have no isuues. I am a bit worried. Please help me and suggest. [/INST] HiThese drugs should definitely not to be used in the long run due to the side effects.Monitor your sperm count and motility after a month and on improvement,you can slowly stop the drug.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician </s>

What causes abdominal area pain with nausea?

Hello. I m an 18 year old female, about 145lbs, 5 6. My right side is hurting and I feel nauseous. It s more of the right side of my back and side. I used the bathroom maybe around 3pm and after is when I started feeling that way. I went again about 10 minutes ago and I still feel the same. Could this be something serious or will it be gone by tomorrow?

Hi. Thanks for your query. Read your history and understood it. The pain in the right side more of the back and right side can be due to following reasons::Impacted stone in the right upper ureter.Retrocecal meaning behind the cecum Appendicitis. This can be serious as the pain in the said area does not give classical signs and symptoms of a particular disease. High degree of suspicion only helps.I would advice you to go for the blood and urine test- RBS in urine will favor more for ureteric stone. Ultrasonography will see for both the problems, but CT scan will be more specific as it can diagnosed the suspected disease and rule out or diagnose any other problem. This may not go by tomorrow, get investigated , get a confirmed diagnosis as the treatment of both the problems is different and specific.

<s>[INST] What causes abdominal area pain with nausea? " : " Hello. I m an 18 year old female, about 145lbs, 5 6. My right side is hurting and I feel nauseous. It s more of the right side of my back and side. I used the bathroom maybe around 3pm and after is when I started feeling that way. I went again about 10 minutes ago and I still feel the same. Could this be something serious or will it be gone by tomorrow? [/INST] Hi. Thanks for your query. Read your history and understood it. The pain in the right side more of the back and right side can be due to following reasons::Impacted stone in the right upper ureter.Retrocecal meaning behind the cecum Appendicitis. This can be serious as the pain in the said area does not give classical signs and symptoms of a particular disease. High degree of suspicion only helps.I would advice you to go for the blood and urine test- RBS in urine will favor more for ureteric stone. Ultrasonography will see for both the problems, but CT scan will be more specific as it can diagnosed the suspected disease and rule out or diagnose any other problem. This may not go by tomorrow, get investigated , get a confirmed diagnosis as the treatment of both the problems is different and specific. </s>

What causes high heart rate, dizziness, swelling in brain?

I have a high heart rate and normal blood pressure. (124/79) I am overweight and am prone to dizzy episodes, especially when i lay down or if I get up too fast. My Dr. said don't worry about it but I don't think that is right. I have swelling behind my eyes but my MRi showed swelling on the brain and am on waiting list for neurologist for 4 years now. I am soon to be 35 and am afraid of heart attack and stroke. What should I do?

Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you should definitely rule out arrhythmia (rhythm disturbances in heart) and other heart diseases first. Your symptoms like rapid heart rate, dizziness etc are commonly seen with arrhythmia. So consult cardiologist and get done 1. Blood pressure monitoring 2. Ecg 3. 2d echo 4. Holter monitoring (24 hours continuous recording of ecg). If all these are normal then no need to worry for arrhythmia or other heart diseases. Sometimes, obesity itself can cause similar symptoms. So loose weight and stay fit and healthy. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

<s>[INST] What causes high heart rate, dizziness, swelling in brain? " : " I have a high heart rate and normal blood pressure. (124/79) I am overweight and am prone to dizzy episodes, especially when i lay down or if I get up too fast. My Dr. said don't worry about it but I don't think that is right. I have swelling behind my eyes but my MRi showed swelling on the brain and am on waiting list for neurologist for 4 years now. I am soon to be 35 and am afraid of heart attack and stroke. What should I do? [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you should definitely rule out arrhythmia (rhythm disturbances in heart) and other heart diseases first. Your symptoms like rapid heart rate, dizziness etc are commonly seen with arrhythmia. So consult cardiologist and get done 1. Blood pressure monitoring 2. Ecg 3. 2d echo 4. Holter monitoring (24 hours continuous recording of ecg). If all these are normal then no need to worry for arrhythmia or other heart diseases. Sometimes, obesity itself can cause similar symptoms. So loose weight and stay fit and healthy. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

Suggest treatment for multiple myeloma

Yes please. I am 55 years old. Multiple Myeloma . Had an unsuccessful SCT 2 hrs ago. All meds disagree with me. I am taking 3 months off from treatment. I have an extremely swollen andnsore nipplemon my breast. It hurts and sometime I get a shooting pain. This stated about 3 weeks ago went away and just came back 3 days ago. Very painfull. Kinda worried.

Hi, dearI have gone through your question. I can understand your concern. Treatment of choice for multiple myeloma is revlimid plus dexamethasone. Bortezomib may be useful in some cases. These all drugs are very toxic and should be used on written prescription only. 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] Suggest treatment for multiple myeloma " : " Yes please. I am 55 years old. Multiple Myeloma . Had an unsuccessful SCT 2 hrs ago. All meds disagree with me. I am taking 3 months off from treatment. I have an extremely swollen andnsore nipplemon my breast. It hurts and sometime I get a shooting pain. This stated about 3 weeks ago went away and just came back 3 days ago. Very painfull. Kinda worried. [/INST] Hi, dearI have gone through your question. I can understand your concern. Treatment of choice for multiple myeloma is revlimid plus dexamethasone. Bortezomib may be useful in some cases. These all drugs are very toxic and should be used on written prescription only. 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>

Have thyroid disease and kidney insufficiency. Taken Methamazole. Elevated liver enzymes after PTU. Any ideas?

I am a 58 year old female with thyroid disease and recently diagnosed kidney insufficiency. I did a six-month course of methamazole which treated the hyperthyroidism however my GFR dropped to 44 while on the drug. They stopped the methamazole and my GFR came up to 54. They started PTU for the hyperthyroidism and now my GFR is back down to 44, and my liver enzymes are elevated. An ultrasound shows bi-lateral hydronephrosis. My GP is now sending me to a urology surgeon for evaluation. Any ideas on what is going on?

Hi, the drugs you are using are showing hepatotoxicity, and renal toxicity, as you are recovering after stopping the drugs, after consulting the nephrologist you better stop the drugs, or change to some other alternative for hyperthyroidism. Thank you.

<s>[INST] Have thyroid disease and kidney insufficiency. Taken Methamazole. Elevated liver enzymes after PTU. Any ideas? " : " I am a 58 year old female with thyroid disease and recently diagnosed kidney insufficiency. I did a six-month course of methamazole which treated the hyperthyroidism however my GFR dropped to 44 while on the drug. They stopped the methamazole and my GFR came up to 54. They started PTU for the hyperthyroidism and now my GFR is back down to 44, and my liver enzymes are elevated. An ultrasound shows bi-lateral hydronephrosis. My GP is now sending me to a urology surgeon for evaluation. Any ideas on what is going on? [/INST] Hi, the drugs you are using are showing hepatotoxicity, and renal toxicity, as you are recovering after stopping the drugs, after consulting the nephrologist you better stop the drugs, or change to some other alternative for hyperthyroidism. Thank you. </s>

Have had Kidney Stones problem. On medication. Pain in lower back. Sprained?

Hi, I have had Kidney Stones problem about 6 months back, I was given medication and the pain reduced & was discharged. The doctor advised me Lasilactone and Urimax .4 to continue for a while and asked me to take lots of fluids. I have done the medication. From yesterday I am having a mild pain in lower left back and I am not able to understand if it is a sprain or due to stones. Could you please help me how to distinguish

HiThanks for the query.Pain due to kidney stones is usually colicky (i.e severe pain in episodic bursts).It is present in the loin and may shoot down into the groin.It may be associated with blood in urine. On the other hand pain due to muscle sprain is constant, and worsens on movement.It is difficult to ascertain the cause accurately without physical examination.So I suggest that you see your doctor if the discomfort persists.Hope this helpsGood luck

<s>[INST] Have had Kidney Stones problem. On medication. Pain in lower back. Sprained? " : " Hi, I have had Kidney Stones problem about 6 months back, I was given medication and the pain reduced & was discharged. The doctor advised me Lasilactone and Urimax .4 to continue for a while and asked me to take lots of fluids. I have done the medication. From yesterday I am having a mild pain in lower left back and I am not able to understand if it is a sprain or due to stones. Could you please help me how to distinguish [/INST] HiThanks for the query.Pain due to kidney stones is usually colicky (i.e severe pain in episodic bursts).It is present in the loin and may shoot down into the groin.It may be associated with blood in urine. On the other hand pain due to muscle sprain is constant, and worsens on movement.It is difficult to ascertain the cause accurately without physical examination.So I suggest that you see your doctor if the discomfort persists.Hope this helpsGood luck </s>

What causes migraine aura after having spicy food?

Gender:Female Age: 32 History: High Fever-- Fell down hit my head--- Hospitalized for 1 month--- Diagnosed with seizure disorder--- Now I get an aura everytime I don t get enough sleep, if I am stimulated, depressed or anxious. I noticed I get aura after I consumed spicy food. What would be some suggestions on how to avoid auras and seizures?

Hi,Thanks for writing in.While the spices by itself might not lead to migraine headaches, tyramine, an amino acid commonly found in foods can cause symptoms leading to headaches. This substance is usually found in foods of Chinese preparation and also old or fermented foods. Common foods triggering migraine are Chocolate, Pork, Cheese and other diary products, Seafood, Citrus fruits and fruit juices, Onions, Wheat, Marmite, Coffee and tea (caffeine) and Alcohol.Please be selective in avoiding foods as the same food might not cause migraines in everyone. You might tick off certain foods which you consumed as spicy foods.

<s>[INST] What causes migraine aura after having spicy food? " : " Gender:Female Age: 32 History: High Fever-- Fell down hit my head--- Hospitalized for 1 month--- Diagnosed with seizure disorder--- Now I get an aura everytime I don t get enough sleep, if I am stimulated, depressed or anxious. I noticed I get aura after I consumed spicy food. What would be some suggestions on how to avoid auras and seizures? [/INST] Hi,Thanks for writing in.While the spices by itself might not lead to migraine headaches, tyramine, an amino acid commonly found in foods can cause symptoms leading to headaches. This substance is usually found in foods of Chinese preparation and also old or fermented foods. Common foods triggering migraine are Chocolate, Pork, Cheese and other diary products, Seafood, Citrus fruits and fruit juices, Onions, Wheat, Marmite, Coffee and tea (caffeine) and Alcohol.Please be selective in avoiding foods as the same food might not cause migraines in everyone. You might tick off certain foods which you consumed as spicy foods. </s>

Had cystoscopy and laser removal with stent placement for kidney stone. Ultrasound scan after surgery showing hydronephrosis. Persisting pain

I had a kidney stone . I had cystoscopy and laser removal with placement of a stent on Nov. 15th. My initial six-week ultrasound after surgery showed some hydronephrosis . Because I was still experiencing pain, I had a CT scan with dye done. The swelling has gone down, but I am still experiencing pain. THe urologist said I need to see my general practitioner.

Hi,Thanks for writing in.You have got your kidney stone treated by laser and subsequent stent placement.It is natural for the 6 week ultrasound to show some residual hydronephrosis if your stone was big and present for some time. You did the right thing in getting CT scan abdomen with contrast done. I suppose the hydronephrosis as seen on CT scan has improved from before.Since nothing is mentioned about removal of stent, I consider it is still in place. Your persisting pain might be due the upper portion of the stent touching the renal pelvis and upper part of ureter. It can also be due to some small infection.Routine urine examination for red blood cells and urine culture and sensitivity may be done for further treatment by your doctor.Hope this helps.

<s>[INST] Had cystoscopy and laser removal with stent placement for kidney stone. Ultrasound scan after surgery showing hydronephrosis. Persisting pain " : " I had a kidney stone . I had cystoscopy and laser removal with placement of a stent on Nov. 15th. My initial six-week ultrasound after surgery showed some hydronephrosis . Because I was still experiencing pain, I had a CT scan with dye done. The swelling has gone down, but I am still experiencing pain. THe urologist said I need to see my general practitioner. [/INST] Hi,Thanks for writing in.You have got your kidney stone treated by laser and subsequent stent placement.It is natural for the 6 week ultrasound to show some residual hydronephrosis if your stone was big and present for some time. You did the right thing in getting CT scan abdomen with contrast done. I suppose the hydronephrosis as seen on CT scan has improved from before.Since nothing is mentioned about removal of stent, I consider it is still in place. Your persisting pain might be due the upper portion of the stent touching the renal pelvis and upper part of ureter. It can also be due to some small infection.Routine urine examination for red blood cells and urine culture and sensitivity may be done for further treatment by your doctor.Hope this helps. </s>

Child has constant cough, fever and runny nose. Taken antibiotics and steroids

Hello please help my 2 1/2yr old son has had a consent cough for nearly 7weeks now along with on and off temps and also a runny nose which is also on and off. The cough sounds horrible and irradiating and does wake him especially while sleeping, but his overall well being is quite normal. In the first 2weeks I assumed it was either a chest infection, broncoltes or the flu . I then put him on a coarse of antibotics which he finished 100% but he still had the majority of symptoms. I then took him to a doctor who prescribed him a 3 day coarse of a steroid , which he also finished and still he remained to have all of his symptoms so we returned to see another doctor who said he s chest was clear and unfortunately it is going around and it could take up to 5 to 6 weeks to clear. In the end of the 4week I returned once again to another doctor, after a couple of temps and still with the same cough, she then dianogised my son with asthma and prescribed him with another steroid to give him for 3days and also ventolin liquid to be given 3 times daily, after the third day on both the steroid and ventolin no change and my son if anything seemed worse as he had two more temps along with the worst 2nights sleep while on the ventolin liquid ( both times on the 3day steroid, the dose was given in the morning as advised by both doctors and pharmacists) I decided to not give him anymore of the ventolin until I got another opion.In the mid of the 5week I then decided enough was enough and got him in to see his doctor that has seen him form birth. I was told then that the dianogise that the previous doctor had given him was incorrect as his chest was clear and although he has a higher chance of having asthma as both his father and I had asthma and broncol asthma as children, he is still too young to be sure 100% as he cant do any type of breathing test. He then said to give it a week or two and see how he goes without any medicine and if No improvement or I get concerned bring him back within a week. I then returned in a few days as still no improvement and the coughing was getting to the stage of him nearly vomiting, we were able to see his doctor and he prescribed a twice a day coarse of antibotics which he has all most completed. He has improved slightly but still especially while sleeping has that same cough. PLEASE Help us as I m not sure what to do and he has never had any illness that I couldn t get rid of, what should my next attempt to get him better be ?

Hello, Cough in little children can be due to several causes and the treatment options that you were provided with is standard treatment for most children. The causes include: 1. Viral sore throat - when symptomatic treatment with paracetamol, cough syrups as reqd 2. Cough variant asthma - if continuous, more at night, trial of salbutamol 3. Gastroesophageal reflux - common in children, gavison liquid at night, or at least twice a day 4. Rhinitis with asthma like symptoms - allergy testing to exclude house dust mite sensitization; anti-allergy syrups with low potency nasal corticosteroids 5. Exclude communicable respiratory infections with CXR etc Thanks.

<s>[INST] Child has constant cough, fever and runny nose. Taken antibiotics and steroids " : " Hello please help my 2 1/2yr old son has had a consent cough for nearly 7weeks now along with on and off temps and also a runny nose which is also on and off. The cough sounds horrible and irradiating and does wake him especially while sleeping, but his overall well being is quite normal. In the first 2weeks I assumed it was either a chest infection, broncoltes or the flu . I then put him on a coarse of antibotics which he finished 100% but he still had the majority of symptoms. I then took him to a doctor who prescribed him a 3 day coarse of a steroid , which he also finished and still he remained to have all of his symptoms so we returned to see another doctor who said he s chest was clear and unfortunately it is going around and it could take up to 5 to 6 weeks to clear. In the end of the 4week I returned once again to another doctor, after a couple of temps and still with the same cough, she then dianogised my son with asthma and prescribed him with another steroid to give him for 3days and also ventolin liquid to be given 3 times daily, after the third day on both the steroid and ventolin no change and my son if anything seemed worse as he had two more temps along with the worst 2nights sleep while on the ventolin liquid ( both times on the 3day steroid, the dose was given in the morning as advised by both doctors and pharmacists) I decided to not give him anymore of the ventolin until I got another opion.In the mid of the 5week I then decided enough was enough and got him in to see his doctor that has seen him form birth. I was told then that the dianogise that the previous doctor had given him was incorrect as his chest was clear and although he has a higher chance of having asthma as both his father and I had asthma and broncol asthma as children, he is still too young to be sure 100% as he cant do any type of breathing test. He then said to give it a week or two and see how he goes without any medicine and if No improvement or I get concerned bring him back within a week. I then returned in a few days as still no improvement and the coughing was getting to the stage of him nearly vomiting, we were able to see his doctor and he prescribed a twice a day coarse of antibotics which he has all most completed. He has improved slightly but still especially while sleeping has that same cough. PLEASE Help us as I m not sure what to do and he has never had any illness that I couldn t get rid of, what should my next attempt to get him better be ? [/INST] Hello, Cough in little children can be due to several causes and the treatment options that you were provided with is standard treatment for most children. The causes include: 1. Viral sore throat - when symptomatic treatment with paracetamol, cough syrups as reqd 2. Cough variant asthma - if continuous, more at night, trial of salbutamol 3. Gastroesophageal reflux - common in children, gavison liquid at night, or at least twice a day 4. Rhinitis with asthma like symptoms - allergy testing to exclude house dust mite sensitization; anti-allergy syrups with low potency nasal corticosteroids 5. Exclude communicable respiratory infections with CXR etc Thanks. </s>

Suggest remedy for genital herpes

Good Morning Doctor I am 65 years old man And I have genitala herpes What I know is that this infection is not curable. I hadn t very severe outbreaks. The last very small outbreak was 3 years ago. I am Single person on pension now still sexually active. Since I got this virus more than 20 years I had sexual intercourse being fully aware of the consequences for the other person. Now I am alone and met someone to spend rest of my life together. The other person is a younger lady who wants have child with me. I read about this virus all information that is available in internet. Some information is very helpful and pretty clear for me. The worst distressing massage is that this virus can be transmitted without outbreak, without genital blisters. I would be very grateful for your opinion in this regard. Yours Faithfully Wes Glebocki

Thanks for asking in healthcaremagic forum Yes it is possible to transmit herpes even without having active lesions. So, herpes reactivation and lesions depends on immunity. Please inform your partner regarding this and have a session of counselling with a doctor together for further course of action. All the best.

<s>[INST] Suggest remedy for genital herpes " : " Good Morning Doctor I am 65 years old man And I have genitala herpes What I know is that this infection is not curable. I hadn t very severe outbreaks. The last very small outbreak was 3 years ago. I am Single person on pension now still sexually active. Since I got this virus more than 20 years I had sexual intercourse being fully aware of the consequences for the other person. Now I am alone and met someone to spend rest of my life together. The other person is a younger lady who wants have child with me. I read about this virus all information that is available in internet. Some information is very helpful and pretty clear for me. The worst distressing massage is that this virus can be transmitted without outbreak, without genital blisters. I would be very grateful for your opinion in this regard. Yours Faithfully Wes Glebocki [/INST] Thanks for asking in healthcaremagic forum Yes it is possible to transmit herpes even without having active lesions. So, herpes reactivation and lesions depends on immunity. Please inform your partner regarding this and have a session of counselling with a doctor together for further course of action. All the best. </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 tonsillitis in a child

My 4yr daughter av been having tonsils abt 2yrs now,she haven taken zinc and augmentin uncountable tym every time she finishes the dose after two or three weeks they kam back again,her doctor suggests we remove them BT before I do that can I try rocephin shot?

One of the relative indication for tonsillectomy (surgical removal of tonsils) is five or more tonsil infections per year for two consecutive years despite adequate medical therapy.Your daughter is suffering from chronic tonsillitis and taking IV oral oral antibiotics will only cure current episode of tonsillitis. After few weeks tonsils may again get infected.I agree with your doctor suggesting removal of tonsils.

<s>[INST] Suggest treatment for tonsillitis in a child " : " My 4yr daughter av been having tonsils abt 2yrs now,she haven taken zinc and augmentin uncountable tym every time she finishes the dose after two or three weeks they kam back again,her doctor suggests we remove them BT before I do that can I try rocephin shot? [/INST] One of the relative indication for tonsillectomy (surgical removal of tonsils) is five or more tonsil infections per year for two consecutive years despite adequate medical therapy.Your daughter is suffering from chronic tonsillitis and taking IV oral oral antibiotics will only cure current episode of tonsillitis. After few weeks tonsils may again get infected.I agree with your doctor suggesting removal of tonsils. </s>

What causes severe abdominal pain post chemotherapy?

Hello, my father was diagnosed with pancreatic cancer (tumor in the head) in the beginning of June. 2 weeks after he underwent Whipple procedure. Histology showed T3N1M0 with tumor infiltrated in the duodendum and a couple of regional nodes. He was doing great, with really fast recovery and no post op pains. Till he started chemo with Gemzar. 3 infusions after and he is now with severe abdomen pain radiating to his back (left side). Is it the cacer progressing or it could be a side effect of the chemo? We got used to the fever and the mild edema but the abd pain? He was feeling so well before it.

Gemcitabine is unlikely to cause abdominal pain but pancreatic cancer recurrence is well know. If the pain is not subsiding with medications including gastric protectants , if all labs including serum amylase is normal, get an imaging done to rule out recurrence.

<s>[INST] What causes severe abdominal pain post chemotherapy? " : " Hello, my father was diagnosed with pancreatic cancer (tumor in the head) in the beginning of June. 2 weeks after he underwent Whipple procedure. Histology showed T3N1M0 with tumor infiltrated in the duodendum and a couple of regional nodes. He was doing great, with really fast recovery and no post op pains. Till he started chemo with Gemzar. 3 infusions after and he is now with severe abdomen pain radiating to his back (left side). Is it the cacer progressing or it could be a side effect of the chemo? We got used to the fever and the mild edema but the abd pain? He was feeling so well before it. [/INST] Gemcitabine is unlikely to cause abdominal pain but pancreatic cancer recurrence is well know. If the pain is not subsiding with medications including gastric protectants , if all labs including serum amylase is normal, get an imaging done to rule out recurrence. </s>

Is it to be concerned about masses on the lung?

Hello, I am a 63 year old female with Atrial Tach and only one kidney, asthma and COPD. I now have several masses on my right lung and am having a VAT biopsy tomorrow. I was told I have to be in intensive care for two days with a hospital stay of 5 - 7 days....is that normal procedure. I'm terrified.

Brief Answer:VAT biopsy is the best and less invasive approach to take a biopsy of the lung masses and discover their nature. Detailed Answer:Hello,Thank you for using HCM.At this point , after being detected the lung masses, the best approach to them is to undergo the biopsy through VAT(Video assisted thoracoscopy). The scope can be inserted into the chest through small 2-4 cm incisions made between the ribs. It allows the surgeon to view, under high magnification, the lung masses and manipulate the instruments to effectively transect and remove the tissue from the body. Compared to thoracotomy (traditional, opened procedure), VATS is minimally invasive, with less pain , smaller incision, less days of hospitalization (generally at about 3-4 days).As you suffer from atrial tachycardia and having only one kidney , asthma and COPD you need a more accurate medical care. The lung function, in your case, needs a longer time to recover comparing to a healthy lung. This means you may need a more long hospital stay, but you should understand this is the best choice in your conditions. Hope this is helpful.Let me know if you need more clarifications. Otherwise please close and rate the answer.Kind Regards, Dr. Juarda

<s>[INST] Is it to be concerned about masses on the lung? " : " Hello, I am a 63 year old female with Atrial Tach and only one kidney, asthma and COPD. I now have several masses on my right lung and am having a VAT biopsy tomorrow. I was told I have to be in intensive care for two days with a hospital stay of 5 - 7 days....is that normal procedure. I'm terrified. [/INST] Brief Answer:VAT biopsy is the best and less invasive approach to take a biopsy of the lung masses and discover their nature. Detailed Answer:Hello,Thank you for using HCM.At this point , after being detected the lung masses, the best approach to them is to undergo the biopsy through VAT(Video assisted thoracoscopy). The scope can be inserted into the chest through small 2-4 cm incisions made between the ribs. It allows the surgeon to view, under high magnification, the lung masses and manipulate the instruments to effectively transect and remove the tissue from the body. Compared to thoracotomy (traditional, opened procedure), VATS is minimally invasive, with less pain , smaller incision, less days of hospitalization (generally at about 3-4 days).As you suffer from atrial tachycardia and having only one kidney , asthma and COPD you need a more accurate medical care. The lung function, in your case, needs a longer time to recover comparing to a healthy lung. This means you may need a more long hospital stay, but you should understand this is the best choice in your conditions. Hope this is helpful.Let me know if you need more clarifications. Otherwise please close and rate the answer.Kind Regards, Dr. Juarda </s>

Done UA. Rise in WBC count. Negative pregnancy test. What is it?

Hello, I had a UA done today...mainly because I have been having all the symptoms of being pregnant, but all test so far blood and urine have all been negative. Today my Dr noticed a rise in my in my WBC and asked if I were feeling any signs of a uti and I feel fine down there with no problem. She decided to send me to a specialist and said that he may say you may be pregnant but she said I couldn t be because all the test have been negative. I noticed myself that my LEU has gone up as well 500/ul++ my WBC is 15-20....What could be happening to me, am I going through menapause early I m only 29 or is it really a uti with no signs and what about all these other symptoms I have been feeling...my body seems to be telling me I am pregnant...I have never been pregnant before and I am very in tune with my body...I picked up on these changes relatively quickly...I feel like I may be crazy and I hope it s not phantom or cancer ...I seriously need some direction!

Hi! welcome to HCM! The dipstick pattern shows 500/ul++ while the pathological concentration is more than 20 leu/ul.and HIGH wbc count indicates an underlying infection of the urinary tract. The amount of leukocytes is severe and you should consult your doctor who will get URINE microscopy, urine culture and swab from the urethra and vagina to find out the cause and start appropriate antibiotics. These are not because of menopause or cancer so be relaxed.take care

<s>[INST] Done UA. Rise in WBC count. Negative pregnancy test. What is it? " : " Hello, I had a UA done today...mainly because I have been having all the symptoms of being pregnant, but all test so far blood and urine have all been negative. Today my Dr noticed a rise in my in my WBC and asked if I were feeling any signs of a uti and I feel fine down there with no problem. She decided to send me to a specialist and said that he may say you may be pregnant but she said I couldn t be because all the test have been negative. I noticed myself that my LEU has gone up as well 500/ul++ my WBC is 15-20....What could be happening to me, am I going through menapause early I m only 29 or is it really a uti with no signs and what about all these other symptoms I have been feeling...my body seems to be telling me I am pregnant...I have never been pregnant before and I am very in tune with my body...I picked up on these changes relatively quickly...I feel like I may be crazy and I hope it s not phantom or cancer ...I seriously need some direction! [/INST] Hi! welcome to HCM! The dipstick pattern shows 500/ul++ while the pathological concentration is more than 20 leu/ul.and HIGH wbc count indicates an underlying infection of the urinary tract. The amount of leukocytes is severe and you should consult your doctor who will get URINE microscopy, urine culture and swab from the urethra and vagina to find out the cause and start appropriate antibiotics. These are not because of menopause or cancer so be relaxed.take care </s>

What could cause pain in left hand?

I am aged 64 , a male , having done angioplasty in 2005 may. Now having a weight of 68kg ,heiht 168cm. I am continuing the tablets Ecospirin 150, Deplat 75 afterlunch, and storvas 20 in the night.Now the LDL cholestrol is 183mg/dl and triglycerides234mg/dl Now i feel slight pain in my left hand

Dear Sir,Try to see if the pain gets worse on movements or on palpitation. If it gets worse, then nothing to be worries, it is not a heart issue, something related to joint or muscle. If there is no difference and your pain and it is like the pain you had before angioplasty then it is better to refer to a doctor and perform an ECG.Take careCome back if you have any further questions

<s>[INST] What could cause pain in left hand? " : " I am aged 64 , a male , having done angioplasty in 2005 may. Now having a weight of 68kg ,heiht 168cm. I am continuing the tablets Ecospirin 150, Deplat 75 afterlunch, and storvas 20 in the night.Now the LDL cholestrol is 183mg/dl and triglycerides234mg/dl Now i feel slight pain in my left hand [/INST] Dear Sir,Try to see if the pain gets worse on movements or on palpitation. If it gets worse, then nothing to be worries, it is not a heart issue, something related to joint or muscle. If there is no difference and your pain and it is like the pain you had before angioplasty then it is better to refer to a doctor and perform an ECG.Take careCome back if you have any further questions </s>

Suggest medication for fat accumulation at back of my neck

hi, doc imm 22 yrs old, my height is 5.15 ft n weight is 58 kgs... , i hav fat accumulation at back of my neck in between two shoulders ( buffalow hump) , can i get rid of it through any medication or i have to go for liposuction n is it safe if i go for liposuction, and after surgery ll it again revive or ll it be completely eradicated?

Thanks for your question on HCM. Get done serum cholesterol level. If this is high then you need to start lipid lowering drugs like statin. And this can reduce fat accumulation on your back. But if your cholesterol levels are normal then liposuction is the only option. It is very safe surgery. It is usually done in day care setting. So no need to worry for this surgery. Success rate is 90% but in 10% cases recurrence is there. So discuss in detail about recurrence with your treating doctor.

<s>[INST] Suggest medication for fat accumulation at back of my neck " : " hi, doc imm 22 yrs old, my height is 5.15 ft n weight is 58 kgs... , i hav fat accumulation at back of my neck in between two shoulders ( buffalow hump) , can i get rid of it through any medication or i have to go for liposuction n is it safe if i go for liposuction, and after surgery ll it again revive or ll it be completely eradicated? [/INST] Thanks for your question on HCM. Get done serum cholesterol level. If this is high then you need to start lipid lowering drugs like statin. And this can reduce fat accumulation on your back. But if your cholesterol levels are normal then liposuction is the only option. It is very safe surgery. It is usually done in day care setting. So no need to worry for this surgery. Success rate is 90% but in 10% cases recurrence is there. So discuss in detail about recurrence with your treating doctor. </s>

Suggest treatment for mucus filled lungs

My 15 year old son has been sick for over a year. He has a ton of thick mucous in his lungs and airways - found on bronchoscopy. Also tested positive for Streptomyces from bronchoscopy cultures. He has asthma but asthma meds are not working. Steroids not working. Cant figure out why he is so sick and cant get better. His infectious disease specialist suggested he should be treated as if he has cystic fibrosis even though his CF test is negative. Don t know what to do

Thanks for your question on HCM. In my opinion your son is having bronchiectasis. In this disease patient has thick, copious secretions, coughing all the time with wheezing and shortness of breath.So better to get done HRCT (High Resolution C T ) for the diagnosis of bronchiectasis. Try to follow these steps.1. inhaled bronchodilators.2. Pulmonary rehabilitation with chest physiotherapy and deep breathing exercise. 3. Expectorant and mucolytics.4. Pulmonary vaccination with pneumococcal and h.influenza to prevent future infections.

<s>[INST] Suggest treatment for mucus filled lungs " : " My 15 year old son has been sick for over a year. He has a ton of thick mucous in his lungs and airways - found on bronchoscopy. Also tested positive for Streptomyces from bronchoscopy cultures. He has asthma but asthma meds are not working. Steroids not working. Cant figure out why he is so sick and cant get better. His infectious disease specialist suggested he should be treated as if he has cystic fibrosis even though his CF test is negative. Don t know what to do [/INST] Thanks for your question on HCM. In my opinion your son is having bronchiectasis. In this disease patient has thick, copious secretions, coughing all the time with wheezing and shortness of breath.So better to get done HRCT (High Resolution C T ) for the diagnosis of bronchiectasis. Try to follow these steps.1. inhaled bronchodilators.2. Pulmonary rehabilitation with chest physiotherapy and deep breathing exercise. 3. Expectorant and mucolytics.4. Pulmonary vaccination with pneumococcal and h.influenza to prevent future infections. </s>

How to conceive with irregular periods?

Hello I have pros and I m 23 I started my period at 11 but from the age of 13 beyond they were irregular. Up until last year when I was giving 10mg of some pill that lead on my periods every month. I am currently trying to conceive and I don t know when is the right time because it s hard to track my ovulations because my periods range from a 28-35 maybe even 50 days. I did see clear stretchy mucus yesterday and me and my boyfriend had intercourse this morning. I just would like to know what I should do, my dr really isn t much of help and I can t afford expensive fertility treatments so if you could help or even give me pointers I d gladly appreciate it thanks I m Tina by the wat.

Hi there, Dear Tina, I have understood your concern. I will suggest you the best possible treatment options. First of all do not panic. As you have history of irregular cycles, please get USG done to rule out PCOS - polycystic ovaries. As you might be aware that PCOS is a lifestyle disorder, and it can be corrected by following a healthy diet and regular exercise regimen. Secondly, please get your boyfriend's semen analysis done to know about the quality and quantity of sperms. I will suggest you to get post menstrual HSG - hysterosalpingography done, to know bout tubal patency. With these reports in normal range, you can get ovulation study on USG done from day 10 of the cycle. This will help you to know about the day of ovulation. You can simply opt for unprotected sex on and around the day of ovulation. or else you can opt for IUI - intrauterine insemination, on the day of ovulation. This will help to get pregnant. These are basic and low cost investigation and treatment options for getting pregnant. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar

<s>[INST] How to conceive with irregular periods? " : " Hello I have pros and I m 23 I started my period at 11 but from the age of 13 beyond they were irregular. Up until last year when I was giving 10mg of some pill that lead on my periods every month. I am currently trying to conceive and I don t know when is the right time because it s hard to track my ovulations because my periods range from a 28-35 maybe even 50 days. I did see clear stretchy mucus yesterday and me and my boyfriend had intercourse this morning. I just would like to know what I should do, my dr really isn t much of help and I can t afford expensive fertility treatments so if you could help or even give me pointers I d gladly appreciate it thanks I m Tina by the wat. [/INST] Hi there, Dear Tina, I have understood your concern. I will suggest you the best possible treatment options. First of all do not panic. As you have history of irregular cycles, please get USG done to rule out PCOS - polycystic ovaries. As you might be aware that PCOS is a lifestyle disorder, and it can be corrected by following a healthy diet and regular exercise regimen. Secondly, please get your boyfriend's semen analysis done to know about the quality and quantity of sperms. I will suggest you to get post menstrual HSG - hysterosalpingography done, to know bout tubal patency. With these reports in normal range, you can get ovulation study on USG done from day 10 of the cycle. This will help you to know about the day of ovulation. You can simply opt for unprotected sex on and around the day of ovulation. or else you can opt for IUI - intrauterine insemination, on the day of ovulation. This will help to get pregnant. These are basic and low cost investigation and treatment options for getting pregnant. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar </s>

Does ribs pain post an injury need medical attention?

I fell on concrete 12 days ago. No head trauma,hit r side of body on sidewalk. R knee abrasions large hematoma,bruising inside r wrist,ect. Took care of myself with help @ home. Today I m having pain under ribs,not fix,lower. Called PMD,was told she couldn t see me for 10 days. I m only concerned for any internal injury. I m also a hematology patient,low white count,M spike,been followed for 6 years. No do of cancer. Should I insist on seeing a dr tomorrow?

Hi, Cannot say in your particular case, but generally, the M spike is a long term condition. It could become a cancer that generally goes into the bones, weakens them, increasing risk of fracture with pain. Most rib fractures do not need much treatment if they are not cancer. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist

<s>[INST] Does ribs pain post an injury need medical attention? " : " I fell on concrete 12 days ago. No head trauma,hit r side of body on sidewalk. R knee abrasions large hematoma,bruising inside r wrist,ect. Took care of myself with help @ home. Today I m having pain under ribs,not fix,lower. Called PMD,was told she couldn t see me for 10 days. I m only concerned for any internal injury. I m also a hematology patient,low white count,M spike,been followed for 6 years. No do of cancer. Should I insist on seeing a dr tomorrow? [/INST] Hi, Cannot say in your particular case, but generally, the M spike is a long term condition. It could become a cancer that generally goes into the bones, weakens them, increasing risk of fracture with pain. Most rib fractures do not need much treatment if they are not cancer. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist </s>

Suggest treatment for gallstones

I have gallstones. Should I get my gallbladder taken out? II have gallstones. Should I get my gallbladder taken out? I have only had the one attack (which landed me in the ER). I have heard so many "horror stories" about the surgery that I am afraid to have it done. Can they do the laparoscopic surgery on me if I am overweight? I watched the procedure being done on youtube and I noticed that they place three clamps on the duct before cutting it loose. Do these stay in the body or are they removed? How risky is the surgery and what are the possible complications? How long is the recovery time because I have a two year old son to care for?

Hi,Your symptoms may be suggestive of gallbladder stones so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. You need to change your dietary habits first. You need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards,Dr. Ivan R. Rommstein

<s>[INST] Suggest treatment for gallstones " : " I have gallstones. Should I get my gallbladder taken out? II have gallstones. Should I get my gallbladder taken out? I have only had the one attack (which landed me in the ER). I have heard so many "horror stories" about the surgery that I am afraid to have it done. Can they do the laparoscopic surgery on me if I am overweight? I watched the procedure being done on youtube and I noticed that they place three clamps on the duct before cutting it loose. Do these stay in the body or are they removed? How risky is the surgery and what are the possible complications? How long is the recovery time because I have a two year old son to care for? [/INST] Hi,Your symptoms may be suggestive of gallbladder stones so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. You need to change your dietary habits first. You need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards,Dr. Ivan R. Rommstein </s>

Dark urine, leg cramps, rapid pulse, metallic taste. Diabetic, body pain. Is this kidney problem ?

I have diabetes, dark urine, leg cramps, rapid pulse at times, metallic taste, sometimes I feel weak, flank pain and hip pain. I have had dark urine for a couple of years and have been prone to urinary track infections. I had my last diabetic screening about a year ago and there were no signs of kidney problems at the time. The metallic taste has been going on for about a year along with the mild leg cramps. I have a doctors appointment in 4 days and I am out of town. I had the flu about a month ago and I was taking meds that had warnings for the kidneys. I did not realize that metallic taste and muscle cramps were signs of kidney problems until I started checking on line. I am worried, can I wait until I get home to see the doctor.

Welcome to HCM.Regular follow up is needed in case of diabetes(every 3 months),otherwise there might be development of further complication.You have to be careful for your sugar level because you are also prone to develop UTI.You have to go for cbc,fbs,ppbs,HbA1c,b.urea,s.creatinine,lipid profile,sgpt,s.b12,calcium,urine.Start treatment accordingly.Start b12,folic acid,l-arginine,minerals,vit-e and other vitamin supplements.Take nsaid to subside pain during episodes.Intra muscular injections of b12,folic acid is advisable.Keep regular follow up with your doctor.

<s>[INST] Dark urine, leg cramps, rapid pulse, metallic taste. Diabetic, body pain. Is this kidney problem ? " : " I have diabetes, dark urine, leg cramps, rapid pulse at times, metallic taste, sometimes I feel weak, flank pain and hip pain. I have had dark urine for a couple of years and have been prone to urinary track infections. I had my last diabetic screening about a year ago and there were no signs of kidney problems at the time. The metallic taste has been going on for about a year along with the mild leg cramps. I have a doctors appointment in 4 days and I am out of town. I had the flu about a month ago and I was taking meds that had warnings for the kidneys. I did not realize that metallic taste and muscle cramps were signs of kidney problems until I started checking on line. I am worried, can I wait until I get home to see the doctor. [/INST] Welcome to HCM.Regular follow up is needed in case of diabetes(every 3 months),otherwise there might be development of further complication.You have to be careful for your sugar level because you are also prone to develop UTI.You have to go for cbc,fbs,ppbs,HbA1c,b.urea,s.creatinine,lipid profile,sgpt,s.b12,calcium,urine.Start treatment accordingly.Start b12,folic acid,l-arginine,minerals,vit-e and other vitamin supplements.Take nsaid to subside pain during episodes.Intra muscular injections of b12,folic acid is advisable.Keep regular follow up with your doctor. </s>

What causes lower back pain radiating to left leg?

I am a software proffessional. I am suffering from Back pain from last 1.5 years. It started suddenly. One day I got a sudden pain in my stomach and back at a time. That day onwards I am getting lower back pain. If I bend for a short time also I am getting pain. This pain spreads to the left leg if I keep on doing the work. I can not lift weights also. Sometimes If I sneeze or cough also I am getting back pain. Some time I get middle back pain also. Please let me how you diagonize this and what you suggest? which doctor do I consult and can I get rid of this permanantly?

Hello, Back pain radiating in a limb suggests compression of one of the nerve roots exiting the spinal column. The most common cause for the compression is disc herniation, displacement of one of the cartilage discs located between the vertebrae. Chronic changes to the vertebrae with formation of osteophytes, bony spurs, compression the nerve root are another cause. The best means to diagnose it is a neurological physical exam and a lumbar MRI, I would start with a neurological consult. Most cases improve gradually, but it may be a recurring issue, as our columns continue to age with the passing of the years often it is difficult to get rid of it permanently. Physical therapy is important to prevent recurrences. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Olsi Taka, Neurologist

<s>[INST] What causes lower back pain radiating to left leg? " : " I am a software proffessional. I am suffering from Back pain from last 1.5 years. It started suddenly. One day I got a sudden pain in my stomach and back at a time. That day onwards I am getting lower back pain. If I bend for a short time also I am getting pain. This pain spreads to the left leg if I keep on doing the work. I can not lift weights also. Sometimes If I sneeze or cough also I am getting back pain. Some time I get middle back pain also. Please let me how you diagonize this and what you suggest? which doctor do I consult and can I get rid of this permanantly? [/INST] Hello, Back pain radiating in a limb suggests compression of one of the nerve roots exiting the spinal column. The most common cause for the compression is disc herniation, displacement of one of the cartilage discs located between the vertebrae. Chronic changes to the vertebrae with formation of osteophytes, bony spurs, compression the nerve root are another cause. The best means to diagnose it is a neurological physical exam and a lumbar MRI, I would start with a neurological consult. Most cases improve gradually, but it may be a recurring issue, as our columns continue to age with the passing of the years often it is difficult to get rid of it permanently. Physical therapy is important to prevent recurrences. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Olsi Taka, Neurologist </s>

Headache, dizziness, fatigue. On Aviane birth control. Negative pregnancy test. Light period, cramps. Problem?

I ve had sudden headaches, dizziness and fatigue for the past six weeks. I am on Aviane birth control and have been for the past year, but my last period was one day late and only light, but it had pretty bad cramps. This is the first time that has ever happened since being on it. I took a pregnancy test when I was late, but it came back negative. Could I be pregnant or could it be a sudden problem with my birth control?

Hi there,Thanks for your query.The brief details provided by you, point towards the following possibilities:-* Mental stress/anxiety, leading to frequent migraines. A long-term course of anti-depressants + anti-anxiety drugs combination will provide you great relief from headaches, dizziness and fatigue.* Thyroid problem (hypothyroidism) which, in addition to your symptoms, is also accompanied by weight gain, constant fatigue, mood disorders, hair fall etc. Thyroid hormone profile will rule out/confirm this condition. if the diagnosis is confirmed, thyroid hormone replacement therapy will cure you of all problems.* Fibroid (a growth) in the uterus, which will be detected on ultrasound.Consult your doctor and apprise him of my opinion. I am certain that he agree with me, order required tests, and- based on the reports- will prescribe suitable treatment as advised.If you find my response helpful and informative, do not forget an “excellent” rating to my answer, to encourage all doctors- engaged in social service- to render sound advice to the FREE queries. Fond regards and have a nice dayDr. Rakesh Karanwal

<s>[INST] Headache, dizziness, fatigue. On Aviane birth control. Negative pregnancy test. Light period, cramps. Problem? " : " I ve had sudden headaches, dizziness and fatigue for the past six weeks. I am on Aviane birth control and have been for the past year, but my last period was one day late and only light, but it had pretty bad cramps. This is the first time that has ever happened since being on it. I took a pregnancy test when I was late, but it came back negative. Could I be pregnant or could it be a sudden problem with my birth control? [/INST] Hi there,Thanks for your query.The brief details provided by you, point towards the following possibilities:-* Mental stress/anxiety, leading to frequent migraines. A long-term course of anti-depressants + anti-anxiety drugs combination will provide you great relief from headaches, dizziness and fatigue.* Thyroid problem (hypothyroidism) which, in addition to your symptoms, is also accompanied by weight gain, constant fatigue, mood disorders, hair fall etc. Thyroid hormone profile will rule out/confirm this condition. if the diagnosis is confirmed, thyroid hormone replacement therapy will cure you of all problems.* Fibroid (a growth) in the uterus, which will be detected on ultrasound.Consult your doctor and apprise him of my opinion. I am certain that he agree with me, order required tests, and- based on the reports- will prescribe suitable treatment as advised.If you find my response helpful and informative, do not forget an “excellent” rating to my answer, to encourage all doctors- engaged in social service- to render sound advice to the FREE queries. Fond regards and have a nice dayDr. Rakesh Karanwal </s>

Is kati basti effective in relieving back pain?

hi doctor my self mahendra khedkar. i was suffer low back pain since last 1 year. mri result shows Mild diffuse annular bluge with posterocentral protrusion of l4-l5 intervertebal disc and Lumber facetal arthropathy. i hv taken taken physiotherapy modalities such as IFT & traction. but pain was not reduse then doctor give me NRB injection and suddenly pain reduce but after 2 weeks again same thing repeated. then i hv turn towards ayurvedic treatment such as katibasti. doctor katibasti can reduce my gap and how much time it takes. pls suggest me

i understood your concerns, see dear as you mentioned for how many days you had taken physio treatment?? ift, traction should be continue for at least 15 days then 1 week with exercise and mobilization of lower back vertebra.... you have to be very patience... see ayurvedic or allopathy or physiotherapy will relieve pain immediately but will reappear once you stop taking treatment so exercise is only the treatment and permanent solution.....

<s>[INST] Is kati basti effective in relieving back pain? " : " hi doctor my self mahendra khedkar. i was suffer low back pain since last 1 year. mri result shows Mild diffuse annular bluge with posterocentral protrusion of l4-l5 intervertebal disc and Lumber facetal arthropathy. i hv taken taken physiotherapy modalities such as IFT & traction. but pain was not reduse then doctor give me NRB injection and suddenly pain reduce but after 2 weeks again same thing repeated. then i hv turn towards ayurvedic treatment such as katibasti. doctor katibasti can reduce my gap and how much time it takes. pls suggest me [/INST] i understood your concerns, see dear as you mentioned for how many days you had taken physio treatment?? ift, traction should be continue for at least 15 days then 1 week with exercise and mobilization of lower back vertebra.... you have to be very patience... see ayurvedic or allopathy or physiotherapy will relieve pain immediately but will reappear once you stop taking treatment so exercise is only the treatment and permanent solution..... </s>

Q. My wife experienced 8 days of period which was never before. Is it something to be worried?

Hello doctor, My wife is 28 years old. We have a daughter through cesarian and now she is 3 years old. We are using a condom as a safety measure to avoid pregnancy. She uses to have periods more or less normal lasting for five days. This time it came after 40 days with a spot of bleeding and no bleeding for three days after which normal bleeding has lasted for around eight days making it a total eleven days. This has never happened before and is worrying. Should we take this as some of the instance and continue monitoring or should we do some doctor followup? She had a uterus scan some five months back which was normal and a cervical smear test to evaluate cancer risk which was normal as well.

Hello. This episode of delayed and heavy bleeding might have been due to one of the two reasons. Delayed or absent ovulation. It is normal to have occasional cycle anovulatory and in such a case period will be delayed and heavy. If this is the case, there should be no need to worry as such an episode will not recur frequently. She might have been pregnant and it was early abortion and so heavy bleeding. Condom, used for contraception has a high failure rate and it is better to use some better contraception like oral pills or CuT (copper T). If bleeding has stopped completely, again, there should be no reason to worry. You can confirm whether she was pregnant by doing a simple urine pregnancy test. If it comes positive, you need to consult a gynecologist once for further management. Repeat the ultrasound if such episodes recur.

<s>[INST] Q. My wife experienced 8 days of period which was never before. Is it something to be worried? " : " Hello doctor, My wife is 28 years old. We have a daughter through cesarian and now she is 3 years old. We are using a condom as a safety measure to avoid pregnancy. She uses to have periods more or less normal lasting for five days. This time it came after 40 days with a spot of bleeding and no bleeding for three days after which normal bleeding has lasted for around eight days making it a total eleven days. This has never happened before and is worrying. Should we take this as some of the instance and continue monitoring or should we do some doctor followup? She had a uterus scan some five months back which was normal and a cervical smear test to evaluate cancer risk which was normal as well. [/INST] Hello. This episode of delayed and heavy bleeding might have been due to one of the two reasons. Delayed or absent ovulation. It is normal to have occasional cycle anovulatory and in such a case period will be delayed and heavy. If this is the case, there should be no need to worry as such an episode will not recur frequently. She might have been pregnant and it was early abortion and so heavy bleeding. Condom, used for contraception has a high failure rate and it is better to use some better contraception like oral pills or CuT (copper T). If bleeding has stopped completely, again, there should be no reason to worry. You can confirm whether she was pregnant by doing a simple urine pregnancy test. If it comes positive, you need to consult a gynecologist once for further management. Repeat the ultrasound if such episodes recur. </s>

What could sharp shooting pain in lower abdomen to rectum suggest?

Hi I am a 32 year old female and i have been experiencing a sharp shooting pain in the lower part of my abdominal area which goes from my stomach and to my rectum. I had to be rushed to the hospital by ambulance because it hurted so bad that i could barely walk. It felt like i was having contractions and giving birth all over again. So the doctors stated that my urine was fine and bloodwork was fine. They did a cultural on me and stated that i would have the results in a couple of days. My pain is still there but not as pain because they prescribed me some pain meds. Can you tell me what this sounds like?

Hi. In my practice, i have found these symptoms in a patient with uterine prolapse. You better need to see a Gynecologist and ask her specifically to rule this out by an internal examination , wherein she will ask you to strain and see.

<s>[INST] What could sharp shooting pain in lower abdomen to rectum suggest? " : " Hi I am a 32 year old female and i have been experiencing a sharp shooting pain in the lower part of my abdominal area which goes from my stomach and to my rectum. I had to be rushed to the hospital by ambulance because it hurted so bad that i could barely walk. It felt like i was having contractions and giving birth all over again. So the doctors stated that my urine was fine and bloodwork was fine. They did a cultural on me and stated that i would have the results in a couple of days. My pain is still there but not as pain because they prescribed me some pain meds. Can you tell me what this sounds like? [/INST] Hi. In my practice, i have found these symptoms in a patient with uterine prolapse. You better need to see a Gynecologist and ask her specifically to rule this out by an internal examination , wherein she will ask you to strain and see. </s>

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.

Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.

<s>[INST] Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? " : " Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. </s>

What are the side effects of taking Statins for high cholesterol levels?

I recently read and also heard from doctors that cholesterol rates of 300 to about 330 are indeed ok. If it gets any higher then you are a candidate for cholesterol lowering drugs. Statins for cholesterol have side effects (that I have experienced first hand) and are pushed by the drug industry and over the years doctors have fallen in line in prescribing them. My level was about 99 to 101 when I was put on them. I have quit taking them. I had the memory loss, muscle aches and blurry vision that are their side effects. Is the medical community being made aware of this or is there another scam going on. It bothers me that doctors would listern to pharmaceutical companies rather than remember their own learnings and experiences.

Well,the statin debate is a very controversial one. But the opposers are also quite extreme. I hope there will be a middle ground in the future about the levels. Above 300 cholesterol levels looks dangerous for any of my patients but yeah bringing it down to some guideline recommendation of below 70/100 in some patients increases the risk of side effects. The most notable side effect is myalgia and other muscle symptoms. Rarely serious rhabdomyolysis can also occur. Other side effects include neuropathy,new onset diabetes mellitus(again controversial) and others.I believe it's all about trade offs between higher cholesterol levels leading to increased cardiovascular risk versus statins side effects. A recent article in lancet also echoes the same view. The article is titled “interpretation of the evidence for the efficacy and safety of statin therapy” and here is the gist -This Review is intended to help clinicians, patients, and the public make informed decisions about statin therapy for the prevention of heart attacks and strokes. It explains how the evidence that is available from randomised controlled trials yields reliable information about both the efficacy and safety of statin therapy. In addition, it discusses how claims that statins commonly cause adverse effects reflect a failure to recognise the limitations of other sources of evidence about the effects of treatment. Large-scale evidence from randomised trials shows that statin therapy reduces the risk of major vascular events (ie, coronary deaths or myocardial infarctions, strokes, and coronary revascularisation procedures) by about one-quarter for each mmol/L reduction in LDL cholesterol during each year (after the first) that it continues to be taken. The absolute benefits of statin therapy depend on an individual's absolute risk of occlusive vascular events and the absolute reduction in LDL cholesterol that is achieved.

<s>[INST] What are the side effects of taking Statins for high cholesterol levels? " : " I recently read and also heard from doctors that cholesterol rates of 300 to about 330 are indeed ok. If it gets any higher then you are a candidate for cholesterol lowering drugs. Statins for cholesterol have side effects (that I have experienced first hand) and are pushed by the drug industry and over the years doctors have fallen in line in prescribing them. My level was about 99 to 101 when I was put on them. I have quit taking them. I had the memory loss, muscle aches and blurry vision that are their side effects. Is the medical community being made aware of this or is there another scam going on. It bothers me that doctors would listern to pharmaceutical companies rather than remember their own learnings and experiences. [/INST] Well,the statin debate is a very controversial one. But the opposers are also quite extreme. I hope there will be a middle ground in the future about the levels. Above 300 cholesterol levels looks dangerous for any of my patients but yeah bringing it down to some guideline recommendation of below 70/100 in some patients increases the risk of side effects. The most notable side effect is myalgia and other muscle symptoms. Rarely serious rhabdomyolysis can also occur. Other side effects include neuropathy,new onset diabetes mellitus(again controversial) and others.I believe it's all about trade offs between higher cholesterol levels leading to increased cardiovascular risk versus statins side effects. A recent article in lancet also echoes the same view. The article is titled “interpretation of the evidence for the efficacy and safety of statin therapy” and here is the gist -This Review is intended to help clinicians, patients, and the public make informed decisions about statin therapy for the prevention of heart attacks and strokes. It explains how the evidence that is available from randomised controlled trials yields reliable information about both the efficacy and safety of statin therapy. In addition, it discusses how claims that statins commonly cause adverse effects reflect a failure to recognise the limitations of other sources of evidence about the effects of treatment. Large-scale evidence from randomised trials shows that statin therapy reduces the risk of major vascular events (ie, coronary deaths or myocardial infarctions, strokes, and coronary revascularisation procedures) by about one-quarter for each mmol/L reduction in LDL cholesterol during each year (after the first) that it continues to be taken. The absolute benefits of statin therapy depend on an individual's absolute risk of occlusive vascular events and the absolute reduction in LDL cholesterol that is achieved. </s>

What are the symptoms of recovery from pneumonia?

i am a 14 year old female that was recently diagnosed with a slight bit of pneumonia, i took the antibiotics that i was supposed to take: once a day for 6 days, i completed it. But I want to know if I'm know cured, it's been a week or two since I finish the tablet treatment, How can I tell that i'm cured?

Thanks for your question on Healthcare Magic.I can understand your concern. If you are not having fever, cough or chest pain after completing antibiotics, you are probably cured from pneumonia. You are should also get done chest x ray. If recent chest x ray is showing normal results or resolving infiltration then you are cured from pneumonia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

<s>[INST] What are the symptoms of recovery from pneumonia? " : " i am a 14 year old female that was recently diagnosed with a slight bit of pneumonia, i took the antibiotics that i was supposed to take: once a day for 6 days, i completed it. But I want to know if I'm know cured, it's been a week or two since I finish the tablet treatment, How can I tell that i'm cured? [/INST] Thanks for your question on Healthcare Magic.I can understand your concern. If you are not having fever, cough or chest pain after completing antibiotics, you are probably cured from pneumonia. You are should also get done chest x ray. If recent chest x ray is showing normal results or resolving infiltration then you are cured from pneumonia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

What does the CT scan indicate with left kidney showing irregular contour of inferior pole?

I am having right side pain in front and back and very high blood pressure, fluid retention, fatigue shortness of breath. I have a history of hi blood pressure usually controlled by medications, and cystinuria (cystine stones) for 35 years. I went to er had ct without contrast they didnt see a stone but the left kidney showed irregular contour of inferior pole other wise urine and blood work were fine although blood pressure 185/105 when i left after 4mg morphine. I am a 52 yr old female.

Hello,Is it a mass or kidney itself showing irregular contour? Possible causes are:1. Polycystic kidney.2. Renal malignancy.3. Inf pole infraction.4. Post nephritis changes.Until examination is done it is difficult to say what it is. Please consult with your nephrologist he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist

<s>[INST] What does the CT scan indicate with left kidney showing irregular contour of inferior pole? " : " I am having right side pain in front and back and very high blood pressure, fluid retention, fatigue shortness of breath. I have a history of hi blood pressure usually controlled by medications, and cystinuria (cystine stones) for 35 years. I went to er had ct without contrast they didnt see a stone but the left kidney showed irregular contour of inferior pole other wise urine and blood work were fine although blood pressure 185/105 when i left after 4mg morphine. I am a 52 yr old female. [/INST] Hello,Is it a mass or kidney itself showing irregular contour? Possible causes are:1. Polycystic kidney.2. Renal malignancy.3. Inf pole infraction.4. Post nephritis changes.Until examination is done it is difficult to say what it is. Please consult with your nephrologist he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist </s>

What causes headache after a dental procedure?

I had a dental procedure yesterday with nitrous-oxide used. I have never had the gas before. A few hours after the procedure it seems I started developing a head cold with dull headache. I woke up this morning with the same. Is this a coincidence or is it possible?

Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that you have side effects of the nitrous oxide gas leading to headache and cold like symptoms while it can also be due to viral infection that might have co-incidentally occurred with nitrous oxide inhalation..Nothing to worry as the symptoms will resolve soon in case if it is due to nitrous oxide anaesthesia it will gradually improve as the side effect of gas will wean off from the body..In case if it is due to cold then taking supportive treatment like decongestant nasal sprays, steam inhalation and using a humidifier in your room will help..Oral intake of decongestant like Phyenylephrine, mucolytics like ambroxol and along with it antihistamine like levocetrizine can help..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.

<s>[INST] What causes headache after a dental procedure? " : " I had a dental procedure yesterday with nitrous-oxide used. I have never had the gas before. A few hours after the procedure it seems I started developing a head cold with dull headache. I woke up this morning with the same. Is this a coincidence or is it possible? [/INST] Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that you have side effects of the nitrous oxide gas leading to headache and cold like symptoms while it can also be due to viral infection that might have co-incidentally occurred with nitrous oxide inhalation..Nothing to worry as the symptoms will resolve soon in case if it is due to nitrous oxide anaesthesia it will gradually improve as the side effect of gas will wean off from the body..In case if it is due to cold then taking supportive treatment like decongestant nasal sprays, steam inhalation and using a humidifier in your room will help..Oral intake of decongestant like Phyenylephrine, mucolytics like ambroxol and along with it antihistamine like levocetrizine can help..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. </s>

26 year old feeling scared and stressed, tremors in the hand and leg. MRI, ECG and blood test reports are normal. Have sinus problems. Need help

Hi, From past more than a year I am having weird problem. I always feel kind of scared and stressed and find my right hand and leg tremoring making me difficult to stand. This happens for a 5-10 seconds and after that I feel good. I have done different medical tests including MRI, ECG, various blood test and all came normal. I am not sure why this is happening and how do I get rid of it. I am 26 Male. I have sinus problem. Can you help me? I am an IT professional so stress is always there. First time it happened while playing Squash. Then my friends took me to doctor and doctor said it is paralytic attack/ work in brain/TIA. Since then these words keep coming to my mind and even though I am not stressed it happens. From past few months I have tried not thinking about it and the episodes have reduced from daily to once in a week. Also, the tremor goes off with sweating. But it happens even when I am not stressed. Every morning I wake with the fear of what doctor told me. I really do not know whether I will get rid of this.

Hello........ Thanks for your query. I can understand your concern with anxiety symptoms. The symptoms suggest anxiety attacks referred to as panic attacks. I would suggest a thorough psychiatric evaluation for the anxiety symptoms. Effective anti-anxiety agents as well as psychotherapy (eg cognitive behavioural therapy) is available to manage the anxiety symptoms. In addition you can learn stress management strategies considering the nature of work from a psychological counsellor. You may also try put breathing relaxation exercises/ yoga/ meditation. Hope you find my suggestions useful. Regards Dr Sundar Gnanavel Psychiatrist

<s>[INST] 26 year old feeling scared and stressed, tremors in the hand and leg. MRI, ECG and blood test reports are normal. Have sinus problems. Need help " : " Hi, From past more than a year I am having weird problem. I always feel kind of scared and stressed and find my right hand and leg tremoring making me difficult to stand. This happens for a 5-10 seconds and after that I feel good. I have done different medical tests including MRI, ECG, various blood test and all came normal. I am not sure why this is happening and how do I get rid of it. I am 26 Male. I have sinus problem. Can you help me? I am an IT professional so stress is always there. First time it happened while playing Squash. Then my friends took me to doctor and doctor said it is paralytic attack/ work in brain/TIA. Since then these words keep coming to my mind and even though I am not stressed it happens. From past few months I have tried not thinking about it and the episodes have reduced from daily to once in a week. Also, the tremor goes off with sweating. But it happens even when I am not stressed. Every morning I wake with the fear of what doctor told me. I really do not know whether I will get rid of this. [/INST] Hello........ Thanks for your query. I can understand your concern with anxiety symptoms. The symptoms suggest anxiety attacks referred to as panic attacks. I would suggest a thorough psychiatric evaluation for the anxiety symptoms. Effective anti-anxiety agents as well as psychotherapy (eg cognitive behavioural therapy) is available to manage the anxiety symptoms. In addition you can learn stress management strategies considering the nature of work from a psychological counsellor. You may also try put breathing relaxation exercises/ yoga/ meditation. Hope you find my suggestions useful. Regards Dr Sundar Gnanavel Psychiatrist </s>

Taking Microgestin, brown discharge, negative pregnancy test, missed periods. Should I take another test?

So I have been on microgestin fe 1/20 for about 9 months. For the past two months I have not gotten my period and have only had brown discharge . I m usually pretty good about getting them for at least 2 days even if it s just spotting. I ve had migraines and such symptoms. I had taken a pregnancy test the first month I missed it and it was negative. Should i take another test?

Hi,It is possible that the endometrial preparation has become inadequate and hence you have had only some spotting. If you have never missed the any of the pills, pregnancy is very unlikely. In the current scenario, you should see a specialist for a complete clinical assessment and get a trans-vaginal sonogram along with a blood test for pregnancy. Urine pregnancy test is of not much use in the current situation. Your migraines may not be related to pregnancy; they may be pill-related. Hope you find this information useful. Wish you good health.

<s>[INST] Taking Microgestin, brown discharge, negative pregnancy test, missed periods. Should I take another test? " : " So I have been on microgestin fe 1/20 for about 9 months. For the past two months I have not gotten my period and have only had brown discharge . I m usually pretty good about getting them for at least 2 days even if it s just spotting. I ve had migraines and such symptoms. I had taken a pregnancy test the first month I missed it and it was negative. Should i take another test? [/INST] Hi,It is possible that the endometrial preparation has become inadequate and hence you have had only some spotting. If you have never missed the any of the pills, pregnancy is very unlikely. In the current scenario, you should see a specialist for a complete clinical assessment and get a trans-vaginal sonogram along with a blood test for pregnancy. Urine pregnancy test is of not much use in the current situation. Your migraines may not be related to pregnancy; they may be pill-related. Hope you find this information useful. Wish you good health. </s>

Suggest treatment for shortness of breath and tightness in the chest

Hello! So yesterday morning, I choked on a small amount of seater. Later that day, I did an intense workout and could not catch my breath. I was coughing a little and the center of my chest was hurting. Now I feel very tight in my chest and feel like my stomach is bubbling. I’m having some shortness of breath as well. Did it get into my lungs? Will it go away?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Sudden onset of chest pain, tightness, breathing difficulty etc. are suggestive of heart diseases. So better to consult cardiologist and get the blood pressure monitoring, ECG, 2D Echo and stress test (trade mill test) done. If all these are normal, then no need to worry for heart diseases. Sometimes sudden onset of stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relax and calm. Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

<s>[INST] Suggest treatment for shortness of breath and tightness in the chest " : " Hello! So yesterday morning, I choked on a small amount of seater. Later that day, I did an intense workout and could not catch my breath. I was coughing a little and the center of my chest was hurting. Now I feel very tight in my chest and feel like my stomach is bubbling. I’m having some shortness of breath as well. Did it get into my lungs? Will it go away? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Sudden onset of chest pain, tightness, breathing difficulty etc. are suggestive of heart diseases. So better to consult cardiologist and get the blood pressure monitoring, ECG, 2D Echo and stress test (trade mill test) done. If all these are normal, then no need to worry for heart diseases. Sometimes sudden onset of stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relax and calm. Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

Suggest treatment for itching in scrotum

i have had an itchy scrotum for years now. there is no rash. it is worst late at night and early in the morning. the only visual sign is sometimes what appear to be fordyce bump up but remain under the skin. i am 46,5'6" tall and weigh about 130lbs.some back trouble,occasional irregular heartbeat,and some dental issues but nothing else in this area and i'm pretty sure it's not a sexually transmitted virus.

Hello, It can be irritant dermatitis like condition due to constant friction. You should keep that area clean and dry. It's advisable to wear loose garments and avoid tight fitting clothes. Topical Clotrimazole powder can be sprinkled when bump appears. If there is any lesion than you can post photo of lesion. Hope I have answered your question. Let me know if I can assist you further. Thank you. Regards, Dr. Parth Goswami General & Family Physician

<s>[INST] Suggest treatment for itching in scrotum " : " i have had an itchy scrotum for years now. there is no rash. it is worst late at night and early in the morning. the only visual sign is sometimes what appear to be fordyce bump up but remain under the skin. i am 46,5'6" tall and weigh about 130lbs.some back trouble,occasional irregular heartbeat,and some dental issues but nothing else in this area and i'm pretty sure it's not a sexually transmitted virus. [/INST] Hello, It can be irritant dermatitis like condition due to constant friction. You should keep that area clean and dry. It's advisable to wear loose garments and avoid tight fitting clothes. Topical Clotrimazole powder can be sprinkled when bump appears. If there is any lesion than you can post photo of lesion. Hope I have answered your question. Let me know if I can assist you further. Thank you. Regards, Dr. Parth Goswami General & Family Physician </s>

Q. Does Ayurvedic massage help to remove toxins from the body?

Hi doctor, Does Ayurvedic massage help to remove toxins from the tissues? Do they help to remove toxins from the body through the skin? Which organs are used to eliminate the toxins from the body?

Hi. Ayurvedic massage loosens the toxins from the body, and by a steam bath, it will get eliminated from the body in the form of sweat. The therapy used to remove toxins from the body is called panchakarma which includes five procedures. First one is called Vamana karma which is also known as medical emesis. Virechan is one of the panchakarma therapy where the toxins are eliminated in the form of loose motion. Basti is the other form of panchakarma therapy where different types of enema are used. Nasya is a kind of panchakarma treatment where the oil is poured in the nostrils. Raktamokshan is a procedure of bloodletting. These therapies will help to remove toxins from the body through mouth, anus, skin, and nostrils in the form of motion, vomiting, sweating, cough, and bleeding.

<s>[INST] Q. Does Ayurvedic massage help to remove toxins from the body? " : " Hi doctor, Does Ayurvedic massage help to remove toxins from the tissues? Do they help to remove toxins from the body through the skin? Which organs are used to eliminate the toxins from the body? [/INST] Hi. Ayurvedic massage loosens the toxins from the body, and by a steam bath, it will get eliminated from the body in the form of sweat. The therapy used to remove toxins from the body is called panchakarma which includes five procedures. First one is called Vamana karma which is also known as medical emesis. Virechan is one of the panchakarma therapy where the toxins are eliminated in the form of loose motion. Basti is the other form of panchakarma therapy where different types of enema are used. Nasya is a kind of panchakarma treatment where the oil is poured in the nostrils. Raktamokshan is a procedure of bloodletting. These therapies will help to remove toxins from the body through mouth, anus, skin, and nostrils in the form of motion, vomiting, sweating, cough, and bleeding. </s>

What causes groin pain and back pain?

i am 26 yrs old and i recently started with pain in the left side of my groin,it also goes round into my bottom.i am also suffering with lower back pain and shooting pains in my thigh! the pain has now spread into the right side of my groin and recently suffered from severe abdominal pain were i was admitted to hospital.i have had vaginal swabs taken,a ultrasound scan and bloods which have shown nothing so therefore they dont think it its gynalogical even though i somtimes go 7 weeks without a period and for about 9 months now are alot heavier too! my doctor has now referred me for physiotherepy to see if that helps.if i dont take my painkillers im prescribed,im in agony.

Hello,In your case such pains can also be due to reasons related to spine. If you have weak bones or there is low calcium or vitamin B12 and D then this can also lead to such pains.I support decision of your doctor to have physiotherapy.You may have relief in 3-5 days with it. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon

<s>[INST] What causes groin pain and back pain? " : " i am 26 yrs old and i recently started with pain in the left side of my groin,it also goes round into my bottom.i am also suffering with lower back pain and shooting pains in my thigh! the pain has now spread into the right side of my groin and recently suffered from severe abdominal pain were i was admitted to hospital.i have had vaginal swabs taken,a ultrasound scan and bloods which have shown nothing so therefore they dont think it its gynalogical even though i somtimes go 7 weeks without a period and for about 9 months now are alot heavier too! my doctor has now referred me for physiotherepy to see if that helps.if i dont take my painkillers im prescribed,im in agony. [/INST] Hello,In your case such pains can also be due to reasons related to spine. If you have weak bones or there is low calcium or vitamin B12 and D then this can also lead to such pains.I support decision of your doctor to have physiotherapy.You may have relief in 3-5 days with it. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon </s>

Q. Suffering from balanitis. Using an anti-fungal cream candid-B. The symptoms start again after I stop using the cream.

Hi, I am suffering from balanitis since last month. I am using an antifungal cream (candid B) to avoid it. Till the time I use antifungal cream all rashes/infection disapper, but once I stop applying the cream all symptoms start again. Sympoms are: Red skin around head of penis and itchiness after 1-2 days of red skin.

Hi. Have you ever been diagnosed by a doctor because balanitis has several other causes as well and fungal infection is one of them. Get a fasting and post prandial blood sugar done and please send me a few details: These answers will help me come to a diagnosis and treat you properly.

<s>[INST] Q. Suffering from balanitis. Using an anti-fungal cream candid-B. The symptoms start again after I stop using the cream. " : " Hi, I am suffering from balanitis since last month. I am using an antifungal cream (candid B) to avoid it. Till the time I use antifungal cream all rashes/infection disapper, but once I stop applying the cream all symptoms start again. Sympoms are: Red skin around head of penis and itchiness after 1-2 days of red skin. [/INST] Hi. Have you ever been diagnosed by a doctor because balanitis has several other causes as well and fungal infection is one of them. Get a fasting and post prandial blood sugar done and please send me a few details: These answers will help me come to a diagnosis and treat you properly. </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>

What do lumps in the pubic area indicate?

I got some lumps on my pubic area not real bad but they usually come and go seem to have pus in them one got real bad and busted so I kept it clean for a week or two and bandaged up it went away but I got two more seems to happen with pressure against that area with my belt I wear it as less as possible I don’t know how to prevent the things from coming ip

Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Lumps on the pubic area are usually lymph nodes in the inguinal region. Infections in the genital region or the legs are the reason for the lumps in pubic region (Inguinal).First thing, we have to find out the cause for swellings, a simple fine needle aspiration cytology will be sufficient, then we have to correct the cause.If it is simple pus, it has to be treated by antibiotic course.My suggestion is, please consult general physician for more information and treatment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Siddartha

<s>[INST] What do lumps in the pubic area indicate? " : " I got some lumps on my pubic area not real bad but they usually come and go seem to have pus in them one got real bad and busted so I kept it clean for a week or two and bandaged up it went away but I got two more seems to happen with pressure against that area with my belt I wear it as less as possible I don’t know how to prevent the things from coming ip [/INST] Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Lumps on the pubic area are usually lymph nodes in the inguinal region. Infections in the genital region or the legs are the reason for the lumps in pubic region (Inguinal).First thing, we have to find out the cause for swellings, a simple fine needle aspiration cytology will be sufficient, then we have to correct the cause.If it is simple pus, it has to be treated by antibiotic course.My suggestion is, please consult general physician for more information and treatment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Siddartha </s>

Will shunt for hydrocephalus cause belly bloating?

I am a 79 year old male. For 2 years now, have had a shunt for hydrocephalus / brain tumor / slow growing / found in 1997/ size of golfball in the right ventricle. I have increasing water retention in legs lately and forgot to take HCHLorathizide for a week. Back on now. Must I expect belly bloating to be a part of life with a shunt?

Hello, Since you forgot to take the diuretic pill, fluid may accumulate into your peritoneal cavity as well, so, it is possible to experience some bloating. If this does not improve after restarting of the medication, you should have a checkup (initially an ultrasound of the abdomen ) in order to evaluate any shunting malfunctioning. There should not be bloating for a long time even with a ventriculoperitoneal shunting. Hope you found the answer helpful. Let me know if I can assist you further. Regards, Dr. Erion Spaho Neurologist, Surgical

<s>[INST] Will shunt for hydrocephalus cause belly bloating? " : " I am a 79 year old male. For 2 years now, have had a shunt for hydrocephalus / brain tumor / slow growing / found in 1997/ size of golfball in the right ventricle. I have increasing water retention in legs lately and forgot to take HCHLorathizide for a week. Back on now. Must I expect belly bloating to be a part of life with a shunt? [/INST] Hello, Since you forgot to take the diuretic pill, fluid may accumulate into your peritoneal cavity as well, so, it is possible to experience some bloating. If this does not improve after restarting of the medication, you should have a checkup (initially an ultrasound of the abdomen ) in order to evaluate any shunting malfunctioning. There should not be bloating for a long time even with a ventriculoperitoneal shunting. Hope you found the answer helpful. Let me know if I can assist you further. Regards, Dr. Erion Spaho Neurologist, Surgical </s>

Suggest treatment for dust allergy

Hi, I have had a bad dust allergy, symptoms-running nose, watery eyes, sneezing and heaviness in chest, with slight feverish feel thats gone now,with sem medicines but i have a heaviness in my chest, slight running nose and watery eyes sometimes still, nose is blocked during sleep what medicines can i take, this happens with the onset of Oct and stays long i am from Mumbai and the pollution is too bad suggest a medicine pl

Hi , your clinical history is suggestive of Allergic rhinitis.If I were your treating doctor, I would start Steroid nasal spray with antihistamine.Do warm water gargle after 15 min of nasal spray use .Certainly above treatment will give you much relief but if relief is not upto satisfaction level then consultation with your ENT doctor will become essential.Hope above information helpful to you , take care.Regards - Dr KK ( Karade )

<s>[INST] Suggest treatment for dust allergy " : " Hi, I have had a bad dust allergy, symptoms-running nose, watery eyes, sneezing and heaviness in chest, with slight feverish feel thats gone now,with sem medicines but i have a heaviness in my chest, slight running nose and watery eyes sometimes still, nose is blocked during sleep what medicines can i take, this happens with the onset of Oct and stays long i am from Mumbai and the pollution is too bad suggest a medicine pl [/INST] Hi , your clinical history is suggestive of Allergic rhinitis.If I were your treating doctor, I would start Steroid nasal spray with antihistamine.Do warm water gargle after 15 min of nasal spray use .Certainly above treatment will give you much relief but if relief is not upto satisfaction level then consultation with your ENT doctor will become essential.Hope above information helpful to you , take care.Regards - Dr KK ( Karade ) </s>

What is hypo-echoic liver with mild fatter pancreatic infiltration?

complete loss of apatite , cannot eat , constant pain in epi-gastric , umbilical region and right illiac, pain increase with intake of food . Stool formation is loose and sticky . Ultrasound report says , hypo-echoic liver , mild fatter infiltration of pancreas . blood report states no band stabs , neutrophill 50 , eosinophill 10 total bilrubin 1.60 conjugated 0.5 indurect 1.2 sgpt 25.0 sgot 32.0 stool test bacteria 4+ motile bacillus

NamastheWelcome to Healthcare-MagicGreetings of the dayPossibility of Gastritis should be considered.Would suggest you to consult a Surgeon for further assessment, if possible Endoscopy can be required for the same.In case you need any further assistance, will be glad to assist you.Wishing you happy and healthy lifeTake CareBest RegardsDr T Shobha Deepak

<s>[INST] What is hypo-echoic liver with mild fatter pancreatic infiltration? " : " complete loss of apatite , cannot eat , constant pain in epi-gastric , umbilical region and right illiac, pain increase with intake of food . Stool formation is loose and sticky . Ultrasound report says , hypo-echoic liver , mild fatter infiltration of pancreas . blood report states no band stabs , neutrophill 50 , eosinophill 10 total bilrubin 1.60 conjugated 0.5 indurect 1.2 sgpt 25.0 sgot 32.0 stool test bacteria 4+ motile bacillus [/INST] NamastheWelcome to Healthcare-MagicGreetings of the dayPossibility of Gastritis should be considered.Would suggest you to consult a Surgeon for further assessment, if possible Endoscopy can be required for the same.In case you need any further assistance, will be glad to assist you.Wishing you happy and healthy lifeTake CareBest RegardsDr T Shobha Deepak </s>

Can concor be used for high BP in a renal malfunctioned patient?

I m 49 yrs old and having high blood pressure at the same time i was diagnosed with renal malfunction. my doctors prescribed me concor 5 plus. i ve using this medicines for more than a year. my renal problems get worst, i took took a second opinion from another doctor, he advised me to stop using concor 5 plus. he said not good for the patients having renal problems. i m confused now.....

Hi,Concor is a beta blocker and safe to use in patients with renal problems, so discuss with your doctor to continue it or use combined Alpha+beta blocker like Labetalol.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Wajahat Baig, Internal Medicine Specialist

<s>[INST] Can concor be used for high BP in a renal malfunctioned patient? " : " I m 49 yrs old and having high blood pressure at the same time i was diagnosed with renal malfunction. my doctors prescribed me concor 5 plus. i ve using this medicines for more than a year. my renal problems get worst, i took took a second opinion from another doctor, he advised me to stop using concor 5 plus. he said not good for the patients having renal problems. i m confused now..... [/INST] Hi,Concor is a beta blocker and safe to use in patients with renal problems, so discuss with your doctor to continue it or use combined Alpha+beta blocker like Labetalol.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Wajahat Baig, Internal Medicine Specialist </s>

How can lower abdominal pains with cramps be treated?

Hi, may I answer your health queries right now ? Please type your query here...i keep having stabbing like pains in my lower abdomen on my right side and she it happens i can not move and i cramp over it normal lasts one minute and happen once aday been going on a while please help

helloI think you sould go for ultrasound to rule out the cause.Take tab Inspas 1 tab twice a day for pain.I would suggest you to consult gasteroenterologist for general examination & start treatment.

<s>[INST] How can lower abdominal pains with cramps be treated? " : " Hi, may I answer your health queries right now ? Please type your query here...i keep having stabbing like pains in my lower abdomen on my right side and she it happens i can not move and i cramp over it normal lasts one minute and happen once aday been going on a while please help [/INST] helloI think you sould go for ultrasound to rule out the cause.Take tab Inspas 1 tab twice a day for pain.I would suggest you to consult gasteroenterologist for general examination & start treatment. </s>

Suggest treatment for OCD despite taking Zoloft and Abilify

My room mate is a 60 year old male & has Covered up his Chronic OCD for years.In the last four years he has tryed quite a few druds.Now he is on 200mg Zoloft & 100 abiltfy.Also Adivan 4 times a day & Phenobarbitol that was for his stomach.Nothing seems to work.AdvBrettise ?

psychiatric reassessment is necessary.for resistant ocd risperidone with sertraline or fluoxamine/clomipramine is a good choice.consult your psychiatrist.thanks

<s>[INST] Suggest treatment for OCD despite taking Zoloft and Abilify " : " My room mate is a 60 year old male & has Covered up his Chronic OCD for years.In the last four years he has tryed quite a few druds.Now he is on 200mg Zoloft & 100 abiltfy.Also Adivan 4 times a day & Phenobarbitol that was for his stomach.Nothing seems to work.AdvBrettise ? [/INST] psychiatric reassessment is necessary.for resistant ocd risperidone with sertraline or fluoxamine/clomipramine is a good choice.consult your psychiatrist.thanks </s>

Will taking nutralite help cure partial paralysis on the left side?

My Mom,age -54 yrs, is suffering from Diabetices and she is partially paralysed on the left side due to stroke, what suppliments can I give her along with her regular medicinal tablets. Kindly suggest if I can give her the Nutralite daily tablets as suppliments ?

Hello, There is no need to give her any supplements. Give her natural food, which is rich in protein, such as fish, pulses and dry fruits. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sudhir Kumar, Neurologist

<s>[INST] Will taking nutralite help cure partial paralysis on the left side? " : " My Mom,age -54 yrs, is suffering from Diabetices and she is partially paralysed on the left side due to stroke, what suppliments can I give her along with her regular medicinal tablets. Kindly suggest if I can give her the Nutralite daily tablets as suppliments ? [/INST] Hello, There is no need to give her any supplements. Give her natural food, which is rich in protein, such as fish, pulses and dry fruits. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sudhir Kumar, Neurologist </s>

Will the Benadryl react with the nitrous oxide that will be given during tooth extraction?

I'm taking cephalexin, going to have a tooth pulled in a few days. My dentist suggested breaking open a Benadryl capsule, making a paste to put on my tooth for the pain. It is helping the pain. My concern is this: Will the Benadryl interact badly with the nitrous oxide or laughing gas that he will give me when he pulls my tooth? & will Benadryl interact with the injections he'll give me in my gums to numb them? Also, can I take my antibiotics & Benadryl the day that he pulls my tooth?

Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you are taking benadryl dont worry it contains sedative ingredients , as you are asking for Nitrous oxide it is sedative used as Anaesthetic agent , as you are going for Extraction to denstist you should inform him that medication you are taking before procedure starts , As you are asking for interaction of drug no it will not interact with nitrous oxide and you can take antibiotic on that day of extraction also , Your duty is to inform your dentist before extraction about medication you have taken,Hope this will help you. Wishing you good health .

<s>[INST] Will the Benadryl react with the nitrous oxide that will be given during tooth extraction? " : " I'm taking cephalexin, going to have a tooth pulled in a few days. My dentist suggested breaking open a Benadryl capsule, making a paste to put on my tooth for the pain. It is helping the pain. My concern is this: Will the Benadryl interact badly with the nitrous oxide or laughing gas that he will give me when he pulls my tooth? & will Benadryl interact with the injections he'll give me in my gums to numb them? Also, can I take my antibiotics & Benadryl the day that he pulls my tooth? [/INST] Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you are taking benadryl dont worry it contains sedative ingredients , as you are asking for Nitrous oxide it is sedative used as Anaesthetic agent , as you are going for Extraction to denstist you should inform him that medication you are taking before procedure starts , As you are asking for interaction of drug no it will not interact with nitrous oxide and you can take antibiotic on that day of extraction also , Your duty is to inform your dentist before extraction about medication you have taken,Hope this will help you. Wishing you good health . </s>

What causes dizzy spells and smell of ammonia?

I have been having a little bit of a dizzy spell and smelling ammonia. I have a history of liver transplantation, so the ammonia smells make me worried. I have started a new med for my heard and cholestoral in the last week. I am over 35 and in pretty good shape.

Hi,Smell of ammonia from the body can be a symptom of liver disease. As you are post transplant patient, repeat a lft, and cbc. Serum ammonia levels and liver function tests initially. Any abnormal odour from body can be a indicator of liver dysfunction.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ramesh Kumar

<s>[INST] What causes dizzy spells and smell of ammonia? " : " I have been having a little bit of a dizzy spell and smelling ammonia. I have a history of liver transplantation, so the ammonia smells make me worried. I have started a new med for my heard and cholestoral in the last week. I am over 35 and in pretty good shape. [/INST] Hi,Smell of ammonia from the body can be a symptom of liver disease. As you are post transplant patient, repeat a lft, and cbc. Serum ammonia levels and liver function tests initially. Any abnormal odour from body can be a indicator of liver dysfunction.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ramesh Kumar </s>

How to treat hair loss and itching?

Hello doctor, this Antony from Bangalore...and I have problem with head in sense of long term itchy occurs and that leads to lot of hair fall also... i used lot of shampoo related to avoidance of dandruff but it could not work until now...... suggest me a proper solution please

Hi, It may be seborrheic dermatitis. There may be itching and hair fall due to the disease. Consult the dermatologist for the perfect diagnosis and proper treatment. Stress might precipitate the disease. Apply lotion of mild steroid with salicylic acid on the scalp. Take antihistaminics like cetirizine. Take oral steroid like prednisolone in a tapering dose. Cleanse the scalp with ketoconazole shampoo. Avoid stress and worries. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist

<s>[INST] How to treat hair loss and itching? " : " Hello doctor, this Antony from Bangalore...and I have problem with head in sense of long term itchy occurs and that leads to lot of hair fall also... i used lot of shampoo related to avoidance of dandruff but it could not work until now...... suggest me a proper solution please [/INST] Hi, It may be seborrheic dermatitis. There may be itching and hair fall due to the disease. Consult the dermatologist for the perfect diagnosis and proper treatment. Stress might precipitate the disease. Apply lotion of mild steroid with salicylic acid on the scalp. Take antihistaminics like cetirizine. Take oral steroid like prednisolone in a tapering dose. Cleanse the scalp with ketoconazole shampoo. Avoid stress and worries. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist </s>

Soreness in left armpit lymph node after using nicotine patches

I use nicotine patches and I have some soreness in my left armpit lymph node. I have been to doctor he said could be allergies fighting cold etc. I feel it for a few days then it s gone for months. Can using the patch cause this. The node is not swollen. Thx josh

It is very rare for nicotine patches to cause lymphnode inflamationi agree with your doctor it was just an allergic reaction

<s>[INST] Soreness in left armpit lymph node after using nicotine patches " : " I use nicotine patches and I have some soreness in my left armpit lymph node. I have been to doctor he said could be allergies fighting cold etc. I feel it for a few days then it s gone for months. Can using the patch cause this. The node is not swollen. Thx josh [/INST] It is very rare for nicotine patches to cause lymphnode inflamationi agree with your doctor it was just an allergic reaction </s>

Suggest remedy for small hole in between teeth due to gum growing out of alignment after wisdom teeth removal

A few years ago I had a operation to take all four of my wisdom teeth out, they all heeled perfectly however the second back tooth on the bottom right of my gum grew out of alignment and pushed more against my gum and cheek. Not only that I had a lot of the gum over the tooth and pushing against it. Now I have a small cut or hole I between my tooth and where my cheek is, it is difficult for my to brush.

Hello, thank you for consulting with healthcaremagic. As you are mentioning that your tooth is pushing your gums and teeth it looks that this tooth is causing continuous trauma to the cheek because of which now a cut means a traumatic ulcer has been formed in that area which is painful. So now first you should start with symptomatic relief like topical application of an anesthetic gel like mucopain on the ulcer.After that you should visit your dentist to get the rounding of the cusps of the tooth which is causing trouble or if needed removal of the tooth. Thank youHope it will help you.

<s>[INST] Suggest remedy for small hole in between teeth due to gum growing out of alignment after wisdom teeth removal " : " A few years ago I had a operation to take all four of my wisdom teeth out, they all heeled perfectly however the second back tooth on the bottom right of my gum grew out of alignment and pushed more against my gum and cheek. Not only that I had a lot of the gum over the tooth and pushing against it. Now I have a small cut or hole I between my tooth and where my cheek is, it is difficult for my to brush. [/INST] Hello, thank you for consulting with healthcaremagic. As you are mentioning that your tooth is pushing your gums and teeth it looks that this tooth is causing continuous trauma to the cheek because of which now a cut means a traumatic ulcer has been formed in that area which is painful. So now first you should start with symptomatic relief like topical application of an anesthetic gel like mucopain on the ulcer.After that you should visit your dentist to get the rounding of the cusps of the tooth which is causing trouble or if needed removal of the tooth. Thank youHope it will help you. </s>

How to treat a ganglion cyst noticed on knuckles?

Hello I recently went to an adult video store and went into viewing booth. I didn t relize til I left that I had touched the door handle the controls with the hand I used to masterbate. I used spit as lubrication. I did alot research and it s been driving me insane I hear it s nearly impossible because stds die when leaving the body then some say yea it could survive please help! Also I Has swelling on my knuckle went to hospital and they say no way it s an abscess but Thats a sign of STD? They say it s a ganglion cyst but got to days after video store help

Hello,The ganglion cyst is not related to STD. I suggest using anti inflammatory medications such as Acetaminophen to relieve the inflammation. I also recommend to immobilize the area with a brace or splint. If the ganglion cyst continue you may need to aspirate the ganglion at a doctor's office.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician

<s>[INST] How to treat a ganglion cyst noticed on knuckles? " : " Hello I recently went to an adult video store and went into viewing booth. I didn t relize til I left that I had touched the door handle the controls with the hand I used to masterbate. I used spit as lubrication. I did alot research and it s been driving me insane I hear it s nearly impossible because stds die when leaving the body then some say yea it could survive please help! Also I Has swelling on my knuckle went to hospital and they say no way it s an abscess but Thats a sign of STD? They say it s a ganglion cyst but got to days after video store help [/INST] Hello,The ganglion cyst is not related to STD. I suggest using anti inflammatory medications such as Acetaminophen to relieve the inflammation. I also recommend to immobilize the area with a brace or splint. If the ganglion cyst continue you may need to aspirate the ganglion at a doctor's office.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician </s>

What causes intermittent right-sided pain in the lower abdomen?

I have had pain in my lower right abdominal area that is above my pubic bone and just inside the hip area. Is this gas? It can be sharp shooting pain. Thank you for any insight and advice on treatment. It has come and gone over the past several days...I didn't know if I pulled something at the gym etc. I took an epson salt bath on Sunday and did yoga.

Hi and welcome to Healthcaremagic. Thank you for your query. Well, if this is related to movements and exercise then it is likely to be muscular pain if notm or there is nausea, vomitm fever or stool changes, then it may indicate intraabdoinal causes such as chronic appendicits, diverticulosis, IBS or some less common diagnoses. in latter case, you should do colonoscopy or abdominal CT scan to rule it out.I hope I have answered you query.Kindly regards. Wish you a good health.

<s>[INST] What causes intermittent right-sided pain in the lower abdomen? " : " I have had pain in my lower right abdominal area that is above my pubic bone and just inside the hip area. Is this gas? It can be sharp shooting pain. Thank you for any insight and advice on treatment. It has come and gone over the past several days...I didn't know if I pulled something at the gym etc. I took an epson salt bath on Sunday and did yoga. [/INST] Hi and welcome to Healthcaremagic. Thank you for your query. Well, if this is related to movements and exercise then it is likely to be muscular pain if notm or there is nausea, vomitm fever or stool changes, then it may indicate intraabdoinal causes such as chronic appendicits, diverticulosis, IBS or some less common diagnoses. in latter case, you should do colonoscopy or abdominal CT scan to rule it out.I hope I have answered you query.Kindly regards. Wish you a good health. </s>

How to cure throat cancer?

my father aged 70 years, treated for throat cancer , post the treatment he is normal but facing acute mucos cough discharges regularly , more after taking meals . what is this ? is there any remedial ayurvedic medicine , without any side effects .

Hi and welcome to HCM. Thanks for the query. there is no ayurvedic medicines. this can be treated only surgically and radioth and chemoth and results are 8unfortuneately bad. but this is only possible treatmentWish you good health. Regards

<s>[INST] How to cure throat cancer? " : " my father aged 70 years, treated for throat cancer , post the treatment he is normal but facing acute mucos cough discharges regularly , more after taking meals . what is this ? is there any remedial ayurvedic medicine , without any side effects . [/INST] Hi and welcome to HCM. Thanks for the query. there is no ayurvedic medicines. this can be treated only surgically and radioth and chemoth and results are 8unfortuneately bad. but this is only possible treatmentWish you good health. Regards </s>

Q. Is the pimple in genital area due to STD?

Hello doctor, I have noticed what I think is either an ingrown hair or pimple in my genital area. I would like to get a dermatologist's look at it for confirmation, in case I am wrong and it is a potential STD (though from what I have found it does not seem like HPV or herpes, nor molluscum). It appeared about a day and a half after I trimmed my pubic hair.

Hi. I have gone through your case. There are two possible causes of your pimple like lesion.c 1. Ingrowing hair or folliculitis. These are usually painful lesion. Treatment is to apply Fusidic acid cream 2 to 3 times a day for seven days. 2. Chancre of primary syphilis which is actually STD. If you have a history of sexual contact during the last four weeks, then it is likely to be syphilis because this is usually painless lesions as in your case. For this, you need to undergo an investigation first and then treatment. VDRL or TPHA. 1. Fusidic acid cream two times a day. 2. Oral Penicillin in case of syphilis.

<s>[INST] Q. Is the pimple in genital area due to STD? " : " Hello doctor, I have noticed what I think is either an ingrown hair or pimple in my genital area. I would like to get a dermatologist's look at it for confirmation, in case I am wrong and it is a potential STD (though from what I have found it does not seem like HPV or herpes, nor molluscum). It appeared about a day and a half after I trimmed my pubic hair. [/INST] Hi. I have gone through your case. There are two possible causes of your pimple like lesion.c 1. Ingrowing hair or folliculitis. These are usually painful lesion. Treatment is to apply Fusidic acid cream 2 to 3 times a day for seven days. 2. Chancre of primary syphilis which is actually STD. If you have a history of sexual contact during the last four weeks, then it is likely to be syphilis because this is usually painless lesions as in your case. For this, you need to undergo an investigation first and then treatment. VDRL or TPHA. 1. Fusidic acid cream two times a day. 2. Oral Penicillin in case of syphilis. </s>

What causes muscle pain under breast post quitting smoking?

Hello I am 33 years old, 345lbs and I quit smoking about 2 months ago. By quitting smoking I discovered about 20 little swollen muscles that go underneath both my breasts and extend from one breast to the other. It also has caused my sternum to have a little discomfort. I was told this type of aching in my chest area would last about 3 months due to side effects from quitting smoking. I recently went to the doctors just to make sure this problem wasn t my heart. I only had a small high cholesterol problem. All other tests I took I was ok with. This also muscle ache seems to flare up more around at nightime then any other part of my day. Thanks for helping me with this as this is causing multiple nights of tossing and turning. I just didn t want meds to be the source of everything. If there is anything you could recommend I d be greatly appreciative. Thanks!

Hello, I appreciate your efforts. Such type of aching is due to withdrawal of toxins from your body. The swollen muscles which you are feeling under your breast may be tender costochondral junctions of ribs or intercostal muscles between ribs. These are normal anatomical structures. The intermittent flare up of aches can be controlled with some analgesics which you may ask from your doctor. I shall advice you to also start meditation and mild stretching exercises which will help you gaining strength during this period. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon

<s>[INST] What causes muscle pain under breast post quitting smoking? " : " Hello I am 33 years old, 345lbs and I quit smoking about 2 months ago. By quitting smoking I discovered about 20 little swollen muscles that go underneath both my breasts and extend from one breast to the other. It also has caused my sternum to have a little discomfort. I was told this type of aching in my chest area would last about 3 months due to side effects from quitting smoking. I recently went to the doctors just to make sure this problem wasn t my heart. I only had a small high cholesterol problem. All other tests I took I was ok with. This also muscle ache seems to flare up more around at nightime then any other part of my day. Thanks for helping me with this as this is causing multiple nights of tossing and turning. I just didn t want meds to be the source of everything. If there is anything you could recommend I d be greatly appreciative. Thanks! [/INST] Hello, I appreciate your efforts. Such type of aching is due to withdrawal of toxins from your body. The swollen muscles which you are feeling under your breast may be tender costochondral junctions of ribs or intercostal muscles between ribs. These are normal anatomical structures. The intermittent flare up of aches can be controlled with some analgesics which you may ask from your doctor. I shall advice you to also start meditation and mild stretching exercises which will help you gaining strength during this period. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon </s>

Back pain, intense when sleep, X-ray fine. Suggestions?

Had lower back pain (lower lumbar) since 2 months which improved with massage and exercises. X-ray taken few weeks ago was fine. However since yesterday started getting pain in mid back region which is there every time while I lie flat on back -- throbbing pain acute/intense that doesnt go away unless I sleep on the side. Goes away on standing and sitting.

Hi,Thanks for writing in.You might have developed a muscle spasm of the muscles in your back region. This happens due to sudden undesired movement or lifting weights. Please take rest and apply muscle relaxant pain killer combination ointments.Hope this helps

<s>[INST] Back pain, intense when sleep, X-ray fine. Suggestions? " : " Had lower back pain (lower lumbar) since 2 months which improved with massage and exercises. X-ray taken few weeks ago was fine. However since yesterday started getting pain in mid back region which is there every time while I lie flat on back -- throbbing pain acute/intense that doesnt go away unless I sleep on the side. Goes away on standing and sitting. [/INST] Hi,Thanks for writing in.You might have developed a muscle spasm of the muscles in your back region. This happens due to sudden undesired movement or lifting weights. Please take rest and apply muscle relaxant pain killer combination ointments.Hope this helps </s>

Getting hives after having cold and cough. Is it possible to be allergic to cold and cough medication?

Is it possible to be allergic to cold and cough medication? I get hives every time I suffer from a cold and cough. Can it be that my resistance is low and the hives come out then. I also get hives when I am feeling some stress but they are easily managed on these occasions. The hives are usually only on my inner arms and wrists during these occurence. During a cold I have hives on my abdomen, inner arms, waist , upper legs, on my hand and cheek . Hand and cheek are new

YES THE ALLERGUES CAN BE DUE TO COLD AND COUGH MEDICINESTHE PARACETOMAL BRUFEN CALCIUM IRON VITAMINS MULTIVITAMINS AND DIET SUPPLIMEWNTS SOME ANTIBIOTICS LIKE SULPHA OR MICROLYTES CAN INCREASE THISIN COUGH AND COLD USE PURE ANTIALLERGFICS LIKE FEXOFENADINE EBASTINE MONTELUCAST AND BRONCHODILATOR SYP IF YOU WANT CAN GO FOR ALLERGY TESTS AND TREATMENT FOR CURE

<s>[INST] Getting hives after having cold and cough. Is it possible to be allergic to cold and cough medication? " : " Is it possible to be allergic to cold and cough medication? I get hives every time I suffer from a cold and cough. Can it be that my resistance is low and the hives come out then. I also get hives when I am feeling some stress but they are easily managed on these occasions. The hives are usually only on my inner arms and wrists during these occurence. During a cold I have hives on my abdomen, inner arms, waist , upper legs, on my hand and cheek . Hand and cheek are new [/INST] YES THE ALLERGUES CAN BE DUE TO COLD AND COUGH MEDICINESTHE PARACETOMAL BRUFEN CALCIUM IRON VITAMINS MULTIVITAMINS AND DIET SUPPLIMEWNTS SOME ANTIBIOTICS LIKE SULPHA OR MICROLYTES CAN INCREASE THISIN COUGH AND COLD USE PURE ANTIALLERGFICS LIKE FEXOFENADINE EBASTINE MONTELUCAST AND BRONCHODILATOR SYP IF YOU WANT CAN GO FOR ALLERGY TESTS AND TREATMENT FOR CURE </s>

Q. I noticed a blood streak while coughing. Is this something to worry about?

Hi doctor, I saw a blood streak while coughing into a tissue in the morning for the past three days, occurring only in the morning. I had a cold, but now I have just been coughing for the past 10 days. Please tell me if the blood I see is something to worry about or not. Also, I would like to know what to do about my cough.

Hello. You have mentioned that you have a blood streak while coughing and only in the morning. You have also mentioned that you have a cold. There are many possibilities as to what caused the blood streak with your cough. As you have been suffering from a cough, it is highly probable that you might be coughing hard to expel the phlegm in the morning due to more accumulation during the night. During the day, you might be coughing periodically, and a light cough would expel the phlegm. Coughing too hard causes minor tears in the pharyngeal lining and a small bleed may occur. This is most likely the case with you. And I assure you that it is a simple issue that will resolve spontaneously. This kind of bleeding does not require any treatment. For the cough I would prescribe:Ambrodil-S Syrup: two teaspoonfuls three times daily after food, for a week. Ambrodil-S is a mucolytic agent, which means that it helps to loosen and clear the mucus from your bronchial tract. Tablet Limcee 500: One tablet twice daily for 15 days. Limcee is a Vitamin C supplement. It will boost your immunity and help with early recovery. Gargle twice daily with warm salt water (a half teaspoon of salt in a glass of warm water). This is a very important step and it should be practiced whenever you have a cold. I thought I would mention that another common cause for blood in the sputum is tuberculosis, but it is highly unlikely in your case. If you want to be tested, you can visit any hospital and have a sputum test done (Ziehl-Neelsen sputum test). You will need to submit two sputum samples to the laboratory. But I would fully expect this situation to clear up soon after following my suggestions, which I would advise you to try first. If this situation persists, then you may want to look into further testing, including possibly a chest x-ray to rule out pneumonia. I wish you an early and speedy recovery. Revert back to a general practitioner online for further follow up -->

<s>[INST] Q. I noticed a blood streak while coughing. Is this something to worry about? " : " Hi doctor, I saw a blood streak while coughing into a tissue in the morning for the past three days, occurring only in the morning. I had a cold, but now I have just been coughing for the past 10 days. Please tell me if the blood I see is something to worry about or not. Also, I would like to know what to do about my cough. [/INST] Hello. You have mentioned that you have a blood streak while coughing and only in the morning. You have also mentioned that you have a cold. There are many possibilities as to what caused the blood streak with your cough. As you have been suffering from a cough, it is highly probable that you might be coughing hard to expel the phlegm in the morning due to more accumulation during the night. During the day, you might be coughing periodically, and a light cough would expel the phlegm. Coughing too hard causes minor tears in the pharyngeal lining and a small bleed may occur. This is most likely the case with you. And I assure you that it is a simple issue that will resolve spontaneously. This kind of bleeding does not require any treatment. For the cough I would prescribe:Ambrodil-S Syrup: two teaspoonfuls three times daily after food, for a week. Ambrodil-S is a mucolytic agent, which means that it helps to loosen and clear the mucus from your bronchial tract. Tablet Limcee 500: One tablet twice daily for 15 days. Limcee is a Vitamin C supplement. It will boost your immunity and help with early recovery. Gargle twice daily with warm salt water (a half teaspoon of salt in a glass of warm water). This is a very important step and it should be practiced whenever you have a cold. I thought I would mention that another common cause for blood in the sputum is tuberculosis, but it is highly unlikely in your case. If you want to be tested, you can visit any hospital and have a sputum test done (Ziehl-Neelsen sputum test). You will need to submit two sputum samples to the laboratory. But I would fully expect this situation to clear up soon after following my suggestions, which I would advise you to try first. If this situation persists, then you may want to look into further testing, including possibly a chest x-ray to rule out pneumonia. I wish you an early and speedy recovery. Revert back to a general practitioner online for further follow up --> </s>

How long does it take for liver enzymes to drop?

My liver enzymes were elevated at my blood test 3 weeks ago ALT 103 AST 94. Three weeks later they were ALT 100 AST 89. I stopped drinking all together and switched to a low fat/calorie diet. Cholesterol went from 247 to 171. How long does it take for liver enzymes to drop?

Thank you for posting your query.further evaluation and history.usually takes 6to8 weeks or more to return to normal if strictly followed advice.is hep A, B C viral serology Negative??do a lipid profile test and and an "abdominal ultrasound".are you using any medication that maybe toxic to liver?if all above results negative thenadvice:abstinence from "Alcohol and drugs" - LOW fat diet should be followed- NO red meat- vegetables should be ingested daily- Moreover, less activity should be carried out (no sports). - use lemon juice (lemonade) once in a day- walk 30 to 40 minutes everyday.- or swimming is alternative to walking- NO sports and NO jogging-"recheck liver enzymes after 6 to 8 weeks".wish you good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik

<s>[INST] How long does it take for liver enzymes to drop? " : " My liver enzymes were elevated at my blood test 3 weeks ago ALT 103 AST 94. Three weeks later they were ALT 100 AST 89. I stopped drinking all together and switched to a low fat/calorie diet. Cholesterol went from 247 to 171. How long does it take for liver enzymes to drop? [/INST] Thank you for posting your query.further evaluation and history.usually takes 6to8 weeks or more to return to normal if strictly followed advice.is hep A, B C viral serology Negative??do a lipid profile test and and an "abdominal ultrasound".are you using any medication that maybe toxic to liver?if all above results negative thenadvice:abstinence from "Alcohol and drugs" - LOW fat diet should be followed- NO red meat- vegetables should be ingested daily- Moreover, less activity should be carried out (no sports). - use lemon juice (lemonade) once in a day- walk 30 to 40 minutes everyday.- or swimming is alternative to walking- NO sports and NO jogging-"recheck liver enzymes after 6 to 8 weeks".wish you good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik </s>

What causes an increase in the waist and the abdomen?

After the leep surgery, i lost my libido, before i had regular check ups and coloposcopy. Why did this happen, i am 48 years , i have the mirena iud. i have feeling very bloated, only my abdomen is large i have size 36 waist. why has my waist been increasing so much.

Hi. Thanks for your query and history .You had undergone Loop Electrosurgical Excision Procedure (LEEP) for Abnormal Cervical Cell Changes. It is possible that you needed a extensive cauterisation and might have temporary nervous problem related to local excision, age related problems of hormonal changes that have caused loss of libido.You can always discuss this in detail with your Gynecologist when you will have the next visit .It is possible that the large abdomen can be due to fat deposition Bloazting can be due to stress and anxiety. If you discussed al these points together , it will help for a proper diagnosis and treatment

<s>[INST] What causes an increase in the waist and the abdomen? " : " After the leep surgery, i lost my libido, before i had regular check ups and coloposcopy. Why did this happen, i am 48 years , i have the mirena iud. i have feeling very bloated, only my abdomen is large i have size 36 waist. why has my waist been increasing so much. [/INST] Hi. Thanks for your query and history .You had undergone Loop Electrosurgical Excision Procedure (LEEP) for Abnormal Cervical Cell Changes. It is possible that you needed a extensive cauterisation and might have temporary nervous problem related to local excision, age related problems of hormonal changes that have caused loss of libido.You can always discuss this in detail with your Gynecologist when you will have the next visit .It is possible that the large abdomen can be due to fat deposition Bloazting can be due to stress and anxiety. If you discussed al these points together , it will help for a proper diagnosis and treatment </s>

Suggest methods to dry blisters of chicken pox faster

I am okonye Eugene, age:37, height:6.5m. I am infected with chickenpox. I have been taking drugs and also rubbing calamine lotion for the past days. The one on the face cleared since past 2 days but other parts are yet to dry though not itching again. What will i do to make them dry fast.

Hi,Thank you for posting your query in healthcaremagic.comThis is Dr. Swarnava dattagupta answering your query.I understand your concern.Well, chicken pox lesions are generally in many forms present simultaneously in the body. The blisters and pustules mostly cause the pain. It then dries, and then clears off. To fasten the drying do the following-rub calamine lotion as you were doing beforeadd 3ml of potassium permanganate solution to 5litres of warm water and bath with itHope i have answered your question.If you have any further questions i will be happy to help.Regards

<s>[INST] Suggest methods to dry blisters of chicken pox faster " : " I am okonye Eugene, age:37, height:6.5m. I am infected with chickenpox. I have been taking drugs and also rubbing calamine lotion for the past days. The one on the face cleared since past 2 days but other parts are yet to dry though not itching again. What will i do to make them dry fast. [/INST] Hi,Thank you for posting your query in healthcaremagic.comThis is Dr. Swarnava dattagupta answering your query.I understand your concern.Well, chicken pox lesions are generally in many forms present simultaneously in the body. The blisters and pustules mostly cause the pain. It then dries, and then clears off. To fasten the drying do the following-rub calamine lotion as you were doing beforeadd 3ml of potassium permanganate solution to 5litres of warm water and bath with itHope i have answered your question.If you have any further questions i will be happy to help.Regards </s>

Have dry tongue, weight loss. Taking LighterLife plan. Help

I have a dry tongue (at the rear). I drink alot of water (approx 4 - 6 litres) which I in my opinion rules out dehidration. In the past year I have lost 9 1/2 stone on the LighterLife plan. I have been maintaining for the last four months & eating proper foods. The dry tongue started whilst I was on the total plan ( packs only) but has continued now I am back on normal foods!

Hi,Thanks for asking the query,Dry tongue occurs due to use of certain medications like hypertension, diuretics, urinary incontinence, smoking, chewing tobacco, nutritional deficiencies, dehydrations.As you have mentioned you are drinking plenty of water, i would suggest you to use sugar free chewing gums.Visit to the Dentist and get a checkup once.Breathing through your nose and not from your mouth.Take multivitamin suplements.Take lukewarm saline gargles and antiseptic mouthwash .Use fluoridated toothbrush and brush your teeth twice daily.Avoid smoking habit for some days if present.Hope this helps out,Regards..

<s>[INST] Have dry tongue, weight loss. Taking LighterLife plan. Help " : " I have a dry tongue (at the rear). I drink alot of water (approx 4 - 6 litres) which I in my opinion rules out dehidration. In the past year I have lost 9 1/2 stone on the LighterLife plan. I have been maintaining for the last four months & eating proper foods. The dry tongue started whilst I was on the total plan ( packs only) but has continued now I am back on normal foods! [/INST] Hi,Thanks for asking the query,Dry tongue occurs due to use of certain medications like hypertension, diuretics, urinary incontinence, smoking, chewing tobacco, nutritional deficiencies, dehydrations.As you have mentioned you are drinking plenty of water, i would suggest you to use sugar free chewing gums.Visit to the Dentist and get a checkup once.Breathing through your nose and not from your mouth.Take multivitamin suplements.Take lukewarm saline gargles and antiseptic mouthwash .Use fluoridated toothbrush and brush your teeth twice daily.Avoid smoking habit for some days if present.Hope this helps out,Regards.. </s>

Suggest medication for asthma which is causing nasal infectiom

My daughter is 12 years old. She has a mild asthama since few years and gets a bad cough during change of season. Or some time the attack is after an infection. Since 2 days she has a severe cough after a slight nasal infection. Doctor has advised flohale and asthalin inhaler 3 times a day. My question is can she take both with a gap of 1 hour 3 times during the day as I thought they are for the same purpose. Also ithis the right medicine to take as 1 day has passed but the dry cough is severe and does not see to be releving during the night specially.

Hello dear,The symptoms as mentioned in your post can be attributed to acute exacerbation of asthma, secondary to a respiratory tract infection.Management involves:1. A course of antibiotics to eradicate the causative organism.2. Asthalin & Flohale inhaler- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)Asthalin has short duration of action but provides immediate relief.Flohale has longer duration of action & maintains the airways.So, it is advisable to take asthalin first, followed by flohale after 15-20 min.3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.4. Antihistamine & anti tussive preparations for symptomatic relief from cough.5. Maintain adequate hydration & a healthy balance diet.6. Also make sure that she is well protected from cold, dust & other allergens.If symptoms still persist, kindly consult a Pediatrician/ Pulmonologist for proper clinical evaluation.Wishing her a good health.Take care.

<s>[INST] Suggest medication for asthma which is causing nasal infectiom " : " My daughter is 12 years old. She has a mild asthama since few years and gets a bad cough during change of season. Or some time the attack is after an infection. Since 2 days she has a severe cough after a slight nasal infection. Doctor has advised flohale and asthalin inhaler 3 times a day. My question is can she take both with a gap of 1 hour 3 times during the day as I thought they are for the same purpose. Also ithis the right medicine to take as 1 day has passed but the dry cough is severe and does not see to be releving during the night specially. [/INST] Hello dear,The symptoms as mentioned in your post can be attributed to acute exacerbation of asthma, secondary to a respiratory tract infection.Management involves:1. A course of antibiotics to eradicate the causative organism.2. Asthalin & Flohale inhaler- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)Asthalin has short duration of action but provides immediate relief.Flohale has longer duration of action & maintains the airways.So, it is advisable to take asthalin first, followed by flohale after 15-20 min.3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.4. Antihistamine & anti tussive preparations for symptomatic relief from cough.5. Maintain adequate hydration & a healthy balance diet.6. Also make sure that she is well protected from cold, dust & other allergens.If symptoms still persist, kindly consult a Pediatrician/ Pulmonologist for proper clinical evaluation.Wishing her a good health.Take care. </s>

Is surgery required for gallbladder dyskinesia?

I was diagnosed with gallbladder dyskinesia. A hida with ejection fraction of 15, in pain on my back and right upper quadrant for more than 2 months daily. My doctor refered me to a surgeon, my app is on Monday, is surgery the only alternative, will my pain dissapear?

Hello,Surgery may not be required in all cases. If you are experiencing recurrent attacks of pain, surgery will be a better option.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician

<s>[INST] Is surgery required for gallbladder dyskinesia? " : " I was diagnosed with gallbladder dyskinesia. A hida with ejection fraction of 15, in pain on my back and right upper quadrant for more than 2 months daily. My doctor refered me to a surgeon, my app is on Monday, is surgery the only alternative, will my pain dissapear? [/INST] Hello,Surgery may not be required in all cases. If you are experiencing recurrent attacks of pain, surgery will be a better option.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>

Suggest treatment for locked-jaw and jaw popping

A few years ago I popped my jaw out of place while chewing some gum. Since then I have been experiencing moments of locked-jaw and jaw popping while eating gummy candy or very hard foods, only on the left side of my jaw. Most recently I experienced a painful ripping sensation. Should I get my jaw checked out?

Hello, Thank you for consulting with HCM.It looks that you are having temporomandibular disorder means disorder of joints of jaw, it occurs because of exertion of jaw joint while chewing hard food and even because of stress.You should visit a good dentist and get an x-ray of the joint done, which will show the changes of joint.The treatment will depend on the condition of the joint, as either medicinal or surgical.Hope it will help you.

<s>[INST] Suggest treatment for locked-jaw and jaw popping " : " A few years ago I popped my jaw out of place while chewing some gum. Since then I have been experiencing moments of locked-jaw and jaw popping while eating gummy candy or very hard foods, only on the left side of my jaw. Most recently I experienced a painful ripping sensation. Should I get my jaw checked out? [/INST] Hello, Thank you for consulting with HCM.It looks that you are having temporomandibular disorder means disorder of joints of jaw, it occurs because of exertion of jaw joint while chewing hard food and even because of stress.You should visit a good dentist and get an x-ray of the joint done, which will show the changes of joint.The treatment will depend on the condition of the joint, as either medicinal or surgical.Hope it will help you. </s>

Suggest remedy for severe pain in thighs

Recently, Every time a kick a soccer ball, there is this sharp pain in my thigh. I thought i just sprined it so i rested it for like a week and didnt feel a thing. I went to play soccer and stretched and everything and then i kicked the soccer ball and that same exact pain came right back. What is this?

HiThanks for your queryAfter going through your query I came to know that you every time you kick a soccer ball you have pain. I think you should gradually increase the muscle strength by gradually increasing muscle strenght. Analgesic such as diclofenac will be of use for pain. You can take vitamin B-complex and C to promote healing. You are also advised to get your vitamin D test as vitamin D deficiency can cause such symptoms. You can discuss with your treating Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us . I will be happy to help you.You can also write to me directly on below link: you good health.Take care.

<s>[INST] Suggest remedy for severe pain in thighs " : " Recently, Every time a kick a soccer ball, there is this sharp pain in my thigh. I thought i just sprined it so i rested it for like a week and didnt feel a thing. I went to play soccer and stretched and everything and then i kicked the soccer ball and that same exact pain came right back. What is this? [/INST] HiThanks for your queryAfter going through your query I came to know that you every time you kick a soccer ball you have pain. I think you should gradually increase the muscle strength by gradually increasing muscle strenght. Analgesic such as diclofenac will be of use for pain. You can take vitamin B-complex and C to promote healing. You are also advised to get your vitamin D test as vitamin D deficiency can cause such symptoms. You can discuss with your treating Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us . I will be happy to help you.You can also write to me directly on below link: you good health.Take care. </s>

What is the treatment of lump on leg ?

I had a big lump on my leg and it doesn't itch and it feels really hard! this is what it looks like WWW.WWWW.WW can someone help me please! Its been there over 2 weeks now! could it possible be cancer? I know its not a pimple or white head!

it may be anything so work up is required. in most cases this is benign subvutaneois lesion such as ateroma, fibroma or lipoma but it can be surgically removed in every case

<s>[INST] What is the treatment of lump on leg ? " : " I had a big lump on my leg and it doesn't itch and it feels really hard! this is what it looks like WWW.WWWW.WW can someone help me please! Its been there over 2 weeks now! could it possible be cancer? I know its not a pimple or white head! [/INST] it may be anything so work up is required. in most cases this is benign subvutaneois lesion such as ateroma, fibroma or lipoma but it can be surgically removed in every case </s>

Q. Every time I eat spicy food, I poop blood. Why?

Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.

Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->

<s>[INST] Q. Every time I eat spicy food, I poop blood. Why? " : " Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> </s>

Suggest treatment for stress and depression

Hi my boyfriend believes people are trying to poison him he gets really distressed says people drop something in his tea etc.. Food ... One time he was in bed an he told me that an alien was sitting in his kithen while we were on the bed talking and says sometimes his mind tells him to buy drugs but he doesn't but then asks me to reassure him that he didn't buy any drugs? CU's this be normal

DearWe understand your concernsI went through your details. I sincerely hope the description given here are not true or are exaggerated. Because such symptoms points towards paranoid schizophrenia and delusion disorder. Psychiatric treatment is the only way out of the condition. But, you need to talk to your friend and his parents, relatives etc. Know more about his behavior and symptoms. He may be fooling you. If you are right about your friends problems and symptoms in every aspect, consult a psychiatrist with him.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck.

<s>[INST] Suggest treatment for stress and depression " : " Hi my boyfriend believes people are trying to poison him he gets really distressed says people drop something in his tea etc.. Food ... One time he was in bed an he told me that an alien was sitting in his kithen while we were on the bed talking and says sometimes his mind tells him to buy drugs but he doesn't but then asks me to reassure him that he didn't buy any drugs? CU's this be normal [/INST] DearWe understand your concernsI went through your details. I sincerely hope the description given here are not true or are exaggerated. Because such symptoms points towards paranoid schizophrenia and delusion disorder. Psychiatric treatment is the only way out of the condition. But, you need to talk to your friend and his parents, relatives etc. Know more about his behavior and symptoms. He may be fooling you. If you are right about your friends problems and symptoms in every aspect, consult a psychiatrist with him.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. </s>

What causes swollen neck in infants?

My duaghter 10 month old she have small swelling at right side of neck and his lab investigation has shown ESR 53mm/1st hr and Platelet 551 %. pheripheral film shown anisocytosis hypochromatic poikilocytosis target cell platelet increase neutropenia.

Hi,Thank you for asking question on health care magic.Swelling on the right side of the neck may be a lymph node.High ESR suggests a specific infection like TB.Mantoux test and X-ray chest to rule out TB.Better consult pediatrician for proper diagnosis and treatment.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics

<s>[INST] What causes swollen neck in infants? " : " My duaghter 10 month old she have small swelling at right side of neck and his lab investigation has shown ESR 53mm/1st hr and Platelet 551 %. pheripheral film shown anisocytosis hypochromatic poikilocytosis target cell platelet increase neutropenia. [/INST] Hi,Thank you for asking question on health care magic.Swelling on the right side of the neck may be a lymph node.High ESR suggests a specific infection like TB.Mantoux test and X-ray chest to rule out TB.Better consult pediatrician for proper diagnosis and treatment.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics </s>

Can using Tugain solution and Finpecia be safe for hair fall?

Hi, I am having hair fall problem. And to overcome this am using Tugain 5% soulution along with it am taking Finpecia 1mg 1 tablet per day during night. But once i started taking this medice, my scalp developed itching terribly. Can you please adivce me what to do or is it common that people using this medication will develop itching. Regards, Ashok.

Hi, You seem to have developed irritation to Tugain solution.I would recommend you to stop using it for few days and restart again in lesser amounts. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist

<s>[INST] Can using Tugain solution and Finpecia be safe for hair fall? " : " Hi, I am having hair fall problem. And to overcome this am using Tugain 5% soulution along with it am taking Finpecia 1mg 1 tablet per day during night. But once i started taking this medice, my scalp developed itching terribly. Can you please adivce me what to do or is it common that people using this medication will develop itching. Regards, Ashok. [/INST] Hi, You seem to have developed irritation to Tugain solution.I would recommend you to stop using it for few days and restart again in lesser amounts. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist </s>

What causes unilateral lump in breast of an eighteen months old?

My 18 month old has has a unilateral lump in her left breast. I m not entirely happy with the results I got, I was told it s either a fat deposit or a fibroadenoma. I ve been doing a bit of reading and as they have suggested biopsy in 6-8 weeks if it has increased in size, I am worried if these could be mistaken for thelarche? Or if there is something in the iages that rule that out? I have no doubt a biopsy would be traumatic for my 18 month old, the ultrasound itself was bad enough. And I am also worried if it is just a benign lump that the biopsy could cause some sort of damage? She is also still breastfeed, she eats food, but also has breastmilk throughout the day. The lump has been there for a month that I know of. It definitely has not shrunk, but I am also unsure if it has increased in size.

Hi...if I were your pediatrician or pediatric surgeon I would definitely have advised you the same thing - to go ahead with biopsy. Biopsy would be done under anesthesia unlike an ultrasound which is done when the kid is awake. So it would not be traumatic to the kid. Thelarche should be bilateral that is both sides - but as this is unilateral I definitly suggest doing a biopsy and arriving at a diagnosis as soon as possible.regards - Dr. Sumanth

<s>[INST] What causes unilateral lump in breast of an eighteen months old? " : " My 18 month old has has a unilateral lump in her left breast. I m not entirely happy with the results I got, I was told it s either a fat deposit or a fibroadenoma. I ve been doing a bit of reading and as they have suggested biopsy in 6-8 weeks if it has increased in size, I am worried if these could be mistaken for thelarche? Or if there is something in the iages that rule that out? I have no doubt a biopsy would be traumatic for my 18 month old, the ultrasound itself was bad enough. And I am also worried if it is just a benign lump that the biopsy could cause some sort of damage? She is also still breastfeed, she eats food, but also has breastmilk throughout the day. The lump has been there for a month that I know of. It definitely has not shrunk, but I am also unsure if it has increased in size. [/INST] Hi...if I were your pediatrician or pediatric surgeon I would definitely have advised you the same thing - to go ahead with biopsy. Biopsy would be done under anesthesia unlike an ultrasound which is done when the kid is awake. So it would not be traumatic to the kid. Thelarche should be bilateral that is both sides - but as this is unilateral I definitly suggest doing a biopsy and arriving at a diagnosis as soon as possible.regards - Dr. Sumanth </s>

How to deal with back pain and the related numbness in the abdomen?

I am a 54 year old male, in otherwise very good health. I had lower back pain for about a week and it has mostly subsided (almost completely). On day five I noticed a numbness on my lower abdomen, left side, around the bikini line. The ER doctor said it was nothing to worry about. The numbness is still there along with a low level of pain. Any ideas of what if might be?

This does not sound like anything serious. There can be irritation of nerves that supply the anterior abdominal area, and these are likely to be superficial nerves. It should likely resolve in a few days.

<s>[INST] How to deal with back pain and the related numbness in the abdomen? " : " I am a 54 year old male, in otherwise very good health. I had lower back pain for about a week and it has mostly subsided (almost completely). On day five I noticed a numbness on my lower abdomen, left side, around the bikini line. The ER doctor said it was nothing to worry about. The numbness is still there along with a low level of pain. Any ideas of what if might be? [/INST] This does not sound like anything serious. There can be irritation of nerves that supply the anterior abdominal area, and these are likely to be superficial nerves. It should likely resolve in a few days. </s>

When can I expect delivery of my baby?

Hi, I am about 37 weeks pregnant and when I went to the Dr. on monday we were told I am almost 3 cm and 50% effaced. He said we d probably have the baby by Monday, said 70% chance of that. I was curious what your opinion on that was? I am still having contractions but haven t gone to the hospital

Hallow Dear, From your question, I guess this is your first pregnancy. During first pregnancy, the effacement of the cervix takes place much before - may be about one week before the woman goes in labour. Your cervix is just 50% effaced; however, the cervix has started dilating. According to WHO definition, the woman is in active labour when the cervix is more than 4 cms dilated. During last few weeks, woman does start appreciating the contractions of the uterus. In fact the uterus is continuously contracting and relaxing throughout the pregnancy; however, there is no perceivable pain. These contractions are called Braxton Hick's contractions. When woman goes in labour, these contractions become stronger and woman starts getting pains. The labour contractions start at the lower back and radiate in front. then they are coming from above downwards. Successively, the intensity, duration and frequency of true labour pains go on increasing. When you are in labour, along with the pains, there is frequency of urination and there is blood stained mucous plug (show) found at the vaginal opening. From your history, you seem to be in imminent labour. You may start labour pains within a week's time. Wish you happy motherhood. Please start breastfeeding the child within half an hour of the delivery and for six months, give the baby exclusive breast feeding. Dr. Nishikant Shrotri

<s>[INST] When can I expect delivery of my baby? " : " Hi, I am about 37 weeks pregnant and when I went to the Dr. on monday we were told I am almost 3 cm and 50% effaced. He said we d probably have the baby by Monday, said 70% chance of that. I was curious what your opinion on that was? I am still having contractions but haven t gone to the hospital [/INST] Hallow Dear, From your question, I guess this is your first pregnancy. During first pregnancy, the effacement of the cervix takes place much before - may be about one week before the woman goes in labour. Your cervix is just 50% effaced; however, the cervix has started dilating. According to WHO definition, the woman is in active labour when the cervix is more than 4 cms dilated. During last few weeks, woman does start appreciating the contractions of the uterus. In fact the uterus is continuously contracting and relaxing throughout the pregnancy; however, there is no perceivable pain. These contractions are called Braxton Hick's contractions. When woman goes in labour, these contractions become stronger and woman starts getting pains. The labour contractions start at the lower back and radiate in front. then they are coming from above downwards. Successively, the intensity, duration and frequency of true labour pains go on increasing. When you are in labour, along with the pains, there is frequency of urination and there is blood stained mucous plug (show) found at the vaginal opening. From your history, you seem to be in imminent labour. You may start labour pains within a week's time. Wish you happy motherhood. Please start breastfeeding the child within half an hour of the delivery and for six months, give the baby exclusive breast feeding. Dr. Nishikant Shrotri </s>

How to treat Adenocystic carcinoma?

My dad was diagnosed with Adenocystic carcinoma on April 28, 2011. He has decided not to do any treatment since he has had the tumor for well over five years and it can not be removed. In April, the tumor was in the eye cavity, touching the brain in three places, and surrounding his cerebral cortex. I am trying to find out what to expect as far as end stage signs. My dad has lost movement of both sides of his face. He is impulsive one minute, and forgetful/confused the next. One eye is bulging further out. He complains that he can not hear as well and within the last two weeks has lost his ability to speak clearly. He is coughing and clearing his throat constantly. The head pain has returned. My dad s world is closing in on him. How much longer does he have to suffer?

Hello, Please upload the brain MRI report. Is there any biopsy report? If yes, please upload that too. The long term outcome depends on the size of the tumor, as well as the stage/grade of cancer. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sudhir Kumar, Neurologist

<s>[INST] How to treat Adenocystic carcinoma? " : " My dad was diagnosed with Adenocystic carcinoma on April 28, 2011. He has decided not to do any treatment since he has had the tumor for well over five years and it can not be removed. In April, the tumor was in the eye cavity, touching the brain in three places, and surrounding his cerebral cortex. I am trying to find out what to expect as far as end stage signs. My dad has lost movement of both sides of his face. He is impulsive one minute, and forgetful/confused the next. One eye is bulging further out. He complains that he can not hear as well and within the last two weeks has lost his ability to speak clearly. He is coughing and clearing his throat constantly. The head pain has returned. My dad s world is closing in on him. How much longer does he have to suffer? [/INST] Hello, Please upload the brain MRI report. Is there any biopsy report? If yes, please upload that too. The long term outcome depends on the size of the tumor, as well as the stage/grade of cancer. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sudhir Kumar, Neurologist </s>

What treatment to be taken for the bump within my body under my right rig?

I was having quite a bit of pain when I bend down and had noticed I had a bump within my body under my right rig, I was taken a ultrasound and found from my doctor that I have a grease ball. I guess I was suppose to ignore it but now there is more pain and is now also on my left side, is there something that can be done on these so called grease ball ?

HI,Dear,thanks for the query.Though your doctor asked to ignore as its a grease ball,its time to worry-as it has becomer more painful and regrown on the left side-other side of the rig also.I would advise you to take FNAC and consult a surgeon for its treatment.Thnks for the query to HCM.WEllcome again.

<s>[INST] What treatment to be taken for the bump within my body under my right rig? " : " I was having quite a bit of pain when I bend down and had noticed I had a bump within my body under my right rig, I was taken a ultrasound and found from my doctor that I have a grease ball. I guess I was suppose to ignore it but now there is more pain and is now also on my left side, is there something that can be done on these so called grease ball ? [/INST] HI,Dear,thanks for the query.Though your doctor asked to ignore as its a grease ball,its time to worry-as it has becomer more painful and regrown on the left side-other side of the rig also.I would advise you to take FNAC and consult a surgeon for its treatment.Thnks for the query to HCM.WEllcome again. </s>

Does Epstein-Barr virus cause nausea, vomiting and diarrhea?

My 8 year daughter has had a fever off and on for 6 days. She has seen the doctor twice. Her first symptom was a sore throat. Since then she has had nausea, vomitting and diarrhea. She also complans of a pain in her side. The doctor kmows of of this but since she tested positive for the Epstein-Barr virus (we are waiting blood results), nothing else is being done. I am more than concerned. The doctor says EBV would explain all her syptoms but why is the fever almost continuous. She has definitely loss weight and now stays in bed. Should I seek a second opinion? I have seen two different doctors in the same practice. PLease help!

Hello,Welcome to HCM,Infection with Epstein-Barr virus (EBV) is very common and usually occurs in childhood or early adulthood. EBV is a contagious infection that spreads from person to person.EBV is the cause of infectious mononucleosis and the symptoms arefever, sore throat, swollen lymph nodes in the neck, and enlarged spleen. The symptoms like nausea, vomiting and diarrhea are very much rare with EBV infection.Individuals with EBV infections requires1.Adequate rest 2.Plenty of Fluids3.Corticosteroids to treat significant swelling in the throat4.There is no specific medicine to treat EBV infections.Thank you.

<s>[INST] Does Epstein-Barr virus cause nausea, vomiting and diarrhea? " : " My 8 year daughter has had a fever off and on for 6 days. She has seen the doctor twice. Her first symptom was a sore throat. Since then she has had nausea, vomitting and diarrhea. She also complans of a pain in her side. The doctor kmows of of this but since she tested positive for the Epstein-Barr virus (we are waiting blood results), nothing else is being done. I am more than concerned. The doctor says EBV would explain all her syptoms but why is the fever almost continuous. She has definitely loss weight and now stays in bed. Should I seek a second opinion? I have seen two different doctors in the same practice. PLease help! [/INST] Hello,Welcome to HCM,Infection with Epstein-Barr virus (EBV) is very common and usually occurs in childhood or early adulthood. EBV is a contagious infection that spreads from person to person.EBV is the cause of infectious mononucleosis and the symptoms arefever, sore throat, swollen lymph nodes in the neck, and enlarged spleen. The symptoms like nausea, vomiting and diarrhea are very much rare with EBV infection.Individuals with EBV infections requires1.Adequate rest 2.Plenty of Fluids3.Corticosteroids to treat significant swelling in the throat4.There is no specific medicine to treat EBV infections.Thank you. </s>

What causes lump on thigh?

About 18 months ago I was doing a ballet "plie" (deep bend with knees going out to the side) in an exercise class. I felt the ligaments in my left hip just go crazy. I was able to walk .. just sore. I now have a lump directly at the top of the thigh (the part that bends when you sit). All my physicians have said it is a tension lump. I am concerned. It never goes away no matter how much a message it. Matter of fact it hurts more when I message it and it just gets irritated. I also have lumps in my low back that I believe are episacral lipoma. I am wondering might this lump in my hip be a lipoma or some type of hernia. I have suffered many years with disc herniation. My back, thought not the best, is doing ok. I just have chronic pain in the front of my hip and also several lumps on the side of my hip. I now also have some numbness in the hip. I have suffered with sciatica before so I am very familiar with this sensation. This is different.

hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be a lipoma, a cyst (a sebaceous or a keratinous type) or a fibroma. these lesions can occur anywhere in the body and have the tendency to recur. management (medical and surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye

<s>[INST] What causes lump on thigh? " : " About 18 months ago I was doing a ballet "plie" (deep bend with knees going out to the side) in an exercise class. I felt the ligaments in my left hip just go crazy. I was able to walk .. just sore. I now have a lump directly at the top of the thigh (the part that bends when you sit). All my physicians have said it is a tension lump. I am concerned. It never goes away no matter how much a message it. Matter of fact it hurts more when I message it and it just gets irritated. I also have lumps in my low back that I believe are episacral lipoma. I am wondering might this lump in my hip be a lipoma or some type of hernia. I have suffered many years with disc herniation. My back, thought not the best, is doing ok. I just have chronic pain in the front of my hip and also several lumps on the side of my hip. I now also have some numbness in the hip. I have suffered with sciatica before so I am very familiar with this sensation. This is different. [/INST] hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be a lipoma, a cyst (a sebaceous or a keratinous type) or a fibroma. these lesions can occur anywhere in the body and have the tendency to recur. management (medical and surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye </s>

What causes large tender lump on top of head and facial numbness?

I have a lump larger about the size of a dime on the top back of my head slightly toward right (if one where to put their hair in a pony tail), it s very tender to the touch but does NOT move when I press on it & from what I understand if it were a pilar cyst it would move. I also have had a headache all day (not severe but enough to be annoying). Also have facial numbness, major vision issues past 24 hours (but also have keratoconus). I have significant history of multiple issues as follows that may or may not be pertinent & just want to know if it is something that can wait until I see either my Neuro Doc next week or my Dermatologist the following week for schedule appointments OR if I should take action sooner: I also have had scalp tenderness off & on as well as other strange neurological symptoms (numbness in buttocks that goes down both legs especially after sitting & diminished memory & concentration etc.) ever since I broke my neck roller blading (Genetic Defect: Reverse Curvature of C-Spine at C-4-5 and have had two cervical spine surgeries - first C3-C5 in 2007 then C5-C7 in 2010). Continued to have falls even after second surgery (most of falls occurred while carrying things with my arms). Six months ago w/o having had any falls in previous 90 days woke up one day and couldn t bare to stand or walk more than about five minutes. I have neuropathy in both of my hands plus arm weakness which worsened significantly since and at this point I can barely lift a half gallon due to pain that shoots down into my low back. Was diagnosed with Facet Joint Osteoarthritis in Lumbar Spine and was referred to NeuroSurgeon/Pain Mgmt Specialist to sever nerves that send pain signals to the brain because physical therapy and all other treatment options have failed plus steroid injections have been tried multiple times and each time produced extreme roid rage. NeuroSurgeon/Pain Mgmt Specialist believes I have Failed Back Surgery Syndrome (FBSS) has already done an MRI of my cervical spine as he feels that everything is the result of an issue in that areas and is trying to get to the bottom of ACTUAL cause of symptoms such as Numbness & falling down for what appears to be no reason BEFORE he just treats lumbar symptoms. Also have significant issues with my jaws (both top & bottom jaws out of alignment) and tried wearing customized mouth piece over the past year but was just told by my cosmetic dentistry specialist that he highly suspects Mandibular Condylar breakdown for sure and need to assess the severity to properly treat (& currently awaiting insurance approval for MRI or Cat Scan).

Hi, Regarding the current issue of facial numbness and mild headache, I think it is safe to say that you can wait till your appointment with your neurologist next week, in order to discuss the issue with. However, if you develop acute deterioration of your symptoms like loss of vision, one sided body and/or facial paralysis, speech problems you have to visit the nearest emergency room. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ahmad Nazzal

<s>[INST] What causes large tender lump on top of head and facial numbness? " : " I have a lump larger about the size of a dime on the top back of my head slightly toward right (if one where to put their hair in a pony tail), it s very tender to the touch but does NOT move when I press on it & from what I understand if it were a pilar cyst it would move. I also have had a headache all day (not severe but enough to be annoying). Also have facial numbness, major vision issues past 24 hours (but also have keratoconus). I have significant history of multiple issues as follows that may or may not be pertinent & just want to know if it is something that can wait until I see either my Neuro Doc next week or my Dermatologist the following week for schedule appointments OR if I should take action sooner: I also have had scalp tenderness off & on as well as other strange neurological symptoms (numbness in buttocks that goes down both legs especially after sitting & diminished memory & concentration etc.) ever since I broke my neck roller blading (Genetic Defect: Reverse Curvature of C-Spine at C-4-5 and have had two cervical spine surgeries - first C3-C5 in 2007 then C5-C7 in 2010). Continued to have falls even after second surgery (most of falls occurred while carrying things with my arms). Six months ago w/o having had any falls in previous 90 days woke up one day and couldn t bare to stand or walk more than about five minutes. I have neuropathy in both of my hands plus arm weakness which worsened significantly since and at this point I can barely lift a half gallon due to pain that shoots down into my low back. Was diagnosed with Facet Joint Osteoarthritis in Lumbar Spine and was referred to NeuroSurgeon/Pain Mgmt Specialist to sever nerves that send pain signals to the brain because physical therapy and all other treatment options have failed plus steroid injections have been tried multiple times and each time produced extreme roid rage. NeuroSurgeon/Pain Mgmt Specialist believes I have Failed Back Surgery Syndrome (FBSS) has already done an MRI of my cervical spine as he feels that everything is the result of an issue in that areas and is trying to get to the bottom of ACTUAL cause of symptoms such as Numbness & falling down for what appears to be no reason BEFORE he just treats lumbar symptoms. Also have significant issues with my jaws (both top & bottom jaws out of alignment) and tried wearing customized mouth piece over the past year but was just told by my cosmetic dentistry specialist that he highly suspects Mandibular Condylar breakdown for sure and need to assess the severity to properly treat (& currently awaiting insurance approval for MRI or Cat Scan). [/INST] Hi, Regarding the current issue of facial numbness and mild headache, I think it is safe to say that you can wait till your appointment with your neurologist next week, in order to discuss the issue with. However, if you develop acute deterioration of your symptoms like loss of vision, one sided body and/or facial paralysis, speech problems you have to visit the nearest emergency room. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ahmad Nazzal </s>

High blood sugar level, high BP. Given lisinopril. How can one protect the kidney?

i am confused if just little situation happen in my family and i was going through rough time three check up later i was given lesinopril for HIGH BP but then i was having dry cough for day and night like i like i am chocking.get tears in my eyes.. they told me 6.5 average sugar with fasting blood sugar 109. told me i am border line diabetic but to medication required. just diet and excersise. so now i am ok no blood pressure..so why i need medicine..said you need to protect your kidney.. i do not have kidney problem yes.. she changed lesinopril to cozar but i was taking 50 mg lesinopril that i do not have to take it at all. now i decided to not to take change medicine also for two three days to see my dry cough is gone or not..but tuestion i sdo i need it yes i have history with parents brother sister.

HiIf you are diabetic, it is advisable to take lisinopril or cozar if:a) You have hypertension and/orb) You are leaking proteins in the urine.If your Blood pressure is OK, I would advise you to get a Urine protein to creatinine ratio (UPCR) and a urine R/MIf these are normal; I think you may not need the pills. What you will need is regular monitoring.Hope this helpsGood luck

<s>[INST] High blood sugar level, high BP. Given lisinopril. How can one protect the kidney? " : " i am confused if just little situation happen in my family and i was going through rough time three check up later i was given lesinopril for HIGH BP but then i was having dry cough for day and night like i like i am chocking.get tears in my eyes.. they told me 6.5 average sugar with fasting blood sugar 109. told me i am border line diabetic but to medication required. just diet and excersise. so now i am ok no blood pressure..so why i need medicine..said you need to protect your kidney.. i do not have kidney problem yes.. she changed lesinopril to cozar but i was taking 50 mg lesinopril that i do not have to take it at all. now i decided to not to take change medicine also for two three days to see my dry cough is gone or not..but tuestion i sdo i need it yes i have history with parents brother sister. [/INST] HiIf you are diabetic, it is advisable to take lisinopril or cozar if:a) You have hypertension and/orb) You are leaking proteins in the urine.If your Blood pressure is OK, I would advise you to get a Urine protein to creatinine ratio (UPCR) and a urine R/MIf these are normal; I think you may not need the pills. What you will need is regular monitoring.Hope this helpsGood luck </s>

Will a blood test also include pregnancy test ideally?

Hi. I went for a blood test and a urine test at my doctors suregry the other day because I wasn't feeling well. The doctor got back to me the other day and said everything was clear. Will the doctor have done a pregnancy test on it? Like is that standard procedure

HIThank for asking to HCMI really appreciate your concern and this is the routine procedure to get the routine blood test, and that may not includes the pregnancy test for that doctor need to ask in specific to perfume this test, hope this information helps you take care and have a nice day.

<s>[INST] Will a blood test also include pregnancy test ideally? " : " Hi. I went for a blood test and a urine test at my doctors suregry the other day because I wasn't feeling well. The doctor got back to me the other day and said everything was clear. Will the doctor have done a pregnancy test on it? Like is that standard procedure [/INST] HIThank for asking to HCMI really appreciate your concern and this is the routine procedure to get the routine blood test, and that may not includes the pregnancy test for that doctor need to ask in specific to perfume this test, hope this information helps you take care and have a nice day. </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>

My family has some kind of skin rash that is itching them

my family has some kind of skin rash that is itching them really bad especially at night. two kids that live in the same room got it and now the mom has it. the two kids have the same mom and dad and the two kids who dont have it have the same mom and dad.

Hi.. Few of the skin conditions like scabies can cause severe itching.. They can spread by means of contact.. This probably may be the cause as kids sharing the room have itching.. Contact your dermatologist for its treatment..

<s>[INST] My family has some kind of skin rash that is itching them " : " my family has some kind of skin rash that is itching them really bad especially at night. two kids that live in the same room got it and now the mom has it. the two kids have the same mom and dad and the two kids who dont have it have the same mom and dad. [/INST] Hi.. Few of the skin conditions like scabies can cause severe itching.. They can spread by means of contact.. This probably may be the cause as kids sharing the room have itching.. Contact your dermatologist for its treatment.. </s>

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

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

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

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

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

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

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

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

How contagious are impetigo and ringworm infection in a child?

MY 8 YEAR OLD GRADDAUGHTER HAS IMPENTIGO AND RING WORM....HOW CONTAGIOUS IS THIS???? I AM 71 SHE WILL BE SPENDING THE WEEKEND WITH ME WHAT SHOULD I do? She has medication called ketoconazole I don'/t want this to spread all over my home and her sister. should I change her sheets daily etc. HELP

Hi, Yes, Impetigo is contagious, primarily from direct contact with someone who has it. But sometimes from towels, toys, clothing, or household items. you need to start mupirocin topical ointment for 14 days and also oral antibiotic tab Amoxyclav, yes for 7 days. Hope I have answered your query. Let me know if I can assist you further.

<s>[INST] How contagious are impetigo and ringworm infection in a child? " : " MY 8 YEAR OLD GRADDAUGHTER HAS IMPENTIGO AND RING WORM....HOW CONTAGIOUS IS THIS???? I AM 71 SHE WILL BE SPENDING THE WEEKEND WITH ME WHAT SHOULD I do? She has medication called ketoconazole I don'/t want this to spread all over my home and her sister. should I change her sheets daily etc. HELP [/INST] Hi, Yes, Impetigo is contagious, primarily from direct contact with someone who has it. But sometimes from towels, toys, clothing, or household items. you need to start mupirocin topical ointment for 14 days and also oral antibiotic tab Amoxyclav, yes for 7 days. Hope I have answered your query. Let me know if I can assist you further. </s>

Suggest remedy for mental health problem

Hi sir, I am from Bangladesh. My younger brother age of 14 has a seizure disorder since 5 years old. He has also mental problem. When he becomes ill he cannot control himself, he cannot tolerate her mother so he beats her mother recklessly. At that time he doesn't remain human being any more, he become very angry. He says you are all disturbing me, so he beats everybody. These are become stable for 15 days or one month, then he become normal. Every year for at least one time he becomes ill. He is taking currently-1. Epilim Chrono-200mg (2+0+2) 2. Lonagep-0.5mg (0.5+0+1) 3. Foloson (1+0+1) 4. Halopid (0+0+1) 5. Cyclid (0+0+1) For last two days he is taking Opsonil-100mg & Angquil-15mg twice a day.What is your suggestion sir/mam ? your kindness may help us.We are really in a big trouble sir.-Ferdous Bangladesh

Hi dear,patients who have seizure history they are normally some what high tempered than others. is there any others symptoms other than irritability?is ther any symptoms like suspiciousnes, high talk , talkativeness, etc..consult psychiatrist for behavior disturbance.,medication to control seizure also control behavior problembut detail history is necessary to treatment.Thank you

<s>[INST] Suggest remedy for mental health problem " : " Hi sir, I am from Bangladesh. My younger brother age of 14 has a seizure disorder since 5 years old. He has also mental problem. When he becomes ill he cannot control himself, he cannot tolerate her mother so he beats her mother recklessly. At that time he doesn't remain human being any more, he become very angry. He says you are all disturbing me, so he beats everybody. These are become stable for 15 days or one month, then he become normal. Every year for at least one time he becomes ill. He is taking currently-1. Epilim Chrono-200mg (2+0+2) 2. Lonagep-0.5mg (0.5+0+1) 3. Foloson (1+0+1) 4. Halopid (0+0+1) 5. Cyclid (0+0+1) For last two days he is taking Opsonil-100mg & Angquil-15mg twice a day.What is your suggestion sir/mam ? your kindness may help us.We are really in a big trouble sir.-Ferdous Bangladesh [/INST] Hi dear,patients who have seizure history they are normally some what high tempered than others. is there any others symptoms other than irritability?is ther any symptoms like suspiciousnes, high talk , talkativeness, etc..consult psychiatrist for behavior disturbance.,medication to control seizure also control behavior problembut detail history is necessary to treatment.Thank you </s>

Constant back pain, use luna balls due to stress incontinence. Round sore on labia, no pain

I have been having back pain for several weeks and had not had sex for a couple years because my boy friend has been away, i occassionally use lello balls or luna beeds because of stress incontinence. i increase my fluid intake because i thought maybe dehydration but now back pain is gone and I have a small round sore on my labia, no burning and light vaginal discharge, no pain from the lump or sore. email.

HIThank for asking to HCMYour backache could be due to Pelvic inflammatory disease, your vaginal discharge need to be rule out for fungal infection and this might be the cause of your backache, I usually treat my patient empirically and I get a good results, here I would advise you to start the Ibuprofen 400 mg twice a day for backache and along with this take Metronidozole 600 mg twice a day for just two days, will get good result, have nice day. ( Best way to deal with this is live stress less life)

<s>[INST] Constant back pain, use luna balls due to stress incontinence. Round sore on labia, no pain " : " I have been having back pain for several weeks and had not had sex for a couple years because my boy friend has been away, i occassionally use lello balls or luna beeds because of stress incontinence. i increase my fluid intake because i thought maybe dehydration but now back pain is gone and I have a small round sore on my labia, no burning and light vaginal discharge, no pain from the lump or sore. email. [/INST] HIThank for asking to HCMYour backache could be due to Pelvic inflammatory disease, your vaginal discharge need to be rule out for fungal infection and this might be the cause of your backache, I usually treat my patient empirically and I get a good results, here I would advise you to start the Ibuprofen 400 mg twice a day for backache and along with this take Metronidozole 600 mg twice a day for just two days, will get good result, have nice day. ( Best way to deal with this is live stress less life) </s>

What causes chest pain and breathing difficulty when suffering from pleurisy?

my son (21 yr old) was diagnosed with pleurisy a year and a half ago. He was and is very active. Ever since the pleurisy he has been unable to run with out chest pain and feeling short of breath. The doctors think that maybe he has exercise induced asthma. He didn t have that before the pleurisy. Could the pleurisy have done damage to his lungs?

Thanks for your question on HCM.I can understand your son's situation and problem.Yes, you are right. Pleurisy can cause permanent damage to the lungs.It is actually an inflammation. And if inflammation is stayed long , then it can cause permanent lung changes and give rise to bronchitis.So better to consult pulmonologist and get done1. Repeat chest x ray2. PFT (pulmonary function test).Chest x ray is needed to rule out pleurisy.PFT Ia needed to rule out bronchitis.It is also helpful in diagnosing exercise induced asthma. So better to consult pulmonologist and first diagnose him and then start appropriate treatment.

<s>[INST] What causes chest pain and breathing difficulty when suffering from pleurisy? " : " my son (21 yr old) was diagnosed with pleurisy a year and a half ago. He was and is very active. Ever since the pleurisy he has been unable to run with out chest pain and feeling short of breath. The doctors think that maybe he has exercise induced asthma. He didn t have that before the pleurisy. Could the pleurisy have done damage to his lungs? [/INST] Thanks for your question on HCM.I can understand your son's situation and problem.Yes, you are right. Pleurisy can cause permanent damage to the lungs.It is actually an inflammation. And if inflammation is stayed long , then it can cause permanent lung changes and give rise to bronchitis.So better to consult pulmonologist and get done1. Repeat chest x ray2. PFT (pulmonary function test).Chest x ray is needed to rule out pleurisy.PFT Ia needed to rule out bronchitis.It is also helpful in diagnosing exercise induced asthma. So better to consult pulmonologist and first diagnose him and then start appropriate treatment. </s>

Can BCG vaccine be given twice to a newborn baby?

Hi Doctor, My recently born baby was given BCG vaccine twice by the hospital staff within a span of 3 days. It was completely evident that they did it with negligence. The doctor says that this was because the blood groups of mother and the baby are different. Is the explanation correct? Can there be any side effect?

No need to give vaccine twice.. The explanation was wrong, side effects may be as lymphadenopathy.-swelling of lymph node in axillary, nothing like serious

<s>[INST] Can BCG vaccine be given twice to a newborn baby? " : " Hi Doctor, My recently born baby was given BCG vaccine twice by the hospital staff within a span of 3 days. It was completely evident that they did it with negligence. The doctor says that this was because the blood groups of mother and the baby are different. Is the explanation correct? Can there be any side effect? [/INST] No need to give vaccine twice.. The explanation was wrong, side effects may be as lymphadenopathy.-swelling of lymph node in axillary, nothing like serious </s>