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What are some of the potential symptoms that may suggest high output cardiac failure following AV conduit formation, and how do these symptoms manifest? | urgent |
Hi doctor, I am a 41 year old male. My recent ultrasound of thyroid revealed multiple bilateral ganglion formation in area IV. The most prominent was 11 x 8 mm diameter in lower right cervical area. It was mentioned homogeneous thyroid. My doctor suggests clinical follow up due to the number of ganglions in area IV and because they were spotted last year in another ultrasound. I am attaching the ultrasound scan images. What are your main hypothesis for diagnosis from the images and prognosis? Also, what follow up should I do? Thanks in advance. | non-urgent |
The COVID-19 pandemic is probably the greatest natural disaster of our generation and the 21st century with a great impact on mental health. The present study aims to quantify, with the help of the Beck questionnaire, the degree of depression in a group of 109 patients with moderate forms of COVID-19, hospitalised in the Second Clinic of the Clinical Hospital for Infectious Diseases St. Cuv. Parascheva Galati during the period: 1.01-30.03.2021. Of these, 35 patients (32.11%) had raging degrees of depression, and had an age and body mass index statistically significantly higher than those without depression. These patients also had statistically significantly higher Charism scores of cumulative comorbidities and required longer hospitalization than patients without depression. The severity of COVID-19 and the parentage of favorable prognosis did not show statistically significant differences between the two groups. Our study reveals a lower incidence of depression among patients with COVID-19 compared to existing studies in the literature. This can be explained the, by act that our study is conducted at the end of the first year of the pandemic when antiviral therapy schemes stabilised and population vaccination began. The high, genetic variability of the tints, which can determine at any time the appearance of new strains with greater aggression, contagion or with mutations on the spike protein, maintains the need to keep non-specific preventive measures and the mental tension related to this pathology. Thus, intrepandemic psychiatric disorders remain a major public health problem and require strong government prevention and control measures. | non-urgent |
These preliminary data cast doubt on whether colposuspension should be performed during sacropexy for severe urogenital prolapse as prophylaxis for postoperative incontinence because it seems to emerge as overtreatment. | non-urgent |
I am been having pain in my kidney area for about a week. As long as I remain stationary (seated, legs up) there is no pain but any movement causes sharp pain in the back, on the right side, kidney area. No fever, occasional sweats, no vomiting. Could it be kidney stones? | non-urgent |
My son 24 has a rash on his inner thighs and scrotum, he is special needs and was in the hospital for pneumonia they treated it with strong anti-biotics ... the doctor gave me a medicated cream.... it starts to go away but it has been 4 months now and has flared back up it really hurts when he pees | non-urgent |
In pediatric patients, what is the method for calculating the percentage of body surface area involved in burns for the head? | non-urgent |
Among the potential causes of large bowel obstruction, which one is the most frequent? | non-urgent |
About 4 months ago I had a filling done in my tooth. It was very sensitive for weeks and I even went back although the dentist said it looked fine when he saw it. Eventually the sensitivity went away. Then about 3 weeks ago my gum next to the filled tooth started shedding.. like if I'd burnt the inside of my mouth. I assumed it must have been something I ate, but now three weeks later it is an open space that I can actually feel my tooth through. There is no pain, but because of the holidays I haven't been able to get into the dentist. Will be trying to get in tomorrow, but I'm hoping someone here can give me an idea of what I'm looking at... | non-urgent |
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | urgent |
I fell off my horse a week ago I have been to my Dr and got an xray of my hip and pelvis and everything checked out ok, I am still having alot of pain and my Dr cleared me for work, they said I had some internal bleeding but never checked anything but the xray, I fell again tonight on the same area should I go to the er and get checked the pain is the same as I have been having. | urgent |
What artery is responsible for supplying the head and anteromedial caudate nucleus, as well as parts of the putamen and the anterioinferior section limb of the internal capsule, and can cause isolated caudate head infarcts when infarcted? | non-urgent |
How is echocardiography related to ultrasound when considering Hemoptysis? | non-urgent |
What are oligohydramnios and polydramnios, and how are they defined in terms of the single deepest pocket and AFI measurements during ultrasound examination? | non-urgent |
Hi doctor, My 3.5 month old baby is suffering from slight cold and cough for the past 15 days. The doctor suggested antibiotic syrup 3 ml twice daily. Xpect PD cough syrup 2.5 ml twice daily and Sinarest AF 10 drop twice daily. His weight is 7 kg now. When I am trying to give him cough syrup he is vomiting and not taking it. Also the amount of antibiotic prescribed is too high I hope. What shall I do now? Please guide me. | non-urgent |
Reactive molecular oxygen (O2) plays important roles in bioenergetics and metabolism and is implicated in biochemical pathways underlying angiogenesis, fertilization, wound healing and regeneration. Here we describe how to use the scanning micro-optrode technique (SMOT) to measure extracellular fluxes of dissolved O2. The self-referencing O2-specific micro-optrode (also termed micro-optode and optical fiber microsensor) is a tapered optical fiber with an O2-sensitive fluorophore coated onto the tip. The O2 concentration is quantified by fluorescence quenching of the fluorophore emission upon excitation with blue-green light. The micro-optrode presents high spatial and temporal resolutions with improved signal-to-noise ratio (in the picomole range). In this protocol, we provide step-by-step instructions for micro-optrode calibration, validation, example applications and data analysis. We describe how to use the technique for cells (Xenopus oocyte), tissues (Xenopus epithelium and rat cornea), organs (Xenopus gills and mouse skin) and appendages (Xenopus tail), and provide recommendations on how to adapt the approach to different model systems. The basic, user-friendly system presented here can be readily installed to reliably and accurately measure physiological O2 fluxes in a wide spectrum of biological models and physiological responses. The full protocol can be performed in ~4 h. | non-urgent |
HiMy name is Alex and lately my clitoris has been extremely sensitive to touch. I do not masturbate, but I do practice in safe sex. I have stopped having sex sense it started hurting, but it seems very red and raw like. It hurts to wipe and there seems to be white (sometimes) chunky or mucus like discharge around the area. My vagina has also been very dry and itchy lately. Is this just a yeast infection or sometimes else? | non-urgent |
Trisomy 18: Trisomy 18 is a genetic disorder in which a person has a third copy of material from chromosome 18, instead of the usual 2 copies. Trisomy 18 occurs in 1 in 6,000 live births. It is 3 times more common in girls than boys. The syndrome occurs when there is extra material from chromosome 18. The extra material affects normal development. Symptoms may include: - Clenched hands - Crossed legs - Feet with a rounded bottom (rocker-bottom feet) - Low birth weight - Low-set ears - Mental delay - Poorly developed fingernails - Small head (microcephaly) - Small jaw (micrognathia) - Undescended testicle - Unusual shaped chest (pectus carinatum) An exam during pregnancy may show an unusually large uterus and extra amniotic fluid. There may be an unusually small placenta when the baby is born. A physical exam of the infant may show unusual fingerprint patterns. X-rays may show a short breast bone. Chromosome studies will show trisomy 18. The chromosome abnormality may be present in every cell or present in only a certain percentage of the cells (called mosaicism). Studies may also show part of the chromosome in some cells. Rarely, part of the chromosome 18 becomes attached to another chromosome. This is called translocation. Other signs include: - Hole, split, or cleft in the iris of the eye (coloboma) - Separation between the left and right side of the abdominal muscle (diastasis recti) - Umbilical hernia or inguinal hernia There are often signs of congenital heart disease, such as: - Atrial septal defect (ASD) - Patent ductus arteriosus (PDA) - Ventricular septal defect (VSD) Tests may also show kidney problems, including: - Horseshoe kidney - Hydronephrosis - Polycystic kidney There are no specific treatments for trisomy 18. Which treatments are used depend on the person's individual condition. Support groups include: - Support Organization for Trisomy 18, 13 and Related Disorders (SOFT): trisomy.org - Trisomy 18 Foundation: www.trisomy18.org - Hope for Trisomy 13 and 18: www.hopefortrisomy13and18.org Half of infants with this condition do not survive beyond the first week of life. Nine out of 10 children will die by 1 year of age. Some children have survived to the teenage years, but with serious medical and developmental problems. Complications depend on the specific defects and symptoms. Genetic counseling can help families understand the condition, the risks of inheriting it, and how to care for the person. Tests can be done during pregnancy to find out if the child has this syndrome. Genetic testing is recommended for parents who have a child with this syndrome and who want to have more children. Updated by: Chad Haldeman-Englert, MD, FACMG, Fullerton Genetics Center, Asheville, NC. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team. | non-urgent |
I woke up in bed night before last and noticed that the pulse on my left wrist was throbbing. I have checked it on a few occasions since and it remains throbbing. My blood pulse when I took it was about 80 - normally it is about mid to upper 60s. The pulse throbbing remains visible. I am currently on a lot of medication for sciatica and wonder if this could be the cause. I am also continuing to have a lot of pain re the sciatica which an MRI scan has revealed to most likely be spinal stenosis - bone spurs pressing on the nerves at the base of my spine. Should I contact my Doctor about the pulse issue? | non-urgent |
Hello, On May of last year i had surgery on my left side of the neck due to a growing cancer tumor. Since then i have been experiencing a greta deal of body transformation, for instance | non-urgent |
I am trying to learn self hypnosis and meditation since last 3 years but still I am not expert in doing this.I know that if some one hypnotize me and say "whenever you say READY in your mind, you will instantly go in deep trance and now whatever you say in your mind will go to your unconscious mind" then this will really work. I have tested it with my friend and brother by hypnotizing them.But there is no one here to hypnotize me to program my mind to do self hypnosis or meditation.I want someone to hypnotize me.Could you please help me to learn self hypnosis? | non-urgent |
I recently had a Colonoscopy, and I was told I would be put to sleep and wouldn't feel a thing. That was so not true. I had horrible pain during the procedure and I had something to compare it to, because I had one before which was totally painless. This time I not only had a lot of pain, but my abdomen hurt all week. I felt like someone had punched me in the abdomen. | non-urgent |
Hi, I have a rash on my mons pubis with clearly defined lines which I thought was ringworm and it spread. The area then became raised and if I squeezed the raised area, white pus came out. (It looked like raised circles with spots all around the edges that contained the pus.) The raised area has now "deflated" but it is still incredibly itchy and the defined lines are still there. What do you think this could be? Thank you! | non-urgent |
The gut microbiota has been shown to play diverse roles in human health and disease although the underlying mechanisms have not yet been fully elucidated. Large cohort studies can provide further understanding into inter-individual differences, with more precise characterization of the pathways by which the gut microbiota influences human physiology and disease processes. Here, we aimed to profile the stool microbiome of children and adults from two population-based cohort studies, comprising 2,111 children in the age-range of 9 to 12 years (the Generation R Study) and 1,427 adult individuals in the range of 46 to 88 years of age (the Rotterdam Study). For the two cohorts, 16S rRNA gene profile datasets derived from the Dutch population were generated. The comparison of the two cohorts showed that children had significantly lower gut microbiome diversity. Furthermore, we observed higher relative abundances of genus Bacteroides in children and higher relative abundances of genus Blautia in adults. Predicted functional metagenome analysis showed an overrepresentation of the glycan degradation pathways, riboflavin (vitamin B2), pyridoxine (vitamin B6) and folate (vitamin B9) biosynthesis pathways in children. In contrast, the gut microbiome of adults showed higher abundances of carbohydrate metabolism pathways, beta-lactam resistance, thiamine (vitamin B1) and pantothenic (vitamin B5) biosynthesis pathways. A predominance of catabolic pathways in children (valine, leucine and isoleucine degradation) as compared to biosynthetic pathways in adults (valine, leucine and isoleucine biosynthesis) suggests a functional microbiome switch to the latter in adult individuals. Overall, we identified compositional and functional differences in gut microbiome between children and adults in a population-based setting. These microbiome profiles can serve as reference for future studies on specific human disease susceptibility in childhood, adulthood and specific diseased populations. | non-urgent |
hi my names sarah and im at early stages of pregnancy around 5 to 6 weeks ive had a scan done and thay have found my sac but thay cant find the baby im so scaired my ChatDoctor is normal and my cervix is shut tight and my sac is still growing . does this mean im loseing my baby please help me understan | non-urgent |
I have had a lesion on the anterior side of my knee for more than seven years. Recently it swelled up to the size of an orange and when the swelling subsided I had two firm multifaceted lesions. I had an ultrasound today, which showed that the lesions were hypoechoic. Is there still a possibility that these lesions could be malignant? | non-urgent |
What is the role of zinc in the formation of biological molecules, and what specific structure does it contribute to? | non-urgent |
Hello Doctorthe case is about My wife , she has asthma from time to time , but that happens only if her nose nasal passage are blocked , some time both passages some time only one . And her asthma gets worse and worse if it is both . She used a lot of sprays but no great affect until lately she used ... , and it made a different by reducing the mucus in her nose and thus breathing normally most of the time.I read a lot lately about deviated spetrum surgerys and turbinates (i guess ) so we made a ct scan please see below the pictures and tell me if it requires a surgery. WWW.WWWW.WW WWW.WWWW.WW WWW.WWWW.WW WWW.WWWW.WW | urgent |
Hi sir i am 22 years old i m suffering from erectile dysfunction and premature ejaculation.i masturbate daily.but last week i had sex with my girl friend and it was horrible for me. because i reach to orgasm with in 1 min after she started to suck my penis. can it treated ? | non-urgent |
I am 16 and i feel some pain in my breast and armpit and theres a lymph node slightly enlarged down my backs side of scalp or neck and its really painful and plus i had some throat infection during this month maybe the cause of lymph node my parents are doctors and they say that unmarried girls do not get breast cancer i searched on google about the lymph nodes at back of the neck and it says that the lymph nodes at back of neck signifies breast infection or tumor. please tell me what should i do and which tests should i get and is it true that 16 year old dont get breast cancer Thank you | urgent |
my nine year old daughter had a renal ultrasound that showed she had bilateral pelviectasis. what is then and what can be done about it my nine year old daughter had a renal ultrasound that showed she had bilateral pelviectasis. what is this and what can be done about it | urgent |
Hi i had the second from the back top tooth taken out a week ago. I am getting a little pain, although day by day that is subsiding. My problem is that i keep getting palpitations and feelings of breathlessness - i've never had this problem before and im a little worried. What do you think this might be | urgent |
What causes Obsessive compulsive disorder? | non-urgent |
I had my wisdom teeth on my right side removed 5 days ago. My lymph node was swollen after and over the last few days has gotten worse . It is very hard and uncomfortable. I started another dose of antibiotics today. I had taken some before the extractions were done because my lower tooth had an infection already. I dont think I have dry socket. I followed all the post procedure, but there is no clot in the lower socket. Could this be because my infection went away and was still lingering? I m just really swollen still. | non-urgent |
Hi, I had a vascular problem with my arm. The surgeon removed a veian from my leg and did a branchail to ulner bypass to try to savethe arm, ehich later had to be amputated. Now I have quite a bit of pain in the hip and knee joint of that leg, especially when walking. Is there anything that I can do to alleviate the pain and help me with walking? | non-urgent |
hi i have sputum test which report that no acid fast bacilli seen i want to know what is the means. i have ESR test which is 35i have cough and two time i have blood with coughing it was quite enough i have treatment of TB 5 years ago now plz tell me that what i have to do | non-urgent |
What is the genetic basis of Marfan syndrome? | non-urgent |
my semen analysis was conducted and the result was followingTotal volume | non-urgent |
I got pricked by a slightly rusty nail, and no blood came out. I dont recall the last time I got a tetanus shot, but my mom told me its fine since its not really swelling. It happened during the night, so it was about 4 hours ago. What do I need to do? | urgent |
Q:According to Carl Rogers, a therapist is “congruent” when the therapist:?
A:is able to accurately “reflect” the client’s feelings.;B:avoids becoming “emotionally triangulated” with the client.;C:avoids making judgments about the client’s behaviors.;D:is authentic and nondefensive. | non-urgent |
What are the Symptoms of Middle East Respiratory Syndrome Coronavirus Infection? | non-urgent |
tooth #3 was removed in 2012 but a fragment remained and a bridge placed in the right upper quadrant. The procedure resulted in right side discharge of the nasal passage and xray shows ruptured sinus. Foul smell also confirms infection. what is the solution? | non-urgent |
My father's hemoglobin levels are way low and have not went up to "normal" range in over a year doctors can not find out why he is bleeding and he has already had one blood transfusion. Is it true that in some people their bodies end up not producing blood like it should and If that does happen can it start to harm their internal organs and start to cause other harmful problems because there isnt enough blood going to those organs? | urgent |
In a female with hirsutism and hypertension, who experiences proximal muscle weakness (e.g. hair combing, stair climbing) without pain, what is the likely diagnosis? | non-urgent |
i had my daughter 4 and a half months ago. I haemorraged after delivery and still bleeding. I had a scan, no abnormalities. I had swabs, no infection. smear was normal.the doctors arent bothered now really but its getting me down. what can i try next? I've had tranexamic acid but it eased the bleeding and once i stopped it continued. please help. | non-urgent |
Have several small hurting and pus and blood filled bumps along belt-line that continue to occur...is musculum contagiasium, boils, scabies, an sti, herpes simplex, allergy to pet dander, clothes, detergent, or bleach, or something new...only appear in groin area...not on penis. | non-urgent |
What is the likelihood of recurrence for craniopharyngiomas, and what is the typical course of action that precedes recurrence? | non-urgent |
Hello doctor, I might be suffering from psoriasis. I have a flaky, reddish, itchy hairline, back of my ears, and almost on my temples. How can I treat that? At first, I thought it was dandruff but as I started to see the flaky skin emerging towards the hairline and gradually towards the back of the ear and the temples. I realized it was something more so I googled it and I fear it is psoriasis that I do not have much knowledge about but I would like to take professional help to deal with this issue. | non-urgent |
I m trying to have baby for around a year after I delivered a still born child of nine months on 9th July of 2016...recently for the last two months I am taking Goodova50 during the first few days of menstrual cycle(as per my doc s advice).me n my husband is doing the deed every alternate day till 18th day of my menses...In the last few menses of mine(after I lost my baby)I have checked that the menses date is preponing 3-5days of the last month s...(n my cycle lasts every month for only 3days) Please n please help me in advising me whether I can become mom following the above said ritual... Me broken into pieces n shattered... PLEASE HELP... PLEASE.. | non-urgent |
Hi. My 22 months old baby has high fever and chills for 2 days now. No sickness simptoms. Just the constant high fever. I give him iboprofen which helps only for couple of houres. He had never had chills before. No diahrea. Yes on vomiting but i think its from high temperature. Is it true that 7up can help reduce fever? Thank you. | urgent |
What does the middle cerebral artery refer to? | non-urgent |
What is Trendelenburg Gait and how is it related to the location of the lesion? | non-urgent |
What information is accessible regarding altitude sickness? | non-urgent |
I am 61 year old man who has lung cancer told me it is non small cell Cancer at a stage 3b ..I went to the cancer center of America kin tulsa ok....I had 5 chemo teartment and 40 radation and the dr for radation bruned my lungs so bad .i got my last treatment for radation on April 23 2014 .and 6 day after I was done .i was put in hospital for radation prioning .and now I have done nothing but went down hill ..now on dec 27 2014 I had my right lung to claped on me ..I am being told that there is nothing else that can been done ....can surgery be done to patch the hold like the do for some one who has a hold in there heart ,,by lapsrop surgery | urgent |
Hi, I m 18 and on the newer version of the pill , Rigevidon. I m on my 7day break (without having missed a pill) as required but also had unprotected sex with my boyfriend a couple of nights ago. I was wondering what the chances are of becoming pregnant and the difference between the actual period and a withdrawl bleed . I am also aware that as the pill gives the body the perception of being pregnant a pregnancy test would come up positive. | non-urgent |
I m a 44 year old male. I m moderately active but overweight. I m 5 10 tall and weigh about 280 lbs.. I have been getting dull left chest pain lately. I seem to get a cold chill then the pain starts. Once the pain starts to go away I get really hot and I get a bad headache that lingers for about 20-30 minutes. | urgent |
HAI DOCTOR, I AM MOHAMMED, 35 YEARS OLD MALE,LIVING IN FUJAIRA UAE, DIABETIC SINCE 2012 , MY SUGAR LEVEL IS AROUND IN BETWEEN 250- 275, IF I SKIP A DAY WITH OUT THE TAB. I AM A SPORTS MAN. EVERY DAY I ENGAGED IN ANY FORM OF GAMES SUCH AS FOOTBALL, BADMINTON ,CRICKET. IF I PLAY MORE THAN 1.5 HRS I WILL SKIP MY TAB BUT MY SUGAR LEVEL IS NOT CHANGING. MY MEDICINE IS GLUCOVANCE 500mg/5mg [metformin hydrocloride and gilbenclamide]. IS THERE ANY CHANGE OF MEDICINE I NEED TO ??.. | non-urgent |
Hi, may I answer your health queries right now ? Please type your query here...I am 50 y old man from syria , have elephentiases in my left leg since 1 year ( cause infection not parasit) most of the doctors have no experiance with the treatment , is there any cecters in USA can deal with the syndrome , i can come any time thank youAyman | urgent |
HiI went to have a breast check and the doctor found 2 lumps in right breast, I also have pain in right armpit and it feels a bit swollen and pain in my right elbow crease in arm. I am terrified I have cancer. I am 34 years old. What else could it be?ThanksMel | non-urgent |
My resting heart rate has been as low as 28 and usually in the 30s. I havent been very active in almost 20 months and been to the cardiologist before. I have bicuspid aortic but they said it was minor and that I'm fine. I suffer from chest pains, shortness of breathe, fatigue, light headiness, and the occasional fainting. Any ideas what might be wrong and why all the test have came back negative? | urgent |
hey i am shazia.i am 22 year old female.trying to concieve since 2years,as my husband has problem in motility.i had my lh nserum n fsh test all are normal.in my ultrasound my utreus is also normal but i had comment in report that ovaries are slightly polycyst..bt i hv no other comlication or symptoms i hv regular periods and no other pains or any thing. | non-urgent |
Blood transfusion, using the safest conventional blood bioproducts, is an irreplaceable part of substitution therapy. It is considered the most essential supportive clinical intervention aimed to restore the health of patients in need. Nevertheless, numerous unresolved problems are still associated with current blood substitution therapy. To alleviate our dependency on blood donors, many investigators have been focusing on the quest for stem cell-derived blood cells in line with major developments in the field of regenerative medicine. The main objective is to provide a safe and highly standardized universal cultured red cell concentrate [CRBC] for all clinical applications, regardless of blood groups. Currently, we are close to overcoming some of the main obstacles in culturing cells. This concise report is a prelude to the immortalized cell lines that are ready for in vivo clinical trials. It is only through the sharing of experimental ideas and knowledge-based strategies that we will be able to achieve such an enormous task and better understand ‘’the one for all concept’’ of CRBCs and their universal usage in all clinical settings. | urgent |
Hi doctor, My little angel will have her first vaccine after the one given in hospital after birth. My doctor said there are two ways, painful and painless. Which one shall I go with? When I asked the doctor, she asked me to read the latest vaccination guidelines. Is painless good? I heard most people go for painful one as that is quite acceptable even some doctor do not prefer the painless one. Which way should I opt for my baby's well being? Please help. | non-urgent |
A could weeks ago i fould a hard pea sized lump under my right nipple, It s not painful (Only when i push on it). I ve been thinking it s sore but it s cause i m stressing a lot over it cause i can t help but to think it s Cancer, I m a hypercondriac in my opinion. Can anyone give me professional advice, I m stressing a lot and can t sleep at night cause i think it s cancer. Help please! | urgent |
Good night I gave my 3 yr old Ventolin for his cough & Aerius 0.5mg but he is really itchy. I dont know if has picked up an allergy that is causing him to itch. I dont think it is the medicine as it did not have this effect on him before.<Can i give him Histal to cool the allergy? | non-urgent |
i have a small raised lump just under my bum hole, when i pinch the area i can feel a hard lump under this area. Is it meant to be there? It is not sore just raised and slightly red. I have recently been suffering with diaorrea so not sure if i have just irritated the area.Thank you | non-urgent |
My mom 60 years old obese women had a car accident and she was in severe back pain. The back CT revealed there is nodule in the lung. So she had chest CT and the report says there is 8 mm nodule in each lower zone along with D12 compression fracture indicating lung and dorsal metastases. The question, the fracture is a result of cancer or oestoporosis or the accident. Is chemotherapy the treatment for her cancer? | urgent |
Which anticoagulant is known to cause decreased levels of proteins C and S? | non-urgent |
Hi Sir I want to get a suggestion . I am feeling the problem of premature ejaculation alOng with erectile dysfunction. One of dictor gave me conium mac agnus castus and laslty selenium. It was taken before 2 years. I found no good relax. As i was facing same problem with my girl friend. I feel a fear and tension when try to have sex with her. So that erection is nil. I never could make her happy. It creat a tension and i feel myself useless. I am married but i rarely face this problem with my wife. I feel good erection with my wife and in maximum cases i make her satisfied. In my 17 years of married life i never had sex with my wife for 5 to 6 years in different gaps. I at that time forcebily prevented my self from sex . Last 3 month i took musli pak with milk. Now it is finished. Since last ten days i am taking R 41 . But even now i am facing erectile problems. Please help me and suggest me . Also tell me if i can use homeo and ayurveda togather. Please save me from this embarrassed situation. My wife always against my opinion and i feel not happy with her. My girl friend always try to make me happy without any greed . I want to love her properly. So pls suggest me medicine for hard erection. And creat desire when she touch me. I want to rejuvenate my sex life Please reply Regards D.lal | non-urgent |
Background: Home treatment of patients affected by COVID-19 is still a matter of daily debate During the clinical evolution of the disease, there are high risks of lung failure, which requires oxygen therapy Here, we report our clinical experience with at-home treatment using high-flow nasal cannula in non-hospitalised patients with confirmed COVID-19 Patients and methods: In this study, 18 patients with moderate-to-severe respiratory failure secondary to COVID-19 were monitored at home daily for temperature and SpO2 measurements Other parameters such as saturation of peripheral oxygen (SpO2), SpO2/FiO2 (fraction of inspired oxygen), temperature, and lung performance were monitored periodically Depending on oxygen requirements, the patients also received either standard oxygen via a face mask or, if higher FiO2 required, high-flow nasal cannula (HFNC) Results: All 18 patients had favourable outcomes and recovered from COVID-19 No death was recorded in this group Conclusion: Our clinical experience proves that high-flow nasal cannula oxygen therapy may be considered for at-home treatment of COVID-19 patients with moderate lung failure This could be useful for further treatment during the pandemic and may also be considered in future epidemics | urgent |
I was prescribed venlafaxine hel er tabs to treat long term hot flashes. I have been taking it about 3 yrs. These disturb me daily - day and night - and have been ongoing for 20 years (I am 68). I haven t had any success controlling them since stopping hrt many years ago. I have always had trouble staying asleep and this has gotten worse. I am not and have never been depressed, rather upbeat and active. I was told to take the RX before bed. Any suggestions? | non-urgent |
Since the 1980s, other screw rings have been available with creation of the same gritblasted surface like that on the Alloclassic-CSF cup. | non-urgent |
I recently masturbated but I did it thru my shorts last time I did this I had 2 small raised areas come up the next day on my penis shaft they went away .masturbated the same way Sunday and the bumps came back no pain or itching or irritation just two raised bumps on the loose skin on my penis shaft | non-urgent |
The rest of four HBV-related LC risk-related SNPs (rs9267673, rs264707, rs3997872 and rs9275319) were all located in molecules that belong to the HLA class II, which has been considered to be the most important host factors with respect to outcomes of HBV and HCV infections. | non-urgent |
My name is Ken Shea and I am 69 yrs old. 5 days ago I had a painful experience which lasted about 5 hours . The pain was in my upper abdomen in the center, about every 5 to 10 minutes , a sharp pain would begin and last for about a minute or so and then return . Bowel movement was very strange , but no blood in stool or the next day after short vomiting episode | non-urgent |
Hi Doctor, I am 31 yrs old and since Sept 2009 I am trying to conceive without any sucess. My gynecologist did 3 tests (Endomtri biopsy, HSG and Semen analysis for my husband) and told everything is normal. My period is normal. I am on Metformin, my endocrinologist told my insulin is out of normal range. Please suggest what should I do. | non-urgent |
My daughter aged 5+ and weight 16+ kg got fever around 102F and shivering about 11 pm. We gave 10 ml crocin suspension. In few mins she vomited and did loose motion too. Now, she is sleeping and not shivering. again after 45 min of first dose i gave her 5 ml of crocin just to reduce temp. Should I take her to hospital or wait till morning and then show her to doctor.Kindly advise. | non-urgent |
I started feeling a painless throbbing sensation in my head. I am also experiencing dizzy spells. I recently had a baby about 5 months ago. I am nearsighted but choose not to wear glasses or contacts even though my sight has over time been causing me to strain while watching television even on a 50 inch screen. I have also recently gone from about 5 to 6 cups of coffee a day to 1 or 2 very suddenly. I am hoping one of the above is the cause for my discomfort and isnt something more serious. please help. | non-urgent |
What kind of information is accessible regarding statins? | non-urgent |
Hello Doctor. For last 6-8 months i am experiencing, body rashes , severe itching all over the body, which includes Head, arms, thighs, lower back and sometimes bumps on the forehead . I sometimes get itching on the tip of the penis and around the testicles. Is this a sign of HIV virus or Cancer? I did take Claritin and Aerius medicines but after taking them i get relief for 10 days - but again the itching rashes starts 9-10 days after taking the medication . Lets say i take medice today, all rashes will come back after 10 days. Especially after taking shower it rashes the most. Please advise as ur help is very much appreciated. AAA | non-urgent |
I am a therapist in a skilled nursing facility. I am working with a patient that has a terrible rash with itching and MD says scabies was ruled out at prior hospital admission prior to surgical procedure. I have been using standard precautions but over the past few days have developed about 4 small red bumps wrist, elbow and abdomen and not sure if I just have the Eebie Jeebeez but feel pinching and itching on various other parts of my body. I won t be able to get into dermatologist for another week and do not want to take any chances in spreading to family members. The itch comes and goes and the redness on the bumps go away. I see no tell tale tracks with the bumps. Any impression or advise? | non-urgent |
Hi, I just fell and I feel as though my foot is broken but my daughter said it as a sprain so I dunno. I keep getting pains in my outstep, I heard and,felt it pop and crack and it is numb on the top of my foot and my toes are even hurting and there is swelling. Can you tell me what you think? | non-urgent |
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. | non-urgent |
hello my name is Ross, I am 51 year old male, and I m to have TKR surgery next week, they told me that now I may have to take up to two different surgeries, because I have two screws put in when I had ACL surgery back in 1993. I m not really understanding why they need to have 2 separate surgeries now? | non-urgent |
Hi, my left wisdom tooth is comin through but has only partially come through and I have a flap of come now because of it, it s not that painful but this morning I noticed my gum was yellow like a spot so I pushed on it and puss and blood came out! I ve been doing salt wash before today as that s what I got told to do by my dentist with my other wisdom tooth! What is this?! | urgent |
I have a one month old at home and since last night his body is really hot. When I checked his temp it is only 98.4 degrees. He has not slept the whole night. he did have few wet diapers since morning. can you pls advice how do i reduce his body heat? | urgent |
What are the initial symptoms that characterize Lewy body dementia? | urgent |
What is probenecid, and what is its role in the management of hyperuricemia? | non-urgent |
Hi, whilst changing may 20 month olds nappy tonight I felt two small hard lumps, which weren t there last night! They were hard and didn t move, didn t seem to bother him. What are they? Really worried so will be taking him to drs ASAP. Any info appreciated. Thanks | non-urgent |
What to expect if I have Tinea (Outlook/Prognosis)? | non-urgent |
Noticed in bed last night that the left gland under my chin was swollen - only the left. It doesn t hurt except a slight tightness in swallowing. I do not have any other symptoms. It seems to have gone down a little by the time I woke up - but now it seems quite enlarged again - like a very soft egg. I think it responds to cold a little - when I put my cold hand that had just held a cold water bottle to the site it seemed to retract slightly. | non-urgent |
Q:A major difference between programmed and unprogrammed theories of senescence is that programmed theories?
A:Attribute senescence only to environmental factors;B:Are far too difficulty to test;C:Claim that senescence follows a predetermined plan;D:Rely too heavily on computer models | non-urgent |
What is the significance of [TF/P]x in relation to solute secretion into the tubular fluid? | non-urgent |
My aunt (aged 51) has been diagnosed with Esophageal cancer in Stage 4. Doctors are advising radiation therapy combined with chemotherapy. They also doubt whether she can withstand radiation therapy since she is too weak and weighing only 35 kgs. Is there any other treatment available? How long is the life expectancy? | urgent |
I am 68 +6 02 -228lbs......don t smoke and don t drink alcohol....I exercise daily and my heart rate resting is normally 62-65....however my BP is 145/86 when I first taking it...but will lower after resting 10 mins to 130/78 or so.....is this acceptable????? | non-urgent |
Multiplex polymerase chain reaction (PCR) has multiple applications in molecular biology, including developing new targeted next-generation sequencing (NGS) panels. We present NGS-PrimerPlex, an efficient and versatile command-line application that designs primers for different refined types of amplicon-based genome target enrichment. It supports nested and anchored multiplex PCR, redistribution among multiplex reactions of primers constructed earlier, and extension of existing NGS-panels. The primer design process takes into consideration the formation of secondary structures, non-target amplicons between all primers of a pool, primers and high-frequent genome single-nucleotide polymorphisms (SNPs) overlapping. Moreover, users of NGS-PrimerPlex are free from manually defining input genome regions, because it can be done automatically from a list of genes or their parts like exon or codon numbers. Using the program, the NGS-panel for sequencing the LRRK2 gene coding regions was created, and 354 DNA samples were studied successfully with a median coverage of 97.4% of target regions by at least 30 reads. To show that NGS-PrimerPlex can also be applied for bacterial genomes, we designed primers to detect foodborne pathogens Salmonella enterica, Escherichia coli O157:H7, Listeria monocytogenes, and Staphylococcus aureus considering variable positions of the genomes. | non-urgent |
Hi, this is sriram 24years of age . Freequently these days am having breething problem. At the time am not able to breath properly with nose and am taking breath through mouth. At that time I feel discomfort with my stomach as it expands. From the past two years am facing this issue. I get this problem mainly in winter nights. | non-urgent |
My father of 74 yrs had an angioplasty on friday last and since has been in the ICu. For the last 2 days his potassium was high but now it is normal. since some time he is running a fever of 102 degree F. What seem to bee the complocations here????? Most sites say that a patient usually should be able to go home within 24 hrs of angioplasty procedure. | urgent |
Hi doc.. I'm 24. We got married 2yrs ago. It's beeing 1.5 yrs tat we are trying for a baby.. I had regular periods..I'm staying in Middle East.. Soon after 2 month when I reached here my periods went irregular.. I consulted with the doc and found I'm having pcod.. I was 77kg at time. Now I lost my weight and I'm 65.5kg now. (5.7 inch height). Still ma periods are irregular.. I'm having metformin (thrice a day) and folicacid.. Last 2 month I had duphaston and clomid respectively as per doc's direction. But did't had luck.. Through ultra sound scan it's found that my eggs are growing but it not coming out from the overy even after 15th day after my periods.. What happend to me docter....? I lost all my hopes.. Pls help me.. What I have to do further... | non-urgent |
NEAR ABOUT FOUR YRS AGO I WAS SUFERING FROM KIDNEY STONE SIZE 14MM AND I CONSULT DOCTOR (SURGEON ) AFTER THAT I WAS OPERATED BY THE SAME DOCTER.BEFORE THE OPERATION THE STONE WAS AT THE PLACE OF RIGHT SIDE UPPER URETER AND THE OPERATION WAS DONE THROUGH LEPROSCOPY AND STONE WAS REMOVED BUT AFTER 3 DAYS I SUFFERED FROM SECONDARY INFECTION MOREOVER I AGAIN CONSULT THE NEW UROLOGIST FOR FURTHER TREATMENT TO SOME EXTEND I FEEL RELAX FOR THE PERIOD 1.6YRS. AFTER PASSING 1.6YR I AGAIN SUFFERED FROM URETER PAIN (AT THE PLACE OF URETER) DOCTER ADVISED ME FOR SONOGRAPHY AND IVP. WHEN I SAW THE REPORT HE FOUND 8MM STONE IN RIGHT KIDNEY AND 5MM IN LEFT KIDNEY AND ALSO SEEN DILATED UPER URETER IN IVP ( THE DYE USED IN IVP TEST WAS NOT PROPERLY PASSES FROM POINT OF DILATED URETER) BUT THE DOCTOR TOLD ME THAT THERE IS NO PROBLEM TAKE PLENTY OF WATER..TO SOME EXTEND I GOT RELIEF BUT SOME TIMES PROBLEM REPEATS.FROM LAST SIX MONTHS I AM SUFERRING FROM GREAT PAIN AND I AM TOTALLY DISCOMFORTABLE FROM BOTH SIDES OF KIDNEY SO I CONSULT A NEW UROLOGIST HE ADVISED ME TAKE A TEST OF CT UROGRPHY AND ULTRA SOUND. CT UROGRAPHY SHOWS LEFT KIDNEY IS NORMAL BUT RIGHT KIDNEY IS IN HYDRONEPHROSIS GRADE 1 ,DILATED URETER,AND THE PLACE WHERE I WAS OPERATED ( URETER) SEEMS TO BE NARROWED THAT WHY URINE DOES NOT PASSE PROPERLY . ULTRA SOUND REPORT ALSO SEEN HYDRONEPHROSIS GRADE 1 . PLUS HE DEDUCT 6MM STONE IN RIGHT KIDNEY. DOCTER PLEASE ADVISE ME WHAT WILL I DO BECAUSE I SUFFER LOT OF HEALTH PROBLEM DUE TO THIS DISEASE, I FEEL MY BOTH KIDNEYS ARE INVOLVED . PLZ PROVIDE ME RIGHT ADVISE. MY AGE IS 30+ SEX MALE | urgent |