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<s>[INST] Hello doctor. My friend self pleasures himself a lot. He used to do it once or twice a day, but now he does it once a week, if at all. His heart has been hurting after he does it, and even the day after it hurts. He said when he first started to do it, everything was fine, nothing hurt. Then, his heart beat would drop after an orgasm then would hurt, then two times ago, his heart was racing for a long time, then it was normal but hurt, then last time his heart was hurting, beating fast, and the rest of the day and the day after, his heart was still faster than usual. He is reaching out to me for help. I m 14 and he is 13. He gets very tired and kind of light headed after he does it, and even hours later. Please help with what it could be. You can ask questions. He is seeing a doctor soon. Thanks AJ [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. I can understand the cause behind your friends experience. It is simple tiredness, stress and anxiety. he gets tired after masturbation. Every children does. But worrying about that tiredness makes him anxious and more tired. Anxiety in turn creates fullness of chest and occassional pain.You might need a physician's assistance. Do consult a physician for further details. Visit this answers your query. Available for further clarifications.Good luck. </s> |
<s>[INST] diagnosed with diffused bulge of the disc measuring up to 6 millimeters there is left para median inferiority extruded disc extending at least 14 millimeters below superior in place of f1 exerting math upon the descending left So nerve root which is displaced posteriorly. my question is the doctor suggested surgery. but I am NOT currently having that much pain surgery is scheduled for 2 weeks from today should I have it? any help would be great by the way the bulges at l5-s1 thank you [/INST] Hi,Thanks for your query.It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation &spinal canal stenosis.The main treatment of such pain is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic.You can get the appropriate drugs prescribed from your Orthopedician after examination.Meanwhile you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.- Avoid exercises in times of pain. I do hope that you have found something helpful and I will be glad to answer any further query.Take care </s> |
<s>[INST] I ve had pain in my big toe for a few days now, I thought it was an ingrown toenail but I just took the toenail polish off and my toe is blueish in color under the nail on that side. I ve not bumped it, I did however go to an amusement park recently and I wore fairly tight shoes. [/INST] Hello, It could be a vascular cause due to poor blood supply. Consult a vascular surgeon and evaluated. A Doppler scan is required for further evaluation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s> |
<s>[INST] I have a daughter who is 13 years of age. She has really bad abdominal pain in the same area of her apendix and has really bad headches, she is also experiencing blood in her stools. She said if she had to rate her pain on a scale of 1-10 it would be an 8! What could this be? [/INST] See lower abdominal. Pain can be due to appendicitis,amebiasis,renal colic,gastities,ulcers,piles,She also has history of blood in stools,is it frank or mixed with stool???,it needs to get evaluated,due to loss of blood anemia occurs and that is most probably cause of her headache,I recommend you to take an surgeons opinion on it. </s> |
<s>[INST] My 18 month old has a pimple-like rash on the top of her scalp. The small bumps seem to be filled with pus and it looks redish and irritated. I took her to a clinic and the doctor just said it was cradle cap and gave me fucidin cream to apply to her head.. it's 3 days later and it looks no better, in fact she seems to have developed a slightly different rash on her whole body now. Can you help me? [/INST] Hello, The symptoms seem to be related to a bacterial infection. I suggest continuing using Fucidin cream as recommended by your doctor to treat the infection. I also recommend using Calamine lotion to relieve the symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician </s> |
<s>[INST] HI my daughter is nearly 21 she has just started having panic attacks, which involved the tightness in her chest, shortness of breath, lots of tears,and anxiety,she has improved in the last week, is not having the chest pains etc anymore, is still tearful at times, overthinks things a lot ,she has been seeing a councillor who is thinking of putting her on a mild anti- depressant, my daughter and her partner and her father and I feel this may lead to more problems and wonder if there is something natural that may help. [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. Anxiety is a disorder and not a disease. Organic diseases require medication to get cured. Disorders normally do not need medicine because they can be cured just with the help of some life style changes. Your daughter does not have panic attacks. She is fearful about an impending danger and her body produces the symptoms of fear. Anxiety is fear about subjective conditions and fear is about objects.Anxiety is the after effect of apprehension of a fear creating situation. Means you are imagining fear and your body produces symptoms of fear when there is no reason for fear now. Psychotherapy and relaxation techniques can surely help your daughter. Please do not worry. Mind has its own defence mechanism for every anxiety creating situations. Mind should take care of itself. Saying - Time takes care.Please post a direct query to me with all details in this website. I shall prescribe some psychotherapy techniques suitable to you and I am sure that your problem can be cured.Hope this answers your query. Available for further clarifications.Good luck. </s> |
<s>[INST] My friend 45, male, had a knew replacement three years ago and now he has developed staph infection and he is in bad shape. I heard about staphage lysate that a dr. Used to save his heart patient that developed staph and was three months in the hospital some years back and when nothing worked he used this staphage lysate and saved his life. Any ideas. [/INST] thanks for posting your query to hcm . staph infection can be treated using antibiotics . I suggest you to investigate for culture and sensitivity of your infected material and then start antibiotics according to its sensitivity . Staphage lysate is in treatment of animal for recurrent staph infection , its routien clinical use in human beings is not practiced . </s> |
<s>[INST] I m having frequent foot and leg and hand cramps almost daily for a couple of weeks. I ve been on prednisone for asthmatic bronchitis and double pneumonia since Dec. 8. What could be the cause, please? I suspect my potassium is low. A possibility? [/INST] Hi,Yes. Commonly low potassium, dehydration, low calcium and also low protein level can cause leg and hand cramps. Prednisone if you are using tablet can cause fluid retention and also vary calcium metabolism. So Get checked to these serum electrolyte levels and if abnormal replenish them. Use plenty of fluids.For asthmatic bronchitis prefer inhalers than oral tablets.Hope this helps you.Regards </s> |
<s>[INST] Yes I get red, itching, burning spots on my face, neck, arms, chest, shoulder. I get them where certain thing touch my skin such as makeup brushes, my boyfriends beard, my dogs fur. Sometimes i get little bumps, not like pimples more like mosquitoes bites. I also have red cheeks but its closer to my jaw. I have never had this condition before, I was just hoping it would go away. Please help!! [/INST] Hi,As per your query you have red,itchy spots on the face which seem to be due to allergic reactions. Need not to worry. I would suggest you to avoid trigger factors given above and take over the counter antihistamines like zyrtec.- Apply cold compresses and apply aloe vera lotion- Also keep yourself hydrated.If condition doesn't get better then consult dermatologist for proper examination and start steroid ointment accordingly.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Harry Maheshwari, Dentist </s> |
<s>[INST] Hi i have ambrolite s and ambrodil s could you please tell me which one is for my 2yo and which is for my 1 yo when it was first given to him he was 5 months old i have lost the prescription with dosage. This enquiry is with regards to medicine for my now 1yo son. [/INST] hi! both ambrolite š and Ambrodil s are same formula and can be given to your kids. the dose will depend on the present weight of your child. although I would suggest not to self medicate and take an opinion with your doctor before it. </s> |
<s>[INST] in 2004 I had two rods & six screws put in my lower back, & ever since then I have had increasing pain & now it's almost to the point I can't stand the pain anymore. My legs tingle & the pain in my lower back is getting worse, I have been to lot's of doctors & tried many "remedies" , sadly none of them do much for me, please help me,, I can't stand the pain much longer. thanks JR.. my lastest " cure " is Robaxin 750 mg every 6 hrs., this seems to help some, but the pain is still there [/INST] Hi,Thanks for posting the query,Inj diclofenac or trimodol sos could be beneficial.use of voveron spray can be helpfulTake care! </s> |
<s>[INST] Just over two years ago, I had an ileostomy - a "high output" ileostomy. It's been a tough adjustment and now, at age 67, who quit smoking in 2000, and lost over 140 pounds, I'm paying the price for my indulgences: I have state 2 kidney disease and congestive heart failure. I'm overwhelmed! I'm just trying to educate myself on how to proceed. So far, most of the resources I've encountered are too limited. I need in-depth info. Do you have any suggestions? [/INST] Hi and thanks for the query.I am Dr. Alok and very pleased to be assisting you with your health questions today.I am so sorry to hear that you are suffering from all these problems. for kidney heart disease, you need to take medicine prescribed to you. Avoid unnecessary medicine especially pain killers or over the counter medicine with advice from your doctor, as they may affect your kidneys. Limit your salt and fluid intake, you can discuss with your dietician.Do regular exercise and keep your busy with some work and keep positive attitude. Both diseases are not completely curable but well treatable and you can live normal life.for indepth information, you need to see various websites for patients like emedicine etcHope this helps and provides answers to your question.I wish you good health.Dr. Alok </s> |
<s>[INST] my daughter is experiencing sever swelling of the lips, and parts of her gums for the past 6 days. There is light blistering and redness around the outer edge of the lips. We went to emergency and doctors thought it is allergy related but Benadryl and Reactine only works intermittently. [/INST] hello, thanks for your query, it's unlikely allergy medications ( Benadryl) causing allergy. check out her complete blood picture , viral infections with pediatrician. hope I have answered your query. all the best. take care. </s> |
<s>[INST] I have been suffering from cold and body severing (minor) for past few years; usually have fever like body but body temperature remains normal. I am allergic to cold items such as curd, banana, freeze items etc. This happens to throughout the year not just in winter or raining seasons. For this, I had did two times master health checkup including ANA profiling and all looks good, there no sign of any diseases. Visited many doctor, during my visits to doctors I have taken lot for anti-biotic and many DOLO 650 or other similar Paracetamol or similar tablets in past two years. Now also I am suffering the same pain, having cold/pain on my foot and legs for the past one month, I get relieve usually after massage with hot olive/mustered oil. It started a month ago when I got wet in the rain and then after that I have visited doctors again, during the course I had taken DOLO 650 nearly 30 and other antibiotic tables. 1.Can you please suggest me what test should I do? 2. Am I allergic to cold and is there any cure? 3. Should I go for EMG test for neurologist? 4. Or should I go to Chiropractor doctor? [/INST] HiThanks for your query at HCM.I understand your concern and situation.It is likely that it is allergic reaction which you develop often causing cold. I would suggest you decongestant and nasal steroid spray like Nasacort that can help reduce nasal congestion, sneezing, and a drippy nose. You may consult your doctor to get allergy shots (allergy immunotherapy). It will be required that you take these shots regularly for about three to five years and get long-term allergy relief. Yes you may get complete blood haemogram and skin/blood allergy testing done. I would suggest you not to go for EMG as of now. If you have pain you may visit chiropractor and pulmonologist. Eat protein rich healthy and balanced diet and drink plenty of water.Hope I answered your query.Best of health.Dr. Sheetal Verma </s> |
<s>[INST] I have had a persistent cough for over two months with drenching night sweats for about a month and a half. Within the past few days I have noticed a small lump in my armpit. It doesn t bother me other than itching constantly! I ve had two clear chest X-rays, negative ppd test and been on two rounds of antibiotics and a steroid ... What could possibly be the cause of these symptoms??? [/INST] Hi, dearI have gone through your question. I can understand your concern.You may have tuberculosis of lymph node or reactive lymph node enlargement. You should go for fine needle aspiration cytology or biopsy. It will give you perfect diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. </s> |
<s>[INST] my son 10 years old having recurrent low grade fever for last couple of months .he is very active but hate to eat any thing except of junk food . he is very slim & mostly complains about nasal congestion in night time . he also complain about pain in bones but not a specific area [/INST] Prolonged fever , bone pain and weight loss and poor apetite are signs of serious illness, physical exam is highly advisable to role out pulmonary disease or enlarged lymph nodes , I highly recommend doing complete blood count , ESR, vlood film and chest XRAY. </s> |
<s>[INST] 1) Degenerative disc diseases at L5/S1 level. 2) Central and both paracentral disc bulge at L5/S1 Level Causing thecal sac indentation, mild spinal cannal stenosis and bilateral neural foraminal narrowing. 3) Screening of whole spine shows disc bulge a c3/4, c4/5 & c5/6 Levels causing thecal sac indentation & mild spinal canal stenosis. [/INST] Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you Question : Suggest treatment for degenerative disc disease which is at L5/S1 levelAnswer : If you have only Pain, then you can try conservative Management (Bed Rest + Physiotherapy + Tablets) for 3 weeks If you have Numbness and / or weakness, you have to go for Surgery Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care. </s> |
<s>[INST] is there any medicine which can clean blocked arteries of heart.i had heart attack on 25/12/2010 at16.30 hrs.in my factory.i was admited to hospital.then i went for angioplasty for 100% block.i have two more blocks of 60% & 30%.i want to clear all the blockages of my heart.can you help.please reply,hemant c vyas 29,laxmi park society nr,primary school bharthana,new city light,surat-395007 [/INST] Hello thanks for posting at HCM.I have gone through your description. The right thing was done by doing an angioplasty at that time. Now regarding the other blockages, since you had blockages less than 70% you were kept on medical management. Angioplasty cannot be done for blockages less than 70%. There is no way to clear all blockages of the heart. Blockages once they appear can be stopped from progressing, but not cleared. An angioplasty can clear the blockages but again by pressing the blockages against the stent. Since its many years since your stenting, I recommend you to undergo a yearly treadmill test to see whether the stent is patent or if other blockages have increased. If the blocks have increased in severity then angioplasty with stents should be done. In the meantime please continue with blood thinner medications, cholesterol medications and your other regular medications. Wishing you good health. Regards </s> |
<s>[INST] Hello. In 2010, during a CT scan of the Abdomen, I was diagnosed with an INcidential adrenal mass 3 centimers wide on my right adrenal gland. Nothing was done at that time. I have the following symptoms:1). Excessive weight in the mid section2). Round face3). High Blood Pressure4). Severe Anxeity5). Severe Depression6). Sleep difficultiesI read through the list of symptoms and notice that I do not have all of them. I have always had trouble losing weight and I am currently being treated by a psychiatrist for my mental health issues. Is there a chance that I have Cushing's syndrome and if so what is the chance. I did have the decadron supression test a couple of days ago and I am waiting for the results [/INST] Hi.All the symptoms are due to adrenal mass and hence CT scan finding is not incidental. You have to consult an Endocrinologist - both Medical and Surgical Specialist for evaluation, medical management to start with followed by removal of this mass. </s> |
<s>[INST] i have heel pain , it appears that some bone is paining at the corners of the heel, & then the pain spread to whole heels & rises upto knee, some sounds of bone crakling is heard near heels upon walking. also the heels appear jaamed for sometime when i start walking [/INST] Hello, As the pain is in the heel I will advise for an x-ray as it may be related to a calcaneal spur which is just a speculation of mine. But x-ray will help as well. Also, try doing hot water fermentation, use crepe bandage to stabilize the ankle joint and also some simple exercises. This should help you. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist </s> |
<s>[INST] Sweating at night, smells like vinegar. Not making frequent bathroom visits though. Im 19, 5'10, about 270 pounds. My diet is pretty typical. Not a lot of fast food, but not a lot of healthy food. Have recently began drinking more water to try and reduce this from happening. Any thoughts? [/INST] Hi, You are reporting to have sweating at night, smelling like vinegar recently. At this point, if I was your caring doctor would advise to run further tests to determine the right cause:- thyroid function test- fasting blood sugar- measure your blood sugar if you wake up in the middle of the night sweating- neurological examinationFor the moment, I advise to continue drinking more water to keep hydrated and take oral OTC. Hope it was of help! </s> |
<s>[INST] a friend of mine has been complaining he cant stop jacking himself he does it twice a week and his habitual after trying to explain him that he might suffer ed and also urged to get married ASAP he still doesnt understand pls help he is in mid twenty by age [/INST] HelloThanks for query .Your friend is indulged in masturbation twice a week .Masturbation is a normal act of a human being to get sexual satisfaction without an physical intimacy with a female partner and it is natural for every individual to get into it at the age of adolescence .First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body .However one should observe that he does not get addicted to it .One can restrict it to twice a week without any harm.Dr.Patil. </s> |
<s>[INST] I've been coughing non-stop for about 2-3 hours and have now developed a fairly large bruise, visible on the outside of my throat. I have been told that it's fairly common for blood vessels to break whilst coughing excessively. Is this normal? (It may be relevant to know that I have had a minor cough over the past 2 days). [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. Possibility of viral upper respiratory tract infection (URTI) is more likely in your case. URTI can cause dry irritable cough which can be violent sometimes. So drink plenty of fluids orally and keep yourself hydrated. Avoid hard to chew food. Avoid oily and spicy food. Take antihistamine like levocetrizine or fexofenadine. Do warm water gargles 5-6 times a day. Don't worry, you will be alright with all these in 5-7 days.. If not improving then consult doctor.. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s> |
<s>[INST] Hello doctor, I started taking ayurvedic medicines yesterday, and I have noticed that my stool has turned dark or black in color. I am suffering from severe belching and headache. I am taking Somu syrup and Shankh Vati. Last month I had the same problem, for which I took allopathic medicines. [/INST] Hello. The problem of black colored stool is called melena. For further queries consult an ayurveda specialist online --> </s> |
<s>[INST] I had Jaundice with count of 43 in November last week and also during same time I had Chicken Pox . After a week the count went up to 55( ALT ) SGPT .This was in December start. On 8th Dec it came down to 27 ALT. Today on 24th Dec it is now 37 ALT. There is mild mild pain near liver area. What to do and is 27-37 increase in count normal ? [/INST] Hello, bhavesshenoy, From your history, it sounds like your liver tests were abnormal during the viral infection of chicken pox. It is not unusual to see the elevated enzymes during a viral infection such as this. You say that the enzyme levels were down in December. That shows you are recovering from the illness. The recent ALT being 37 is still within normal laboratory range. You are improving and I am sure you will recover completely. Just to be safe, I want you to make sure that they have done blood tests for Hepatitis A,B and C. Eat a good high protein diet and take supplemental Super B-Complex Vitamin once a day along with 1000 mg. of Vit-C daily, that will help. Wish you well. </s> |
<s>[INST] Hi doctor, I just wanted to ask a few questions and get an opinion. I have been experiencing symptoms of depression for the last two years and I do not know what to do. I do not want to get my family involved unless I know anything for sure and I do not even know if I have depression. I have not had any bad experiences that would have affected me enough to make me depressed and my family does not have a history of mental illness, which is what makes me waver. I feel numb, sad and worthless most of the time. I have found myself becoming more and more irritable and spending more and more time alone. I do not know whether this is just something my mind has conjured up or there is something actually wrong. I feel mad at myself whenever I think about this as I do not have any reason for feeling the things I feel. Anyway, I was just wondering if it sounds like I have depression or not. I really want to see a doctor, but I want to give my parents some explanation since they do not really understand how bad mental illness can be. Thank you. [/INST] Hi. You should understand the difference between depression and disappointment. Disappointment also manifest symptoms as in the case of the depression. Were you deeply disappointed in the near past, say within one year? You did not have any bad experiences and your family does not have any depression history. That is perfect. For further information consult a psychiatrist online --> </s> |
<s>[INST] need advice about an injury to head I got hit on my head right above the frontal lobe region by an iron pipe. I suffered concussion for over 3 days and many other symptoms like headache, nausea, tremors, dizziness, imbalance, blurring of vision etc. This happened in 2006. I was taking nootropics at the time. I want to know if this can cause Aboulia. :( I am showing all symptoms of Aboulia and my life has gotten worse after this incident. I was suffer from depression and borderline personality disorder but what I am feeling now after the incident is totally different from before. Even when depressed I never used to be inactive. But now I have totally turned into a doll just sitting there quietly. Please help. If it is Aboulia, will it be treated? What should I do to get well? [/INST] HiThanks for using healthcare magicIn that case, better to take help of a psychiatrist and psychologist. That would help you to come out of the situation. You can also try some antidepressant with relaxation exercise. It would help to control these depressive thoughts. In case, you need further help, you can ask.Thanks </s> |
<s>[INST] Hello doctor, In recent test reports, the following test values are out of range: Estimated glomerular filtration rate (eGFR) is 83, uric acid is 7.9, serum creatinine is 1.13, BUN to serum creatinine ratio is 7.59, 25-hydroxyvitamin D (total) is 8.73, homocysteine is 30, iron 57.8, and red cell distribution width - coefficient of variation (RDW-CV) of 14.6. As far as symptoms are concerned, I am feeling body pains especially stiffened neck and pain in upper shoulders, feeling drowsy in the morning, slight burning sensation near the urinary bladder while passing urine, and a burning sensation in my left calf muscle and foot sometimes. There is a feeling of a lot of gastric problems especially while waking up in the morning and sometimes constipation. I am not on any medicine. The lab reports are attached for your review. [/INST] Hello. I have gone through your reports (attachment removed to protect patient identity). For more information consult a neurologist online --> </s> |
<s>[INST] Hi ! I am 27 yrs old. My first day of the Menstruation cycle was 3rd July.My gyn. gave letsi 2.5 mg for five days( from the date 5th July- 9th July). Then on the 11th day of cycle the size of follicle in my right ovary was 20+ 23. then she gave 10,000 Inj HCG. Then i had relation with my husband on 12th & 13th day of the cycle. so, is there any chances for pregnancy. what is the ideal time to be in relation after getting the 10, 000 Injection. [/INST] 36 hrs after inj hcg ovulation occurs...as per ur dis cycle u can get pregnant..or u could have kept relationship for two more days twice daily..no prob.. u can try it in next cycle..in case u dont concieve... </s> |
<s>[INST] hello I make coffee all day and the wrist which i pour milk from is quite sore across the top, to the extent that i can not bend it forward. There is also a sever pain if i push where the bones from my second finger comes down to my wrist. my fingers do not tingle or hurt [/INST] Hello, As this may be related to the tendon tightness. Usually, we perform activities with our hand and allow these tendons to workout more. Due to overuse, there will be tightness in the tendons of the muscles for certain finger and the swapping do not occur leading to stopping of the movement and inflammation. Doing hot water fermentation and hand movements in the hot water should help improve the symptoms. Also, some simple strengthening and stretching of the tendon will be beneficial. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist </s> |
<s>[INST] 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> |
<s>[INST] I am having severe stomach pain, my stomach is tender to the touch, no fever, don't feel like eating this as been going on for 2 weeks now, started with sharp lower abdomen and now it seams all over ,I have blotting also , my stomach feels like it is stretching, its better when lying down and knees up but I still have the pain [/INST] Hi and thanks for the query,The commonest cause of such symptoms is peptic ulcer disease or gastritis. A clinical review and a fibroscopy/endoscopy, involving insertion of a tube and visualizing the stomach and nearby structures could sufficient. the main cause of such symptoms is due to a infection caused by a germ called Helicobacter Pylori, which can easily be tested for. treatment involved proton pump inhibitors to reduce acid secretion and specific anti biotics.Other fucntional causes like irritable bowel syndrome (IBS) are also common causes. A review with a gastroenterologist will be most helpful Thanks and kind regards,Bain LE, MD </s> |
<s>[INST] My 2 1/2 year old daughter has a rash across her cheek from her temple to the eye area. I m guessing it s the start of a virus and we ll see a fever soon? Her day care provider siad it looked like a welt (sp?) at first, though we knew she wasn t hit or hurt that we were aware of and she talks like a 4 year old, so she tells us when she gets hurt, but now it s rash like and she has no rash elsewhere. I put hydocortisone cream on and it didn t help or burn like excema may do. ???? [/INST] Hi, this seems to be a insect bite which sometimes leave a trail like rash around the bite region. I think that you need to give hydroxizine syrup 5 ml PO three times a day for 3 days to prevent itching and apply mupirocin cream at the rash site. Take care. </s> |
<s>[INST] 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> |
<s>[INST] 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> |
<s>[INST] I have C5 radiculopathy right side, delayed reation times on my NCV/EMG tests to my extremities, constant numbness in my right pinky and ring finger, arms and legs sometimes go numb, C4-C5 midline disc protrusion, C5-C6 small annular tear along posterior disc margin, C6-C7 small right paracentral disc protrusion partially effaces right ventral subarachnoid space. I am in constant pain, my neck, upper back and right shoulder are the worst. What can I do to stop the pain, it keeps me up at night. [/INST] Hello, If you have very severe symptoms as you mentioned you definitely need surgery in terms of discectomy and fusion, however till then start taking Gabapentin with nortriptyline, take muscle relaxants, do not lift any weight, give hot fomentation and do isometric neck exercises After these evaluations will be needed how much you get relieved for planning for surgery if required. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopaedic Surgeon </s> |
<s>[INST] my 3 year old daughter is just over viral gastroenteritis as diagnosed by my GP. While she had it (2 weeks) she had minor itching on her torso and limbs. Since the vomiting has stopped the itching is getting worse - especially at night and she is tearing at herself and keeping herself up at night. I have tried hydracortosone 1% to no effect, oatbran bath, Is this itching related and is there anything else I can do for her? [/INST] Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., </s> |
<s>[INST] My boyfriend has come down with sudden illness. Symptoms: Fever, getting worse Shivering - he says he feels freezing Muscle Ache Headache Lethargy Was fine all day, came on suddenly with a headache, now about 3 hours later, no better, seems to be worse? [/INST] Hello, A blood routine test is advised. Due to fever and infection, the body gets fatigued faster and leads to muscle aches and pains. Post blood test a medicine for infection should help reduce the symptoms. Even paracetamol will help reduce fever and pains. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist </s> |
<s>[INST] My father has MS and had a severe bladder infection, can this cause thick fluid secretion in his lungs. He did not have any infections I his lungs. No pneumonia or bronchial problems. All those test came back negative. He could not cough up anything or breathe properly on his own and had to be on a breathing tube for3 days. Would the bladder infection have caused this? [/INST] Hi, As per my surgical experience, there is no connection of bladder infection with fluid retention in lungs directly. Though low immunity, systemic sepsis and inflammatory response may be secondary to existing bladder infection. Wishing your father fine recovery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon </s> |
<s>[INST] My 17 month old son had a temperature of 100.5 2 nights ago & yesterday, but when he had tylenol, he was fine & playing. So I figured, teething is happening again but what concerns me is that he threw up 2 nights ago while he was sleeping, that one had milk all over & again last night, but this one was all yellow acid. This morning so far hes playing and his body is a lot cooler than he was yesterday. Is this a part of teething too? [/INST] Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain mild fever is commonly seen in teething infants and toddlers however recurring fever can also be due to viral infection while throwing up can be signs of stomach infection that is also common in infants due to prematurely developed immunity..In case if it is due to teething it is commonly associated with other symptoms like sore, swollen and bleeding gums, irritability, drooling etc..I would suggest you to consult a Paediatrician and get him evaluated and a thorough clinical evaluation and investigations like blood test can help in diagnosis and treatment can be done accordingly..As of now you can give him Acetaminophen to relieve fever..You can also feed him with plenty of fluids and give appropriate rest..Hope this information helps.Thanks and regards.Dr.Honey Nandwani Arora. </s> |
<s>[INST] Hi, may I answer your health queries right now ? Please type your query here...i heard about lipocut 120 from a doctor....he told me it was good and it helped him burn his fat in about three months with proper workout and diet...does it really work,i would like to know what side effects it has... [/INST] Hi, It is 100% not recommended in pediatrics. I suggest you not to think about this in your kid. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology </s> |
<s>[INST] i had a colonoscopy and when i came too - it appeared i was alert and felt decent but then got home about an hr and 1/2 later and started having diarhhea w/some blood which they told me to expect some of this. Attempted to eat because by this time i had not eaten for a couple of days (not that hungry) but thought i'd try then i'd say 5 minutes after eating excruciating pain in my stomach (left side to upper abdomen)??? not sure if all this pain is normal? [/INST] HIThank for asking to HCMThis can be said normal but as such you have gone under the little invasive procedure so the chances of trauma due to this procedure in your Gastrointestinal tract is likely you need to wait for some time it will go away if the problems persist then have words with the doctor, take care have nice day. </s> |
<s>[INST] i have a weird pain in my upper groin area. its come from a knot that is normally there but it is now swollen and hurts. i have another knot like thing on my other side of my upper groin, well why is the one on my right side hurt and you can see it kinda by looking at it? [/INST] This cud be painful lymphadenitis due to sum local infection or sum other radiating infection.pls meet the general surgeon, it woll surely help you </s> |
<s>[INST] Hi Doctor, my child aged 5 years was having ear pain before 2 days(Sunday night) and we went to one nearby hospital and there was only duty doctor who had suggested the Candibiotic drops for 3 days morning and night. now my daughter is telling no ear pain but still she is having temperature, is any insect would have gone inside the right ear ? how should i check for it or what should i need to do, can i take her to any pediatrician today. please advice and suggest. Hope your fast reply. [/INST] Hi dear welcome to the HCM.Infection in the middle ear causes such infection, Requires some antihistaminc decongestant medicines and broad spectrum antibioic with proper recommended doses..Candibiotic to be continued.Hope the query is answered.thanksThanks </s> |
<s>[INST] i had the helicobacter pylori infection took a series of antibotics and do not feel any better. have had diaerhia for 2 months. bad stomach pains, pain under breast bone, right side and back and like gurgling in stomach with burning. i don't have an appointment with the GI doctor until the end of Feb. I just feel so bad. My stomach is bloated and uncomfortable. I have GERD so I do take a daily pill for that. Any suggestions [/INST] Dear I can understand your concern . H.pylori infection causes gastritis and gastric ulcer along with duodenal ulcer.Patients have complaints of pain upper stomach associated with nausea , gastric fullness, bloating etc.For H. Pylori treatment we use two antibiotics along with one proton pump inhibitor such as pantoprazole . Duration of therapy is about two weeks. There are so many preparation available in market such as HP KIT for this that contains two antibiotics and one proton pump inhibitor . But this should always be used after proper diagnosis and under supervision of physician . Hope this will help you . If you have any other concerns please feel free to message me . Thanks for contacting HCM . </s> |
<s>[INST] MR EPILEPSY PROTOCOL Technique: T1 Sagitals, T1-T2 Axials, FLAIR Axials, T2 fat sat high resolutionPara-Coronals, FLAIR Para-Cornals, 3D T1 volume Para-Cornals, MR Volumetry. Findings:Ventricular system and Cisternal spaces are normal.Tiny T2 and Flair hyperintensity noted in right corona radiate in the posterior aspect.Signal characteristics or rest of cerebrum, Cerebellum. Pons and Medulla are normal. Hippocampi:Hippocampi are normal in contour size and outliners.No evidence of focal atrophy or volume loss.No evidence of architectural distortion. Hippocampal volume measurement: 2.36 cu.cc on right side and 2.03 cy.cc on left sideQUESTION: WHAT ARE THE NORMAL VOLUME MEASUREMENTS OF THE HIPPOCAMPAL? ABOVE VALUES ARE IN HIGH or LOWER? KLY EXPLAIN TO YYYY@YYYY IMPRESSION:FOCAL T2 & FLAIR HYPERINTENSITY IN THE POSTERIOR ASPECT OF RIGHT CORONA RADIATA IN - UBO. Dr. A DINESH Dr.UTPAL DAS Dr.SUNITHA LINGAREDDYRADIOLOGIST RADIOLOGIST RADIOLOGISTQUESTION: ABOVE REPORT IS IN NORMAL or HIGH? [/INST] Hi Ms Swarnasree, Thank you for posting your query. First of all, I would like to reassure you that these reports are within normal limits. Normal hippocampi is a good news, as volume loss (atrophy) of hippocampi may suggest severe epilepsy and need for using anti-epileptic drugs for a long time. Hippocampal volume is also decreased in cases of Alzheimer's disease. Hippocampus volume changes with age, however, a volume more than 2 cu cc is definitely normal. I hope it helps. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: [email protected] </s> |
<s>[INST] I am a carer for someone with chronic liver disease and was a heavy drinker. He decided to detox himself a week ago. I came round on the second day of his cold turkey detox and he didn t seem quite with it and so i took him to the hospital. He was there for just over a day and then discharged himself. Today is day 7 and he is having hallucinations and extremelly distant. What advice can you give me? [/INST] Hi dear,Auditory and visual hallucination is common in alcohol withdrawal.so whatever symptoms you have secondary to alcohol withdrawal.Such symptoms does not need to be treated by anti psychotic medication , if not improved after month of total abstinence then only we add anti psychotic medication for it.Is there any other symptoms like tremors, nausea, vomiting, sleep disturbance, appetite disturbance, anxiety symptoms etc...Consult psychiatrist for alcohol de addiction.If you are at my clinic i would give you thymine preparation with benzodiazepins for withdrawal symptoms.also add any anti craving agent and counselling regarding alcohol disadvantage.Discuss with your treating doctor.Thank you </s> |
<s>[INST] So I have been having irregular periods for quite awhile now. My last period was December 8th of 2010. I had unprotected sex with my boyfriend December 23, 24, 25, 26, 30th and early morning on the 31st. I haven t started yet. I have never been this late. So I waited to see if I would start. I got some money and went to Wal-Mart and got 2 clearblue pregnancy tests. I took one January the 14th and one January the 15th. They both said positive. I have been having symptoms of pregnancy like my boobs are hurting, I feel sick at times, etc. I want to know that the chances are that I am actually pregnant. Am I or is it something else? I am about to turn 20, I have a 2 year old daughter who turns 3 March 11th and I am engaged to the father of this one (if Im pregnant) whom is in the Air Force [/INST] well Honey, you are pregnant! home pregnancy tests are highly sensitive and become positive one week before the expected period (25-50 mIU). your question was submitted in 2010. It is now Dec 2015, so by now if everything was right you should have a kid about 4 years old beside you. good luck!One of the main causes of menstrual irregularities is Polycystic ovaries, a condition in which the is variable ovulation dysfunction. </s> |
<s>[INST] Is it dangerous to eat a dish that was accidentally baked with a plastic wrap still on it (with foil covering over the plastic)? Could not find the plastic wrap when the foil was taken off. Only remembered about it when a small piece of plastic wrap was on the outside of the pan. [/INST] hello, thanks for your query, it seems that you might b had plastic, as such it is indigestible. in small amounts it will be excreted as such through feces.in bulk quantities , for the prolonged period consumption can cause intestinal obstruction , may require surgery.all the best. take care. </s> |
<s>[INST] I have pain on the back portion of my left thigh since 24 hours. It s a little swollen but it doesn t pain when touched or pressed. It hurts a little when i stretch my legs. I have applied Ice gel twice but the pain isn t reducing. Moreover i feel that its paining internally as it doesn t hurt when i touch or press it. [/INST] Hello, It thinks if you have tried putting ice over the painful area that is the thigh muscle which isn't helping you then try putting it over the lower back region. If this helps you then this could be a nerve root entrapment and will be treated accordingly by a physiotherapist. Try icing the lower back and see if there is a change in symptoms. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist </s> |
<s>[INST] Hello, I ve just taken my first course of clomid (50mg day 5 to 9). I m on day 15 of my cycle and have experiences dizzy spells for the last 3 days. They last a few minutes and sometimes I wonder if I ll faint. Could this be related to ovulation or clomid? Thank you. [/INST] Hi,Suggestive of side effects of clomid. Generally clomid is well tolerated by most of our patients however it can cause abdominal, pelvic discomfort, distension, bloating, dizziness, lightheadedness and multiple pregnancy.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician </s> |
<s>[INST] yesterday I was bending over, and when I went to stand up I hit the middle of my spine about halfway down my back, on the dining table. Today it hurts and feels bruised but when I went to look at it I couldn t see any sign of any bruising, is it okay? [/INST] Hi, Thanks for using HCMFirstly, please be careful when dealing with spine as injury to spine is sometimes a problematic thing. Now for your hurting back have some pain killer and a good muscle relaxant and apply some gel locally if it hurts more. Just be a little over cautious for a week or so. Do some hot fermentation if pain increases and take proper rest. Avoid exerting. And still if you have problem then you should get an X-ray or MRI done but as of now you will be fine in 2-3 days . </s> |
<s>[INST] 38 years old enjoy masturbarting. Spotted small sores (about 5) on my veins (shaft), during masturbating. Sores opened up into wound after two days. Takes long to heal. What could b problem. Could it b a viral infection? It is itchy around the place. Another set has formed. [/INST] Hi. You should see a Doctor or a Dermatologist. This is not normal. Unless some rigorous activity has been done or exposure to some infecting agent this should not happen. I am refraining from advising any ointments as I have not examined you. But you would require some antibiotics to cover for secondary infection. Take care and see your Doctor whenever you can. Dr Rishi, New Delhi, India. </s> |
<s>[INST] Hi, I am a 33 years old male, 73 kgs, living a very healthy life, doing sports regularly at least 5 times a week, at least one hour and some times 1.5. Yesterday i played football and i put more effort than usual and played for almost 2 hours, later i felt some pain in my nipples while taking a shower only, today i also felt the same pain during the shower but it was less. Appreciate an advise. [/INST] Hello Thank you for trusting HCM May be the friction is the cause for your nipple pain. male nipple soreness most commonly comes about from the persistent rubbing of the nipples against the fabric of the shirt during running and other exercise. For this reason it is also called runner’s nipple. This is most likely if the top is close-fitting and non-lycra based.Other causes like Hormonal imbalances Cysts Drugs Mastitis Liver damage etc Any way don't neglect it just consult your surgeon he will examine and treat you accordingly. </s> |
<s>[INST] I have a friend that has mental issues she drinks she takes prescription drugs and now she admitted to me she is stealing for no reason she has money so she does not need to steal. She lost her daughter to cancer in March she does suffer from depression and I believe she has a eating disorder . How can I help her I dont think her pills are helping with her depression. [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. From the description it is evident that your friend us suffering from depression alongwith impulse disorder. The eating frenzy and stealing signifies that. She definitely needs psychiatric treatment. Please consult a psychiatrist face to face. You need counseling and psychotherapy. I shall provide you with the required counseling and psychotherapy techniques online, to overcome these problems. Please describe the whole problem in detail and post a direct question to me.Hope this answers your query. Available for further clarifications.Good luck. </s> |
<s>[INST] Our 5 year old daughter has had a low grade (100.2) fever just about every morning for the past 5 weeks. Initially, she broke out in hives for 5 days and when going to the doctor he said she had only 1 tonsil inflammed but xrays of the soft tissue showed there were no cycsts on the tonsil. She is congested and takes flovent twice a day. Full blood work was drawn and everything came back normal, including negative results for mono. She s cranky in the morning but when she comes home she is fine the rest of the day. She s getting about 11 hours of sleep every nite. Our ENT visit is not for another 2 weeks. How concerned should we be about this every day low grade fever? Could it be phnemonia? [/INST] Hi,Welcome to Hcm,100.2 is a very low grade fever which can be normal in pediatric age group especially if the fever is not causing any discomfort but if she is cranky then its significant fever. It can't be pneumonia, as she has no symptoms suggestive of that. Throat infection is a possibility which is not completely recovered. You have to eventually get ent consult done to be sure everything is fine. You need'nt be worried as all the investigations are normal. Take care. Hope my info helped you. </s> |
<s>[INST] My 39 year old fiance began injecting Sustanon 250 IM to rebuild muscle tissue in his shoulder which he has repeatedly broken/dislocated over the years. He complained of injection site for days after administration (in his greater glut or quad). He was switched to Decadron with better results as far as injection site pain. Of course, all of these steroids were obtained illegally via internet from an overseas source. He didn t taper his dose when coming off of his last week of injecting the Decadron and is now experiencing night sweats. He claims that these particular types of steroids do no cause roid rage . I beg to differ. I am a nursing student and would like a better understanding of how these steroids work. Is it true that the adrenal glands eventually shut down so that a sudden d/c of this Rx is very dangerous? I m concerned about his Potassium/Sodium levels. [/INST] Hello,I will suggest you to taper off any steroids when used for a period longer than 21 days. Once you taper off slowly, the side effects will be minimal. It is always mandatory to use any steroids under the guidance of a physician. There is no mention of dose duration and frequency of use of these steroids. But the basic rule to handle steroids remain same. It is true that steroids do suppress adrenals and that's why a slow taper off is mandatory.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist </s> |
<s>[INST] I had a bartholin cyst or abcess (whichever one can burst) but I did not know I had it until it bursted. It bursted while i was peeing on the toilet. I then researched it because I got scared I had never experienced anything like that before. I felt instant relief as soon as it happened. Now here s where it gets tricky, I caught chicken pox a few days ago so I also have a few tiny blisters down there. I had the chills for about 2 days before this happened that I thought May have been from the CP but I m starting to think maybe it was infected because I read one of the symptoms for an infection is the chills and blood and pus did come out of it along with a whitish orange scab. It s still a little sore down there I m not sure if it s from the burst itself and needs to heal or it s just the blisters from the CP? Also every time I go to the bathroom or wipe a little discharge comes out of a blackish color. Is this normal? Please answer me I cannot see a doctor about it as I m still contagious from the CP. Thank you [/INST] Hello and thank you for your question. Bartholin's gland cysts are caused when this gland gets blocked and is a separate problem from the chicken pox, but is hard to know if the pain is from the healing cyst or the chicken pox. The cyst can ooze fluid, pus and even blood for a while until it heals up. Occasionally these cysts are so large that they have to be surgically opened and drained. If yours has already opened up, then the best thing to do is to use warm compresses and/or soak in warm water to encourage it to completely drain. If it gets blocked again then you may need to see a doctor at some point, but for now just use compresses and soaks to help it drain until it heals up. If you are having high fevers and a lot of pain around the cyst area (more than you would expect from the chicken pox) then you should see a doctor right away, since you may need antibiotics.I hope you are over the chicken pox soon. Thank you for using HCM. </s> |
<s>[INST] Hi I m a 21 year old black male from Germany, and I have some questions concerning my skin problem. Sadly after my puberty , I have noticed that my face became 3 shades darker than the Rest of my body. I have tried many health products to cleans my face, but all failed to recover my skin. My question is, do i have some kind of health disease? Cause its only face that became much darker [/INST] Hi..thanks for your query. You don not seem to suffer from any health disorder.You can follow the steps below to lighten your skin tone by a few shades: 1)Use a sunscreen with SPF more than50 2)Take oral vitamin c supplements and antioxidants 3)Apply a mild Glycolic acid based or Kojic acid based skin lightening cream every day. 4) Take chemical peels like Glycolic Acid peels every 15-30 days.These are latest and safest methods of skin lightening when done under the supervision of trained dermatologists.They frequently produce optimum results after 4-6 sittings. hope this helps. take care! </s> |
<s>[INST] I have been suffering from sciatica, osteoarthritis, bursitis and other back problems for the past six months and have not had relief from Celebrex or physical therapy. Is acupuncture something to pursue? I am a 93 year old female who has been active and in good health until recently. I would prefer to avoid more strong medications unless there is no other way to deal with this condition. This is something that is intermittent and sometimes very painful. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes. Accupunture can help in reducing the nerve related pain temporarily. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] Hi. I am 23 years old. Diagnosed with Seizure one year back. Am under medication. Am taking one levipil 500 in the morning and 2 in the night. I drink occassionally like once or twice in a month. Can i consume alcohol or should i stop taking it. Please advise me on this. [/INST] Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.You cannot consume Alcohol when you are on Medication for seizureHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care. </s> |
<s>[INST] Hello I was diagnosed with a UTI on Sunday night and given Bactrim. My conditioned worsened so the Dr. Put me on Cipro. I had 102 fever with lower back and side pain. After 2 doses of Cipro the fever went down and the back pain subsided. My stomach is bubbly and distended, the side pain has returned but no more back pain. The need to urinate and burning has gone away. I am also constipated. Should I be concerned of appendicitis? Would the urine test have picked this up? [/INST] Hi and welcome to HCM, You should not be concerned of appendicitis. UTI suffering patient's doesn't have appendicitis. Appendix is not located in urinary tract, to get inflammation. Do you have abdominal pain in the region of umbilicus associated with nausea or vomiting, anorexia. Nothing to worry, if necessary please take ultrasound of abdomen to rule out appendicitis. Wish you speedy recoveryThanks </s> |
<s>[INST] Hello Dr , I have been suffering from Skin rashes for past 3-4 months , It gradually increased now and now im getting this everyday in the neginning only when i sit on the Carpet the i use to get it but now it occurs very often , It appears as small bubble and on scratching it swells and spreads and feels itchy, I consulted 2 Dermatologists they gave me an injection after that it stopped for a while and comes back again , They just asked me to avoid the allergic thing but the problem is o dont know what causes allergy , I have avoided Fish,Sea-food,Chicken,lamb, Non-veg,tomato but still experinece this ... Im 29 Yrs old Male live in ghana , It itches in my Legs,Palms,foot,thighs,hips,even lips swells at times,neck, forearms and even head, My Jobs is a White collar job , Pls advise me im really suffering [/INST] Thankyou for the questionBrief...all your symptoms are highly positive for allergy (hypersensitive reaction)Detail....I would like to know if you have any other family member who suffers from these same symptoms or any member who have eczema (skin allergy).As these symptoms can be genetically too..To find out which are the things which trigger your symptoms..Make a note diary for triggering things.To know which exactly are the triggering foods ,you should get done pin prick test. ( a food allergy test).So in the future you can avoid them.I would highly recommend you to visit a allergy. specialist doctor to discuss about adranaline kit .As some time triggering stuff can be so strong to cause anaphylaxis shock which can be life threatning.Hopefully my answer would be helpfull for you.Dr.Maheshwari </s> |
<s>[INST] i was doing masturbeating for 2 years than i stopped it for 4 months now i have nightfalls(wetdreams after every seven days now i am tired plz tell me measures to prevent it also tell me is there any effect of this on brain and memory i am reading in 10th class right now .plz help no one is able to give a right answer i tried everything [/INST] HelloThanks for your query,based on the facts that you have posted it appears that you have problem of night emission.It is normal to get night emission at the age of adolescence and it does not have any negative effect on brain or memory.Following general measures will help you to boost up your confidence and improve your performance .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..There are no medications to prevent night emission.Dr.Patil. </s> |
<s>[INST] hi, my name is John. my doctor wants me to cansider taking sunitanib. I was taking gleecac for aprox. 6 years, but it seems to stop working, as I have a toumour groputh in the liver. I have a condition called GIST, I am sceduald to have CHEMOEMOBILIZATION soon.. My qwestion is is this drug (sunitanib)_ worth all the sideffects or risk? [/INST] Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.If this is nonresectable GIST which obiously is, then Sunitanib may be good option to slow done tumor progression and prolong survival rate. I may have some side effects such as nausea, vomit or headache but if you look at cost benefit then it is reasonable option for this treatment. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.DR. Ivan Rommstein </s> |
<s>[INST] due to a back injury from work my fiance saw a specialist and went to physical therapy seemed to work . He has recently has had issues with his back...back pain from middle of sine to butt muscles radiating pain down neck getting migraines has hip pain leg pain. there is also a burning sensation in his legs and feet which leads to numbness in feet. he has a feeling of unsteadiness with his balance has shoulder pain,recent numbness in arms and hands. Knees are extremely sentative(if slightly bumped extreme pain) stiffness from lower back to neck. pressure on bladder = weak urine flow [/INST] hi,thank you for providing the brief history.A thorough neuromuscular assessment is advised.As in the past the physical therapy was helpful, I will recommend to undergo same physical therapy again, for The upper limb, lower limbs and spine area. Also , for bladder related issues you may need an abdominal scan to understand the physiological status of the bladder. Also and MRI of spine is advised to see if due to any pinch nerve the bladder is giving any symptoms like the neurogenic bladder.Also ,with physical therapy again your fiance will receive the same health stauts of recovery like before.RegardsJay Indravadan Patel </s> |
<s>[INST] I had chronic anemia for almost 9 yrs. Recently I got iron infusions for 5 months, now they tell me me my anemia is gone but I still feel just as sick.I'm forever weak,tiered fatique and I always have a headache now my DR. Tells me to make an appt with my hemotologist because my plateletes are at 128. Should I be concerned [/INST] Low platelet count amy require assessment by an hematologist.meanwhile concentrate on diet rich in proteins and iron,green leafy vegetables and fruits like pappaya </s> |
<s>[INST] Hi I am 21 weeks pregnant and have an anterior placenta, I had some spotting a couple of weeks ago which I had checked out and all ok, my 20 wk anomaly scan was also ok, however today I have had more sotting this time it is more of a flow of pinkish/brownish blood - what do you think could be causing this - might it be the position of the placenta? [/INST] If your placenta is low lying that is near to your cervical os it means it's placenta previa and bleeding is because of this position. In this case you need to be cautious. Avoid heavy work or any strainous work. Avoid intercourse. Take bed rest. Regular checkup is required. </s> |
<s>[INST] shoulder numbness I keep expeierencing numbness tingling and an itching sensation on my right shoulder blade area ive have no previous injuries in that area. When I touch it when this happens I cant feel me touching skin only the pressure on the muscle also [/INST] Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to a pinched nerve in the shoulder. I suggest to do an xray of the shoulder for further evaluation. Meanwhile,I suggest using anti inflammatory medications such as Acetaminophen to relieve the symptoms. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician </s> |
<s>[INST] Thank you Squamous cells were recently discovered in a biobsy of my vagina. I had a complete hysterectomy in 2010 for uterine cancer followed up by radiation. My gyn oncology doctor's nurse recently called and said the doctor isn't concerned and to come back for my regular 6 month checkup. Needless to say I am a little concerned. Cancer is cancer. [/INST] Hi,Thanks for writing in.You have been treated by hysterectomy and radiation for uterine cancer in 2010 and recently had a vagina biopsy done as follow up. You are concerned about the presence of squamous cells in your vagina biopsy.The vagina is lined by a layer of flat cells called squamous cells. This layer of cells is also called epithelium or epithelial lining, because it is formed by epithelial cells. Any abnormal growth and multiplication of these squamous cells is an indication for cancer. In your situation, squamous cells are seen in the vagina (which is normal) and no mention about it being abnormal in morphology (appearance) or mitotic activity (multiplication) is there.Your report is normal and not a cause for concern at the moment.Hope this helps. </s> |
<s>[INST] Good day Doctor, I was diagnosed with Rheumatoid Arthritis back in 2010 which started from joints of middle finger of my left hand and then spread to other parts of my body. I was being treated with Arava, Methotrexate, Folic Acid, Prednisolone and Calcichew. Later on, my doctor stopped my medicines as it was not that much effective and started giving me a dose of Actemra 600mg with Solu Cortef 100mg given every month. I was recovering but I started developing fungal infection on parts of my body including scalp. My doctor referred me to a dermatologist who upon conducting biopsy told me that I had Psoriasis. My treatment was changed and now as of date, I am being given Cimzia 200mg every 2 weeks. Inflammation of joints disappear while i am taking the dose but once I skip (even for 2 days), I feel stiffness. Moreover, fungal infection is getting worse day by day followed by severe itching. I am unsure if I am getting the right treatment or not. Kindly advise. Thanks for your kind courtesies. [/INST] Hello,Since you have been already diagnosed with Psoriasis by biopsy then may be you are confusing with diagnosis of fungal infection but actualy the patches you have be getting would be psoriatic patches.Like Rheumatoid arthritis ,Psoriasis also is a autoimmune disease.Someone can be prone to autoimmunity because of some particular HLA system in the blood.Psoriasis is considered incureable chronic skin condition which needs contineous medical care to avoid further detoriation.It may need topical medications include corticosteroids,vitamin D analogue creams like calcitrol,moisturizers,topical immunomodulators E.g..tacrolimus.And coal tar can also be used in treatment.I would suggest you to get checked by Rheumatologist so it can be treated according to the stage of Psoriasis and Rheumatoid arthritis.Hope my answer is helpfull,Regards,Dr.Maheshwari </s> |
<s>[INST] Hello, my name is JoAnn Endress. I am 59 years old. I had 2 failed lower back surgeries in 1999 and 2000. I have neuropathy all of the way down to my feet. I have been falling a lot the past few weeks. I have rods and screws from L2 to S1. I have been seeing the same Pain Managemt Dr. for the past 10 years, I have been good and faithful. He has sent some records on D.V.D. form and old x-rays. I am running out of my pain meds. My pain has been getting worse. [/INST] Hi, JoannEndress, You are 59 years old, You had 2 surgeries on lower back, and both failed,had neuropathy, you have rods and screws from l2 to s1, you are on pain medication. You must be knoing that it is a must to bear the pain,you can try to minimise the pain.I to my patients prescribe gabapentine, methyl cobalamine, along with pain killers. Avoid potato, other tubers, tomato, egg, chicken, and sea foods. Practice meditation, minimal yoga, reading books, and hearing music. Thank you. </s> |
<s>[INST] Hi Doc,Past week I had sudden rashes at thigh, buttocks, waistlines, back of elbow and sometimes shoulder; that comes out at night, especially after waking up from a sleep, but gone by day and coming at an alarming cycle. Sometimes itchy, mostly not until I touched it. [/INST] "Hi!Welcome to Healthcaremagic. com.I have read your query in detail and do understand your concern. You seem to be suffering from urticaria. It appears in form of sudden wheals and then settles down without leaving a mark.If you find any causative factors- any dietary substance, dust, exertion, etc, try to avoid it. Usually long term-low dose treatment is required required in form of antihistamines Apply calamine lotion over affected areas.Investigations in urticaria are more often than not, non contributory. It is very difficult to narrow down to one or more causative factors.Hope this helps!Good luck!" </s> |
<s>[INST] thanks for your concern. my daughter is two years old.she is having two peanut sized bulgings over tibia bone below the knee.i think they are painless because she is very active and never complained about it .iam very much worried . can any one tell me what it could be. [/INST] Hi.... by what you quote I feel that it could be small lipoma or a dermoid cyst or fibrous cyst which are appearing like small nodules below the knee joint. As this is not causing any discomfort you need not worry. Nevertheless I suggest that you consult your pediatrician regarding this.Regards - Dr. Sumanth </s> |
<s>[INST] Hi I have a big lump on my eyelid, right below the eyebrow. It is red, has no opening and it feels like a hard ball under the skin. It is more on the outer side of the eyelid and has gotten very noticable. It all started one or two months ago when I walked into a wall( hahah..). I got a little wound on the upper eyelid and I started plucking it, couldnt leave it alone:/. Then I noticed a little "ball like pimple" under my skin. It was not red or anything. I have put some hot compress on it but it wont really help. It has grown and now it is really red and looks swollen. I am going to see the doctor soon but I have a big event coming up and I cant wait for my appointment!! What can I do? [/INST] Hi.Looking to the history it seems that following injury on the part there might be having some hematoma and now there might be developing some infection producing lump.Apply ice pack 2-3 times a day for few days.If pain or swelling increases, collected blood or exudate should be drained to get relief.Ok and take care. </s> |
<s>[INST] how to convert pmol/L to ng/mL?What is the normal values of first trimester? [/INST] Hello.Welcome.I have read your question three times but can't make out what you are asking.Please be clear in what you ask for.Good luck. </s> |
<s>[INST] I am looking for a second opinion on my daughter's regime of medications. She is a 51 year old MR individual who started experiencing behaviors and has been placed on medication that leaves her with trembling lips, sluggish walk, stuttering, unable to complete sentences. Her spirit is gone. Another med prescribed to "bring her back" and it has done that somewhat, but not entirely. I feel she is totally scrambled at this time, and I am trying to find a physiatrist that works with the MR population in the New London, CT area to secure the second opinion. Thank you. [/INST] Hi,Although you have not mentioned the names of the medicines, from your description it appears that your daughter is suffering from the extra-pyramidal side effects of certain anti-psychotic medicines and later was prescribed an anticholinergic medicine like trihexyphenidyl or benztropine to reduce these adverse effects. Since this helped her only to some extent, you are worried and looking for another doctor. While you are trying to find a more suitable doctor, you can ask your previous doctor to do one of the following:1) to consider changing her antipsychotic to one which has lesser risk of extra-pyramidal side effects2) to lower the dose of the antipsychotic medicine3) to increase the dose of the anticholinergic medicine prescribed to reduce the side effectsI am sure these steps will benefit her.Best wishes. </s> |
<s>[INST] 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> |
<s>[INST] My 9 yr old daughter woke up yesterday and started vomiting. Had diarrhea soon thereafter, but no fever. It went on all day and all night. She vomited at least 17 times. Before bed her temp was 99.6. Woke up at 3:30am with 101.5 fever. Put her in cool bath and gave Motrin. She threw that right back up. Fell back asleep and woke at 7am with 102.6 fever, so I put her back in tub and gave Motrin again. She felt better and temp dropped to 99.6. She had some ginger ale, some Gatorade, and a few saltine crackers. She fell back asleep around 11:00am and slept till almost 4pm. She woke up crying with a temp of 103.2, so I brought her to a walk-in clinic where they tested her for the Flu, and it came back negative.... ? [/INST] Hi,From history it seems that she might be having acute gastro-enteritis.As she is having profuse vomiting and fever, there is likely of having dehydration and as vomiting is continuous, she might require hospital admission for IV infusions and IV antibiotics.Go to ER and get examined.Meanwhile give her plenty of water, electrolytes and ORS liquids if she can retain them.Ok and take care. </s> |
<s>[INST] I used to have nevelon tablet for menstruation cycle as described by the doctor every month and it also used like contraceptive pills..my question was after completion of the medicines I had an intercourse with my husband after 2 days .right now am I save or having chances of becoming pregnant. ?I had periods after 5 6 days after completion of the tablet. .now what I will do? [/INST] Hi there, I have understood your concern and I will suggest you the best possible treatment options.Tablet Novelon is Avery good oral contraceptive pill and it also helps to regulate the menses. It's usually taken daily one tablet for 21 days and repeated after the gap of 7 pill free days.Most women get their periods in this pill free period of 7 days.As far as your doubt is concerned, sexual activity in this pill free period is definitely not going to lead to pregnancy. As these pills already supress the egg formation in the middle of the cycle.So you need not worry about the pregnancy.Please opt for a healthy diet and regular exercise regimen and daily folic acid supplementation.I hope this answer helps you.Thanks.Dr. Purushottam Neurgaonkar </s> |
<s>[INST] Hello, I'm a female teacher, 40 years old. I just got my hemoglobin test result which is 106 g/dL, hematocrit is 0.32, white blood cell 6.9, red blood cell is 3.71. I'm experiencing dizzines and I'm having difficulty in concentration. What type of anemia am I suffering? [/INST] Hi,Thanks for asking.Based on your query, my opinion is as follows.1. You are having anemia. This is causing dizziness and fatigue resulting in difficulty in concentration.2. Complete red cell indices or peripheral smear is necessary to identify the morphological type and the cause of anemia. Based on RBC count and hemoglobin level it appears to be macrocytic anemia.3. Take Vit B12 and folic acid supplements and also increase in diet through fish, egg, pulses and green leafy vegetables. It should improve soon. A reticulocyte count test after 15 days can show if its improving. Hope it helps.Any further queries, happy to help again. </s> |
<s>[INST] I AM A CKD PATIENT NOW ON CAPD. NEED TRANSPLANT. MY KIDNEY'S NOT BEEN DONE ANY BIOPSY BUT MY DR. IN KUWAIT IS TELLING KIDNEY FAILED DUE TO ANTI GBM ANTIBODY. I HAVE SKIN DISEASE FOR 35 YRS AND I THINK THERE IS RELATION BETWEEN THIS SKIN DISEASE AND KIDNEY DISEASE. IF I GO FOR TRANSPLANT, DOES THIS PROBLEM AFFECT MY NEW TRANSPLANTED KIDNEY? [/INST] Hi,A lot of research is going on on the topic of anti glomerular basement membrane (anti GBM) antibody disease recurrence after transplantation. Anti-glomerular basement membrane (GBM) antibody disease may progress to end-stage renal failure, requiring either dialysis or renal transplantation. There are only six reported cases of symptomatic recurrent anti-GBM disease in the literature. The incidence of recurrent linear Immunoglobulin G (IgG) staining in the transplant may be as high as 50 percent. However, most patients remain asymptomatic. You may discuss this point with your doctor. </s> |
<s>[INST] Was on Simvastatin (high cholesterol) and read in AARP that it is a statin and causes symptoms that I have had since taking it and they are increasing…dizziness, loss of short term memory, vision issues . What other meds can I take for high cholesterol that do NOT cause these side effects. Stopped taking Simvastatin on my own and the doctor reluctantly agreed with the AARP article and told me to take Garlic and Flaxseed oil…but with no recommendations of dosages. What is your professional opinion…can you advise? PLEASE CANCEL…DID NOT KNOW THERE WOULD BE A CHARGE. THANKS ANYWAY... [/INST] Hi, Simvastatin is an old statin and has various side effects. Atorvastatin is a better alternative.Though it may cause dizziness but is mostly well tolerated. Garlic and Flaxseed oil may not give the desired results. Hope I have answered your query. Let me know if I can assist you further. Take care. All the best. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist </s> |
<s>[INST] Hey my head feels weird, like it has a little pressure and slight dizziness at times. My heart feels like if it beating a lil fast and not too long ago while I was in bed I felt like I couldn t move, or open my mouth to talk as if I had a very mini stroke it seizure. Please help. [/INST] Hi,Thanks for writing in.In your case the possibility of a seizure or evolving stroke needs to be evaluated.Dizziness can be due to many reasons and can happen due to decreased blood flow from heart to brain. When it happens, the blood flowing through the vessels from heart to brain might have a reduced flow. These are by the carotid and vertebral arteries on either sides. This can also happen due to momentary reduction in blood flow through the carotid arteries due to the pressure of a cervical rib or degenerative changes in the cervical spine, when you look up, down or turn your head.A clinical examination by the neurologist is essential to know the investigations to be further done for you. While bony cervical ribs or degenerative changes in cervical spine can be seen on X ray, a brain scan and other investigations to study the flow of blood to the brain might also be required as a part of evaluation.Dizziness can also occur due to problems in the inner ear and balance mechanism of the body. </s> |
<s>[INST] Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> </s> |
<s>[INST] I am 36 years old male.I am suffering from back pain from 2 months.Today I meet a doctor.He checked my BP. It is 160/106.He advised me to test TC,DC,Hb%,ESR,Blood Urea,uric acid,serum creatinin and xray of lumbo sacral spine Ap/Lat and prescribed me prolomet xl 25,jupiros 5, dansia and dolentia relax gel.MYy question,are prescription and advice for different test ok for me? [/INST] Definitely medicine decreases ...blood pressure ...but urs blood pressure not controlled well...tests are OK on first visit to know baseline parameter ...so u can do it </s> |
<s>[INST] Hi doctor, I am suffering from ringworm since last one and a half months. Currently, my arms, legs and face are infected. Along with this suffering, I am itching in armpits, leg pits and scrotum only in summer seasons or after sweating. My current medications are I Tyza 200 or IT Mac 200 one capsule in a day for the past 45 days, Funzi MX cream or Fourderm cream two times a day and I am using it for more than two months and powder and soap containing Clotrimazole (Candid or Clocip Dusting Powder and Candid or Keto soap). I am a 29 year old male. My weight is 69 kg and I am overweight for my height. I do not have diabetes. I am currently in a hot and humid place. I request you to kindly suggest a permanent cure for my problem. [/INST] Hi. I have seen your query. You are on the right medicine for ringworm, but there may be chances that you may have a resistant strain of fungus. So, should not use any steroid containing cream. Now, I suggest tablet Trfy 250 mg (Terbinafine) once daily for 21 days and this tablet have both fungistatic and fungicidal properties. Also, I suggest an application of DK gel (2% Miconazole) twice daily for at least two months. Continue using KZ soap (Ketoconazole) and Adzorb powder (Clotrimazole). Consult your doctor, discuss with him or her and take the treatment with consent. Please get review after one month. Revert back after a month to a dermatologist online --> </s> |
<s>[INST] I got hit by a car a while ago and damaged my knee. They diagnosed a clack in my shin a month later but have said this has since healed. I still keep getting pain and it feels like pressure builds inside my knee, whenever I get the pain or the knee cap click I get a small bruise appear around the edge of the knee cap. It doesn't occur in the same place but moves all around the edge of the knee cap. I don't know if you can help? Thanks. [/INST] Hi, there!MRI scan of knee joint will be useful to diagnose meniscal tear/subluxation.Knee clicking/blocking and swelling is meniscal tear sign.I hope this helps </s> |
<s>[INST] I am a 59yr old woman with HCV caused cirrhosis. About 50% of the time my doctor takes my blood pressure it is normal (120/70 or 80) and the other times it's high (160/105) or more. Had heart tested a couple of years ago and it was fine. Pre-cirrhosis it was always low. Ideas? [/INST] Hello , thank you for your question . Liver cirrhosis needs a complex treatment . If you were my patient i would suggest you to get an appointment with gastroenterologist . You need to get regular ultrasonographic and biochemistry exams to check the status of the desease. I have to warn you that liver cirrhosis is a main cause for liver cancer . You should switch to a liver friendly diet - no fried foods , no fatty things , lemons etc. etc. . Its is good for you to take regularly hepatoprotective medicines . You have to be aware of one of the complication of cirrosis - portal hypertension . You may develop varices of the esophag which can bleed badly . Your condition needs dedicated lifelong treatment . Hope i helped you </s> |
<s>[INST] Hi I am looking for a neuro medical doctor for my father who is paralysed and unconconsious at present due to severe convulsions attacks ,this started when he had his brain tumour surgery in 2006,it was a right frontal bone removal surgery and soon after that he had these seizures an later on turned in to massive which lead him to bedridden and now he has trausteomy pipe through his lungs so he is not able to speak as itss ove rthe vocal code .i want you to suggest and explain what precautions we didn t apply that took him to this stage ?secondly does it happens to every single patient dealing with brain surgery? [/INST] Hi, Thank you for posting your query. It is unfortunate to note that your father is paralysed after the surgery and convulsions. It is not common to have seizures (convulsions) and paralysis after surgery. However, in some cases,it may happen. We need the following information to answer your query better: 1. Where was the tumor located and its size etc- MRI report would tell us all this informaiton. 2. What surgery was done- you mentioned frontal bone, which seems to be incorrect- the discharge summary would mention that. 3. Was there any complication during surgery, such as bleeding at the site of surgery. Please get back with the details. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad </s> |
<s>[INST] Hi DOc, I met with an accident in 2013 june. I got brain injury after which I was not able to manage my Anxiety and depression. My doctor started with Nexito 20 and Oleanze 5 I tapered off the medicine on my own to Nexito 5 only. Now I am taking Nexito 5 for last 1 month. Is this a good time to stop Nexito 5 or I should continue it for some time. Thanks, SUnil [/INST] HiThanks for using healthcare magicIf you do not have any depressive or anxiety symptoms, that can stop it. There is not need to take nexito 5 mg, it is below therapeutic dose. You have already completed 8 months course for treatment, it would better to leave the drug. In case, any thing depressive episode happens in future, you can again consult your psychiatrist.Thanks </s> |
<s>[INST] hi doctor, my son (1 yr old) just got tru a kind of small pox with boils all over his body including his palms, tounge and ulcers in his mouth. my family pediatrics infrmd us this is hand, mouth and foot disease which is a viral infection. my son got well from this and aftr few days similar boils are to be seen on his body again. the size of th boil is close to 1 cm with a soft pore commin in between. and lookin pale pinkish compared to the skin clour. please advise doctor what is it and can be donr to curb it. [/INST] Hand foot and mouth disease is a common viral infection that needs only treatment for symptomatic relief. Antibiotics are not required. Give paracetamol to bring down temperature if present. Like many viral infections it is associated with skin rashes. Small pox is already eradicated and you probably mean chicken pox. Since your doctor has already examined it, I think that there is more possibility of his being right. In any case, you would have to be a bit patient and wait for it to resolve spontaneously. Apply emollients and moisturisers. </s> |
<s>[INST] went to doctor for blood test and liver enzymes came back 10 times the normal limit the day before i went in for test i had been sick fever chills and vomiting i also take meloxicam could that cause high enzyme count all other blood test taken that day came back fine [/INST] Hi and welcome to HCM. Thank you for your query.Yes, this is possible causes since its effect on liver markers is known and if you dont take any other medication so if there is no viral hepatitis then it could be caused by meloxicam and its dosage should be reduced.Wish you good health. Regards </s> |
<s>[INST] I have this white, flaky scab like thing on my knee.I don't recall getting any cuts there and I don't know what cause it.I usually don't put on lotion and I thought it was because my skin is dry..But it's just that part.What is it and how do I get rid of it? [/INST] Hello,Welcome to healthcare magic,From your description I feel it could be psoriasis as it is a very common site. Kindly consult a dermatologist to confirm the diagnosis. Please apply a moisturizing cream every day twice daily over the lesion.Hope this helped,Take care. </s> |
<s>[INST] Sir my father is 57 years old.he is suffering from paralysis since 6 Month old.he is also patient of high blood pressure. He recives attack of paralysis due to blood pressure every time.his left side is effected by paralysis he can't moved his left side.Please guide me what to do for the body movment as soon as possible. [/INST] Hi,Thank you for posting your query.I have read your father's symptoms in detail, and I think he has suffered a brain stroke, affecting the right side of brain. As the right side of brain controls the movements on the left side of body, he is unable to move the affected side (left side).MRI scan of brain wold confirm the diagnosis- ischemia (lack of blood flow) or haemorrhage (bleeding into brain tissue).If it is ischemic stroke, he would require aspirin tablet to prevent strokes in the future. In addition, he would require intensive physiotherapy and rehabilitation to speed up the recovery.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: </s> |
<s>[INST] My sister aged 45 years has abnormal behaviour.Wants to be alone, doesn t like mass of people . uses locks at room even rooms and windows are closed . uses bad words even for her children. Does work opposite to what is said to her.please suggest what to do... [/INST] Hello thanks for asking from HCMThe symptoms like social withdrawal (living alone), not liking people, bad words and scolding children could occur in depression though detailed evaluation is needed to make a diagnosis. She is also showing aggressive behaviour and this could be due to atypical features of depression. I would advise you to consult a psychiatrist for her treatment. For depressive symptoms SSRI medicines like Sertraline, Paroxetine etc prove useful. For aggression medicines like Mood stabilisers as Sodium Valproate, Carbamazapine etc can help in improvement. Consult a psychiatrist for proper prescription of these drugs.Advise her to do relaxation exercises, yoga to relax herself. Cognitive therapy also have excellent effects in depression.Thanks, hope this helps you. </s> |
<s>[INST] I have a severe issue I cant seem to get my self started I can't keep my grades up and I can't ever finish anything. I'm always enthusiastic at the begging and then I seem to be in a like robotic motion. I don't understand it I really want a great life but I know I'm wasting it away doing nothing I mean I have to convince myselfor to brush my teeth at night. There is allot more but can anyone give me an idea of what I should do? [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. Motivation is the result of needs. Only if you have need you will be motivated. You are motivated to eat because there is a need. You will be motivated to request somebody for help if you need help. The whole of human life revolves around this need and motivation circle. Therefore, to have a solution for your current position, you should have a strong need. For everyone, for ages, goal is acting as need and goal directed behavior as response. Set an aim and promise and thrive to achieve it. You should practice psychotherapy techniques to streamline your life style and meditation and yoga techniques to calm your mind, body, streamline your metabolism and thinking style. Please consult a psychologist.If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to over come your problems.Hope this answers your query. Available for further clarifications.Good luck. </s> |
<s>[INST] Wacked my back of my hand hard on a gate heard a crack pain immediately brought me to sit on the floor I don t see and bruising or swelling but get sharp pains goes up my arm. Can move fingers but sore. When close my hand on have pain on the outside of my hand. What should of do? [/INST] Hi, immediately apply ice for ten minutes and strap the hand, and then get it x-rayed. It might be a fracture. Regards </s> |
<s>[INST] my son has had little welts all over his body for the last 2 days...he doesn t have a fever and it doesn t seem to bother him, but last night he started vomiting and then so did i. and i still don t feel very good. do i need to take him to the doctor or will this pass? [/INST] Hi,Had he taken any food items other than usual? Any history of atopy, like eczema or wheezing in the past? Welts indicates some form of allergic reaction, which may be associated with vomiting if there is mucosal involvement too. Many times we will not find out any specific cause.If he is otherwise active and playful, and not associated with breathing difficulty / stridor / swelling around lips and eyes, you can give antihistamine like hydroxyzine for 5 days and ondansetron for 2-3 days, both three times a day (dose depends on age and weight). Calamine lotion application over welts can have a soothing effect.If not getting down in 2 days or the above said features are present, kindly take him to doctor as he may need steroids too. Meanwhile give frequent feeds in small amount, to improve retention.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician </s> |
<s>[INST] I have been using my CPAP for 1.5 years for sleep apnea without any problems. Two months ago I was away for 3+ weeks (family emergency) without my CPAP. I arrived home very tired and without thinking to wash out my CPAP, I just filled the container and went to bed. Shortly after, I developed a severe cough and then developed a severe breathing problem. Short of breath just getting dressed, or doing any menial chore. I have had two different diagnosis - pneumonia then asthma. After two months I am getting worse rather than better. Question: Any possibility the non use of CPAP could have caused a lung fungus? [/INST] Yes there is a high chance that as the CPAP was not used for the 3 weeks you were away, it built up fungus in the mask due to the humidity.And as you must have used it later without washing it properly, it can lead to the fungal infection.However not necessary that it is a fungal infection, it can be a bacterial infection also. Get a CT chest done and see a chest physician with the reports </s> |