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<s>[INST] I am Female age 36 years, Problem is : Some time I find black spot on the Thai muscle and also fill pain, and also nerve squsing, So what supposed to do ?? I have symptoms of Thiroid. [/INST] Hello R u hypothyroid? Nerve related problems can occur in hypothyroidism.but do u c black spots?or greenish black bruise like spots which wud indicate bleeding inside.if yes kindly show it to a consultant physician.till then eat foods rich in vitamins or take multivits n calcium tablets which may help Thnx </s> |
<s>[INST] 6 year old daughter has been complaing about her stomach hurting all day then shes been cold too .around 8 at night she got a fever but says she cold she has the chills took her a bath gave her moltrin but she Iis still the same she also has a stuffy nose .I put some vapor rub to help clear her nose.should I cover her up or turn the fan on to cool her down even though shes freezing? [/INST] Thank you for the query.As you have described that she is feeling cold, do not give her bath or switch on fan or so.For tummy ache- has she passed motion normally? Is she passing motion normally for past few days? Is her food intake more of junk of normal diet with lots of fruits, vegetables and plenty of fluids?If any of this is no most probably she is suffering from constipation.Have a conversation with her if she has any problems at school or with friends.Give her warm water to drink, this will help her to come to normal temperature soon. Wait and watch for the time being and visit a doctor if something major change develops. </s> |
<s>[INST] Hubby has chrone he hurt his back and cant walk so we took him to hospital when he got there he needed a blood transfusion 4 bags and also a bag of iron i also gave him a humira shot he has since got home and he seems worse he has swallen gums face sore throat he is tired in a lot of pain and still cant walk noone has any idea can u help he is 42 weight 80 kg [/INST] Hi, If he was that ANEMIC that he required that many bags of blood AND iron then, he needs to be seen for BLOOD LOSS issues which would include GI bleeding and then, on the other side of the equation, blood production problems which would include bone marrow pathologies. I highly recommend getting a consultation with a GI specialist and a HEMATOLOGIST/ONCOLOGIST as he may also have some type of tumorous growth in the body that needs to be identified. I'm not sure why you would give him a shot of HUMIRA unless it belongs to him and you were instructed to that. Otherwise, if the Humira is something he only received based on your desire to help and he immediately got swollen gums and face then, perhaps he's having an allergic reaction to that medication. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist </s> |
<s>[INST] Hello Doctor, I have been suffering with pain in my lower abdomen on the left side for the last two months. I consulted a doctor and got the following tests done- USG whole abdomen, Creatinine, Lipid profile, Thyroid, Urine Culture and Routine. The usg shows collection of fluid behind the uterus as told to me by the doctor who checked thye reports. He prescribed me Taxim. After taking those tablets the pain reduced but it is not completely curing. Please suggest..i m worried very much. Thanku Reena Pandey [/INST] Hi Reena,Thanks for your query.The commonest causes of little fluid in the narrow pouch (called Pouch of Douglas) between the rectum and uterus. A small amount of free fluid in the Pouch of Douglas is completely normal, and may just be an indicator of where a woman is in her menstrual cycle. The Pouch of Douglas typically holds a bit of fluid immediately after ovulation monthly. This fluid dissipates on its own as a woman continues on her cycle, and reappears during the next month's cycle.However, an infection of the peritoneal cavity can also cause fluid to build up in the pouch of Douglas. Infection is usually due to gonorrhea, fungal and trichomonal organisms.Common causes of fluid in the pouch are :-* irritable bowel syndrome* ovarian cysts* Pelvic inflammatory diseaseI personally feel that Taxim or, preferably Azithromycin should be given along with anti-fungal (such as Fluconazole) + anti-amebic drug, such as metronidazole, tinidazole or secnidazole. Consult your doctor and apprise him of my opinion. I am certain that he agree with me, order required tests, and- based on the reports- will prescribe suitable treatment as advised.If you find my response helpful and informative, do not forget an “excellent” rating to my answer, to encourage all doctors- engaged in social service- to render sound advice to the FREE queries. Fond regards and have a nice dayDr. Rakesh Karanwal </s> |
<s>[INST] I have scoliosis and Did generative disk disease in my L5 and S1 with severe pain how s it treating and a fractured tailbone and calcium buildup on lower part of spine and tailbone I m ok frist part of the morning at work but as the day goes on I m in a lot of pain I do a lot of twisting and bending at work what can I do [/INST] Hello, As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. The symptoms are consistent with a condition called coccyalgia. If symptoms persist better to consult an orthopedician and get evaluated. 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] my fiance's brother is 3 years old an has threadworms, i am 22 weeks pregnant and i am worried if i catch them then with they harm my baby at all as i know i can not take anythink while i am pregnant also i with be breast feeding and worried if his case dont clear cant they then harm my baby [/INST] Good day and thanks for the question. It cannot harm your unborn baby and please don't feel worried. I wish you a safe delivery. </s> |
<s>[INST] I had a sudden rash break out overnight at the creases on both arms and a few spots along the lower right arm. I have been applying cortisone cream, but am wondering could this be an allergic reaction to foods eaten at a Mexican restaurant last evening? [/INST] Hi, Yes. foods are one of the commonest causes of allergy. You can take a dose of antihistamine tablet. But, I recommend you to consult your dermatologist as soon as possible for further management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian, Dermatologist </s> |
<s>[INST] patient:Rajaram-Male,48years.suffering from dust alergy & cough for 3 months.lost weight 6kg.consulted doctor with chest x ray.advised to take montec-lc, levofloxacin,monto4,adliv forte & Blong.cough subsided 80%.a strong apetite, playing shuttle, medicine(monto4) continued last 25 days. like to know healthiness of lungs and further treatment. [/INST] Hello Rajaram,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. I would almost agree with your current treatment and would suggest you to continue Montec-LC for sinusitis.2. To know healthiness of lungs, I would suggest you spirometry which measures your lung capacity. 3. For diagnosis of allergies, I would suggest you allergy testing which will help you identify the substances causing allergies to you and also to know the measures to avoid them.Based on the report, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over a long period. This consists the further treatment of allergies.4. In general I would suggest you to avoid exposure to dusts, smokes and air pollution.5. Regular breathing exercises and a healthy diet also will help you in a long run.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards. </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] hi doctor! I'm 23 years old.. i was suffering from breathing difficulty for 4-5 years. i went to ENT specialist. he suggest me the nose bone straightening surgery.. i have undergone the surgery on 7th jan 2011. but still my breathing difficulty continuing.. breathing through mouth.. i went to same doctor again and told the problem but he gave me some medicines to follow... but no use of that also...im very depressed...what should i do further? pls help me out to overcome this difficulty... pls [/INST] Thanks for your question on Healthcare Magic.I can understand your concern.Acute breathing difficulties can be due to acute bronchitis or asthma.So better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test).You may need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Do warm water gargles and steam inhalation 4-5 times a day.Don't worry, you will be alright.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s> |
<s>[INST] My son has been sick on and off for 6 weeks, with stomach pain, loose stool, low energy and very pale. No fever, but looks weak and pale. In the last two weeks he woke up screaming with stomach pain and we took him to the emergency twice. They thought he had a viral infection first time and sent us on our way. Didn't even see us the second time. The pain is acute and only lasts at that intensity for few hours at the most, so he presents fine at emergency, eating, drinking, no fever etc. Walk in clinic ordered an ultrasound (came back normal, thought he might have intestinal swelling) and blood work. Blood work came back with high hemoglobin, hematocrit, red blood cell count and platelet count. Most others were close to being high too. What could this mean? [/INST] This is the classical case of polycythemia vera. it is a abnormal increase in RBC, Platelets, granulocytes. This increase leads to abrnormal high hematocrit. many a time it will cause blockade in the small blood vessels like Gastro Intestinal Tract in your case. and leads to ischemia and resulting in pain. consult hematologist near you and start the treatment accordingly. thnx </s> |
<s>[INST] gud evening..! i want to get some advice as on year 2003 i got sustained flame burn on my thigh.80% of wound got epitheliazed within 15days and rest 20% of wound took longer to heal.now i have scar hyperhopy posterior aspect of right thigh and small area on ant aspect of left thigh.now i want reconstruct surgery for scar part..now you tell what should i do.. [/INST] Hi, For hypertrophic scar you can take injection triamcinolone intral lesional, it will solve your problem but if still scar will remains you can opt for plastic surgery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon </s> |
<s>[INST] i got my ivf on 3 rd oct this year and after 8 days got my first beta hcg which was 26 then after 48 hrs a second test showed rise to 556 levels after 48 again i did third beta hcg and an ultrasound , though an ultrasound showed possible to sacs but no confirmed report , third beta hcg showed 1117 levels . does it mean i m pregnant [/INST] Hi, It means that you are pregnant. But whether its single or twins will be confirmed by ultrasound afterwords. Wish you good health. </s> |
<s>[INST] My son is almost 3 years old-he has been vomiting on and off for a little over 2 weeks. Occasional diarrhea-every other day-he was usually very active-the last day or 2 seems more tired than usual. We took him his pediatrician today and he said it was a virus-he coughs right before he vomits-I was thinking post nasal drip. Isn't too long to be a virus? What are your thoughts? No fever. [/INST] Sometimes, viruses take a longer time to clear. However, to be sure, you should do his stool exam and his blood counts so that, if needed, he can be started on antibiotics. Post-nasal drip is unlikely in a three-year old child. The more likely cause of his cough are adenoids. </s> |
<s>[INST] hi i am a 47 year old woman, have been on kolladpin for probably 2 years now, i took myself off it, for no other reason then cannot afford..which i believe was a big mistake, i have been having chest pains, anxiety attacks , mood swings, shortness of breath. is this all related to getting off them? should i just get right back on them? i started taking them because i am going thru menapause, was depressed, mostly anxious, and lack of sleep, so my dr prescribed these [/INST] Hello, Klonopin is a good drug for the anxiety disorder. Its only after a proper course of these drugs, that they are gradually tapered off under supervision. Withdrawing them suddenly would have surely brought you the above symptoms. Best way would be to re-start them and then consult your psychiatrist. You should also try CBT and other psychotherapies along with the drugs. Hope I am able to answer your question. Wish you good health. </s> |
<s>[INST] can severe neuropathy with charcot in both feet cause infection in the foot, ankle and leg bones. My charcot is active now, Dr. stabzlized my right foot in an air cast boot yesterday, but the pain is so bad it feels like it is deep in my bones from my big toe, across my foot, and all the way up my right leg, especially in my ankle and knee, plus my whole foot. What can I do now. The only thing I am taking is a baby asprin daily and tramadol, 2 4 times daily. [/INST] Hello, thank you for your contact to healthcaremagic. If I am your doctor I suggest you that neuropathy cause pain in some area and analgesia in some area, so while walking at the area where analgesia you receive injury. This injury gradually takes the place of ulcers reaching bone. Air cast shoe is the god treatment option for you, treatment you are receiving is also a good one. If you have to ask me anything you can contact me. Dr Arun Tank. Infectious disease specialist. Thank you. </s> |
<s>[INST] Hello doctor,I am a 41 year old female. I woke up in the morning with wheezing, throat congestion, and cough. The cough was not dry but with mucus. It looks like the weather has triggered it. I have experienced this condition previously at the same time of the year. I also feel some heaviness in the chest. Please suggest. [/INST] Hello. For more information consult an ENT otolaryngologist online --> </s> |
<s>[INST] Hi doctor, I am a 23 year old girl. I am suffering from irregular periods for the last two years. With medication period occurs, but the problem persists when the medicine is discontinued. I had my last periods two months back. Tests done for TSH and pelvic ultrasound done. Please guide. [/INST] Hello. Revert back with the detailed history to an obstetrician and gynaecologist online --> </s> |
<s>[INST] Good afternoon, Last night I waked up in the middle of the night with a burning, cramping sensation on my LLQ for about 20 Min, so bad that I went to the ER. The waiting time was about 4 Hrs, and I notice that the pain when from a 10 down to a 4 so I decide to go home. I feel right now a funny sensation on my left side. I am worry. Any ideas. thank you for your time. [/INST] Hi, Possibly some ureteric stone or intestinal infection which seems to be settling down. Worthwhile getting a urine examination, ultrasonography of abdomen done to determine the cause since the pain was severe. Hope this answers your query. Wish you a speedy recovery. </s> |
<s>[INST] I'm a 23 year old female Mother of 2. I have a swollen ( lump like) area on Right side Collarbone. It is accompanied by a very uncomfortable feeling of tightness and pain. I feel very fatigued. Mood swings. Anxiety. Easily agitated. Head aches. The back of my neck is also feeling similar but more of a stress provoked tightening and swollen, No hard lump. Just softness.My collarbone does not feel like stress. I'm not usually like this. No injuries. I don't work out, just mommy duties. What could be causing this?Sully. [/INST] welcome to Health care magic.1.Most possible cause could be brachial cleft cyst - which is from long time with out pain.2.Then lymph nodal enlargement with any underlying medical conditions infections / inflammations.3.And last infective cause with collection, pain on touch and radiating pain - had recent fever ( bacterial infection abscess / infective cystic collection)4.Get an ultrasound lesion / lump to find out the nature of the lump, its source and extensions.5.After that a course of antibiotics will help in infective causes, a small incision depending on the condition.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. </s> |
<s>[INST] Hi, I am a lifeguard at my local pool as i was last summer. Last summer went good and I had never been dehydrated or felt like i do this summer. But this year I have felt anxious, constantly tired, at times weak, i feel constantly thirsty, i have to urinate almost every hour of the day,i feel lightheaded and sometimes nauseated. Can you give me any ideas of whats causing this? [/INST] Hello Good Evening,As per your description you did not mention your age and your weight and history of your weight gain or loss.Your symptoms can be just physiological, nothing to worry or can be of Diabetes.Because in Diabetes there are major symptoms are:1. loss of weight2. frequent urination3. increased thirst4. increased hunger.Other symptoms can occur, because you are loosing weight but same physical exertion.So you should rule out, that you are suffered by Diabetes or not, by following investigations:1. Blood Sugar levels (Fasting and PP)2. HbA1c levelRegards. </s> |
<s>[INST] dear doctor, My name is hari from India. I have been suffering from a kind of chest pain from past 8-9 months. I consulted with many doctors and all of them landed up with different diagnosis. But the problem is still persisting. Could you please help me to recover from this? [/INST] Hi thanks for contacting health care magic.Apart from chest pain you have mentioned not any other symptoms ....You have chronic chest pain....Its better you consult pulmonologist for your auscultation and respi examination.Spirometry that is pulmonary function test done to diagnose whether any restrictive or obstructive pulmonary disease if present....Chest x ray also useful....Second if you have history of trauma then muscular tear can lead muscular chest pain.If your ribs tender to touch then costochondritis can be there.For that brufen given....If your pain severe and constricting type then ECHO done for rule out ischemic problem.Take care.With proper examination and above investigation your diagnosis will be revealed.Consult pulmonologist for that.Take care </s> |
<s>[INST] Hi doctor, I have chest pain for quite a few days and have discomfort on jaws and back. I also have neck pain and arm pain. I have gone through lipid test, ECG twice, echo and TMT. All are normal. My BP remains 115/75 mmHg, my cholesterol is 163, HDL 47 and LDL 98. In TMT, I achieved 13.8 METs maximum; bpm was 181 with BP of 170/100 mmHg on TMT. I have a fear that I may still get a heart attack. I showed to my doctor, and he said that I would not have a heart attack for the next 15years. But, I am not able to get in my.mind. I use to smoke and now have quit smoking. Please help me. [/INST] Hi. I have noted all your details. Tablet Ultracet (Acetaminophen and Tramadol) twice daily for three days. X-ray AP (anteroposterior) and lateral cervical spine to rule out spondylosis. For further information consult a cardiologist online.---> </s> |
<s>[INST] For a week now I have had a weird sticky substance on my scrotum. Sometimes my penis also feels sticky. This doesn't go away when I shower. I don't feel any pain or soreness, and there is no swelling. Its just sticky all the time. Baby powder helps however is not a permanent solution. Please help. [/INST] Hi,Dear,Thanks for your query to HCM.Dear I read facts of your query and reviewed it in context to your query health issues.I understood your health concerns and feel Concerned about them.Based on the facts of your query the reply of your query is-Hyperhidrosis / or could be Seborrheic Dermatitis.The Scrotum and private parts in humid area due to enclosed secluded area.IF the sweating is more -as in hyperhidrosis / or if seborrheic secretions are more - as in seborrheic dermatitis in early stages, things will present as discomfort with pain / stickiness and swelling on scrotal area.Other causes of -soap eczema with soddening scrotal skin, which gives weird sticky feeling all the time.Other causes need to be ruled out like .So you have to be careful and need to attend it seriously.Do's -suggested for your case-Don't Selfmedicate, as is done now by you- it could complicate your health problem more.Don't worry ,it could be treated with patience and perseverance in your case.So be patient and keep Cool.Do keep good hygiene and use Cotton Ugies instead of synthetic ugies.Do Consult Dermatologist-besides these suggestions,as things depend on your submissions, which could be different than what you observed.Maintain proper hygiene of private parts and keep it dry as far as possible.and take Tab-loratidine-to reduce the eczematous effects and for fast the recovery.Maxitrol(Neomycin/polymyxin B / and dexamethasone)Steroid with antifungal / antifungal skin ointment for 1-2 weeksand Tab Zincovit 1 x 2 times a day-would resolve the problem.Blood Tests and timely review with dermatologist would be needed if no recovery with initial treatment given, to rule out other causes of it.Just don't worry and be patient and co-operate with your doctors,till you verify with your attending doctors.Need to Check with your dermatologist- if things don't recover.-Other causes need to be verified with your family GP doctor and team of Specialist doctors, as the facts may be different what you submitted.-For this Second opinion from PCP-or Gp doctor and if need be with dermatologist-specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above do's which would resolve your complex health issues.Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard.Good Day!! Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS </s> |
<s>[INST] Hello Dr. I am 28 yr old and lost cervical lordosis and also I have mild cervical spondolysis. At presently I am gng to Physiotherpiest, Chiropractic and acupuncture. But still I have pain, stifness. Please suggest me how to get free from this problem. [/INST] HiThank you for asking HCMI have gone through your query. Physiothyerapy, neck exercises and short term analgesics are main elements of conservative therapy for your problem.A consultation with an orthopedician will be necessary initially to diagnose and recommend your therapy. X ray of cervical spine followed by an MRI might be needed to do.Soft collars traction device with weight are also given for home treatment.Therapy should be continued for long term to get benefit.Life style modification like changing to adequate posture in your working environment will be needed.Hope this may help you.Let me know if you have any further query. </s> |
<s>[INST] Hello I am 28 years old I want to show my Ecg results could you help me to know if these are normal? I would appreciate it greatly ! Vent Rate - 106 BPM ,PR - 157 ms,P/QRS/T 130 71 178 ms,QT/QTc - 322 429 ms,p/QRS/T-54 44 39 deg,RV1/SV5-0.12/0.00mV,RV5/SV1-1.52/0.87mV.Is It Normal ? Thanks [/INST] The resting heart rate of 106 is fast but could be anxiety while having a test. PR is a time interval and is normal. P/QRS/T are direction on a 360 degree scale. The P is pointed slightly rightward but is probably normal if your young and thin. All of the other values are perfectly normal. </s> |
<s>[INST] treatment of delayed ejaculation +tretment of low hormone+treatment of increase prolactine 30 yr-married from7 m-have rt&left varcocell i don or since 1 month -fsh1.4-lh 1.3-prolactine 14.1 test 2.60total -free 3.4-seperm no 6 million motility 13% -i done mri sella free wt 100kg help me [/INST] Hi Nashwa Ahmed. ASW. Thanks for your query and for using Health Care Magic. Based on the given details, you have following issues 1. Bilateral Varicocele 2. Low FSH and LH 3. Normal Sperm Count but very Low Motility 4. Normal Prolactin should be 5. Delayed Ejaculation Since you have done MRI sell and its normal, we can safely say there is no obvious pituitary abnormality. You will need a detailed evaluation to find out what is the cause of your hormonal abnormality. This will include repeat testing for hormones at a different time and correlating. You should also repeat semen analysis as the motility is low and it needs to to be reconfirmed. Bilateral Varicocele can be corrected only by surgery. If not even varicocele interferes with fertility. You should meet an Endocrinologist and an Andrologist for a detailed evaluation and follow up Thanks </s> |
<s>[INST] Hi I am 25 years of age and i think i have HPV, didnt go to the doc yet but i have seen some warts on my penis and im sure that my partner has it to my concern is for my son who is 2 years of age, my wife and i kiss him on the lips very often so my question to you is will he get infected with HPV by kissing him please help. [/INST] Hi,I understand your concerns but HPV is not transmitted by kissing or mouth to mouth contact. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Salah Saad Shoman </s> |
<s>[INST] hi i have sleep apnea .reason of the air pass way.i m 47 years old woman.i was pre mature born.with asthma until i was 7years.later on cure when i was growth. but now i have no breathing problem but the breathing plus timing inhale and exhale getting little slow..i m never use breathing pump.os i have one question? am i need to use breathing pump? i never did breathing test or flu shots before.its a necessary for me? i don t have health benefits or good income to afford my health checkup with lungs specialist. please suggest and good advice with home remedy too.... [/INST] it might be allergies developing if you have problem in past withdraw milk and diary proteins from diet apply neomycin h eye ointment in nose bd sea water drops at night in each noseand start with anti allergics singular 10 mg odcan continue for some time if recovers you can continue long time as these have no side effects if not when you have surplus of money go for sleep studies and find the cause which can tell to plan if we need pump or not </s> |
<s>[INST] I'm 34 always been fairly healthy except for the last year or so quite abit of drinking on weekends and i let my weight go. My BMI is like 34. I have some stress and lately have been feeling alot of anxiety too. For the last 2 weeks I have been checking my blood pressure at home at it is consistently around 160/85. Occasionally I have what feels like rapid heartbeat and some pressure in my chest area. Also I have family history of heart problems. Today and hour or two after working out i checked my bp and it was 200/99 and a little later it was 170/90. Six hours later i checked and it was 180/95 after watching a horror movie. Is this an emergency type situation or should i just go see my doctor on Monday? [/INST] hello thanks for posting here. i have gone through your history. your symptoms are due to high blood pressure. you need to be started on BP medications. there is no emergency as of now. but soomer or later you must start on BP medications. also along with medications you should also undergo die, t lifestyle modifications and exercise. thank you </s> |
<s>[INST] Hello Sir, my wife was facing a problem of Periods irregularity and consulted doctor. The doctor suggested Novelon for three weeks. today she started taking the pill . But I have noticed that in the medicine booklet it has mentioned that persons using this pill often found to diagnose with breast cancer in future life. Sir, I want to know whether this pill is dangerous ? [/INST] Hi, Novelon is a oral contraceptive pill which contains both estrogen and progesterone(ethinyl estradiol 0.03mg, desogestrel 0.15mg). It is having side effects like, Weight gain, Headache, dizziness, Nausea, Breast tenderness and enlargement, Cramping abdominal pain, Change in appetite, vomitings, Vaginal spotting etc. According to some studies oral contraceptives may cause estrogen dependent cancers like breast cancer. But the incidence is very low. That too if used for prolonged periods and higher doses. As this is low dose and with limit period of taking, no need to worry. take care </s> |
<s>[INST] When I was 8-10 years old I had a siren noise coming from my head that other people could hear from a distance. The doctors that studied me thought my parents and I were crazy and couldn t find a reason for the noise and it never seemed to happen when a doctor was nearby. I am just wondering if since then there has been any other cases of this condition and what causes it?Thanks [/INST] Hello, I have noted your symptoms. There is a rare condition called arterio-venous fistula when the sound of blood flow can be heard coming out of brain, however, it is very unlikely that you had AV fistula, as it can not get treated without surgery. It was most probably a psychological illness. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sudhir Kumar </s> |
<s>[INST] My seven year old son, has been crying all day, sitting on the toilet for hours, saying it hurts when he pees and that the pee wont come out, I have had UTI and I know how painful they are. But can boys get these too? Also he hasnt made a bowel movemnet in 2 days, and said he feels like he needs to poop. [/INST] He may have a urinary tract infection .it may or may not be associated with fever.constipation is a well known risk for urinary tract disorders.yes,boys can have too. Urine culture is the investigation of choiice </s> |
<s>[INST] Hi, i don't know what to think anymore, i'm feeling very unwell, i have to be careful when i walk, i'm scared to fall, also when i move my neck from side to side and open and close my eyes or take a step, i hear this sound in my head that sounds like a jar of spices being shaken, or a baby rattle, or salt shaker, whoosing also, i'm not feeling good, i'm taking medication for different things like, high blood pressure and lately it went higher so prescribed for angina, i take for acid reflux, anti-depressants, cholesterol pills to remove deposits from blood vessels because my heart functions below the limit even with new medication. I'm not functional at all, i don't feel like i could drive my car, feel in a haze all the time, can't sleep until small hours of the morning, have several herniated discs, in neck, lower back, and others, always hot, sweaty, weak, can't stand for long, very very tired and out of breath. [/INST] don't be so scared if u r feeling this much tension will increase cholesterol levels even more and to decrease cholesterol levels do exercise like jogging and brisk walk. less fat foods not like that you should not have fat food at all because good fat is also there.avoid over tension </s> |
<s>[INST] what is the function of ovral L medicine.....we are planning for a baby now....n my doctor told me to start taking this pill from tomorrow that is 5th day of periods till 25th day of periods...so i want to ask can we have sex during this period or not.........thanks [/INST] Hi,Ovral-L is a combined hormonal pill which acts by development and maturation of ovarian follicles and thus suppresses ovulation (release of egg from ovary).However, at the end of this treatment your doctor will advise you to take clomiphene citrate for 5 days to induce ovulation to facilitate release of egg from the ovary. Yes, you can have sex while taking this treatment.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician </s> |
<s>[INST] I am having alot of abdominal pressure. I just realized I've been taking laxatives the past week and no bowel movement. I have notice a sticky yellowish substance in my stool sometimes. I don't feel any cramping, just some dull pain in my back left side. I don't have a uterus. I stand up and it feels like pressure from a pregnancy?? Remember, I had a hyster 2 years ago, but still have ovaries. [/INST] Hi ! The sticky brownn substance in the stool could be an after effect of taking frequent laxatives. The other possibility is an infection of intestines, amebiasis being one of the most common which may give rise to such sticky yellowish substance in the stool. It will be relieved if you take a course of anti amebic drugs after getting your stool tested and your doctor advises you for this. You have not mentioned for what pathology your uterus was removed. YOu can consider for an ultrasound abdomen after consulting your treating gynaecologist.Wishing you an early recovery. </s> |
<s>[INST] I have been tired for about two weeks I look after two small grandchildren twice a week then my mum all day Mondays she is 82. I have been doing slimming world which I enjoy and have lost 9 and half pounds in 7 weeks. But the weekend I just felt bloated tired and I have a nagging pain in my right side. I drink a lot of water but I have not had the energy to go swimming or keep fit for two weeks. Normally I am fit and energetic. [/INST] Hi,It sounds as though you have a busy schedule. Are you eating a healthy diet? You say you have lost weight but is this at the expense of eating properly. Are you anaemic? This is one of the commonest causes of constant tiredness. Have you contracted a virus that is making you feel run down? Are you getting enough sleep?It would be advisable to visit your family doctor who can carry out a simple blood test to check for anaemia. If you are anaemic, iron tablets are the first line treatment whilst a cause is found. </s> |
<s>[INST] Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. [/INST] Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness. </s> |
<s>[INST] Hi i have a three year old baby boy that has Epilepsy that had a seizure and just started puking about a hour ago and i can t get him to stay awake or eat any food.He wakes up and passes straight out in two seconds wondering if you have any suggestions? [/INST] Hi,Few points missing like whether on any regular drugs for epilepsy, and associated with fever. Anyhow will give you some leads. Just keep him lying on one side, clear mouth and nose of secretions if any. Up to 5 minutes we can wait. If seizure not controlled by then, need administration of anti-epileptics (I used to give midazolam nasal spray for emergency use in such cases).It is quite common for children to have some sleepiness and drowsiness for about 30-60 minutes after a seizure, called post-ictal drowsiness. Nothing to worry about this, and don't try to feed during this period. Just let him sleep and wake up after sometime. If seizure is not aborted in 5 minutes or is not waking up after about one hour. Kindly take him to ER.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician </s> |
<s>[INST] Hello doctor, I would very much like a second opinion on a recent MRI of my ankle, foot and hip after a fall over four years ago. I have been wearing an air cast boot for support but I have an extremely inverted ankle or foot following the fall. However, the MRI of the foot, ankle, and hips are normal. [/INST] Hi. Your MRI of the ankle, foot, and hip seems to be normal (attachment removed to protect patient identity). Well, I am not able to understand your problem. What difficulty you have? Is it present while sitting or only on standing? Kindly elaborate more of your symptoms so that I can help you better. If possible send a photograph of both your foot while standing. </s> |
<s>[INST] I have been suffering with lower back pain for a number of months. I have seen my GP who has sent my case to my local hospital. Over the last week the pain is more constant and I am finding it hard to stand after sitting and getting up in the mornings. I get sudden very sharp pains into my buttock and into my right hip. I am taking co codamol which are not doing anything for the pain. The pain is now always there and I am not sure if I should go to the hospital via A&E as my appointment is not for 2 more weeks and living with the constant pain is now getting harder to bare. Can you please advise [/INST] Hi, I have read your problem. Usually back pain is managed with pain-killers till 1 month period. If it persists beyond 1 month, then further investigations are done. Since you have a bad pain I will suggest the following: - Back pain can be due to many reasons. You should get x-ray lumbosacral spine done in AP and Lateral done send us report or discuss it with your doctor. Only then further management can be advised. - Avoid heavy weight lifting pushing and pulling heavy objects, because it will further increase back pain. - You can take medicine like painkillers + muscle relaxants by discussing it with your doctor. You may need stronger pain-killers which are available on prescription only. You can try ibuprofen or naproxen till you see your doctor. - Apply hot packs for 30 min in morning and evening . I hope it helps. You are welcome to ask further health related queries.If you have any further query, I would be glad to help you. Let me know if you have any concerns. In future if you wish to contact me directly, you can use the below mentioned link: Dr.Singh. </s> |
<s>[INST] I jammed my thumb playing volleyball 4 days ago. Initial pain, but not after. Swelling went down alot after 2 days. I can now move my thumb back, but can t bend the knuckle all the way forward, probably because of swelling. There is a little bruising near the knuckle, and just a bit near the base. Should I see a doctor? [/INST] Thank you for using HCM. There's been a blunt trauma to your thumb and based on the severity of injury there could be ligamental tear and probably fracture which may require splinting and immobilization of thumb. Please visit the ER get a X ray done and follow up with orthopedician. </s> |
<s>[INST] Hi doctor, I am a 33-year-old male. Height is 5'7'' and weight 71 kg. Yesterday while masturbating I somehow ejaculated but could not have an orgasm. Post that I became very worried as to what may have caused that. Never experienced such a thing before. Also, I have never had any erection problems in the past. I have had physical relationships as well. Now, I am having trouble getting an erection. Not sure what the problem is. I tried masturbating post that. Though I did manage to reach orgasm but could not complete erection. [/INST] Hello. I can understand your problem. This was absolutely normal. Sometimes due to distraction right at the time of ejaculation results in poor or no orgasm and this is normal. This does not show that a person is weak. Remain relaxed for this. You got an orgasm after that but had a poor erection. This occurred because you were worried and had an anticipation that you will not have a good orgasm. This worry resulted in poor erection. So stop worrying, avoid masturbation for a few days and avoid anticipating. You will get a good erection. </s> |
<s>[INST] Hi, I got bitten by something in Bali around ten days ago and my leg is now very sore and seems to be losing yellow puss and very red around the area. Not sure what has bitten me and am not sure what to treat it with. Getting more and more painful over a larger area. [/INST] Hello dear,Welcome to HCM.I have read your query and understood your concern.It seems you have got secondary infection at the site of possible bite. For this,you may need oral antibiotics like macrolides/ cephalosporins for 5-7 days. Alongwith you may need oral anti inflammatory drugs like serratopeptidases for few days.Topical antibiotics like mupirocin 2% is also advised twice daily application.As per details, this is my best advise for you. But cellulitis need to be ruled out, in that case you may need injectables.For that, i will advise you to visit your doctor or upload pic of the lesion.Good luck. </s> |
<s>[INST] I broken my tibia and fibia in a skiing accident 10 weeks ago. I still can t Stand on it (extremely painful at break site) my leg is hot, swells up if do anything with it, goes purple as soon as I stand up. Had DVDs but vascular doc says what do you expect given sevwrity of injury, feeling lowsey is this normal? [/INST] Hello, As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. If the symptoms persist better to consult an orthopaedician and get evaluated to rule out conditions like malunion. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician </s> |
<s>[INST] Hi, the connective tissue between my lower lip and gum has been sore to touch for the past few days now. It almost feels like I've cut it, but I'm unaware how it could've happened. It looks a bit swollen and very red. I don't know what to do and I'm in a lot of discomfort with it. I have tried ibuprofen, but it hasn't helped. Advice would be great. Thanks [/INST] Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain it seems that you have inflammation in the area between the lower lip and the gum and it can be due t a few reasons like:1. It can be due to injury with some hard food substance like some hard chips or anything else which cause injury to the mucosa leading to inflammation and there is redness,swelling and discomfort..2.It can also be due to injury by toothbrush bristles due to accidental slipping of toothbrush..3. It can also be due to thermal burns caused by some hot food or chemical burn caused by some food item of something else like mouthwashes..You need not to worry as it will get relieved soon..You should do warm saline gargles..Apply Lignocaine gel over the sore area for relief..Sucking ice pops and drinking plenty of cold water or doing cold water gargles will provide relief..Along with if you can take OTC painkiller like Ibuprofen..In case if still it does not resolve consult a dentist and get evaluated..Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora.. </s> |
<s>[INST] Hello,Sorry for the awkwardness of the situation but I was trimming my hair near my genitals and I slipped and cut the underside of my penis shaft. there is a 1/8 in cut that is slowly leaking blood. Would applying antiseptic cream be a recommended course of action? what do you suggest? [/INST] Hello, Please specify the antiseptic cream you are applying, because over the chemist counter cream buying could be dangerous for you. Please consult a general surgery specialist for the same. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr SHOBHIT KUMAR PRASAD, Psychiatrist </s> |
<s>[INST] Greetings, I have an embarrasing question regarding personal hygiene. I am a circumsized man, yet I still get a fish-like odor coming from my glans penis. It is still in evidence even after I get out of the shower. I clean vigorously there, and still the odor persists although lessened. What is it and what can be done? [/INST] Hi, It can be due to bacterial infection, candida infection, can also be caused by spreading from sexual partner. Antibiotics with anti-fungals can help you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist </s> |
<s>[INST] hello sir, i have pain in the left side of abdomen since 2 days, with excess gas formation, there was loose motion also yesterday but i took an antibiotic (norflox tz) now the motion is normal but now i have mild localised pain. plzz help me.aditya [/INST] Hi...contine the same medicine for three more days...your pain will resolve...also take pantaprazole 40 mg morning empty stomach one hour before breakfast for five days...Dr. Ashish Verma </s> |
<s>[INST] I was giving my 4 month old a bath and noticed a hard knot in the middle of his back near his spine. I have never noticed this before. It is not painful to touch for him. Also when I stand him up or sit him over it goes away, but I can still feel it when I run my fingers over the area. What could this be? [/INST] This is the tip of 6 th Cervical vertebra that you feel. The 6 th vertebra has the most prominent spine which is generally palpable. You will find in every child particularly in lean children. Its absolutely normal and nothing to worry about. Hope I could relieve your anxiety. </s> |
<s>[INST] its hard to explain but it feels like my heart drops (like your stomach when your on a roller coaster ride) and i loose my breath, i was dignosed with anxiety disorder in 07' but it dont feel anything like that, what do you think it might be? should i be worried? [/INST] Thanks for your question on Healthcare Magic.I can understand your concern.In my opinion, we should first rule out heart diseases for your symptoms.So get done ecg, 2d echo and stress test (trade mill test).If all these are normal then no need to worry for heart diseases.You are already having anxiety. So worsening of stress and anxiety are more likely for your symptoms.So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution.You may need anxiolytic drugs too.Don't worry, you will be alright, but first rule out heart diseases.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s> |
<s>[INST] Hello. I am currently on nuvaring birth control and mistakenly took it out a week early the. My regular schedule.Once I realized I was early in removing the ring I put it back in with in a 24 hr period but beyond the 3 hour limit. I did have unprotected sex during the time of when the Nuvaring was removed. Do I need to take emergency contraception pill or let the nuvaring release the hormones during 7 days to regulate my hormones again? [/INST] Hello,Thanks for trusting us with your health concern. I have gone through the query and understood your concern. In the current scenario, you need to use other back up method of contraception until the ring is inside continuously for seven days subsequent to the reinsertion to allow the hormones to work. If you cannot leave the nuvaring inside for seven days , you have to use emergency contraception. Reinsertion should always be done after washing the ring with lukewarm water. Hope you find this information useful. Take care. </s> |
<s>[INST] We ll I ve suffered from arthritis since I was a young teen.. My knees would chronically swell I would get them drained they would swell... And so on... I had two orthoscopic surgeries in my left knee only to be told that I have inflammation of the synovial membrane... :( for years it stopped for no obvious reason now my right knee is swelling ... But the funny thing is only do these episodes happen in the spring.. I can down hill ski in winter without worries? I ve had my blood checked for rheumatoid arthritis and it came up negative... What is going on with my knees? Cause I feel like a weather barometer ...:( [/INST] Brief answer: SynovitisDetailed Answer:Hi,Noted your concern.Synovial membrane produces excess fluid which collects in a sac and cause the swelling in joint and pain.According to Ayurveda, this condition can be termed as sandigat vata.Ayurveda has many herbs that can help in reducing swelling and pain:-:-Triphala,,guggulu preparations,praval pisti ,coral (mukta pisti),ashwagandha,shatawari etc.:-Ayurvedic panchkarma procedure janudhara (janu means knee),shirodhara can help to reduce your problem .:- practice of yoga and meditation .meditation provides a way to achieve the balance.:-Healthy diet, habits and life style can help to maintain joint health.I would suggest you to visit a good Ayurveda practitioner and discuss your problem .I hope my reply has helped you. You can always write to me back.Thanks </s> |
<s>[INST] I have swelling and pain to the touch in my lower back on the right side . It started two days ago quite suddenly and hasn't gone down. Inside of the swelling is a little smaller area that seems harder than the rest of the swelling area. Please advise. [/INST] Hello, Thanks for your query.Sudden lower back ache could mean a spasm of the muscle due to some recent activity which had an impact on the back , as in lifting of weights, two wheeler rides, trauma/a fall etc these could also lead to temporary changes , which manifest with tenderness, swelling and a lower back pain. sometimes this could even mean an infection of the vertebra of the back you must be very careful. Minimize all your activities to possible extent, lie flat on your back on a hard mattress avoid soft cushions, take a pain killer and wait for a day, the swelling may come down. See a doctor preferably an Orthopedician for an examination, do not life heavy weights and ride two wheelers or even pillion. Follow the right posture for the back when at work . I do hope that you have found something helpful and I will be glad to answer any further query.Take care </s> |
<s>[INST] Hi, I have been mastrubating for about 6 years now on a avg once a day...The frequency has reduced now but the occasional urges are stronger. I heard that the habit will reduce the quality of the brain and drains the body of essential nutrients and stunt growth.. Is it true...? In any case i want to badly stop doing it..Please suggest me some remedial measures. Is it even possible to stop it through sheer will power or is it genetic..? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. These are all myths about masturbation that it will stun the growth and it will have effects on the brain functionality. The only side effect of masturbation is that the body gets used to take all the pleasure from masturbation and libido towards sexual intercourse is reduced, another cause of decreased libido is that when a person masturbates on regular basis his sperm count will reduce and body will make more sperms this will direct most of the testosterone towards sperm formation causing decreased libido. Yes masturbation can be stopped by will power and there is no genetic involvement in the habit of masturbation. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] Hi, I have had tingling and partial numbness in my fingers of R hand for about 1 week, now has extended to entire R arm. Possible pinched nerve? Had some pain in back (typical for me due to ongoing back issues, slightly more than usual) now decreased, but numbness, tingling in limb remains. [/INST] hi It is quite possible to have a pinched nerve in your neck, going by the description. I suggest MRI of the neck to confirm the diagnosis. Start pain killers , muscle relaxants , pregabalin and physiotherapy in the meantime.Dr Gopal Goel ,Orthopedic Surgeon </s> |
<s>[INST] I just received my blood count result and I am confused of the results; I eat a healthy diet, yet my levels appear to be unhealthy. 40 year old male, 6' tall and 180 lbs. Athletic build.Cholesterol , total 203HDLCholesterol, 39Triglycerides 172LDLCholesterol 130and my Globulin is 2.0 Albumin/Globulin ratio is 2.4Can anyone assist me in determining what this means.Thank you,William [/INST] Hi, dearYour HDL and LDL cholesterol level is abnormal. Your triglyceride is also high. You should take low fat diet with high amount polyunsaturated fatty acids. You can take drugs like atorvastatin or pravastatin. But it is prescription based medicine, so consult your treating physician and take treatment accordinglt.Thanks for using health care magic.Wish you a very good health. </s> |
<s>[INST] Hi doctors, i test my SGPT, that was raised upto 60.. my Mp was also Positive at that day. i starts medications for MP. Now i m good but after 1 week my SGPT is still high,,so what i should do now? and one more thing what diet should be taken in raised SGPT and what should be avoided?? [/INST] Hi & Welcome.I appreciate your concern for the high SGPT level.Incomplete data: No mention about other liver enzymes or liver function tests. MP ?High SGPT is indicative of some sort of liver injury.You need to have some life style modifications in order to reduce SGPT level like:1.Avoid taking alcohol or alcohol containing beverages, as its used is related to liver injury2. Avoid fatty meals (both vegan and non vegan), fast and junk foods, salted snacks, dry fruits, red meat, egg yolk, sweetened carbonated drinks and smoking.3. Eat a balanced healthy diet (vegetables, cereals, fruits, baked fish and poultry). A homed cooked food is highly recommended.4. Take Vitamin E containing supplements.5. Do regular exerciseYou need further evaluation like liver function tests, ultrasound to ascertain the exact cause of raised enzymes. </s> |
<s>[INST] I've been experiencing lots of blackouts, maybe 1-2 a week. I eat regularly and properly. I've been to the hospital about it and they can find anything. So today I went really hot and my vision went blurry and all I wanted to do was sleep. Any ideas what could be causing this? [/INST] Without more information on your age, medication regimen, and workups it is hard to say but in general the differential you describe can be anything from heart arrhythmias to seizures or TIA's though the latter is less likely if the frequency is as high as you state. You need to see your primary doctor who will likely run some blood work, check to make sure you are not running too low of a blood pressure due to medications or suffering from drug to drug interactions and if nothing is found send you either to cardiology or neurology. Depending on your age you could also be suffering the effects of orthostasis (low BP) due to occult or subclinical infections in your body (most commonly bladder). You are mentioning other things that are of some interest to this presentation but the basic workup needs to happen first and I don't want to speculate further without better information. Please rate this a 5 STAR ENCOUNTER and write me at: www.bit.ly/drdariushsaghafi if you would like to more fully discuss your situation. </s> |
<s>[INST] Hi I have under gone to widal test, and below are the test results: Salmonella typhi O: 1 in 40 dilution Salmonella typhi H: 1 in 80 dilution Salmonella para typhi AH: 1 in 40 dilution Salmonella para typhi BH: 1 in 20 dilution Is any one there to help on explaining me about the test results Balaji [/INST] Hello thank you for your contact to healthcare magic. If I am your treating doctor I would like to tell you that widal titre of 1:160 or above is considered positive. You have 1:80 titre, which I consider it to be negative. But ideal procedure is that you have to count the community titre and accordingly the cutoff is to be decided. If you have any thing else to know kindly contact me. Dr.Arun Tank and I am infectious disease specialist. Thank you </s> |
<s>[INST] I Dnt know what s wrong with me I have aching bones and joints all day long and even worse at night I am 30 I just turned it at night I feel feverish my body throbs of aching pain constant till I pass out from it I can t sleep cause of it now the feverish feeling part of it is happening in day now any sugestions. [/INST] Hello, The symptoms seem to be related to a viral infection. I recommend to use Acetaminophen 500 mg three times a day to relieve the fever and the pain. I also recommend to drink liquids, eat healthy and rest. 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 I am a 33 year old female. I am feeling a discomforting pain sometimes in my upper left side abdomen and testicles. In my Urine Microscopy Test the pus cells have been reported from 4-6 Hpf and Epithelial Cells are 8-10 Hpf...RBC, Cast and Crystal are nil. Do I have to worry about anything. [/INST] Hi,First thing, if you are a female then how come you are having testicles?Second, as per your symptoms and reports, it could be epididimoorchitis, infection in testis, so you need to take a course of antibiotics and scrotal support.But for the prescription you need to see a local doctor.RegardsDr. Ashish Verma </s> |
<s>[INST] I have been only able to offord to eat at breakfast and acouple pieces of bread at lunch, then that is it. And am also backpacking so have I am carrying an extra 50lbs. and walking around alot. And just recently have been have pain on my lower left side next to my abs, when I am walking around with my backpacks. Should I be worried or is it just my body coping? [/INST] Hi,From history it seems that there might be having weak abdominal recti muscles giving rise this problem.There might be having possibility of developing inguinal hernia.Consult surgeon and get examined.Avoid lifting heavy weight.Avoid constipation.Ok and take care. </s> |
<s>[INST] HI, am 27 old, recently i have got very bad and sometimes itchy kind of rash all over face and spreading down to neck. I dont use any cream or any other cosmetics till now in my whole life, i am very much worried why this has come to me. I was having very clear and baby soft skin, now i have lost glow and charm on my face. Recently i have changed cooking oil from sunflower to vegetable oil, would that cause rash and what i remember is I had used some unknown brand make-up powder to my face and neck for the 1st time over a month ago then after few days i noticed this problem, I met my DR who says rashes might come due to heat, but i keep my home always cool . Since very long am having very itchy scalp with heavy hairfall. Please help me to find some solution. Thank you . [/INST] Dear Tejas, thanks for visiting healthcaremagic, Your doctor is right , you need to avoid heat and especially sun and if you need to go out use copious amount of sunscreen..! </s> |
<s>[INST] dear doctor my alt and bilorobin is not decreassed alt is 90and bilorobin is 45 and ultra sound says liver shows mild to moderate fatty changes .no focal mass is seen in the liver . intra hepatic biliary ducts are not dilated portal vein measures 1.1 cm [/INST] Hi, dearI have gone through your question. I can understand your concern.Your ALT is slightly increased. It suggest mild liver damage. No focal mass so no need to worry. Biliary duct and portal vein is also normal. So no ant medication is required. Avoid alcohol and high fatty diet and take high protein diet.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 10 year old son is having pain beginning in his groin area and down his leg...all on the left side. It is extremely painful and hurts when moving the leg or putting weight on it. Monday, this leg started suddenly giving out on him and hurting some what. But when he woke up this morning, it was alot worse and has nto gotten better all day long. I have given Ibuprofen adn he has stayed off of it all day. What could this be? Is it somethign that will go away with time? Should I make him go to school, or take him to the doctor? He cannot walk unless holding onto something and even then it s with a limp and very slowly. [/INST] Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, he probably has pulled his adductor muscles, and this has caused these symptoms, At presentTake restapply hot fomentation.analgesics to continue, if these dosent work consult your doctor.I hope that answers your query. If you want any more clarification, contact me back. </s> |
<s>[INST] Hi Dr. Andrew Rynne My name is farrukh. i am 27 year old. and i am married from 2 year but still i have not success in making pregnant to my wife. i have checked to my doctor he has said to me my cells are week and he suggest me Azomax capsul. they are fine for me or not? [/INST] HelloThanks for query .You have been married since 2 years and can not conceive your wife your Dr has prescribed Azomax .Azomax is an antibiotic and generally prescribed for infection .I would suggest you to consult qualified Infertility specialist and get following basic tests done to establish cause of your Infertility 1) Routine blood check up 2) Urine (Routine ) 3) Blood Sugar test to rule out Diabetes.4) Serum Testosterone levels 5) Semen analysis to find out sperm count .sperm motility or any morphological abnormality .Further any more investigations required and treatment will be decided by him depending upon results of these tests.Dr.Patil. </s> |
<s>[INST] I have recently had double jaw surgery and was discharged home with paracetamol, ibuprofen and cholotexidene. I was re-admitted with severe swelling and pain on one side. I found out that I should have been given diflophenic to take at home on discharge. A scan has now shown a haematomor and while in hospital I have been given antibiotics, diflophenic and strong pain killers intravenously. Would the diflophenic have prevented this? [/INST] Thanks for your query, I have gone through your query.The swelling and pain can be because of the hematoma or infected hematoma. Nothing to be panic, consult a oral and maxillofacial surgeon and get it evaluated. Mean while you can give alternative cold and hot fomentation over the swelling. You can take antiinflammatory drugs like serratiopeptidase which reduces the swelling. Diclofenac has nothing to do with hematoma. It can reduce the pain. I hope my answer will help you, take care. </s> |
<s>[INST] I am trying to find a DO or MD that works in neurology. I was in a car accident 35 years ago and have recently started having seizures from the head injury. I want to find someone who will work with me to get me off meds as much as possible thru more naturalistic approaches. [/INST] It is quite unlikely to develop seizures 35 years after head injury. You may be having some other lesion in the brain, which needs to be ruled out first, before trying naturopathy. You need a detailed evaluation and an MRI brain. </s> |
<s>[INST] I am having mostly constant pain in my lower right side stomach, sometimes it is realy bad and the pain is also felt in my back directly behind where the stomach hurts. It gets worst when i eat or have to use the bathroom. The pain reduces after using the bathroom. -defecating [/INST] there can be numerous reasons for your condition. better you get an ultrasound done. it will give a better picture of your condition </s> |
<s>[INST] Hey over the last couple weeks I ve noticed pain in abdomen area, mainly right side about center between the bottom of my rib cage and top of my hip. On a scale of 1 to 10....10 being really painful, I score it a 4. It not doubling me over, but very noticeable. Seem to be worse after drinking alcohol. [/INST] Hello dear,Given the medical history that the pain is located in right side center of abdomen & increases on drinking alcohol, it can be attributed to Acid Peptic disease due to increased acid production in the stomach.Symptomatic relief can be obtained with intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals).They prevent formation of excess acid in the stomach & provide symptomatic relief.And it is also needed that you take certain precautions regarding your diet & lifestyle, such as:1. Take soft, plain, non-spicy foods.2. Drink lots of water to maintain adequate hydration.3. Avoid fast foods & gas producing food products like cabbage, etc.4. Avoid smoking & alcohol.5. Keep away stress, think positive.If symptoms still persist, kindly consult a Gastroenterologist for proper clinical examination.There is no need to worry, you will be fine.Wishing a good health.Take care. </s> |
<s>[INST] Hi doctor, We would like to conceive a baby, but we were not succeeding. Please help us. I am sending my semen analysis report. We were married for two years. We have protected intercourse with condom for the past two years. Before five months, we had taken the decision of having a baby. Before marriage, I had taken Serta 25 mg and Serta 50 mg to get cure from depression. Do that tablets cause any problem in infertility? Or do I have any problem in my semen report. My doctor advised me that the motility is 10% and it needs to be increased by 40%. Please help. [/INST] Hi. Revert back with the reports to an infertility specialist online --> </s> |
<s>[INST] my father has a hypertension since 10 years &started amlodipine since 8 years before month ago he feels severe headache and his physician gave him cinazine and aspirin ,he is 62 yrs oll smoker ,aweek ago ,aperipheral edema in his legs I just want to know if there is any containdication especially that coth are vasodilators? [/INST] Hi, I understand your concern and would explain that both Cinnarizine and Amlodipine can lead to leg swelling. For this reason, I would not recommend taking them concomitantly as your father is experiencing this adverse effect. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist </s> |
<s>[INST] hello.... i am 26 years old .... hieght 5.9 ft, weight 102 kg . recently after three days fever i have tasted my sgpt and s. bilirubin ..... and the reports r ... sgpt - 1590.0 U/L and bilirubin - 3.0 mg/dl........... doctor sujjested me to take rest to decrease my bilirubin level .... how can i decrease my sgpt level soon ...... ( i dont drink alcohol and i am taking ismoprazal and domperidone daily for last one years for gas purpose ) [/INST] Hi there.Do you have jaundice, dark yellow urine, foul smelling stools ?Any fever, weight loss and loss of appetite ?There could be many causes for this clinical picture but one has to rule out liver problems like Hepatitis and gall bladder and pancreatic problems as well.Kindly get checked for Hepatits A, B, C. Do not delay.Avoid unprotected sexual intercourse till you are tested for Hepatitis. Eat a diet rich in proteins and fresh fruits and green leafy vegetables. Avoid smoking and alcohol.Consult your Doctor as soon as possible and get the required testing done to find the cause of liver damage.Wishing speedy recovery.Regards, </s> |
<s>[INST] Hi, i am getting blood in my excreta, i consulted a doctor,he checked for piles and said i dont have any.he gave me some antibiotics and used for 10 days.but i am worried, can you tell me the health issue i am facing [/INST] hi i m 21 year , and i found blood in my excreta, so kondly suggest me is it is any kind of diesease or any defficency. </s> |
<s>[INST] i have redness of glan and watery discharge come from it also the foreskeen is a little affected.i have applied candid b cream for 7 days but no relif even candid powder could not got the reliv .taken noflox 1 gm for fear of std diesease.The doctpr prescribed fluconazole 100 mg for 5 days. [/INST] HelloBased on the facts that you have posted you seem to have developed infection of Foreskin and Glans penis (Ballano Posthatitis).This could be due to unprotected sex or rough masturbation .You need to take broad spectrum antibiotic like Cefotaxime along with anti inflammatory drug like Diclofenac twice daily along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice daily.Ensure to avoid sexual encounters till it heals up completely.Dr.Patil. </s> |
<s>[INST] respected sir,i am mr.patel.i m 58 years of age suffering from diabetes since last 5 years.also suffered from hypoglacemia 4 months back.recently i have developed swollen gums which are bleeding sometimes and there is presence of pus also in it.i am a regular bidi smoker.please guide [/INST] Thanks for your query, I have gone through your query.The swollen gums, the bleeding and pus could be because of the gum infection secondary to deposits over the teeth.The incidence of gum infection and periodontal abscess is more in case of diabetics. Consult a oral physician and get yourself examined and get the teeth cleaned.You can take a course of antibiotics and analgesics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic). You have to get your blood investigations (to check the blood glucose level) done and radiographs like OPG done to rule out any tooth infection and see the status of the surrounding bone.Then you can get the scaling and root laning done, and if there is abscess that can be drained under local anesthesia.I hope my answer will help you, take care. </s> |
<s>[INST] my AST (GOT) and ALT(GPT) is high! AST - 58 and ALT 87. Im much worried, pls help me. What can I do to meet the normal values? What food can i eat? What medications can i intake? and can i try alternative medicine? I dont want to be in chemo. Thank you and godless! Sansui [/INST] Hi.Thanks for posting query at HCM.Rule out hep B and C as a cause of increased liver enzymes.stop taking any medication that maybe injurious to liver.Usually ALT (SGPT) or AST (SGOT) values higher than "two times the upper normal limit", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further.Alcohol ingestion and obesity are common causes of fatty liver disease.advice:- abstinence from "Alcohol" altogether- LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound.any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik </s> |
<s>[INST] hii, i am 22 years old female, i am 143 lbs and 171 cm i suffer from fatigue, lightheaded, very low blood pressure 65/55 (blood pressure reading) doctors panic when they messure my blood pressure . i have visited many doctors trying to figure out what is wrong with me. i have hands tremors sometimes and when i hold anything it slips from my hands it happens oftenly especially with my mob i am holding it and looking at it and suddenly it slips from my hand and i don t know what happens [/INST] Hello, First of all, you should do an CBC. The iron-deficiency anemia can cause similar symptoms. I f you take hormonal therapy for contraception you should ask a gynacologist for help. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dr/Mustafa, Neurologist </s> |
<s>[INST] i have stomach pains that feel like sore muscles. it's pretty constant. it feels worse when i stand up straight, better to be in a ball position. =/ it's more uncomfortable than painful. it's been consistent for about four weeks. any ideas what this coule be or what i should do? thanks. [/INST] Hi thank you askingt HCM your symptoms seems to be typical to stomach ulcer. so I strongly suggest to start the treatmen with ant acide and omeprazol. also I suggest to do blood work abdominal ultrasound upper endoscopy wishin you all the best Dr.Kler </s> |
<s>[INST] sir am 19 male yrs old and am losing my hair and in my family am the only person losing my hair from 3 yrs and my back of my body am getting pimples from 3 yrs and and i have lot of dandruff on scalp and my scalp is always oily......plz suggest me dr am very much thinking abt hair and getting -ve taughts like sucide my self.......... [/INST] Hi Dear,Understanding your concern. As per your query you have symptoms of hair fall and dandruff on scalp which is mainly due to hormonal changes, age factor and could be due to fungal infection. I would suggest you to consult dermatologist for proper examination. Doctor may prescribe medicine like finpecia , minoxidil serum , vitamin supplement like omega 3 fatty acid. For pimples on back you should apply calamine lotion and aloe vera gel as it will prevent itching as well. Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari </s> |
<s>[INST] Hi, my cycle is a normal 28-29 days cycle. Which probably was 3-4 days after ovulation. Ive had protected sex on 23rd Oct and took an ipill within 50 hours just to be safe. I got my periods on 1st Nov which was exactly 28 days from my previous cycle. But my second month has been delayed now, counting from 1st Nov I should have got my periods on 28-29th Nov. But still haven't gotten it. Is it the ipill or could I be pregnant? [/INST] HelloThanks for writing to us with your health concern.THe I pill is known for altering the normal pattern of your menstrual cycle.It can prepone or postpone your expected cycles by upto a week.But this affect generally does not persist beyond a month.What you are experiencing this month is probably not related to the I pill.Make sure that pregnancy is conclusively ruled out.ALso, stress, anxiety, emotional turbulence, weight gain, hypothyroidism, polycystic ovarian disease, change in sleep or diet habits - all these can cause a skipped period, apart from pregnancy.If you do not menstruate within a week more, and pregnancy is ruled out, then you would require a gynecological evaluation to know the cause.Take care. </s> |
<s>[INST] I am in the medical profession and I serve a client that has an issue with ongoing lice. Unfortunately, I have caught it as well as my daughter. We have treated with Sklice lotion, and I have taken ivermectin orally twice. I thought I was clear and then found two nits tonight. Does ivermectin sometimes not work? And how do you tell if the nits are alive or dead? Thank you [/INST] Hi,Thanks for writing in to hcm. Sklice lotion is a single dose ivermectin application cream. You need to wait for 14 days for the hair t be clear of lice.Along with this make sure you wash clothings, bedsheets etc in hot water and also clips ,combs are washed in hot water.After washing the hair with water and vinegar comb the wet hair to remove any dead lice or nits. If the nits have only the outer coats sticking to the hair which can be removed on combing wet hair.Hope this helped.Regards </s> |
<s>[INST] i had 2mm of renal calculi at uv junction which caused me a terrible pain and for which i had to get admitted then i was discharged on the same day with some iv fluids and pain killers now i want to know how much time it will require to pass the stone bcoz still i do have some pricking sensation...... [/INST] HIThank for asking to HCMI really appreciate your concern and I would like to say that it is very uncertain that when the stone comes down in to the bladder you need to drink more water that is the best way to bring down the stone, irritation is not the sign of presence of stone, hope this information helps you. take care and have a nice day. </s> |
<s>[INST] Hello doctor, I had a boil on my left labia, and I had that same boil for 2 years, because my doctor was saying it will go away. But, it did not, and last week I went to hospital and the doctor drained the boil with anesthesia, and then he closed it with stitches, now it is still hard and smells like pus. So my question is why he closed it with stitches? Is that ok? Because the incision was small (1 cm), should it be left open to completely drain? Can I still have abscess left? I asked the doctor and he is saying everything is fine. I am so scared, I would appreciate if anyone can help. [/INST] Hi. I totally agree with you. After draining a boil the doctor should have not closed the skin with stitches because how much ever adequately anybody drains the pus, some pus will be left behind for which anti-septic and antibiotic dressing has to be done and a repeat examination and if required drainage has to be done after 3 to 4 days. Well, there is a good chance that some pus might be remaining in your case, I advise you ask your doctor to open up the stitches and re-explore the wound. </s> |
<s>[INST] HI, I AM RESIDING AT ERODE,INDIA. MY DUGHTHER(22YRS) IS MENTALLY RETARTED CAN SHE BE TREATED WITH STEM CELL? IF SO WILL BE ABLE TO CO-OPERATE WITH THE TREATMENT? WHAT ARE THE SIDE EFFECTS? WHCIH HOSPITAL IN CHENNAI OR COIMBATORE CARRYS OUT STEM CELL TREATMENT FOR MENTALLY RETARDED? WHAT WILL BE THE APPROXIMATE COST? [/INST] HiI understand your concern.Stem cell treatment is still under research in mental retardation.It has no such good outcome.Still in India i do not think so any hospital carry out stem cell transplantation for mental retardation.You have to contact best psychiatrist and he well guide you further.Cost will different as per condition but still in India it is not possible.There are research for autism is also in research.Still have a query then feel free to ask.Thank you.Take care. </s> |
<s>[INST] My sister has pain in her leg, just below the knee, anterior/medial location, for a week. Now she is c/o pain in that leg if she takes a deep breath or coughs. Went to doctor Wednesday, blood work and x-ray done, no frx. Doctor said no clot but didn t do venous Doppler. She had greatly increased her activity by doing painting and trying to jog the past week. [/INST] For pain in leg here first you need to check either it's at knee level or at calf muscle level. If it's close to calf muscle level then check with squizing calf muscle belly and if it pains then it can be related to vascularity it issue of lower limb and dopler test is needed. But if this is negative then it may be only over use injury. Now if pain is only at knee level then again need to check with few physical test. As a conservative treatment management you can use hot and cold pack at pain full area with rest for few days and avoiding any activity which pains. But if it does not give pain relief then visit a good physio and orthopedic who can check with physical test and evaluate the problem as well guide you with treatment and exercise program. Follow the advice and I am sure it will be useful. Take care </s> |
<s>[INST] Hi Sir..this is priyankaI would request you to suggest me which formula can i use for my 3month old baby boy.he is having cleft lip.hence breast feed is not happenning.present i am using farex formula1.but since 20days he has no weight gain.can i switch to other formula which u suggest...please advisethanks in advance!!! [/INST] Hi, Welcome to the HCMInfants with cleft lip can usually be fed by breast or regular bottle. Some help from the nurses or infant-feeding specialists may be needed to ensure that the infant can get a tight seal around the nipple.For breastfeeding babies, the soft breast tissue often will fill the opening in the lip and/or gum line well, sealing off the mouth and allowing the baby to create adequate suction. Sometimes it is helpful for the mother to hold a finger across the cleft during feeding.Swallowing noises and a bowel movement after feeding are signs that breast-feeding is going well. If the baby is "noisy" with feeding, making clicking or kissing noises, suction may not be adequate.Mothers who choose to bottle-feed their babies with cleft lip should try using nipples with a wider base, or their infants may need specialty bottles or nipples.When starting a feeding, hold the baby in a slightly upright position. Touch the baby's lower lip with the nipple. When the baby latches on, direct the nipple slightly downwards.Try to keep the nipple in the center of the baby's mouth. Do not let it slip up into the cleft.In my opinion, you may go for corrective surgery of the cleft lip as your child is already 3 months old.Formula milk like NanPro 1 and Lactogen 1 are advisable. They should be properly constituted ( every scoop per 30 ml water.For further information, do call back. </s> |
<s>[INST] Hello doctor, I sustained a back injury three years ago. I was standing on the staircase of a bar when a large woman lost her balance, she grabbed and twisted my arm while placing her full body weight on my back. I have had recurrent muscle spasms all the way down to my back ever since, and I have to go frequently to a physiotherapist to treat this pain. I had an MRI of my thoracic and lumbar spine last year. I was told that there was mild scoliosis in the thoracic spine and that there was no large disc herniation. Could this scoliosis have been caused by the injury or by the fact that I have pectus excavatum? I have attached my MRI scans. Can you please clarify whether there are any bulging discs which may be causing, or contributing to the recurrent muscle spasms and muscular pain in my back? I have been unable to clarify this issue with the radiologist who assessed my scans. I would also be very grateful if you could advise an effective treatment in eradicating these recurrent painful muscle spasms. [/INST] Hi. For further queries consult a radiologist online --> </s> |
<s>[INST] Currently in Chiang Mai Thailand and its Songkran big water fight and unfortunatley a lot of dirty water is thrown around. Three days of playing I caught a cold. Soon after my back began to hurt and then realized it must be my kidneys. Was also drinking, on and off flop sweats, on and off temp but not bad, didn't messure temp. Urine is dark and cloudy, no pain urinating. Been taking natural remedies for cold plus asprin or ibuprofin. Its almost 6am here planning on waiting to see doc around 9am. Pain is mild. What do you think? [/INST] Hi, Your history shows cold, kidney area pain, and dark urine. Urinary tract infection mostly presents as fever, chills, flank pain, burning urination, nausea, vomiting, urgency, and foul smelling urine. Not all patients develop all the symptoms. To diagnose the urinary tract infection, ‘urine DR’ (detailed report) is advised; which shows pus cells and red cells, in case of urinary tract infection. Along with urine DR, the ‘complete blood count (CBC)’ can help to rule out other body infections. Urinary tract infections can be treated with suitable antibiotics. I recommend you to go for ‘urine DR’ and just take plenty of clean water. Take care. </s> |
<s>[INST] I was stung twice yesterday, I think by a wasp. Last night it was very itchy and red so I took antihistamine, which didnt help. Today the area around the bites is very swollen, red and itchy, spreading about 3-4". I used hydrocortisone earlier but its still driving me mad. Ive just out Fucidin on - given by my doctor when going to Asia as I'm allergic to mosquito bites. Am I doing the right thing? [/INST] Hello,Usually wasp stings recover quickly and without complications.Mild to moderate reactions to wasp stings can be treated at home.-Wash the sting area with water and soap.-Place a cold pack to the wound to reduce swelling and pain.Keep the wound clean and dry.-Itching and skin irritation can be treated with hydrocortisone cream or calamine.Antihistamine drugs can reduce itching as well.-Over-the-counter pain relievers, such as ibuprofen, can be used for the pain due to wasp stings.Kind regards,Dr.Mersi </s> |
<s>[INST] Hi, I have a close friend of mine (23 years old) who suffered from a sudden, unexpected death. He bloated in just a short period of time, and mouth foaming was observed (which is a big question on the probable cause). Half of his body (upper part) was in black-like appearance, and based on doctor's initial statement, this might be due to the blood vessel rupture. Few questions arise:What caused the occurence of mouth foaming?Is it normal to be bloated once dead?Is it cardiac-related factor as the person previously mentioned heart-ache?Some persons said it's a nightmare, how true is this attribute? [/INST] thanks for asking your questionfoaming from mouth is seen in epilepsy , seizure disorder.may be it was epilepsy followed by aspiration of gastric contents in the trachea which clogged the airway .this can be one of the reasons which caused cyanosis that is the bluish / black appearence , which is due to lack of oxygenated hemoglobin.this can be due to variety of diseases vessel rupture , pulmonary embolism , aneurysm , epilepsy , sudden cardiac arrest thanks may god bless you with good health </s> |
<s>[INST] Hello I m 29 weeks pregnant and have a large hemmorid I have been putting cream on since last Friday and now on Tuesday been giving some internal tablets but the pain is still really. Bad I have been told the internal tablets can take up to 7 days to work but nothing seems to be dying down the pain and it looks huge [/INST] In my opinion surgical trearment will be better for you as medical treatment will reduce your symptoms but not cure your condition.At later months of pregnancy it will be more problematic for you. </s> |
<s>[INST] I have been tracking my bp and pulse now for two weeks. I have gone to a no added sugar and no added salt diet. The second week I have added a half an hour of aerobic exercise. My average heart beat has increased and my bp has decreased. Why sould my heart berat increase? [/INST] Hello,I passed carefully through your question and would explain that your symptoms could be related to anxiety. Increased heartbeat could also be related to some metabolic disorders like chronic anemia, thyroid gland dysfunction, blood electrolytes, and etcetera. For this reason, I would recommend consulting with your attending physician and performing some tests: - Complete blood count - Blood electrolytes - Thyroid hormone levels - A resting ECG. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Ilir Sharka </s> |
<s>[INST] Hi I m a patient that s has sickle cells and Aids and I m epilepsy. For the last week in a half I been having night . Sweat and bad body pain and I can t keep anything down . I m going to the bathroom alot and its very loose . And I had two epilepsy episode today. I try taking my pain pills and other med its just comes back up [/INST] Hello!Thank you for asking on HCM!I understand your concern and would explain that your symptoms seem to be related to an infection (probably because of AIDS). You should know that epilepsy seizures can be triggered by these conditions (infections, anemia and hemolysis, etc.). The treatment of the underlying condition can help stop the seizures. For this reason, I would recommend going to the ER for a physical exam and some tests: - a chest X Ray study - complete blood count- kidney and liver function tests - a urine analysis. - a blood bacterial culture may be needed. Hope you will find this answer helpful!Kind regards, Dr. Aida </s> |
<s>[INST] I have had pain for four months now i was diagnosed with a haitus hernia and cholecystitis without stones.... i have had bad pain and sonday i had a sudden sharp pain in my right for 5 min and then it went away could it be that the gallbladder has ruptured my WBC is 13.4 and neut abs 8.7 what does this mean [/INST] HIThank for asking to HCMI really appreciate your concern, if you have a history of cholecystitis then pain could be related with this and this need to be ruled out but for sure this is not the gall bladder emergency, so no need to worry about this chances of nonspecific pain could be considered too, if this is infective sate then WBC may increased in numbers, take care and have nice day. </s> |
<s>[INST] Hi, may I answer your health queries right now ? Please type your query here... my 3 year old daughter is having cold (blocked nose) and fever.can i give her sinarest syrup (5ml) and crocin syrup DS (5ml) together at an interval of every 4 hr? or should i give at every 6 hourly? [/INST] Hi, Optimum time interval should be 6 hours but if fever persists then Crocin which contains Paracetamol can be given at an interval of 4 hours. Sinarest should be given 6 hourly. Take care. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Deepak Patel </s> |
<s>[INST] I have had Back pain for 30+ years. I have had tests, 3 back braces, a shoe lift, PT several times. The more I try to do the worse I am. I had a nerve block done (Hoping it might help. The first one was extreamly painful. 2 weeks I went back and he did something to my right let. It felt like I was been hit by lightening!! They said it was ok ant it would go away after a week ago. And treated me with meds. But continually badger me about doing another. My right leg feels like someone is taking a HOT poker and jamming it up and down my right leg. This is still going on 3 years later!!! My back,,, 3back braces, shoe lift, PT once recently, acupuncture and I m STILL in pain. I m soooo over being in pain I could cry! [/INST] Dear friend I am sorry to know you are in such a bad shape.I will suggest you not to go for another nerve block .Your pain just may worsen.You should continuecwith your brace and PT.A regular home regimen of physiotherapy can surely alleviate your most of the problems.You know ,back problem is very common and nagging problem.So instead of thinking about radical surgical approach like nrrve block operation you should settle for conservative way like physiotherapy.also go for some lifestyle changes like avoiding lifting heavyweight,bending forward too much.Hope,in this way you can get rid of this back pain.my best wishes for you. </s> |
<s>[INST] In Dec I had a tooth pulled, 2 1/2 weeks ago I had prep done for a bridge. I have had a sore where the novicain was injected. A week ago doctor called saying my blood test came back with: WBC at 2.9 (range 3.6-9.1) and lymphocytes at 46 (range 24-44). Is there a possible connection? Thank you. [/INST] Welcome to H.C.M. I am Dr Krishna Dubey.My dear firend , there are not any connection with tooth extraction.So no need to worry. It could be due to some viral infection because lymphocytes are also slightly raised.You should repeat your complete blood count with peripheral blood film.This will very helpful to rule out any further query.Thanx. </s> |
<s>[INST] I am niraj from delhi and i am suffering from nightfall since from 2 years. I hv tried a lot of medicines for removing this disease bt i m failed. On internet I found that Yoga has the permanent cure of nightfall.I am 20 yrs. old. Please sujjest me that how can i cure this problem n i get disease by doing masterbation. It is not natura5 so please...please help me out. [/INST] Hello, Wed dreams/nightfall called Nocturnal Emission is normal. It can be due to increased erotic stimulus mentally or physically or visually without sex or masturbation. Since you know the cause treating is easy. Reduce the frequent Erotic stimulus or masturbate/have sex. Ways to reduce the frequent erotic stimulus are: 1. Sex education 2. Physical exercises 3. Sleep adjustment 4. Quality of sleep 5. Healthy and balanced diet 6. Programming for leisure time 7. Development of spirituality 8. Taking a cold bath Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist </s> |