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I am undergoing infertility treatment and just missed my periods this month ( was due on 21st). I may be pregnent.I am having severe cough and slight fever since more than a week now. Doctor gave me Augmentin for 5 days which did not help. She has given me Ceftum 500 now . Is it safe to take it in case I am pregnent now... ?
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i had unprotected sex with an ex girlfriend, my testes and prostate felt a little achy after a week or so. another sexual partner thought she had a yeast infection, took monistat and it started to clear up. When she still felt symptoms she visited her gyno, she said that she looked perfectly normal and was certain it was a yeast infection and was given an antibiotic. She also had a pap smear after we had had unprotected sex profusely for about 3 days including 2 times the day of her pap smear. The test came back negative for trich, however its all i can think about. After about 3 days of serious anxiety, stress, and over thinking, the dull ache in my genitals have subsided. However the tip of my penis has developed a slight itch, and I am worried i contracted trich from my ex without the pap smear detecting it. I was tested negative for siphilis, chlamydia, and gonorrhea. Please help!
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I am looking for possible insight as to my son s medical problems. At age 12(2 yrs ago) he had appendectomy for perforated appendix. Adhesions noted in surgeons report. After surgery he had upper left abdominal pain . 3 weeks later (surgeon ignoring pain post op) he was hospitalized with bowel obstuction. After 2 weeks in hospital he was released still having the same pain. He has been seen since by Gastro . Symptoms continued with constipation. Now-3 doses daily Miralax. Having daily bm. He is on a high fiber, lots of fresh foods diet with plenty of water and exercise. Chronic pain is affecting daily life. Testing has never shown a root cause
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I have been suffering for 3 days now pain in the back of my right side of my head close to neck to above my right ear like blood vessel spasms comes and goes at times every few seconds especially at night or early morning. i drank hot water boiled with raw fresh ginger and i massage with peppermint oil. ibuprophen i took once did nothing, took excedrin extra strength once gave me tummy ache i took aleve 2 to last 12hrs helped a bit today during the day but now back to pain again I have no medical coverage and just applied on 12/23/13 to obama care but waiting for medical to call me Please help...from Ms. Tony YYYY@YYYY
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We report two cases of COronaVIrus Disease-19 in patients with Down Syndrome and describe the identification, diagnosis, clinical course, and management of the infection. Down Syndrome, which is caused by trisomy 21, is characterized by immune dysregulation, anatomical differences in the upper respiratory tract, and higher rate of comorbidities. All these risk factors can contribute to more severe clinical presentations of COVID-19. It is essential to raise awareness of the clinical relevance of SARS-COV-2 infection in DS patients, as well in other most vulnerable patients in order to improve their management and treatment and to candidate these individuals for vaccination, once available.
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Where does HCO3- enter red blood cells and what ion does it exchange with?
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i had cut my arms by blade 6 yrs ago till now marks are thr i m 26 yrs old .plz help me how to get rid of dat.dont hv money to go 4 expensive treatment i wl b greateful if u tell me the ointment name.thx
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Hi i m 20 years old. I m under treatment for epilepsy. Though i never gets seizure still i have to take the tablets as precaution as i got my last seizure in the month of november 2009 which was after 3 years of last one. My query is that muscles on my body suddenly shivers & only a single muscle , which is getting quite often these days. In last 6 months i've lost 8 kg of my weight due to hectic schedule. Now i am just 48 kg. please answer my query. thank you.
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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I was taking Tab. Telma AM 40 for hypertension 2 yrs. During my health check up doctor found my BP normal hence asked to taper medicine and i followed... but now again m facing high BP problem BP 16-/100 yesterday so my company doctor prescribed me Telma am 40 in the morning and Telma 40 in night. What should i do?
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hello my names m.m iam 39 weeks pregnant my hemoglobin level is law i ca,nt sleep a night i have fever in my arms all the time so that doctor please can you give advice the fast way that i can increase my HP and if i can start taking irion tablet because my due date is near .thanks ,Asia
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I have a nine year old son, who sometimes acts peculiar when we go to the movie theatre or out to dinner. He will get sick and complain that he fills nauseous and has difficulty breathing. He walks really stiff with his shoulders hunched and although I repeated ask him what is wrong, he tells me he is fine. Today, we had to leave the movie early because he was breathing so heavy as to appear to growl and complained that he was about to vomit. When we got home, he was fine and said that he was not acting sick or breathing funny. This happens quite often. He also does poorly in school. His teachers say he does not pay attention to anything going on in class and does his work very slowly and very sloppily.
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What does the oxygen-hemoglobin dissociation curve represent?
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for a dentist: my friend has swollen left side from tooth infection on the molar lower left side.- which was diagnosed to need a root canal . he took antibiotics- just took the first one a few hours ago- (one every 12 hours) but the swelling increased as he went to sleep (woke up after an hour feeling the increased swelling and numbness. its the middle of the night- what to do? thank you- russel
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I am being treated for ventricular arrythmias with documented episode of v tach (only 6 beats) during a loop monitor for 2 weeks which i wore in the daytime only; my loop monitor also showed so t wave inversions with episodes of frequent pvc s and st segment changes. my stress test was negative. started on monocor 5 mg once/day and increased to 7.5 mg once a day as i was having frequent chest pain and 85 pvc s / hour. i was told that the chest discomfort that i am experiencing and the pvc s are related to a mitral valve prolapse with scant regurgitation. Should i be concerned? I work part time but am totally exausted.
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The COVID-19 pandemic presents unprecedented challenges and uncertainties for families Guided by uncertainty management theory, this study qualitatively explored mothers’ sources of COVID-related uncertainties for their older children and the strategies used to manage their uncertainties Twenty-five mothers in the U S Midwest were interviewed by telephone between March-May 2020 during the early pandemic months Data indicated four sources of uncertainty: adjustment, threat of COVID-19, COVID-19 information, and social interaction Protective behaviors used to manage threat of COVID-19 uncertainties (e g , social distancing and isolation) sometimes unleashed further uncertainties about social interactions with others that mothers were still attempting to manage The findings suggest theoretical implications of uncertainty management theory as it applies to COVID-19 and practical implications for empowering mothers with tools for support and health literacy skills to understand and act on credible COVID-19 information [ABSTRACT FROM AUTHOR] Copyright of Journal of Family Communication is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission However, users may print, download, or email articles for individual use This abstract may be abridged No warranty is given about the accuracy of the copy Users should refer to the original published version of the material for the full abstract (Copyright applies to all Abstracts )
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female 29. I had right jaw pain a couple of days ago that I thought must have been one of my back teeth that caused some mild swelling in my jaw, this has now subsided but i have small lump just behind the lower part of my right ear, it is sore if i push on it and seems to becausing some pressure in my ear any ideas?
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I injured my palm with a knife and stabbed into it while cooking. I received stitches and had them in for 10 days. Its been about 2 weeks without them and the left side of my middle finger is still numb. I assumed nerve damage but im just not sure how would i exactly know if that is the issue
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I use to smoke meth for 13 years I never drank water always poor health i would always get kidney stones and would have to go see doctor for penicillin i quite meth now for 6 months now i still have kidney stone pain I've been drinking water lots so the stones pass i almost tested positive for meth from recent drug test could that be from the my old use residue of meth from my kidneys after six months
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My husband was diagnosed with throat cancer two years ago. He continues to refuse treatment. I've noticed substantial weight loss and he's often coughing and clearing his throat. His short term memory seems to be lost. What kind of life expectancy is there with untreated throat cancer? He was in 1st stage when diagnosed.
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What is the name of the central point of the retina where visual acuity is highest?
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Is there a bacteria or virus that smells like super glue? I have my tongue pierced, I have had it for four years now, and my tongue ring smells very bad almost like super glue. It's even effecting my breath a little. I've looked online, and many have said it's normal for the piercing to smell because it's the saliva and bacteria in the mouth interacting with the metal. And also because germs build up on the tongue ring. My tongue doesn't hurt and looks perfectly fine. Is not infected or anything. I was just wondering if this is normal and if there is a cure
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Q:A 69-year-old male presents to the emergency room with back pain. He has a history of personality disorder and metastatic prostate cancer and was not a candidate for surgical resection. He began chemotherapy but discontinued due to unremitting nausea. He denies any bowel or bladder incontinence. He has never had pain like this before and is demanding morphine. The nurse administers IV morphine and he feels more comfortable. Vital signs are stable. On physical examination you note tenderness to palpation along the lower spine, weakness in the bilateral lower extremities, left greater than right. Neurological examination is also notable for hyporeflexia in the knee and ankle jerks bilaterally. You conduct a rectal examination, which reveals saddle anesthesia. Regarding this patient, what is the most likely diagnosis and the appropriate next step in management?? {'A': 'The most likely diagnosis is cauda equina syndrome and steroids should be started prior to MRI', 'B': 'The most likely diagnosis is cauda equina syndrome and steroids should be started after to MRI', 'C': 'The most likely diagnosis is cauda equina syndrome and the patient should be rushed to radiation', 'D': 'The most likely diagnosis is conus medullaris syndrome and steroids should be started prior to MRI', 'E': 'The most likely diagnosis is conus medullaris syndrome and steroids should be started after to MRI'},
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Hello doctor, My SGOT level is 62.6. Lead level in my blood is 196.96, uric acid level is 7.5. Please suggest me better treatment.
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I have an umbilical hernia that seems like it may be leaking a tiny tiny bit. Its more red than usual today and I have stomach cramping. Im concerned with the tiny area that skin appears shiny like it may be leaking a little bit. Should I go to the emergency room?
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how to effectively treat sinusitis?I started taking amoxilin antibiotic 1-1-1 for 5 days. but 2 times i skipped the intake. after completing the course my sinusitis didnt reduce. Its very difficult to open my eyes now. what should i do?Pls give me a solution
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HI i am 22 years old male . My studies are over so i am at home all the time.I am masturbating daily most of the times once a day and sometimes twice, is it harmful? As when i was in college i always use to do it 3 times a week but now because am free its difficult to control.PLease help
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The COVID-19 pandemic has taken a significant toll on people worldwide, and there are currently no specific antivirus drugs or vaccines. Herein it is a therapeutic based on catalase, an antioxidant enzyme that can effectively breakdown hydrogen peroxide and minimize the downstream reactive oxygen species, which are excessively produced resulting from the infection and inflammatory process, is reported. Catalase assists to regulate production of cytokines, protect oxidative injury, and repress replication of SARS-CoV-2, as demonstrated in human leukocytes and alveolar epithelial cells, and rhesus macaques, without noticeable toxicity. Such a therapeutic can be readily manufactured at low cost as a potential treatment for COVID-19.
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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What are the typical presentation and physical exam findings for a patient with asthma?
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Accurate phenotyping of patients with pulmonary hypertension (PH) is an integral part of informing disease classification, treatment, and prognosis. The impact of lung disease on PH outcomes and response to treatment remains a challenging area with limited progress. Imaging with computed tomography (CT) plays an important role in patients with suspected PH when assessing for parenchymal lung disease, however, current assessments are limited by their semi-qualitative nature. Quantitative chest-CT (QCT) allows numerical quantification of lung parenchymal disease beyond subjective visual assessment. This has facilitated advances in radiological assessment and clinical correlation of a range of lung diseases including emphysema, interstitial lung disease, and coronavirus disease 2019 (COVID-19). Artificial Intelligence approaches have the potential to facilitate rapid quantitative assessments. Benefits of cross-sectional imaging include ease and speed of scan acquisition, repeatability and the potential for novel insights beyond visual assessment alone. Potential clinical benefits include improved phenotyping and prediction of treatment response and survival. Artificial intelligence approaches also have the potential to aid more focused study of pulmonary arterial hypertension (PAH) therapies by identifying more homogeneous subgroups of patients with lung disease. This state-of-the-art review summarizes recent QCT developments and potential applications in patients with PH with a focus on lung disease.
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i have hepatitis c for about ten years I am running a fever, muscle pains itchy skin nausea and am tired all tne time this happens to me every few months also ringing in my ears and headache I have never been treated for hepatitis only told that I have it what should I do each time I get sick it is a little worse this time my fingers and legs seem to be swelled
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My sister, who had open heart surgery as a baby now has two leaky valves and COPD. She also has AFIB that medication is unable to control She is 53 and every doctor she has seen in the last few years tell her that they would not consider surgery. The most that she can hope for is to keep her blood then and flowing so as not to have a stroke. She feels because of this that she doesn t have long to live and is starting to put her house in order so to speak. Having been told that she would probably not live to be 12, I feel that she has already beaten the odds. Can you tell me, based on your experience, if she is right and doesn t have long to live. I truly believe everyone has a time and that hers is not to die at 53. Help if you can!
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What factor activates Factor V of the coagulation cascade?
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Heart attack Myocardial infarction MI Acute MI ST - elevation myocardial infarction Non-ST - elevation myocardial infarction NSTEMI CAD - heart attack Coronary artery disease - heart attack Summary Most heart attacks are caused by a blood clot that blocks one of the coronary arteries. The coronary arteries bring blood and oxygen to the heart. If the blood flow is blocked, the heart is starved of oxygen and heart cells die. The medical term for this is myocardial infarction. Causes A substance called plaque can build up in the walls of your coronary arteries. This plaque is made up of cholesterol and other cells. A heart attack may occur when: A tear in the plaque occurs. This triggers blood platelets and other substances to form a blood clot at the site that blocks most or all of the oxygen-carrying blood from flowing to a part of the heart muscle. This is the most common cause of heart attack. A slow buildup of plaque may narrow one of the coronary arteries so that it is almost blocked. In either case, there is not enough blood flow to the heart muscle and heart muscle dies. The cause of heart attack is not always known. Heart attack may occur: When you are resting or asleep After a sudden increase in physical activity When you are active outside in cold weather After sudden, severe emotional or physical stress, including an illness Many risk factors may lead to the development of plaque buildup and a heart attack. Symptoms A heart attack is a medical emergency. If you have symptoms of a heart attack, call 911 or your local emergency number right away. DO NOT try to drive yourself to the hospital. DO NOT WAIT. You are at greatest risk of sudden death in the early hours of a heart attack. Chest pain is the most common symptom of a heart attack. You may feel the pain in only one part of your body OR Pain may move from your chest to your arms, shoulder, neck, teeth, jaw, belly area, or back The pain can be severe or mild. It can feel like: A tight band around the chest Bad indigestion Something heavy sitting on your chest Squeezing or heavy pressure The pain most often lasts longer than 20 minutes. Rest and a medicine to relax the blood vessels (called nitroglycerin) may not completely relieve the pain of a heart attack. Symptoms may also go away and come back. Other symptoms of a heart attack can include: Anxiety Cough Fainting Lightheadedness, dizziness Nausea and vomiting Palpitations (feeling like your heart is beating too fast or irregularly) Shortness of breath Sweating, which may be very heavy Some people (the older adults, people with diabetes, and women) may have little or no chest pain. Or, they may have unusual symptoms such as shortness of breath, fatigue, and weakness. A "silent heart attack" is a heart attack with no symptoms. Exams and Tests A health care provider will perform a physical exam and listen to your chest using a stethoscope. The provider may hear abnormal sounds in your lungs (called crackles), a heart murmur, or other abnormal sounds. You may have a fast or uneven pulse. Your blood pressure may be normal, high, or low. You will have an electrocardiogram (ECG) to look for heart damage. Most of the time, certain changes on the ECG indicate you are having a heart attack. Sometimes these changes are not present, even though other tests indicate you have had a heart attack. This can be called non-ST elevation myocardial infarction (NSTEMI). A blood test can show if you have heart tissue damage. This test can confirm that you are having a heart attack. You will likely have this test 3 times over the first 6 to 12 hours. Coronary angiography may be done right away or when you are more stable. This test uses a special dye and x-rays to see how blood flows through your heart. It can help your doctor decide which treatments you need next. Other tests to look at your heart that may be done while you are in the hospital: Echocardiography with or with stress testing Exercise stress test Nuclear stress test Heart CT scan or heart MRI Treatment IMMEDIATE TREATMENT You will be hooked up to a heart monitor, so the health care team can see how regularly your heart is beating. You will receive oxygen so that your heart doesn't have to work as hard. An intravenous line (IV) will be placed into one of your veins. Medicines and fluids pass through this IV. You may get nitroglycerin and morphine to help reduce chest pain. You may receive aspirin, unless it would not be safe for you. In that case, you will be given another medicine that prevents blood clots. Dangerous abnormal heartbeats (arrhythmias) may be treated with medicine or electric shocks. EMERGENCY PROCEDURES Angioplasty is a procedure to open narrowed or blocked blood vessels that supply blood to the heart. Angioplasty is often the first choice of treatment. It should be done within 90 minutes after you get to the hospital, and usually no later than 12 hours after a heart attack. A stent is a small, metal mesh tube that opens up (expands) inside a coronary artery. A stent is usually placed after or during angioplasty. It helps prevent the artery from closing up again. You may be given drugs to break up the clot. This is called thrombolytic therapy. It is best if these drugs are given soon after the onset of symptoms, usually no later than 12 hours after it and ideally within 30 minutes of arriving to the hospital. Some people may also have heart bypass surgery to open narrowed or blocked blood vessels that supply blood to the heart. This procedure is also called coronary artery bypass grafting and/or open heart surgery. TREATMENT AFTER A HEART ATTACK After several days, you will be discharged from the hospital. You will likely need to take medicines, some for the rest of your life. Always talk to your provider before stopping or changing how you take any medicines. Stopping certain medicines can be deadly. While under the care of your health care team, you will learn: How to take medicines to treat your heart problem and prevent more heart attacks How to eat a heart-healthy diet How to be active and exercise safely What to do when you have chest pain How to stop smoking Strong emotions are common after a heart attack. You may feel sad You may feel anxious and worry about being careful about everything you do All of these feelings are normal. They go away for most people after 2 or 3 weeks. You may also feel tired when you leave the hospital to go home. Most people who have had a heart attack take part in a cardiac rehabilitation program. Support Groups Many people benefit from taking part in support groups for people with heart disease. Outlook (Prognosis) After a heart attack, you have a higher chance of having another heart attack. How well you do after a heart attack depends on several factors such as: The amount of damage to your heart muscle and heart valves Where that damage is located Your medical care after the heart attack If your heart can no longer pump blood out to your body as well as it used to, you may develop heart failure. Abnormal heart rhythms can occur, and they can be life threatening. Most people can slowly go back to normal activities after a heart attack. This includes sexual activity. Talk to your provider about how much activity is good for you. Review Date 6/18/2018 Updated by: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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hi doctor,im smitha.Last week i did a blood test on cbc and found that my ESR level was 34.Is that an issue?Previously i had few blue/greenish marks on my body for the past few yrs..its just comes and goes once in a while.I have frequest stomach pains due to constipation.
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What are the sites present in every intron and how are they involved in forming the Lariat-shaped loop?
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Hi, I have a 3.5years old boy. This morning when he woke up, he had a little patch of red on the back of his neck and behind his ear. I thought he may have been bit by a mosquito but within the hour, he had an extremely itching red rash in between his legs and on the band of his pants. Later we discovered it was also around his ankles. We thought it may have been a new fabric softner. We changed his clothes and wiped him down. As the day has progressed, so has his rash. It is now going up his trunk and becoming even more red. What should I do given his age and the progression on this rash?
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What changes are observed in the gyri of the brain in Alzheimer's disease?
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Elbow pain My husband is a very healthy 47 yr old. He has started having swelling and pain in his right elbow in the past year. Nothing seems to help alleviate the pain. Any ideas on what may be wrong, or how to help ease the pain would be greatly appreciated.
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I am having pain in my lower right abdomen. I have been taking antibiotics for 2 weeks, but the pain continues. When I drink alcoholic beverages, I develop a pain in my back. Several months ago, I had a urine sample taken for a new job, and was told that a microscopic amount of blood was found in the urine. What could be some possible causes for these symptoms? I am 55 years old, a non smoker. I have high blood pressure, which I take medication for. I am 51, and I am overweight. My stomach sometimes is distended.
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Hi . My daughter is having asd of 7mm in heart. Recently she is also got affected by cold and cough . Now doctors are predicting for pneumonia . They are giving below treatment. Augpen 150 , tazid 250 , vita k , rantac, lasilaction , neocon , . Is this ok ? Also need to understand any precaution needs to take
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I have been having a bad pain just under the edge of my middle left rib cage. It is slightly burning sensation that seems worse when I lay down. I also seem to have a lot of inner twitching for lack of a better term, on the right side just under my rib cage. I have no history of reflux, andhave only had heartburn during pregnancy. I am currently without insurance and would hate to go to the ER for gas or something relatively normal.
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i am a chandra mahani arora,a 49 years old woman ,i am using stalopam plus since last 10 years ,and now i want to get rid of this medicine as i face headache n i feel and i fear in crowdy areas ,doctor adviced me to take this medicine as i told him that i feel fear in crowdy areas,please suggest me that how should i leave this medicine
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I have a right kidney measuring 11.4 cm and left measuring 9.5cm in length does this mean I have a problem I have 2 stones measuring 0.4 cm in rt. kidney and am sore on my right upper quadrant that feels like a small walnut should I be worried,ultrasound did not address this it is sore and somethimes have sharp pain. Janet
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I have terrible pain in two teeth. I have a dentist appointment next Tuesday. Until then, what can I do? I have several prescriptions I have not taken. Would any of these help?Tramadol/apap 37.5mg, cyclobenzaprine 10mg, Gabapentin 300mg. I think one or more were prescribed when I had another tooth problem. Thanks for any advice.
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When to seek urgent medical care when I have Hodgkin%27s lymphoma ?
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My 16 month old has a lot of mucus his nose is running but he's breathing like he's stuffed up. He doesn't have a fever, but he was sneezing a lot earlier and I can't get him comfortable enough to go to sleep. The aspirator isn't helping....I'm at my wits end. Any suggestions?
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a Flu?My 15 year old daughter has had 39°C temepature and is complaining with terrible headaches,dizziness when moving her eyes, disomfort on the skin, lower back pains, hot and cold flashes, mild shivering occasionally and slight coughing. I would like to know if this is just a winter flu or should I be worried?Thanks, Eve.
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Background and Purpose: There is little information on the acute cerebrovascular complications of coronavirus disease 2019 (COVID-19) in Egypt. The aim of this study was to estimate the proportion of acute cerebrovascular disease (CVD) among COVID-19 patients and evaluate their clinical and radiological characteristics in comparison with non-COVID-19 CVD. Materials and Methods: In a retrospective study, COVID-19 patients whom presented with CVD in Assiut and Aswan University Hospitals were compared with non-COVID-19, CVD patients, admitted to Qena University Hospital, prior to the pandemic. The following data were collected: clinical history and presentation, risk factors, comorbidities, brain imaging (MRI or CT), chest CT, and some laboratory investigations. Results: Fifty-five (12.5%) of the 439 patients with COVID-19 had acute CVD. Of them, 42 (9.6%) had ischemic stroke while 13 patients (2.9%) had hemorrhagic CVD. In the 250 cases of the non-COVID-19 group, 180 had ischemic stroke and 70 had hemorrhagic stroke. A large proportion of patients with COVID-19 who presented with ischemic stroke had large vessel occlusion (LVO), which was significantly higher than in non-COVID-19 patients with CVD (40 vs. 7.2%, P < 0.001). Comorbidities were recorded in 44 (80%) cases. In COVID-19 ischemic stroke patients, risk factors [hypertension and ischemic heart disease (IHD)] and comorbidities (hepatic and renal) were significantly higher than those in non–COVID-19 patients. In addition, 23.5% had hemorrhagic CVD, and six patients with LVO developed hemorrhagic transformation. Conclusion: Acute CVD among patients with COVID-19 was common in our study. LVO was the commonest. Hypertension, IHD, and anemia are the most common risk factors and could contribute to the worsening of clinical presentation. Comorbidities were common among patients with CVD, although a large number had elevated liver enzymes and creatinine that were partially due to COVID-19 infection itself. The current results begin to characterize the spectrum of CVD associated with COVID-19 in patients in Upper Egypt. Registration ID: The ID number of this study is IRB no: 17300470.
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We have a 3month old that started to fight sleep very bad. He will scream for hours on end. On the 11-14 we got in a car accident, the problem started soon after(3 days or so) and it has gotten worse ever sence. he has been to the ciropractor and it has helped. He went on mon night and yesterday was great, he was a happy happy boy all day. Didn t fight sleep at all. Today he woke up in a gerat mood, but at 10:30 he was ready for a nap. Needless to say he cried and screamedfor 3 1/2 hours then fell asleep. The second he was put down he sceramed and woke up. please help
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hello, my mom had her leg amputated a year and a half ago eerything that could go wrong did go wrong she is still inconstant agony THERE IS SOMETHING WRONG ! But at this point it seems that the doctors have deemed her a drug fiend instead of finding the cause of the pain Please help
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ok, I am having lower back pain . I have fatty lumps under skin that move around on either side of my spine at the dimples on lower back and along iliosacral hip or lower waist line . it is a constant pain. I want to lift weights but I am concerned if I should since this is bothering me
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Hello. Thank you. A new neighbor, very nice Vietnam vet. Looks like walking dead. Not one sign of meat or fat. Bones on face all protrude. Bones under butt checks are all there is. He informed me today he has hepatitis B. I dont know about B, but its contagious! This man goes to V. A. Hospital. He goes also, EVERY OTHER DAY, to attempt to give blood for tests. They poke him over and over but get NO BLOOD. They DO NOT KNOW WHY HES DYING, HELP. Sincerely Erin
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Hi there, For the last two years I have been getting these large lumps on my lower legs. they are about the size of a 50 cent coin. They feel like a painfull bruise. Sometimes they flare up and go red in colour and sometimes they are still under the skin but have no colour. They will sometimes stay there for months at a time. Kylee
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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BACKGROUND: Bromhexine is a potent inhibitor of transmembrane serine protease 2 and appears to have an antiviral effect in controlling influenza and parainfluenza infection; however, its efficacy in COVID-19 is controversial. METHODS: A group of hospitalized patients with confirmed COVID-19 pneumonia were randomized using 1:1 allocation to either standard treatment lopinavir/ritonavir and interferon beta-1a or bromhexine 8 mg four times a day in addition to standard therapy. The primary outcome was clinical improvement within 28 days, and the secondary outcome measures were time to hospital discharge, all-cause mortality, duration of mechanical ventilation, the temporal trend in 2019-nCoV reverse transcription-polymerase chain reaction positivity and the frequency of adverse drug events within 28 days from the start of medication. RESULTS: A total of 111 patients were enrolled in this randomized clinical trial and data from 100 patients (48 patients in the treatment arm and 52 patients in the control arm) were analyzed. There was no significant difference in the primary outcome of this study, which was clinical improvement. There was no significant difference in the average time to hospital discharge between the two arms. There were also no differences observed in the mean intensive care unit stay, frequency of intermittent mandatory ventilation, duration of supplemental oxygenation or risk of death by day 28 noted between the two arms. CONCLUSION: Bromhexine is not an effective treatment for hospitalized patients with COVID-19. The potential prevention benefits of bromhexine in asymptomatic postexposure or with mild infection managed in the community remain to be determined.
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my father in law gt admitted in hospital this sunday witChatDoctorplain of chest pain . he is a heart patient. dr confirmed it was not a stroke, but fluid collection. He was on a medicine call lasix.he was nt taking it sonce last 2-3 weeks.as of now also he is in ICU, as his BP is 90/150 and still not coming under control. Is the situation very risky?
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i have a 4 year old daughter, has has furunculosis twice in a span of one month. was prescribed for ampiclox. I have several articles on boils treatments and came across one that outline NASEPTINS. I just want to find out if ampiclox is one of the Naseptins or is Naseptins and antiobiotic on its own. I am scared the boils might come back. Please help. Millicent, Nairobi Kenya
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I am pregnant, 33 weeks now, i fell towards my back, and since then am facing severe pain while i sit and try to get up.I am really scared what happened, I consulted my gynecologist doctor who inturn asked my to consult Ortho.Ortho has given only analgesic-Dolo 650 and an ointment. its been 3 days now, but nothing is helpin out, I am really scared why I am not able sit and get up , its paining heavily when i try to get up.Pls suggest me something.Thanks
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TRIAL REGISTRATION: Clinicaltrials.gov NCT00895141.
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How can Class II antiarrhythmics (β-blockers) impact cAMP levels?
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Hi there My name is kim i just recently had a baby four months ago and i am on noriday conreception pill and haven t had a period for 3 months now i took a pregnancy test and it came back as negitive. I m still waiting for my period. Is this normal?
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I am currently pregnant. My due date is Oct. 21 which is projected by an ultrasound done in my first tri. I had intercourse with one man on Jan. 10th and another man thereafter... By my projected due date my conception date would have been Jan. 28th, I want to know how accurate this is and if i need to worry?
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i sprayed my shower stall ceiling to floor with triple concentrated bleach then covered the tub floor with a cleaner like comet. i added a little water and began scrubbing it. my eyes started tearing up severely, i wiped eyes, and went back to scrubbing, the smell was horrendously strong and my breathing was compromised. i took my head out of shower stall for a moment and again wiped eyes that i could hardly keep open by now. continued to scrub with face about 1 foot from the tub, with shower doors closed. it got to a point i could not keep eyes open and the tearing was pouring down my face. i couldn t breath, couldn t really stand up now, so crawled out of bathroom and shut the doors, in a short while. the tearing stopped but my thoat was tight and so very sore and burnig, i had wheezing when breathing. i began coughing and coughing for hours on end. i took benedryl and finally got some sleep, but now when i am awke, my lungs hurt when breathing, my whole body is sore and painful. is there a lasting results to what i did? thank you
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My 11month old daughter has a temperature of 38 which she has had since yesterday. We have given her Calpol at 4hrly intervals. She also seems to have some weakness in her legs this evening in particular (standing up in her cot her legs are a little wobbly). Should i take her to hospital?
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my husband has this "bump" at the back of his neck, he told it was a fat globule, so he squeezed and we observed this white (no pus) secretion coming out. However it grows every week. and he squeezes it. He went to see the doctor and he was told this was a fat globule. However, im worried as he had Hodgkin Lymphoma 10 years ago....... He has been 'cancer free" from these 10 years but again I am worried about this bump
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What is the site of action for acetaminophen?
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Objective To review the literature about the clinical application and research progress on medial support augmentation of plate osteosynthesis for proximal humeral fractures, and to provide reference for clinical treatment. Methods The literature concerning medial support augmentation of plate osteosynthesis for proximal humeral fractures in recent years was extensively reviewed, as well as the biomechanical benefit and clinical advantage were analyzed thoroughly. Results Medial support augmentation of plate osteosynthesis for proximal humeral fractures is very important, especially in osteoporotic and/or comminuted fractures. Many medial support augmentation methods have been proposed which can be divided into extramedullary support and intramedullary support. It can also be divided into autogenous bone support and allogenic bone support according to the material and source, divided into medial column support, calcar support, and humeral head support according to the support site, and divided into fibular shaft support, femoral head support, anatomic fibula support according to the shape of the augmented fixation. At present, clinical and biomechanical researches show that medial support augmentation is an effective treatment for proximal humeral fractures. Conclusion As an important treatment strategy for the treatment of proximal humeral fractures, the medial support augmentation of plate osteosynthesis gets the focus from the biomechanical studies and clinical treatment. However, there are still widespread controversies among orthopedic surgeons regarding the support mode, site, implant shape, and material of medial column support for augmentation of proximal humeral fractures. More high-quality clinical trials and biomechanical researches as well as multi-disciplinary integration, are needed to provide better strategy treatment for the treatment of proximal humeral fractures.
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Hi, I had started my birth control pills a week late and have missed many doses. I am married and not too worried about getting pregnant, but my question is....should I expect my period when I would usually get it or when the new pack of pills says I should? I am asking because I would like to know when to take a pregnancy text and get accurate results. I should get my period this week and the birth control pill pack says next week. I have had frequent urination which I usually do not have and feel different. It may all be in my head. This would be our third child and I just feel different.
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i dont know what is wrong with my ribs, they are very very sore, and tender but only a little swollen. it gurts a little to breath and there is always an anoying pain present, and the occasional sharp and very painful pain but it passes quickly. mostly it hurts to lie down and even more so to breath lieing on my back. there are no visual bruises on my skin, it feels more like the pain is coming from the space between my rib bones and my lungs. i know it isnt anything serious because im guessing it would hurt alot more if it was, i just dont know what it could be and weather or not i should ignore it.
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My husband has passed out twice , 9/18 and today. His whole body goes numb and tingly, vision goes blurry, left arm cramped, back of head pain, nausea, light-headed, hot flash, heart hurts. He passed out 9/18 and totaled his Jeep. I m scared but he is ready to die. Please help.
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My husband was working in the garage and got a puncture from a nail in a piece of wood. He thinks his last tetanus shot was 2 or 3 years ago, but cant be sure. Our family doctors office is closed for the weekend so there is no way to find out for sure. Should he have another one?
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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.
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Hi doctor, My 6 year old daughter was having fever since last night. Fever was between 100 and 101 degrees Fahrenheit. Initially, baby felt cold and her feet were cold as well. But, later on even the feet became hot. I administered syrup Calpol 5 mL once at 10 PM. Child's weight is around 34 kg, slightly stout figure. She has cough, though, which is not productive, but has a lot of spasm. My daughter has an exam today. Now, in the morning the fever has subsided, yet remains at 99 degrees Fahrenheit. Please advice.
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I had unprotected sex 4 days after starting my birthcontrol for the very first time. I am taking Lo Loestrin Fe, and I know you are supposed to use back up birthcontrol until about the first 7 days or a month. And now it s a week later and I am experiencing headaches and hot flashes. Is there any possible chance that I could be pregnant?
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Hello doctor, I have a 2.5-month-old who I recently noticed developed a tongue tremor. I looked up online for the causes and found them as SMA. She has great motor control, we were not doing tummy time as often because she did not like it but have increased it and have seen a big improvement. My doctor believes it is benign tongue tremor, unfortunately, we had a telehealth appointment due to COVID so he was unable to see her but he told me not to worry and to keep an eye if things get worse. I am so scared it is SMA, what else should I be looking for?
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I am 6 1/2 months pregnant. Woke up this morning having chest pain. I didnt pay mind to it and continued with my day. Afternoon I took two Tylenol thinking the pain would go away and it hasn't. The pain is my dead center chest, in between my breast. Feeling like I can't breath. Like my chest is Caving in and someone punched me there a few times. What is it?????
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Hello sir, I m 25 years old & i have started gyming seriously. my dieter gave me evion 400 caps after workout immediately so can you please confirm is it safe to have Evion 400 & celin caps? The motive behind this is to gain weight, does it works? Vishal
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6 days ago I hurt myself with a sharp object about where my left kidney is. A large bruise developed and it started to settle down about three days ago. Today it is very tender and I have ben urinating frequently all day. It is also sore when I cough and move suddenly. Do you think this has anything to do with my kidney?
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I am 51 yrs old -- male. I have had problems with prostatitis before. Now I am very worried... I just found a lump (gumball size) on my left side in pubic hair area. It is causing a lot of pain in that area. Also the pain seems to be radiating outwards. This seems a sudden thing. Produces a pulling or tugging type of pain. Seems to be an infection type of fighting off feeling in my whole body. Also seem to be urinating more often. I am just surprised by the size of lump + the suddeness of it!! Also the pain aspect has me worried. I have no $$, no job, + no insurance -- so going to the doctor is not possible right now.
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I have sharp pain in chest under left arm and cough up brown mucus in the morning. Just recovering from pnuemonia and have copd for the last 17 years. Taking predisone and prilosec. Have to have my oxygen on full 3 ltrs. Can this pain be more infection?
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Hi, Im a 25 year old male. My abdominal size keeps continuing to increase ever since i was 22 y/o. think it could be genetic coz my mom also has this since i could remember. I did some research and i think it could really be what they call visceral fat. I have done numerous tests and consulted so many different specialists but they all say its normal. Well, i dont feel its normal and its really killing my confidence. Help!
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Correspondence to Karen Kotila, Danish Society for Sports Physical Therapy, Nyborg, Denmark;kkotila@live dk Come join us at the 4th World Congress of Sports Physical Therapy (WCSPT2022) in Denmark! Breakout sessions will follow up on the main talks, focusing on the discussion of clinical application and implementation in a smaller setting The final show of the congress is the oral abstract presentation-competition judged by editors from international sports physical therapy and sports medicine journals
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I am a 54 yr old female, who started taking thyroid medication over a year ago. Normally my BP is about 108/72, even though I weigh 200 lbs. For the past 3 weeks I get vertigo every time I look up or when I move my eyes to fast. I also starting noticing things floating in my vision. This morning, I thought my BP was low, as when I got up, I kept feeling like I was going to faint or vomit, but when my neighbor took my BP I was shocked to see it at 137/104, even though my pulse was normal at 70. Currently I am on another island then where my doctor is, so should I wait until I get back home in a few weeks, or should I have things checked out now? I am also going thru menopause, so it is hard for me to tell if these symptoms are related.
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Hi, my father who is 76 years old has been being treated for an infection in the sac that surrounds the spleen. They have been draining the fluids for the past couple of days and did another CT scan today that showed white spots on the spleen. They are doing a biopsy tomorrow. What could be the cause of the white spots?
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Q:A 34-year-old female visits her primary care physician because recently she has started to have painful, numb, and discolored toes. She is otherwise healthy and has no family history of similar conditions that she can recall. Occasionally during these episodes, her fingers and nose will also have similar symptoms. On examination, the patient's appearance is completely normal with warm and well perfused extremities. No evidence of discoloration is found. On closer questioning, she reveals that several months ago during the summer, she succumbed to a viral illness that caused her to feel fatigued and have a long bout of cold symptoms with sore throat and swollen lymph nodes. The bacterial species that is also associated with this patient's most likely condition has which of the following characteristics?? {'A': 'Acid-fast', 'B': 'Gram-negative', 'C': 'Gram-positive', 'D': 'No cell wall', 'E': 'Spirochete'},
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Hello doctor, I have dryness, redness and red lines in both eyes. No liquid discharge. Right eye hurts sometime. I have 5 to 6 hours work on laptops.
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tWO DAYS AGO i HAD A STRANGE FEELING IN MY WRIST. ALL OF A SUDDEN IT WENT BLACK WITH BRUISING AROUND 3INCH CIRCLE. I HAVE BEEN UNELL FOR THE PAST 8 WEEKS WITH FLU LIKE SYPTOMS AND COUGH ALTHOUGH I AM ASTHMATIC, BUT WORRIED MORE ABOUT THE UNEXPLAINED WRIST BRUISING FOR NO REASON
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What is the function of cilia in ependymal cells?
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My brother in law is being admitted for the third time in 2 weeks for high fever 40.5, severe pain in his feet, low red blood cells, low white cells and difficulty breathing. He s had a bone marrow test but waiting for the results. The hospitals he s been to have not been able to diagnose him. Any ideas?
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Yesterday I got punched in the face and now it's swollen on one side and is a little tender when I touch it and the side that is swollen I can still breath out of my nostril but it feels a little blocked. Everything else is fine my nose looks normal besides the swelling I have no pain unless u push on the swelling I don't have bruieses. Is it broken or just swollen
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I had inguinal hernia surgery on my right side last friday. I tried masturbating and everything was going fine up until the point of ejaculation. The pain shot up and was a very sharp stinging pain and made where the incision is hurt and hurt into my groin. is this caused just from not waiting long enough after surgery? My scrotum is also very bruised but starting to fade away now since it has been a week.
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BACKGROUND: UltraViolet-C (UV-C) lamps may be used to supplement current hospital cleaning and disinfection of surfaces contaminated by SARS-CoV-2. Our aim is to provide some practical indications for the correct use of UV-C lamps. METHODS: We studied three UV-C lamps, measuring their spatial irradiance and emission over time. We quantify the error that is committed by calculating the irradiation time based exclusively on the technical data of the lamps or by making direct irradiance measurements. Finally, we tested specific dosimeters for UV-C. RESULTS: Our results show that the spatial emission of UV-C lamps is strongly dependent on the power of the lamps and on the design of their reflectors. Only by optimizing the positioning and calculating the exposure time correctly, is it possible to dispense the dose necessary to obtain SARS-CoV-2 inactivation. In the absence of suitable equipment for measuring irradiance, the calculated irradiation time can be underestimated. We therefore consider it precautionary to increase the calculated times by at least 20%. CONCLUSION: To use UV-C lamps effectively, it is necessary to follow a few simple precepts when choosing, positioning and verifying the lamps. In the absence of instruments dedicated to direct verification of irradiance, photochromic UV-C dosimeters may represent a useful tool for easily verifying that a proper UV-C dose has been delivered.
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Hi am 4 week post op on a delayed achilles repair. My foot is in a cast, moved to a flat (90 degree) position yesterday. I slipped over and put full wright on it which resulted in a sharp pins and needles pain in the heel for a second or two. Will the cast have prevented a re-rupture? Am hoping so.
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I was putting lotion on my legs and happened to run across a small pea sized moveable lump below the skin on my lower leg. You cannot see it from the surface only can feel it if you rub carefully to find it. Does that sound characteristic of anything in particular?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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I have a 1 year and 5months old child whose suffering from bronchitis and asthma, one of the medicines the doctor prescribed was sinecod forte, I am worried because I just read the label stating that it shouldn t be administered to children under 3 years old..I want to my child to be cured but I don t want his health to be harmed as well.Thanks
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I am 47 years old and have been experiencing sharp pain in my left lower abdomen. The pain is severe and burning - like someone is sticking a hot poker in my left lower abdomen. It extends through to my back and down into the left groin. I have not had a period in 5 months but the past 4 days have been spotting to where I have to wear a light tampon and I see little bits of clots and tissue when I go to the bathroom sometimes. I have just a very slight fever. But I am having trouble bending over to pick something up or sitting down due to severe burning stabbing pain. Should I be concerned or do you think it will pass? I have two year old twins and am not really wanting to take them to the hospital but it has kept me up the past 3 nights and is just so painful. Any advice would be most appreciated!
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Abstract An accurate and precise liquid chromatography–electrospray ionization–tandem mass spectrometry (LC–ESI–MS/MS) method was developed and validated for the pharmacokinetic study of epiprogoitrin and progoitrin, a pair of epimers that can be deglycosylated to epigoitrin and goitrin, respectively. These analytes were administered intravenously or intragastrically to male Sprague–Dawley rats, and the influence of 3(R/S)-configuration on the pharmacokinetics of both epimers in rat plasma was elucidated. The analytes and an internal standard (i.e., sinigrin) were resolved by LC–MS/MS on a reverse-phase ACQUITY UPLCTM HSS T3 column equilibrated and eluted with acetonitrile and water (0.1% formic acid) at a flow rate of 0.3 mL/min. Quantitation was achieved by applying the multiple reaction monitoring mode, in the negative ion mode, at transitions of m/z 388 → 97 and m/z 358 → 97 for the epimers and sinigrin, respectively. The method demonstrated good linearity over the concentration range of 2–5000 ng/mL (r > 0.996). The lower limit of quantification for epiprogoitrin and progoitrin was 2 ng/mL. The interday and intraday accuracy and precision were within ±15%. The extraction recovery, stability, and matrix effect were demonstrated to be within acceptable limits. The validated method was thus successfully applied for the pharmacokinetic study of both the epimers. After the rats received the same oral dose of the epimers, the pharmacokinetic profiles were similar. The maximum plasma concentration (Cmax) and AUC values of epiprogoitrin were a bit higher than those of progoitrin, whereas the pharmacokinetic behaviours of the epimers were obviously different upon intravenous administration. The Cmax and AUC values of epiprogoitrin were approximately three-fold higher than those of progoitrin, and the half-life of progoitrin was much shorter than that of epiprogoitrin. The oral bioavailability of progoitrin was 20.1%–34.1%, which is three times higher than that of epiprogoitrin.
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