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I have this dark spot inside of/near the top of my buttcrack. No matter how much I scrub it, it wont go away and I really want it to go away. I don't know how or when it got there. I also want to know how to get rid of the stretch marks on my butt...I'm skinny and supposedly attractive and I really shouldn't have these problems. please help?
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Introduction: available evidence suggests that children infected with COVID-19 tend to have a less severe form of the disease However, most of the studies that have established this largely emanate from outside sub-Saharan Africa The pandemic nature of the infection makes it instructive to evaluate its pattern among children across different climes, including ours This study was set out to describe the clinical characteristics of children with COVID-19 in Bauchi State, North-East Nigeria Methods: this was a cross sectional study that involved 53 children between the ages of 0 and 18 years, who had RT-PCR confirmed COVID-19 infection between March and June 2020 in Bauchi State, Nigeria Data on epidemiological and clinical characteristics was analysed using IBM SPSS Statistics V 21 ® Relationship between categorical variables was established using the chi square test The level of statistical significance was set at <0 05, at a confidence interval (CI) of 95% Results: the mean age was 12 63 ± 4 31 years with a slight preponderance of males (1 1:1) Majority were asymptomatic (60 4%), while 32 1% and 7 5% had mild and moderate diseases respectively The most common symptoms were cough (20 8%), fever (17%), and sneezing (15 1%) Five children (9 4%) complained of loss of taste while anosmia was documented in one child (1 9%) We observed a significant relationship between age category and the presence of symptoms In fact, children younger than 10 years (pre-adolescents) were five times more likely to be symptomatic when compared to those above this age (p = 0 029, C I 1 08-21 56) Conclusion: our findings have shown a mild pattern of disease and good outcome among infected children However, we must be mindful of the higher vulnerability among younger children, especially those below 10 years
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i have one and half year boy baby am going by the job carring my son also please tell me sir for this travelling he will get any problem of health ( travelling at kancheepuram to chennai ) please give any health tips form me and my son now also am feeding to my son
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Background: Poorly ventilated enclosed spaces pose a risk for airborne transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and other respiratory viruses. Limited information is available on ventilation in motor vehicles under differing driving conditions. Methods: We conducted carbon dioxide measurements to assess ventilation in motor vehicles under varying driving conditions with 2 to 3 vehicle occupants. During routine driving, carbon dioxide produced by the breathing of vehicle occupants was measured inside 5 cars and a van under a variety of driving conditions with or without the ventilation fan on and with windows open or closed. Carbon dioxide readings above 800 parts per million (ppm) were considered an indicator of suboptimal ventilation. Results: Carbon dioxide levels remained below 800 ppm in all vehicles if the ventilation fan was on and/or the windows were open while parked or during city or highway driving. With the ventilation system set on non-recirculation mode, carbon dioxide levels rose above 800 ppm in all vehicles when the fan was off and the windows were closed while parked and during city driving, and in 2 of the 6 vehicles during highway driving. With the ventilation system set on recirculation mode, carbon dioxide rose above 800 ppm within 10 minutes in all vehicles tested. Conclusion: Carbon dioxide measurements could provide a practical and rapid method to assess ventilation in motor vehicles. Simple measures such as opening windows, turning on the fan, and avoiding the recirculation mode greatly improve ventilation.
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Hi, my mother is very sick and she had a stroke 3 weeks ago and was unresponsive. The doctors revived her and ahe was doing better. Two days ago, she stopped eating and talking and is foaming out of the mouth? My grandmother was foaming out of the mouth moments before she passed. Is this the same thing?
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What is Placental Abruption, and how is this condition typically diagnosed?
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hi! sir my ge is 30years (male)is vitiligo vulgaris curable in 2months. iam suffering from 3months.effected about 2% on my body.
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I am having right upper quadrant pain on and off. The pain feels almost under my rib where it meets the sternum and at times it radiates to my upper back near my scapula. Whenever I have this pain my stool is green. Could I have a problem with my gallbladder?
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Hi Dr, I have not got pregnancy, I have gone to hospital for check up on the second day of my normal periods. I came to know that Prolactan harmone is 98 (seems to be high), FSH is 10.40, is that beacuse of this i am not getting pregnant ?How can we balance those harmones to get pregnant ?What diet we have to follow to balance the harmones ?
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Background Resistance to all first-line antibiotics necessitates the use of less effective or more toxic "reserve" agents. Gram-negative bloodstream infections (GNBSIs) harboring such difficult-to-treat resistance (DTR) may have higher mortality than phenotypes that allow for ≥1 active first-line antibiotic. Methods The Premier Database was analyzed for inpatients with select GNBSIs. DTR was defined as intermediate/resistant in vitro to all ß-lactam categories, including carbapenems and fluoroquinolones. Prevalence and aminoglycoside resistance of DTR episodes were compared with carbapenem-resistant, extended-spectrum cephalosporin-resistant, and fluoroquinolone-resistant episodes using CDC definitions. Predictors of DTR were identified. The adjusted relative risk (aRR) of mortality was examined for DTR, CDC-defined phenotypes susceptible to ≥1 first-line agent, and graded loss of active categories. Results Between 2009-2013, 471 (1%) of 45011 GNBSI episodes at 92 (53.2%) of 173 hospitals exhibited DTR, ranging from 0.04% for Escherichia coli to 18.4% for Acinetobacter baumannii. Among patients with DTR, 79% received parenteral aminoglycosides, tigecycline, or colistin/polymyxin-B; resistance to all aminoglycosides occurred in 33%. Predictors of DTR included urban healthcare and higher baseline illness. Crude mortality for GNBSIs with DTR was 43%; aRR was higher for DTR than for carbapenem-resistant (1.2; 95% confidence interval, 1.0-1.4; P = .02), extended-spectrum cephalosporin-resistant (1.2; 1.1-1.4; P = .001), or fluoroquinolone-resistant (1.2; 1.0-1.4; P = .008) infections. The mortality aRR increased 20% per graded loss of active first-line categories, from 3-5 to 1-2 to 0. Conclusion Nonsusceptibility to first-line antibiotics is associated with decreased survival in GNBSIs. DTR is a simple bedside prognostic measure of treatment-limiting coresistance.
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im 18 years old, after i masterbate, the tip of my penis hurts. and gives me a burning sensation. Lately the colour of my urine has gone from yellow, to a dark shade of reddish yellow. i also have a serious itchin problem inbetween my thighs n the groin region. please doctor with all due respect tell me as to what i have? and for further information, when i pass faeces and when i wash, i see drops of blood on a white eggish type of fluid that comes out after the faeces. just so u know, i once earned a small slit in my rectum, and i got it treated, im jst wonderin if they are all linked to each other! doctor please help me out i just turned 18 and am freaking out by reading about these fatal diseases that can be in that area!! so please tell me as to what i have, what i should do to cure it, and what i can do to prevent it without lettin it become worse!!!
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I usually get upper left abdominal pain not frequently. but when it comes I feel like going to washroom. It is so annoying when it comes I cant do anything, the complete stamina of my body will be lost at that time. No omitting sensation nothing.what might be the reason?
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OBJECTIVES: This study aimed to examine the prevalence of peritraumatic stress symptoms (PTSSs), perceived threat, social support and factors contributing to clinically significant PTSS among frontline COVID-19 healthcare workers (HCWs) in China. DESIGN AND SETTING: An online survey through self-administered questionnaires was conducted from 18 February to 4 March 2020, during the outbreak of COVID-19. OUTCOMES MEASURES: PTSS was assessed using the post-traumatic stress disorder (PTSD) self-rating scale. Demographic and socioeconomic characteristics, self-reported health, physical/psychological symptoms, perceived threat from frontline work and perceived social support were investigated. Multivariable line regression analysis distinguished factors associated with HCWs’ PTSS scores. RESULTS: A total of 676 (58.1%) HCWs have shown clinically significant high levels of PTSS. Only 441 (37.9%) self-reported good health. Most had physical symptom(s) (915 (78.7%)), psychological symptom(s) (906 (77.9%)), inability to vent emotions (284 (24.4%)), emotional exhaustion (666 (57.3%)) and 1037 (89.2%) needed professional respect. Moreover, social support received was less than expected, and the receipt of psychological services/help scored the lowest (3.11±1.73). Combined psychological and physical symptoms, difficulty in releasing tension and venting emotions timely, fear of infection, emotional exhaustion and depersonalisation are significantly associated with PTSS scores among frontline HCWs. Working ≥8 hours, having the senior professional title, self-reported health, enjoying perfect protection and control measures, economic subsidy and control policy on reducing discriminatory practices are negatively correlated with PTSS scores. CONCLUSIONS: During the outbreak of COVID-19, frontline HCWs experienced clinically significant high levels of PTSS and heavy workload, and the emergency resulted in their inadequate psychosocial support. If this is left unchecked, HCWs have a higher risk of developing PTSD. Early detection, identification and person-directed, targeted multidisciplinary interventions should be undertaken to address various influencing factors. Comprehensive measures, including setting up emotional release channels, as well as providing psychological and social support intervention for HCWs globally, are highly recommended.
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i had an mri done yesterday. the observations are as follows kindly elaborate on the same. Is there anything to worry??nonspecific punctate hyperintensities involving periventricular white matter of bilateral frontal and right frontoparietal regionpartial empty sella noted.Also let me know about the other tests to be done. One of the doctor told me a clot passed through brain. What should be done to prevent this clot from going to brain in future
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Infection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), causing the rapid spread of coronavirus disease 2019 (COVID-19), has generated a public health crisis worldwide. The molecular mechanisms of SARS-CoV-2 infection and virus–host interactions are still unclear. In this study, we identified four unique microRNA-like small RNAs encoded by SARS-CoV-2. SCV2-miR-ORF1ab-1-3p and SCV2-miR-ORF1ab-2-5p play an important role in evasion of type I interferon response through targeting several genes in type I interferon signaling pathway. Particularly worth mentioning is that highly expressed SCV2-miR-ORF1ab-2-5p inhibits some key genes in the host innate immune response, such as IRF7, IRF9, STAT2, OAS1, and OAS2. SCV2-miR-ORF1ab-2-5p has also been found to mediate allelic differential expression of COVID-19-susceptible gene OAS1. In conclusion, these results suggest that SARS-CoV-2 uses its miRNAs to evade the type I interferon response and links the functional viral sequence to the susceptible genetic background of the host.
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Wolf visited elementary schools, a middle-school performance festival, after-school programmes, high schools, summer camps, state park outdoor theatres, community theatres and dinner theatres Through a combination of labour and leisure, amateur artists reveal how they engage with the craft out of love [ ]audiences largely show up, but seldom do they know everything that goes into the process Since tickets are inexpensive or free, audiences can see the latest hits from Broadway such as In the Heights and Next to Normal at just a fraction of the cost and without having to travel to New York City
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Q:A 4-year-old boy presents to the emergency department with diarrhea. Several days ago, he experienced a fever which has progressed to vomiting and diarrhea. He has had multiple episodes of non-bloody diarrhea and states that he feels fatigued. He is not up to date on his vaccinations and takes many different herbal supplements from his parents. His temperature is 101°F (38.3°C), blood pressure is 100/55 mmHg, pulse is 111/min, respirations are 19/min, and oxygen saturation is 100% on room air. Physical exam is notable for dry mucous membranes and a fatigued appearing child. Which of the following is the most likely etiology of this patient’s symptoms??
{'A': 'Campylobacter jejuni', 'B': 'Coronavirus', 'C': 'Norovirus', 'D': 'Rotavirus', 'E': 'Vibrio cholerae'},
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What is proliferative diabetic retinopathy prone to and why?
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hi, recently i have been getting puss filled gums that have continually "popped" either by something hitting my gums, or pressure (I'm not quite sure). But i believe i also have a tooth rowing behind the tooth that is under that gum that has been irritated and bleeding. I was wondering what i should do, and if this is serious?
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Hi. I just had oral surgery two days ago and during the process I was under anasthesia and also received a lot of novicane. Now I have this strange cluser of bumps above my lip. Initially I thought it might be a big cold sore but this is like something I have never seen before. It is uncomfortable and very ugly. When it is dried it has a yellowish color and it is just a big cluster of tiny bumps....what is this?!
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I do a test for hepatitis B The values are: 1,23 patient value, with a 1.0 cutoff value. This says I m infected? I m not vaccinated There are chances of false positives? What causes lead to a false positive? Need to know about margins of error and whether the value of 1,23, may appear to doubt it will be, because it close to the cutoff value Thank you very much
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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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I got chicken pox about 4 years ago. I believe Ive developed alleges after that. Im now allergic to lotions etc which I was using regularly before that. I get welts on my palm ( more like under the palm), itchy bumbs on the back of my head and sometimes get up with swollen eyes. Is there a way I can fix them once in for all.PS
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i was diagnised with TB adenitis two months ago after 5 months of lmph nodes swelling. i have been on medication for two months. two weeks ago i got severe back pain. on medication it cleared.i now have a severe hip joint pain though the xray showed normal hip joint. could this be due to the TB medication. i find it painful standing up.
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Q:In chloroplasts, a certain protein is found in the lumen of the thylakoid (thylakoid space). It is transcribed in the nucleus and synthesized on cytoplasmic ribosomes. How many membrane bilayers must this protein cross to reach its final location??
A:One;B:Two;C:Three;D:Four
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"What exactly is methemoglobinemia and what factors increase the risk of developing it?"
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Hello doctor, I am a 31 year old male, married for 2 years now. My height is 178 cm and weight is 72 kg. I am not suffering with any medical conditions. I am working in a MNC. I do not have any work related stress as such. My problem is that I feel tired most of the time. I am also prone to getting cold frequently, though I do not have any sinus issues. I do not follow any strict diet and I do not skip my meals as well. I do not drink alcohol or smoke. I am not taking any nutritional supplement. I have not had any checkup recently. Though 1 year back, I did a complete body checkup. The results were normal, except for my cholesterol level, which was on a borderline high, 202. I do not get a consistent sleep. My sexual desire is also very low. I had an addiction to masturbation till recently. But, I have reduced it now. I drive my two wheeler for around 40 km a day. When I am back home after work, I do feel very tired and lazy. What could be the reason for this tiredness? How do I overcome this? Do you suggest any vitamin supplements? Should I perform any test? If yes, could you please list out the names of the tests? Thanks in advance.
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Hi! I am 31 years old. Married from last 3 years. Planning fHi! I am 31 years old. Married from last 3 years. Planning family from 9 months. Is Suffering from severe pain in periods. My Normal menstruation cycle 32 -35 days bleeding happens only for 2 days. Jan cycle lasted 40 days and Feb was normal 32 days and march again was 45 days, HTP negative. I consulted Gyn and she advised many tests - suspected endometriosis. FSH, LH,TSH normal ESR high(65), Monteux negative, TB Elisa IGM negative, IGG negative, IGA borderline positive(588). Currently going for a follicle study today is day 20th (25mm) follicle size has not ruptured. Please advise what should I do? What is TB PCR test and LFS?
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Hey, My name is Tayyab. I am male 22. I have been experiencing pain in my left breast area. Sometimes its like a sharp tightness and squeezing feeling. Its been going on for three weeks now. I am under a bit of stress these days. Should I be worried about it?
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I just found out I have low iron, was told my number is 10. I don t have anemia though, but my doctor put me on iron supplements to prevent anemia. I should have started my period 5 days ago. I have had all the regular pms symptoms - bloating, bad sleep, tender breasts etc. I ve been spotting for 2 days now, but it feels like my period just doesn t want to start. Can this be due to starting the iron pills?
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Hi my 2 and a half year old son has had intermittently high temperature for 3 days with intermittent abdominal pain. The pain appears to be quite severe when it comes. The pain has only become severe in last 12 hours. But temp has been fine in that time. When pain free he seems completely fine
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I have a friend who is experiencing chronic pain lately and does not know the reason. He has pain in both legs and shoulder and arms and takes advil and tylenol to no avail. We are thinking he has arthritis of some kind. Is CBD effective on arthritis and chronic pain?
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hello ,i had a angiogram 3 months ago .and im still getting pain in my right leg,like a pinching grabbing stabbing pain which goes up and down my groin and leg area.doesnt matter what i do and how i do it things it still happens day or night .i need answers somebody?cheers darren
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Could you provide me with the text to rephrase?
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I am trying to learn as much as possible about pain pumps as I am considering having one implanted due to 4 failed back surgeries back in 2010. I have been suffering chronic back pain ever since and have tried every other option available with no success
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Which non-third generation group of cephalosporins is effective in treating bacterial meningitis?
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Hello doctor, I have stomach problem for four to five years. I do not know what it is. But, it is there all the time and I get pain when I eat something. Nowadays, I am not getting to control my stomach problem. Another thing is that when I eat something, I just get pressure on my stomach. I am not able to sit for long on my office seat. What should I do?
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My 6 year old daughter gets a blue ring around her mouth sometimes, especially in temp. changes. This has happened since she was born, she came home with blue hands, feet, and around her nouth. We are going for and ekg this week im worried. The doctor said if its not a heart condition its Raynauds. What do you think?
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i have a girl 2 years old her stool is soft and pus cells are 6-7 protozoa are nill and direct examination few fecal leucocytes . culture negative for salonellla,shigella and staphyllococcus aureus . the stool smell very bad and she stoll immediately after she have food. please advice the reason and how to treat her
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Hi doctor, I have RE -0.50 and LE -0.75. Should I wear glasses all the time? I am not comfortable with my glasses and need to change contact lenses instead of glasses, if it is possible. Can I change to contact lenses?
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The global pandemic of severe acute respiratory coronavirus 2 (SARS-CoV-2), which causes the novel beta coronavirus 2019 disease (COVID-19), has become an unprecedented medical, economic, and psychosocial crisis. The pandemic and its management strategies have resulted in immense challenges for health systems, not only in caring for those with COVID-19 but also in the ongoing management of chronic medical conditions. Kidney transplant recipients present a unique challenge given their need for ongoing monitoring and management as well as their higher risk of COVID-19 infection. In the absence of clear guidelines, it is unclear how to best provide routine care to this unique patient population during the pandemic. Rigorous medical and psychosocial patient-centered risk stratification strategies are needed to avoid adverse outcomes in stable solid organ transplant recipients. This review will focus on the challenges faced by kidney transplant recipients and health care providers and provides strategies to address these issues.
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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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Had one episode of a fib brought on by dvt in leg and pulmonary embolism. Stopped heart twice before it regained normal rhythm. Had extensive testing done by cardiologist, including stress test with persantine and thalium. Result: small leak in one of my valves, but nothing to worry about. On pradaxa since March and have been having chest pain under breast bone annoying but not unbearable, accompanied by a flutter feeling, not intense like the 205 bpm I had with a fib and also .. I have a cough too. BP has been normal (take med) and heart rate around 60. Should I seek cardiac evaluation again?
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Hello I recently went to the dentist to get a few cavities filled. After the visit i noticed that the pain in my one tooth was increasing. Yesterday I phoned my dentist at his residence and he prescribed me metronidazole 3x a day. I also have been taking Tylenol 3 and oragel ..when I woke this Morning my lower lip is three times its size. So my question is do i have to be concerned or should i continue with the medication the doctor prescribed?
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I am a 50 year old female elementary teacher. It hurts to swallow, both ears hurt - like you want to stick a q-tip in them ( but didn't), when I cough it comes from deep in my chest. I don't have the normal cold symptoms - I'm not stuffed up, but have been sneezing occasionally. Several of my students have been diagnosed with strep. I've never had strep before. I have been taking ibuprofen to deal with the pain.
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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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Hi, may I answer your health queries right now ? Please type your query here...I have small cysts on my right breast which were examined last year no treatment required but have now devolped small lumps under my arm with a dull ache someone suggested fat lumps do you have any ideas
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At the time of writing, it is unclear how the COVID-19 pandemic will play out in rapidly urbanizing regions of the world In these regions, the realities of large overcrowded informal settlements, a high burden of infectious and non-communicable diseases, as well as malnutrition and precarity of livelihoods, have raised added concerns about the potential impact of the COVID-19 pandemic in these contexts COVID-19 infection control measures have been shown to have some effects in slowing down the progress of the pandemic, effectively buying time to prepare the healthcare system However, there has been less of a focus on the indirect impacts of these measures on health behaviours and the consequent health risks, particularly in the most vulnerable In this current debate piece, focusing on two of the four risk factors that contribute to >80% of the NCD burden, we consider the possible ways that the restrictions put in place to control the pandemic, have the potential to impact on dietary and physical activity behaviours and their determinants By considering mitigation responses implemented by governments in several LMIC cities, we identify key lessons that highlight the potential of economic, political, food and built environment sectors, mobilized during the pandemic, to retain health as a priority beyond the context of pandemic response Such whole-of society approaches are feasible and necessary to support equitable healthy eating and active living required to address other epidemics and to lower the baseline need for healthcare in the long term
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BP readings today, 159/103 76 pulse 11am 163/101 75 3:30 pm 150/97 68 4:30 pm 144/94. 76 6:00 pm 167/112 76 9:00 pm Current medications: coreg 6.25 mg bid Hctz 12.5 mg qd Naproxen 500 mg qd Atorvastatin 20 mg qd,Sertraline100 mg qd Trazodone 50 mg qd I had my first seizure one month ago.I m worried about having another one or worse.Please advise
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Hello doctor, I am writing on behalf of my wife. She is 28 years old. She has PCOD. We have been trying for a baby for the past three and a half years. My wife conceived thrice, but all the times, the pregnancy got aborted in the second month. We have checked with infertility specialists in my area. We both have conducted all the related tests, and my count is normal. I do not know how to proceed further. What should be done now? What are the precautions we must take? Kindly advise.
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I am an RN and work in same day surgery unit. I have severe facet degenerative changes at L3 and 4 resulting in mild stenosis. Is it safe for me to work in an area where walking post-op patients and caring for them is part of the daily routine. Is there any danger to me in doing so
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What is berylliosis, and which groups of workers are particularly susceptible to developing this condition?
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Yes, how can a dr.. diagnose me today with shingles, and I have never had chicken pox. I called my mother and she said I hadn't either. I went for a pulled ligament and pain, and a rash down my arm. My neck,shoulder has the turn or pulled muscle. He wouldn't do a test on me to see if I had ever had or vaccine before??
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I m constantly have this sharp pain on the right side of my neck. It pulsates at times, comes and goes every month or so. When I touch it I feel like its right around the area where the artery is in my neck. The pain shoots into my jaw as well. I am a right side sleeper, which I ve read can cause issues with acid reflux. Any ideas?
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Hi I am a 22 year old Asian woman and I have noticed that I am becoming increasingly short of breath after doing small tasks such as walking around the house, showering, going up and down the stairs. I am also pretty sure that I have a murmur in my pulmonary area (it sounds systolic but I m not 100% sure. I am still just a medical student). I also get palpitations infrequently, but when I do it is usually when I am at rest not stressed or doing anything in particular. The most bothersome thing is the shortness of breath. it does get relieved when I sit and rest for a bit though. I have noticed it for a while and it is not very severe but it is definitely more noticeable now. I am just not sure what to make of all this. any help would be appreciated
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Which NNRTI is known to be associated with CNS symptoms such as vivid dreams, psychosis, drowsiness, and headache?
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after a long bout with a sinus/allergy infection in dec 2013, I took nystatin 2x and dyfilucan 1x, and probiotics. White tougue and yeast in and on my mouth every morning. worked on diet with naturalpathy and ate much yougurt, very little sugar and very little wine (3x a wk) started chewing on my lip and inner cheeks of mouth as a habit - continually now- mouth and tougnue burn every afternoon til bed time and mouth and lips are always dry with funny taste. Now what? Jamie
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My 1-year-old baby complains of on and off stomach pains since yesterday and passes yellow watery stools with very foul-smelling odor (twice a day since yesterday). I suspect it to be amoebiasis though I cant tell if it has some mucus in it. She was feverish last night, around 37.5C maybe, but it responded well to paracetamol. She has 1 tooth coming out. I breast fed her purely. Can it be amoeba?
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In trying to understand my MRI lumbar spine without contrast test it has a sentence that reads: No pars defects are seen. I cannot find what this sentence means. The previous sentence says: significant grade 1 spondylolisthesis L4-L5 is noted . I understand trhis sentence but not the 1st one. Can you help me out? Thank you! YYYY@YYYY
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In a patient with hypothyroidism and myasthenia gravis who presents with shallow respirations, tachypnea, and tachycardia, what is the likely diagnosis?
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I have a swollen feeling on the right side of my neck, directly under the right side of my jaw. I have had this before, when my allergies are bad. This time it feels like a rock right there when I swallow. I have allergies really bad right now so could that be it? I am going out if town tomorrow so what could I do to make it better asap ? Thanks !!
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Hi sir,This is Dinesh. Am suffering from back pain. Please find the below mentioned MRI scan report kindly give me suggestion for my problem:1) Early degenerative spondylotic changes2) Mild diffuse disc bulge at l4-5 level - No nerve root compressionWhether i hv to go under operation?
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What does Papillorenal syndrome mean?
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i am 43yrs and 30wks pregnant.i have nail patella syndrome and have 3+ protein in my urine .i have had protein with all previous pregnancies however i was alot younger then.i have been feeling lathargic and worn out for the last week and this came on suddenly i also tend to go slightly yellow during the day.is this due to my kidneys and what do you recommend?
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A part of my skin is really itching since the last 2 months. I bought a product named Psoriasis to try to cure it but it didnt change anything. Now im getting scared cause the itching part just gets bigger and bigger (about 7inches by 4 inches). Im not sure it is psoriasis but i saw pictures of that and it seemed the same. Hope you will help me as fast as possible .
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My sister has recently been diagnosed with ESLD, stage 4 autoimmune cirrhosis. Her first meld score was 26 and, after two months medication, is 8. She is going through the process to get listed for transplant. She is having severe hand cramps and her finger hands (and sometime toes) cramp and cross over, looking deformed. She says its a pain level 20. Her first GI Doctor said he had no idea what it is, but I suspect it s due to related and/or new renal deficiencies. Do you know what could be causing this and if it could be severe or indicative of an emergency requiring attention?
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INTRODUCTION The wide use of laparoscopy for groin hernia repair has unveiled "hidden hernias" silently residing in this area. During the open repair of the presenting hernia, the surgeon was often unaware of these occult hernias. These patients postoperatively may present with unexplained chronic groin or pelvic pain. PRESENTATION OF CASE Rare groin hernias are defined according to their anatomical position. Challenges in the diagnosis and management of occult rare groin hernias are discussed. These problems are illustrated by a unique case report of multiple (six) coexisting groin hernias, whereof five were occult and two were rare. DISCUSSION Rare groin hernias are uncommon because they are difficult to diagnose clinically and are not routinely looked for. They are often occult and may coexist with other inguinal hernias, thus posing a diagnostic and treatment challenge to the surgeon, especially if there is persistent groin pain after "successful" repair. MRI is the most accurate preoperative and postoperative diagnostic tool, if there is a clinical suspicion that the patient might have an occult hernia. CONCLUSION Preperitoneal endoscopic approach is the recommended method in confirming the diagnosis and management of occult groin hernias. A sound knowledge of groin anatomy and a thorough preperitoneal inspection of all possible sites for rare groin hernias are needed to diagnose and repair all defects. The preperitoneal mesh repair with adequate overlap of all hernia orifices is the recommended treatment of choice.
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Hello, Q
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I have Begun to have bald spots in my hair since my dog has started taking Apoquel. My dr. Said this is an immune system response to something and even though I wash my hands after giving the drug to my dog, I was wondering if I was having a reaction to the drug myself.
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I have 3 level lumbar spinal fusion with instrumentation L4 L5 S1 a little over 2 years ago. and since then I haven t diagnosed with belt back fusion and chronic pain syndrome , I fell in my hallway on Monday send the pain instantly became worse to the point of hunched over crippling pain. now it is Wednesday and the pain is the same if not worse. I didn t go to the hospital on Monday i didnt want to go to a hospital thinking i just pulled a muscle and be charged 1000 dollars for my trouble. also its workmans comp and thst brings headaches of there own kind. i called my pm doctor this morning and left a message but yet to recieve a call back. am i delaying the inevitable by not going to er as tjsts what he will say anyway? is it remotely possible that something bad could have happened or should i just keep tryingbto deal?
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I am 17 years of age, and I think I may have slight ocd, but I am always stressed out over little things, and I feel I need to take care of my little brother and sister when they have 2 very capable parents, what can I do to relieve the stress, and relinquish the control I need for them?
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I am curious to why I am HOT all the time? I just turned 37 years old, and have been experiencing this now for almost 5 years. I am hot and sweating, where only a tank top and everyone else in the room is fine and wearing long sleeves and jackets? Would could be my problem?
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BACKGROUND: Emerging evidence demonstrates that obesity is associated with a higher risk of COVID-19 morbidity and mortality. Excessive alcohol consumption and "comfort eating" as coping mechanisms during times of high stress have been shown to further exacerbate mental and physical ill-health. Global examples suggest that unhealthy food and alcohol brands and companies are using the COVID-19 pandemic to further market their products. However, there has been no systematic, in-depth analysis of how "Big Food" and "Big Alcohol" are capitalizing on the COVID-19 pandemic to market their products and brands. OBJECTIVE: We aimed to quantify the extent and nature of online marketing by alcohol and unhealthy food and beverage companies during the COVID-19 pandemic in Australia. METHODS: We conducted a content analysis of all COVID-19-related social media posts made by leading alcohol and unhealthy food and beverage brands (n=42) and their parent companies (n=12) over a 4-month period (February to May 2020) during the COVID-19 pandemic in Australia. RESULTS: Nearly 80% of included brands and all parent companies posted content related to COVID-19 during the 4-month period. Quick service restaurants (QSRs), food and alcohol delivery companies, alcohol brands, and bottle shops were the most active in posting COVID-19-related content. The most common themes for COVID-19-related marketing were isolation activities and community support. Promotion of hygiene and home delivery was also common, particularly for QSRs and alcohol and food delivery companies. Parent companies were more likely to post about corporate social responsibility (CSR) initiatives, such as donations of money and products, and to offer health advice. CONCLUSIONS: This is the first study to show that Big Food and Big Alcohol are incessantly marketing their products and brands on social media platforms using themes related to COVID-19, such as isolation activities and community support. Parent companies are frequently posting about CSR initiatives, such as donations of money and products, thereby creating a fertile environment to loosen current regulation or resist further industry regulation. "COVID-washing" by large alcohol brands, food and beverage brands, and their parent companies is both common and concerning. The need for comprehensive regulations to restrict unhealthy food and alcohol marketing, as recommended by the World Health Organization, is particularly acute in the COVID-19 context and is urgently required to "build back better" in a post-COVID-19 world.
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Hello, My 4 yrs old child had stomach flu last week and influenza this week. She is taking Tamiflu since yesterday. On Tuesday and now today we have noticed that her stool is pale in color (very light). Is it normal for the stool to change pale in color?
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BACKGROUND: Porcine post-weaning diarrhea (PWD) has reemerged as an important topic in pig production, as common control strategies based on prophylactic use of antimicrobials and zinc oxide have been deemed unsustainable. The objectives of this study were to estimate the cumulative incidence of porcine post-weaning diarrhea with different etiologies in production systems weaning without zinc oxide and prophylactic antimicrobials, to assess risk factors for post-weaning diarrhea, and to estimate the impact of post-weaning diarrhea on growth rate. A cohort study was conducted at two commercial indoor producers weaning without medicinal zinc oxide and prophylactic antimicrobials. RESULTS: Piglets were included at birth (n = 300) and 272 survived until weaning. After insertion to the nursery units, the piglets were clinically examined every day for 14 days, and rectal swabs were collected and analyzed for enterotoxigenic Escherichia coli (ETEC) and rotavirus A. The cumulative incidences of PWD the first 14 days after insertion to the nursery units were 41.8% (CI 33.6, 50.4) and 51.1% (CI 42.3, 60.0) at the two producers, respectively. We found a low incidence of cases associated to ETEC, and detected a substantial proportion of cases associated to rotavirus. We observed a biphasic pattern in the assumed etiology with rotavirus occurring first, and then a shift towards cases associated to ETEC/non-ETEC hemolytic E. coli. Being offspring of older sows was a protective factor for the development of PWD (Hazard ratio = 0.88 [CI 0.78, 0.99] per unit increase in parity of the dam). Low birth weight reduced the post-weaning growth rate (− 5.2 g/day [CI − 7.5, − 2.9] per 100 g decrease in birthweight) and increased the hazard of developing PWD (Hazard ratio for birthweight below 1100 g: 2.30 [CI 1.41–3.74]). The combined effect of having diarrhea for 2 days or more and receiving antimicrobial treatment was associated with an increased average daily weight gain. CONCLUSIONS: This study suggests novel insights regarding pathogen dynamics and risk factors for PWD in productions not using prophylactic antimicrobials and medicinal zinc. The findings may have important implications for both antimicrobial usage and prevention strategies. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40813-021-00232-z.
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She woke up with severe pain in the upper left side of her upper neck (at the base of the skull) initially this was coupled with headaches..about 3 to 4 days...but now at the 5th day headaches have subsided. The pain area is very tender and painful to the touch. She went to Chiropractor for an adjustment but it was of no help.Any thoughts
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Over the last few weeks i have been experiencing pain (not headache) mostly on the right side of my head. Sometimes the left. These are quite sharp pains and often causes me to be a bit dizzy and a little cloudy. Could you please shed some light on this as i am getting a little worried.
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Hello doctor, What is bilateral spondylolysis between L5 and S1? What is the cause? What is the remedy? I have pain near the tail-bone, especially when seated. I have started experiencing a sharp pain when lifting clothes from a bucket.
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my 13 month old son has developed over the last several days little red dots. there are currently 6 over different parts of his body. One on the cheek, another on his ear lobe, the rest on differing extremities. they don t look like chicken pox. He eats well, plays well, and his stool is normal. Is there something I should be worried about?
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Hi doctor, At first, I ended up with miscarriage in 8 months. It was a natural one when the baby movement got less and I was unable to determine. Then, after eight months I conceived. That also ended with a miscarriage in a month's time. I have gone through D and C. Now, I have been trying to conceive for the past three months after D and C, but I am unable to get pregnant. I have hyperthyroidism and taking medicine Thyronorm 100 mcg for 2 years after my first case. Please explain why is it happening so. What I need to do to conceive again? My age is 30. I had all other tests like rubella and other virus tests and all reports are normal.
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My husband forgot his blood pressure pills when he went away to work and was Without them for five days. I couriered them and he has them. I told himTo get a monitor which he did. He took his pressure and it was 145over 118. Is this bad and will it go down Now that he is back on his med?
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Could you provide a proper sentence or question for me to rephrase?
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iam a girl of age 28.I was in love affair with a boy of age 30.we both were sincere and we are sexually committed for almost 3 yrs.But now that fellow is refusing to marry me.I could not marry any one else.but iam being forced in my home to get married.Also iam unable to reveal my real status to my parents.what shall i do.mean while i went for legal action and now he is too much angry on me.what shall i do.i feel to commit suicide.what should i do
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i have pcod bt my periods are regular my lmp was dec16th but Jan 8th i got little spotting... bt still i havent get my regular period.. i checked home pregnancy test that shows negative... pls inform me chances available for pregnancy? is there any complications of my pregnancy?????
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my daughter is almost 7 and she has had a stuffy nose and headaches for the last couple of days. Last night we noticed 3 red spots on her face. This morning there are 3 new ones. They are on her cheak, her eye and around her mouth. Any ideas what the bumps could be? No new food, detergents, soaps etc.
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I have very bad eye and facial movements for the last 10 years. Im 42 and it started mildly then it has gotten really bad ive lost a good job and my social life is over with i seen a neurologist but after tests they cannot tell me anything more than i already knew please tell me a good place in tennessee i can go to that has experience with this. Matt Ballew. 9e0000
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Hi, i am 24 i am 205 and also 4weeks 4 days pregnant i have been coughing for about a week with alot of yellow stuff but as of a couple days ago theres been little bit blood and my nose congested also little blood when i blow my nose and i also just started getting a sore ear also had previous surgury when i was a child. is there anything i can do about i know not safe to really take anything yet and this trimester im just tired of being sick and worried for my unborn baby
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.22years,5.8f,73kg,asthma since childhood,every year facing breathing problem at the time of change of season and in the month of april.i take asthalin inhaler 2or 3times a day.since last 1 year taking foracort inh.(200) twice daily. some times i take nabulizer(levolin).am i taking right treatment.
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What is the underlying cause of interstitial nephritis?
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Hi:) well my bf of 8 months was born with a heart murmur.as far as I know it does not cause him pain of any sort but it does sometimes leave him out of energy.Also,his heart beat is rather strange when its beating it sounds more like a splush noise.eventhough he s in this condition he is still a fan on monster energy drink.I ve noticed everytime he drinks it he has pains in his arms and very shortness of breath.my question is could this heart murmur be cured?and also is it dangersous for him to drink energy drinks ?
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hi 3 days ago I had a hair drug test off my chest .its been about four to six months I have a kidney stone they gave me morphine I didn t say anything to the doctor about going in for kidney stones.do you think this will cause me a problem or should I call Monday to find out I need to do.I forgot all about it.I do not do any drugs at all.I think I ll be ok ?
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Cytokine release syndrome is the most important mechanism triggering acute respiratory distress syndrome and end organ damage. In our study, interleukin-6 and C-reactive protein were the strongest predictors of severity in hospitalized patients with COVID-19 as measured by admission to ICU. Key messages In our study, interleukin-6 and C-reactive protein were the strongest predictors of severity in hospitalized patients with COVID-19 as measured by admission to ICU.
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Hi Im kinda confused if im pregnant or not. I had a great time with my fiancee from May17-29th coz we are trying to conceived a baby On June 3rd I got my period 4 days early than my schedule but its weird coz heavy period lasted for 1 day then 3 days light. I still feel symptoms of pregnancy. I took a HPT 2 days ago but its neg. Is there a chance that I can be pregnant?
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Good evening, I have been on Micronor for the last 3 weeks and I am still dizzy, feel like my brain is buzzing when I move my eyes and I am VERY irritable, intolerant and unable to deal with stress.......is it going to go away with time or I should stop taking it now? I am 39 years old and using this pill to regulate menstrual cycle ( 21 days ) and reduce associated pain.....Thank you!
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I have been twice today going to the toilet and noticed after I p;ass motions I wiped my bottom and saw mucas with a little bloodhave had a bowel test done where the results were ok. that was a few months ago. My father died from bowel cancer about l2years ago so that is why I am worried
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I have a pinpoint pain in the top middle or sometimes a little to the top right of my chest.Whilst walking sometimes I suddenly get a feeling, like the feeling when Ive just been swimming under water, gotten off the sea and started walking.The feeling of unbalance in my head.I also have this funny movement in my back, like a large area of my skin crawling and always from left to right.
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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 have been on amoxicillin for 4 days and the chesty cough producing yellow mucus has worsened. i go through coughing fits every 30 seconds or so almost to the point of vomiting and it is very intense. my chest burns and i breather quickly afterwards to get some air
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Hi, I am on Imipramine 100mg (hs) and Zoloft 150 mg (AM) for PTSD.I also take Clonazepam 2mg hs and i mg in the am.I have a resting pulse rate of 100. My BP is 116/74. My throid work-up is negative.My physician is considering adding a low does beta blocker, but is concerned about my BP.I am not orthostatic.What do think??
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Among infants, what is the primary cause of gastric outlet obstruction?
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