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<s>[INST] Hi. I did a liver flush 3 days back. Lots of liver stone and gallstones came out :) But after that, i am having soreness in my liver/gallbladder area. Its ok when i m asleep but the pain comes back once i m awake. The pain is right side of my mid back. Sharp shoting pain at times. [/INST] Hi thank you for querry,As you mentioned you go for laproscopic gall stone removal.yeah during the procedure of gall bladder and stone removal the adacent tissue and the wound area injury causing the pain due to procedure.if the patient is passing stool or flatus and bowel sounds are good than no problem this pain will become fine after some time and by the using of pain killers.Hope the answer will help you.wish you a good health. </s>

<s>[INST] I have been just told that I have mild signs of a fatty liver accidentally noticed in a recent CT scan. Alcohol could be a cause but although I am no where near an alcoholic, I probably have 6 standard drink per week. I also have some scarring in the right lung. This may be caused by an old infection, but maybe exposed to passive smoking many years ago (I have never smoked) or I am on the road as a sales representative for many years (exhaust fumes, asbestos fibres from car brakes?) Your thoughts? Should I consider giving up my current job. [/INST] Thanks for your question on HCM.I don't think you are having active infection. As CT Scan clearly indicates fibrotic scar like lesion.In lung tissue healing occurs by either fibrosis or calcification. So any past insult to the lung either infection or trauma heals by either fibrosis or calcification and left the scar. This scar will remain life long.So presence of scar tissue does not mean that you are having lung infection.So no need to worry. Continue your job. Avoid alcohol if possible. </s>

<s>[INST] I have noticed that over the last several weeks I have developed small red bumps on my chest. They look like pimples at first but when I squeeze them I only get a small amount of clear fluid out of them. They feel as if they have a pinpoint size hard center. After squeezing them instead of going away they become red and inflammed. I am 60 years old and have had acne all my life but these appear to be something different. They do not itch and are only tender and red after I have squeezed them. Any ideas? [/INST] Hi.Welcome to HCM.These are most likely senile changes in skin which means due to age normally many old people get such papillary legions. No need to worry.Regards </s>

<s>[INST] I have small right paracentral disc pertrusion c7-t1 and mid disc osteophte complex of c6-7. how much repetitive weight can I bear without a lot of discomfort in the neck region. can I occasional lift weights up to 20 lbs. if its done in moderation. is everything for a price? don t have money to pay for a online answer sorry [/INST] Hi, I had gone through your question and understand your concerns. Best for your condition is not to lift weights at all, but since it is a life matter you can lift weights around 5 kg or 11 lbs. If you have to lift heavier weights, then do it with entire column straitened, not bending especially the neck. A cervical rigid collar may help. Hope this helps. </s>

<s>[INST] Hello, please I discovered that I ve some wound on the tip of my penis which is giving me sleepless nights, I ve not had sex with any woman for close to 6 months now so I don t know what could be the cause, I took ill and treated malaria immediately I got well I discovered I had cramps around my nose and lips which is normal for me after malaria but the one around my penis cap is giving me worries because I wouldn t say its an STD since I ve not had sex for close to 6months.......pls advice me. [/INST] Thanks for asking in healthcaremagic forumIn short: Is it wound due to injury or is it ulcer like lesion?Explanation: There are many STDs(ex. syphilis) which can cause symptoms or get activated even after 6 months. So, do not think of malaria or any other thing. If you have a lesion on your penis, then visit a doctor without hesitation and get yourself investigated for the cause of the lesion. Good luck, hope this will help you. </s>

<s>[INST] I have diagnosed with minimal thickening of Spermatic cord and funiculitis and i take medicine doxicillin and bacstol for 2 weeks, after physically checked dr. Told me i have severe prostatitis so dr. Give me medicine alfoo10 and levoflox 500 for 1 months, still my isse is not resolved, and i have pain in my left testicle, and near by areas, please tell me how it will be cure. Two days before i mastetbate and again pain increase. [/INST] Hi, Need a direct check up with urologist. Prostatic secretions may be collected for culture and sensitivity and treated accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. B. Radhakrishnan Nair, OBGYN </s>

<s>[INST] Please I want to know may be I can still impregnate my wife, we are marry for the past 3months, we do have sex on regular basis but up till know she has not conceive. I carried out a test, please find the result below: Count: 48million/ml Motility: 40% Progress: 25 Random: 10 Sluggish: 5 Dead: 60% Volume: 5ml Viscosity: Moderate Normal: 65 Abnormal: 35 (1) Double Head - Nil (2) Oblong Head - 30 (3) Giant Head - 5 Comments: Normosperm Kindly advise on my chances of impregnating my wife soonest. Thank you for your anticipated swift response. [/INST] HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.I will suggest you Cap DOXY 100 mg 2 times a day for ten 10 days.60% non motile sperms need attention.Avoid alcohol, smoking if any.Indulge in healthy diet and exercise regimen.You stand good chance of becoming parent. Also get Tubal patency test- HSG and USG of your spouse.Day 10 to 20 of the cycle are fertile days, so indulge in sex during this period.I hope my answer helps you.Thanks. </s>

<s>[INST] I had a cavity filled & a non permanent crown done 4 days ago, they said it was deep, but I have a lot of pain, redness & swelling. Have used salt water & warm rag & ibuprofen & it is not helping. I feel sick & it hurts pretty bad. Is that normal? What should I do? [/INST] Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have symptoms of painful swelling and redness post a cavity filling procedure which could be due to number of reasons such as high point on filling, remains of infection under the filling and it could be cracked tooth syndrome.Need not to worry. I would suggest you to visit dentist once and discuss the above condition . Doctor may considered filing after removing all infected area and can do root canal treatment. If it is cracked tooth then splinting of tooth is required. Maintain oral hygiene. Do rinsing with antiseptic mouthwash.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari </s>

<s>[INST] Hello doctor,My upper jaw is stuck and I am unable to close my mouth. Do you have any advice? [/INST] Hello. I have gone through your query and understand your concern. For more information consult a dentist online --> </s>

<s>[INST] Hello doctor, I experienced spotting in the last week for three days. It was a small amount of spotting discharge, which was brown with a bit of red. I did not get my period on the actual date. May I consider the spotting as my periods? But it was not the usual amount of bleeding as I have in my period. I only used a liner with it and not may napkin pad. [/INST] Hello. Your spotting for the three days cannot be considered as the menstrual period. The usual amount should at least be at 80 ml per cycle, and that would approximate at least 10 moderately soaked pads. Some possible causes would be a hormonal disturbance, and this could vary as far as pregnancy, and hormonal imbalance is secondary to stress, weight loss, current illness, etc. I would suggest you to have a pregnancy test first if it is negative, then you may opt to observe until the second week of next month. If there is no period still, you need to consult your gynecologist to help you with the diagnostics such as transvaginal ultrasound and if no other causes, she may prescribe you with pills to regulate your period back. Hormonal imbalance. </s>

<s>[INST] Hello doctor, I have a question relating to my deceased father. I obtained his medical records after his death. While searching through his records to gain a better understanding of what may happen to me, I found he was positive for the rheumatoid factor and had been diagnosed with ankylosing spondylitis. However, the HLA-B27 gene test was negative. I brought this to my rheumatologist and she told me she thought he had something else, but would not elaborate. Does anyone have an idea of what she may thought because she still has not told me? Since then I have switched rheumatologists for that reason. My father passed away from leukemia brought on by myelodysplasia. I would like to know because doctors still have no idea what may be plaguing me. I have seen multiple doctors for my slightly high CK levels. I have been tested for myelodysplasia, rheumatoid arthritis, multiple muscle diseases, sarcoidosis, and many more. I have not received any answers as of yet. [/INST] Hello. Well, I do not think you should be worried about anything. Firstly rheumatoid factor is not transmitted genetically unlike HLA- B27 (human leucocyte antigen). Secondly, it can be positive in a lot of people but does not cause any symptoms. Thirdly, you have been tested so far and it has all been negative. Leukemia does carry a family history but you can get your blood checked every six months. One thing you need to understand is, there are no medications as such which can you take which can prevent autoimmune diseases. If it has to happen, it would or else not. But yes, stress would definitely make things worse. So I would suggest just take it easy since you have had negative tests and enjoy your life. Keep a regular health check. Eat healthily and exercise regularly. You have not got any answers since you are healthy. I hope this helps. </s>

<s>[INST] My son was hit with a rock in his brow bone. It is swollen just below his brow bone and it looks like his eyelid is droopy. His eyelid is starting to look bruised. Should I take him to the E.R. or wait til the morning and see how it is and/or take him to the doctor in the morning? [/INST] Hi..Well it is most likely be a soft tissue injury and swelling and bruising is an outcome of injury leading to inflammation and swelling..Droopiness of eyelid can be due to swelling and needs to be evaluated clinically..Yes, it is better to get him checked by an Emergency doctor so that the exact condition can be ruled out..He can be advised anti inflammatory painkillers like Motrin and along with it do cool compresses over the swelling..After a clinical examination if needed an x ray can be done to check for fracture of the brow bone if the blow was massive.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora, Dentist </s>

<s>[INST] how do I get rid of my phobia??? My mum critically ill in bed for 2 years..everytime I look at her feel what if that happens to me..fortunately now Im away out of the country coz I live overseas..but still when the thought comes it cripples me for a few minutes and I suffer from that real panic atack..is this unnatural..m friends n close ones say no. .but HOW DO I GET OVER IT?? [/INST] HelloMedicines such as paroxetine and therapies such as cognitive behavioural therapy will help you.RegardsDr. Srikanth Reddy </s>

<s>[INST] A few months ago, i awoke vomiting a very black substance and also asperated on it. For 2 days prior to this my husband said i was out of it. I would not get in the car to go to er and my response was to fly back to bed. What could have caused this problem? [/INST] hello,welcome to HCM,Thanks a lot for the queryblack substance may be the undigested food that gets mixed with acidic gastric juice.do take an antacid.it should help.else get an endoscopy of the stomach done as it could be a case of bleeding in the stomach.hope you get well soon </s>

<s>[INST] have been told I have a low HC something?? of 40-42 in kidney function. but my primary care says I am fine but when for a MRI and they could only give me 1/2 dose of contress because of that level. said they could kill me or damage my kidneys if the gave me the full dose. So what is it? How do I get better or is it a real problem? [/INST] Well information is not clear Just provide values of BUN and S.CREATININEMost likely that value is of bun ,blood urea nitrogen If it is high then for sure contrast has to be given in low dose /avoided It may harm kidneySend your complete KFT reports and then review after report </s>

<s>[INST] hi i am bi-polar schizoafffective. i am on geodon, trileptal, and clonazapam. i have realized that i am always restless, difficulty concentrating, and scattered, organized to the point of ocd but still scatterbrained. i can't even gather the attention span to watch a show. my doctor asks me about my concentration every time i see him and i say its fine cause i figure i'm alert so it must be ok. but i think i need some help focusing and feeling more clear headed. what should i tell him and what do you think he'd prescribe? [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. The best method to regain your concentration is practice. practice of concentration techniques. Concentration is focus. Focus is possible only towards interesting activities. Make your activities and tasks interesting and concentration results.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. </s>

<s>[INST] My wife was diagnosed with breast cancer two years ago and we got the surgery done and also done chemotherapy and radiation and we were of the opion that everything is taken care but now we realised that there is a lump on her neck after which we got biopsy done and we came to know that it has become metastasis and that our doctor who was treating her told us that we have mere 6 - 9 moths in our hand and that the only treatment on it is to take another sessions of chemotherapy but it is not gauranteed that it will be cured. My question to you is that can my wife be treated in Dr. Balaji`s clinic and what would be the line of treament. Please revert us as early as possible. [/INST] Hi, dearI have gone through your question. I can understand your concern. She has history of breast cancer. She was treated with surgery followed by chemotherapy and radiotherapy. Now she has lymphnode metastasis. Treatment depends on spread. She should go for ct scan and PET scan. First check the whole body for any other metastatic lesion. Then start treatment accordingly. Chemotherapy is needed. Dosage and schedule depends on spread. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>

<s>[INST] My husband has been diagnosed with parsonage turner syndrome. It has been 2 years he has seavere pain in both arms and a very hard time breathing. weight loss atrophy and very poor quality of life. Is on nebulizer combivent foredil pro air with no relief. I m not sure what to do to help him. Any suggestions? [/INST] Dear, We understand your concernsI went through your details. Parsonage turner syndrome is idiopathic. The condition manifests as a rare set of symptoms most likely resulting from autoimmune inflammation of unknown etiology of the brachial plexus.Despite its wasting and at times long-lasting effects, most cases resolve themselves and recovery is usually good in 18–24 months, depending on how old the person in question is. Other than pain management treatment, Acupuncture and Transcutaneous Electrical Nerve Stimulation (TENS) can also be adjunct. Work with your doctor for proper management.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care. </s>

<s>[INST] Hi, My Daughter is 5yr old and is down with a bad chest cold. Doctor advised Duolin (5days)nd Budocart (10 days)along with Singular 5mg for a month. I was told by a friend of mine that duolin should not be given as nebulisation without adding saline to it. Could you help me know wat is the saline - duolin ratio if that is the method? Does Budocart need to be assisted with saline too? [/INST] Hi...if Budecort respules are being used then no need to add saline - By saline what we mean is normal saline (0.9%). But the Budecort respules need not be mixed with saline. You can directly nebulize them. By what you quote I feel that your kid might be having a Multitriggered wheeze or a Viral associated wheeze.Regards - Dr. Sumanth </s>

<s>[INST] Hello Dr, I had high blood pressure 140/94 last week and relatively high heart beat 90 last week. This week ( 2 days back ) i noticed tiny (0.5 cm) red soft movable painless rubbery lump which has not changed in size near my armpit and one below my ear 0.5 cm) . I have lower back pain sometimes for past 2 days, no sweating and fever, urine like smell sometimes ,little body fatigue and dizziness sometimes when i am resting but it reduces while i am doing some heavy physical, no breathing problem, no itching and rashes , stiffness of neck, clear urine and no chest pain. I s it some kind of kidney infection or lymphoma? [/INST] Blood presssure has nothing to do with malignancy.the swellings are very small, <1cms which are not significant. your low back may need pain killers. you also have no other systemic symptoms suggestive of lymphoma. keep a followup of these lymphnodes and see for the increasing size.if increases in size these nodes biopsy should be done. you need to undergo routine urine examination to see for abnormal cells or microorganism followed by urine culture to rule out infection. </s>

<s>[INST] Hi: My inquiry is spinal stenosis and arthritis occurring for approximately on and off for ten years. I have hadnon evasive procedures, injections, and have done a physical therapy program and have recuperated from open hear surgery. Pain is now persistant in the lower spine. What are your suggestions. Thank you, Rosanne [/INST] please Rosanne tell us the nivel of spinal stenosis?It is cervikal or lumbar and the origin of stenosis, discopathia or something else? </s>

<s>[INST] 22 years old, female, 5 foot 4, 129lb. I take micronor (a side effect of which is that my periods have stopped for the last year or so - my doctor said it wasn't a problem). A few days ago a lump appeared in one of my breasts and my nipples are sore. This has happened before, a number of months ago, and a few days later I had a period, at which point the lump disappeared. Should I wait a few days to see if the same thing is about to happen, or go to the doctor tomorrow? [/INST] Hi, dearI have gone through your question. I can understand your concern. You have lump in your breast and soreness at time around menstruation. It is very common. It could be fibroadenosis. You should not worry about that. It will disappear by itself. Drugs like danazol is helpful. It is prescription based medicine so consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>

<s>[INST] i have had a chest xray that showed opaque calcific opacites, but ji had a chest xray in march 2011, prior to emmigratingthat was fine. if i have contracted it in the past few months how will i know if it flares up again i am worried that my lungs will continue to have these deposits and kill me [/INST] Hi,Dear,Thanks for your query to HCM.Dear I read facts of your query and reviewed it in context to your health issues submitted.I understood your health concerns and feel Concerned about them.You seem to have old Pulmonary lesion-which was non-opaque in March 2011.But got calicified in few mths time.Possibility of such lesion flaring up in your case, is very high,as that lesion is still active in non-opaque area.Most commonly Pulmonary TB get reactivated in such a lesion.Such lesion could be in making in sarcoidosis / lupus lesions / or Cancerous lesions.IGRA blood test and T-spot tests give activated old calcified lesions, which could be confirmed if Sputum AFB testing is accompanied with IGRA blood test.Review of the other causes is needed for proper treatment in your case.Remedy-IN the given scenario, I would suggest you to investigate with AFB/ESR/Chest X-ray / and IGRA Blood tests- in correlation with malaise and body ache and fever with weight loss-could fix the flare up of calcified lung lesions in your case.Proper TB- DOT regimen under observation with proper follow up check up would prevent recurrence in your case.Second opinion from other Chest Specialist/ Physician would be needed.Get Second opinion with Chest Specialist/ Physician to rule out other causes as discussed above.Just don't worry and be patient and co-operate with your doctors,till you verify with your attending doctors.Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- Good Healthy Life!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS </s>

<s>[INST] YYYY@YYYY 2012 ,I had a pneumonia shot but as soon as ir was injected a marble size knot appeared with discomfort . Problems health seem to get worse worser. What could of happen. I no longer see doctors. That injection added more problems to problems I was haveing due to statins. I also had to stop all meds. My date of birth 9-26-54. Hart and blood preasure meds up to 26/27 stoped due to reactions. Doctors refusals of help durning and comeing off statins reason for being off all with no care now. [/INST] Provisional Diagnosis-Functional benign Adrenal adenoma? Under InvestigationHi,Dear thanks for the query to HCM.I studied your query in all the details put from you.I understood your health concerns.In my opinion,you need to check with ER Surgeon,as you seem to have post-Pneumonia shot-injection lump with discomfort.I would advise you to first control this problem and then consult with your cardiologist doctor for review of statin and other treatment, as follows-Anti-inflammatory / antibiotic medicines / with Cold compresses would control this post-injection knot.Hope this would help you to plan treatment with your doctor.Hope this would help to relive the stress of your queries.Write excellent review after reading this reply,if you find it helpful to you,so that your comments and reviews would help in rating my services for more HCM patients.Welcome for any further query in this regard to HCM and to ME.Wishing you fast recovery.Dr.Savaskar M.N.Senior Surgical Consultant. </s>

<s>[INST] Today I had a sharp pain that started in the back on the right shoulder blade and came around to my front and hit my chest, I could not breath and it brought me to my knees with my face red. My husband was very worried and took my blood pressure. It was 120/83. I have never experience this pain in my life. What could this be? [/INST] Thanks for your question on Health Care Magic. I can understand your concern. Sharp right sided shoulder and chest pain with breathing difficulty is commonly seen due to lung infection (pneumonia). Pneumonia actually cause pleurisy (inflammation of pleura). This is the reason for Sharp pain. So better to get done chest x ray first. If chest x ray is normal then no need to worry for lung infection. Sometimes sudden muscle spasm can also cause similar symptoms. So take painkiller and muscle relaxant drugs. Apply warm water pad on affected areas. Don't worry, you will be alright, but first rule out lung infection. Hope I have solved your query. Wish you good health. Thanks. </s>

<s>[INST] Hi - My uncle in India has been complaining back pain for almost a year now. He is not able to walk. Complaining muscle pain in legs. Finally it was diagnosed as bone TB. Still waiting on some reports. They discharged him from the hospital. He is on antibiotics. But wanted to check, is it curable and what is the medication? How long will it take for him to walk on his own? [/INST] Hello,I appreciate your concerns towards your uncle. It looks from your details that your uncle is having spine tuberculosis. Most probably he may be on anti tubercular medicines (Rifampicin, Isoniazid, Ethambutol, Pyrazinamide). You should not worry about this, as now a days TB is completely curable.The precaution should be followed properly by him to not to walk and take complete medicines. It may take about 12 to 16 months for complete cure.In between your doctor may have complete blood examination and MRI Scan at intervals. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon </s>

<s>[INST] I just had a viral inflammation of the heart. All was well afterwards and no damage occurred to the heart. I did have an angiogram as one of my tests. This was 48 hours ago. Is has healed well but wanted to know if a dip in a hot tub is a no no. Thanks Barry [/INST] Hi,It will not be harmful, you can safely have water bath, if wound is properly healthy and healed.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode </s>

<s>[INST] I went for a scan and d results show uterine fibroids. Bulky uterus measuring 7.48x7.25 CM with lobulated anterior outline. Subserus and submucosal uterine masses measuring 5.83x4.56 cm located in the anterior aspect of the uterus. Both adnexae are free. I m trying to concieve..is there anything to worry about [/INST] HiGREETINGS Submucosal fibroids need to be removed as it will be pressing on the inner layer of endometrium .That may affect implantation of embryo.consult with an infertility specialist. hope my answer helps you. Regards </s>

<s>[INST] My mother in law has MS. She has been forgetting things and mistaking what we tell her for about a year now. Would it be ok for me to contact her Neuro and let him know before her next appt. I do not want her to know that I contacted him. She gets upset when I talk about it and denies it. I want her to get help but I don t want to start a family feud over it [/INST] Hai I think your motherinlaw started developing cognitive deteriorartion. It may be complication of MS/evolving Dementia/comorbid Psychosis. Kindly go to your nearest neurologist for evaluation. She may be required to put upon on Anticholineesterase inhibitors, Antipsychotics, behavioural therapy with neurologist advice. once neurologist clearance obtained she may also require a psychiatrist consultation. </s>

<s>[INST] My mother has kidney transplant two month back, right after transplant she went to ATN and after so many stage of plasmapheresis she came out ATN and the out put is good enough and after discharge the PLT counts were decreases and pottasium level increasing, this was growing upto she went to sepsis and the admitted to hospital for controlling the sepsis and pottasium growth! The after three week admission she was discharged, with good condition with with a level of 0.25 mg of cyclospring and predinisole 100 mg BD, Then increase the cyclospirine lvel to 100 mg BD, again after three weeks of discharge there is an increase in creatinine 1.9 and urea 115 level and some anaemic condition 10.8, and visible pitting edema on feet, appearing and disappearing frequently! Please advise me what to do what further medicine are needed? [/INST] please get her cyclosporin blood level tested to see if it is abnormally low or high, both of which can cause the creatinine to rise.also get a urine culture to see if there is serious urinary infection which may need further antibiotics.if both situations are not there then she may require a biopsy of transplant kidney by your nephrologist to drcide about further action and some change in immumosupressive medicines. </s>

<s>[INST] Hi, can I answer your health question? Please type your question here. I have hep c found out in May 2015 when I was getting my kidney removed and they were giving me pain meds a lot of them. They tested my blood it came back positive. What can I do .to cure it also the symptoms. The feelings or different things about hep c [/INST] Hello, Hepatitis C chronic infection cannot be treated. The anti viral medication can be prescribed If liver enzymes value high and viral load is more. But it cannot cure hepatitis C. You need to follow up your gastroenterologist regularly because hepatitis C can cause chronic liver disease. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician </s>

<s>[INST] I am a 52 year old women on norvisac (sp) blood pressure meds. Lately when I seem to get upset or even subconsciously angry or anxiety or stressed, my right ear starts feeling like there is wind rush through my ear, or like if my heart is beating at my ear. But this only happens to my right ear. Any reason for this? My blood pressure reading when this is happening is 141/90. [/INST] Hello,This happens even to common people. The reason that one ear is more involved can be due to some unspecific reasons like normal bodily variations in two parts...like even both hands or legs are not completely similar to each other.Now, this is happening due to anxiety itself. Whenever we are stressed more blood is needed by various body parts and also work load of heart increases...so the blood pressure is raised and the blood supply is also increased to different body parts. This raised blood supply make the organ look more red and also warm and sometimes even one may feel the pulasation...like you can hear the beat...so, try to remain calm by distracting your self in stressful situations. If not possible and situation becomes more difficult then please see a psychiatrist and take proper medicine.prolonged stress is not healthy for heart or body..so, try to treat it soon.wish you good health.Dr. Manisha GopalMD Neuropsychiatry </s>

<s>[INST] My 20 month old is grinding his teeth with a fever. Fever started 5 hrs ago at which time we gave him Motrin. Fever is back to 102 he is grinding his teeth. His day care has hand and mouth disease going around. He also got his 18 month shot yesterday. I do not like the teeth grinding... [/INST] Thank for asking I gone through your question, understand your concernAs there is history of 18 month vaccine yesterday, More chance that she is having fever due to that vaccine. The teeth grinding is common is fever. so give the Motrin thrice a day and if not controlled i suggest to add paracetamol 15 mg per kg per dose , can be given up to 4 times a day hope answer your query </s>

<s>[INST] Having pressure in lower abdomen and sharp pain when sneezing along with frequent urination. Had a urine culture 2 weeks ago and it was negative. I did have urinary tract infection about 6 or 8 weeks ago however. My doctor says the results of the blood work says the infection is gone. What should I think at this point? [/INST] Hi. It looks the residual infection in the urinary bladder and the related structures or its aftereffects are still lingering on. Also have a review ultrasound and urine tests.. Take a long course of an antibiotic like Doxy if it suits you. I would also advise you to go for IVP-= intravenous pyelography to rule out obstruction/ stones or other affections of the urinary system . </s>

<s>[INST] DOCTOR I THE MORINIG I EXPERIENCED A JERK IN MY NECK NEAR TO MY BACK TOOTH AROUND MY TOUNGE. AND I NOW I FIND MY NECK HAS SWELLEN ON THE RIGHT SIDE AND THERE IS A LITTLE PAIN ALSO I THINK IT IS BECAUSE OF COLD WETHER CAN U SUGGEST ME WHAT TO DO OR IT WILL WE OK AFTER SOME DAYS [/INST] Hello ,Thanks for consulting HCM Read your query as you have jerk in neck pain and swelling in neck region can be due to trauma dont be worried so much I will suggest you to consult oral surgeon for examination and evaluation .Inmeantime do warm saline rinses 2 - 3 times a day and and take soft diet and you can apply ointment like Relaxyl gel local application on region of neck .Hope this will help you . </s>

<s>[INST] hello, i smoked hookah, (waterpipe) yesterday, and since im having trouble breathing, im used to hookah smoke, but suddenly this is happening, i never smoked cigarates, just hookah 3 - 4 times a week. but as i said, since yesterday, im having trouble breathing normal, what is wrong?? [/INST] Thanks for your question on Health Care Magic. I can understand your situation and problem. Any kind of smoke (whether it's cigarette smoke or hookah smoke) can cause irritation in the airways. This irritation can sometimes produce inflammatory reaction and edema and cause bronchitis. This bronchitis is the main reason for trouble breathing, cough, expectoration etc. So better to quit hookah smoking as soon as possible. Consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid. Don't worry, you will be alright, but first quit smoking as soon as possible. Hope I have solved your query. Wish you good health. Thanks. </s>

<s>[INST] Hi. Im having some problems with bleeding gums at back of mouth when brush with constant taste of blood for about two weeks and have bad breath. For last couple of days suffered with earache.. Ive always looked after my teeth. Gums still pink. Not sure whether i have my wisdom teeth. What could be the problem. ? Victoria . Age 41 [/INST] Hi,Thanks for posting the query, According to your clinical symptom,s i suppose that you are suffering from gingivitis, i would suggest you to go for complete mouth scaling and polishing. Brush your teeth twice daily with soft bristle toothbrush.At home take antiseptic mouthwash and lukewarm saline rinses. Take care! </s>

<s>[INST] Hi, I have received back some blood test which appeared to be fairly ok....accept I noticed a test the doctor did not bring up that concerns me. The Immunofixation Serum test states a faint 1gG Kappa monoclonal immunoglobulin is detected. Should I be concerned? I've not felt myself for a while and have a several cancer situations in my family in which two of my siblings passed. [/INST] Hi Now your concern is pretty genuine, I suppose that you do not any symptoms ,this IgG K could be Monoclonal gammapathy of unknown significanceyou should make sure that 1 a bone marrow is done2 your Hemogram and kidney function tests with serum ca is done3 please forward the value of Ig G band now if this is MGUS then there is 1 -2 % chance of progression to multiple myelomaall this but we neeed more details before diagnosing this condition Take care </s>

<s>[INST] Dr i think my mom is facing the depression problem. As you mentioned below she dont have interest or pleasure in things she used to enjoy, she always busy in thinking something & lost in her own thoughts. Even she dosent smile, look v much pale & also now a days she keep on sleeping most of the time in a day. She was not lat all like this. I think she need at reatment. Am I right??? [/INST] if she is having1low mood2loss of interest in all cheerful activities that were cheerful previously.3 low energy.that means she is having depression and need treatment.tab escitalopram and tab clonazepam.visit a psychiatrist as these drugs you will get only on prescription only.hope my answer helped you.take care. and do not worry as your mother's illness is easily treatable.do not forget to rate the answer. </s>

<s>[INST] Hello I have bee severely depressed f or eight months, anxiety anger,guilt fear ,I have been taking Zoloft and gabapentin it seems to agitate me more,I used to take Ativan for many years and narcotics for severe pain relating to several bad fusions and a titanium plate,been t several doctors at emerg and walk in clinic who no longer will prescribe my old regular medications to cope,I moved from my home town and the confusion ,frustration,accusations began, five years ago,now iam sixty alone and afraid of what would happen should I be hospitalized, trazodoned, or something worse and disappear as a vegetable,I ve been to mental health who gave me ability to no avail.i have been on cilopran and others no changei have along history of fibromyalgia low thyroid headaches and never feel rested and secure,I live in canada and resources and options are limited, frightened I,ve been treated horrifacly a few times and afraid of what they will do ,or prescribe.d o you have any enlightening advice.my world is crashing in losing everything that was once dear and necessary,all because I moved and left my home where I was safe but can,t goback now. Any illuminating thoughts .?go [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. I am not so happy to read your thoughts. You are 60 and you have life experiences. Every incident in our life, whether negative or positive, teaches us a positive lesson. In that sense whatever happened us is supposedly taught us a lesson for our future. We live today. Not in yesterday. There is no surety that the same thing will happen again. So approach future with positive might, because THERE IS NO ALTERNATIVE. If you are apprehensive about your future, you also loose your TODAY.I am not overlooking your illnesses. You are supposed to have learned by now, what are your problems and started living according to the situations. Once you start adjusting with the problems, cure starts. Forget medicines, concentrate on life. Psychotherapy is the answer.Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition.Hope this answers your query. Available for further clarifications.Good luck. </s>

<s>[INST] I need to know whats he best medicine out there for allergies...I have really bad spring allergies and i've taken tylenol severe allergy and they do absolutely nothing. I waswondering whats the best medicine out there that will get rid of my symptoms. [/INST] Hi there,Welcome to healthcaremagic.Tylenol is not meant to cure allegry.You did not clarify if you have continuous allergy during spring or just sometimes.In case of sudden attacks of allergy you can take fexofenadine or levocetirizine,if chornic you can go for a combination of tablets containing Monteleukast and levocetirizine. If your nose remains congested, add a saline nasal rinse or long-acting decongestant nose spray for a few days, if necessary.Use antihistamine eyedrops if you have watery or itchy eyes.Last but not the least go for an allergy test and avoid any trigger.Hope this helped.Have a good day. </s>

<s>[INST] Been having heart palps for 2 years now. Seen cardioligist. Blood work, electrocardiogram, 24 hour monitor, 48 hour monitor, Stress test non dye. Said my heart is fine. I have been having i guess a pressure build up in my left shoulder then i feel palps it really doesnt feel right. What should i do now? [/INST] hi, I feel your body check up related to heart is almost completely done. but then also if palpitations are persistent, then get an ecg done during those palpitations and show to a cardiologist. if that's normal, then I feel you should not worry much. </s>

<s>[INST] i tore my frenulum breve and it is not re attaching its been over eight days and i havent seen a doctor their hasent been blood since the first day it happened but im just worried what would happen if it didnt re attachand idea on effects of torn frenulum breve [/INST] Hello , thanks for sharing your problem. Sorry to hear about your problem but as such torn frenulum should not cause any kind of problems except pain. I've seen so many such cases who present with torn frenulum following violent usage. You can do one thing, wait for the thing to settle down or Get a small surgery done. Circumcision. This can completely solve your problem forever and you can be tension free. I strongly recommend that you get a circumcision done. There are absolutely no side effects or complications associated. We do a lot of such surgeries. So choose what's best for you and get back to me in case you need any further assistance. Take care. It was nice to help you. </s>

<s>[INST] I was bitten by a friends dog about 10 days ago on the under side of my upper arm. There is a large contusion approx 6 to 7 inches long and about 4 inches wide. It did break the skin and there is a golf ball size lump under the skin. It is still very painful and I cannot stand anything touching it. [/INST] Hi,It seems that you might be having big hematoma following dog bite.Now there might be having infection developed.Go for one antibiotic and anti inflammatory medicine course for 3-5 days.give rest to the part.Go for ARV vaccination.Ok and take care. </s>

<s>[INST] hello can overmasterbation cause perminite damage,i have a fatty liver and a scared liver,i dont drink but i have had a really bad masterbation problem for years.i also have high uric acid.can you get high uric acid from overmasterbation,and ,i have pain wear my liver is,can i fix this. [/INST] Hi dear thanks for asking question.Overmasturbation can not affect liver or kidney.Your liver problem and high uric acid is not because of masturbation.In fact masturbation can give pleasure.If you masturbate 3 times a day then some problem can occur by overmasturbation like chronic fatigue , anxiety , groin dyscomfort feeling etc.... But it cannot affect your liver and kidney.I hope your concern is solved.Take care.Dr.Parth </s>

<s>[INST] hi my sister is 32years she is a nuero patient she is affected polio attack she is taking the medicine mazetol, before 3 years she is affected by diahera like flu, she adviced by a doctor that she has gall bladder stone and the gall bladder was removed before a year and after that she is normal but for past 3 months she is affected again by the same problem we take all the test doctor doubted as tb in liver and asked to take lft test and in that all are normal but gamma alone is 68, whether she may affected by tb [/INST] Hi, welcome to our site. I am Dr Saumya Mittal.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryNormally the abdomen contains some fluid outside the intestines. What usually happens is that the this fluid in the stomach increases. And this fluid can be removed via ultrasound, and tested for tb. LFT can give some idea. But is less specific to TB as compared to ascitic fluid testing.Why does he suspect TB? What are the symptoms?I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck.I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.Please do understand that some details could be extracted from a detailed history and examination.Looking forward to your return query with the details asked so that I can help you further.(If the answer has helped you, please indicate this) </s>

<s>[INST] Ive had back pain for 40 days. MRI shows disc protusion L3, L4 with no nerve involvement, L5 S1 disc protusion with minimal displaced nerve root. I have severe low back pain when sitting and driving. Minimal leg/hip pain. My question is about my thigh shaking when I walk down stairs, feels weak like it will give out, is this related to disc problem? [/INST] Hi,It seems that you might have stiff back due to osteoartheris changes in your lumbo-sacral vartebrae giving problem of backache and problem while driving.Go for physiotherapy daily and regularly.Do back extension exercise.Use hard bed for sleeping.Ok and take care. </s>

<s>[INST] I was on car crash last nite felt nothing but shaking up until last nite I couldn t sleep my left arm is dead felling with pins and needles pain pain on the bone off my neck few small things like couldn t remember my sons birthday for hospital records [/INST] Hello, As you met an accident in the car crash, I think you landed up giving whiplash injury to the neck where the nerves have got irritated and the pain is now radiating in nature. I request you to take a cervical soft collar for now and do an MRI scan as we need to know the status of the soft tissue in the cervical region. Using soft collar, hot water fermentation, static neck exercises and upper limb strengthening exercises will help reduce the symptoms. Please take this little careful because any injury caused once takes times to heal and troubles more if not treated well. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist </s>

<s>[INST] my mother, has severly swollen legs and ankles and they are constant, she needs to see a specialist in glasgow as she is not dealing with it, this has been going on for a couple of years, now they are starting to hurt, which means it is really painful as she doesnt complain about anything, can you help? [/INST] swollen legs and ankles are could be due to many reasons, mainly being problems with pumping blood like heart problems, or altering the nature of blood as is seen in renal diseases, she needs to consult a physician and get examined and tested for these things. </s>

<s>[INST] My friend (woman 72) has squeezing pain in right arm. They are not regular or weekly but every few month. She also recently had this in her leg behind the knee and was bulging in back of her knee. Had ultra sound and all was normal. I think she needs to see a cardiologist but she thinks they will say it s nothing unless it is on the left side. What kind of Dr. should she seek for this help. [/INST] Hi you will need consultation with a neurologist first and then if he feels than a consultation with a cardiologist.watch for functional pain in your friend. </s>

<s>[INST] My 12 yr old son and I have a snot free cold for last week. We have really had to push ourselves hard. He has developed a rash since this am, front and back. It disappears when pressing a glass to it, and has no blister like qualities, as apparent with flea bites. Both feel absolutely rotten [/INST] Both of you could be suffering from a viral infection. It could be associated with an allergic reaction as exhibited by the rashes. But it was to be checked if the rashes are due to low platelet count. I would insist you to visit a doctor and get it evaluated.Usually irrespective of use of antibiotics, such ailments take 5-7 days to recover. All you have to take is paracetamol to reduce fever or feverishness, as well as some antiallergic like cetirizine. Sometime, such infections can cause a drop in platelet count which could require interventions including hospitalisation, depending upon the extent. </s>

<s>[INST] Hi, may I answer your health queries? Ple i am suffering from stomach bloating ..gas problem since 10 yrs ...since three months i am taking bifilac hp...nexpro 40..and dulane 20...but recently i devoloped a sort of spreding pain under left rib ..near to stomach..still there are gas symptoms and lot of discomfort in stomach ..can u advice any further treatment [/INST] Hi. Gas problem for 10 years need to be investigated. Many times it can be because of Gall Bladder stones. Now the associated pain you are describing needs further investigations under Doctor's supervision and appropriate treatment. </s>

<s>[INST] I am a 37 yr old female and I have a prolactinoma. I but lost my insurance over a year ago and have not been taking any medication for the tumor and I don t currently know what my levels are. My problem is, I have not been able to lose weight. I eat a healthy diet and do light exercise, but have gained weight. I recently started the HCG diet and have lost 6 lbs. Which is great since I m 5 4 and at my peak weighed 250lbs. Will the prolactinoma interfer with the HCG diet? [/INST] Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein and I will try to help you as much as I can. There is no reason to be concerned about interactions or side effects since this diet will not effect prolactinoma course,at least as I know from medical literature and experience. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health. </s>

<s>[INST] On Monday, I had a mild infarction. I had a cath scan and was told my heart shape was good. Does that mean for the next five days that I can do major house cleaning all day. Some people says yes. In 2010 I had a heart attack that I was told to rest for several days and not rush it. Is this the same. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In heart patients, it's not advisable to do heavy activities, but mild to moderate activities are permitted. So should avoid heavy activities like lifting heavy weights etc. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] I have really bad chest pain. Cresendo type pain. Had double CABG 2 years ago but this pain has started about 9 months ago. Comes every couple of months and getting worse. Surgeon said maybe coronary spasms see cardiologist about getting more meds. I also have tingling and numbness in fingers on both hands left arm tingling sometimes. Been to ER several times with this and they never can find nothing wrong. Heart cath July was fine. When I have these I noticed drinking water will take pain away as well as Nitro. I wished I had never had bypass. It is not my stomach or in my mind. Looks like many people according to some of the blogs are having this. What has this surgeon done to me I cannot look to a future of this. Any ideas on what this could be. [/INST] Numbness in hands and fingers has many causes , you rolled out any cardiac cause by doing a cath. and it was fine , so let's check out another causes :1- Diabetic Neuropathy : a change in one's nerves ( especially peripheral nerves ) due to high glucose level for a long time , so you should check your blood sugar .2- other causes of neuropathies : which can affect the nerves like viral infections or exposure to a cold weather with w fine clothes .3- Renauld's Disease : a disease in which a spasm in the peripheral circulation due to exposure to a very cold weather .* you may need to visit a neurologist after rolling out the diabetic cause , and you may recieve a fine doses of vitamin B12 and alpha lipoic acid . </s>

<s>[INST] I have Shingles with considerable pain in areas around middle back and under left breast. My Doctor gave me Gabapentin 100 Mg....didnt do a thing for me. He upped it to 300 Mg. and it is helping my pain, but I feel like Im having an out of body experiance with the higher dosage...guess that come with the Med....not driving. [/INST] Hello, It is common with Gabapentin to have side effects related to its effects in the central nervous system with disorientation, confusion and similar symptoms that you are experiencing. Patients on Gabapentin should not drive due to these side effects. To help avoid the side effects of Gabapentin you can ask your doctor if it would be possible to try other treatments for pain like short term Tramadol instead of Gabapenin. It should be taken only short term as it has the risk for dependence. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] i am 29 years old .in february i have missed abortion .now i was tring to get cocive but not succied .doctor suggest me tohsg test . in hsg test both fallopian tubes show irregular filling .nofree inttraoeritoneal spill .bilateral capillaey venous intravasation present. is there is any chance to get pregnent by natural way . [/INST] Hello I am happy to answer your query HSG(Hysterosalpingogram) is usually done to check the patency of Fallopian tubes. If any problem in the tubes is noticed in HSG,the best practice will be to confirm the patency of tubes by doing a diagnostic Laparoscopy.In this procedure we can have a direct visualization of tubes and also try to unblock it if at all there is any problem. I hope I answered your query </s>

<s>[INST] I had Mirena inserted about a year ago and I ve started noticing that whenever I consume a large amount of alcohol, the next day I experience mild to moderate abdominal cramps (same feeling as menstrual cramps) and light bleeding . The cramps typically last all day with varying degrees of severity. Is this something I should be concerned about? [/INST] Hello mam, progesterone at times causes little nausea and delayed gastric emptying which can cause bloated feeling and uneasiness in abdomen. But it would have subsided by now so if persistent then I would suggest you to get an ultrasound for upper abdomen and meet a surgeon for the same. Take care. </s>

<s>[INST] I am blessed with a baby boy who is found to be hypocalcemic. He was treated with IV calcium infusion. His level was brought to 9.3. However for past one day that is stopped and oral intake is started. Now level is 8.5. He is also being given vitamin d3 too. Please suggest what should be done next? [/INST] Hi dear,I has gone through your question and understand your concern. It seems his Calcium is not absorbed properly. I suggest- check stool analysis;-add enzymes syrup for 1-2 months;-give probiotics;- check stool for ova and cyst(Guardian lamblia), you didn't point age of baby,but I had cases when baby was infected till 1 year;- check function of kidneys, do ultrasound of kidneys.Hope it helps </s>

<s>[INST] My right nipple and breast area have been sensitive to the touch for 24 hours and in the last few hours there is a red ring appearing around the nipple and what feels like a lump under the nipple. I am a 57 year old man with hx of heart disease and HBP, on meds and well controlled. [/INST] Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* The lump indicates inflammatory issue with red ring appearance , not related to heart problems .Hope this will help to clear your doubt .Wishing you fine recovery .Always welcome for any further assistance anytime .Regards . </s>

<s>[INST] hello, i have a problem with sinus. Every time the doctor gives antihistamines and pain relief tabs and antibiotics. But he says i shouldnt get allegy test. but the condition keeps occuring again and again. But he says i dont have allergies, if thats the case, why does he prescribe antihistamines? [/INST] Hello,I can't comment on your case because I don't have enough information to do so. I can explain why antihistamines may help though. Antihistamines do act against allergic reactions but they also reduce the amount of nasal discharge. A runny nose may become dry. Patients with nasal and sinus problems usually benefit from reduced nasal discharge.I hope I've answered your question. Please let me know if you need further assistance.Kind Regards,Dr Panagiotis Zografakis,Internal Medicine Specialist </s>

<s>[INST] I have high blood pressure controlled by ramipril,amlodipine and hydroclorathiazide. Started with cough that produces phlegm,was diagnosed with asthma and allergies. I've tried several different remedies to control the asthma, including montelukast, but the horrible coughing continues at the slightest trigger. This cough is enough to keep me from participating in public activities,it is LOUD, and hard enough to render me incontinent, embarrassing to say the least. I can't sleep till a fit of coughing exhausts me and wake several times at night with the same thing repeating, coughing up phlegm till I retch. I am exhausted to say the least and don't find the reliever puffer very effective for very long. I need help.At 45 years old, the light at the end of this tunnel seems pretty dim. Any suggestions? [/INST] RAMIPRIL CAN INCREASE SYMPTOMPS OF ALLERGIES I THINK YOU CAHNGE SALT IN CONSULTATION WITH YOUR DOCTOR AND FOR COGH TAKE TAB MONTAIR FX(COMBINATION OF MONTELUCAST AND FEXOFENADINE BD SYP TOSSEX (CODEINE+CPM)SYP 1/2 TSF TDS SYP GELUSIL 2 TSF BDAPPLY NEOSPORIN H EYE OINTMENT IN NOSE BD TAKE FOR 3 WEEK YOU WILL BE OKAY BUT BE SURE TO CHANGE SALTS OF BP MED </s>

<s>[INST] a friend currently battling what started out as colon cancer has spread to the liver and lung. She recently has suffered from walking pneumonia and anemia. She has been getting shots for the anemia before she can start chemo again. She started a new chemo due to the cancer showing up more in her lung. Is all of this a sign of her body starting to deterioate? [/INST] Welcome to Healthcare Magic... As your friend has colon cancer that has spread to the lungs and liver it is an advanced stage... However chemotherapy can provide remarkable effects on the tumor.. So we have to wait for her to become fit for chemotherapy with control of pneumonia and improvement of anemia and assess response to the chemotherapy... Hope and pray for good response </s>

<s>[INST] Hi my 9 month old baby has nappy rash and a small amount of vaginal bleeding. There is no blood in her nappy but I noticed it when she scratched herself when I got her ready for her bath. I don't really know if its blood it just looks very red. Is this something to worry about? [/INST] Dear parent, I understand your concerns but happy rash could make the skin very sore to the extent that it might bleed. severe nappy rash is most probably due to a fungal infection. you should keep this area very clean and dry most of the time to avoid fungal infection. you should apply a zinc oxide ointement together with an antifungal ointement 5 times daily until this rash resolves </s>

<s>[INST] my husband is 58, has smoked for 40 years, plus, and has been coughing up blood, er doctor found a spot on his lung, and he has unexplained back pain for a year, the coughing up blood is a year too, I am worried about him, he drives a truck 13 hours a day, thank you [/INST] Hi,From history it seems that he might be having pulmonary tuberculosis giving rise generalized weakness, low fever and fatigue.Having this type of wasting disease this type of problem is common with strenuous work like long truck driving.Consult physician and get examined and go for investigation for peoper diagnosis. He might require well nourished diet with high protein food.Give him multivitamine supplements.Ok and take care. </s>

<s>[INST] im 30 years old. Not sexually active.Been bleedng for two months, gynaecologist told me to get a sonography done and she gave me soe pills to regularize the period. I already have PCOS (polycystic ovaries) but no other hormonal imbalances plus she told me this was not from the PCOS. the sonographer told me that my endometrial lining is 13mm which is a little thick with 16mm cysys on the right ovary. she also said thata the liver is a little fatty and moderately enlarged and to get all these looked into. When i went to see her i had just stopped bleeding and i took the sonography 2 days later.Im bleeding again. but im not supposed to see my gynaecologist for 2 weeks yet to discuss the results.i know i don't really have much to worry about but id still like to know since im bleeding again and its a little daunting.history wise- ive been through bad phases of depression after my mother passed away suddenly and been on various kinds of medication. i used to be super active but thats been whittled down because of the depression. i was on medication and sleeping pills which contributed to weight gain. i didnt want to get hooked on those so ive also been doing my best tor regularize my life in terms of diet and exercise as ive been careful of that my whole life and led a very active sporty life. and while im not as active as i used to be, im finding it hard to do even the little things without getting tired. im frequently exhausted and frequently nauseous and constipated. i dont sleep well. i dont like going to doctors because i dont like worrying family or feeling like ive bothered people for no reason at all. so it took a lot for me to go to the gynaecologist at all. [/INST] Hi,Thanks for your query. I read your query and I understand your concerns. Following is my reply:1) Please see a gynecologist or an infertility specialist as worrying wont solve problem.2) Even if there is PCO, you can conceive.3) Get regular follicular monitoring done from your doctor who can tell you when is best time to have intercourse and try for pregnancy.4) Meanwhile continue diet and excerciseI hope I answered your query. Let me know if you have any followup queries.Regards,Dr. Mahesh KoregolIVF & Infertility Specialist </s>

<s>[INST] Hi doctor, I have a two-year-old son who has a small hole in his ears. It started as a little spot and later degenerated into a small hole in the cartilage. Now it started spreading to another ear. I have gone to many ENT specialist and dermatologist, and they could not be able to figure out what it is. It began as a small dot or spot 17 months ago in the left ear and started becoming a hole. We noticed it in the right ear around seven months ago. The same way it started as a dot as seen in the right ear before it turned into a small hole as seen in the left ear. The one on the left ear is 17 months now. We have been to many ENT specialist and dermatologist, and they said they had not seen such thing before. They conducted a blood test on him and said everything is fine. It is disturbing me a lot and looking for a solution for it as I am scared, that it should not get bigger. I am using Fusibact ointment on the affected area. [/INST] Hi. With your description and after reviewing the pictures (attachment removed to protect patient identity), I can think of a condition called angiolymphoid hyperplasia with eosinophilia (ALHE). It is a benign harmless condition that presents with bumps in the ears. ALHE is common in adults, but there are few cases of ALHE reported in children as well. This is an idiopathic condition, meaning the cause is not yet known. This condition has to be confirmed by skin biopsy. I understand it is difficult to do a biopsy in kids, but I feel biopsy is essential because this problem is present since 17months as you have mentioned. In about 20 % of cases, there will be elevated eosinophils in the blood. You have told that the blood tests are fine. I am not sure if the eosinophils were tested. For more information consult a dermatologist online --> </s>

<s>[INST] I had an achilles tendon repair and spurs removed 5 weeks ago last Friday I fell and felt something snap . Totally confirmed it snapped in two. I have just spoken to my doctor and instead of surgery he wants to cast it. And see if it works , my dilemma is ins. Wise I am 100% starts over at first of yr. What should I do demand surf? [/INST] Hi. Thanks for your query.Read and understood your concerns.Noted that you had a tendon tear and got repaired but to to fall. It got opened up.This can be confirmed by MRI.This will decide whether you need re- surgery or cast can help.If you have abdominal pain due to ulcers, it is wise to undergo an upper GI endoscopy.Start on PPI like Omeprazole.Domperidone and an antacid.Soft bland diet.No stress or strain.Get review regularly till both the conditions are cured. </s>

<s>[INST] I have been diagnosed with fibromyalgia and have also been tested positive for sclerodema .I was going to a local clinic .After 8 yrs they informed me that they could no longer treat me and there was nothng they can do for me . I recently changed physicians and again he ran several tests and the diagnosis hasn t changed .I spend all of my time in pain and don t know what to do or take to help me function .I was reffered to a RA Dr and have to wait several months to see .My question is .Is there a healthy outcome with my condition I cant get a straight answer. Thank you [/INST] hi,thank you for providing the brief history of you.A thorough neuromuscular assessment is advised..As mentioned by you, that you are suffering from fibromyalgia, and tried all possible ways to get rid of pain. I will advice you to undergo physical therapy.As fibromyalgia is a condition where the pain is in the fibers of the muscle. The medicine can help symptomatic relief but the physiological is totally different to understand of fibromyalgia.Also, with physical therapy you will get benefitted and the inflammation of the muscle fiber will be reduced. The therapist will use therapeutic ultrasound therapy and TENS therapy for reducing inflammation and pain. Later, exercises will be taught to imporve the strength and endurance. Also, Breathing exercises and meditation helps further to improve the oxygen carrying blood cells which acts as the fuel to the muscle fiber which reduces the pain and also meditation will help imporve to control the mind.in my clinical practice I have been dealing with fibromyalgia cases. they respond well with a combination of medicine and physical therapy.regardsJay Indravadan Patel </s>

<s>[INST] I just was singing in my vocal class at ECU, I m in musical theatre. I don t usually eat in the morning, so I didn t today. I was just now signing with the group and I started feeling slight nausea that started to persist. I started getting really hot and sweating all over my torso, arms, and head. I felt light headed and possibly like I was going to throw up. I say down for a moment. After only a few minutes I was basically fine. I m in another class now and feel a little light headed and something somewhat in my stomach . What s going on right now? [/INST] Hi, Thanks for writing to health care magic. Never miss your breakfast. You should cultivate a habit of having some thing in the morning. You already take a fast of around 12 hrs when you do not eat any thing overnight and going on work with out having any thing is going to cause problems. Prolonged fasting can be responsible for gastritis which could be responsible for various problems you are facing like nausea etc. What is your age? Did you ever have your blood sugar or blood pressure checked up? Please reply in detail so that we can help you better. Take care. </s>

<s>[INST] Good evening, my name is Ashley,This might not be the right place but maybe I can get pointed towards rite direction. I have been on methadone for 8 years now for chronic pain, my PCP for the past 6 years is no longerin practice and left no follow-up care or referrals for other doctors, completely stressed to max my anxiety is through the roof about having to find someone completely new, I m left trying to find pcp that will prescribe that in my area but everywhere I looked online its just for to detox with,would you by chance know of anyone in the area of Layton Utah that can prescribe it for pain management. How can I find what happened to my previous provider Dr.Randal J Lewis, he has just opened his own practice less then a year ago at western hills medical center, taylorsville Utah. I do hope he is okay! Medications I have been on last 8 years is xanax 2mg 4× a day, methadone 10 mg 4× a day and percocet 7.5 4×a day for breakthrough.I ve always been on time with refills never early. I have Molina healthcare insurance. Thank you so much for your time.... 3~Ashley [/INST] Hello, If symptoms persist, it is better to consult a physician and get evaluated. You can consider analgesics like oxycodone hydrocodone for symptomatic relief. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician </s>

<s>[INST] Hi, I m a 22 year old female. I m having some back pain that started a little over a week ago. At first I thought it was a knot in my muscle, then it didn t go away. I ve been taking 4 ibeproferin every six hours and still the pain wont go away. It was really bad when I woke up this morning and could barely get up. I woke up several times coughing and that caused and even more sharp pain. I looked up on Web MD and put my symptoms in and it pointed most likely to pulmonary embolism . I m scared. [/INST] Hello, in this question you have not mentioned which area of your back is hurting, is it upper or lower back. PE can mimic back ache (in the upper part of spine), but the pain is more on the front than on the back, there is cough with sputum and often blood can also accompany. The embolus usually arises from the lower limb vessels and after a period of immobilization or major surgery. also your age dosent fit into the risk factors for PE. But other than that there are several other causes of back ache with cough. you should consult a doctor and get your tests done. It can be disc disease or acute spasm also. do not worry. take care. </s>

<s>[INST] Sir im 19 of ages . I do masturbuate 12 times per months .after it i feel so weakness and i felt my eye sides is so weak . And i feel weakness in my body specially in back bone. I cant do hard work for a long period of time . My intelligence hade been finished i am so upset .i cant control it . I tried many times to left it but i cant .plz tell me how do i am let it soon as soon. Plz [/INST] Thanks for asking in healthcaremagic forum Buddy, I understand your concern, but masturbation cannot cause this. It is entirely normal phenomenon and does cause no harm. All the best. Stop thinkin gof it now and concentrate on studies. Have balanced diet and reguilar exercise for better results. </s>

<s>[INST] hello.. i am 6 weeks pregnannt.. had brownish spotting today morning went for an ultrasound but doctor said she could see a gestational sac of 14.5 mm and a yols sac but no fetal pole or fetal heartbeat.. is it normal? she said the growth is very sluggish...please help i am very tensed.. [/INST] HI, Thanks for your query. I understand your concern. At 6 weeks gestational sac , yolk sac & fetal pole are seen. Heart sounds may appear a bit later . You don't have fetal pole & have brown discharge too.Possibility of blighted ovum should be confirmed after repeat scan after one week.when both yolk sac & heart beats should be seen . Thanks. </s>

<s>[INST] im not sure how to ask this. my boyfriend wanted sex and i told him no but i let him put the tip right on my vagina he didnt ejaculate but was inside me about half an inch. i had my period two days later but had some bright bleedin on the tail end of it (last two days and one extra day) could i be pregnant [/INST] Hallow Dear, I do appreciate your apprehension. In fact insertion of tip of penis (glans) inside the vagina is sufficient to cause pregnancy - even before the ejaculation. Before ejaculation, possibility of deposition of preejaculation secretions (precum) is always there. This gets deposited unknowingly and the person is not aware that he has ejaculated precum. Precum contains some sperms which are capable of causing pregnancy. However, in your case, since within two days after intercourse, you have got your menses, there is no possibility of pregnancy for two reasons.:1. The egg release is 14 days before the menses; while you had intercourse two days before the sex. Hence there was no egg present to get fertilized.2. You have got the menses 2 days after the sex proving that you are not pregnant. So dear, please remove the concern of pregnancy from your mind and enjoy your life. To avoid such stressful situations in future I would advise you to use reliable contraception method like birth control pills, condom or intrauterine device. I hope this helps you.Dr. Nishikant Shrotri </s>

<s>[INST] My Baby is almost 6 weeks old and is bothered by a lot of wind. He always seems very uncomfortable and seems to strain a lot when passing wind or doing the toilet. We are currently using Colief in his bottles but it doesn t seem to be working. When he has dirty nappies there is small white blobs in it. They resemble curdled milk. Please can you advise. [/INST] Hi, First of all congratulations for your baby. I can understand your every concern related to your baby. Usually all infants produce lot of gas and strains, grunts, turns their face to red while passing stool and it is absolutely normal. Their stool texture will be continuously changing, so unless there is very hard pellets like stools or blood tinged stool, there is nothing to worry. I had the same experience with my baby. It is hard to see your new born baby turning red, crying , grunting, straining while passing stool but this will remain only few weeks. What has helped me during those days are - Giving tummy massage or exercise 3 -4 times/ day and while passing gas or stool, burping after every feed.Even Colicaid didn't work for my baby. Giving 2.5 ml of gripe water has helped sometimes. Don't worry, as far as your baby is gaining weight, passing urine and stool frequently. Continue exclusive breastfeeding for 6 months, that increases baby's immunity and also reduces the chance of constipation and diarrhea. Good luck. </s>

<s>[INST] I ve been having an on and off pain in my belly button area over, probably the past year or two, it is extremely rare but deciding to look into it today I saw that it had multiple implications, all of which are fairly bad. Is there something I havent seen online that means this isn t a cause for concern? I plan on visiting my local health center soon to see if they can diagnose the problem, I m age 17, Male, live in PA and am a Virign. (Since I have seen this as an STD symptom) [/INST] Your pain seems to simple colic from the description. It may either a hunger pain or intestinal colic which has never compelled you to see a doctor.Have food on time, add fiber like whole grain, fruits to your diet,drink plenty of fluids include milk and yogurt as well. This might treat your bowel as well for constipation. I advice you just one drug for any worm infestation which is safe even you do not have one is Tab Albendazole just a tab at night after meals. See your doctor if not relieved. </s>

<s>[INST] 55 y/o female. Approx 6 months ago thought I was biting right cheek, and the dentist thought that was what it looked like. The dentist has a watch on a lower tooth on the right side that may need a new filling. Noticed right nasal congestion off and on. I have a history of allergies and get allergy injections. Past week started having a lot of increased saliva, facial pain and can feel the muscle or bump in front of ear. Not seeing any noticeable facial swelling. Also I've been having nausea, and some occasional right upper pain below the ribs. My right side of my face and neck is a little sore. [/INST] HelloWelcome in H.C.M.I have gone through your query regarding recurrent nasal discharge and obstruction with soreness over right half of face and upper chest. You are a diagnose case of nasal allergy.According to your clinical history it appears as you are having chronic respiratory tract infection invlving both upper and lower respiratory tract. Probably you are having sinusitis with infection of resp system may be bacterial or viral.I would like to tell you to consult your ENT doctor for thorough examination and investigations for making diagnosis that may be accordingly manage.Regards. </s>

<s>[INST] i just returned from the er with abdominal pain...i do have kidney stones , however i also was told i have elevated bilirubin , elevated albumin , sgpt, sgot , alkaline phosephatase....all they did was refer me to a specialist, but im worried & i can t get into the specialist for a month....what could be wrong besides hep c?? [/INST] Kidney stones do not cause abnormal liver enzymes. The kidney stone can be a incidental finding. Do you have gall bladder stones? Your enzyme pattern suggest that you have infection and or obstruction in your bile tract. If you have fever don't hesitate to go to ER. Are you on any medication or herbal remedies. If so that is another common cause. </s>

<s>[INST] hiim a 22 year old boyi did masturbation for about 3 years, Severe! maybe sometimes 4 times a day.i heard that it cause Psoriasis and maybe other skin sensations.my skin some times have white spots that sometimes they Disappeared and some times are about red.cat this be Because masturbation؟ [/INST] Hello Thanks for writing to HCMYou are wrongly informed.Masturbation doesn't lead to psoriasis.White and red spots over penis skin may be due to irritation resulting from excessive masturbation.You may need antibiotic and steroid ointment to be applied locally.You should avoid excessive masturbation and try to concentrate in your activities.You should avoid provocative literature and videos and try to keep busy yourself in your job.Hope i have answered your query.Take CareDr.Indu Bhushan </s>

<s>[INST] Severe scoliosis spinal arthritis.... I am not obese and was told I had these 2 in Oct. bad back pain and limited movement for about a week. I had another episode with my back for 2 weeks and over about 1 week ago. Now I have been itching between my breasts and the small of my back. Pimples have appeared and when I looked into a hand mirror at my back I have bruise clusters there. What the heck? Yes, I m a bit uncomfortable but not bad [/INST] Hello, Treatment for scoliosis is surgical intervention. Determining whether you are eligible for surgery or not is something the neurosurgeon or orthopedic surgeon can do. </s>

<s>[INST] tis is deepa lokesh ...34 yrs....married.....2 kids....my problem is em of dusky colour...i had some skin irritation 2 yrs back doctor reffeered me ELOCON cream ....i became fair and irritation disappeared....but now recently i met Dr.Shetty who told that cream contains astorids...which is harm to skin....he gave me some skin cream....but was not satisified...i came back to my dusky colour...plz help me out... [/INST] Hello, Thank you for posting on HCM.Complexion of any person is has two two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc and is amenable to treatment.You can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycolic peel, retinol peel, cocktail peel etc)Also, chemical peeling can be preceded by a simple procedure called microderamabrasion or commonly known as skin polishing to augment the results.Also, at home you can try using cream containing kojic acid, tetrahydrocurcumin, arbutin etc for several months (Melaglow cream) for additional benefit and maintenance.Always use broad spectrum sunscreen before going out in sun.Use a plain moisturiser like cetaphil DAM on daily basis for healthy and hydrated skin.Take plenty of fresh fruits and vegetables in your daily diet.Hope this will take care of your issue.Thank youDr Hardik Pitroda </s>

<s>[INST] I have ulcerative colitis, and I did colon colonoscopy last Friday, after two days I have prostate infection that s happen for the second time . Each time I do the colonoscopy I have prostate infection which needs at least six weeks to heal with Cipro. Kindly, tell me if there is any relationship between colonoscopy and prostatitis, thanks. [/INST] Hello,No usually if they do colonoscopy why will the prostate get inflamed? There is no connection also. if there is any fistula or sinus they would have found out in colonoscopy. Maybe they might have introduced infection which might have caused you the generalized infection and also prostate which is confusing to you. whatever the etiology by taking antibiotics it will get subsided. Next time before colonoscopy takes prophylactic antibiotics if you are so concerned about it. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Archana </s>

<s>[INST] Hello doctor, I have braces on at the moment and my orthodontist says I can get them off in four to five months. I think it looks okay for the most part but the thing that bothers me is this small gap in the bottom half of my front teeth. I have asked my orthodontist about this and she said that it is just because the front teeth come together but not at the bottom half because of the shape of my teeth which is triangular as opposed to rectangular. She said she cannot do anything about it, but I am very unhappy with the way it looks when I talk, laugh, etc. I researched about this kind of gaps, but most people report having gaps between the top of the two front teeth and not in the bottom like me. Is there any treatment that could possibly bring the front teeth together fully or at least more than they are right now? I hope there is something I can do to make it less obvious. [/INST] Hello. For more information consult an orthodontist online --> </s>

<s>[INST] Hello doctor, I have severe pain in the left corner of left eye since three months. I am a 33 year old female. I am using Ocurest, Cyclo tear and Systane. Please help. [/INST] Hi. Revert back with the pictures to an eye care ophthalmologist online --> </s>

<s>[INST] Sir my mother is 70 years old. From 1 n half year she has been bed ridden. She cannot walk. She has got deneration of nerves problem. She cannot lift her left feet . There is tingling in her left feet. She is not able to lift her right hand also. We have shown to every best doctor bt dey says its old age problem. Her physiotherapy is goin on bt no improvemeny pls help [/INST] Hello,Thanks for the query,I understand your problemLet me tell you that mother requires re-evaluation for the cause of paralysis. It can be due to peripheral nerve problem, brain stroke, spinal cord problem. It could be due to many other causes and the exact diagnosis would require a detailed neurological evaluation which will include clinical and investigations. Once the cause of the problem is established we will be able to guide you better. Physiotherapy alone may not be the solution for each of the nerve related problem. Specific treatment can be advised only if the diagnosis is established. Please consult a local neurologist Hope this clarifiesBest wishesDr Gopal K Dash MD, DM, Post-doctoral fellowship (Epilepsy)Consultant Neurologist and Epilepsy specialistNarayana Hrudayalaya Hospital, BangaloreMy Blog in the Web site: </s>

<s>[INST] Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> </s>

<s>[INST] Sir, I had developed Seizure when i was 5yrs old from fever and initially started with Zarontine syrup and later with Epilex. Last 15yrs I am having Epilex Chrono 500 twice daily and I was ok, but last few months I am having jerks, mild seizures and got checked up with EEG and Blood test , Like Serum Valporate tests etc. The Dr has increased by dose by 200mg. As I used to have Epilex Chro 500 after break fast and 500 Mg after dineer. Now i am having 500mg after Breakfast and 700mg after dineer. Is it safe and hope there is no side effects also. If any how to get rid of it. Kindly advice [/INST] Hello Welcome to HCM Epilex chrono contains sodium valporate. It is a broad spectrum anti epileptic drug. As you have recently suffered jerks and mild seizure even on 1000 mg valporate so dose increase was must. Now you are on 1200 mg of drug. Sodium Valporate is a safe drug and usual side effects are nausea, vomiting, weight gain, dizziness, curling of hair, in some males hair loss, and decreased platelet counts. But as you were on 1000 mg and just 200 mg is increased the chances of side effects are very low. The drug is must for your seizures so continue with the drug. Thanks Dr. Seikhoo Bishnoi </s>

<s>[INST] Hi doctor, I am having mild chest pain over the last three days. I also feel lazy and less energetic for few months. I have done routine checkup. Can you please give suggestion based on the report attached? [/INST] Hi. Get ECG (electrocardiogram), 2D echo and TMT test (treadmill test) to rule out any cardiac risk. Your homocysteine levels are little high (attachment removed to protect patient identity), which may be the factor responsible for hypercoagulable state. Repeat homocysteine after a month. Take tablet Folvite 5 mg (Folic acid) once daily. Do regular exercise as it can control your borderline raised cholesterol. Do overlook for any numbness in legs or breathing difficulty. Revert back with the reports to a cardiologist online --> </s>

<s>[INST] rt. renal hearing loss on 27/05/2014, age 43 years lf. hearing in within normal limits dr. issues medicin medrol 16 mg and cognix plus now full time sound ex. lan line telphone distrabu noise sound another ear now mobile usseing heat and maind ring i am mobile phone usesing more than 13 year over [/INST] HIWell come to HCMI really appreciate your concern, you have not mentioned about the finding of test, most of the time such case needs hearing adds of course medicine can be tried but it gives minimal result although it is all depends, better to get done MRI too hope this information helps. </s>

<s>[INST] Hi, my son is 20 and he has symptoms that resemble Asbergers Syndrome. He is a 2nd year college student, very bright but difficulty with social skills. How can he be tested for Asbergers? What kind of doctor would request tests, a Psychiatrist? And how do we know that the doctor has the full credentials to make such a diagnois? [/INST] Hi there ~I understand your concerns. If you know that your son has Asperger's syndrome and need a formal diagnosis from a psychiatrist for benefits, you might do well by visiting with and consulting a psychiatrist who can give your son the diagnosis. You may have to check with the doctor if the doctor has full credentials to make a diagnosis and contact the state medical board to make that determination as records are available for the doctor's history with the board in your state.I hope this helps. Take care and have a lovely day! </s>

<s>[INST] I have swelling in my right ankle area. It is also painful. In November I had vein ablation procedure to correct vinous congestion. The has increases since the procedure. The doctor has released me to see an orthopedic dr. What do you suggest?YYYY@YYYY [/INST] hi, following vein ablation procedure you need to take some precautions like resting for 3 weeks, use of compression stockings etc. if you fail to do any of the above, you are likely to get edema and pain once again.you can either use 6" crepe band or compression stockings which can reduce ankle edema and pain. if they do not respond, consult a surgeon. i don't think it is an orthopedic problem. hope this helps. </s>

<s>[INST] I have an extremely irregular period, and recently I I've been getting yeastr infections constantly     as well as rashes     on my our labia...its it possible that my yeast infections could be caused by gas? And that these issues could prevent me from getting pregnant? [/INST] Hi, I am sorry for the situation you are going through. The yeast infections you are having on your genitalia might be because of:- frequent use of antibiotics- a diet high in carbohydrates- low immunity- partner having the same problemsGas cannot cause yeast infection as it is a symptoms and not a disease. Most probable cause to gas might be:- use of antibiotics that might lead to candida overgrowth in the bowels- alteration of intestinal flora for other issues- food intolerance (especially when it comes to lactose)- constipation Yeast infection cannot prevent from getting pregnant if you treat it accordingly. It might delay from getting pregnant only. All the best!Dr.Albana </s>

<s>[INST] I have been diagnosed to have psoriasis. The doctor has prescribed Flagyl 400mg tab daily and Absolut Cap daily one each. On using Flagyl I found red spots all over my body. Should I continue. On the other hand, a general Physician has prescribed Montek Lc one daily and Deflacort 30mg half a tab daily. The dermatologist has asked me stop tablets prescribed by the Generalo physician, but the lesions still continue. Pls help. My age is 49 and i am a Male. [/INST] Hi, Cannot say in your particular case and the red spots are hard to comment on without seeing them. Association with a new drug makes allergy to it something that comes to mind but it can be coincidence. Itching and hives make allergy more likely and more likely to be a drug reaction. Drug reactions are either mainly where the drug contacted the body or all over. Flagyl is pretty common to cause this reaction and anti-allergy medicines such as montek and deflacort would be a treatment for this. There's a lot of other psoriasis treatments. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist </s>

<s>[INST] My 5 year old daughter was admitted with severe fever and pneumonia.Later though, it wasnt confirmed, but she became better after treating for H1N1 flu.Now she has atrial standstill.P waves are absent in her ECG.Could swine flu be the reason for it?She never had any symptoms of heart disease in the past. [/INST] Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.No, swine flu has no effect on the heart.Influenza virus of swine flu mutant has effect on the lungs only.It has no pathogenicity over the heart. But pathology related to lung with heart can cause the signs related to the heart. e.g. pleural effusion can compress the heart and stop the heart from pumping.You can go for chest X ray PA view. This will guide us for exact situation. Instead you can go for clinical examination to the nearby doctors they can guide you regarding the pathogenicity.If its effusion than aspiration and treatment for the condition can cure you.As she is not having any symptoms of the heart disease in the future. There is no need to worry because it has compromised only atria which has almost no role on the pumping of the heart and it will be corrected soon.Please make continuous note on the heart beat. If the heart brat is compromised little than immediately visit the nearby hospital as it can be severe condition.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. </s>

<s>[INST] Hi... I have a hernia right above my belly button.. it is not too big as of yet but it has definately grown over the past two years. For about the past month, every time I eat, even small amounts, I feel very full above the hernia and just below where the ribcage comes together. Also, I am constipated a lot of the time. In other words, I am feeling pretty miserable. Is this normal with an paraumbilical hernia or could it be something else? [/INST] Hello,I had gone through your query and understand your concern.Short Answer: Yes, umbilical hernia can cause your symptoms.Detailed answer: Thanks for asking on HCM.Inside the umbilical hernia there will be any abdominal contents. If it is intestine and if there is any obstruction to intestine because of these you will develop above symptoms. Inside the hernia intestinal loops may twist and get obstructed. It is better to consult your doctor. Get an USG done. It will help to know the condition of your hernia.Hope this helps.If you have any other query, feel free to ask.Regards,Dr.Prathap Kumar </s>

<s>[INST] hi i need help i have like a lump ting halfway down my penis when i try squezing it and that it soetimes gets a bit bigger and its like it moves abit when i play with it to try get rid of it if had it a while please can you help and tell me what it is i want it gone [/INST] Hi! this is a benign condition but try to avoid rubbing on it!Thanks for sharing your health problem with us and after going through your description of the lump halfway down on the penis, I must consider few possibilities like:1. a hemangioma2. an inclusion cyst3. a neurofibroma4. lipoma or fibroepithelial polypTherefore, please see a surgeon for a proper clinical examination and a simple 2-minutes needle biopsy for confirmation!See you with all feedback; regards, </s>

<s>[INST] I am experiencing unexplained bruising on my arms and legs. I find one to two new bruises each day. I also started having leg cramps at night. This summer my hemoglobin count was low, but after further blood work, all seemed fine. I am also extremely tired. Any answers? [/INST] Hello,Frequent bruising can be there due to following reasons-- Deficiency of vitamins like Vitamin C.- Deficiency of blood clotting factors.- Kidney or liver problems.- Allergic conditions.- Raised blood IgE levels- Taking of some medicines like prednisolone, aspirin or which interferes with blood clotting. I shall advice you to consult to your doctor and have at least routine blood examination. Meanwhile, check for any medicines which you are taking for their interference with blood clotting. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon </s>

<s>[INST] I just had a nephrectomy, six weeks ago, never had heart problems that I am aware of. Inmediatly after surgery developed tachycardia, my restin g heart rate is on the mid 90s... every time I move, standup,lay down, or do minimum exertion my heart goes up...my hemoglobin is normal. could there be a relationship between kidney/ heart? [/INST] Hello I have gone through your question.Thanks for using HCM.Actually normal heart rate fluctuates between 60 to 100 per minute.so 90 is not abnormal .usually in postoperative mild pain and weakness push up the heart rate .since it is less than 100 you need not worry at all and it does not need any treatment.My best wishedDr.Teli,MD </s>

<s>[INST] My 2 year old woke up screaming last night. I changed her bum (because she had pooed) and noticed that her bum cheeks were bright red raw and looked very sore. It obviously hurt her while I was wiping her bum. I put cream on her but the problem is still the same today. It doesn t look any better. She has not had this before and wondered what could have caused it and what I can do to fix it. I m not sure whether this is relevant but she ate peanuts yesterday at a party which she doesn t normally eat. [/INST] Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., </s>