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<s>[INST] my father is suffering from cancer in food pipe. He was treated for that 6 months back. Now he feels diffiulty to swallo. Now he was advised to undertake 3 sittings of radiation. This is second sitting. This time he complaints of having pain in the throat and is unable to have even liquid food. Will it be alright? His age is 83. [/INST] Hi, dearI have gone through your question. I can understand your concern. Your fathe has esophageal cancer. Treatment depends on stage of cancer. In early stage surgery can be done. In advanced stage surgery is not possible. So radiation is the treatment of choice. His throat pain is due to radiation treatment. Don't worry about that. It is very common to have pain after radiation. So consult your doctor and Continue your treatment. 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] Hi, I will be 37yrs in sept 2012,married in 2002.I had taken treatment and after 7yrs of marriage i had my first child in 2009(boy-1.9kgs in the start of 9th month itself.Gods grace and miracleous gift as even though my fertility doc- last one who did my treatment for 2.5yrs and doc who did my laproscopy for Tube test last resort to see why i am not responding to the IUI treatment also.... said both my tubes are blocked.Trusting in Gods Divine Providence i asked my doc to continue treatment for 1more cycle if gods will then things will work and it did work out...else will adopt.Praise the Lord.....Now he is 2.5yrs.I am trying for 2nd one.I have pcod so get periods when i take hormone tabs only.I am 5.1 and 62kgs. i have gained weight due to pcod.Earlier treatment doc got no results from Glucophage , clomid , progesterone tabs.She then gave me Glucophage ,clomid,prednisolon(as get chest congestions when i take hormone tabs,even would reduce the inflamations in my tubes too) ,femora,actos,menopar thats when i conceived in 2 cycles of this treatment.Now my question is.... This time July 2012...My doc gave Deviry10mg for 5days to get my periods100mg,with it my LMP was 19th july 2012.then tld to tk Siphene 100 for 5dys from 20th july 2012 till 24th july.on 24th july 6th day RO 16cc, and LO 13cc ,MTF.with 5mm endo.As of 31st july 2012 i.e. 13th day of cycle results Multiple tiny follicules with no dominant eggs seen with endometrium 9mm.Now doc has given Progynova 2mg to be taken for 10days and to do follicular scan tom also ie. 14thday of cycle.as per docs i donot produce eggs hence no ovulation and irregular cyles leading to PCOD since so many yrs.What is your feedback and suggestion on my case.Is this cycle fine or not. if not whats your suggestion.Your views on my profile will help me understand my case better.Your Views will be highly appreciated... mumbai [/INST] Hello. Thanks for writing to us. The follicles seen at the beginning of the cycle are likely to be due to polycystic ovaries. At the mid cycle- near 14th day, since there are no follicles, it means there was no ovulation in this cycle. You need to continue with the treatment you are getting for next cycle too. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com </s>

<s>[INST] Hi Dr. I am feeling a pin in my right right of the stomach and I visited last day to the doctor. After checking and getting the tests he give me the feedback that my blood count , urine and liver is normal. There is no need to worry about kidney stone , appendix. I am a muslim and fasting . Actually the pain started after ramadan started. Finally dr. give me the conclusion that it happened due to gas formed in the stomach but the pain stick on to one point and still small pain is there. It didn t moved to any other locations. Please give me advise up on this matter. [/INST] DEAR CLIENT YOUR PAIN MIGHT BE DUE TO PROLONG FASTING WHICH CAUSES ACIDITY AND GASTRIC PAIN AS YOU HAVE RAMADAN..ITS BETTER TO TAKE SOME ANTI ACVID DRUGS LIKE PANTOPRAZOLE EVERY MORNING AND NIGHT.. </s>

<s>[INST] Today I have been feeling some pain in my stomach sort of a mixture between cramps and gas pains, I went to the bathroom and as I was about to flush I saw a red string in the toilet looked a bit furry, I wasn t bleeding at all I did notice a small bright red on my toilet paper but very very tiny, I have no idea what this could mean [/INST] Hi welcome to Health care magic forum. Thanks for calling H.C.M.F. As you describe there was mild pain of abdomen, like cramps and gas pain. When you go to bath room there is tiny blood on the tissue paper. The cause could be fissure in ano, amoebiosis, or some infection of intestines. I advise you to consult a surgeon for diagnosis and treatment. you may need to have proctoscopy for confermation. Wishing for a quick recovery. Best regards. </s>

<s>[INST] Hi my name is . I just experienced severe cramps in my lower right and left part of my stomach and in my lower right and left part of my back. I also am cramping under my breasts. In myhands and feet.. I feel dehydrated. I am adiabetic. and have fibcan u help me fybromyalgia. I have copd. Can help me understandwhats going on? [/INST] Hi.All the fibromyalgia patients have a stress problem which may be the reason for most of your problems . You may be having IBS. Diabetes may add on the problem by super-added infection.COPD may not have to do anything with the present problem . Get the treatment first to control the diabetes if it is not under control. Get a course of an antibiotic as you need a support to cure the problems and as an antibiotic cover is needed when there are so many problems at the same time .Get properly investigated and consult a Doctor,. Try to get a muti-disciplinary approach to tackle all the problem at the same time to get a chance of recovery and a control for a long time. </s>

<s>[INST] Hi I m 27,male experiencing frank hematuria for the last 7 years .i have done all the exams possible .but no unswers.im really worried because I can never know if the blood would come after the intercorse .and it never comes after masturbation .always after penetration.never with the ejaculation .its a lot of blood with big dry pieces.that hurt when comes of...my life is n stand by .no relationships and no plans for the future ...please help [/INST] Hi,Thanks for writing in.Treatment of frank hematuria is based on the cause for it.This might include, for instance, taking antibiotics to clear a urinary tract infection, trying a prescription medication to shrink an enlarged prostate, or shock wave therapy to break up bladder or kidney stones. If there is any problem with prostate and urethra like a stricture then that must be treated first.It is important to get imaging investigations like ultrasound scan and CT scan of the abdomen to know the origin of hematuria. There might be a stone anywhere from the kidney to urinary bladder causing the hematuria. It can also be caused due to any growth in the urinary tract or bladder. This should be investigated quickly and treated if present.If the underlying condition isn't serious, no treatment is necessary. </s>

<s>[INST] Hi doctor, I have run out of Lamictal and the pharmacy will not open for the next two days. I am going to miss the dose for the next three nights. I am on Lamictal 200 mg at night along with two of Lorazepam. I have now terrified myself by reading internet chat groups. I also take Vyvanse and Effexor in the morning. Is this really terrible? Is there anything I can do to ameliorate the withdrawal symptoms? Thank you. [/INST] Hi. I read your query and understand your concerns. Now, in case if there is any withdrawal symptom then please do the following: For further information consult a psychiatrist online --> </s>

<s>[INST] Hello doctor,I am a 65-year-old male who has until recently been playing tennis regularly. I have been on beta blockers for about 15 years, first on 50 mg Atenolol and then on 10 mg Bisoprolol. They lowered my pulse rate to about 60 but then about three years ago I started to get AFib. The episodes of AFib became more frequent and painful so that I needed to use a GTN spray to reduce the pain. It got so that I could not lie down and had to sleep propped up against pillows. The painful episodes would last about three hours and they occurred every couple of days.I gradually reduced the Bisoprolol and stopped them completely after a few weeks. I am currently on Aspirin too. Now my pulse is erratic but I can sleep lying down fine and I am not experiencing the painful bouts of AFib anymore. Should I be looking at taking some other medication or am I just experiencing withdrawal symptoms which will eventually pass? Please provide your opinion. [/INST] Hello. Atrial fibrillation (also called AFib or AF) is a quivering or irregular heartbeat (arrhythmia) that can lead to blood clots, stroke, heart failure and other heart-related complications. Normally, your heart contracts and relaxes to a regular beat. In atrial fibrillation, the upper chambers of the heart (the atria) beat irregularly (quiver) instead of beating effectively to move blood into the ventricles. If a clot breaks off, enters the bloodstream and lodges in an artery leading to the brain, a stroke result. About 15–20 percent of people who have strokes have this heart arrhythmia. This clot risk is why patients with this condition are put on blood thinners. The cornerstones of atrial fibrillation management are rate control and anticoagulation and rhythm control for those symptomatically limited by AF. The clinical decision to use a rhythm-control or rate-control strategy requires an integrated consideration of several factors including a degree of symptoms, likelihood of successful cardioversion, the presence of comorbidities, and candidacy for AF ablation. Ideally, to treat atrial fibrillation, the heart rate and rhythm are reset to normal. Cardioversion can be conducted in two ways: Electrical cardioversion: In this brief procedure, an electrical shock is delivered to your heart through paddles or patches placed on your chest. The shock stops your heart's electrical activity momentarily. When your heart begins again, the hope is that it resumes its normal rhythm. The procedure is performed during sedation, so you should not feel the electric shock. Cardioversion with drugs: This form of cardioversion uses medications called antiarrhythmics to help restore normal sinus rhythm. Depending on your heart condition, your doctor may recommend trying intravenous or oral medications to return your heart to normal rhythm. This is often done in the hospital with continuous monitoring of your heart rate. If your heart rhythm returns to normal, your doctor often will prescribe the same anti-arrhythmic medication or a similar one to try to prevent more spells of atrial fibrillation. After electrical cardioversion, your doctor may prescribe anti-arrhythmic medications to help prevent future episodes of atrial fibrillation. Medications may include Dofetilide, Flecainide, Propafenone, Amiodarone, and Sotalol. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Consult your cardiologist, get a 2D (two-dimensional) echocardiogram, a 24-hour Holter done and follow the following medicines and procedures. They are not withdrawal symptoms. A full evaluation is required. For more information consult a cardiologist online --> </s>

<s>[INST] I am a cancer survivor. I had a hysterectomy 6 years ago. Precancer cells removed back in March and I see my ongologist every 4 months. I began taking new vitamins...Shaklee Vitalizer Gold. I have a friend who was interested in them as I feel great since I started taking them. My energy level has greatly improved. My friend who was just treated for breast cancer told me that her doctor told her to stay away from soy. These new vitamins that I am just loving...have soybean oil and soy lecithin in it. I googled it and I see mixed reviews on whether I can take this or not. My distributor from shaklee who also is a good friend of mine told me that I can take these vitamins and that she is going to provide me the information regarding this. I'm just curious of your thoughts on soybean oil in vitamins if I previously had cervical cancer. [/INST] hi , i have read your query . soya oil is good for health but not in every case .since it increase risk of breast cancer in some people be cautioned to use it i.e dont use it without discussing your doctor .even thought direct link has not been proved abour soya and cervical cancer but you still be careful to use it ..never ever ask or follow your friend for you health always take advice of doctor ....i hove you have understand my point i want to tell you ..thanx </s>

<s>[INST] My daughter is 4years old and she have these bumps that comes & goes on her head , They are very hard & the size of a pea & If it gets squeezed yellow stuff comes out & plus & blood . Sometimes it will come out on its on , I have taking her back & forth too the doctor but he seems like he can t find out what it is can someone please help me !!!! & oh yea they are very itchy & it s painful if they are touched [/INST] HiShe has multiple sebaceous cysts over scalp which are getting infected. She should be shown to Dermatologist or General surgeon .I prescribe Antibiotics like Clindamycin capsule along with Cefuroxime tablet and anti inflammatory tablets to my patients with similar complaints. Nothing to worry. Wish her good health. Regards </s>

<s>[INST] My chest has hurt for 3 days now. It s hurts when I breathe, and cough. There is a lot of pain and pressure in the center of my chest, like my whole chest, especially when I bend, lay down, squat down. That pain when I do those 3 things spreads to my head. I ve had a headache for 4 days now. My whole body feels like I have the flu, achey and painful joints. I m a 34 yr old female, with SLS,and cardiomiopothy. I also get dizzy spells 5-6 times a day, lasting 10-30seconds, they cause extreme brightness in my eyes to where I can t see and my head feels hot. My BP is 88/ 57 and pulse is 80bpm. Any thought, help, advice I welcome. Thank you for your time. [/INST] Hi Dear !! Thanks for your query to HCM.Read and reviewed facts of your health query.I understood your health concerns. My Impression-Based on facts of your query,You seems to suffer from-LRTI with Low Blood Pressure from CardioMyopathy.Meticulous use of antihypertensive drugs,early checks to treat the cause of Chest pain would resolve your issues of dizziness/ headaches.Anitibiotic treatment for lung infections causing achy painful joints, which are common with cardiomyopathic failed cardio-respiratory functions.The review of anti-arrhytmic drugs and pacemakers for anti-arrhythmic problems would reduce the frequency of dizzy spells , which are mainly due to VFS/Premature beats/ AFs with Cardiomyopathy,Regular treatment reviews from Cardiologist even for lung infections is needed in your case, as these lung infections are related to arrhythmia induced heart failures of your heartHope this would help to plan treatment with your doctors.Keep Me updated whenever needed , 24 x 7, to help you out by even,online tips for You, on weekly basis. Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS </s>

<s>[INST] I have been to the ER 2 times within the week....I have moderate to severe pain that began on the left mid-abdomen and moved to the right mid-abdomen. Was given antibiotics and pain meds upon 1st visit after blood work and CT showed no abnormalities. Pain continued, with more nauseau, returned to GP who sent me to the ER again. ysUrinalis and abdominal xrays were normal. Again sent home to continue antibiotics and pain meds. Was told "if pain continues for more than 7 days from 2nd visit, return to GP" and also told "sometimes the body hurts, and then heals itself...feel better soon". And am being treating as a diverticulitis attack and told to use the BRAT diet. What should I do next?? This evening my pain level is probably around and 7-8. [/INST] HI.You are already under treatment and investigated taking medicines , I wounder why the CT scan is normal; if it is normal , means there is a problem that is not detectable on CT , X-ray or so. The commonest cause that can be missed are colitis- inflammation of the large bowel as it causes the pain in the areas described by you. This can be a part of the Irritable Bowel Syndrome. Colonoscopy and a therapeutic trial of antispasmodic and anti-anxiety medicines helps . </s>

<s>[INST] I'm 30 years old, in perfectly good health. Last week I cut my thumb - stopped the bleeding after maybe 1/2 an hr, cleaned + bandaided it up, change dressing every couple of days and didn't think much about it. Now, 10 days later, the cut seems healed but the area around it appears greenish (no pus) and is numb. Should I see a doctor about this? [/INST] Thanks for posting you query to health care magic. No need to worry as complete healing not take place yet blood present inside tissue disintegrate and give green discoloration .if you are not having any pain or fever o need to worry . numbness will take long time to releive as damage nerve tissue grow very slowly for which you can take multivitamin tablet.if complaint increases contact to surgical specialist. hope you are satisfied with my answer . feel free to communicate if any query . regards, Dr.Manish Purohit Infectious disease specialist </s>

<s>[INST] My son had some form of bug bite on the back of his neck. The doctor gave him a prescription cortisone. Now, approximately two weeks later, he has two lumps approximately 1 - 2 1/2 inches away from the original bite. I assume they are enlarged lymph nodes. How concerned should I be? [/INST] Hi, thanks for writing to HCM and sharing your son's health concerns!Yes, you are correct; this neck lump is nothing but an enlarged lymph node due to recent inflammation in the surrounding area!This is normal reactive/preventive action of our body's immunity system towards any infection, agents or insult...!Therefore, this one does not need any treatment as this is expected to disappear within 6-10 weeks but should be monitored! I would further suggest you, if still not convinced, to go for an FNAC /biopsy and ultrasound of the lump for confirmation and to relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your son good health. </s>

<s>[INST] Hello doctor, If an individual has genital herpes and performs oral sex on a non-infected person, is it possible for it to still be transmitted? [/INST] Hi. I read your query and understand your concerns. First of all, I would like to inform you that there is definite risk of transmission of HSV if there was direct skin to skin contact such as sex, oral sex, passionate kissing among others. However, the risk is low provided there was no active lesions at the area of contact. But practically speaking people with active genital lesions can have active lesions over the oral mucosa which can shed the virus, which can be transmitted to their partner. I also like to make it clear that itching and burning sensation are very rare before appearance of lesions. It is good idea to get tested for herpes antibodies. </s>

<s>[INST] My blood pressure is 82/57 in mornings, generally 90/60. In the mornings I feel like I may faint when I get up for a few seconds. In the day I feel very detached at times, sometimes feel like fainting followed by a panic attack. I have been told that my connective tissue is slightly differernt as I am slightly hyper mobile, thanks [/INST] Hi, dear. I have gone through your question. I can understand your concern. Your blood pressure is very low. You may go in hypotensive shock. So you should take treatment for your hypotension. 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] Hi doctor, My 10 year old daughter had an appendectomy two days back. She was in horrible pain after that. They wished to send her home, but since the pain could not be controlled with Tylenol or Ibuprofen they decided to keep her in hospital. Then the next morning she had bad diarrhea. She went around 10 times in two hours. It concerned me, but they informed me that the diarrhea is normal. Her pain was still pretty bad, so they finally decided to try something stronger that we could take her home. It did work for three hours and they sent her home. By the time we got home, she was in horrible pain. She was crying most of the night until falling asleep. Yesterday, I noticed a lump on her back that was warm to touch and when I touched it she said that lump is the reason for her pain and it hurts her really bad. As I was concerned I called her doctor, but they said that they have no idea what I was talking about and they would like to check her in ER the next day. I know as a parent we over analyze everything. I did not to take her to the ER because of a muscle strain. Also, I do not want to over look something that could make her worse. What could the lump be? Should I be concerned? She still has fever and pain. Please help. [/INST] Hi. For further information consult a paediatric surgeon online --> </s>

<s>[INST] Hello doctor. I just got injured on the little finger of my left hand while playing a cricket match. There is a blood clot and the last segment of my little finger is swollen and slightly purplish. What should I do? I had put my finger in a bowl of ice for about 5 min. [/INST] Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I suppose it is only a minor injury without any fissure or fracture in your distal phalynx, and for the first 48 hours icing will be benefecial. Use NSAIDs like declophen or ibuprufen as an analgesic and to decrease the inflammation, use topical anti inflammatory gels (like voltaren gel). Sometimes if the swelling is extensive, we add an antiedematous drug (alpha chemotrypsin), also elevating the hand or an arm sling or slabs to decrease its mobility. If no progress or the swelling stays ask your physician for an x-ray just to assure your little finger is free of any injuries. Hope the above information helps you. Any further clarifications feel free to ask.Regards,Dr. Ahmed Aly </s>

<s>[INST] STIFF LOW BACK PAIN EVERY MORNING SPECIFICALLY WHEN I TAKE Chicken, Fish, or Heavy Food in Dinner, but The pain surprisingly subsides STIFF LOW BACK PAIN EVERY MORNING SPECIFICALLY WHEN I TAKE Chicken, Fish, or Heavy Food in Dinner, but The pain surprisingly subsides/decreases in minutes once I start my exercise workout includes Jogging, Body Building, Muscle Fitness Training,. etc., ABNORMAL URINATION since 2yrs urology reports normal PLEASE HELP? ABNORMAL URINATION since 2yrs urology reports normal PLEASE HELP? Suffering with ABNORMAL URINATION since last 2yrs, Consulted Urologist undergone Tests all reports normal. MY PROBLEM It starts immediately after urination there is a strong urge and uncomfortable condition unable to sit or sleep at least for next 3-4 hrs and strong feeling and urge to urinate more after. To relax I apply strong pressure only by FORCE just few drops maybe up to 3ml to 5ml comes out twice in 3-4 hrs resulting into ease, into a RELAXING state of COMFORT. MYSELF I am a 26 yr old healthy Weight Trainer-COACH into Physical Training, I consulted urologist and undergone extensive tests all are normal and also underwent medications but no use. IMPORTANT Often twice a week my PENIS shrinks right in the middle visible like shrunk, pressed, squeezed right in the middle, both other ends are normal and thicker, THIS HAPPENS twice in a week irregularly.Dear Doctors and if anyone who experienced or know about this via Y-Answers-PLEASE ADVISE and HELP ME, May God Bless you all who wish to HELP ME. [/INST] Hello it appear you have some infection of trigon area in the urinary bladder.in this last part of urination is painful & infected. so you need culture of urine in three part , first sample ,middle sample & last sample separately.spasm of back muscles can occur due to many reasons ,all are not due to organic cause ,even simple bad posture ,some dietary habits also predispose to morning stiffness.Get frequent investigation to find the reason ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and trouble free speedy recovery” </s>

<s>[INST] Hi, my 11 month old boy has a very tight chesty cough and a very runny nose. Have taken him to the GP and was first given corryx and allecet. But I phoned her back after 3 days as it wasnt clearing up, so she added an antibiotic called ammoxil. Only been using antibiotic since yesterday. His chest still tight. Is there anything else I can use? Should I be concerned about the tight chest, as the phlem doesnt come out at all, just the runny nose. [/INST] Hi,Welcome To Healthcare Magic.I can understand your concern regarding to your child’s health.Because having cough to your child, he feels tightness. I have seen number of patients of this type in my clinic. So, I would like to suggest you medicines, which gives relief in cough, thus decrease in tightness of chest.Start syrup Pecef (if no allergy) 50 mg, 5 ml, 2 times in a day for 5 days. Give liquid Fabrex Plus (if no allergy), 5 ml, 3 times in a day, at the interval of 7-8 hours, for3-5 days. Add syrup S-Mucolyte (if no allergy) 2 ml, 3 times in a day, at the interval of 7-8 hours for 5-7 days. Also give liquid Levocet-M 2.5 ml, daily at night for 5 days. After doing all these things, if your child will not feel better then consult pediatrician.After doing all these things, I hope your child will get well sooner and please share your review about my answer on healthcare magic.Take Care,Thank You.From:- Dr. Nupur Shah </s>

<s>[INST] Hi, I am a female, age 22, in great health. I have never had any allergies my entire life, nothing at all. Tonight my face has turned bright red, slightly splotchy and very very hot...seemingly an allergic reaction. I cannot identify what or if it is potentially serious. Besides the face I have no other symptoms. I was drinking a glass of wine when this started. I have never had a problem with wine before, but have read different levels of sulfates in wine can cause reactions... [/INST] Hello,Yes, the older the wine the more reactions one can have if they have intolerance to sulphites that is present in all wines.This is usually a self limiting reaction unless you feel short of breath which happens in people with underlying asthma, and they need to be more careful.Sulfite-free diet is not recommended, as non-sedating antihistamines will work.Best Wishes. </s>

<s>[INST] for over 7 years i have had constant pain in arms and legs, my left foot is very tender and sore and numb my right leg is not as bad, i have difficulty holding items in hands for too long and cramp up, had many tests done including an ms tests 2 weeks ago but havent got results yet so im assuming negative [/INST] Hello, Thanks for writing to us, I have read your query, this can be due to pinched nerve in spine.Due to compression of nerve root there can be pain and numbness in your foot.I will advise you to do MRI spine and EMG-NCV [Nerve conduction study] and consult to orthopaedic surgeon.Peripheral numbness can be due neuropathy. Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate peripheral neuropathy. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetable.Vitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take Inj methylcobalamine.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. </s>

<s>[INST] I have a reoccuring calf muscle strain going on several years now....anyway it has flared up again..I ve been resting with ice pack on it and elevating my leg. Ibuprofin doesn t seem to help even though I take a couple more than directed on the bottle. If I remember right originally I was told to take something else,,, but I can t remember.. can you help [/INST] Physical therapy session will definitely help, if you say its recurring calf strain, there is suspected muscular knot formation in the muscle of calf. which would eventually reducing the length of muscle to function efficiently Dry Needling session with fascial and deep tissue release with adequate stretching of calf muscle and later strengthening the CalF ( Gastro and soleues) will help in reducing the painalso check if you have flat feet </s>

<s>[INST] Hello, Dr Shehzad Topiwala! My name is Daniel, and I am seeking your professional advice and expertice. I am 21 years old, male, good health, fit, no smoking or excessive alcohol. I am experiencing low testosterone symptoms such as: no sex drive, ED, depressed mood, etc. My sex life is almost non-existent. I am 21 years old, and should not be dealing with problems like these. The blood work done with my doctor, all came back within the normal range, and my doctor tells me everything is like it should be, yet I don’t feel like it is. I have gotten a copy of my results and did some research online. Aberrantly my T-levels at 14,5 nmol/L (around 350-400 converted to ng/dl), are in the same range as an average 80 year old… My testosterone levels are not god for a guy my age, and far from optimal. So I went back to my doctor, but now she tells me my symptoms are caused by depression. I admit feeling depressed, but that is a result of my problems, depression is not causing them. And then she continued to prescribe me some Viagra… I am confident in saying that the symptoms I am experiencing are hormone/testosterone related, not psychological. My testosterone levels are low, but not low enough to get treatment, and thereby no chance to get sent of to an expert on the subject. So I am glad I found your internet service. What am I supposed to do? I cannot live like this, life feels so empty at the moment, and I don’t feel youthful at all… Some of my friends tells me that they can masturbate/have sex 3-4 times a day. Me, I need a two-day recharge time after just one “session”. Below are my results, please take a look at them, what do you think? Free T4      18.9 pmol/L 11.0 - 22.0 FSH 3.9 IE/L 1.0 – 12.0 Cortisol 577 nmol/L LH      9.7 IE/L      1.0 – 10.0 Prolactin 156 mIE/L      100 – 400 SHBG      18 nmol/L      15 – 85 Testosterone 14.5 nmol/L 9.0 – 35.0 TSH      0.66 mIE/L      0.30 – 4.2 Estradiol 0.09 nmol/L 00 – 0.16 Free Testosterone 7.1      3.0 – 14.7 I was hoping your profession on this subject could cast some light on my situation. Do you see anything out of the ordinary when looking at my blood test results? I am noticing elevated LH levels, along with the low testosterone, does this mean there could be something wrong with my testicles/leydig cells ? One guy told me that my pituary maby needed a kickstart. And that my T-levels would increase with the use of a drug like arimidex or clomid. To my understanding, these drugs work by increasing the LH levels, thus increasing testosterone. If my leydig cells where not responding well, trying this would be pointless? If possible, I would ask for a detailed response. Thank you in advance. Best regards Daniel [/INST] Hi, Low testosterone can be treated by hormone replacement therapy and assisted reproduction. Also, hormone affects body processes by regulating the activity of the organs. Estrogen modulator mimics the effect of oestrogen on various tissues, including the breast, bones and reproductive organs. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Monish De, Oncologist </s>

<s>[INST] Hi,I went for a dental cleaning and after one week, I got some time of tumour inside my lip. They have removed it, but I believe I have another one. I do I get rid of this. And was this the cause of dental cleaning??? They told me it was a virus I got, but I haven't done anything [/INST] Thanks for your query, I have gone through your query.The tumor what you are telling can be a fibroma or lipoma or a fibrosed mucocele. This usually occurs secondary to lip biting or chronic irritation. Consult a good oral physician and get it evaluated. The recurrence can be because of the incomplte removal in the previous surgery. Nothing to be panic, consult a good oral surgeon and get it excised. It is not because of viral infection.I hope my answer will help you, take care. </s>

<s>[INST] I have had a sinus blockage for years. I do not suspect swollen sinuses or sinusitis because when I lay down the drainage runs to the downward sinus leaving the anterior sinus free and clear. When I turn over, the same thing happens on the other side showing that the upward sinus is unobstructed. Lately my salivary glands have become swollen as well. I visited an ENT and was sen to get an MRI which was not dispositive and turned out to be expensive and useless. At that point the ENT wanted to surgically remove all salivary glands without even having diagnosed the problem or taking a needle biopsy. This seemed strange to me and unwarranted absent any confirmation. Are the two conditions related and what should I do? [/INST] Hi, welcome to health care magic forum, well as you know that you are suffering from sinusitis and surgery is not the right choice, so i will now advice you to start homeopathic treatment for your sinus problem, you will find complete cure for this problem in Homeopathy with out any side effects. you can show to your local Homeopathic physician or you can mail us at info@drkackerhomeopathy.com or visit us at www.drkackerhomeopathy.com </s>

<s>[INST] I've just run half a marathon apart from the usual aching muscles my lower back was really sore. I thought it might be where my clothes rubbed but when my sister looked at my back she said it looked like a bruise was coming out? could this be from the impact of running ? my back was sore all last night but apart from being a bit stiff seems fine today. What can this be? [/INST] Here i would like to know weather you also have this kind of experience previously or this is your first time problem. as per your explanation i suggest you might have problem with your lower back at disc level. incase if you have numbness as well radiating pain to your lover legs then i suggest to take a mri of your back and visit doctor based on the report.to reduce the stiffness i suggest you visit a physiotherapist doctor who can help you with physiotherapy treatment to relax your soft tissues as well also suggest on back strengthening exercises which will help you to improve strength and stamina of your lower back. you can also use hot pack at home to reduce the stiffness from the soft tissues by giving relaxing effect on soft tissues with the heat.you can also use some pain relieving ointment immediately after the use of Hot pack. at any point of time if you feel the pain is increasing in terms of intensity and there is a discoloration or rashes over the skin then i suggest to visit the doctor immediately and do the needful. take care </s>

<s>[INST] My mum (aged75) fell 6 months ago and banged her head just above right eye. She said the other day it's still very tender to touch. Since this fall she has also developed a few memory problems. She got eyes tested other day and they said there was no deterioration in her sight. What should we do? [/INST] HiThanks for using healthcare ageMemory problem may be due to some internal injury or shock. Some time due to shock or some internal bleeding, patients feel some memory issues. In that case, just get her CT head done and consult a neurologist to rule out any underline problem. For under eye, just consult a ophthalmologist. Thanks </s>

<s>[INST] Congestive Heart Failure # is at 3000. My friend is going through Renal Failure & getting ready for Dialysis. With level being so high is it ok for her to have that emergency cath put in until her port has healed. Dr. says it has andother 3 mos. to heal.She is 80 yrs. old. [/INST] congestive cardiac failure along with renal failure and fluid overload is a deadly combination for which dialysis may be a life saving measure and may solve both problems. hence any catheter access for dialysis is justified on an urgent basis. </s>

<s>[INST] I have ptsd, bi polar and bpd, depression and anxiety. I have reactive depression and dissociative amnesia I do not remember anything prior to age 14. I was gang raped as a young adult I don't remember what year or how old I was 19 20? I told my mom she didn't do anything to help me it went unreported. My dad killed himself and his girlfriend. Now I have completely ruined my life by bad choices and I have an overwhelming desire to call the police or authorities whenever I see someone or hear of someone doing something wrong. Is there a diagnosis for this? I have a problem with people doing things wrong and getting away with it..... I can't stop it even though I am aware of it. thanks [/INST] HiThanks for using healthcare magicI think, you have underline PTSD and depression. You need some antidepressant and cognitive behavioral therapy. That would help you to come out of the problem. In that case, better to consult a psychiatrist and psychologist for proper management. If you need further help, you can ask.Thanks </s>

<s>[INST] Please i need help i am a 37 year old female a smoker,, i have copd in my lungs.but my question is i have been coughing and spitting up blood i have the worst pain in the middle part of my back into my shoulders..can a dr please tell me whats going on [/INST] This symptom is serious and requires immediate medical evaluation. There are many causes of coughing up blood and you need further testing. This would start with a chest x-ray and likely a CT of the chest and possibly bronchoscopy. </s>

<s>[INST] I used Neutrogena face wash and moisturizer for the first time and now my eyes and face are swollen. they have been swollen for over 24 hours. my face feels dry, tight and quite itchy. I have never had a reaction like this to any products. I have mild allergies to perfumes and dyes but have never experienced anything this severe. [/INST] Hello, As you mentioned that you are using this product for the first time and have developed swelling of face and eyes with itch, it is quite clear that you are having a reaction to these products. You should quickly wash you face to clear off any left over material and consult a physicians who would like to start you on some anti histaminics. Allergies can be sometimes bad and you shouldnt wait for long. You having not experienced anything this severe doesn't make you immune to allergies. Infact sometimes the body can react to the products which you have been using for long. Its very unpredictable. Once you are better, never ever use the same product which you reacted to. Hope I am able to solve your concerns. Get well soon. </s>

<s>[INST] My son 7 years old has been diagnosed HSP Henoch schonlein purpura 3 months back, Dr started steroid for a month, his rash was cleared but again he was infected after a month, so we changed his Dr. his new Doctor stopped all oral medication and told us that it will have with unknown period so no need to be worry but whenever it starts again u can give him anti-allergic syrups for atleast 4 weeks, but we are observing that during his medication he has infected again n again, we have taken Urine D/R and Cretinine test and all are Ok, I want to ask u that what is the duration of this disease. Is this disease ever under control by this medication what we are giving to him, Really we are much worried about his health, and plz suggest us any precaution, side effects of this disease and the main cause of this disease. i ll be very thankful to you Best Regards [/INST] HI .I could understood your pain,HSP mainly involves skin as rash and purpura,joint pains, kidneys and gut with loose stools or severe cramps.It usually subsides and self limiting, but may recur in few people. YOU CAN GIVE pain medications like paracetamol, naproxen .only ,if he had severe gut pain with bleed and proteins in urine you will be advised steroid medications.Apply,emolients/moisturiser locally.If still the rash and pain persists, NEED TO GIVE STEROIDS FOR A SHORT DURATION,pLEASE SHOW TO A PEDIATRIC RHEUMATOLOGIST ,IF YOU ARE GETTING RECURRENT SYMPTOMS.hOPE IT ANSWERS YOUR QUERY </s>

<s>[INST] I have had severe back pain for 20 years, since the traumatic birth of my son. History: My baby was large, over 9lbs the doctor thought he was going to be 15lbs. During labor (with no epidural ) I had a very hard time pushing him out, the nurse put a vacuum on his head (brand new at the time) and then hit the release button on accident and whoop there he went back inside... I pushed him out again... and OMG... the same thing happened... AGAIN! I had to push him out a 3rd time and the Dr finally used old fashioned forceps to get him out... he was born with a fractured collar bone and severe cone head. I noticed my back hurting shortly after delivery... I seen a Dr and went and got an xray around 6months post pardum... they told me they didn t see anything??? Then I gained ALOT of weight... and no Dr would take me seriously, they just chalked my low back pain up to my weight. Current situation: I have just coped and sucked it up... begging my husband to rub my back. 9 years ago I had the gastric bypass , lost weight and realized just how severely my rib cage has become disfigured, left side rib sticks out, right side con-caves in, I have tremendous constant shooting pains down my left hip, down my leg to my ankle , and extreme lower left sided back pain. I had an MRI 3 years ago... and Dr told me he didn t see anything... AGAIN! How can they not find what s wrong with me? I have been noticing everything getting worse, I also now have pain shooting down right hip and leg and my hands will fall asleep on occasion like when sitting at dining table level. My pain is so severe... I am to my end... I don t know what to do... I refuse to take pain meds other than ibuprofen... don t know what do... wish I at least knew WHAT is wrong!!! Nonetheless... here I am 20 years later... having been scared to death of back surgery ruining my life and career in nursing ... I can t cope any longer!!! [/INST] Hello. Thanks for writing to us. Your symptoms are suggestive of a nerve compression at the level of lumbar spine most likely due to a disc disease. For your symptoms, in addition to ibuprofen, medicines for neural pain like gabapentin and pregabalin will be helpful. Please do not worry. All such cases do not need surgery. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com </s>

<s>[INST] I banged my leg about 3 weeks ago. It was very painful and I had a large bruise. The bruise had since gone away but there is a small lump here I hit it. The lump is still painful. What should I do? It s on my right lower leg about halfway down on the outside. [/INST] welcome to Health care magic.1.The bruise due to the haematoma formation under the subcutaneous / muscular plane and inflammatory collection (features of cellulitis).2.In your case you said its mostly resolving - you can apply a local thrombolytic cream available in the market ( needs to apply twice a day).3.If its red and painful on touch - get an ultrasound scan of the lesion, as it could be a infective bacterial abscess, which may need to do an incision and drainage.4.In this case, better see your GP let him examined and depending on the findings one can take the needful steps.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. </s>

<s>[INST] I am a 59 year old female. I started having sudden pain all across my abdomen last Wednesday the pain was worse on my right side that felt like spams, went to my Dr . on Friday he ordered blood work and a abdominal ultrasound on Monday. The results from ultrasound showed I have fatty liver infiltration and a Anechoic posterior cyst measuring 3.8x2.9x5 cm all other organs and ducts showed normal. My Doctor is having me follow up with a CT scan to confirm findings. My question is this........is this considered a very large cyst and also there is no involvement with the ducts why am I having the pain and what will be the most likely treatment? Thank you so much for your information and time. Marian B [/INST] Hi Mariam,Thanks for writing in.I am particularly unable to comprehend the anechoic posterior cyst mentioned by you. By anechoic, it is taken as a fluid filled cyst. By measurements, 3.8x2.9x5 cm is not a big cyst but not small enough and may be the cause of your pain.A CT scan would be of much more help to characterise the cyst and offer you accurate treatment options.The fatty liver is not a serious finding and needs to be correlated with liver function tests.Take care. </s>

<s>[INST] Hi,I was in the ER 8 hours ago with severe pain from several kidney stones, one 5mm., that are about 15% of their way through. I was given morphine and another drug to relieve pain. So far the pain has not come back and I don't seem to have passed the stone. Will the pain come back at this point or do u think I am clear? Thank you [/INST] Hello & Welcome to HCM,thanks for asking the query to HCM, It might be reoccur the pain,whenever it obstruct the way of urination or sore the kidney wall it create the pain.well first you must go for ultrasound of lower abdomen and the exact position of stone and take the proper stone removal treatment along with take precaution in your diet and drink a lot of water for its flushing.Hope my answer will be effective for you.Thanks & Regards:Dr.Soni Verma Homoeopathic Physician,Nutirtionist </s>

<s>[INST] my 3 year old was playing outside today. It was very sunny all day. I had applied sunscreen to his ears and neck prior to going outside. Several hours later he was complaing of itching and when I looked at him the sides of his face had raised red blotches and his ears were bright red. Could he be allergic to the sun? [/INST] HIThank for asking to HCM I really appreciate your concern looking to the history given here I could say that the child must be having allergy to the sun and this need to be avoided right now the condition can be treated with the "Diphenhydramine" lotion this would come around and no need to worry about this, hope this information helps you take care and have a nice day. </s>

<s>[INST] I have a 5 year old daughter who has been having chronic stomach pain for the last two years. They come and go. Usually in the middle of the night. they last for an hour or so. She throws up and then she is fine. Done all the test and eliminated suspected food. Nothing has helped. Any suggestions? [/INST] Hi.Thanks for your query and proper history. I can understand the plight the child and you must be going through.Your daughter is just 5 years old and hence the causes of pain in the abdomen for the past 2 years can be as follows. The most probable cause of pain in a child -Tummy tonsils- meaning enlargement of the lymph nodes of the abdomen.-Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child.-Worms.The best diagnosis is a high resolution ultrasonography. some blood, urine and stool tests.A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis.Also given is a dose of medicines active against worms in intestine.I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem.If this is indicative of appendicitis , please go for the surgery of appendectomy. </s>

<s>[INST] my mother has been recently having seizures. she had polio when she was 2months old. she is now 54yrs old and she has been to a neurologist. how ever she is slow minded and not in the best of health. she has fibromyalgia and alot of joint pain. can this polio cause her seizures and if so why? [/INST] Hello, Polio is recognized in association with epileptic disorders that usually develop years later on the order of about 10-12% of affected polio victims. The study that demonstrated these statistics was rather small (only 200 cases) and only looked at in a retrograde fashion. The mechanism by which polio should be associated with an increased risk of seizure disorder is unknown at this time. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist </s>

<s>[INST] I m taking phenobarbiton 90mg and eptoin 100mg at night for last 12 years, as I suffered from epilepsy. I m 39 years old. last couple of years I feel very shivering while I face a croud. hands through out the body starts shievering, that I met the neufologist and she prescribed betacap 20. can I know about this? does betacap increases weight or makes dryness in mouth? can it control bp? thanks in advance [/INST] I read your question and I understand your concern.From your description the neurologist must have considered your episodes as related to anxiety, a panic disorder. They are not due to your epilepsy treatment (on the other hand in epileptic patients anxiety or mood disorders are found more often than in the general population).Regarding your questions on Betacap, it is a drug which causes neither weight gain nor mouth dryness, do not fear about that, usually those effects are linked with anti-depressants. It is a drug belonging to the beta blockers class and apart from being used for panic disorder (like in your case) it is also used to treat high blood pressure, so if that is an issue as well it should help.I hope to have been of help. </s>

<s>[INST] Hello, I am 23 years old and over the last 6 months or so I have this weird thing going on in my throat. I feels like there is a lump just to the right (my right) and a tiny bit below my adam's apple. I don't notice it all the time but it seems to "swell" up when I sneeze and when I push on it, it clicks and goes away. It doesn't hurt at all but I am wondering if anyone has ever heard of this happening? [/INST] Hi,Good Evening and Thanks for the query to My virtual Clinic at HCM.This could be a laryngocel?pharyngocele-if increases with valsalvas manouever ?or could be Zenkers diverticulum -or pharyngeal pouch -if with swallowing difficulty.So mostly-it is layrngocele or pharyngocele as no dysphagia is complained by you.CT study of the pharynx and larynx would fix the diagnosis.This reply would help you to plan treatment with ER Surgeon /Ent Surgeon.Welcome for any further query in this regard.Hit Thanks if this reply is helpful to you.With Regards. </s>

<s>[INST] Hello doctor, Do adenoid glands contract after a certain age? Is it natural for all people? What to do if these glands are enlarged and result in air obstruction? [/INST] Hello. About your query regarding adenoids, I would like to say these are lymphoid tissue located at the roof of the nasopharynx and as usual, they are meant to protect the body from infections. They are always found in infants and they are at their maximum size at the age of 5 years, after that, they start regressing in size up to 8 years if the nasopharynx is free from infection. On the other hand, if an individual is having recurrent respiratory tract infections in childhood, the adenoids will grow up to a large size. </s>

<s>[INST] Hi I had Botox and have swelling in the orbiculas oculi seems as if fluid shifts all the way up to brow leaving saggy skin and hollow eye when standing long periods when I get upon the morning it shifts back down closer to eyelid looking more normal what causes this and when will it stop Think of the caveman with shelf eyebrows and hollow eyes [/INST] Hi, Consult an ophthalmologist and get evaluated. It can happen after Botox and will settle by itself. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>

<s>[INST] Hi I thought I got bitten by an insect but my arm swole up so I could not bend it. I had around 20 largish blisters around the area. Is there a weed that may have caused this, there were stinging nettles there that pricked my other arm but that was fine after a few hours. [/INST] HelloThank You for contacting HCM.These symptoms are due to allergic response from the insect bite or weed plant. I would suggest you following :> Take levocetirizine one at night for allergy> Try to avoid touching the plant.> Avoid touching the bitten area with dirty hands.> take a piece of cloth, warm over flame and then place over swelled area. IT will give soothing effect.> take acetaminophen for pain (if occurs)Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates.> There is difficulty in breathing.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health. </s>

<s>[INST] Sir, I have a anxiety of quarrel whenever there is quarrel in bar& restarunt & bus or railway or big sound heard my heartbeats rises, i become abnormal, anxiety rises, become depresses, so my relation with fraiend, relatives collapse, i want to have treatment of cognitive behavioural therapy , so please give me address and time. [/INST] your tamas [ dosha which is abnormal] has raised you need less spicy food, stop non-veg, eat fresh food[fruits ,sprouts] dal do some exersises- yoga,pranayama, art of living -basic course 1. </s>

<s>[INST] My 6-year old son has tiny red dots on his palate, and red, swollen tonsils. He has had sore throat & headache intermittently past 48 hours. He had a slight fever yesterday (100.4), but no fever since then. I have been making him rest, but he still wants to play. Not sure if I should take him in to doctor. [/INST] Thank you for asking querry.As per your description it looks like viral infection causing red spots on palate.Please send photographs if possible.No need to worry give paracetamol for fever,rest and good hydration.Also consult your doctor if fever dont subside.Hope you find this helpful.Rate the above answer if you like it.Regards,Dr rushikesh kute </s>

<s>[INST] Hi, I m 19 and I started dipping about 6 months ago. I wasn t really a can a day kind of guy, more like a can a week. Anyways, I stopped a few days. And haven t had any thoughts of doing it again. Now I m paranoid I have or am getting oral cancer of some kind. An area of my gums were slightly bleeding as I brushed my teeth, I woke up with a sour taste in my mouth as well as whitish stringy type of saliva.. Also I noticed a peas sized lump in both sides of the insides of my cheeks. They are painless and colorless. And lastly an area of my gum was really red but that was just one night. Am I paranoid or should I be worried? I can t go to the dentist or doctor because my parents have no clue I dipped and I can t tell them. I m done now though. Please help! [/INST] HiI would advise you to do a pet scan.If any suspicious lesion is found then biopsy has to be done.RegardsDr de </s>

<s>[INST] I am a 61 year old male taking Crestor for high cholesterol. Recently had a heart scan with a score of 700. An irregular heart beat is believed to be from birth. I am experiencing pin prick sensations in the left chest area. Are these sensations heart related?I also have a high level of fatigue and low blood pressure. [/INST] Dear; thanks for using our service.Crestor is a save drug and is has been found to improve mortality in patients with hyperlipidemia and coronary artery disease. It is important to have a cardiological evaluation of this chest disconfort . You have risk of coronary artery disease; older than 40 y/o,hyperlipidemia and male. It is good that you had an excellent results in the heart scan, but regular electrocardiogram and possible stress test is indicated.I hope that my advise has been helpfulDr.Sara </s>

<s>[INST] I am 51 years old, and have become intolerant of heat. I perspire very easily, but mostly in the coccyx area. I will literally become dripping wet, looking as though I've wet my pants, which as you can imagine is extremely uncomfortable and embarrassing. I am 130 pounds, 5'5", have been dealing with a strange fatigue and pain in my upper abdomen that radiates to my back. I am also chronically thirsty. [/INST] Hi there..Thanks for writing in.You haven' t mentioned if you are a male/ female.If female, then menopausal period might explain the cause of your symptoms.Other possibilities I can think of are Thyroid disorders, Diabetes, which can also present with increased sweating, thirst, fatigue. To rule out these medical conditions get a TSH, FBS and PPBS done.Acidity related symptoms are also possible with upper abdominal pain radiating to the back. If the pain is on the right upper abdomen radiating to the back, gall stones might be the cause. Get an ultrasound abdomen done to rule out gall stones and other pathologies.Hope this helps.Regards,Dr. Divya Kuttikrishnan </s>

<s>[INST] Hi I am 20 years old and I weigh 120pounds.I have developed a small lump on my left n right shin same spot,like 2 to 3 inches below my knee.they are painless,it does not hurt when I jump or run.I am wondering what this could be.and maybe it does not hurt since it might barely be starting [/INST] Hi.Thanks for your query, albeit short and specific.The development of painless lumps on shin of tibia at the same spots can be due to a condition called exostosis.This is a familial disease.Benign in nature and have to be kept under observation.Needs no active treatment at the moment. </s>

<s>[INST] Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> </s>

<s>[INST] Hi, my 11 month old is having diarrhea for the past two days and since last three hours she s been having two black watery poop on her diapers. I took her to the doctor last evening and he said that it was completely normal for the diarrhea part but with the black watery stool, what should I do next? [/INST] thanks for asking i gone through your question, and understand your concern,your 11 month old baby having diarrhoea for last 2 days, today she passed black watery stool.if i was your treating paediatrician , i would advised you Oral rehydration solution (To prevent water deficiency in body), Antibiotic (as the colour of stool is black suggestive bacillary desentry), and Zinc.so give oral rehydration solution (available with out doctor proscription), and meet pediatrician and tell him/her about colour of stool.thanks . </s>

<s>[INST] I have been suffering from some kind of allergy for the last 4 years. It will happen once in a while. I get sneezing and running nose from the moment i get up from the bed. It lasts till the night. I dont know what i am allergic to. Its not dust, because i am the cleaner in my house and i dont get sneezing when i deal with dust. Its not any season specific. I am kind of confused.. When i get this allergy, thats a spoiled day.. i sneeze continuously... and by the middle of the day i will be very tired.. Could you please put some light on my allergy and suggest me what kind of medicine i should take to stop this sneezing [/INST] Hello,Welcome to HCM,As you are prone for allergic reaction, you should be very careful otherwise it may be dangerous to the life. I would suggest you to undergo absolute eosinophil count (AEC) which will be raised in the allergic condition.I would suggest you to undergo skin prick test (SPT) for different allergens like pollen, mite,food and dust causing these symptoms and you can identify them and protect yourself from exposing to these allergens. Otherwise you can prefer immunotherapy either with subcutaneous immunotherapy (SCIT) or sublingual immunotherapy (SLIT).For the present symptoms you can take Tab Montek LC which helps to control the symptoms, but it is temporary. You need to avoid these dust allergens to protect yourself from getting these allergy symptoms.Thank you. </s>

<s>[INST] I had a knot on my 2nd toe at the joint below the nail. It looked like it had a center with a round circle on top of the knot. I mashed on it and a clear sac came out filled with clear fluid in it. A round little sac with clear fluid and left a hole in the knot [/INST] Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This seems in relation with bursa cyst or sebaceous cyst .* Needs to be confirmed with physical examination or at least a photo pic evaluation as an attachment to give more precise judgement .Wishing you fine recovery .Feel free to ask any further doubts .Regards . </s>

<s>[INST] My tooth feels loose at the bottom. I got up this morning and brushed my teeth and when I ran my toungue on the bottom row, one of them felt sharp on the bottom. I've noticed it before, and just recently went to the dentist and forgot to mention it, but he didn't notice it either. it feels worse today. Is it going to fall out. I have pretty straight teeth its jst the four bottom that aren't. [/INST] Hello,I assume you are concerned with the tongue side of your lower front near the gum tissue? You may have some recession and root exposure. This area can accumulate tartar quickly. This can be sharp or break off, leaving a rough edge. If your entire tooth feels loose or mobile, then I suspect bone loss. You should consider X-rays of this area and a periodontal evaluation. If you just had a routine exam and cleaning, you should contact your dentist and inquire about your periodontal health.if your teeth are sharp and chipping at the biting edge, then you may grind your teeth at night. This stress can damage enamel and the ligament holding the teeth in bone. Teeth can move with pressure. A night guard to protect your teeth is a suggestion. Have you had recent changes in the position of your lower teeth? Both grinding teeth and bone loss can cause this to occur.More details and a clinical exam would be helpful to further evaluate your dental condition. I am glad to answer additional questions. Thank you for your inquiry. </s>

<s>[INST] Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. </s>

<s>[INST] I recently had a PICC inserted. (Approximately 4 wks ago) During insertion I had some cardiac palpitations. It was pulled back till it stopped & checked by XRAY.It was removed in 8 days. Since insertion I have continued to have heart palpitations. Could the PICC insertion or line caused this? I had a halter monitor for 48 hrs which showed PVC s & PAC s. [/INST] During insertion , it can cause ectopics & arrhythmias. But as u told it has been removed , no source now to trigger it. So if still u r having palpitations and ectopic beats, visit ur doctor and get done 2D ECHO and necessary tests he might advise after examination. I hope this helps u. </s>

<s>[INST] Thank you. My name is Dory Garcia and I am a mother of a 25 year old kidney patient currently on dialysis who is a candidate for a kidney transplant. Her sister is a donor. Howev er, when we got their laboratory results the recipient is CMV negative while the donor is CMV positive. Can the transplant still proceed What are the risks? My email address is YYYY@YYYY . I will appreciate any comments thanks. [/INST] YES the transplant can be done, CMV profylaxis with valgancyclovir for 3 to 6 months to the recipient after transplant is needed . generally no special risk involved. slight chance of post transplant CMV disease. but it is not a reason to not to do transplant. </s>

<s>[INST] Hi Doctor this is Ravi here... One of my relatives daughter, just 11 yrs. old is having a hole in her heart. The hole is increasing with the time. They have been advised to consult doctors in Sai Baba Hospital which has good facilities for the same. [/INST] Hello, As mentioned about the condition I am sorry to hear about it. Coming straight to your query I think there might be a need of the surgery as there is no development in the case. Since surgery is the only choice left the physicians must have recommended opting for sai baba hospital due to financial constraints. Look forward with bravery towards the surgery as that is the only choice. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist </s>

<s>[INST] I started the HCG diet about two months ago. I have had idiopathic peripheral neuropathy for 30 years. It has bothered my feet and ankles. Since starting the diet, I have developed numbness in my fingers. That could either be a natural progression of the PN. Could it also be a result of the HCG diet? Thank you. [/INST] Hello, HCG diet is not approved for weight loss unless it was recommended by your doctor. As it contains restrictions in foods, you might suffer a lack of nutrients, plus changes in pH of body fluids. All these changes might affect the already damaged nerves, precipitating neuropathy pain flare-up. So you should stop this diet, and if it was recommended by your doctor, report this to him/her. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Albana Sejdini, General & Family Physician </s>

<s>[INST] Hello. I don t know if you re familiar with penis enlargement through exercises, but I thought I d ask a question pertaining to jelqing. I m uncircumcised. Is it necessary to retract the foreskin when jelqing? They say it s good to keep the foreskin retracted so that it bears less of the tension, resulting in the shaft being stretched properly. Thoughts? [/INST] Hi,It is definitely preferable to retract the foreskin while jelqing.The effects will be more demonstrable then and it has been explained that way.So, I would advice you to retract it whenever you do it.Take care,Dr Rishi, New Delhi, India. </s>

<s>[INST] My son is a 7&a half old month twin:) last weekend he was taken 2 hospital as he was shortness of breath:( he had oxygen in the ambulance on the way&they checked his blood sugar levels by pricking his foot I was told it were meant 2 b 5&it was 12.9.they told me that was high:( it turned out he had bronchitis...but when the doc ad come around the ward she explained everything 2 me.I asked about the high sugar levels&she had told me there was no sugar in his urine so he could home...I explained 2 her b4 leaving that he only like eating sweet puddings&would try savoury bt after 1 mouthful he would start gagging&be sick...she said that was fine.so I just wanted 2 know was she right&is there anything more I can do 2 help him? Thanks [/INST] Thank you for following up, it seems he has nasal drip and that's why he has gagging . The acute bronchitis signs and symptoms usually include:-Cough.-Production of mucus (sputum), which can be clear, white, yellowish-gray or green in color — rarely, it may be streaked with blood.-Fatigue.-Shortness of breath.-Slight fever and chills.-Chest discomfort. I suggest - Saline nasal drops;- Lozenges: Strepsils, Sualin 1 tablet 4 times - Gargling with salt water- A soft bland diet , try to avoid sugar, replace with fruits- Kuka syrup 5 ml 2 times </s>

<s>[INST] Hi Dr, My baby is 6 months old and is suffering with loose motions since 5-6 days. His stools are some times watery and sometimes semi solid. Color changed to green since last two days. Medication prescribed by pead is Z n D drops for 10 day and sporlac powder for 3 days. After the stool routine, it is said that the infection is very mild and no need to try on anti boitics at this stage. (pus cells 8-9/hdf is the report result remaining all nil). After giving those medicines (sporlac and z n d given for one day till now), his stool became still darker green color and morw watery. Is that because of the zinc drops? Or sholud i start with anti boitics right now or should wait for 3 more days and decide as prescribed by the pead ? Kindly reply. [/INST] your babby is probbaly suffering from teething diarroeah most of the time no treatment is required except giving ORS .Zn drops will be help to certain extent pre &pro biotics will also help please do not give any antibiotics as on now </s>

<s>[INST] Having pain in my right hand starting from shoulder till finger. Seems like one nerve is fluctuating with a rate and the pain is increasing. If I am tieing my hand with something, feeling relaxed. Please suggest how to recover. It is happening from last one week. Have not lifted anything heavy nor have worked more. Thank you [/INST] In my opinion you have a cercial injury , ( thoracic inlet syndrome ) also have a cervical ct scan for possible cervical spondylosis Good Luck </s>

<s>[INST] Hi the back of my head and mainly neck hurts when I sit up or stand its not a headackes as such more like a dull ack I haven't been in any accident I was told it could be a tention headackes but I'm not stressed out I'm a 31 year old male from the uk please help me YYYY@YYYY [/INST] I read your question carefully and understand your concern. A headache which occurs with standing up is suggestive of a spinal fluid leak. This usually closes by itself within a few days, but it is advised to see a doctor to get an MRI scan to rule out other causes of headache. Take Tylenol (max 3g a day) and caffeine (200mg 1-1-0) for pain relief. Hope you will find this answer helpful!Kind regards,Dr. Wu </s>

<s>[INST] Hello Dr. I am devi here from Bangalore , from past 15 days i hv a pain down to my chest and above my stomach i.e the middle portion , in the beginning i thought it is gastric as the symptoms was as of that . But after hving medicine for gastric i dont hv any relief, then i went to Ayurvedic dr , by one touch and asking all the sysmptoms he suggested it is gall baldder stones, and gave me medicine for that , after hving that from the 3rd day i was completely out of that pain but that was just for 5 days then again the same pain has started. what should i do. i hv decided to go for a scanning , but dr pls. can u guide me regarding this. I am 42 yrs now., Thanks & regards [/INST] Hi and welcome to Healthcare magic. You should do ultrasounds first to evaluate is tehre any gallbladder stone or hepatal pathology. Also pancreatic disorders can cause such pain. Till that you should change your dieatry habbits and eat easier food,avoid coffee,alcohol and smoking. There are certain medicines for gallbladder issue but it isnt very sucessful so the surgery is the best option if indicated. Thank you for your querry. </s>

<s>[INST] I am a 19 year old female. I dislocated my patella 5 years ago and have had 5 surgeries. I have been through countless times of physical therapy tried all types of braces had injections and also tried medicine. I still have severe pain with my knee and it is hard to complete daily activities. [/INST] Hi, There seems to be a cartilage injury present at the time of dislocation which over time will lead to patellofemoral joint arthritis. A cartigram proves to be diagnostic, MRI can be used also. Only after the confirmation of diagnosis and its extent, we can choose between conservative management such as intra-articular hyaluronic acid inj to surgical management such as arthroscopic debridement to joint replacement. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon </s>

<s>[INST] I was on Cymbalta for about a year at 90mg and experiencing severe loss of appetite and nausea, last few weeks. I have been advised to reduce to 60mg a day for a week then 30mg for a week, then stop. I am experiencing severe agitation, crying for no reason, overly sensitive and overall fatigue and just feel horrible and more depressed. Is this normal? [/INST] Greetings !Welcome to the site.Well, no this is not normal as it seems like you are still reeling under the depressive cognition and Cymbalta after 1 year long use has become ineffective owing to increased tolerance/ resistance that your body must have developed against it.So while I support the idea of bringing you off Cymbalta but the weaning strategy can be improved by first bringing you down to 60 mg dose and after 1 week further down to 40 mg dose / day and then after 1 week down to 20 mg / day dose and then after 1 week taking 20 mg dose every alternate day for another week and then stopping the drug completely. This slow tapering of the dose is essential to prevent development of withdrawal syndrome which can further worsen the condition.Also alongside the withdrawal of Cymbalta there is a need to replace it with another anti depressant which can be done by introducing Lexapro ( generic name -- escitalopram ) at dose of 5 mg / day in the morning when you have reduced Cymbalta to 20 mg / day regular dosing. This process of introducing a new drug while discontinuing the older one is called as Cross- titration, kindly discuss about this with your doctor.After 1 week of being on 5 mg dose / day the dose can raised to 10 mg and then after 2 weeks further up the dose to 20 mg /day as per the discretion of your doctor.I am hopeful that such sort of replacement of the current Cymbalta with Lexapro will prove to be useful in bringing you out of the clutches of depression which is present at the moment.I hope this helps.Regards. </s>

<s>[INST] I have had a tightness in my groin in the left testicle area and up. This has been going on for about five months. Now I m worried because a few days ago I noticed that when I m erect my penis has a different shape to it. It is starting to curve downwards a bit with a bit of an indent on the left. I m worried and should go to a doctor. [/INST] DearWe understand your concernsI went through your description. I suggest you not to worry much. You are growing up as a man and it is quite normal to have tightness in your groin and testicles area. Bend penis also is normal and it happens to almost everyone. To make a lady happy bend penis is more useful than straight penis. Am I right? Therefore don't worry about unnecessary things. concentrate on your studies.You might need psychological counseling., I am more than happy to provide telephone psychological counseling through healthcaremagic. Contact me through customer care, www.healthcaremagic.com.Hope this answers your query. Available for further clarifications.Good luck. </s>

<s>[INST] age: 38, had etopic pregnancy in 2011, did 3 cycles of IUI but not succeeded. IVF: first cycle with embro transfer done 10 days ago(on 21 Feb 2014) this morning 3am felt sudden cold(so cold that I could not stop shivering which lasted around 5-10mins). After the cold subsided, felt severe cramps at lower admen for about 3mins. after the cramps subsided, I still feel cold and shivered sightly throughout the night. Also, I sweat a lot. I have been having the cold shivers with sweat two days before every menstrual period comes since last year(also during the time I did the IUI). Before I started the IVF procedure, I have told my doctor but he did not show much concern that it will affect the IVF. [/INST] Your symptoms are very non-specific, meaning they can be a attributed to a a number of things or it could be completely benign. The fact that you are having these symptoms (shivering and sweating) close to your menstrual cycle could mean that it is simply related to your period. Before every period, some women experience different symptoms, and the shivering/sweating may just be the symptoms you experience before your period. The fact that your symptoms were much worse with IVF may just be a reflection of the increased hormones incurred throughout IVF. Be positive, and take a pregnancy test ASAP. Good luck! </s>

<s>[INST] i have had no pains or aches until i went down my local doctors and told them that i thought i had anxiety problems and they jut gave me a anti anxiety tablet without even checking me over, next thing i know i felt like i was having a fit and all my muscles and bones really hurt and i didn t know what to do, i have recently recovered but still get these types of panic attacks, and also don t feel the same as i did originally before hand please help [/INST] helloAnxiety disorder is treatable with good counseling and mild medicines.In case you developed ache symptoms with particular drug prescribed, then your doctor should change it to simpler forms like clonazipam or ecitalopram if necessary.Confide in your doctor what drives you to anxiety, any surrounding factor, stress related to work, family, future,career,job or anything-or if its there even without any extrinsic factors, i.e. if it is endogenuous without known facts or stressful conditions.The treatment for endogenousanxiety or depression can be offset with mood elevators anti depressants while extrinsic cause requires counselig as well as certain anxiolytic drugs. Side effects are known to occur and if you vist a psychiatrist or psychologist you shall have more definitive treatment, although a general practitioner too can treat wih mild tranquilizer prescription that may suit you.Do visit a clinical psychologist counseler alsothanks </s>

<s>[INST] 39 yr old male, 20 yr military service. PTSD anxiety and hypertension. Current meds .5 mg klonopin, 10mg zolpidem for sleep. For hypertension 25 mg hydrochlorothiazide and 10 mg Amplodipine. Symptoms persist, no relief. Heart palpitations regular. Help. [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. You are having post traumatic stress disorder (PTSD). This causes anxiety and panic disorder. Both of them cause sympathetic over activity in the body. And this sympathetic over activity causes hypertension and palpitations. So we should first control your stress, anxiety and panic disorder. Only drugs are not sufficient in such patients. Counselling by psychiatrist is also very important. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. Counselling plays very important role along with anxiolytic drugs in control of symptoms. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] My dad was recently seen by a physician for dizziness, intense abdominal pain (for 2-3 minutes), then sweating and feeling he was going to fall. Dr. took x-rays of some sort, saw calcification along his spine and sent him to his cardiologist for testing. They have discovered his right carotid artery is completely blocked (don t know whether internal or external) and are going to do a CT scan today to determine the percentage of blockage in other arteries. Why would a blocked carotid artery cause abdominal pain? Should we be looking for something else (abdominal aneurysm , etc.)? [/INST] Hi welcome to Health care magic forum. Thanks for calling H.C.M.F. Your father consulted the doctor for dizziness, abdominal pain, and sweating. hi is diagnosed with calcification along his spine, and cardiologist diagnosed blocked carotid artery, and ordered for C.T.scan for looking for the block of other arteries. He may need to have a color doplor for exact diagnosis of blocks of other arteries. If necessary your cardiologist may order latter. If there is a block of the abdominal arteries, one may get abdominal pain, due to ischemia of the abdominal tissues. Wishing for a quick recovery . Best regards. </s>

<s>[INST] I have been exposed to poison ivy, oak and whatever else is unknown to me in the back yard garden full of trees of many kinds. Four days ago I started feeling body ache, diarrhea, and yesterday I was feeling the itchiness in inside parts of my legs and under my feet. I thought the diarrhea was because I drank some kind of juice or tea or fiber nutrients such as multigrain rise, Ezequial cereal, or other so I stoped drinking juices and consuming such nutrients. Last night I had fever and I could not sleep, so I decided to research in the internet about this poison ivy staff and I found info on how to treat it with apple cyder vineger in water and a good cold-warm shower. I was having a lot of cramping in my legs, which I thought it was because I walked so much. I also took 2 allergy tablets of antihystamine and after a while I felt as sleep. Fever is gone, as far as I feel, but the diarrhea persists. What can I do to treat it without going to the hospital? [/INST] see, poision ivy plant's oil can cause allergy from mild reaction to anaphylaxis, so u might have allergic to it and u also have taken OTC by yourself.u must go to the dermatologist to get proper symptomatic and antiallergic treatment rather than taking self medication.dont ever do that </s>

<s>[INST] Examination :CHEST (AP/PA/L/O)~XRPN-FILM[14x17 (1)] Interpretation: There are minimal suspicious hazes Opa cities in the right upper lobe. The hearth in not enlarge.The great vessels are not unusual. The trachea is at midline. The diaphragm,Sulci,and bony thorax are unremarkable.IMPRESSION:Apicolordotic view is suggested,What is the meaning of the doc.Thank you [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. Normally chest x ray is taken in PA (posteroanterior) view. In this view, upper part of lung is overlapped by ribs and clavicle. So any opacity in upper part of lung is not properly visualized in PA view. So apicolordotic view is ordered. In this chest x ray is taken in such a way that upper part of chest is visualized without being overlapped by ribs and clavicle. So for better diagnosis of your left upper zone suspicious opacity, apicolordotic view is ordered. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] My 16 yo son has a fever of 1o3.1 (axillary) and a headache from his R ear to the back of his head w/symptoms since ?4 pm today yet did not mention until 8:30 pm . He took 3 ibuprofen at that time, approx. 30 min ago. When should he be taken to Dr or ER. height 6 1 and 180 lbs [/INST] Hello dear.Your son probably has right ear infection.You should consult your doctor for opinion.I wpuld recommend antipyretics like paracetamol tablet (500 mg one tablet 4-6 hrs apart till fever is there) and capsule amoxil 500 mg thrice daily for 5-7 days.Hope it will help.Stay Blessed :-) </s>

<s>[INST] I found a bump today above my elbow on my arm. It looks like skin raised up and liquid comes out when you press on it. I was using a heating pad last night and was wondering if my skin could have blistered or is it something serious that I should get checked out. [/INST] Hi. Welcome to HMC. You should post one photograph of it then only exact cause can be identified and treated accordingly. If only water is coming then mostly it is blister and nothing to worry. Only apply Neosporin powder and keep it clean. If some dirty fluid is coming it may be pus and needs drainage by surgeon.Regards. </s>

<s>[INST] I have taken several different brands of at home pregnancy tests. All of the blue ones (EPT, Equate, Clearblue) keep coming back with a faint blue line. The pink ones (first response, dollar tree) keep coming back COMPLETELY blank. I even splurged and bought a digital test because it supposedly will give a pregnant or not pregnant response... I got a picture of a book - both times. I m so confused... am I pregnant or not? [/INST] Thanks for consulting us at the best healthcare portal. I am glad to assist you as your consultant today.It is all ambigious situation and it happens sometimes with the home self testing kits. Added to this is the time elapsed for conception.My suggestion to you is to go for a Laboratory Pregnancy test. With that lab report go to your OBGYN for complete evaluation for further assistance. She will definitely go for an ultrsound to comfirm the age of fetus (if any).I am hopeful that it will be helpful guide for you to proceed and come out of frustration. Let me know if you have any doubts. Healthiest Regards!Dr. Sumaira Kousar </s>

<s>[INST] Hello Dr. I have recently been diagnosed with cholecystitis was prescribed ranitidine, ondansteron (to prevent vomiting), meclizine, tramadol and baclofen, then went back to Dr. who then said I have a kidney infection, prescribed me cephalexin, 500mg 2Xday for 7 days which I just finished this AM. Now, I have pain in my pelvic region, bladder hurts to urinate....Symptoms I've been experiencing include tiredness, dizziness, nauseated and have vomited a few times,bloated feeling, swelling in facial area, right flank into back pain (intermittent, sometimes extremely painful, can't lay down on right side), lower back pain at times. IN a previous scan for a different health matter, It was revealed to me through my medical chart that I have a cyst on a kidney. Please give me your opinion on this dilemma. Thanks. [/INST] Hi ! The cyst in the kidney could just be a coincidental finding. However, seeing your present symptoms, you can go for a review ultrasound scan of your pelvis and abdomen. It seems that the urinary infection of yours is persisting even after taking a course of antibiotic which is an indication for going for a urine culture and sensitivity test. Cholecystitis is a different entity which needs evaluation and treatment separately, and this also could be a reason for your nausea, vomiting and bloated feeling. Please visit your family physician with your urine culture and sensitivity report for a review. Wishing you an early recovery. </s>

<s>[INST] 19 yr old patient with great medical history except optic nerve atrophy felt dizzy for few days and seemed little isolated and sometimes saying strange things.Then one day feels so dizzy, rapid heartbeat, faints, feels like she is dying.She regains consciousness very fast and recalls everything that happened when she fainted and in the ambulance.Then randomly she got dizzy for a few days and switched between 2 personalities.One remembered fainting details and height, weight, close family members but not their own name and refused to remember things in their history such as what high school they attended.Maybe when she is more dizzy she switches to someone religious and starts saying prayers for dying and prayers you say to make you a good person and claimed that god told her to say.She denies the major issues we think that could cause her anxiety but she name off smaller issues that bother her.Says she can prevent fainting now.When asked what she feels traumatized from she said she cant tell us almost as if she was possessed and she would get in trouble if she told us but when asked a few times she spelled it h-i-g-h s-c-ho-o-l. Claims no major traumatic abuse type thing happened.Says she has been holding onto feelings from h.s.that felt good at the time but are causing depression cuz she wants to let go.She graduated 1.5 years ago from h.s. very happy and absolutely no sign of anything bothering her.She got married 8 months ago and knows her husband loves her and she wants to give him her full love but sometimes feels like she is afraid to make that deep of a connection. [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. You had panic attack. Panic attacks always happen due to underlying anxiety. Therefore you must address the underlying anxiety first. Please understand anxiety and related problems. Once you understand your anxiety, you will be able to keep yourself away from panic creating situations. Therapy always starts with avoiding such situations along with coping techniques when forced to be in such situations. Start slowly, progress gradually, attain neatly.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. </s>

<s>[INST] My daughter aged 6 years 112cm and 20kg had double STING procedure to correct her defected urethra tubes. She suffered constant UTI s. She still complains of sore tummy and her urine is still very cloudy but no foul smell. Her urine samples have come back negative.Her last ultrasound showed a slight swelling in her left urethra. Is there anything more that can be done or needs done? [/INST] he must done MRI to know the type of swelling an must take agood amount of water and fluid and eliminate the salt from diet </s>

<s>[INST] Hi doctor, My sister is showing some strange attitude. She says that she is hearing a strange voice and acting strangely. Are these due to depression? What are the symptoms of depression? What are the causes of depression? Before three years, she was treated for depression, and still on medication. But, sometimes she put up strange behavior like aloud in the singing in the midnight and restless but will insist she is fine. How do I help my sister? How long does it take to cure? Does medication for depression make the patient see more than required? [/INST] Hi. Hearing a strange voice is a symptom of psychosis which can be a symptom of depression. Low mood, lack of interest in previously pleasurable activities and lethargy are some significant symptoms of depression. Genetic cause, a reaction in an unhealthy way to a life stressor, hormonal changes especially in females are some causes of depression. Recovery from depression varies with client symptoms. High mood and confusion can be a symptom leading to seeing of images. Consulting a doctor is essential. </s>

<s>[INST] I have woken up this morning and found that when I look at the bottom row of teeth, along the gum line, the gum goes down towards my jaw, making a big dent in where the gum line should be. Any ideas on what could have caused this and how to fix it?thanks [/INST] Hello, Thanks for your query.Periodontal disease is the infection of the gums, and it gradually destroys the support system for your teeth. Dental plaque is the primary cause of gum disease. Bacteria inside plaque creates toxins, which irritate the gum tissue. Irritated gums may swell and bleed. If the irritation continues for too long, the gums separate from the teeth, causing spaces to form.I do hope that you have found something helpful and I will be glad to answer any further query.Take care </s>

<s>[INST] My 16 month old son got really sudden bad breath around 12 hours ago, he would not eat any tea and barely wanted to drink, he s woke me up a few times tonight and when I went in around half an hour ago his head was burning and all the too half of his body, he s being wining and clingy [/INST] Hello dear,welcome to health care magic forum.I am dr aslam here to help you.Bad breathing along with fever suggest some infection going on in the oral cavity like pharyngitis or gingivitis. After proper diagnosis, this can be managed with antibiotics and antipyretic for a few days. Kindly see your pediatrician without any delay for correct diagnosis and treatment. Hope you will find this answer useful. Thank you. </s>

<s>[INST] Hi doctor, I was told that there is a 10 percent mild blockage in my heart that can be made to zero by medicine. Is it possible? How long I have to use medicine? And to clear any blockage is there any fruit juices or any remedy that can help? Doing daily exercise will be helpful to reduce blockage. [/INST] Hi. I have reviewed your health query and want to add that it is all relative situation meaning that every patient has a different scenario. Some patients have no issues with cholesterol but some have a family history of raised cholesterol levels. Patients may also have a family history of heart and blood vessel disease. If we control the physical factors, it reduces the risk of heart diseases and blockage issues. Yes, exercise, as you mentioned, is very helpful in keeping the things in balance. Your query about medicines to control the disease depends on what medications are we talking about. There may be a bunch of classes of medications in heart disease. Taking medications is mandatory in your case. If it does not lower the percentage of blockage, it will definitely be helpful in blocking any further derangement. Your cardiologist can discuss the issue better as he is having detailed medical history upfront. Cholesterol can be maintained in normal limits and your cardiac health can be kept in check. Blood pressure medications also help in some patients who have the basic issue of high blood pressure. If someone has the blood vessel disease we can give medications to relieve the spasm of vessels and dilate the blood vessels. Sometimes we raise the blood flow to heart muscles and in this way the blockage to heart vessels is relieved. </s>

<s>[INST] Hello... My husband knelt down today at work, and felt a sharp pain in his knee. It has since swollen up some, and is causing him allot of pain. He was perfectly ok before it happened. What could have happened so quickly and out of the blue like that? [/INST] dear madamIt seems that he has synovitis and may have strained one of the ligaments in the knee, it is advisable to put a compression bandage on the knee and take some over the counter painkillers for the time being and see an orthopedician ASAP to rule out any major issue. </s>

<s>[INST] Hello, My name is Avinash. My wife, had a fall from a staircase about a month back. She has severe pain in back, neck, ankles and toes and hence she had the x rays done for her ankle, back of neck and shoulder, and the toes. There are no cracks found in the bones. But the pain is high in the back of neck and it goes down the shoulders and chest. What could be the problem. We have an 8 months old daughter, and my wife is still breast feeding her. [/INST] hi there may be muscular injury so it will take sometime to recover you can use hot pack to relief the pain and use declofanic gel and neck isometrics and back strengthening exercise that will very helpful for her and take physiotherapy treatment it will help her a lot wish her a good health. </s>

<s>[INST] I was preforming a hand job on a man and he asked me to to swallow some of his cum. I did and after a lil bit the back of my throat started itching. It went a way a few moments later. I was thinking maybe it was allergies since I'm allergic to dust and shellfish. What is this [/INST] since one person isalleric to one protein he may be allergic to other proteins also you are right this is allergic reaction can use aniallergic tab to clear this allergy </s>

<s>[INST] Hi doctor, My son is 17 months old. I am a working mom. My son was on breastfeed till two days back. Of late, my son has stopped eating breakfast, because he sucks milk the whole night. For the past few days, he eats only two mouths of food in the afternoon and night. We tried everything like changing the taste, texture and type of food. My sister suggested me to stop breastfeeding, so that he will start eating food. And, I did the same. My son literally cried for two nights and yesterday, he was quite fine. But, his food intake is the same. I am emotionally feeling very bad. Whenever I lay down, he kisses me for milk. He hugs me and looks at me in a sad way. Some of my office peers suggested me to feed him milk for 2 years. What if he still does not eat food? At least before I was relieved he was breastfed. What should I do? Shall I continue feeding him for another six months? [/INST] Hi. For further information consult a paediatrician online --> </s>

<s>[INST] When traveling to low altitudes, less than 3,000 , i have experienced chest pressure that starts about 10 minutes at the resting elevation. The pressure is centralized across the breast area and feels like gas. I do get burps, but then I get a shallow breathing. Seems like it s hard to breathe normally. I have had like a dizziness that starts from my body and goes to my head and doesn t last long - a few seconds. Then the back of my neck becomes stiff and tight and somewhat sore. I took a tums and the pressure did subside a little, but went away completely, as did all other symptoms, after we went back to our normal elevation of about 800 . Any idea what could be the problem? [/INST] thanks for asking your questionI completely understand your problemas we go to high altitudes the atm pressure decreases and concentration of oxygen decreases and air becomes more denser so in order to escape from these symptoms of high altitude slow ascending and slow descending is followed that will acclimatize your body in due course of breaks in between climbing to high altitudes.thanks/regardsfeel free to ask more questionsmay god bless you with good health </s>

<s>[INST] i have a problem with my electrolytes being low, ie calcium, potassium & magnesium. Last week I spent a day in the hospital receiving IV infusions for low calcium and magnesium, I also had to drink liquid potassium. Today, when I eat I feel nauseous. Why? [/INST] Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Possible gastric irritation due to intake of liquid potassium and irregular diet.2. You can take anti-emetics to eat food. Nausea will also reduce.3. For gastritis, proton pump inhibitors or H2 blockers can be taken. It will reduce nausea.Hope it helps.Any further queries, happy to help again. </s>

<s>[INST] i am 30yrs, height 175 cm, weight 85 kg, male. i never had any medical problems except the occasional cold or fever. My problem is that i am not able to show interest in sex with my wife. during sex also the penis take long time to get erect and then loose the erection very soon. due to this i and my wife are not able to enjoy sex. i used to masturbate a lot when i was unmarried. kindly help me. [/INST] Hi, Masturbation won't be the cause for your issue. Low interest in sex can be due to hormonal imbalance or anxiety. Going for a laboratory investigation will help you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist </s>

<s>[INST] am 17years and have two fibroadenomas. The left one is bigger than the right one and the left one is paining me. Is fibroadenoma painful and how long does it takes to go? What is the treatment for it. Can it develop into breast cancer? Or does it increase breast cancer? [/INST] Hi...it is a non malignant condition and does not predisposes to malignancy...take vit e and primrose oil...it will take a few months to resolve..you may also take analgesic for the pain...Dr. Ashish Verma </s>

<s>[INST] hello, iam having pain on my lower right side of abdomen. test had been done few days ago and everyhting came normal and even the pregnancy test came negative. i have a history of ovarian cyst but present test shows i dont have any cyst. plz tell me what should be done. [/INST] HI, thanks for using healthcare magicPain can originate from any structure in the area from the skin inwards.Since the ultrasound did not show any problems with the ovaries then other causes need to be considered.This would include issues such as: hernia, inflammation of the muscle or tendons in this area particularly iliopsoas pain.Pain due to these muscles can be detected by physical examination.The use of anti inflammatory pain killers would help.I hope this helps </s>

<s>[INST] I am just starting to get over chicken pox. I am 54 years old and now I have numbness and bloating along with some pain on my sides and back. Is this cause for concern. It is just over 2 weeks since I came down with the chicken pox. I got them after my husband had shingles. [/INST] Any viral disease can cause arthralgia and joint pain. This will take some time to recover may be months. Avoid cold weather, apply heat to that side and back. you can use local applicant. </s>

<s>[INST] I had a CTSCAN of my stomach and pelvic area about 4 weeks ago - the day after the scan I went into what felt like hyperthyrodism (spelling) , BP up, vomiting, sweating, day or 2 later i noticed my tongue swollen, then my face is swollen and other areas i just discovered not to easy to see *wink are swollen. I tried antihistamines but they are not working. Should I see about a GP about predisone. I drank the oral solution gastrografin - which i have found similar side effects as I am mentioning as well as a delayed reaction to the solution. [/INST] what about your urine output, is it normal or decrease because dye can cause kidney problem leading all manifestation. So should get renal function test done. you should see gp. he ll probably prescribes you some drugs which will increase urine output </s>

<s>[INST] I got robbed and got hit on my face my eyes are fine but i got a swelling around my eyes and my cheeks. I have a swelling on my cheeks and its purple around my eyes. I have been applying Ice pack is there any other suggestion to quicken the process [/INST] Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that due to hitting over the cheek there has been trauma to the soft tissues leading to inflammation and swelling that occurs due to accumulation of inflammatory exudate that is released from inflamed tissues..The purple appearance is due to rupture of small blood vessels due to trauma and there is spillage of blood into the soft tissues leading to purple appearance..I would suggest you to continue icing the area and also you can take anti inflammatory painkiller like Ibuprofen..You can apply Heparin gel as it help in faster fading of bruise but keep it away from eyes..In case if there is no improvement in the area or there is pain and discomfort, consult a General Physician and get evaluated and he can also get x ray done to check for any bony fractures and treat you accordingly..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. </s>

<s>[INST] Hi I have had a cold or flu for 6 days, fever spiking at 102.5, loss of appetite, terrible coughing, mostly unproductive and raspy except in morning when the product is green and sticky, i have some edema in my lower legs and around my neck and fluttery feeling in my chest [/INST] well u must take antiallergic like tab. citrizine 25mg 1 daily at bed time or we fr 5 days . tab paracetamol sos. tab. amoxiciling/clavulanic acid 625mg thrice fr 7 days. also take soups, blacks tea , honey and boiled egg. keep yourself away frm dust and cold </s>

<s>[INST] My 14 year old son picks his skin around his fingers layer by layer, sometimes till they bleed He also touches his head, stroking his hair at least 3-4 stokes each time. He has recently told me he hums and talks to himself while at school and alone - he seems worried about it and says he is mad. He has not yet hit puberty either and is small for his age say around 12 year old size. [/INST] Hi and welcome to Healthcare Magic. Thanks for your question... With the limited information which you have given, I reckon that some symptoms (such as repeated skin picking, repeated touching, stroking of the hair) may indicative of "compulsive" behaviour. "Compulsions" are repetitive, unwanted acts or rituals or behaviour which the person is aware of doing but is unable to control, thus resulting in distress. Compulsions can exist alone or may often be associated with underlying "obsessions" (which are repetitive, unwanted thoughts, ideas or mental images) as part of a disorder called Obsessive Compulsive Disorder (OCD). You need to elaborate more on his other behaviour, for example, the humming and talking to himself. Such symptoms, in childhood, can be due to a variety of causes (they could even be some kind of obsessive / compulsive symptoms, especially because your son is well aware of them and is distressed by them). What I would strongly advice you to do is to get a consultation with a Child Psychiatrist, who would be able to assess your son in detail and advise the appropriate management plan. Please do not hesitate or delay as it would only be putting your son through more unnecessary suffering and distress. All the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist </s>