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<s>[INST] hi i am 29 yrs old male unmaaried and mech engineer. i feel weak erection and often in stress and anxiety. due to that i found some disorders a my penis. how to cure this disesase. My penis when in active shape it is not round BUTactually it shapes becomes flat. also i never saw sperm coming out it in active. are my veins blocked or some thing else. do you recommend any specialist for it. also i always feel, nervous, anxiety and stress in my whole body. in whole 24 hour i hardly sleep 2 or 3hours at night only. is i am patient of insomiania also will u plz tell me how to cur that or recommend the doctor for it. [/INST] Hello,If you are anxious and stressed, it is natural that you may not get erection of to feel weak erections. In that sense you could need treatment for anxiety and stress or depression rather than sexual problems. If you are not sexually aroused, semen may not come outside through your penis. You may consult an urologist for further investigation.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist </s>

<s>[INST] I stopped taking my birth control pills and three days later had unprotected sex in which he ejaculated inside of me. I have an app that i use to keep track of my cycles and all of this was during the week I would have been highly fertile and would have ovulated. I am now having withdrawal bleeding. Could I still be pregnant? [/INST] Hi, if you are having withdrawal bleeding, it is highly unlikely for you to get pregnant. Sometimes, there can be implantation bleeding also. So, just check a urine pregnancy test at home to clear the doubt. Hope I have answered your question. Regards Dr khushboo </s>

<s>[INST] Hello there, I have a boyfriend that is having some heart issues. he says that his heart is doing something funny,getting light headed,breaking out in a sweat then got cold and clammy. he felt like he couldn t breath then thought he was going to have a panic attack. his lips are numb and tingly as well as his finger tips. [/INST] Hi welcome to HCM.I understand your query and concern.Heart issues usually stem from anxiety related panic attacks.In all such cases its always safe to have organic heart lesions ruled out.I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Drugs like antihypertensives like atenlol and anxiolytics like alprazolam will help.Reduce the intake of fatty and fried food.Drink plenty of water to maintain adequate hydration like 3-4 liters of water a day. One pomegranate a day will help to keep your heart at good pace without clot formation.Stressmanagemet is extremely vital in your case. Practice yoga and meditation regularly.Consult a Cardiologist for further expert management.Post your further queries if any.Thank you. </s>

<s>[INST] Hello, I am an 18 year old male and for the last day or so, I have felt discomfort/ache in my left testicle. I also tend to feel pain in my lower back, and when I touch a special place in my left abdomen it hurts a little. I also have started to get pains in my left leg. I have inspected my testicles continously and there is no lump or swelling, neither does it hurt when I touch them. Lower back pain has always been common for me, but not this feeling of discomfort in the testicle. What can this be? [/INST] Hello, It may be due to testicular torsion. For further assessment, you may require ultrasound scrotum after physician consultation. For pain, you can take tablet acetaminophen. Do regular physical therapy. Avoid strenuous activity. Use scrotum support. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Shyam Kale, Family and general physician </s>

<s>[INST] i am taking dilantin as a result of a siezure suffered after being bashed and recieving intracranial haemorrhage/subdural haematoma and subarachnoid haemorrhage, this happened about the 28th dec 2013.after spending 30 days in brisbane hosp the swelling had gone down enough to come home. i have not had any seizures since but am still on 260 mgs of dilantin. I want to know if this is an overhigh dose and how long should i be taking it for thankyou from michael [/INST] If u don't have seizures for almost 3 yrs.....u can taper off dilantin. Almost 80 % of such patient don't get repeat seizure.Recurrence also depends upon location of hemorrhage. </s>

<s>[INST] I have been having sharp pains in my upper abdomen on and off for about 3 weeks. Last night my right shoulder became very sore. I have been extremely dizzy for the last 2 days and have had vomitting and diarrhea on and off for the last 3 weeks. I have seen 2 doctors and have been booked in for an ultrasound to see if its my gallbladder . Is there anything i can do in the meantime or any other suggestions you might have to my symptoms. I am also having trouble sleeping. Have been eating a very low fat diet, at doctors suggestion, and trying to do a little exercise everyday, although finding this hard some days. Have lost approx 7 kilos since the beginning of the year. [/INST] Hi welcome to Health care magic forum. Thanks for selecting H.C.M.F. As you describe you had upper abdominal pain, feeling dizzy, had vomiting and diarrhea, on and off for last 3 weeks. Had shoulder pain, doctors suspected gallbladder pain. I suppose it is the infection of the intestines, as there is vomiting and diarrhea . You may need to be treated with antibiotics, anti spasmodics, anti emetics, and lactic acid bacillus preparations for clearing the infection. Of course as there is shoulder pain to exclude the gall bladder involvement it is better to have an ultrasound . Wishing for a quick and complete recovery. Best regards. </s>

<s>[INST] Female, aged 73, wight approx 68k, height 5ft 4in, history of depression. Diagnosed ankylosing spondylitis aged 30 [but severe back pains since 19 years], with iritis, and HLA 27 blood test positive. I have had all the usual drugs; NSAIDs make no difference, MTX, sulfasalazine not much difference, high doses of prednisolone [60mg per day, reducing by 5mg every 3 days for iritis] very good for pain relief, but unsustainable long-term. NOW, August 2015, all joints painful and stiff, especially mornings, no energy and little enthusiasm. I Live in Sri Lanka, so always warm! What do you suggest? ANGELA SANDERS [/INST] hiPhysical therapy is a very helpful thing in such cases apart from symptomatic pain medicines.You may also consult an rheumatologist if any biologic or newer medicines would be of any helpbest wishes </s>

<s>[INST] my wife age 46 years is suffering from touch-ability i.e. she uses to wash every things which is brought outside from the market. she feels panic if things are not happened as per her wish. She is religious in her view and deed but she behaves on these issues unlikely which is done by other ladies. However she likes cleanliness but I think this type of behavior is not normal. I want to consult with doctors at Jamshedpur(Jharkhand).You suggest me to which field related doctor I require to consult. [/INST] Hello, Thanks for writing in I do not find anything wrong with her behavior from what you have mentioned. Cleanliness is part of everyday life, and some people are a little extra cleanliness conscious. It necessarily doesnt have to be obsession.She panicking about little things is also quiet normal unless you notice it happening everyday and disturbing her everyday life activities. Visiting a COUNSELOR/PSYCHOLOGIST/PSYCHIATRIST will help you and your wife understand if everything is normal. Stay Healthy! </s>

<s>[INST] Hello Dr. , I have a lump (feels hard) on my inner arm the same side where I had cancer lump under armpit couple years ago. Should I be worried? THey only removed one sentinel lymph node and was negative. I wonder if there should be more lymph node removed and tested. Tanya [/INST] Hi Tanya ! Good morning. I am Dr Shareef answering your query.If I were your doctor, after a complete physical examination I would advise you for a FNAC (fine needle aspiration cytology) of the hard lump you mentioned on your inner arm. If it was inconclusive, then an excision biopsy with a reasonable margin of healthy skin would come into picture. Further management would depend on the report of the histo-pathology, and physical examination of the adjoining areas including the area of the original malignancy.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. </s>

<s>[INST] I in the past i had urinary tract infections with blood clot coming from the tongue of my vagina very painful and now i have two cyst on my kidneys the kidney doctors flushed them out , now my friend need a kidney she is living off 4% and i was thinking of giving her one but my doctors said it is too risky and now in a few months i am going to do a hysterectomy i have fibroid measured 311cc and this is only on the right they could not see the left side of ovary compared to 157cc in 2008. I don t know how to tell her i cant do it again, I just learn about the fibroid a few days ago [/INST] Hello madam ,I appreciate your concern for your friend. But with cysts in the kidney, it isnt good to donate, as the kidney might not function to the extent desired once transplanted. Having said that we need the size of the cysts, your age , to decide on the severity of cysts.Hope i was of help. </s>

<s>[INST] Hi, I fell down stairs last wednesday and I hit my back. But now I am experiencing sharp pain and pressure in my anterior sternum and it hurts a lot when I bend my chest to my stomach and when I raise up out of bed. I got several x-rays taken and the doctors said nothing is wrong. But I am in pain and I don't know what to do. [/INST] Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This is in relation with possible sprain / strain involving ligament around sternum , issue with neurovascular bundle or others .* Guidelines for better outcome - Heating pad application 5 minutes each 3 times a day .- Local application of analgesic spray or ointment .- Intake of proper analgesic as tramadol with paracetamol after getting prescription with your doctor .- Deep breathing exercises , YOGA will fasten the recovery .Wishing you fine recovery .Feel free to ask any further queries .Regards . </s>

<s>[INST] Have difficulty in breathing whenever I have to climb up aflight of stairs. Am having sweaty palms and feet lately. may i know what are the causes or symptons of that. I am 35yrs old,60kg weighing, height 1.64. Have never sufferred any kind of medical condition. [/INST] Hey there,For sweaty hands and feet one of the cause is Hyperthyroidism,get done your thyroid profile,Breathing difficulty might be due to same complains. </s>

<s>[INST] Last night, I got a mysterious pain in my hands, both in the lower palm area. Also, I ve lately noticed strange feelings in my back beneath the skin, and itching at the surface.The last part seems irrelevant to me, but they might be connected. I dunno. [/INST] Hello,Thank you for contacting me at "Ask a Doctor". I will try to answer your question to the best of my ability.Your symptoms are very nonspecific and it is very difficult to give you a true clinical impression of your problems. From the sounds of it this is probably something very minor and will resolve spontaneously. If your symptoms worsen or you develops any new symptoms I would suggest that you see your primary care physician as soon as possible.I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions.Best wishes,Adrian Rawlinson MD </s>

<s>[INST] Hello doctor, My son is 9 months old and we visited a cardiologist a week ago. He does not have any symptoms and is a healthy child. All the dimensions were within range and ejection and fraction were 70 and 40. What they did find was a slight increase in trabeculations of the left ventricle. I have read, a slight increase in trabeculations in a healthy adult is not a worrying find, but I do not find anything about the children. Is this worrying? And does it really want a follow-up? [/INST] Hello. Trabeculations are a normal findings in the left ventricle in both the adults and children. When these become excessive along with an increase in LV thickness, then it is considered abnormal. Now this slightly increased trabeculations is entirely a subjective finding. One may interpret as increased, while the other may think these as normal. So, considering the normal ejection fraction of 70 percent and other normal dimensions, this may be a normal finding. However, since there is some doubt created now, it is better to repeat an echo after a year or two or if any symptoms appear. So, it is probably a normal finding, however, better to follow it up for confirmation. I hope this helps. </s>

<s>[INST] Hi sir. I am havig sex with my girl friend once in every month. I am giving unwanted 72 every time with in 72 hrs of time. By that she is geting perious every time 1 week before the regular. Is any problem of using like this and is any problems will cause in the future. Means that any permanent pregnency lost chances. Plase kindly answer for this qn. [/INST] Hello,Unwanted 72 pill itself does not cause problem in future pregnancy or conceiving issue.But frequent use of that kind pill causes irregular period with impairment of normal ovulation. So it may cause delaying in pregnancy or conceiving problem. For natural conception, period must be regular.Here she can take combined OCP monthly basis instead of frequent emergency pill. Combined OCP gives highest protection (99.9%) against pregnancy with regularization of period.Next, when you will try for baby, all kind of contraceptive methods are to be stopped for at least 1-2 months to regain fertility.Hope it helps for you. Good luck. </s>

<s>[INST] what is the best topical medicine for hemrhoids? Also is there any medicine you recommend to take by mouth?My husband has pain from hemrhoids and his doctor recommended not staying on the toilet too long, to takemeta-mucil and use disposable baby wipes. He is not doing these things. He is 80 years old and would notwant any surgery, [/INST] **A. Jatyadi tail can be applied externally for lubrication, around the anal region (also helps in relieving the associated itching)B. Pilex tablet, Arshohar Yoga, Pilon Tablet, Kankayan Gutika are some of the well known Prescription drugs available.1. Give high fibre diet,fresh fruits and vegetables,avoid milk and milk products in diet, excess of tea,coffee,tobacco,alcohol and carbonated beverages.2. Avoid haste-irregular eating and sweet/heavy food which are difficult to digest and cause indigestion.3. Give less of strong spices (ginger,garlic), oily-fried-fatty food and flatus producing foods (peas,beans,dals)- take old rice,bottle gourd,moong dal,kali marich, pomegranate,jaiphal,hot water, adequate rest and sleep.- take fried cumin seeds 500mg, fried asafetida (hing) 125mg, shweta parpati 500mg, mix them and take with honey three times a day.- 1 glass lukewarm water every morning and night.- to stop bleeding:coconut water from 1 coconut and add 2 table spoon full (tsf) sugar and drink.- drink 1 cup potato juice daily for 1 month.- 4tsf sugar+ 4tsf bitter gourd juice and drink for 1 month- 3 pinches dried ginger+ 2 cup butter milk, drink after lunch and dinner for 1 month- eat 2 tsf plain white butter + 1 tsf sesame powder before lunch and dinner and drink 2 cup butter milk + 3-4 pinches of black salt after lunch and dinner- give: elephant yam, papaya, butter milk, pistachio, almonds, pear, apple, old rice, milk, crystallized sugar, raw radish and avoid tea,coffee, garlic,onion, fish, hot spices, sitting for long hours.PS:.if job demands sitting, make sure he get up every half an hour to relax for 5 minutes and then sit back,make a sponge cushion for his chair.. Again piles, is due to low digestive fire and taking amla & aloe vera juice will help in cleansing the liver to speed up the metabolism so can be taken safely. </s>

<s>[INST] I m a 21 yard old female. I used to drink a lot or energy drinks. But the past few months Iv had random blood clots in my pee and back pain. And sometimes when I have blood clots in my pee I can tell you before I go cuz I will have bad bad pain in my back first. I went to the doc. They treated me for a uti. But I m still haveing symptoms. I don t have heath insurence. So looking for what it could be. So when I go back to the doc I can tell them. And not waste more money [/INST] Welcome to Healthcare-MagicGreetings of the dayI would suggest you to get Renal ultrasound done to rule out renal stones as cause.of your symptoms. Going by your history chances are that it could be renal calculi-kidney stonesTake careRegardsDr T ShobhaMBBS MD </s>

<s>[INST] Hello doctor, My father is 71 years old. He having abdominal pain in the middle for the past four to five days. Pain is constant and mild to moderate in intensity. He is not having any issue in passing stools or urine but sometimes complains of burning sensation while passing stools. His appetite is good. No vomiting or diarrhea. No fever. His current medial history includes diabetes and hypertension. He is an Alzheimer patient. Can you please prescribe some medication for his abdominal pain. [/INST] Hello. I can understand you must be very upset about your father's health. Well, you see the abdominal pain in such age is often an alarming finding, and I urge you to get him some investigations before giving any blanket cover of medicines. Common possibilities in his age are: 1. Mesenteric ischemia, which is the narrowing of the blood vessel supplying the blood to abdominal organs. This can frequently occur in old age with diabetes and hypertension. The pain arises because of lack of blood supply to organs like small bowel, large bowel, and others. 2. The second possibility is pain due to any organ within the abdomen which is inflamed commonly the pancreas (a gland over the back of the tummy), and large bowel. 3. And lastly, since he has a problem with constipation the gas accumulation can also be the reason of his abdominal pain. But remember, we cannot say that it is because of gas distension unless we exclude all other possibilities which are more concerning. I suggest you to get investigations which I write below. Only after the investigation, we can be able to diagnose the problem and treat it appropriately. I really hope this set of investigations will help us to approach the problem correctly. Mesenteric ischemia. Pancreatitis, gall bladder or common bile duct stones. Colitis, colonic neoplasia. Gas, constipation related. Compete blood count. Serum amylase and lipase. Liver function tests. Serum lactate level and serum CRP (c-reactive protein). HbA1c (glycated hemoglobin). Lipid profile. Stool for detailed report. Stool for occult blood on consecutive three days. Stool for fecal calprotectin. Capsule Esomeprazole 40 mg half an hour before meals. Ispagol husk two tablespoons full with water daily. Follow up after investigation. </s>

<s>[INST] Hi. Im 30 yr old male. 5 11 270lbs. Good health. & fairly active. Up until 3 wks ago. Sharp pain in the left side of my back. A pain i have periodically felt over the yrs. always figured i pulled muscle or sunthing of that nature.. This time. It moved fr to the front. Still on the left side. Real uncomfortable pain. Worsens at times. But mostly just discomfort. So after 3/4 days of abdominal pain. I go get checked. Pee d in cup, & gave blood. Blood was in my urine. So they xray d.. Ultra sound. & ct scan. Still nothing. That was 2 days ago. Im having irregular bowel movemnts. That isnt much. & green. Im starting to worry. Any ideas? Or diet u recommend? [/INST] Hi, As a first line of management you can try analgesics like Acetaminophen or Tramadol. If pain persists better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>

<s>[INST] I have had high blood pressure for awhile, but have lost 60 pounds and no longer need to take meds for that.... but now I seem to have a low pulse rate..resting rate is 36...active rate is in the 60's..sometimes I have chest pains and I can feel my heart beating hard...but still a low pulse. Thanks [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of heart block is more. Heart block means there is interruption in impulse conduction in the heart. Resting heart rate of 36 and low blood pressure are mores suggestive of heart block. So better to consult cardiologist and get done 1. Ecg.2. 2d echo 3. Stress test 4. Holter monitoring (24 hours continuous recording of ecg). You may need pacemaker insertion to increase your heart rate. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] My son has some rashes on his face below his sideburns,they r rough to touch,some look like whiteheads and generally they become red when exposed to sun,also he has got very tanned.Any solution ??he is 6 year old.I am using cetaPhil to wash his face everyday.These rashes have become more now after we moved to Singapore few months back.Can you please help.thankyou. [/INST] Hi,From the description it seems he might be having these lesions due to sun allergy known as polymorphous light eruptions. To treat the same, you may apply a mild steroid cream like flutivate cream twice in a days over his lesions. Also he should avoid sun exposure as much as possible. If the lesions are very itchy, you may give him syrup cetirizine.Hope that helps. Take care. </s>

<s>[INST] i took uristat and noticed red urine.these were red gell cap's,but i do have pain in right lower back.and severe depression.i thought they were stool softener's.they were my wife's who died 3 year's ago from c.o.p.d..could it have been the uristat or the pain in back mean's something.i have blood test's reguraly and the only problem was high colesterol.i was on statan's but stopped as last blood result's were o.k. [/INST] Hello. Thanks for writing to us. The pain in the right lower back with a red colored urine could be related to a renal infection or a stone formation. It could be a muscular pain also. You need to get a urine examination done and go for an ultrasound scan to find out the cause.I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal ,drtayal72@gmail.com </s>

<s>[INST] i have family history both sides type 1 and 2 diabetes. I am female 49 yo and 5 4 tall and 162 pounds. I have been craving sugar and carbs. I have terrible night sweats and day hot flashes. I wake up sick to my stomach every morning and off and non through out the day. Mom tested me with her kit right after I ate. (i was again sweating and sick to stomach but, did not feel hungry) It was 115 right after eating. Is that a normal range? I did start to feel a bit better even though I was not hungry. Do I have a sugar problem? Also a itchy patch on my arm that no one knows what it is from but, hve had it for about 8 years or so and it itches and darkens at times. Dermatologist just said that it was some sort of trauma from what the biopsy said.??? Sugar?? Oh, off and on yeast infections but use probiotics to keep at bay. [/INST] Hi thanks for using healthcaremagic Your symptoms of hot flushes could be due to your peri menopausal ageFemales when they become peri menopausal usually gets these types of problems..we can do Blood tests to rule out diabetes..FBS,PPBS,HbA1C can be done.We can also think of doing Glucose tolerance test to rule out relative hypoglycaemia .Dont worry about the skin lesion if biopsy already had been done..Thank you... </s>

<s>[INST] Sir I have fungus infection on my back and it's now seem like white spots maximum. I have tried anti fungal soaps ,creams but still it's increasing day by day. Plz tell me immediate treatment for this. And I m not going Jim for last 1 month.bcoz doctor recommend me not to sweat [/INST] Thanks for posting your query . First I wanted to know , how did you know that you are having fungal infection? As there are so many skin diseases manifest with such presentation .If you are confirmed with diagnosis of fungal infection you need to take antifungal medication for pronged period, about 1-2 month .local application of ointment only give partial relief, it will not cure disease. I think you should consult to a dermatologist and take proper medication . </s>

<s>[INST] My daughter is 50. She hasn t had a period for 7 years. Experience pain in back, arms, can t sleep, hot flashes. Looking for a Specialist that knows about extreme cases of menopause. She is hysterical - all she does is sleep and cry. Has too many symptoms to list. We live in Claremont, CA [/INST] Dear; I understand your concern, there are a lot of options, hormone and non hormone supplements. Mood swings are part of the process with depression or anxiety . The best way is to start with a healthy diet, do exercise at least 3 times a week for 30 minutes, consult all her complaints with her primary care doctor and she will have an improvement. She is sleeping too much because of her depressive mood however, we always need to do a complete blood work to check for thyroid, anemia and other basic medical problems.Thanks for using our serviceDr Sara </s>

<s>[INST] Had a ct scan in Nov due to abdominal pain found out i have fluid in my kidney and left kidney is swollen tthought I brought the ct scan that was on a disk come to find out it was the ultra sound I had done in Dec Dr say some dark spots. What could that mean? I also have endometreosis and a cyst on my right ovrey. Had a bladder scope done today as Well Dr says my bladder is fine.but where iI pee from is very small help [/INST] Hello and welcome to HCM.As an Urologist, i can fully understand your concern.Fluid and swelling of kidneys, can be caused by many diseases.If you can send the CT scan and the last ultrasound scan report, here to me, as a direct question, i can give you an expert opinion.Kindly include reports of urine culture and blood reports, with madication being taken. Wish you well.Dr.Matthew J. Mangat. </s>

<s>[INST] I am 24 years male, height: 5 ft. 10 inchs weight: 64 kgs since, 4 days I m suffering from smegma problem..I have been washing 2 or 3 times a day, despite after few hours, it restores as excess.. I have slight pain while moving the prepuce backwards.. Rest of, its normal... How can I get rid off this promblem??? [/INST] hiit is due to inability to take back the skin so the washing is not proper consult a surgeon to see if surgery is needed Dr Saatiish Jhuntrraa </s>

<s>[INST] ok well ive got some kind of rash that looks acne all over on hands and feet face and it didnt get this bad until a few days ago i put this acne cream on my face and comes to find out it was three years old so idon know if its allergic reaction or what can ya help [/INST] Well come to HCMThis may not be acne but this could be allergic condition and acne medicine wont work here, the condition need to be treated with oral antihistamine and the best, option would be "Tab Hydroxyzine" 10 mg three times in day no need to apply acne cream hope this information helps, have a nice day. </s>

<s>[INST] I was in a hot tub for about 45 minutes. When I got out I had hives from my midsection to my feet. My throat started to close up - scary but didn't affect my breathing. Felt like cold-induced asthma which I occasionally get when I exercise in the cold. I'm a 61 yr old woman in excellent health. Normal breathing resumed in about 20 minutes, hives are mostly gone, but a few remain. What's up with that? Might it be the chemicals in the hot tub? Thanks. [/INST] Hello,Welcome to HCM,You may be having allergy to the detergents you used in the tub, that why the hives are predominately over the immersed part of the body.As your symptoms are coming down nothing to worry. But you should be careful regarding this in future, identify the chemical responsible for the hives and try to avoid that.All the symptoms which you had are the classical effects of allergic reaction.Thank you. </s>

<s>[INST] HI I AM 28 YR OLD I HAD DONE SOME REGULAR BLOOD TEST AND FOUND MY GPT LEVEL WAS 39 (ACC TO LAB IT SHOULD BE LESS THAN 33) SO I AM BIT WORRIED IS THERE ANYTHING TO BE WORRIED ABOUT? OTHER LIVER TEST ARE NORMAL, ALSO I TAKE MINI PILL CAN THAT EFFECT THE GPT LEVEL . PLEASE LET ME KNOW WHAT IS THE CAUSES OF THESE ELEVATED GPT LEVEL. WAITING FOR THE REPLY [/INST] himild increase in the liver enzymes is usually not indicative of the liver damage especially if only one enzyme is raised.oral contraceptive pills can cause transient increase in the liver enzymes .please recheck the levels in 6-8 weeks if it is increasing , you may need to go for further investigations to rule out liver damage.Thanks. </s>

<s>[INST] i have a rough mole most circular in shape, light to slightly dark brown in color, rough and bump about the size of half a pencil eraser. it is red in the middle and often itches and feels strange. Like I said it is rough and bumpr unlike other moles that are smooth to the skin. It is located in the center of my chest between my deltoids... [/INST] HIThank for choosing HCMAs you described here the location of this lesion it seems it could be the wart, or a simple mole, the final diagnosis is depend upon the clinical examination, in either of conditions it need to be excised under local anesthesia and the specimen should be sent for hestopathological examination for differential diagnosis, better consult to some skin specialist for further advise, Have good day. </s>

<s>[INST] Hi there, I have been suffering from hair loss for a long term,but it was fine till last year ago I have noticed bald patches(it is not alopecia,but you can see my skin) just behind my both eyes.i had my blood test done.my iron level was a bit lower than normal,so doctor prescribed me iron supplements which I ve been taking for more than half a year.quite recently I had my blood test,my iron level was normal,but doctor recommended me to take it for another 3 moths just to booth my hair growth.however,I haven t noticed any improvement,I would say even bigger bald patches.by the way,my thyroid is fine,my diet is healthy,I do not stress too much.i am wondering, shall I carry on taking iron,or I can take other supplements like biotin,magnesium,zinc,calcium,selenium,which I have been taking before I got prescribed iron?i would like to get steroid injection into my scalp,but my doctor do not refer me to see dermatologist...maybe i am lack of certain minerals,but I do not know where to go to check it. could u please help me telling what shall i do? Kindly, Dove [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of hairfall, my treatment advice is - 1. Use a good herbal hair oil and shampoo for routine use. 2. Take good nutritious diet full of green leafy vegetables and milk. 3. Take an iron supplement and vitamin B12 supplement once daily for 3 months. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] My right eye begins to twing/spam every time I yawn. I ve yawned no less than 20 to 30 times a day. This has currently been going on for 3 or 4 days. In just the past several hours my right arm (just above my elbow) has begun to do the same. I m a 46yr old female with MS. [/INST] Hello,Your symptoms could be related to myoclonus. I recommend consulting with your attending physician for a physical exam.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist </s>

<s>[INST] Hello doctor, I was subjected to a loud noise in my left ear. Since then, I have had a high pitch whine and my ear clicks. It seems as if I can contract a muscle in my ear and force it to click and then sometimes it seems to happen on its own. It happens more often than not, with brief episodes where it will not and I cannot make it click. [/INST] Hello. Your problem could be diagnosed following a simple audiological evaluation with tests called pure tone audiometry and impedance audiometry to determine any hearing loss and eustachian tube dysfunction that you might be having. Treatment will depend on the result of these two investigations. For more information consult an ENT otolaryngologist online --> </s>

<s>[INST] Hi, I have just diagnosed as having empty stella syndrome for the past 3 weeks. Since that day I had left side lower back pain and cannot sit on the soft sofas and setting in the the car/driving more than 30 minutes as I would feel burning sensation at my lower back. Mild dizziness or feeling to fall when walking. Is there any connection between the ESS and lower back pain and dizziness. [/INST] Have you checked your hormone levels, you seem to have some generalised weakness which may be due to decreased secretion of one or more pituitary hormones. </s>

<s>[INST] Hi doctor, For controlling my hypertension, I was prescribed Benicar 40/12.5 mg once in the morning, Amlodipine 5 mg twice a day and Clonidine once in the evening. These were prescribed after ECG and blood work. Even, after taking the medication, my BP is usually 160/85 mmHg. What to do further. Please advise. [/INST] Hello. I want to highlight a few important points here: Amlodipine should be used once daily. Instead of taking 5 mg twice daily you should take 10 mg once daily, which is the maximum dose. Clonidine on the other side can actually cause rebound hypertension, which can explain your high blood pressure. It should be the last resort of the treatment of hypertension. It would be nice to know the dose that you are taking these days. I would like to know when did you take your blood pressure and if you follow a low salt diet. Benicar - Olmesartan is a good medication. Please consult your specialist doctor and discuss my opinion. I would like to know if you have any other medical conditions like diabetes, stroke, high cholesterol or a heart attack to determine your blood pressure goal according to the latest guidelines. Revert back with the answers to the above questions to an internal medicine physician online --> </s>

<s>[INST] Hello, my name is Andrew. I m 18 and I recently noticed a rash on my shoulder that is near my armpit area. It is just beside the beginning of my bust and it is red and looks kinda like a cigarette burn. I also noticed some dry skin patches that don t hurt and aren t too noticeable that are almost symmetrical with the first rash. These aren t red or burn-like. I ve had dry skin pretty much my whole life due to the dry climate (Las Vegas) . I am afraid that it could be something bad. I had a blood and urine test in August and was told I was completely healthy. I m sexually active, but haven t had sex in a few weeks and plan being away from sex for awhile. Again, these just recently showed up. I don t know if its from dirt, sweat, allergies or even a possible HIV , but I need help because I m terrified. I don t think it s HIV because I haven t had any other symptoms of it besides a rash. Also I read on a blog that this woman had the same exact thing as I have described and she said that she found out she was allergic to wheat. So if you can help me that would be greatly appreciated. Thank you. [/INST] Hi I think you have a fungal infection of the skin which you might have contracted from your female partner who had the similar patches. It is called Tenia corporis and can be easily treated by using local clotrimazole cream and may require oral anti-fungal medicines too. Better consult a dermatologist who'll surely help you. </s>

<s>[INST] I am 80 yrs man in East Delhi.Height 154 cms,Weight 60 kg.I have fungus on front portion of my tongue for last about 15 days.I feel very bad. I sip water every time but no relief. At night my throat goes dry and very frequently I have to get up and drink water. A chemist suggested to take Fluka-150 (Cipla) to take with water one tablet after every 3 days for 7 deays. Is it safe or please suggest me proper medication in Delhi East. Thanks. My ID is YYYY@YYYY [/INST] Hi,From history it seems that there might be having oral thrush giving this problem.Take Fluka 150 mg once in a week for 4 weeks.Take probiotic like Lactobacillus or B.complex, folic acid medicine for few days.Avoid constipation.Apply Gention violet lotion on the tongue.Keep oral hygiene proper.Ok and take care. </s>

<s>[INST] My doctor started my 10 year old daughter on Zoloft, sertraline really, and the next day after starting it, she has now this quarter sized lump under her chin, like under her tongue but on the outside of her throat, not inside, and it's very painful to the touch and hard, I felt it. Is she having an allergic reaction? She isn't having difficulty breathing but the lump is so painful it hurts to put too much pressure on it. She started the Zoloft medication on 5/9/11. [/INST] Hi,Dear thanks for the query to HCM.Cause of the lump under chin of your daughter is -as follows-a-Zoloft is known to cause skin rash.But what you describe is a solo-pimple like / or insect bite like lump under the chin.Allergic reaction is remote possibility but insectbite?spider?is the most probable cause of that lump.Hope this would help your worry to take proper steps for health of your daughter.Wellcome again if you have any more query in this regard.Have a Good Day. </s>

<s>[INST] hi I am 38 years old women i have a left led pain and same side thigh and butt,lower back also i went to so many doctors they gave me oxycontin 10mg for pain 4 to 5 mri done also but nothin now my skin have sometime so itchy and make rash after etch pls help me what to do [/INST] Hello, Sorry to hear that our team in the medical was not able to help you out. It would have been really good if you had mentioned the details of the MRI reports as we could have understood something from it. If you have any issue with the intervertebral disc and nerve entrapment. Now since you are mentioning about pain in the hip, thigh, leg and back, I would like to know if the pain symptom is radiating in nature? Also how is the back pain? Is the nature of the pain sharp shooting or dull aching. If dull aching then it will be related to muscle but if sharpshooting than it will be for nerve. Now coming to an analysis of you, you mentioned your age is 38 so we can look for some Degenerative changes in the lumbar spine. Due to which there might be changes of back pain and nerve getting trapped. for this I will recommend you to try out the exercise for the core, back and lower limbs on both sides. It is mandatory to do exercise in any back pains or radiating pains as due to pain there is a muscle weakness which gets build up over a period of time and once the muscles are weak there is instability of the spinal column. I wish you check for your blood glucose levels along with uric acid too so we can have a differential diagnosis made to rule out the possibility because. If you can still mention in detail about the MRI it will be really kind of you. In my clinical practice of over 12 years, many back cases associated with leg pain are doing well with conservative management. Like - exercise, physical therapy and yoga. Outcome score is almost as desired to be. Please start the exercise and you will get a difference in the overall physical well being. 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] My brother has been diagnosed with a GI Cancer and will begin chemo treatments next week. I was researching the drugs and have found that two have a major drug reaction---major being described as risk outweighs the benefit! The drugs are Adrucil and Leucovorin; what would be the reason for using the two together? Do I keep quiet or ask him? [/INST] Dear, I think you have wrongly been informed about the side effects of these drugs. They are safe and can be given conveniently. i will say the reverse benifit overweighs the risk. At least with first 4 or 5 cycles of chemotherapy there will absolutely be no problem. Dr. Ticku </s>

<s>[INST] Hello, the last few days my stomach fat to the left of my tummy button has been hurting, almost like a bruise when I press on it or rub my hand across it. Is there a simple explanation for this and if not should I get it checked out as there is history of polips and cancer in my family.. [/INST] Hi! Thanks for your query which is a common question in my clinic.Well there are few possibilities in your case just you described as 'almost like a bruise when I press on it or rub my hand across it...' as follows:1. an epigastric hernia 30 % possibility2. a lipoma 30% possibility: lipomas are painless, soft to firm mobile subcutaneous well-defined nodules; sometimes associated with severe burning pain..3. benign skin tumors like neurofibroma, dermatofibroma etc: 20 % possibility4. just psychological feeling : 15% possibility5. lymph nodes and cancer: 5% possibilityTherefore, I must suggest you USG and if necessary a needle biopsy for confirmation and to discuss it with your surgeon if treatment is needed.regards, </s>

<s>[INST] hello doc,I was visited by a patient 24/m who had blackish extremities(both palms and dorsum , both feet and dorsum, tongue and both axillae) which was noticed initially as a small patch on one of his fingers before 3 years.It has been aggravating for the past 3 months.Pt has a h/o poor appetite since last month.Routine examinations suggest 12% of haemoglobin and decreased rbc count .6-7 pus cells in urine and 4-6 epithelial cells. His vit b12 levels are less. What could be the possible diagnosis?Regards,Dr.anjali [/INST] Hello Dr. Anjali, however h/o patient is not suggestive of many things but possible one diagnosis is "MELANOGENESIS". This is a type of melanoma ( nodular or pigmented), 2nd thing may be metastasis has stated in this patient. As far as concerned about pus cells in urine actually 5-6 are nearly normal ,loss of appetite, weakness are all indicator of melanoma so pl consider this thing also in your's diagnosis. </s>

<s>[INST] My MIL is cardiac patient who underwent angioplasty 6months ago. She has now been diagnosed with pyenolonephritis and her creatinine is 3.79 BUN is 25 urea is 52 .She was also detected with Hepatitis C. Only urologists have seen her and not nephrology.. is this curable? And they have suggested some stents for the kidney as well. Is it required? Her vomiting and lose motions have not stopped inspite of all the antibiotics they are pumping. [/INST] welcome to hcm ... as she is a known cardiac patient and had undergone angioplasty ...such patients are also prone to have blood vessel in other body parts ..she must have developed blockage in her kidney artery renal artery that is why she is advised stent in kidney ..please go ahead it is required ... </s>

<s>[INST] 6 year old male with high fever, pain on urination, lower right side abdominal pain. CT scan inconclusive for appendix. Urine culture showed no growth. Augmentin given for UTI. After almost 48 hours, still running high fever and pediatrician puzzled with no growth urine culture. Appointment made with pediatric nephrologist in two weeks. We are worried. He's had no history of UTI in the past. He has had intermittent low grade fever with and without hives present over the last few weeks. No other symptoms. What could we be looking at? [/INST] Hi friend, Welcome to Health Care Magic Fever is generally due to infection. It is not always easy to pin point the cause. Augmentin is a good antibiotic - give another day or two / Some fevers settle down by fourth day only / if not, the child needs to be examined again...and the antibiotic changed.... Take care Wishing speedy recovery God bless Good luck </s>

<s>[INST] Hi. My 4 year old son has a yellow blister type spot on his gum above his top front tooth on the left side. It comes up then goes after a day or so. It has been pooping up for about a month. Is there anything to worry about? Im really scared. Thankyou. [/INST] Thanks for your query, I have gone through your query.The blister like bump on the gums can be a deentoalveolar abscess secondary to the tooth infection. Nothing to be panic, consult a oral physician and get it evaluated. You need to take radiograph like IOPAR to confirm the diagnosis. If there is a tooth infection, you need to get the tooth treated endodontically. Mean while you can take a course of antibiotics like amoxicillin 125mg TID for 5 days(if you are not allergic).I hope my answer will help you, take care. </s>

<s>[INST] HiI have just woken up, and noticed that a lymph node on the right side of my neck is swollen. A week or so ago, I had a swollen one just behind my ear, on the same side if I remember correctly My tonsils were giving me some trouble a few months ago, and I had anti-biotics to rid my infection, perhaps it is coming back? My dentist recommended that I had my tonsils removed quite some time ago, but another dentist I visited said that he would only consider removing them if I had persistent problems with them.So perhaps the swollen lymph node is something to do with this. I m 20 years of age, my diet has been somewhat poor the last couple of weeks, but otherwise I would say I am quite healthy in general.Thank you. [/INST] Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain in case if you have a recent history of throat infection and even if it is coming back also presently then there is a possibility that the swollen lymph nodes are due to Reactionary Lymphadinitis and it is not a serious condition and when you will take medication for treating the infection like antibiotics the swollen lymph nodes will resolve gradually..You should consult an Otolaryngologist and get evaluated and get tested for bacterial infection [ rapid strep test] and viral infection [ rapid mono test] to rule out the exact cause of infection and treatment can be planned accordingly..If there are recurring episodes of the same then Tonsillectomy will only provide permanent relief..As of now do alternate warm and cool compresses over the lymph nodes..Hope this information helps..Thanks and regards.Dr. Honey Nandwani Arora. </s>

<s>[INST] my blood pressure is going way high and low lately many problems- surgery errors now hernia and arterial fibrillation bulldozing our property no tresass court actions i need to take something to bring it down now being told I need medication 400.00 monthly I cant afford no drug ins what is your suggestions right now im having veinous insuffientcy hbp part involved need the surgery for it too in progress plus hernia future always two procedures first colonoscopy with anti freeze then another at hospital freeway down the middle two weeks to heal or walk [/INST] HelloWelcome to Ask a Doctor serviceI have reviewed your query and here is my advice.Underlying cause of uneven hemodynamic system is matters, although it is very less likely, it is always be the high blood pressure, if you are going to read it on your own then it may show you great deal of fluctuation so better to see the physician, moreover such condition may not cause any obvious condition, venous insufficiency of what region is question ? it is being treated according to vein disease of related region or area, for the hernia it is again what type hernia is there in which area on body it is happening, surgery is the option for most of hernia. Hope I have answered your query, let me know for further assistance. </s>

<s>[INST] It is 4 am. My husband 86 yo Parkinson s with dementia has PEG. Body rejected tube feedings and now is constantly trying to pull out the feeding tube. I don t want to restrain him at this end stage. Can I remove it at home or possibly cut it close to the skin and cover? [/INST] Hi, Welcome to HealthCareMagic.com I am Dr.Bruno Mascarenhas, and I am happy to answer your queries. I have read your question with care and understand your concerns. Let me try to help you. Question : Can I remove it at home or possibly cut it close to the skin and cover?Answer : No. You need to take him to a hospital for this. Don't try this at Home. Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care. </s>

<s>[INST] i am 21 years old, and for the past few months i've been loosing alot of hair and my skin is very dry on my face and scalp, i think its seborrhoeic dermatitis. i'm more concerned about the hair loss though, could it be a lack of iron, or over active tyroid? [/INST] Hello, yes, for a diffuse hair loss without a significant preceding history, u need a complete blood count and a thyroid profile done, if any abnormality appears on these, correction of those will rectify ur problem.For the dry skin, use a good soap like dermadew soap for bathing and apply a good moisturiser like efatop-PE lotion post bathing.Seborrheic dermatitis presents with itching and extensive flaking on the scalp, ears, nasolabial folds etc., if you have these problems, then consult a dermatologist for confirmation of diagnosis and appropriate management.ThanksTake care. </s>

<s>[INST] Well actually i am suffering from a lot of hair fall plus whenever i scratch my head i feel white particles and at the end of every strand there is one that sort of a particle but i am definitely sure i dont have lice. And can you please help me in front i am totally going bald and i am only 21years old female [/INST] hi, welcome to HCM,you are suffering from seborrheic dermatitis of scalp.wash your scalp with ketoconazole+ZPTO shampoo.apply beclomethasone + clotrimazole lotion once daily.take tab cetrizine 10mg once daily.this will resolve your problem.thanks </s>

<s>[INST] Hi, may I answer your health queries right now ? Please type your query here... hi, i have recentlly been to see my gp who said i have tonsillitus. im just wondering if its normal to have lower back and groin pains with this? As a few weeks prior to this i had cystitus which seemed to clear nut follwin a urine sample after this episode came back that i have a large amount of white blood cells and protien in my urine. i feel rather ill, feverish aching headaches and very swolln glands that are tender to touch [/INST] Hi,From history it seems that your problem of having cystitis is still there producing back pain and groin pain.Tonsillitis does give rise to generalized body-ache and malaise producing this type of problem.Consult your doctor and get examined.Take plenty of water.Ok and take care. </s>

<s>[INST] Hi aim 41 years of age and for the last few days I ve been feeling pins like sensation in my left chest side Also when I breath in deep I can feel that pin in my left side I m guessing in the heart Should I be conserened or is it just a side effect from stress [/INST] Hi thanks for contacting HCM....According to your complaint few possibility is present...First if you are taking excess stress then it can occur..Rest done...Avoid stressful situation...Yoga helpful...If needed counselling done by psychiatrist....Second it could be simple musculoskeletal pain...Rest with analgesic useful...Avoid heavy weight lift and strenous exercise...Take proper sleep posture while at bed...Thirdly if you have still problem and cause not clear detailed history and examination needed to do further work up...To rule out respiratory causes pulmonary function tests and chest x ray useful...Hope your concern solved...Take care... </s>

<s>[INST] Lately in the mornings I wake up early (5 am) in discomfort with a full bladder. After urination I am in painful agony. The pain is shooting in lower left abdomen and will usually last for 20 min to a few hours. In the past I have had several ongoing problems with UTI's but this is completely different. Any ideas? [/INST] Hello, welcome to healthcare magic forum,See it seems to be a kidney like problem, it will be wise to get a urine examination done along with a ultrasound, by this we will get clue to move forward towards diagnosis and treatment.Regards. </s>

<s>[INST] I know you can not give a true diagnosis. However, I think I may have ADHD and or ADD, what is the process in which I would take to get an actual diagnosis. If it is proved that I have either or, then what happens next because I have also in the past been diagnosis by a licensed therapist with Generalized panic disorder and social anxiety disorder along with depression. I do not wish to be on synthetic man made drugs, I do wish to do something more natural based. Here are some of my symptoms. Before what I consider a big event, like a job interview, or going to the DMV, starting a new school, or something like that, the night before I will not sleep. Along with that when I am feeling excited, stressed, sad, in a state of urgency, I become very scatter brained. In my daily life I do struggle to manage my personal finances and loath completing household chores. Along with these bullet points • Lack of focus and trouble listening and paying attention • Being easily distracted, disorganized, and frequently forgetting and losing things • Failing to follow through • Making mistakes that seem careless. I do make lists, I make every good intention to write them down then forget my lists... Help Please. Another thing, I try to make plans with people, but I end up canceling on them at the last minute. Perhaps this goes back to my social anxiety thing.... I want to go out and socialize I love people but I am scared to socialize, anything outside of work and grocery shopping, i m pretty much a hermit. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. To diagnose ADD or ADHD you need to visit a psychologist or psychiatrist. There are standard psychometric tests to diagnose these psychological disorders. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand </s>

<s>[INST] I am having whooping type of cough. ihave been told by chest physician it is allergic. i am suffering since 2 months. recntly i have been put on telecast f tabs sice 4 days. . how long it takes to act. and how long i have to take this [/INST] hello,thanks for ur query,2months old cough should be evaluated with xray chest and blood tests. telecasdt-f tablet used in prevention of allergic rhinits and asthma.it should be taken for 4-6moths and tapered slowly depanding on ur symptoms.u need to see an ent surgeon for farthur evaluation and treatment.all d best.take care. </s>

<s>[INST] Hi doctor, I want to confirm something about my pregnancy.i have missed my period today is 63 days.my last period date is January30.in pregnancy kit I am getting negative I checked at 50 days .when can I take pregnancy test.six months back I have pcod.after that I used medicine after that I went for checkup doctor told that after scanning no pcod.please suggest me when can I take pregnancy test. Currently I am taking ovofit and polic acid tablates.can I take this medicine after my pregnancy confirm? [/INST] hi, you are having delayed Periods probably due to Anovulation. As your pregnancy test was negative at 50days , I would advise you to recheck again tomorrow morning, if it's negative it's advisable to take medication for withdrawal bleeding. and PCOS is not diagnosed based only on the ultrasound reports, it's a lifestyle disorder. So you need to work on modifying the same like weight reduction, Regular excercises, dietary modifications, to get your Hormonal balance in place so that you get periods on time which will ensure you are ovulating on time too. in that way if you have been trying for a pregnancy that also can be natural without the need for any medications. ?PCOS, ? Thyroid. -Complete hemogram, -Glucose tolerance test, HbA1c levels, -Lipid profile, RFT, LFTs, -Serum Calcium, Vitamin D3 & B12 levels -Serum Fasting & Post Prandial Insulin levels. -Serum FSH, LH, Estradiol, Prolactin levels, Thyroid profile (T3, T4, TSH, Anti TPO) on 2nd/3rd day of next menstrual period. Thyroid or Prolactin abnormalities, -Tab. Meprate or Deviry 10mg twice daily for 5 days and then stop. -To wait for withdrawal bleed within next 7-10days. -To get blood tests done on 2nd or 3rd day of periods. -Reduce weight. -Maintain menstrual diary. -Regular excercises at least one hr daily ( follow health coach instructions). -Lifestyle and dietary modifications (as per diet coach's advice). -Future risks of Diabetes, hypertension, heart diseases explained. -Possible difficulty in conception explained - To consult fertility expert for the same. To follow up with the test reports advised. </s>

<s>[INST] Hi. I just had my 11 month old daughter get a CBC to check if there is even a slight possibility that she has leukemia. I am very concerned about leukemia happening again in our family because my baby sister died of it more than 20 years. We sent to the hospital because I saw 3 small "bruises" on her leg a week ago. They were pale brown, not the red-bluish bruise you get from a you get hit hard by something. My daughter started to walk a month ago and does not seem to mind falling and hurting herself just to reach what she wants grab. The bruises could have just been from her walking or crawling. She has no fever. Her appetite is good; no weight loss; no signs of weakness. But we were still worried.From her CBC: RBC was normal (4.86 x 10^12/L), platelet was "adequate", but WBC elevated (14 x 10^9/L). I believe that should be about 14,000/ cubic mm. Blood morphology said "Smear shows slightly hypochromic, microcytic red blood cells. Platelets are adequate".Should I be worried? I do not want to subject my daughter to a battery of tests for a witch hunt for leukemia. Thanks. [/INST] Hi and welcome to HCm. It is good to be caotious about childs health but hypochondria wont be helpful for you and her either. Blood work is normal,slightly raised WBC means nothing or some healed respratory infection. These bruises would be rlated to trombocytes and clooting factors and these are normal so she probbaly just got hit and you didnt notice. Leukemia is rare,you should visit doctor if you find something suspicous but spare your child of unnecessary blood testing everytime you notice fever, bruise or cough. Wish you good health. </s>

<s>[INST] Hi doctor, My mother is 63 years old. Her weight is 60 kg and her height is 5'2''. For the last two-three days, she was getting an eye burn. Yesterday, she felt like a sand particle inside her left eye. Also, dropping of the eyelid. So today we started putting some over the counter eye drop. While putting drop we noticed a black mark inside the white of her eye. Is it a matter of concern? [/INST] Hi Welcome to icliniq.com. I have seen the picture. (attachment removed to protect patient identity). This appears to be a mole. By seeing her eyelids it appears a bit swollen so can be a mild infection. Start Moxifloxacin eye drop six times a day for seven days, Refresh tears eye drop six times a day for seven days, FML-T (Tobramycin, Fluromethalone acetate) eye drop three times a day for seven days. Take tablet Cefixime 200 mg twice daily for three days (kindly rule out any allergies beforehand), Occupol eye ointment (Chloramphenicol and Polymyxin-C sulfate) at bedtime. </s>

<s>[INST] I am 70 year old end stage of renal disease my biopsy from clavicle was necrotising granulomatous inflammation suggestive of TB, XPert PCR and special stains for TB were not positive, however Quantiferon Gold was positive for TB on ATT but liver enzymes gets elevated frequently urine output is also decreasing please advise [/INST] HIThank for asking to HCMSome time clinical symptoms are very important rather than the lab. reports I have seen many cases in which the lab. reports was very bad but patient does not have any clinical symptoms related with the reports and they are really doing fine, so I advise you to take it easy if do not have any clinical sing or symptoms then why to worry the value of chemical reaction of our body goes on changing from time to time, keep your moral high every thing will be okay have nice day. </s>

<s>[INST] I would like to ask about a patient I have met in the remote area of my country when i was there for my field works, a patient complained that she initiated to have weakness and after 2 or 3 days she could not walk at all even to leave her leg, with this symptom how can we treat and advise her? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. However, the answer is a little difficult because such paralysis may be cause by many different causes, simply knowing there is weakness is by no means enough and tests are needed to identify the cause before we start discussing treatment which varies according to the cause. The most likely possibilities would be peripheral nerve damage like for example in acute polyradiculoneuritis (Guillain-Barre syndrome) or spinal cord damage due to inflammation, stroke, tumors etc. As I said a proper neurological exam as well as probably tests like spinal MRI an EMG are needed. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] Hello I am 6 weeks post TAH BSO for endometrial cancer stage 1a with 30 pelvic lymph nodes removed. I have bilateral numbness in my upper thighs and have intermittent swelling in left groin into superpubic area. Swelling recently is worse than right after my surgery. Worsens with activity and lessens with ice packs and rest. Is this to be expected? How long will the swelling and numbness continue? [/INST] The swelling you are experiencing is lymphedema.Meet a physiotherapist.Manual lymphatic drainage methods can be learnt.Loose clothingCompression wraps in the regionElevated legs while sleeping etc can help alleviate the symptoms.It takes months to years to subside and some amount of residual edema is expected. </s>

<s>[INST] Hi I am Gerry Gramata....42 years old...BMI 28....I was diagnosed to have a fatty liver since 2007...I took medication and changed my life style...since then I did not take alcohol and give importance to exercise....I am actually an excellent athlete now (badmintn, basketball, running)... I admit that I was a heavy drinker years before...For now, some of the feeling are seldom experience are....I sometimes felt week during exercise seems my energy went depleted instantly however taking in carbo will bring back my strength...everytime I take godex which i resumed lately two weeks now...i feel burning sensation in my liver area....can I prolong taking in godex for two months without side effects? thank you for your answers... [/INST] Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).I will like to advise:1. Continue with exercise2. Take less caloric diet to reduce your weight3. Get transaminase, glucose and lipid profile levels in blood and manage accordingly4. take tablet ursodeoxycholic acid and vitamin E5. Continue with Godex capsuleI hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon. </s>

<s>[INST] I was sitting on the pool table at a bar and this guy punched me full force in my right middle back. It is very sore to touch and has been for 3 days. Every time I bend down or cough it hurts. If I press on it the pain radiates down to my buttock. The pain is like an injection being inserted into the buttock/ hip/ lower back. Please help. Just want to know if it anything serious or whether it is soft tissue damage. [/INST] Most likely it is soft tissue injury. However I would suggest to get thoracic spine Xrays AP/Lat to rule out any spine fracture. </s>

<s>[INST] Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> </s>

<s>[INST] Hi, my belly button is pierced and I recently grew this bump on it that looked like it was puss filled and goey on the bottom hole inside my belly button. I did a salt water cleanse and it s going away but inside my belly button I have a red rash thing the shape of a ring. It itches and it s been there for 3 days. Help please! [/INST] Hi,It seems that you got infection in your belly button due to piercing.go for one antibiotic medicine course for 3-5 days.Clean the part with antiseptic lotion and apply antibiotic cream locally.Ok and take care. </s>

<s>[INST] Pls help me interprete this semen analysis report. Motility 50percent, active 10 percent, sluggish 40 percent, passive 50percent abnomal 30 percent. Colour milky, viscosity-fair, PH-8.0, volume-2ml, count -2x10 raise to power 6, pus cells less than 5. [/INST] Thanks for asking in healthcaremagic forum YOur report is quite confusing. There are types of movement. But no passive movement. Please send detailed report of semen analysis for any further suggestions. Pus cells indicate infection. Visit doctor for help. All the best. </s>

<s>[INST] My four year old daughter has very large tonsils there so large that they almost touch, the left side touches her uvula. They also have bright red veins at over them. She said her throat doesn't hurt at all. She sleeps with her mouth open and snores very loudly. Should I be worried? [/INST] Hello. I just read through your question.This is a very common problem. If she is sleeping comfortably, even with the snoring, there is really nothing to be worried about. However, if at any point during sleep you notice that she stops breathing for a period of 20 seconds or more before beginning her breathing again, it is a good idea to be evaluated by a pediatric ENT. Additionally, if she experiences recurrent infection in the throat, that would also be a good reason to be evaluated. Outside of those two scenarios, there is nothing to worry about. </s>

<s>[INST] we have come to know that my wife may be pregnant today morning when we consult the doctor. after checking he prescribed all9 and gestofit sr300. after taking the medicine all9 2 hrs later she felt that her period has started. is it possible that she is pregnant. [/INST] Hello, Yes, it is still. Possible that she could be pregnant please get serum Beta HCG level to confirm pregnancy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Haleema Yezdani, General & Family Physician </s>

<s>[INST] My 8 month old baby over the last two days has had her tongue turn black, starting in the back and moving forward. She does not breast feed, has not recently taken medications. She seems to be in no pain and the tongue feels the same temp as her body. [/INST] Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain black discolouration of tongue can be due to a condition known as Black Hairy tongue and can be due to a number of causes like lack of proper oral hygiene maintenance, overgrowth of bacteria or fungus, food debris accumulation, taking medication etc..I would suggest you to maintain a good hygiene status of your infant like cleaning tongue with a tongue scraper, using a soft toothbrush to scrape your tongue, feeding with ample of fluids..It can take a few days to resolve and in case if it does not resolve consult a Pedodontist and get evaluated..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. </s>

<s>[INST] I am 51 years old female and I have pain in the area of my liver, I believe it is due to too much alcohol over the weekend, apart from not drinking is their any thing you can suggest to relieve my pain. I do not have a head ache.Thank you, I didn't realise this was a paid service I can not pay for this at the moment so not to worrygood bye [/INST] greetings.definitely pain in around that area can be because of some pathology at the liver.so yes alcohol can be one of the reasons.also it can be because of acidity.do you have any fever associated?if you have any other symptom like vomiting,pain on putting pressure on that area,more pain on bending forward,let know.hope this helps. </s>

<s>[INST] my husband and I has been trying to get pregnant for three years he has a low sperm count that has been our issue. But this past month my period was light. I begin to have cramps a week to two weeks before my period they still have not left me its been 3 weeks. I'm having off again on again nausea constant back pain and mild cramps. I took a tes 2 weeks ago it was neg. Could i be pregnant? [/INST] Hello, 1. Jump to a healthy, balanced diet rich in vegetables and whole grains.2. Regular physical activity.3. Try to reduce stress.4. If you are overweight, losing excess weight, maintain your weight.5 Do not smoke.Sperm Count Low Home Remedies1. Garlic is the most effective remedies to increase sperm count. Garlic contains selenium, which can increase the sperm count, the most important part of one.2. The Onion: Onion is a very good heart and blood thinners. Improve blood circulation, blood flow to the genitals, and increase sperm count over time.3. Celery: Celery also serves as an excellent home remedy to use, to increase sperm count. Celery contains androsterone, increase sperm count and sperm health. Celery is also beneficial to sexual dysfunction.4. Eggs: Eggs are a good source of selenium and other important nutrients. The eggs are very effective in the treatment of various diseases such as erectile dysfunction, loss of libido; reduce the level of egg, and so on. Testosterone improves blood circulation, increase the intensity.5 Water is one of the most inexpensive home remedies to increase sperm count. Water to maintain moisture, and keep the circulation flow. Water to nourish sperm; increase sperm count and sperm health. Regards. </s>

<s>[INST] Hello Doctor,Thanks for taking time to answer the question I post here. After marriage I have severe stomach/abdominal pain where I cannot even move. i just bend downwards holding my stomach-- even breathing becomes very difficult. I have one advil pill and it eases the pain in 20 mins... is it normal? I have come across this situation twice. First time i got scared and went to ER. They took some tests and provided a report stating everything is normal. But am confused here.Can you please help? [/INST] Hi! Good evening. I am Dr Shareef answering your query. With your history of getting abdominal pain of such severity after marriage, I could think of either a resistant UTI (urinary tract infection) or a PID (pelvic inflammatory disease). If I were your doctor, I would advise you for a routine and microscopic test of urine followed by a culture and sensitivity test and treat it if positive. The PID could be diagnosed by a gynaecological examination and a vaginal swab culture and sensitivity test. Apart from this, a general abdominal examination along with an ultrasound of abdomen would be required to rule out any other intra abdominal pathology. Till then, I would advise you with an anti spasmodic along with a proton pump inhibitor drug for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. </s>

<s>[INST] Hello doctor, I require some information about sinus infection. 1. What are sinus infections, and what causes it? 2. Suggest some reasons why we are getting frequent sinus infections, and what should done? [/INST] Hello. 1. Sinus infections (sinusitis) are swelling or inflammation of the tissue lining the sinuses. 2. Causes include a virus, bacteria, fungus, allergies, polyps, tooth infections. 3. Blockage of the nose, especially if you are allergic or having nasal polyps makes you prone to have frequent sinusitis. Plus, congenital illness or weak immunity also puts at risk for sinus infections more often than healthy patients. Prevention consists of keeping nasal pathways clean, stay well hydrated, avoid dry air places. You can use air humidifiers to moisten the air. Eat healthily, get enough sleep, and exercise more. </s>

<s>[INST] I have had laryngititis twice in a space of about about 3 and a half weeks, it has just started developing again and leaves me almost conpletely voiceless. What could be causing it? And what can I do I fo to prevent it when I feel it coming on such as yesterday when my throat first started to hurt? YYYY@YYYY [/INST] Mostly these are viral infections. Try with warm salt water gargling and steam inhalation. Also build your immunity by consuming good nutritious food. </s>

<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> </s>

<s>[INST] Hi, I am wondering if someone has major edema in legs, feet and belly and diagnosed with end stage liver disease...is there any hope? Asking for a family member. She has just been prescribed two diuretics. Wondering what is in store for her, as well as us the family. Your information is greatly appreciated. Thank you. [/INST] Welcome at HCM i have gone through your query and being your physician I completely understand your health concerns... Life expectancy depends upon how bad the liver functions are. You need to to get her LFTs along with abdominal ultrasound scan to look for ascites . . Your doctor will calculate the overall score called child Pugh score ...it includes bilirubin levels along with serum albumin and PT, degree of ascites and encephalopathy.... Five year survival rate is calculated on this score which us 70% for child A( mild disease).. Meet hepatologist for proper work upRegardsDr saad sultan </s>

<s>[INST] Hello Doctor, I married before 7 years ago. We don't have chid. Before of two years my marriage, Me and my wife were doing sex. But from I did the sex first time to till date, I never fill frection/penetration due to my wife's vagina is very loose that I believe. My penis size is also normal (5 inch). My wife had a boyfriend before I met hir. I asked couple of time about that but she always told me she never been intercourse with anyone else. I tried many positions but never fill like that. whenever I did the sex always I fill like nothing. Please advice me. [/INST] Dear Sir,If you ejaculate each time that you have sexual intercourse with your wife, and I mean if you ejaculate inside her, and if you have sex in the right period during the menstrual cycle (meaning 2-3 days before and after her mid-menstrual period, counting the first day of the menstrual hemorrhage as the starting point of the cycle), and you are still not able to make her pregnant then I would suspect some female or male causes that prevent her from becoming pregnant. In this case I would advise both of you to see a specialist in order to determine the cause(s). In this is not the case the fact that the vagina is too loose and you dont feel much pleasure when having sex should not interfere with your ability as a cuople to conceive. You have to try for at least 12 months to achieve pregnancy by natural methods (sex) before thinking to go to a specialist.On the other hand, try to change the position while having sex with your wife because maybe this will help with the friction and the pleasure both of you should get from having sex with the one you love! </s>

<s>[INST] i took geodon (ziprasidon) medicine for 2 days, i had loss of memory, i am taking quitipine for past 5 years?doctor adviced this medicine for loss of weight,but after changing to geodon (ziprasidon) i had loss of memory, how to regain memory and get rid of this situation [/INST] Hi,Thanks for writingZiprasidone, in 2 days, is very unlikely to cause serious memory problems. For your complaint, I suggest you speak to your doctor in detail. Hope that helps,Dr A Rao </s>

<s>[INST] Hi doctor,I suffer from severe pain on the right side of my head from several years. The pain is especially in the area between the frontal lobe and parietal lobe, probably in the area of the motor strip and sensory strip. The pain is in the form of vibrations of low frequency. The painful vibrations extend through the part mentioned in the brain to the right side of tongue in the path of a straight line. The pain reduces as I press at temples, and I feel relief at the problematic area, and the pain starts again as I remove pressure from the temples. The pain starts if I work, think, listen, or write, and if I keep working during the pain, it increases and compels me to stop working. Loud sounds become unbearable during the pain. Simple relaxation or sleep relieves me from pain. It has become a major obstruction during my studies, and it makes me uncomfortable at times. I had my MRI checked, and it showed no problem. [/INST] Hi. For more information consult a neurologist online --> </s>

<s>[INST] I went to the dentist today, they said I have cavities, and am losing my jaw bone, then they gave me a paper to see an oral and maxillofacial surgery DDS, it says "Please evaluate lesions on post palate right and left side" and i cannot read the rest -- ???? Can anyone help tell me what i am sort-of in for??? thanks [/INST] thanks for your query, i have gone through your query, the infection secondary to decay of teeth might have resulted in osteomyelitis means infection of the bone resulting in destruction of bone. or it can be secondary to periapical cyst or any benign tumor of the jaw. you can take a radiograph of the jaw like OPG which can reveal the lesion. i hope my answer will help you. take care. </s>

<s>[INST] I have dry socket from a wisdom tooth extraction a week ago, the dentist put paste into it for pain, there is brown stuff in the socket, my dentist didn t tellme to remove anything.... should I remove what s in there? I have an appointment in a day and a half and its been a couple of days ? Is it cotton or part of the paste [/INST] dry socket is because after extraction the blood clot got dislodged from the socket. so ideally the dry socket should be curetted which means it should be cleaned & irrigated with medicine & obtundent dressing which is already given to you must be placed. the brown discharge or paste is the dressing. it will take around a week for the pain to subside. you should go for regular dressings, & maintain that area clean. food lodgement in the socket can again cause infection & give more trouble. use betadine mouthwash twice a day to help in healing. betadine should be diluted with equal amount of water, & after rinsing with it you should not intake water for atleast 20 mins. </s>

<s>[INST] my daughter, age 25, was diagnosed as having multiple linear stomach ulcers, but bacteria infection ruled out and not on NSAIDs. She was put on prilosec about 3 weeks ago, but still has stomach problems. tonight, she had extreme pain for aboutt an hour and temperature dropped to 95.1 degrees. She dfeels light headed. Should she get to a hospital? [/INST] Hi! Good evening. I am Dr Shareef answering your query.Yes, I would advise you to take her to the ER of your nearest hospital for a physical examination and any other related investigation like an ultrasound abdomen. This advice is because of the history of extreme pain in her abdomen.Thanks for choosing health care magic to clear doubts on your health problems. I wish her an early recovery. Dr Shareef. </s>

<s>[INST] Hi doctor, I have been experiencing dry lips and around my mouth which is itchy and gets red. I have used all sorts of lip balm but nothing seems to be working. I drink lots of water throughout the day as well. This is getting me really worried now. Can you help, please? [/INST] Hi. I have gone through your case. Immediately stop using all different types of lip balms and lipsticks. Apply 1 percent of Hydrocortisone ointment and apply two times a day for seven days. After that, apply only Petroleum jelly or Vaseline twice daily for the next seven days. Avoid spicy food. Maintain good oral hygiene. Avoid lip rubbing and if you are habitual of rubbing your tongue, then please avoid it as saliva also irritates the skin. Use only white-colored toothpaste. Cross-reactivity between different cosmetics. </s>

<s>[INST] My lower left abdomin is painful when I push on it. I have noticed that going number 2 has gone from being normal to almost nothing...my lower back feels stiff and hurts at times...it's only been 3 days but it doesn't seem right...should I be worried? [/INST] i. Yes you should be worried. Consult a Gastro. I would advise you to take an antibiotic and Metronidazole for full 5 days and see the results. This is called colitis = infection and inflammation of a large bowel. Take plenty of oral fluids </s>

<s>[INST] my 2and half year old daughter cries a lot while passsing stool .She is so scraed that she do not pass stool frequently. She pass about 4-5 days and no stool. When she feels pressure , she tries to hold it rather pass it out. Evry 4-5 day we have to do the enema. [/INST] Hello, First, there should be an evaluation of thyroid status. Secondly, increase the fluid intake of the child. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Varinder Joshi , General & Family Physician </s>

<s>[INST] hello, iv had stomach ache in upper stomach, lower stomach and a sort of stitch feeling in my side all day and night? i haven t been sick and iv had a poo, but not sure what this is... its really painful.. iv come on my period today aswel :|? xx [/INST] Hi welcome to healthcare magic During menstruation periods lower abdominal pains are common.. it is called as dysmenorrhea.. observe the pain, if it persist after the periods then you needed to be clinically examined and evaluated.. </s>

<s>[INST] I am being treated for tuberculosis. The diagnosis was made after a pericardial effusion over my heart and other related symptoms such as fever and lethargy. Eight months have passed and now i have a slight pain in the area under my left rib when i press it or i stretch my hands above my head. Other than that i do feel a bit of pain in my legs specially at joints. I fear a drug resistant TB as i have heard stories regarding this specially with the fact that i am a heavy smoker. [/INST] Thanks for your question on HCM.In my opinion you should consult pulmonologist and get done 1. Chest x ray 2. PFT (Pulmonary Function Test)Since you are smoker we need to rule out bronchitis first. So PFT is needed. Chest x ray is needed to rule out any infection like TB present or not.And quit smoking as soon as possible.Chances of MDR TB is very low in your case as you had extra pulmonary (pericardial) TB. MDR in extra pulmonary cases is very low. It is more seen in pulmonary TB patients. So no need to worry about MDR TB. </s>

<s>[INST] Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> </s>

<s>[INST] sir i have been diagnosed with grade 2 fatty liver and dyslipidimea,iam 27 yrs of age,my lipids were also also raised,but now after taking medicines and strict diet they are under control in 1 and a half months of time and i have reduce 8 kgs..any guidelines for me??how much time it will take for a fatty liver to be normal [/INST] hello welcome to HCM from the details u have given , u were having a clinical condition called as NON-ALCOHOLIC FATTY LIVER . it is most commonly seen in obese persons.. fatty liver is asymptomatic and doesnt create any problem for you, instead it is a warning signal for u ..to take acre of ur body ok..now u already had realised and started doing work outs..which is a good thing..ok fatty liver gradually subsides , when you start shedding your weight and end up with mild grade only, some times , it may remain like that with out causing any symptoms. so dont worry much about fatty liver now,,first take care of your weight and check your cholesterol levels ..try to keep them low. hope this will help u ..bye </s>

<s>[INST] Hello. I noticed on thursday evening one bump on the outer lip of the vagina and then on saturday morning i found some bumps underarms and more bumps on the vagina. neither bumps are red and ozzing anything at all. the bumps undersarms are a bit sore. [/INST] Hello,It seems to be fungal infection from your description . Apply Terbinafine hydrochloride ointment thrice daily to the lesion.Use loose clothing.Maintain hygiene.Take care. </s>

<s>[INST] Hi doctor, I am 27 years old. Four months ago, I had the PPP removal along with CO2. Now, for the last 30 days, I have been noticing some dark lines on my penis head. Is that something to worry? [/INST] Hello. Please attach a picture to ascertain if it is something to worry. Thank you. Revert back with a photo to a dermatologist online --> </s>

<s>[INST] helo doctor, i had a problem with skin from 12years approximately, i have been went to so many doctors, but no use, my skin allergy seems like a mosquito bite, later it turns sevear wound with in 3 to 4 days after it heals, at the time of healing i will get itching sensation, plz suggest me what shall i have to do. [/INST] HI, thanks for using healthcare magicThe reaction to insect bites can vary from one person to the next. In some cases, it can be severe.You would first need to consider reducing the bites by checking your environment for collections of water and using mosquito repellents as often as needed (reapply as often as allowed).If bitten, then apply a topical antihistamine to the area or take a oral antihistamine. This would reduce the inflammatory response and your desire to scratch the area.When you scratch, infection can occur.If infection occurs then use a topical antibiotic.I hope this helps </s>

<s>[INST] hi i m married age 28 i have three year old daughter and now then i had irregular periods now diagnosed with polistic ovaries right now i m having glucophage three times a day and gng to start diane 35 4 months course and after tht my gyno told me she is gng to give me medicines to concieve i m lil over weight and trying to loose weight will this help me to have child i m worried [/INST] Hi, thanks for using healthcare magic Polycystic ovarian syndrome is associated with infertility, irregular periods, polycystic ovaries, insulin resistance, high levels of testosterone. It is normally treated with metformin/glucophage and weight loss for most persons. If the person does not wish to conceive then an oral contraceptive pill which can normalise the period is used, if the woman wishes to conceive then additional medication to assist ovulation (release of a normal ovum or egg) can be used. You should continue with the glucophage and if possible consider losing any excess weight, a loss of 7 to 10 % will help. If this by itself is not successful in helping you concieve, additional therapies would be used I hope this helps </s>

<s>[INST] Hellow doctorMy baby is 3 months old n past few days she has been vomoting and loose motioning after every feedI took her to my pedtrcn he has given me medcation for loose motion and stop vomit that has actually worked but fot the loose motion it still doesnt stop [/INST] As you have said your baby has diarrhea and vomiting, first of all the number of episodes of loose motions is very very important factor in case of children that you have not mentioned. You can give him syrup nor-metrogyl or syrup O2 2.5 ml twice daily for diarrhea along with syrup vomikind or syrup ondansetron 2.5 ml twice daily for vomiting with some probiotic like sporolac sachet one at least twice daily. Last but not the least, don't stop to breast fed her continue it as many times as your baby wants. </s>

<s>[INST] I have numerous lumps in the epigastric area of my stomach, I have bloating and nausea. I also have this feeling that is in the center of my chest that feels like pressure into the back until I feel like I cant breathe. When this happens I feel uncomfortable sitting. I have not gained weight but have gained mass. I feel best if I don t eat but then feel starving. When I eat even a little or have a cup of tea it can start back up. Im 5 8 and now up to about 200 lbs. While I know I need to lose weight but would this all be from just being fat? and how do people stand it. I am at my wits end [/INST] HiThanks for your query.Based on your query, my opinion is1. The lumps on your abdomen in epigastric region are probably just subcutaneous fatty tissue being prominent or lipoma. 2. Your weight is on the higher side, which is causing this.3. Chest and abdominal discomfort is due to gastritis or GERD ( gastro esophageal reflux disorder) as the gastro esophageal reflux will be more in obese individuals causing chest pain/ discomfort.4. Do not lie down immediately after having food.Try to reduce weight as obesity is the cause of most of your problems and in the long term it can lead to hypertension/ diabetes/ cardiovascular diseases.5. Have a healthy lifestyle, make dietary changes. Hope this helpsRegards </s>

<s>[INST] my 8 month old developed what was diagnosed as impetigo on her bottom/after using fuciden cream it cleared apart from one spot which quickly became swollen and developed into a deep abcess after a few days.she was admitted to hospital and was unwell with a high fever.after 4 days they brought her in for surgery and drained the abcess. they took a swab and it tested positive for mrsa.they gave her antibiotics to combat this for 24 hrs. since surgery she has been well apart from a lot of wind .its nearly 3 weeks since surgery and the wind is no better.also today i have noticed a couple of the same impetigo like spots on her bottom again.should i be concerned.i ave made an app with my gp for tomorrow. [/INST] Hello,welcome to HCM,Impetigo is an acute highly contagious disease affecting superficial layers of the epidermis and it is caused by Staphylococcus aureus and Group A beta hemolytic streptococci.Treatment of impetigo involves1.Local wound care with chlorhexidine or sodium hypochlorite will prevent the transmission of impetigo.2.Topical antibiotics cream like T Bact Ointment.3.Oral antibiotics covering both Staphylococcus aureus and Group A beta hemolytic streptococci.Thank you. </s>

<s>[INST] In the past few weeks, I've been getting this feeling this weird feeling at the tip of my penis like pee or semen is going to come out. After i'm done peeing when i wiggle my penis the feeling is as if a semen is going to come out. I've checked and nothing comes out. I'm concerned about the fact that it keeps happening. Any ideas? Thanks! [/INST] Hello and thanks for your question.It's my first priority to help you.Well possible causes may include Balanitis,Urethritis.And you should hydrate yourself with plenty of fluids.Do cool water sitz bath with betadine solution for 10-15 minutes.You should wear loose fitted cotton clothes to prevent friction.Try OTC AZO pills and cranberry juice.You should avoid scented soaps for washing.If your symptoms'll persist then urinalysis should be done.Hope this helps. </s>

<s>[INST] I have been taking medication for bone tb[in left SI joint] ,its been a year now .My doctor has asked to stop the medicine by 15th Sep.Now from yesterday i am feeling little pain in left buttock .I am very much worried about this ,as i have to travel to Europe for business trip in Dec .kindly tell me i will be fine or is it something serious . My tb is not completely cured ? [/INST] Hello, As first-line management, you can take analgesics like paracetamol or aceclofenac for pain relief. if symptoms persist better to consult an orthopedician and plan for an MRI scan. 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 Doctor, My mother has undergone hemithyrodictny 1.6yr before and prior to that operation for breast cancer + RT + CT in the year of 2006. now she is having a burning sensation at the lower left stomach which comes occasionally and increases at night, she is also feeling a pain behind the right ear.. could you please suggest me regarding this [/INST] Hi.Thanks for your query and concern for your Mother.She has already undergone Hemithyroidectomy and Operation +RT + CT for Cancer of the breast.The causes of pain in the left lower abdomen can be due to Colitis, secondaries of the cancer in the abdomen.I would advise CT scan of the abdomen and Colonoscopy to find out the actual reasons so that further treatment can be planned ..The cause of the pain behind the right ear can be again a lymph node due to secondary of the cancer or a muscle spam .. Clinical examination and FNAC will help to get a right diagnosis. </s>