Datasets:

Dhahlan2000

/

medical-dataset-15k

like 1

<s>[INST] My son had a big boil on the chin. After it burst and fluid came out, over a period of time there is a small pit / dimple chin formed (a fine hole can be seen). Occassionally fluid from the same oozes out..esp after bath with hot water. What is the treatment for the same. We have done an x-ray of the chin and there is nothing found. Dr. has indicated sinus of the chin. can u help [/INST] Thank you for following up, I will advice local therapy, wash sinus with hydrogenium peroxide, around apply iodine and inside put antibiotic -1% chloramphenicol 2 times 5 days.In addition general antibiotic-amoksiclav or ofloxacin 5days in dosage according to age.Visilak 1 capsule 1 time for pofilaxis of disbacteriosis during antibiotic therapy 14 days.For increasing immunity zincovit 5ml 1 time 1 month and of cause give him natural antibiotics-garlic and onion every day. For increasing of phagocytosis add vitamin C 500 mg 1 time 10 days Recovery soonDr.Svetlana </s>

<s>[INST] Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> </s>

<s>[INST] daughter has high functioning asperer she has been treated by several doctor she suffers from severe depression and anxiety she was on Prozac for several years then starting cutting they took her off she refuses to leave her room my insurance cut her benefits I am at my wits end every year she get worse.she is 16 [/INST] Greetings !I am sorry to learn about your daughter's condition.Well if she has responded to prozac before and she had previously not developed resistance or increased tolerance against the drug then she should be again placed on prozac since this is a tried and tested drug with good results in the past.However if prozac had become ineffective due to prolonged usage then she needs to be placed on a new anti depressant drug such as escitalopram at dose of 5 mg / day to begin with and the dose to be raised to 10 mg / day after 2-3 weeks if the need arises.This drug escitalopram is a better ssri anti depressant as compared to prozac and is also faster acting and associated with relatively fewer side effects.So i have laid down two options in the form of re-introduction of prozac or use of new drug like escitalopram, either should be able to manage her depression and anxiety.I hope this helps.Regards </s>

<s>[INST] my blood pressure is rangeing from 150/90 to 136/86 my health issues are i have lupus. hoshimoto's thyroiditis, chronic aneima, and severe svts usually once a twice amonth heart rate ranging from 275 to 310 . should i be concerned that my blood pressure has gotten higher in the last couple of months and i don't take any meds. [/INST] What is your age? But anyway Heart rate is too high and take adequate cardiac care. </s>

<s>[INST] I m 29 weeks pregnant and have had itching at the top of my labia majora either side of my clitoris. I thought it may be from when I shaved that same area as it s been pretty much since then. But that was a good two months ago now. I looked tonight and saw that I had two small lines of open skin on that same area. It s uncomfortable and sometimes itchy. [/INST] Hi,It seems that these bumps might be due to razor bumps.Due to lack of proper local hygiene during pregnancy it might have precipitated.clean local part and apply triple action cream for few days.Maintain good local hygiene.Ok and take care. </s>

<s>[INST] Age - 7 years, weight - 17 kg , name - vansh (male) fever for past 11 days now , max upto 102 deg, TLC - 16700 & so DLC also not good. WIDAL OK, MP- negative. Pain in chest , sometimes seems like vomiting.Pls suggest medicine , doctor given OFLOMAC + Crocin but more fever after 2 doses of it. [/INST] Hello welcome to the health care magicaccording to history provided you are having higher leukocyte count and your WBC differential count also not within limit so kindly let me know your differential WBC count for giving comment on that.you can be prescribed antibiotic course and complete the course of prescribe antibiotics to you.I need to check your platelet count also and investigate with sgpt and sgot as well.after seeing report I can comment for the and let me know if I can guide you furtherhope this will help you </s>

<s>[INST] Sir,This is Sileman.Shaik from VIJAYAWADA, A.P,INDIA.I am suffering with male infertilty problem.5years before i gone for vericosil operation.But my problem not yet solve.and then go for testicular baiapsy.In report i am suffering of HYPOSPERMATOGENISIS WITH LEYDIG CELL HYPER PLASIA.Please give me the suggeston and treatment where i go near my town. Thanking you sir [/INST] Hi, Thanks for posting your query. I am telling you a bitter truth that there is no herbal or medical therapy that can increase sperm count. So go for another option like In-Vitro-Fertilization to get rid of this problem. Take care. </s>

<s>[INST] My son (2 years old) has fever of 104 that doesn t go down with Tylenol or ibuprofen , watery eye (left eye with a black circle around and itchy) also a strong headache that can t move his head fast because will hurt, sleeping a lot and not eating except popcorn and water. He s being on this condition for 31 hours now, he is completely down that don t even want to play his favorite games anymore. What can I do? [/INST] I suggested this condition as Acute sinusitis, on the basis of the following symptoms most common cause is infection, allergy or autoimmune problems, most cases are due to viral infection. treatment is symptomatic management .steam inhalation,paracetamol for pain and fever.gargle ( betadine / warm saline ) hand hygiene .antihistamine . </s>

<s>[INST] hi i had a tooth out and it would not clot and had to have it stitched. i was advised to go to my dr for blood tests - they foned today and said the coagulants were fine and i was to go back for some more blood tests - what else could they be looking for [/INST] Hello,if by coagulants you mean INR (or prothrombin time) or activated partial thromboplastin time then you should also check a complete blood count for platelet number disorders and blood clotting time. If both are normal its very unlikely that you have a blood problem. Regarding platelets, their number could be normal but functionality may be impaired but if the blood clotting time is normal, your wounds should be clotting on time!I hope I've helped.If you'd like to ask more, please let me know. I'll be glad to help.Kind Regards! </s>

<s>[INST] SIR my daughter 24 days old she is sneezing from the day of birth.we consulted childeran doctor on 12 th day he recommended t-minic drops and saline nasal spray,we used it for one week but no use again we contacted the doctor to day ,he said notting to worry . he saked to contuniue the above medicane addition he recommended betnesol oral drops.is this medicen safe to use please advice ble [/INST] Hi... this is a long acting steroid and should not be used without a proper indication. What you are saying is not at all a indication for using such a steroid medication.I suggest you not to use Betnesol drops in your young baby.Regards - Dr. Sumanth </s>

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

<s>[INST] Bank holiday Monday I got lots of itchy welts. They returned on the Tuesday and Wednesday nights in differing places. The same Tuesday my glands came up (painfully so) and after a few days I gained many flu symptoms one by one including a blocked nose and a (very) sore throat. I also began to be very gassy though my stomach did not hurt. I have slept very little at night and my appitite was gone by the Thursday. Sunday night I gagged while brushing my teeth, burped, dry heaved twice then threw up. Only bile came out. I noticed that I would release gas just after I drank and that my saliva would get thicker. Now it is always thick. I tried Beechams tablets and it barely touched it. Night Nurse worked for a few hours but I felt a lot worse when I woke up fully (3.40 am) - I had woken up many times in the night before it and managed to sleep again but after that point, getting back to sleep was very hard. It has been a week and a half since all this started and I an desperately seeking relief. Can you help me? [/INST] thanks for posting your query to HCM. As I understand you are suffering from some kind of alergic illness as all this symptom goes in favor of some expouser to allergen . along with this you have also got gastritis. you dont need to be worried as it can be releived by medication . I suggest you to take some antihistaminics tablet and NSAIDS group of tablets for releiving your flu like symptoms and some antacids and PPIs like pentoperazole to releive gastric illness. thanks and feel free to follow up . </s>

<s>[INST] How long does it take to recover from a severe chronic reaction to Gold. I am only allergic to Gold. I have wore it all my life. I had an allergy test done and Gold is all I was positive for. I know the reaction went on at least two years before I could get answers I have had reaction pretty much on all parts of my body. I am currently going through healing process I do know when the reaction of the salt grains come out it itchs and then burns like you are on fire. [/INST] hi sir/madam,Thanks for your question on Healthcare Magic.Treat your reaction by removing your earrings and washing the area with plenty of water to remove any remaining irritants. You can also apply an over-the-counter topical cortisone cream such as hydrocortisone cream. If your symptoms do not improve in five to seven days, you may need to speak with a doctor.hope this was helpful.have a healthy day. </s>

<s>[INST] My two year old just got her thumb stuck in the wheel of our pram. It has taken all the skin off down one side. It didn't bleed but a watery yellow tinged fluid has been coming out of it since about two minutes after it happened. She is freaked out & wont let me near it. Any advice? [/INST] Hi..it could just be a mild abrasion and the serum is oozing out. Pus canot form like this so fast. Wash it with clean water and soap and apply an anti-septic ointment as first -aid.If it is swelling or redness is increasing or has high fever or blackish discoloration of the finger and you approach the nearest medical center.Regards - Dr. Sumanth </s>

<s>[INST] i think i could be pregnant. the first day of my last period was march 19 2010. i havent had my period this month and i m having all symptoms of it except a positive test and severe pain. i ve taken tests online and they all say i may be. how can i really find out without getting a home test? [/INST] in delayed cycles sometimes urine test is delayed positive. to confirm it go for serum beta Hcg a blood test.if Hcg test negative then you are not pregnant.symptoms can be due to hormonal imbalance. </s>

<s>[INST] Hi doctor, I have a quite wide open bite. I am 24 years old and want to get them fixed with braces. The open bite is so big that I can thrust a pencil in my mouth with my teeth closed. I have attached a photo for your reference. Will it require surgery or can it be fixed with braces? How long will it take to fix them? [/INST] Hi. I have seen the picture you have attached (attachment removed to protect patient identity). For further information consult a dentist online --> </s>

<s>[INST] Hi, my name is Harish, age 35, I have problem in getting my penis skin back completely, actually I can bring over the overhead of penis but some of the skin attached at the end, could you please advise what to do to remove that attachment. I can send you photo if you required. [/INST] Hi welcome to the health care magic I don't need photo, I can understand your concern Your diagnosis : phimosis with tight FranulumIt might occured because of chronic non specific balanposthitis like inflammatory condition For mild phimosis topical steroid sometime prescribed but not helpful in severe phimosis.. The permanent treatment is by removing foreskin called as circumcision with release of tight frenulum... (it is minor surgery) Take care Hope your concern solved Consult general surgeon or urosurgeon for examination and get operated if needed ... </s>

<s>[INST] my daughter was at nursery and when she woke up she had a rash which then got worse. took her to doctors who said it might be fungal infection or allergy. we gave her the steroid cream and in the middle of the night she woke up crying covered in a red rash. gave her calpol and piriton. when she woke up it had completely disappeared. had no symptoms during the day but when she woke up this morning she had a few red welts around her bottom. what could this be? thanks [/INST] Dear parent,You have not mentioned age of the child.By your description it seems she has some allergic eruption. Keep in touch with the doctor. Some times it may take a few visits to come to a diagnosis. </s>

<s>[INST] i have been feeling for teh last month weakness but some time i feel better .I checked the CB Blood test that was ok and also chcked Liver function test which wa also ok but slighly high in Biluribin. my eyes now becomes reddish yellow some time specially at night and some tim i have lose motion like once in a week may be becuase of stress pls advise is there any serious issue [/INST] Hello!Thank you for the query.Slightly elevated bilirubin with no other symptoms can be caused by Gilberts syndrome. This issue is caused by some enzymes reduced activity. This condition does not need any treatment. However before such diagnose, some other reasons should be ruled out. Your symptoms may be caused by viral liver infection and gallstones.I suggest you to have checked conjugated and unconjugated bilirubin levels, viral liver tests and abdominal ultrasound.Diarrhea can be also a symptoms of chronic intestinal infection. Please have stool test and stool culture test done.Hope this will help.Regards. </s>

<s>[INST] Hello doctor, I am 23 years old and I have this problem for the last three years. My underarm is too dark and I cannot wear sleeveless tops. I am getting married soon and am really embarrassed because the sensitive area is also with dark skin and I really need an absolute solution. [/INST] Hello. I have noted your concern. Regards. For further queries consult a dermatologist online --> </s>

<s>[INST] Hi, My SGPT is 54 and SGOT is 45. It is in this state for a long time. Recently I got USG of whole abdomen and it says mild hepatomegaly with grade 1 fatty liver. my doctor advised udilive 300 and levosulpiride twice a day for two weeks. is it ok for me? does udiliv cures fattly liver? [/INST] Hi there,Thanks for posting in HCM.No, udiliv is just a supportive medication and does not cure fatty liver.Treating the underlying cause only will cure it.Obesity, diabetes, high cholesterol and alcohol intake are some of the causes of fatty liver. You can continue taking udiliv and also treat the underlying cause.Regards. </s>

<s>[INST] Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. [/INST] Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness. </s>

<s>[INST] hye doctor.. my husband 40 years old. v married for 1 year plus.. no baby.. do semen analysis shown my husband sperm count less but for me everytin ok.. my husband got diabetic just diagnosed few months after our marriage.. so doctor I can still be pregnant ar if my husband condition like tis... [/INST] hai, with wellcontrolled diabetes without any complication you can get pregnant.as your husband got diagnosed diabetes recently., so major complication will not be there.but with less sperm count it means less than 20 million/ml will not be able to make it.consult a infertility specialist for treatment and management for low count.thank youhope i answered your query </s>

<s>[INST] Thank You. I have been fighting planters fasciitus for years. I do all my exercises and have orthotics in my shoes made by a doctor, also I have had pain injections in my feet. No help. I m only 57 years old and my feet are always sore.. Please help??????? [/INST] HiPlantar fascitis is helped by contrast fomentation, alternate hot and cold water dipping of foot each for a minute for total 10 minutes.some physical therapist use ultrasonics massage to give relief.Orthotics, soft foam insole in footwear are used.If there's flat feet, then suitable medial raise sole footwear are advised by podiatristsApply voltage gel to soles after contrast bathBest wishes </s>

<s>[INST] My 5 year old daughter has been very lathargic-pretty much sleeping the whole time, not eating, has had a average temp of 99.4 and has not vommited since about 11 am yesterday. She was sick a week ago last week on Monday/Tuesday with fever and vomitting. She has been drinkng fluids the past day but not eating. What do you think it is and what should I do? Thanks! [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Parent you have not told if she's passing motions. If not then take her to a pediatrician, otherwise also the way you are describing her condition, it's better to visit a doctor rather than waiting at home. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] Respected doctor, my wife is suffering from joint pain for past some months. today we have taken a lab test. it shows RH FACTOR NEGATIVE,,URIC ACID 5.6 ASO ..POSITIVE could you please let me know what is ASO, does she need any surgery ? is it very harmful? expecting your valuable consult .thanking you sir [/INST] your tests suggest that she has seronegative arthritis.an aso titer in an adult does not have much value, it was not required to be done in the first place. </s>

<s>[INST] I had a CBC test done about one week ago as a routine before my yearly visit to my oncologist. It was marked that it was not necessary to fast so I did not. Copies of the results were sent to my GP, he sent me an order to get a fasting blood sugar test because my blood sugar was at 146. They did ask me if/what I had to eat and I said I had breakfast 45min to 1hr before I was having the test. Wouldn't 146 after eating be expected? Aged 51, 5'5", 115lbs; history of gestational diabetes 13 &18 years in the past. [/INST] Hi, dear. I have gone through your question. I can understand your concern. You have gone for random blood sugar. Its not high. But we can't accurately decide whether its normal or not because of variable timing and food. You should go for fasting blood sugar and 2 hr postprandial blood sugar for perfect result. Go for it. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>

<s>[INST] I am on Selexa 30 mg but asked my doctor if there was something that might help me focus ... have started a new job and feel anxious ... he prescribed Effexor but I do not want to switch if this will not make a significant difference. I have been through lots of loss lately ... [/INST] Hi and thanks for the query,It is important to note that people react or respond differently to different drugs, especially drugs acting on the nervous system. Switching could be justified in case Selexa remains ineffective even at a maximal dose. Kind regards </s>

<s>[INST] hello,,my husband last yer was confine then his diagnos is pleural effusion then he takes many mdicine for 1 month,,and last week there company conduct a annual examination like xray,,it suddenly my husband have residual fibrosis what does it means.it is treatable doc?please help my problem,,God bless [/INST] If it was pleural effusion then the medicines should have been properly for 6 months for tuberculosis. However if you aren't from India then the effusion can have many other causes. Second the residual fibrosis must be a pleural thickening that is often a result of the untreated pleural effusion. You cannot do much about that thickening unless if it is causing you some problem. Vote thanks if the answer helps you </s>

<s>[INST] My 23 year old son Fell down from Bicycle during Army training and he has been advised to take 20 days sick leave for treatment....... There is no fracture of bones... Muscle of outer side of thigh is having pain ... that muscle lost its stiffness. It became loose when comparing the other thigh’s muscle.. He can’t run now... can’t walk comfortably.. When consulted, the doctor prescribed.... EVION LC,.....PRYNERV-M.....AND LIBOTRYP Tabs for 10 days.. My son has limited period of sick leave and has to report to camp after 19 days... there is no considerable relief after taking 4 days medicine..... Due to the limited period of sick leave ,,, please advice whether we have to consult another doctor or to wait ... OR , is the present prescribed medicine will suffice for relief after 10 days... can he continue his training after 20 days ...????? [/INST] Even if leave is of limited period, body takes its own time. Use ice pack 5 times daily for 10 minutes every time. He will get more relief.It would be ideal to get MRi of knee to know what exactly has happened to knee. </s>

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

<s>[INST] Hi, Doctor my name is Vishal, i was bitten by a dog on 23/01/2011, after that i wash the wound bu bentodine and day (24/1/2011) i was taken rabipur first shot. after the second shot of rabipur i was suffering from very pain-full headache with in the one month. during the injection period i was drink alcohol this is safe or not, if not can i take another three shots of rabipur. [/INST] Hello to healthcare magic,You should know that alcohol interacts whit a lot of medications and substances. Up to now there are no known interactions between Rabipur and alcohol. However you should be very careful and cautious for any signs and symptoms! </s>

<s>[INST] My six year old daughter started to complain of intermittent periumbilical pain approx 3 weeks ago. She awoke abruptly in the middle of the night with severe abdominal pain and fever. Within a couple hours the pain was gone and the fever was gone later that day. Since then she has had intermittent periumbilical pain. Nothing seems to relieve or worsen the pain. She started in yesterday with pain again and diarrhea . She has had 4-5 episodes of diarrhea. No blood in stools . No nausea/ vomiting . She is running a low grade fever today, however she did just get over a viral URI approx 2 days ago...but hasn t ran a fever for two days. I m unsure if this could be appendix, intestinal issue, or what other etiology. Do you have any advice? Thanks! [/INST] Hi Rachy, Thanks for writing your query. After reading your post, it seems that your daughter is having some infection in intestine leading to pain in abdomen, fever and diarrhoea. You can send her stool for examination. She should be treated with antispasmodic like dicycloverine , antacid like omeprazole, probiotic and antibiotic according to the report of the stool investigation. Paracetamol can be given for fever. She should be given any medicines after getting her medically examined by her Paeditrician. Give her light diet with less spice and oil for few days until her stool is normal. Her pain doesnot seems to be due to appendix as the appendicitis pain is more towards right side of umblicus. I hope this is helpful to you. Thanks. </s>

<s>[INST] Hello doctor... I am a 44 yr old, female. I have developed a boil on my upper lip left hand side. I have a itching and reddishness around it... Didnt consult any doctor as of now.. It has popped out a yr back and it has caused scare on my skin, I fear the same now.... Kindly advice me with remedy. thank you [/INST] HelloThank You for contacting HCM.Do not try to scratch it because in that case it will leave scar. I would suggest you following things:> Apply polyfax plus ointment over it thrice a day.> Do not touch it with dirty hands.> Wash hands before and after applying medicine.> take cetirizine one at night for itchHope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health. </s>

<s>[INST] Well i am on the phone with my cousin right now. she just drove herself to the doctors this morning because she said her heart was pounding very fast, and she had a tingling feeling down her arm and saw pulsating vein in her left palm. dr. said her pressure was 180 over 104 [/INST] DEAR USER,THANKS FOR CONSULTING WITH HCMI UNDERSTAND YOUR CONCERNYOUR COUSIN BP IS VERY HIGH AND SUCH HIGH BP CAN CAUSE SYMPTOMS OF PALPITATION AND POUNDING VESSELSI ADVISE YOU TO URGENTLY CONSULT THE ER AND GET HER BLOOD PRESSURE CONTROLLED AFTER WHICH THE CONSULTING PHYSICIAN CAN EVALUATE HER TO FIND THE CAUSE OF HER DISEASEHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS </s>

<s>[INST] hello, i got a gastroscopy today and the doc had problems puting the ansthitc nedel in my arm and after few times he put it somewhere to find out it was in pain and after telling him he moved it to the hand .now about 10h later i still have some pain and kinda swallen in the shot area especially when i move it . so should i do something about and how bad is this thing thank you [/INST] Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Your pain might be because of extravasation of the fluid during placement of catheter outside the vein. Swelling is also due to accumulation of that extravasation fluid.Tratment is ice fomentation, strict limb elevation. Tab diclofenac 50 mg twice a day is for pain relief. Tab chymoral forte twice a day is for reduction of swelling. It has to be taken before meals. This will resolve in few days.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jayesh Vaza </s>

<s>[INST] Just over a month ago I had a seizure and in the fall I bumped my head and back, I am still suffering from bad back pain but I m more interested about my head, it feels like I have a small dent which is tender to touch, I am also suffering from dizzy spells, is a fracture a possibility or would that cause more severe symptoms? [/INST] hello dear, I can help if you give more details... were you treated/ scanned? anyway it could be a fracture and even mild brain trauma. you need urgent medical evaluation , if not done already. pl. see a nerulogist or neurosurgeon or atleast your physician soon ... keep me posted on the progress and good luck.... </s>

<s>[INST] Hello doctor, I think one of my wisdom teeth is growing in, and lately, it has been causing a lot of pain. I also notice that part of my gums have been growing over the tooth, and the tooth now is almost completely covered. What can I do for the pain, and should I visit a dentist? [/INST] Hello. I understand your concern. The situation you are in is very likely to be pericoronitis, a soft tissue inflammation of the tissues surrounding an erupting wisdom tooth. You should see the dentist at the earliest as the situation may or may not resolve on its own due to numerous variety of size, shape, and eruption pathway of the wisdom tooth. It may also involve occasional cheek bites and ulcerations. You may use topical anesthetic gel and painkillers until you see the doctor. </s>

<s>[INST] hi my name is meron i orginally from ethiopia but now i live in china before i came to china i used to have alargi problem i dont know wat type but once or twice a year by body will start to each it will start like mosqito bite then when i start scraching i couldnt stop it will live a mark it lastes maybe for one week but since i came to china it started againe and first i thought it will live but it s been 4 month and it is come and go.pls doctures tell me what my problem is [/INST] Hi, Meron. Thanks for query. it seems that you are having some allergy. try to identify the allergen and then avoid that allergen. Take some antihistamine like Cetrizine for allergy and itching. Apply Zinc calamine lotion or some moisturizing lotion. Use cotton wears. Ok and bye. </s>

<s>[INST] Hi, im 15 and suffered a mild testical injury jumping to a pool, it was painful for abit but subside in a few minutes, the next day at night, i masterbated and i began to feel an odd ache in my right testical, the next morning it was pretty painful and ended up going to the ER, said it wasnt anything major, then I went to 3 more doctors and all of them said it was just an inflammation of the testicals, over the next few weeks it slowly went away, now 3 months past and it's come back, but on my left testicle, i have minor pain but its annoying, and i experience pain when i hold in urine for a period of time and the testicle is tender and painful when i touch it, i dont know whats wrong [/INST] Thanks for asking in healthcaremagic forum Inflammation and pain due to injury might have caused you problem at first. But now inflammation and pain without injury may be due to infection (epidymo orchitis). So, please visit surgeon for examination and further management. All the best. </s>

<s>[INST] Hello doctor, I have pain in right knee and recently went through a periodic medical examination. In the report, I found the following advice. Reduce body weight, low-calorie high fiber diet. Avoid Squatting, tablet Thyronorm 75 mg one tablet before breakfast. Recheck lipids, TSH after 12 weeks. Consult orthopedic surgeon. Is there any issue with my health? [/INST] Hello. Your report does not show your laboratory test (attachment removed to protect patient identity). What we have in the abdominal ultrasound is that you have fatty liver. This is a common problem in patients with metabolic syndrome (overweight, high triglycerides, and low HDL, high blood pressure). This is why you are suggested to reduce body weight and have a low-calorie diet. The Thyronorm is prescribed whenever your thyroid hormones are low (this is called hypothyroidism and it a very common disease). I guess (since I do not know your laboratory results) this is what resulted from your tests. Also, when your thyroid hormones are low you usually gain weight, are constipated, and your triglycerides and cholesterol get higher than usual. You need to take the medication 75 mcg, at least 30 to 40 min before breakfast (in order to be absorbed well by your body), every day and recheck your blood thyroid hormones in 6 to 8 weeks (12 weeks is more than recommended in medical articles). Your weight control usually helps knee problems. Acetaminophen 500 mg every 8 or 12 hours can help with the pain and the swelling. If this persists for more than a week you do need to see an orthopedic surgeon in order to search for the cause. </s>

<s>[INST] sir i am suffering from allergic cought, symptoms are at night fell uncomfortable in brathing, heavy chest, no cough, when i am at GYM then i also feel that my chest become heavy and difficult to breath, when i drink cold water or cold fluidy items chest become conjestion , but at night a sound from chest when i breath, and difficult to breathing, this symptoms from previous 3 to 4 years , please tell me some vaccine that my chest become clean and healty , with regard, Ravi Kant [/INST] I think you have asthma ravi. Kindly get a spirometry done with a recent Chest Xray and see a chest physician.You may need an inhaler to feel normal and that will certainly be based on your testsTill then you can start syrup Grilinctus BM 2tsf 3 times daily </s>

<s>[INST] My daughter is 7 month old and she has runny nose sneezing and lots of mucus drainage but no fever. Our 5 year old daughter had all these symptoms but with a cough. Now my 7 month old daughter and I are sick but what can I do to make my little girl feel better. She isn't drinking her formula either [/INST] Hi dear,I understand your concern,running nose is sign of usual viral infection. Use Nasoclear and Paediatric nasal drop 2 drops 2 -3 times especially before breastfeeding that she can eat. For elder daughter you can give same and Kuka syrup 5 ml twice for 5 days,Sualin 4 times, Zincovit 1 teaspoon daily for 1 month for boosting immunity.Hope it helps </s>

<s>[INST] Hello doctor, I was slapped on my face today. It has been three hours now but there has been no dizziness, severe pain or fluid flow. I played soccer on the beach and drove scooter over 10 km in between without any issues. All I feel now is a slight pain in my ear when I put my small finger inside the ear. I wish to know whether there will be any future trouble if no major symptoms prevail during the first few hours? Also, I am considering scuba diving (beginners session) tomorrow. Can I take the classes? [/INST] Hello. You seem to be asymptomatic. Pain while putting finger can be due to mild edema of the external ear canal due to injury. Since you do not have any symptoms suggestive of middle ear involvement, I do not think you will have any problem in the future. But to be on the safer side you please take anti-inflammatory enzymes like Trypsin and Chymotrypsin for three days which will reduce any inflammation present. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Regarding scuba diving, I would advise you to avoid for a week or go ahead only after ear examination. By any chance, if you have injured your eardrum then diving will increase the chances of infection. For more information consult an ENT Otolaryngologist online --> </s>

<s>[INST] I have had constant, dull lower left quadrant pain for almost 4 months now. I recently had a blood test that showed an elevated IgE of 2617 with the normal range being <114. I also have had tingling in my hands and feet for over a month now. Any ideas? [/INST] Hello and thanks for writing.I can understand your concern and would try to help you in the best possible way.The elevated IgE levels mean that you are allergic to some thing however it cannot tell you what you are allergic to. For that a skin test or allergen specific IgE test has to be done. Your abdominal pain and tingling in hands or feet may be related or even be two separate entities. A complete history and physical examination would be required for getting to a diagnosis. Some relevant examination like CBC, stool examination, USG or even scopy may be required to get to a diagnosis.I suggest you consult a physician who would help you with a diagnostic workup and appropriate management plan. </s>

<s>[INST] I have a blocked nose for the last 2 weeks and noticed that my chest is also tight.I use a Astma pump to relieve the chest tightness.Can the cheat tightness be linked to my blocked nose?I walk up a flight of stairs and am short of breath afterwards for around 30 seconds [/INST] Hello, As you explain the history you should use the inhaler during efforts such as yours. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist </s>

<s>[INST] Hi i just rescued my daughter from shooting up a pain killer called Proxicodone like synthetic heroin - i got her into a safe rehab but am experiencing pain down my left arm. The day after her safety my blood pressure ran 180/110. I remained high for a few hours then i got it down to 120/80 yet the pain down my left arm has not let up - should i have this checked out or is it normal to feel this after such a shock i am 58 years old and 105lbs. Please advise [/INST] Hi,You have had a big shock and stress.The pain and high blood pressure are consequences of it.Your blood pressure is already normalized and pain should disappear gradually. Take Ibuprofen twice daily for couple of days, if it doesn't help at all or you continue to have pain after some days, then see a doctor.Take careCome back if you have any further questions </s>

<s>[INST] Hi, may I answer your health queries right now ? Please type your query here...HI I AM UMAR FAROOQ ONE MONTH BEFORE I FEEL PAIN IN MY BOTH ARM AND BURNING IN MID OF CHEST I ADMIT IN HOSPITAL DOCTORS TOOK THE BLOOD TEST AND TOLED ME YOUR INSIME IS HIGH SO THEY ADMIT ME FOR TREE DAY AND ADVISE ME FOR ECHO TEST AND ENGIOGRAPHY SO ECHO TEST RESULT IS 57% AND FIND TWO CORNARY BLOCK DURING ENGIO.NOW THEAY ASK ME THEY WILL PUT STENT I WANT TO KNOW WHAT IS RELIABLITY OF STENT AND CAN WE KNOW THE BLOKAGE WITH ECG RESULT THANK [/INST] Hi There I understand your concern for your health and I would like to tell you about your queries one by one1. The reliability of the STENTS depends on how well you take your medicines after stenting, how well you take the advised precautions, no smoking ( if you do ), adapting healthy lifestyle habits life daily morning walks, no junk or fried food, healthy diet, weight control and how your body respond to stent.2. ECG only gives a clue about blockage, accurate assessment is done by Angiography only.I wish you Good health </s>

<s>[INST] What do you do when your depressed & can't stop thinking about death? [/INST] start on antidepressant like nexito 10 mg. it will show improvement in 10-20 days. and undergo counselling... </s>

<s>[INST] I am 28 yrs old, married since 5 yrs. Recently me and my hubby planned to have baby. My first day of periods was on the 26th Jan 2010. We had sex on 9th - 14th every day. Now i have tenderness in the breast, heartburn, dizziness, tiredness, sudden sweating, a chill feeling, i feel like just sitting down, today i had loose motion, at times i feel nusea, no sleep in the night, lost apetite. Am i pregnant? Today is the 25 day of the cycle and i have a 28 day cycle. Can you suggest me the best date when i can take a pregnancy test, if you think i could be pregnancy. [/INST] Hallow Dear,Since your menstrual cycle is of 28 days, you had menses on 26th January, the period between 9th and 14th February is a highly fertile period for you. The egg release (ovulation) happens 14 days prior to next expected period. The egg has life of 24 hours while the sperms are active for 72 hours. Hence your intercourse falls in the fertile period. It gives a good possibility of pregnancy. However, the first cardinal symptom of the pregnancy is missed period. You are yet to miss your period. All other cardinal symptoms; i.e. nausea & vomiting, frequent urination and breast symptoms like engorgement with tenderness, dark discolouration of nipples & areola with areolar widening, Montgomery's tubercles under areola and secretions from the nipples appear about 10-15 days after missed period. Home pregnancy test on urine should be performed on overnight first morning urine sample 8 days after missed period. Earlier, these tests may give false negative tests. You are yet to miss your period. So HPT done at this time may by misguiding. Wait for your period. If you miss the period, then perform this test after a week. Alternatively, you may opt for Beta hCG test. These are very sensitive and specific tests and give reliable results even few days before missing a period. I wish you all the best luck for your motherhood. Dr. Nishikant Shrotri </s>

<s>[INST] Hi doctor, I am a 52 year old male. I have a lump just on top of my soft palate next to uvula. The lump was pink or red, medium and painless without bleeding. Three weeks ago, I found it, and I did not notice anything before. There is no such history in my family. I visited my GP, and he referred me to an oral surgeon. Is the lump, a dangerous one? What would you recommend for it to subside? I have uploaded my lump photos. It is not painful even if I touch the lump with my tongue. After doing warm salt water gargle, the lump reduced a bit. I am not a smoker. I am a known diabetic and hypertensive. I do not have a cough or throat problem now or before. [/INST] Hi. Based on your query and attached images (attachment removed to protect patient identity), my opinion is as follows: Excision biopsy of the lesion. Squamous papilloma. Revert with the results to a geriatrician online.---> </s>

<s>[INST] The soles of my feet (heels & toes) & palms, mostly my feet, itch terribly especially at night. I ve noticed red spots on my feet & hands then recently on my arms, legs, back & stomach. Ive taken bendrhyll with little relief. I m on a 40 dosage of prednisone for the last 6 days, but the itchy episodes still come several times daily. Cortisone creams are no relief & I m waiting for lab blood work related to allergies. I don t know what to avoid! This is driving me insane! [/INST] I THINK IT TO BE FUNGAL NOT ALLERGY AND CORTISONE TRIGGERS ITCAN TAKE ANTIFUNGAL FLUCONAZOLE 150 MG ONCE A WEEK FOR 4-6 WEEKTAKE ANTIALLERGIC EBASTINE 10 MG BDTAB CPM NIGHTADD ANTACID GEL TDSAPPLY ANTIFUNGAL OINTMENT CREAMS AND POWDERS ON AFFECTED PARTSKEEP DRY AND SWEAT FREEANTIALLERGIC TO BE TAKEN FOR 3 WKAND OTHERS CAN CONTINUE FOR 4-6 WK AS IT IS TOUGH TO REMOVE FUNGUS EASILY FROM BODY </s>

<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> </s>

<s>[INST] i had a CBD stricture. My bilirubin levels went up and I had obstructive jaundice. Initially with MRCP procedure doctors said I had a stone in my bile duct. They performed ERCP to remove the stone but after procedure doctors said they could not find any stone. They put a plastic stent in my bile duct. I researched the net and found that CBD stricture can be caused by an injuey, a previous surgery, or pancreatic cancer. I did not have the previous two. When I asked the doctors about the pancreatic cancer, they said they did a test for that and it would have shown up on the MRCP reports. Anyway, any idea why the CBD stricture might have been caused? I am overweight (115 kg, 27 yrs, Male). When I was admitted to the hospital, i weighed 95 kgs. I also used to drink and smoke. [/INST] Hi there,Thanks for posting in HCM.Biliary stricture can be benign ( meaning not cancerous) or malignant ( due to cancer).The benign causes include stones, injury and previous surgery.Malignant causes include cancer of the bile duct or the head of the pancreas.If you can post the MRCP report I can tell you the probable cause.Regards. </s>

<s>[INST] I have what i thought was a broken blood vessel on my stomach and turned out to be like a red blood mole and i scratched it and it was bleeding for like 2 hours last night and it stops when i tape gauze to it. I was just wondering if i should just keep doing that tell it heals or go see a Dr [/INST] HiThanks for your queryBased on your query, my opinion is1. Bleeding on skin should normally stop within three minutes. If it persists it indicates some bleeding problems maybe decreased platelet counts/ defective platelets/ vascular disorders.2. In your case it persisted for two hours which is abnormal. So you need to consult a doctor to evaluate the cause of bleed and appropriate course of action.3. You are not sure if its a mole or just a tear. So its important to know the type of lesion. That will help the lesion to heal faster as a mole can be excised so that you would not have this problem again.4. If its any other lesion, this would be confirmed with biopsy.Hope this helps.Regards </s>

<s>[INST] Pain in lower right pelvis, in lower lumber and no appetite. My left lower leg and left foot extremely swollen and feel wet but are not wet. My heart feels like butterflies from time to time and sometimes my words come out wrong; Like the first syllable of one word in a sentence being in front of another word and vice versa or not being able the articulate a word I want to say. (I have been on 10emq Potassium, 20mc Furosemide, and 75mcg Levothyroxine for the last four months. My TSH was 42 four months ago when I began Hypothyroidism treatment and a starting weight of 455lbs. now 437.6lbs. 35 year old Female 5ft 6in tall) [/INST] Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, you need to rule out any infection and secondary deep vein thrombosis, consult your GP for examination and required investigations, and then only proper treatment be initiated.I hope that answers your query. If your want any more clarification, contact me back.Dr Narender Saini </s>

<s>[INST] Good Morning: I had a tick that was attached to my side. My husband removed it. It is now red and itchy. This has been a week. I have an extremely swollen gland in my groin area and am extremely tired. I am a type 2 diabetic but my last a1c was 5.6. I am not overweight. Any ideas? Thanks. [/INST] Hello there,I understand your concern about the swelling and pain. That gland is probably because of the tick bite. You need to be examined to make sure that there is no other reason or problem in the groin leading to the lymph node swelling. Your A1c is in good control. If I were to treat you I would give you a course of Doxycycline antibiotics to cure the infection and swelling in the gland. But you need a proper examination before the medicine can be prescribed. So please visit your physician who can do the same. Till then try to take paracetamol for the pain and do some cold compresses to the swollen area if there is no pus formation so that can relieve the pain. If there is pus then there is need for drainage of pus by the physician.Hope this helps.Take care. </s>

<s>[INST] hii.. i turned 16 in dis september... n i had sex wid my lover yesterday around 11.30 am. he s not sure if during d tym of sperm release his penis was completely out of my vagina ..n v r afraid if any sperm myt hv stil entered in me. amean v r nt sure if v had protected sex. please guide if i shud take an i- pill for safety [/INST] Hi,When was your last menstrual period? Are your menstrual cycles regular?If you have regular cycles the first week and the last week of your menstrual cycle are safe. If you have had unprotected sex during this period it does not result in pregnancy. So there is no need to take I PILL.Please note that the fluid released before ejaculation also contains sperms and can cause pregnancy. You are not sure whether the penis was completely out of vagina. So there is a definite possibility of pregnancy if you have had sex on days other than safe period. In this case you should take I PILL. The earlier after sex you take the emergency contraception more effective it is ( 95% effective if taken within 24 hours).There is a small possibility of method failure. So if your period is delayed for more than a week get a pregnancy test done. I hope I have answered to your satisfaction. </s>

<s>[INST] Hi doc,This query is concerned with my brother.He has done btech and after that 3yrs of job with an mnc. Age 28 now.Problem is since past 1-2 yrs he has got some spiritual inclination and now is kind of drawing himself back from family affairs and wants to become a monk but only after permission frm my mothr.He has left his job n right now living with us. Behavior is normal except for he sleeps late in night n so rises also very late. Tries to stay secluded. Does meditation etc but never in a disciplined way. One night few days back he took a bath at 2am. He is emotionally detached with every one or atleast tries to be.We want him to meet you but before tht wanted to confirm if u see any psychological abnormality in this case.Would appreciate ur immediate response and some contact details.Thanks,Deepika [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. The behavior pattern is little worrying. Normally every people should show some inclination towards spirituality at the beginning of adulthood. Your brother's behavior in that context is normal. But the activities are a bit abnormal. We can say morbid faith disorder. Not fully. Engaging him and taking him to another place for some one month or so should help change the attitude. Also take him to a place where troubled and challenged people live. He might need psychotherapy. Change in lifestyle. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition.Hope this answers your query. Available for further clarifications.Good luck. </s>

<s>[INST] Hi doctor, My wife is suffering from Aspergillus otomycosis. She has had tympanoplasty surgery. She then had a surgical ear cleaning, removing the infected skin in her middle ear. This initially worked to remove the fungus, but now her ear seems to be infected again. I am not sure if it is a fungus, but her ear seems to be infected again. She has taken Clotrimazole, and she is currently taking an alcohol or borax solution. [/INST] Hello. In one of the pictures (attachment removed to protect patient identity) sporangia seem to be there, but in the rest of the pictures, it is just wax. However, it is not likely to require debridement. It should go with the medications she is using. </s>

<s>[INST] Hello, last night my boyfriend and i had sex and as soon as we were done i experienced extreme cramping in my abomnial area to the point where i couldnt even move, i also felt like vomiting. my stomach felt as if it was swollen/bloated. this didnt go away till about 20 mins after. this has never happened before. [/INST] Hi ! Good morning. i am Dr Shareef answering your query. If you are active sexually all these days, I would like to advise you for a routine urine test and a culture sensitivity test if need be to rule out a UTI. Apart from this, you might have to go for a serum HCG estimation followed by an ultrasound abdomen to rule out an unsuspected pregnancy, even though you might be observing some contraceptive precautions. Last but not the least, it might be simply a spontaneous involuntary strong contraction of the uterus post coitus without any precipitating causes.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] My 5 year old daughter has a history of UTI s...Sunday she had fever 103, wetting accident overnight and next day. I would swear she had another UTI. Urinalysis showed trace white cells in urine, but no bacteria. IV Rocephin and fluids were given due to her clinical representation at ER on Monday...but since the urinalysis didn t look that bad , they didn t send her home with anything. Also her blood came back and her WBC was within normal limits. So Dr. said it was a virus. Her fever subsided Tuesday evening...gone all day yesterday and now today her fever is on the climb again at 101.8. Is it possible it was too early for the labs to detect? Her system has alway been very reactive. I just want to know if I should have her examined again. [/INST] As urine culture is negative, few white cells are present in urine and blood report is within normal limits, possibility of another UTI seems unlikely.Give paracetamol or ibuprofen for fever. Continue antibiotics as prescribed by your doctor. Viral fever usually resolves within 3-5 days. If no relief then consult doctor once again. </s>

<s>[INST] Hi,My mind always gives me thoughts all the time even when I am doing some work, talking with somebody or watching TV. Sometimes, it seems that it is trying to impose its thoughts over me. It is now getting very disturbing, I am not able to bear it. My mind is giving me thoughts which I do not want to think. If I try to control it it becomes aggressive. I am not able to understand what to do. [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. This is simply called obsession. You had that disturbing experience once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it and close your eyes. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. </s>

<s>[INST] I had a ct scan and they said that I have a small spot that is thin on my aorta it is in the abdominal area and they were doing a ct scan of my chest. they want to do another ct of my abdoman to zero in on the spot is this something that sounds like I should consider doing. [/INST] Hi ! I had gone through your question and I understand your concern.The conditions when we find thin spot in abdominal aorta we call it Abdominal Aortic Aneurysm. Depending of the size of the spot you may have symptoms or no .When you start to have abdominal or back pain ,it shows that the spot is getting bigger or a rupture.A CT is used to measure the size and the anatomy of the spot .The spot that are more than 5 -6 in diameter must be repaired less than that we keep monitoring .The thing that you should do is to quit smoking if you do.Check you blood pressure, it's important to keep it low .Less than 140/90 Check your cholesterol level , take statins (atorvastatin) if it's high . Wish you good health.Thank you for using HCM . </s>

<s>[INST] I am 26 years old, I am experiencing upper left quadrant pain that puretrudes into my back it is a constant sharp pain. I have difficulty emptying my bladder completely. Ill empty then about 5-10 min later i have to go again, The pain began about 24 hours ago and still wont go away, I have tried tylonel and the heating pad, i don't eat spicy or greasy foods, i tend to eat very small meals, or twice a day atleast. This pain is so uncomfortable! [/INST] Hi,From history it seems that there might be having urinary tract infection giving this problem.Youmight require one course of antibiotic like Ofloxacilin for 5-7 days.Take antispasmodic like Meftal spas or Cyclopam for pain.Take plenty of water.Ok and take care. </s>

<s>[INST] hi doctor,i done a sperm analysis test and found that my sperm count is 20million and the sperm motality is 15%.and the doctor told me that a varicosele is found in my testis...is the varicosele the factor for my sperm motality and sperm count?if i have do a surgery for removing varicosele,then there is any chance to improve my fertility? [/INST] Hi, The varicocele can affect sperm count and motility. So it's better to get operated for varicocele. It will help in regaining fertility. Meanwhile Hormonal profile can be checked and Hey Forte like tablet can be prescribed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician </s>

<s>[INST] my daughter have been having some difficult breathing.....last time, when she was in school, she told me she had trouble breathing and her stomach started to hurt...she doesn't have asthma...and she also said that she was pale and she started to sweat a lot...she felt like she was about to faint. She had breakfast and lunch. She is eating and drinking properly. But we are kind of scared that there might be something wrong with her. Something like this happen before...when she was around 13, when she came out of the shower, she had some trouble breathing too. So please give me answer... [/INST] Thanks for your question on Healthcare Magic.I can understand your concern.Since asthma has been already ruled out, she should be evaluated for valvular heart diseases (VHD). VHDs are commonly seen with children. Recurrent unexplained breathing difficulty, fainting, paleness, sweating etc are commonly seen with VHDs. So better to take her to cardiologist and get done ecg, 2d echo and stress test (trade mill test). She may need surgical correction if VHD has been detected. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks. </s>

<s>[INST] Hi there, my 9 yr old daughter had trouble getting her breath last night eventually I put her to bed and as she relaxed she came right. Tonight the same thing happened. She is not asthmatic and there is no wheezing associated with what happens. She does become a bit anxious as well. Any suggestions Regards Debbie [/INST] Hi...Thank you for consulting in Health Care magic. This seems to be a voluntary hyperventilation due to anxiety.The symptoms you quote might fit into wheezing, but the thing is it won’t subside by itself like that in few minutes time. Keeping in mind the age and gender of the kid, I feel you should consider hyperventilation and other conversion reaction like symptoms. But I reiterate the fact that this is a diagnosis of exclusion after ruling out all other physical diagnoses.I am considering this diagnosis as the symptoms you quote do not fit perfectly into any known clinical syndrome. I suggest you see your paediatrician.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., </s>

<s>[INST] I a,m taking my second round of Fluconazole 150mg. I was on heavy antibiotics, 3 shots of Gentamicin and was left with a severe yeast infection.My Dr. sent me 3 more pills to day, to take daily for 3 days, would I be better to wait a few days between? In the past I took one a week. [/INST] Hi i do care for your concern. Yes the anti fungal tablet can be taken as once a day for three days, you have not mentioned about the yeast infection and i do guess it might be less severe so that your doctor prescribed three day course. Sure it will help you to get rid of yeast infection. You have not mentioned your age and also the reason for which the antibiotics were given. If the yeast infection is recurrent it is advisable to get a blood examination done along with blood glucose levels. Hope everything gets well soon. Hope i have answered your question, if you have more feel free to ask. Thank you. </s>

<s>[INST] hi... i had a hole in my tooth for a while but only today i bite down hard on sum lunch an got this devastating shock of my life i when to the pharmacy and they gave me some pain killers i took one, waited a while then tried eating again and there it was AGAIN..!! this agonizing pain, can u tell me what to do & why is it, im so hungry but scared to eat. Thank you. [/INST] Hello, Thanks for posting your query. This pain came from a cavity that had virtually reached the root. you have to visit dentist for root canal treatment if there is no other cause i.e. fracture. Till then you can apply tea tree oil and a clean medicine dropper. With care, put 3-4 drops of the oil onto the affected tooth/teeth and leave it for at least 30 minutes. Tea tree oil has very good healing and antibacterial properties which would help alleviate the pain and kill the bacteria. You only need about 6-8 tablespoons of salt and about a cup of water. Just wait for the salt to completely dissolve before you gargle the solution for about 1-2 minutes. Repeating the process a few times may be necessary to make the pain subside significantly. Regards. </s>

<s>[INST] Hi doctor, I am quite worried about the bumps on the back of my throat. I am quite sensitive to dust and get sinusitis along with blocked nose and stuffed head often. Around three to four weeks back, I had small red bumps on the roof of my mouth. When I consulted with a doctor, they suggested Augmentin 65 for a week as I was having some viral or bacterial infection in my throat as well. After a week, I was feeling fine. Again since last two weeks, I have thick phlegm like in my nostrils and very much dry. The dry mucus was hard and yellow in color. On cleaning, it was painful and discomfort in swallowing, but these bumps are making me panic, I have had few tonsil stones come out of my tonsils also, which on seeing a spot I cleaned using a cotton bud. I am very much worried about my recurrent throat infections as well as these bumps as shown in the picture. My medical history includes the following. I was diagnosed with acid reflux before four years and has been taking medicine and following diet control on food. Though I did keep it under control, at times, I get heartburn after a particular food, but it goes away immediately. I also get recurrent sinusitis. I had been falling for pharyngitis due to consumption of cold items. A doctor advised me to have Septilin on a daily basis and for long, and I feel it controlled my infections. Also, seven months back I had trouble sleeping due to severe back pain upon lying down to sleep. When consulted and took an MRI, it resulted in a spine disc hitting a vein causing pain at different angles. My habits include eats quite rightly all meals, but at times skip breakfast and occasional alcohol consumption. I am a software engineer, and hence, at times I have trouble having a proper sleep of 6 to 8 hours. [/INST] Hello. You have very precisely described your problem with pictures (attachment removed to protect patient identity). I appreciate that. My diagnosis of your condition based on your symptoms is chronic or recurrent acute rhinosinusitis, which is causing chronic pharyngitis. Rhinosinusitis produces thick mucus or phlegm that runs down your throat and causes those bumps. The bumps are in fact lymph nodules, which get inflamed due to the post-nasal drip occurring due to rhinosinusitis. The same mucus or phlegm due to air currents inside nasal cavity dries up to form crusts. The crusts when pulled off, strips the nasal mucosa (inner lining of the nose) and causes a temporary bleed. Secondly, your oropharynx (the region is shown in your picture) shows telltale signs of chronic inflammation. They are the granular posterior pharyngeal wall (the bumps), congested anterior faucial pillars (the rashes on the roof of the mouth - soft palate or pillars) and the enlarged tonsils. These may cause recurrent throat pains and sore throat, which may require taking a frequent antibiotic course. Dust, one of the primary causative agents of allergy, worsens sinusitis by causing blocked sinus ostium, which causes proper ventilation of sinuses. You may note down various times when your allergy and sinusitis get triggered, like certain locations, certain food items, certain habits, etc. Kindly do the CT scan and send me the report as well as films. Films are important. Kindly upload those if you are getting a CT done anyway. For further information consult an ENT otolaryngologist online --> </s>

<s>[INST] Blood sugar has been high for several days now. Today it keeps going up again. It is now at 356. I have also been peeing ALOT and very thirsty last couple of days. Should I adress this or wait to see if it levels out. Also I am on Metfromin 500mg twice a day. [/INST] Hello dear user!I have gone through your query and understood your concerns!Thank you for sharing them on healthcaremagic.Such levels of blood sugar, excessive urination and thirst you are experiencing lately indicate an uncontrolled diabetes. Unfortunately metformin you are taking seems to be unable to control blood sugar by itself. You will need a combination of drugs which may be oral antidiabetics or insulin too. I would recommend you to contact your endocrinologist as soon as possible to help you get the proper cure and lower the sugar level. Don't stay at home waiting if it levels out. It won't.I hope this answer was helpful to you!Please kindly rate it as helpful and write a short review about your experience with me! I would appreciate that a lot.Thank you and best regards!DR ERIOL. </s>

<s>[INST] im drinking Progyluton beacause I had promblems with my menstral cycle and I want to become pregnant my Dr told me to go on my 3 month of taking this treatment and he will inject me so I can become pregnant is it 100% sure I will get pregnant or do I have to get injected every month until I become pregnant? [/INST] Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Your doctor has given you 3 courses of Progyluton pills. These pills regulate menstruation with rebound ovulation after withdrawing the pills after 3 months.I feel by injection he refers to IUI, if it's so, he will see for your ovulation by ovulation study or LH surge test and give IUI so that the chances of pregnancy would be the best.In spite of all precautions, it may not give positive results in the first month. In that case you may get it for few more months.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Vasudha Jayant Athavale </s>

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

<s>[INST] My 2 year old has had a fever for the last 28 or so hours (off and on) low appetite, but drinking a lot of water. He just cried himself to sleep talking of stomach pain, but has not vomited or had diarrhea, in fact, no bowel movement at all today. His urine smelled strong today, although he drank lots of water. We have been giving him children s ibuprofen when his fever gets too high or he seems uncomfortable. Anything unusual I should worry about? [/INST] Hi.... Many thanks for consulting in Health Care Magic. If your kid is normal in between fever episodes in a single day...I don't think you should worry as its only 2nd day of fever. Danger signs include breathlessness/ rash/ low urine output/ seizures/ unconsciousness/ blood in motion. Don't worry if these are not there & the kid is active. Hope my answer was helpful for you. Happy to help anytime. Further clarifications and consultations on Health Care Magic are welcome.Regards - Dr. Sumanth MBBS., DCH., DNB (Paed) </s>

<s>[INST] Hello Doctor, I have a scar on my lung (so I have been told after doing an X-ray) which is from a case of double pneumonia that I had almost 30 years ago (I am no 45). Is there any way this could be mistaken for a TB scar? If so, how can I prove otherwise? This is for a medical for the Middle East. Thank you. Molly [/INST] Thanks for your question on Health Care Magic. I can understand your concern. Yes, your scar can be mistaken as tuberculosis lesions and you may fail your medical on this basis. Any lung insult whether tuberculosis or pneumonia or Pulmonary contusions heal by following mechanism. 1. Fibrosis 2. Calcification 3. Bronchiectesis 4. Rarely complete resolution. First two are more common and it will remain as it is through out the life. So to prove that it is old, healed scar and not active lesion, you need to consult pulmonologist and get done CT thorax with Contrast and bronchoscopy with BAL (bronchoalveolar lavage) analysis. If both these are negative for tuberculosis or other infection, than you can argue with visa authority about not having active, infectious tuberculosis and your lesions are old, healed, fibrotic, inactive lesions. Hope I have solved your query. Wish you good health. Thanks. </s>

<s>[INST] I was laying in bed and my heart whent from normal to Extremely fast like i was about to have a heart attack and then it stopped for almost a full minute and then started normally again what happened my friends told me it could be a heart murmer but it really scared me could you tell me what happened? [/INST] Hi, What you have experienced are palpitations, and palpitations are caused by a lot of factors which may include intrinsic heart problems like arrhythmias and valve problems, thyroid disease, as well as external factors like intake of caffeine-containing beverages, alcoholic beverages, and even anxiety. Some palpitations are just benign but some may be associated with fatal arrhythmias especially that you felt like you are about to have a heart attack. With these possible causes, I would greatly recommend a check-up with a doctor for appropriate examination to check for the rhythm of your heartbeat, as well as for work-up to rule out any other causes of your palpitations. From this, they would be able to determine the appropriate management strategy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Daryl Derick B. Dizon, General & Family Physician </s>

<s>[INST] i am 64 years old male contractor and i am experiencing pain in my biceps , not chronic but difinitily uncomfortable. my md thinks its arthritis but it has come on in last 3 months and does not look like it is going away , hopefully not getting worse [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If pain is persistent better to go for an MRI scan. Arthritis is unlikely as it affect joints and not muscle as such. You can take analgesics like Ibuprofen or Diclofenac for pain relief. Wishing you good health. Thanks. </s>

<s>[INST] hi i have a 9 year old daughter that just woke up one morning a year ago now with weird forceful eye tics, where her head would turn to the side while her eyebrows raised n eye rolled to the top left corner of her head , she had a eeg done that came back with tics now her top body gets like stiff and her next stretches with her head tilted up her head shakes and her eyes roll to top corner of her head its frustrating to watch her go through this not know what kind of damage it could have done in a years time, its like a forceful thing its pretty distinct and if u didnt know her when u see her you would think of her as a mentally handicapped child. By doing this ALL day long she is very fatigue and tired by the evening time . Madison has never had any medical issues before she a healthy 9 year old girl if u have any kind of answers please let me know so i can get her the help she needs so she can get back to doing things she use to do ... Thank you jessica [/INST] Dear Jessica, I appreciate your concern regarding your child. I am doubtful if the EEG report says "Tics" on impression. By your description she seems to be suffering from some form of convulsions. I would suggest that you consult your doctor/pediatrician who would guide to the correct course of action after examining your daughter and studying the investigations done. For your information, tic is voluntary repetitive movements which becomes a habit over a period of time. Wishing your daughter a speedy recovery from this problem. Regards. </s>

<s>[INST] Been on blood pressure medicine since I was 25 now 61 {Hydrochlorot 12.5mg;Benicar 20mg} and a constant fight. I notice one evening my pressure was 150/95 had a small bottle of gateraide my blood pressure went to 130/65 in a matter of minutes. My doctor and my pharmacist "who is my daughter" can't explain it. Have repeated this test several times with the same results. What could be in Gateraide other than salt that could be helping my blood pressure fight. Is my blood pressure more relatrd to dehydration. [/INST] i don't think so.one reason might be that potassium decrease the BP. but sodium increases.so how much content in your drink .it matters. another reason may be that hypertension is closely related to autonomous nervous system. once you take these drinks you feel relaxed and calm.so your sympathetic drive decrease and your pressure decrease. but it doesn't mean that you should take it everyday.you can experiment with other home made drinks like lemon water or sweetlime juice. and let me know if your BP behave same </s>

<s>[INST] Hi my 14 month old child has stopped using her right arm when crawling, she will not put any weight on it, I am not aware of any accident to the arm. She is using the arm though to pick things up, turn pages in her book and lightly uses it when pulling herself up. She does not have any brusing or swelling and I can squeese and turn her arm around without complaint. If she attempts to crawl on it, it appears to hurt her. I have been giving her neurofen should I take her to a doctor. [/INST] yes you should it's not that the child must have some local complaint it might be a problem of another system such as brain or even if it's local please co sulte a doctor </s>

<s>[INST] i am on losartin and amlodipine for control of high blood pressure. I have been on this medication for approximately 8 years now. i would like to free myself of this medication and see if i can live without it. what would happen if i suddenly stop using this medication.? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Its not at all advisable to stop these suddenly. Most importantly, you bp will shoot up in rebound manner which can be deleterious for you. If at all you want stop at any cost then it's better to gradually reduce the dose on weekly basis for body to adapt. Hope this helps you and get back if you have any doubts. </s>

<s>[INST] Gud afternoon sir,my sister is studying 1st btech.she score good marks in all internal exams.during final exams she said that i didnot remember anything what i read earlier,iam unable to read and understand,some times i got headache.We observe a changecin her attitude and behaviour.she said that iam feeling unwell.we r even unable to find the problem.please kindly suggest any solution. [/INST] HiThanks for using healthcare magicI think, she is in depression. May be due to study or stress, she is getting depressive symptoms. In that case, she needs some antidepressant with low dose benzodiazepine that would help her to come out of that situation. She can also try some relaxation exercise like JPMR or deep breathing exercise. Better to consult a psychiatrist for proper evaluation and management. In case, she needs further help, you can ask.Thanks </s>

<s>[INST] Im 37 weeks pregnant. I keep getting thick white toothpaste looking discharge when I wipe. It feels like rubber. Every time I lose more and more and every time it causes severe back pain. Today the pain isn't getting better only worse and I had clear fluid in my pants. [/INST] Thick white discharge can be due to candida infection.However the pain can be due to pregnant uterus but if it is becoming more than it can be labor pains.You need to put candid V 6 vaginal pessary pv for 6 nights.You should consult doctor in case of increase in abdominal pain, bleeding or leaking per vaginum or decreased fetal movements. </s>

<s>[INST] Hi I am baby I used petogen injection last year 20th October after I gave birth so I had sex in December and I didn't go to periods is it possible that I could be pregnant but my returning date was 17 January but I didn't go because of not getting my periods? [/INST] Amenorrhoea could be because of petogen effect... As it inhibit ovulation and cause amrnorrhoea due to sustained progesterone </s>

<s>[INST] 1. how much time it takes to cure from Brain TB ? 2. how long fever & headache & body pain last in Brain TB ? 3. Is it a contagious disease yes or no ? 4. After how many months a lady can breast feed her baby ? 5. Wht r the home remedies to take care or for cure for Brain TB ? [/INST] It take from 12 to 18 months to cure It is contagious You cannot feed the baby untill you have not confirmed that it is negative Fever take two to three weeks after start of treatment to cover </s>

<s>[INST] About 7 days ago, I noticed my lips and slightly above my lips were cracked and chapped, reddish and hurt when I moved them.As the week progressed, they began to stop hurting so much, but instead became a dark brownish line above my lips that makes them look swollen.Please help me, as it is spring break, I have only a week for it to heal, people pointed out that it looked like herpes when it first appeared, now it looks more like a mustache and I don't want them to think such things, I know it isn't herpes as I have never had a sexual encounter.Why are my lips like this?How can I fix this? [/INST] Hi,Thanks for posting the query, Apply a sunchroma lip balm externally over the lips.Avoid sun exposure.Drink plenty of fliuds which are rich in vitamin C like lemons, oranges.If the symptoms persists or worsen get the checkup done.Take care! </s>

<s>[INST] 57 yrs old great health female, single, divorced. Very fit & health consciouse. Do not drink or smoke. Currently have no health insurance (working on it) as a consultant. Been experiencing bad thumping, heating beating every night from 7 pm until next morning. Sometimes it starts earlier and never stops. Gets worse around 11 pm so unable to sleep as so loud. When I do manage to get a little sleep, it wakes me up with same thing at 4 am and cannot get back to sleep. It also happens during the day. I have no anxiety, and min stress, and highly allergic to medications. Was taking 5mg claritin but too strong. I also have bad ear infections, but unalble to take steriods or antibodicts. This has been ongoing for a year and getting worse and happening every day now. I have gone thru menopause at 53, but possibly still part of it. The only thing I can take is Childrens Benedryl 1 tsp. Sometimes it is skips beats. I suspect food allergies; however, even if I eat nothing, still does it. Worse after eating within a 2 hr period. I have low blood pressure; however high cholestrol as very genic in family. The feeling of a lot of adrenaline pumping, even if not working out. A lot of pressure in the chest as well. I tried bioidential hormones but could not tell any difference. Not taking anything now except B-Complex Sublingual Liquid once a day and the Benedryl if having an allergic reaction. [/INST] Hello!Welcome to Ask a Doctor service!I passed carefully through your question and would explain that your symptoms could be related to gastro-esophageal reflux or a metabolic disorder. A cardiac arrhythmia can not be excluded either. Coming to this point, I would recommend consulting with your attending physician for a physical exam and some tests: - a resting ECG and a cardiac ultrasound- complete blood count for anemia- blood electrolytes for possible imbalance- thyroid hormone levels for thyroid gland dysfunction. An ambulatory 24-48 hours ECG monitoring would help investigate for possible cardiac arrhythmia. In the meantime, I recommend avoiding caffeine intake and eat in small portions, frequently during the day, in order to avoid large meals. Hope to have been helpful!I remain at your disposal for any further questions whenever you need!Kind regards, Dr. Ilir Sharka, Cardiologist </s>

<s>[INST] My 4 year old daughter just got over a cold. She now has a lot of goop in her eyes, she has been very tired, emotional, and moody. She keeps saying she is thirsty, but doesn t drink much more than normal. She isn t sleeping well, and when she wakes up at night she will complain about her feet, hands, or arms hurting, but I can t see anything physically wrong. I am going to call her doctor tomorrow but don t know how to help her. What could be wrong? [/INST] Hi...she seems to be going through a viral illness and conjunctivitis. This pain she's complaining could be a part of the generalized malaise which is very much expected in any viral illness. If she's in too much pain you can administer her Paracetamol at 15mg/kg/dose every 4-6th hourly or if temperature is more than 100F. Regarding her eye discharge you need to clean with fresh clean water as much as required.Regards - Dr. Sumanth </s>

<s>[INST] Hi my name is Haley and I m 11 weeks and 5 days pregnant with my second child. Well about week or so ago I noticed my upper thigh by my pelvic area felt a little bruised. I didn t think much of it so I let it be. Well today I decided to actually look at it and I have a knot in this area. It s not read or hot or anything it just feels like a big knot and it hurts when I touch it. What is this? And could this hurt the baby? [/INST] Dear Haley,Your history and the description of the lesion suggest that you have caught infection at the bruising site which has caused involvement and infection of the lymph nodes that are situated in the groin (Inguinal lymph nodes). You will require an antibiotics treatment. With appropriate antibiotics the infection will be controlled and the gland will subside. If you delay the treatment, it may progress to abscess formation which requires incision and drainage in addition to the antibiotics. Please report to your Obstetrician ASAP. During pregnancy (even otherwise also), infection should never be overlooked, ignored and neglected lest the serious complications. I hope this helps you. Dr. Nishikant </s>

<s>[INST] My daughter is 27 years old and has had 10 seizures since March 2014. Testing has been done, no physical reason for the seizures. However, she has been experiencing acute stress and anxiety which I think is causing the seizures. She has been prescribed Keppra and I would like to know if she can add Theanine to help her with lower her stress level. Will Theanine interact with Keppra? [/INST] Hi.I understand your concern.EEG and MRI can help for confirmative diagnosis.Stress can worsen seizure and can be treated with anti convulsant with anxiolytic.Keppra can help to control seizure. Anxiolytic like lorazepam can help in both convulsion and stress.Thiamine is vitamin and it can help to supplement.It can not help in stress and convulsion and can be given with keppra.No need to worry.Take advise from your treating doctor.I hope I have answered your question.Thank you. </s>

<s>[INST] Hi, I have an indentation in my skull on the right side of my head. I get severe pain in it but only lasts a few seconds/minutes. I am beginning to worry about it a little because I also have developed spasticity in the bicep of my right arm which is causing excrutiating pain to the point of tears. I have been prescribed baclofen to relax the muscle in my arm but please can you tell me what this indentation is? [/INST] Hi,Indentation in skull means depression(opposite of elevation) in skull.It can produce headache if it involves underneath brain parenchyma.R) sided brain controls L) half of the body ,hence R) side headache (indentation) produce left half symptoms instead of right.Consult neurologist for clinical examination and further management.Hope this will help you </s>

<s>[INST] If a male 73 years old had open heart surgery for the second time and surgery was fine but developed fluid in lungs several times then toxins in blood now last Friday was flat lined and brought back after 15 - 20 mins but is in a coma but b/p is normal, opened eyes twice, breathing on own what are chances of coming out of the coma? [/INST] there are many types of coma and whether or not someone regains consciousness depends on the cause. if your family member suffered low oxygen levels during the flat line then the prognosis is poor. this is something you should discuss with the doctors treating him </s>

<s>[INST] I used to speak fluently and continuously both in my mother tongue and English. But in sudden I was not able to speak properly as before. I had few misunderstandings with my best friend and that made so depressed. Anyway, I'm recovering from it but what I observed is that I can't talk properly mainly when I argue and talk fast with others. What can I do get back to normal state? [/INST] Hello thanks for askingAfter misunderstanding with your friend you feel depressed and then you have developed the symptoms like difficulty to talk fluently. You are not able to converse properly in your language or in english. These symptoms could be the symptoms of Social Anxiety (Phobia). Some times due to some important event individuals develop depressive symptoms and then they start losing confidence. Consult a Psychiatrist for proper treatment. As the problem is mild so most likely you will respond with counselling alone. In other cases if medicines are needed then SSRIs are used to decrease anxiety associated with social phobia and to improve confidence. Fluoxetine, Sertraline etc drugs are very useful. For symptomatic control like in situations of presentation or in group discussion medicines like Propranolol prove useful. The drug can be taken few hours before any important event. Consult a Psychiatrist for prescription.Thanks </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] My 6 and 1/2 yr old daughter is complaining of headache and stomach ache everyday for the past week. I see her playing and laughing one moment then the next she tells me her stomach and head hurt. I don t know if I should take her to see the pediatrician. [/INST] Hi dear,This may indicate conditions like UTI.If not febrile,Let him take plenty of oral fluids. Also give simple analgesics like acetaminophen for 3 days.If not getting better by 2days,kindly see your doctor for evaluation.Take careThank you. </s>

<s>[INST] Hi ! I am going for invito & egg donor treatment at Dr Rama 's Fertility clinic in Hyderabad .India.I have passed menopause & was told to start taking Progynova & Primlolut tablets to induce menstruation before I start ivf treatment.I am from Johannesburg. I am 50 years of age . [/INST] Hi,Thanks for writing to HCM.Menopause occurs when your body oestrogen falls becomes nill almost. So by providing external oestrogen and progesteron again periods can be induced. Which are given to you .But good and healthy eggs can't be produced. So its good you are going for donor egg.The chances to conceive are less because after menopause uterus become small and lining become thin, which is not good for implantation. If with progynova and primolut your endometrium thickness increase upto 11mm or more then its good. Your infertility treatment may help you to become pregnant.Hope I have been helpful.RegardsDr. Ashish Verma </s>

<s>[INST] about a week ago i felt like i had the flu it only lasted fro a day but now am left with this gurgeling crackling sound when i breath out (just out) hard along with a slight itchy throat & cough i m a smoker & 60 yrs old i ve had cancer2x breast & tonsil but did a pet scan 2 yrs ago & came back great so what could this be? [/INST] Hi there,Without examination and proper evaluation whatever information I'm providing here is at best an educated guess. You should see your doctor if the symptoms persists.It sounds like you are having hypersensitive airways after flu. Also possible is infection of the lungs and bronchitis as you are continuing to smoke. With past history of double malignancy and in case of doubt if the doctor doesn't think its because of infection, getting a plain Chest xray is not a bad idea either.Regards </s>

<s>[INST] Hi,I am a 30 year old male. It feels like my foreskin is shrinking. I don't have a phimotic ring as far as I can tell or feel.Everytime I have sex or masturbate it gets tighter afterwards, and the best description I can give is that it "feels like my penis can't fit in its skin". The tightness is only in the area of the ridged band / frenar band. And I can see the veins more clearly because the tightening applies pressure I guess.Is it phimosis even though I can easily fully retract my foreskin and can almost easily pull it back over the glans?Please help me. My doctor said it was yeast and gave me clotrimazol creme. That is over a month ago and I have stopped applying the creme.Thank you. [/INST] HelloI share your concern This could be phimosis or paraphimosis Since I can't physically examine you to get more clues so I would advise you to consult a general surgeon for physical examination and establishment of a diagnosisYou may require circumcision as a definitive treatment.Hope this answers your question.Please feel free to ask for further clarificationBest wishes </s>

<s>[INST] I was bitten by astray pup about 8 months old on my leg & had a small wound .I went to a hospital where they cleaned the wound & administered an ATS & anti-rabid injection & asked me to give for 2 more anti-rabid injections after 3 days gaps.Is this Okay & is it true that no non-veg is to be taken until this period of completing the injections.Would appreciate your advice.Fredrick [/INST] Thanks for post your query to HCM.There is no dite restriction during vaccination for rabies . You are not suffering from rabies you are only taking vaccine as a prophylaxis for rabies . No need to worry you can take your regular dite. However you should watch the boitten dog for 10 days if he died during that period you should take complete dose of vaccination i.e. 5 doses on 0 ,3 ,7, 14, 30th day and booster dose on 90 day.take care of local wound also.good luck , get well soon.regards,Dr.Manish purohitInfectious disease specialist . </s>