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<s>[INST] Hi Dr. I was diagnosed with aplastic amnemia 7 years ago. I am currently on my lowest dose of cyclosporin 25mg. My platlet count today was 51 so my Dr doubled my dose again to 50mg. I would like to know why I have burning headache. And this then makes me nauscious? please help!! [/INST] Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. Severe headache is possibly due to anemia and hence reduced oxygenation causing weakenss, dizziness and hence a feel of headache.2. Medication and reduced WBC count possibly resulting in infection of GI tract could be making you nauseous.3. Continue the therapy and try to improve the various blood counts.Hope it helps.Any further queries, happy to help again. </s>

<s>[INST] Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? [/INST] Hi. For further information consult a family physician online --> </s>

<s>[INST] my son had allergy testing yesterday and I was given a paper that listed the things he is allergic to. Several of the items are obvious, as they are listed by their common name, but several of them I don't recognize. I don't know how to avoid these allergens if I don't know how they are commonly encountered. What can you tell me about Fusarium, Cladisporium herb., and Monilla. I think theses are molds, but need to know what we should be avoiding specifically. Thanks!! [/INST] Hello.Thank you for asking at HCM.Yes, you are right - fusarium, cladosporium herbatum and monilla - all are fungi (molds).I would suggest following measures to reduce exposure to molds:1. Molds mostly grow over damp/moist areas. Hence, if there are any such areas in/around your home, there are high chances that they may be source of molds. Removal/professional treatment of such areas would reduce production of molds.2. Using dehumidifier/air conditioning to reduce humidity inside rooms is also an important measure as molds grow in humid environment.3. Ensuring adequate ventilation and sunlight exposure in rooms is also another measure as it may "wash away" mold spores from the room and sunlight will provide dry heat.Above measures are usually suggested to reduce mold exposure. Hope above information will be helpful to you.Wish your son the best of the health.Thank you & Regards. </s>

<s>[INST] For a week now i have had a rasied hard itchy spot on my testicles , its sore and the itch is horrible , thought it might be a chigger bite and thats what it seems like , but havnt been in woods or anywhere to come in contact with that , but the soreness is not consistent with a bite and its not getting anybetter and seems to be getting worse? [/INST] Hi,You might be something from lichen planus of scrotum, topical steroid is used for the treatment of these conditions. Hope it helps. If you have any other question please do not hesitate to contact us.Regards,Dr. Atishay Bukharia </s>

<s>[INST] Hi doctor, My mother underwent gallbladder surgery 10 months ago. From past 3 months she started having chronic cough. She tried many home remedies. She did not recover completely. I took my mother recently for a health checkup. As I suspected the chest report was not absolutely fine. But, the doctor was not at all concerned about her cough and said everything is normal. Why is it so? I want to know what is the meaning of this x- ray report and what should be our next step? Presently she is under medication for thyroid as well as diabetes. I have attached her reports. Kindly have a look at them and suggest how to go about the treatment. Thank you. [/INST] Hello. Thanks for choosing this platform. As you said your mother is having chronic cough 4 months after surgery. It can be just coincidental finding as her x-ray (attachment removed to protect patient identity) is showing prominent basal vascular markings and cough can be aggravated by surgery. The x-ray findings are suggestive of interstitial lung disease called lung fibrosis which can be confirmed only after HRCT (high-resolution computed tomography) scan of chest. So at the earliest, I advise you to do HRCT scan of chest to rule out IPF (idiopathic pulmonary fibrosis). Once the diagnosis is made, treatment can be started accordingly. IPF or lung fibrosis is a chronic and progressive condition. So, diagnosis should be made as early as possible.Talk to your pulmonologist regarding further investigations and treatment. He will guide you better as frequent follow-up visits are required for monitoring the disease. Autoimmunity. HRCT chest to rule out IPF. Interstitial pneumonia. IPF (idiopathic pulmonary fibrosis). 1. Steroids 2. Immunosuppressants. Strict control of BP and blood sugar is a must. </s>

<s>[INST] My sister got admitted for kidney problem so they found that she effected with lupus nephritis now she s fine but again after a month she got admitted for days continous fever n 5th day she got continous seizere so now she s under ventilation and also they are taking csf test plz advise immediately that will br great N thankful many thx anu 0000_india [/INST] seizures in patient with SLE could be caused by inflammation of blood vessels of brain called lupus vasculitis or brain infection as a result of reduced resistance due to disease or its immunosuppressive treatment.CSF examination, CT or MRI brain and some blood tests for disease activity of SLE will settle this issue and decide further treatment.if these tests are done then the team of yourdoctors should be able to tell you about possible outcomes. </s>

<s>[INST] i have been spitting up blood every morning for the past month, even when i wake up from naps i spit blood.... but during the day my spit is clear..... i have a pain in my chest and feels like my right lung as well. can u tell me what it could be from [/INST] Cause of spitting up blood can be tuberculosis, bronchitis, pneumonia, bronchiectasis, and bronchogenic carcinoma. I will suggest u do a CT scan of chest with contrast.For temporary basis u can take tab Pause 500 mg thrice daily after food for 3 days.RegardsDR De </s>

<s>[INST] I have gotten numbness in my right hand when I drive/ hold the phone for years. When I put my hand in my lap for awhile(let go of steering wheel for awhile) it goes away but then comes back if I grip the wheel again. For the last few months this has gotten worse and now it happens all the tine off and on. When I wake up it is bad and then usually goes away after a bit, but lately it's not going away as easily or coming back sooner. My right shoulder/deltoid has been sore as well for awhile and it's sometimes hurts to raise my arm or cross it /adduct it over my torso. Is this a pinched nerve thing? What shall I do or what kind of dr should I see? Thanks [/INST] you may be having cervical disc prolapse causing compression over the corresponding nerve root,or you may also have a periarthritis of shoulder.kindly consult a neurosurgeon </s>

<s>[INST] i have Lump directly on top of your head that postion is where a cut was before from falling from your bike you noticed a lump ages after this cut healed after picking it for 6 years and now its 2010... and well its still their.. but now it actually hurts and ive lost hair litulary 2 days ago( with the roots.....) i noticed but hidden it from my parents as im scared plus it is a bald patch and people would also laugh :(... i have regular headaches through the day dont know it this is linked... what do i do? im scared, plus i really dont want to approach my parents... [/INST] Hi,Welcome to HCM. Based on the facts of your query,You seems to have post-traumatic scalp lump-which could be resolved hematoma with fibroma,or it could be Sebaceous Cyst/ or Inclusion Dermoid Cyst -post head trauma or could be post-trauma Keloid lump with hair loss apparently.Treatment would be -By Surgical Planned Excision of the Lump or Intra-Keloidal steroid subcuticular injectionsHope this would help you to plan treatment with your doctor.Contact with a Followup Premium question to ME.Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!Dr.Savaskar,Senior Surgical Specialist-M.S.Genl-CVTS </s>

<s>[INST] Hi, I would really like to know why my heart always beats really fast after a full meal i'm 21 and not on any diet this usually always happens after I eat and have no idea what causes it to happen I do drink soda with caffeine but i've had caffeine all my life and never had any problems the fast heart beat lasts for a couple hours before slowing down to a normal rhythm and when I swallow I have a little discomfort pain in my throat what do you think is the problem with all this? [/INST] Hi,It may have two causes: either your stomach is too full after eating or there are abrupt changes in blood glucose levels after eating. For both causes it is better to eat with small portions, but frequently. Don't drink soda or any other liquides with meal. Chew slowly. Take careCome back if you have any further questions </s>

<s>[INST] Please find below the recent result of my Liver function and kidney function tests and help me with the meaning and implication of this. Electrolytes, Urea & Creatinine: S-CO2 31mmol/1 S-Urea 2.4mmol/1 Liver functions: S-Unconjugated Bilirubin 15umol/1 Liver Enzymes: S- ALT 43u/1 37 c My mail addresss is YYYY@YYYY [/INST] hi, Both your liver function test and kidney function tests are normal.Blood urea and serum creatinine are measured for evaluating kiney functions. both are breakdown products of protein and if they are excreted normally by the kidneys, the blood levels of these will be within normal limits. Serum bilirubin is a byproduct of breakdown of old red blood cells in the body. Elevated unconjugated bilirubin and ALT means even though liver might be functioning normally, there is obstruction in the excreting system of liver. It could be because of stones, tumour, or strictures.regards </s>

<s>[INST] Hello. I have a 22 month old son that has had constipation issues since he was an infant. He is constipated and when I was changing his diaper I noticed that he has a few red rings around his anus. It looks like he may have been bleeding....not sure if it is just diaper rash, or if it is related to the constipation, or an allergy of some sort. [/INST] Hi...Thank you for consulting in Health Care magic. I think your kid is having habitual constipation. I have certain questions and suggestions for you.Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fibre diet) appropriately?You can get back with answers at the following link - www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot.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] Hi doctor, I am paromita. I have hypothyroidism problem and taking eltroxin 100 mg. I am suffering hair falls problem from last two years. 8 months back I checked my iron, it was good but serrum ferritin level was 17 . so I was taking fefolz and after 4 month ferritin lebel increased to 36. Then I stopped my medicine and now again my serrum ferritin lebel is 23. my hair falls has increased. So what should I do now ? How long I should take iron tablet? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would recommend taking Ferritin injections which are better absorbed into the system. Ferritin and thyroid are very important factors for hair fall and must be corrected accordingly. Subsequently you could also consider doing PRP (platelet rejuvenation plasma) therapy where your own plasma which is rich in growth factors and platelets is injected into the scalp which further reduces the hair fall, strengthens the hair follicles and stimulates new hair growth. Alongside also start applying topical Minoxidil 5% every night on the scalp which also stimulates new hair growth. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Smruti Pevekar </s>

<s>[INST] Hi doctor, My BP is normal. But when I go to a doctor, my BP becomes high. I checked for two times, and my BP was found to be high. I am not taking any medicines. My ECG is normal. How can I reduce my BP? Please suggest. [/INST] Hi. The standard BP (blood pressure) ranges between 110 by 70 mmHg to 120 by 80 mmHg. I think your BP is within the range and any reading above this normal range is considered to be abnormal or high. High BP can be temporary or transient depending upon the triggers. A person can have high blood pressure if the BP remains consistently and persistently high for one to two weeks. In this case, tests like ECG (electrocardiography) can be done before the medications are given. You can reduce blood pressure by reducing the intake of salt, fatty foods, do a lot of exercises, and have a good sleep. Be relaxed. </s>

<s>[INST] Hello doctor, I have a needle-like pain on the left side of the rib. I am an asthmatic. I had bronchitis a month ago and was treated with antibiotics. The chest is wheezy and I have a dry cough. [/INST] Hi. You seem to have developed pleurisy or pleuritic chest pain following an acute asthma attack. I would recommend first of all a chest X-ray to rule out any pleural effusion as well as any pneumonia. If your chest X-ray remains clear then you would need treatment with a short course steroid like Prednisone along with a bronchodilator like Levosalbutamol and Budesonide. This should resolve within a few days of treatment. </s>

<s>[INST] My husband finished his chemo treatment 3 weeks now for testicular cancer stage 1. He seems extremely fatigued and his hands are more swollen than when he was going through chemo. He had a bad headache yesterday, he said may have been caffeine withdrawal. Is this normal after chemo? [/INST] HIThank for asking to HCMI really appreciate your concern from the history given here, I could say that chemotherapy could induces the numbers of side effects but that is all happens till the patient is on chemotherapy once the course of this is finished symptoms also disappears, and this is nothing to worry, take care of your husband and stop worrying, hope this information helps you, have a nice day. </s>

<s>[INST] My 10 month old woke up one morning with red, swollen gums , foul-smelling breath, and whenever I try to brush her teeth , she cries and her gums start to bleed a little. Previously she had pearly white teeth which I brushed regularly. She is very cranky, no longer sleeps well at night, and isn t eating as much as normal. I took her to the E.R and was told she has gingivitis . I am seeking a second opinion. -Jasmine [/INST] hello and welcome, Gingivitis is the inflammation of the gums leading to redness , pain , bleeding , swelling of gums . Infection of the gums leads to fowl mouth odour which is mainly caused due to deposition of bacterial plaque, calculus or other irritants like food debris. your Baby is really very young and in her case , gingivitis is mainly because of stress due to improper sleep, poor oral hygiene and malnutrition. i would suggest you to maintain her oral hygiene nicely by regular brushing and mouth rinsing with lukewarm saline water. visit a dentist for clinical evaluation , a course of doxycycline for 3 to 5 days helps subside the symptoms but do consult a doctor before any medication. i hope this helps, take care. </s>

<s>[INST] hi,i just had sex with my wife and urine instead of sperms came out of me.The same happened last month(twice) although it never happened before that to me .It is weird especially that we tried having sex while I'm laying on my back and I came normally.Btw my wife got pregnant one year ago but we lost the baby while she was in her second month and now she is trying to get pregnant. Thanks in advance [/INST] DearWe understand your concernsI went through your details. If you had erection, if you had sexual pleasure and ejaculation and orgasm, then the liquid ejected definitely is semen. There is no other possibility unless you willingly pee. The thickness of your semen could be low or the semen could b watery. But it should be semen. I suggest you to collect the liquid next time and take it to a lab. Get yourself satisfied. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. </s>

<s>[INST] Edema in Lower body, chest congestion, exercise intolerance, dry cough, can t climb up stairs, taking spirolactanone_furosimide for the last four years, mucus in mouth with exertion. Age 32 female. Cardiac size of upper normal limit. ESR level is 35. Other tests are normal. [/INST] Thanks for your question on Healthcare Magic.I can understand your concern.Possibility of congestive heart failure is more likely in your case.Congestive heart failure causes water retention in the body. This in turn causes edema in legs, chest congestion, cough, breathing difficulty on exercise.Your heart size is also on higher side of normal.So possibility of worsening cardiomegaly and heart failure is more.So get done 2d echo and coronary angiography.You may need digoxin, angioplasty and other cardiac supportive drugs on the basis of reports.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] Hi Doctor, I have got fatty. soft, palm size lump between my shoulders. It is just under the skin and moves easily. It is soft and painless and the only problem is that it is just on my spinal cord and is visible through the piece of garment I wear. Thanks for your help. [/INST] HI,Dear,Thanks for the query to HCM.1-I have studied your query in depth.2-IN my opinion,this soft mobile palm sized lump on the spinal crest and between the shoulders, is -Sebaceous Cyst-if it not from the childhood or birth?Dermoid Cyst-if its since childhood? or may be Lipoma -as its painless and freely mobile.3-I would advise-to see you ER- surgeon-who would do X-ray Spine and would fix the medical cause for it amongst told above. and would treat by excision /biopsy ASAP , as it hurts you that its visible out of your garments.4-Hope this would solve yoru query to your satisfaction.5-Wellcome for more queries to me On HCM.6-Thnks once again for your inquisitive query.Have a Good Day..!! </s>

<s>[INST] Dear Sir, I want to know that can any person give his kidney to other person. because i want to give my kidney. I am working in pvt firm my body type is normal and i never admit at hospital. I am 27 years old my blood group is B+. My email is YYYY@YYYY Please sir guide me. Thanking You, Jaimin Bhatt [/INST] yes provided you don't have any significant medical illness and your blood group matches with the recipient along with a negative cross match </s>

<s>[INST] hi i am prema, i last period was 1st of feb, i take HCG test on 08th March is shows negative, via blood shows 0.10, pls confirm i am pregnant or not? and still no period has come and usually i have 2 to 3 days late period from the previous month, pls explain me [/INST] Hello mam, thanks for trusting health care magic. All your tests tell us that you are not pregnant and your periods are delayed because of some other reason.Most common reasons for this delay are - - stress whether professional or domestic- new exercise schedule- change in eating habitsSo wait for a week for periods and in case you don't get them visit your gynecologist.In case you have further questions you can consult me on health care magic forum and i will be happy to help My URL is care </s>

<s>[INST] my dad has jaundice and he gave his blood test and the report says that his liver is mildly enlarged in size (15.1 cm craniocaudal length in rt MCL) and it is written that no ascites or pleural effusion is seen.and there is impression that mild hepatomegaly. and so what does it mean is serious? my dad is 45 years old and his about 5 feet 7 inches something like that. [/INST] Hi thanks for contacting HCM...Here he is having jaundice with hepatomegaly...So first cause Has to be searched for...To differentiate hemolytic and hepatocellular jaundice from obstructive urine urobilinogen estimated....Liver enzymes markedly raised in hepatocellular jaundice....In hemolytic jaundice PS shows normoblast and increase retic count....Meanwhile low fat diet taken in jaundice....Some good foods like carrot , aloe vera , dendelion , grape fruit juice , golden seal , lemon juice taken for healthy liver....With keeping this in mind consult gastroenterologist for exination....Avoid alcohol if habit...Take care...Dr.Parth </s>

<s>[INST] my girlfriend has been having pain in the center of her upper abdomin.. they keep checking her for heart attack which is not the case.. tonight she has the pain again.. and this time she is vomitting.. her body temperature feels very cold.. when i felt her forehead to see if she might be running a fever even her forehead was very cold. it seems like everytime she has this pain she always ends up going to the bathroom a few times for bowel movements.. what could be going on that we are being told or tested for breanna [/INST] Hello, Welcome Thanks for consulting HCM, I have gone through your query, your friend has abdominal pain, vomiting, dont worry much , what happend is when you vomit your body fluid comes out , your body tempreature goes low , thats why she feel cold, and pain can be to acidity problem also , Give her some medicine , Tablet metronidazole one tablet twice daily, along with tablet Pantaprazol one tablet before breakfast , for three day give light food, avoid oily food, and junk food.Take rest. If you dont get any releif then consult physician. Hope this will help you. </s>

<s>[INST] I have noticed recently my vessels along the bottom sides of my tongue are darker but one side, my left is like a huge cluster and plum color. What could this be an indication of? I hate going to the dentist, more recently because I had a dentist ruin two teeth the same day, now they sit in my mouth, broke because I dread knowing they now have to be pulled, there's no other option [/INST] Thanks for your query, I have gone through your query.The vessels along the floor of the mouth or below the tongue could be a varicose vein or dilated sublingual vein. Nothing to worry it is benign condition, i will not harm you. if there is any change in the size then consult a oral physician and get a MRI done to rule out arterovenous malformation. if it is a dilated vessel then no need of any treatment. If it is a arterovenous malformation, then it has to be treated with sclerosing agents.I hope my answer will help you, take care. </s>

<s>[INST] I recently had blood drawn and experienced an electric shock once the needle went into my forearm. The pain subsided on my upper arm; however, I am having burning and itching sensation on my wrist where it looks like the median nerve is. I believe I suffered nerve damage, but I am also concerned about RSD. If my upper arm seemed to have healed fairly quickly, will my wrist heal? I am very worried. I went to the walk in clinic and was prescribed Prednisone for inflammation. The pain, burning, and itching is nearly gone since I have taken my first prescribed dose of Prednisone. [/INST] hiIt seems you had phlebitis(inflammationof vein) indeed response to prednisone. Apply thrombophob gel also and take medicines as prescribed, you will be okaythanks </s>

<s>[INST] What do I do for really bad stomach pains? I get the feeling that I want to vomit when ever I wake up, eat, or think about eating. The mornings are really bad. The pain can be really unbearable. I can t even have a nice lunch or dinner with my friends or family. It s really bad. This has been happening for the past 2 weeks [/INST] Hi amehaleah983. Thanks for your question. You have severe stomach pain with vomiting so high probability you have any stomach pathology-most commonly peptic ulcer disease,gastritis,may be pyloric stenosis due to mass or ulcer in the pylorus and rarely due to hypertrophic obstructive cardiomyopathy(common in children),may be a stomach volvulus or atrophic gastritis.So please do a upper GI endoscopy,barium xray and USG whole abdomen must and as early as possible .depending on the report you may need a biopsy if a mass is detected and then consult a gastrosurgeon or general surgeon for his opinion. best wishes, Dr Sourav Ganguly </s>

<s>[INST] Hi. my mum suddenly had and outbreak of a rash . Red spots on the bottom of her foot , now palm of her hands and now the arms and inner thigh are with red spots. We went to the doctor in the beginning stages and he thought it may be viral as it seems to be symmetrical. It seems to have spread now to the rest of the arm and inner thigh! I m concerned because she has been recovering at home from pnemonia about 8 weeks now after being hospitalized. Any idea of what to do as its really itchy and feels hot all over! She s using betometasone cream 2 times a day for the last day and a half!! [/INST] food proteins suddenly satart reacting with body proteins causing the problem first it came on skin then stomachneed to get blood serum tests for specific antibodies for food proteins like milk wheat potato and common food you take by consulting allergeologistwithdraw the foods according to report to get rid of both problemsit seem to me food alergy ome of the g </s>

<s>[INST] What is the first line of treatment for rheumatic arthritis and osteoarthritis? I was diagnosis 5 years ago at age 47, positive rheumatoid factor of 20, sed rates have been 15-20. Problem is in the last 8 months joints in fingers , shoulders and knees are flaring more frequent. So is it time for a biologic? [/INST] Hello, You can consult a rheumatologist and get evaluated. As a first line management you can take analgesics like Tramadol for pain relief. In severe cases you have to start on drugs like Methotrexate. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>

<s>[INST] This morning when I went to take shower I noticed the foreskin of my penis looked swollen. Earlier in the morning my wife had masterbated me. How do i let the swelling go down? There s no pain at all but it is hard to move the skin back when I have to go the reSt room it is hard to pull back the skin. [/INST] Hello and .As an Urologist, let me advise you that, if it's difficult to pull the skin back as usual, you do need to see a doctor urgently.The main reason being, the swelling may keep increasing, and then you may need an urgent surgery, to relieve the swelling.In the early stages a doctor may be able to pull it back as usual, and thereafter, you must ensure that, this doesn't recur.Maintain good penile hygiene. Wish you well. </s>

<s>[INST] Im concerned about my constant feeling of low blood sugar and feeling of discomfort in my abdomen . My doctor says my blood work shows normal blood-sugar levels. This is becoming very stressful and difficult to live with. I feel awful all the time and can hardly go anywhere without the nagging fear of something happening. Please help. [/INST] Hello. Thanks for writing to us. From your description, it seems that you are suffering from severe anxiety and stress. Since your blood reports are normal and you have already been examined by a doctor, there does not seem to be any serious issue with you. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com </s>

<s>[INST] I was admitted to hospital and I m taking ceftriaxone injection as advised by doctor. I have dilution of 1 : 320, I m getting unbearable Headache and I m suffering from Loose motions as well. My Fever is ranging from 100 - 104. Please suggest if it is normal for a Typhoid patient [/INST] Hi,Thanks for writing in.The antibiotic is not the ideal one for typhoid or for the symptoms you have described.The best combination for you would be a course of ciprofloxacin with metronidazole for a period of 10 days.You need monitoring of fever and preferably IV fluids as high fever can cause severe dehydration and can affect the kidneys and brain as well.It would be best to get admitted under the care of a GI specialist.Regards </s>

<s>[INST] My baby has glassy eyes, has maintained a temperature between 37 C and 39 C, she has been very sleepy as well which is unusual, the last 2 days she has lost her appetite and I've been giving her water and breastmilk. We took her to the doctors today and they said she had a heart murmur that they would like to check out again tomorrow...they said everything should be fine as its normal for babies to have heart murmurs. Is this right? My husband's family have a history of congenital heart problems...should I be worried? [/INST] HiWelcome to the HCMI completely understand your concerns. During fever, due to hyperdynamic circulation, many a times innocent murmurs are audible on auscultation. So the murmur heard may be a normal finding in your child. The reassessment will help the doctors to find out whether an echocardiogram is required or not.Family history of heart disease is a risk factor but I would recommend you to be calm till the results come. Most of the congenital heart defects are correctable now a days.For fever episodes you may give him acetaminophen or ibuprofen syrup.Hopefully this will help you. For further questions, you may contact me.Take care </s>

<s>[INST] I don't understand what's wrong with me. Ever since 8th grade (8 years ago) I started have fainting spells. Recently they have increased and the symptoms are always the same. My stomach starts to feel upset (like I have eaten too much) and begins to cramp up. I then break into a cold sweat and become extremely hot. I will start to have excessive diarrhea and feel as though I'm going to throw up when all of sudden I get real light headed and pass out. I'm only out for a couple seconds but when I wake up I'm extremely tired and have hardly enough energy to walk. So far this year I have experienced one of these episodes about 5 times, including today. Everything happens within a matter of minutes and it's hard to predict the onset. [/INST] i have been suffering with this for years.. i recently had an episode this last week and still not feeling right.. weak and feel like need loo all time.. last time was in hospital throwing up but they couldnt find what was wrong just a bug they said. but i am still not right.. i have been trying to live with it as they not much help. did you get any more info? </s>

<s>[INST] i got a new medicine from my doctor today and i used a interactions checker and it interacts with 2 of my medicines should i still take it , i take prozac, vyvanse, topamax, valtrex, synthroid, zertec and percocet, my doctor wants me to start taking cymbalta to. [/INST] Hello,Fluoxetine may increase the effects of lisdexamfetamine (vyanase), and side effects such as jitteriness, nervousness, anxiety, restlessness, and racing thoughts have been reported.Combining these medications can also increase the risk of a rare but serious condition called the serotonin syndrome, which may include symptoms such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea.Please consult with your treating doctor he will examine and treat you with alternative medication. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist </s>

<s>[INST] Does regular intake of PIOPAR medicine cause muscular pain including backpain? [/INST] hello welcome to health care magic yes this medicine can definately cause muscular pain ...here is list of : feeling short of breath, even with mild exertion; swelling or rapid weight gain; chest pain, general ill feeling; nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); blurred vision; increased thirst or hunger, urinating more than usual; or pale skin, easy bruising or bleeding, weakness. Continue taking this medication can cause any of these less serious side effects: sneezing, runny nose, cough or other signs of a cold; headache; gradual weight gain; muscle pain; or tooth problems.please consult your doctor to stop this medication... take care payal </s>

<s>[INST] Hello, I am a 55 yo male in pretty good health overall. 2 days ago, while in the shower, I felt something inside my navel. With very little effort I was able to remove it...I have been an E.M.T/ 2 years of nursing education and am now a Licensed Massage Therapist....in my whole life I have never seen anything like it. I have photos I would like, no need you to see so that you can tell me what it is. Can I post or send photos here? if so, please inform me how. signed loosing sleep over this I apologize, I thought this forum was without charge and I am truly unable to pay anything at this moment. sorry to waste your time [/INST] Hi there ~ Without knowing what the material is that was removed from your umbilicus or having it analyzed in a pathological laboratory it is difficult to tell what the substance that was removed was. I hope you take the specimen to a pathologist and have it analysed. Take care and have a good day ! </s>

<s>[INST] I am living in Vietnam as in one of typical tropical weather countries and esp during summer of which raining at the same time so it could be too hot prolonged and I do need to turn aircon on almost all day long and due to I have just had a new born baby, are there any effects to the newborn baby at all such as fungi growth from aircon, fluid in lungs or anything relating to this effects. Pls advise. Kind rgds & Thks [/INST] Hi, It's better to keep baby in air conditioner as temperature can be set in AC and also auto clean option can be used in AC. But before using AC, do a service of AC. Hope I have helped you. </s>

<s>[INST] Hi, i have this question, i have a bump since a few months there were two and now i can see / feel one near my lower cheek in line with my mouth, it feels like a whitehead, once a week approximately the bump comes up, when i burst it, yellow liquidy type puss comes out and it smells really bad. What is this? [/INST] Hi ! Good morning. I am Dr Shareef answering your query.It seems that you have got a benign cyst over your cheek, which off and on gets infected and causes the discharge to occur. You have to see a dermatologist/general surgeon in your area for a proper diagnosis and further management which could be simply antibiotic cover or a small minor surgery to remove the cyst in total. 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. Wishing you an early recovery. Dr Shareef. </s>

<s>[INST] Hi,My close friend got conceived after trying for a long time.. They even went to the infertility center and found that her husband had low motility/mobility of sperms.. but still the doc advised them to try the natural way and luckily she got conceived naturally. Now, when they went to the doctor, the doctor has prescribed her heavy doses of medicines.They have asked her to take Folic acid with 11mg, gestone tablet.They have not even tested her for progestrone hormone and prescribed it. Is it safe to take these high doses during normal/natural pregnancy? [/INST] HI, I understand your concern. Progesterone is a hormone that is essential for maintenance of pregnancy in early months.In it's deficiency, abortion can take place. Your friend had conceived a long waiting, efforts. It is supposed to be precious pregnancy, when doctor provides extra protection to pregnancy in form of Progesterone. It's a safe preparation, you can take it without any doubt. . Thanks. </s>

<s>[INST] I had a fall on oct 24 th 2013 and I had an injury in D12 and lower disc. My query is that for how many days it will take to do my normal routine works. 2.) Doctor has advised for an injection in my spinal cord , so my query is that the injection is necessary or not. [/INST] Hi there, welcome to HCM, thanks for your question.An injury to D12 vertebra and disc would take around 6 to 9 months to heal.But the recovery in spiral injuries depends on multiple factors like ahe of the individual (young heal earlier and elderly people heal late), the extent of injruy as seen on the imaging, the healing potential of the individual (different for all of us), treatment received, amount of rest taken and use of braces.It is also important to note that disc injuries at D12 level are relatively dangerous and associated with nerve and spinal cord injuries. Injuries at this level are also associated with alignment issues in the spine.I am sure you are under follow up with spime physician or surgeon for the same.It would be prudent to continue the same and give your body adequate time to heal ( 6 to 9 months on an average).Hope this answers your question.All the best.Thank you.with best regards. Dr.SBK </s>

<s>[INST] Dr i plannin for baby last 6.7 month but i can t susess i cansult one dr she did my intarnal altra repot was very good again dr say to me come after 2 days i will check you by intarnal altra sound egg fatilize or not she say my egg was fatilized then give me one injectin and and said to me taking susten200 useing after intarcourse keep in vagina but at last i am not susess give me best idea [/INST] Hi, Thanks for your query. I read your query and I understand your concerns. Your doctor is right please get the egg release tested by follicular growth scan. Have intercourse from the day eggs are about to release. You have a good chance of getting pregnancy. This method is not 100 % sure. You have to try few more cycles in the same way. You will get pregnant. I hope I answered your query. I will be available for any followup queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist. </s>

<s>[INST] I am a white female, 55 yrs old, mild diabetic, controlled with diet, exercise and metformin, 1,000 mg twice day. I am 5 7 , 180 lbs, I have been walking a mile to 2 a day about 4 days a week minimal. I have begun having rapid heart rate, tachycardia, upon exertion. I don t break out in a sweat or get nauseated, haven t really had arm or shoulder pain, but I do get tight in my chest, and minor shortness of breath. I can sit, and it goes away, until I exert again. I have minor medical knowledge, and know to get to ER if this gets worse and report to the doctor, but...was just wondering...do I need to go sooner than later? [/INST] Hello. Thank you for your question and welcome to HCM. I carefully read your concern. You are a 55-year old woman, which is a borderline age for risk for cardiovascular disease. The pain in the chest you described, which is triggered by effort and goes away when you stop, fulfils some criteria of angina (chest pain caused by narrowing of coronary arteries - the arteries that surround the heart like a crown, hence the name, and supply its muscle with oxygen and nutrients). Of course, in this level of conversation, when none of the test were carried out, this is just an assumption judging by the characteristics of the pain. Therefore, I would strongly recommend you to do a cardiac check-up: EKG, echocardiogram and cardiac stress test. Also, I would recommend you to be put on a 24-hour blood pressure monitor, to determine if there is also high blood pressure (hypertension) or not. As for the rapid heart rate, if it goes up while exerting, and remains regular, then my opinion is that there is nothing to worry about. There is a simple formula for this - the heart rate accepted as normal, at a person that is exercising, is 220-age (165 beats per minute, in your case). My further recommendations would be, that you should do a complete blood count and measure the levels of the following cell derivatives: - glucose - HbA1c - urea and creatinine - AST, ALT, GGT - electrolytes - total cholesterol, LDL- and HDL-fraction, triglycerides I hope I wash helpful and thorough, with my answer. Feel free to contact me again. Take care. </s>

<s>[INST] Hello my name is Alisha. I usually come on my period within 21 days. The last period went off jan 31. I had unprotected sex feb 1. I took next choice emergency contraceptive on the 3rd. It is now the 11th and i have my period. Could it be possible im pregnant? [/INST] as u had taken emergency contraceptive on time...u won't get pregnant. .it provides 90 percent efficacy..n u got ur periods ...dat also say u r not pregnant </s>

<s>[INST] Hello! I have 8 year old son, who have rash - redness and itchiness on the chest, arm pits, arms, legs, neck (front). Also he have already skin thickened on the front part of the neck and on the back side of his knee, yesterday he has a slightly swallen ancles, but they look better today. On the side he have not very high fever - around 100 F. I guess because of the fever he doesn t feel very well. He didn t take any medications at the moment the rash started, normally he don t have any food allergies that I am aware about. [/INST] Hi, Keep watching his temperature. As you said, he does not has a known allergy, this probably an infection from virus like chicken pox. Hence, he must be seen by a pediatrician. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist </s>

<s>[INST] I have allergy sinus problems. Like itchy nose and eyes, sneezing etc. I was advised by my doctor to have Lmontus for 2 weeks. I had it and stopped. two days later my allersy comes back. Can I have L montus for longer periods...how long can I have it for without causing any side effects? [/INST] Hello.L-montus is a very safe drug. Side effects from it's long-term use are very rare.I have seen patients using it daily for many years also.However, it treats symptoms of allergy, it does not treat the allergy itself. That's why you will need to take it for long time. Wish you the best health.Regards. </s>

<s>[INST] Yes, my 6 year old son has small red bumps on his mouth. they look like pimples but only on his mouth and lips. no other symptoms. He also has some on his wrists and fingers. He has allergies to milk protein and I have other children with atopic dermatitis, this looks different. Hive like. Hand foot and mouth have gone through the school but he has no other symptoms. Just hive like bumps. [/INST] Hi...I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other exanthemas which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use Hydroxyzine at 1-2mg/kg/dose (Maximum 10mg) every 6th to 8th hourly for 7 days. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it.But always remember - Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,Regards - Dr. Sumanth </s>

<s>[INST] Hi , I master bated in the show today and squeezed hard and now I have notice blood blisters. Is there a away to get rid of them. Like pop them or if I let be will they go away quick. I have a get a way with wife this weekend . She is worried we won t be able to have sex. She is mad at me. Plz help [/INST] HelloThanks for query.You have developed blister of blood due to dry,rough and vigorous handing of penis while masturbating ,Take antibiotics like Doxicycline to prevent infection and anti inflammatory medicine like Diclofenac twice daily .Do not attempt to poop them out .The blood will get absorbed within 4-5 days. Ensure to wash your genitals with warm water twice daily Ensure to avoid sexual encounters till it heals up completely. Dr.Patil. </s>

<s>[INST] Years ago I got kicked in the groin. It busted my left scrotum and today, it is painful and the sensitivity is mostly gone in the head of my penis. when I am with my wife I have a medium erection but when I penetrate her it dies. I am 67 years old with 4 stints in my heart [/INST] HelloScrotal injury need immediate medical attention.You need proper clinical examination and investigations.Investigations include ultrasound and colour doppler of scrotum.Ultrasound can exclude many conditions like local hematoma,testis injury etc.Treatment depend upon findings.Get well soon.Take CareDr.Indu Bhushan </s>

<s>[INST] Iam 34 yr lady having a child of 5 year.Iam diabetic mellitas , takes no medicine only food control .My first pregnancy period full with insulin and thre was no risk for the child.But after delivery i got all my health and nearly three nears take to restore my health.IF any problem if i become pregnent at this stage at this age.What precautions should I take to better health [/INST] Hello and welcome,I competely understand the issue. If you attempt pregnancy now, most likely you will require insulin right from the beginning as pregnancy itself causes a diabetes like state which becomes more manifested in people who are already diabetic. Also you may need higher doses than in previous pregnancy. If the sugars are well controlled throughout the pregnancy then there should not be any issues for you as well as the baby. Everything depends upon the sugar levels. If they are controlled there are no risks. A proper diabetic diet and regular exercise will help keep the sugars down. Nothing extra needs to be done apart from this. So best of luck. Take care.Hope this satisfies your query. Thanks for using HCM.     Feel free to ask any more questions that you may have. Dr Madhuri BagdeConsultant Obstetrician and Gynecologist </s>

<s>[INST] Dear Doctor, we got the results of my husband's semen analysis. We have been trying for 8 months to get pregnant without success. Can you tell me if his results are normal and if not, what can we do to improve the quality. Results are as follows: Volume 1.5 ML Color Gray Clarity Opaque; Viscosity Very Increased (What does this mean?); PH 8.3 Motility 67; Qualitiative motility 3+(What does this mean?); Count 65.8 million per ML; Morphology 78% of spermatozoa appear normal. Abnormal spermatozoa consist of broden neck (Is this bad?) and coiled tail forms;Collection time; 7:20 a.m. [/INST] Hi, Volume 1.5 ML Color Gray Clarity Opaque; ans : normal Viscosity Very Increased (What does this mean?)ans : can be due to dehydration PH 8.3 Motility 67 Qualitiative motility 3+(What does this mean?)ans: its normal Count 65.8 million per ML; Morphology 78% of spermatozoa appear normal. Abnormal spermatozoa consist of broadened neck (Is this bad?)ans: there will always be a few abnormal sperms. 40% of normal sperm is considered normal and coiled tail forms; Collection time; 7:20 a.m. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist </s>

<s>[INST] I recently sprained my knee playing basketball....it sweep up the following morning then I went to the doctor for it. No pain when it happened just the following day, it was stiff and hard to Move. I had mobility at the hospital, could move and bend it find with really minor pain, almost none. I have full mobility now, just water on the knee type swelling still and popping/cracking sounds when I bend it back and forth and on the left side of the knee on my left leg, when I bend it all the way back, there s a little bulge but not painful at all. Should I be concerned? [/INST] hi,thank you for providing the brief history of you.As mentioned by you that you were not able to bend the knee and was painful, have your physician advised you an MRI of the knee. Or have you met an orthopedic surgeon? As post the recovery due to the weakness of the quadriceps muscles this symptoms of cracking sounds are normal, by strengthening the muscles of the knee your problem should be solved. Also, an input from the orthopedic surgeon using a clinical examination and also the MRI will help to plan the further rehabilitation.As you are basket ball player your lower limbs have to be really stronger to get the torque in the muscles to jump for your goal. A sports physical therapist will be able to help you achieve the optimum strength. Also, in my clinical practice i have dealt with such sports injuries but the rehabilitation plan will be totally different than applied on the normal individuals to get the optimum torque for the better sports.RegardsJay Indravadan patel </s>

<s>[INST] hi im 26 and i have had asthma since i was 6 month old asthma has become better over lazt 10 years. but for the last yr or so i keep getting chest infections every month or so. today om coughing up phlem my voice is going and my chest hurts when i breath and my throat hurts a little. i also work in a bakery for the last 12 years and flour and stuff has never bothered me. i go to the doctors every time and they just give me the same antibiotics / amoxycillin,prednisolone etc but they cant pin piont why it keeps happening. im going back today to see them can you help?? thank you [/INST] Hello.Thank you for asking at HCM.I went through your history and from your history I would like to suggest you as follows:1. Were I treating you, I would suggest tablet montelukast and levocetirizine daily at least for 2-3 months.2. I would also start inhaler formoterol and budesonide in low dose daily for at least 2-3 months.3. Simultaneously, I would suggest you regular steam inhalation and warm saline gargles to hasten the healing process.4. Once you have no longer episodes of cough & chest complaints, I would plan to reduce your medications gradually.5. As you are working in a bakery, I would specially suggest you to cover your nose and mouth with a mask while working. If possible, you could take steps (like keeping window open) to improve ventilation in the area where you work.6. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution. Regular breathing exercises and a healthy diet rich in vitamins and minerals (e.g., adequate amounts of green leafy vegetables, fruits, sprouts, etc) will definitely help you in a long run.7. I would suggest you allergy testing, which will help you identifying substances causing troubles to you and also measures to avoid them.8. If above measures do not help, personally I would suggest you spirometry to know your lung capacity and identify type of lung problem you have.Hope above suggestions will help you.Regarding your main question, I would say, Asthma, if cannot be cured, can be very well controlled by regular medications without affecting your daily life. If allergy testing identifies some allergen, you may be prescribed specific allergen immunotherapy, which can change your immune system to improve your asthma. Also, if daily exposure to bakery dust (including yeast, wheat flour, egg, other dusts) is the cause of your symptoms, avoiding bakery dust will help you a lot.I must also mention that it takes long time to develop allergies and asthma. So no matter you have tolerated bakery dusts so far, may be it is now increasing your symptoms (it's known as Baker's asthma, you can read on internet).Should you have any further query, please fell free to ask at HCM.Wish you the best of the health.Thank you & Regards. </s>

<s>[INST] I am suffering from grade1 fatty liver from the past 2 years.Any remedy? age:55 yearsweight:85 kgheight:176cmtaking anti depressant &anti anxiety medicine regularly from past 10 years.Not diabeticNO BP problemhaving varicose veins in both legs [/INST] Hi,Thanks for posting your query.I am Dr.R.K and I am pleased to assist you.Your BMI is 27.4 and you are a little overweight. This is one of the risk factors of fatty liver. You need to reduce weight to normalize your liver.You also need to check your lipid profile as high cholesterol is another risk factor for fatty liver.Good to hear that you are not a diabetic ( as this is another risk factor).I hope that answers your question.Regards. </s>

<s>[INST] Hi my chest feels tight when I run. I can run a certain amount of time before I become out of breath and have no energy. I play a lot of football so this is the problem. Im a very sporty person. My chest just feels really tight and I cant run no more. I can run for about 10minutes then my chest starts to hurt. I didnt play football for a year. I ve just got into it again. How can I get my fitness better so I can run for longer? [/INST] HelloTightness in chest during exertion need proper evaluation.It may be due to coronary heart disease.You need proper clinical examination and investigations.Investigations include routine hemogram,random blood sugar,liver function test,renal function test,lipid profile,urine RE/ME,ultrasound of abdomen,TMT,ECG in all leads,ECHO.Angiography can be done after evaluation.Proper treatment depend upon findings.Get well soon.Take CareDr.Indu Bhushan </s>

<s>[INST] I just found out I have uterine fibroids, the largest 5cm, but I went to see a specialist and she is more concerned about my lower left pain I ve had for 4 straight days which brought me in the ER. She said fibroids don t give that kind of pain because I don t have heavy flows. It felt like contractions in my lower stomach and near my left overy. (I had an ultrasound 1 day ago and my overies are fine. What else could it be (I already know I have fibroids) Could it be appendix? [/INST] Hello,As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. Consult a general surgeon and plan for an ultrasound scan to rule out conditions like renal or ureteric stones.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>

<s>[INST] hello Dr,my name is suresh kumar and my mother name is k.jayamani and she got the pain in her jaw severly like a electric shock and after that we gone to a dr, there he took the MRI SCAN and after that he told that she is strugling from the disease tregiminal neuralagia for that she is advised to take the tab. OXETOL 150mg, and tab. PREGALIN M75 mg. Trigeminal nerve Right side 1.maximum diameter 30mm 2.location of vascular loop indentation cisternal segment 3.area of contact superior surface 4.diameter of vessels 11mm 5.distance from REZ 32mm 6.culprit vessel right SCA IMPRESSION Vascular loop of right superior cerebellar artery abuts cisternal segment of right trigeminal nerve close to the REZ. Non-specific subcortical white matter hyperintensity in both cerebral hemisphere. Bilateral maxillary and sphenoid sinusitis. [/INST] Hi, This mix of symptoms makes it difficult to pinpoint the cause without detailed history, examination and investigations. It would be better to see a neurologist and an ENT specialist. Blood tests should include a hemogram, ESR, c-reactive protein, liver function tests, homocyteine levels and urine analysis. Detailed investigations such as EEG, 3 Tesla MRI can wait.Take care. Hope I have answered your question. Let me know if I can assist you further.Regards,Dr. Iven Romic Rommstein, General Surgeon </s>

<s>[INST] My left hand just touched something on the back of my cable box and I began to get electrocuted (my whole hand and arm tingling and pins sensation). I didn t feel it anywhere else in my body beyond that. It lasted about 3 seconds before I could pull it away. my hand and arm feel weak and tingly now and a bit sore. Should I be concerned that I did damage? What should I do now? [/INST] hihope this msg finds u in good health.There doesnt seem to be any problem as this a routine complaint after getting electrocuted.its due to sensitivity of nervesu will b fine in about 3 weeksthanks. .god bless </s>

<s>[INST] My baby has thrush that is getting worse! She was 10 weeks premature, after she turned 1 month old I was treated with antibiotic (macrobid) for a urinary tract infection. She is has been breastfed and now I need to know what I can do to get rid of yeast in both of us for good. Nystatin is not working! [/INST] Hello. Thanks for your query. As a Breastfeeding Specialist I want to tell you that Nystatin is the right choice for you and for your baby. But in order to treat the thrush you have to be treated both with nystatin. You have to apply nystatin cream on you nipples twice a day, because yeast infections moves from mother to baby and from baby to mother if you are not treated both in the same time. Also you should keep good hygiene for your breast by changing your bras once a day and baby's clothes every time you could . </s>

<s>[INST] My daughter has had a swollen lymph node or gland for about 2 months under the jaw near her ear. (could have been longer this is when i noticed it)Our family doctor told us to give it 3 more weeks. It is still there it is about 1 to 1 1/2 . She now has another one forming under her chin area. It is smaller. [/INST] HiShe should get an FNAC ( Fine Needle aspiration Cytology ) of the enlarged lymph node. It may due to infection. But, it has to be confirmed by FNAC. If you come back after FNAC report, I will clarify further. Wish her good health. Regards </s>

<s>[INST] hi my name is kristina....Me and my husband have been trying to get pregnant for 4 years now....i am 4 weeks and 1 day today but yesterday i started spotting but its just brown blood and only when i wipe after going pee.. i have had a pad on all night and no blood was on it when i got up.....what does this mean im scared im have a miscarriage what do you think? [/INST] Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.You are on 4 weeks and 1 day. Just brown spotting could be due to implantation bleeding, premenstrual symptoms, and hormonal imbalance. Implantation bleeding occurs at the time of the period and just like spotting, it is brown to pink colour. If your period is delayed by more than 8 to 10 days, then go for urine pregnancy test and or blood HCG test to confirm the pregnancy. Meanwhile avoid stress, take healthy diet, maintain proper pelvic hygiene, drink plenty of water, do regular exercise.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar </s>

<s>[INST] My daughter is 18 months old she has had odd bowel movements since she was born, but lately it looks like they have increased and gotten worse. In the past hour she has had 3 watery bowel movements. She is screaming out and crying because she is in pain, when you try to wipe the excess poop away she clinches and cries and screams, My heart is breaking i am at a lost of what to do, Does anyone have any suggestions? [/INST] Hi Dear,Welcome to HCM.Understanding your concern. As per your query your daughter have symptoms of diarrhea which could be due to viral or bacterial infection. It is mainly due to disturbed electrolyte balance in body. Need not to worry. I would suggest you to maintain hydration of child well. Give curd in diet. Visit pediatrician once and get it examined. You should go for blood tests as well and start treatment after proper examination. you should give Ibuprofen to child along with proton pump inhibitors as well. Start giving oral rehydration fluids sip by sip to maintain the hydration. You should take Probiotics such as lactobacillus. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari </s>

<s>[INST] When I try to take a normal breath , pain surges down my back and tightens up the muscles. This has been going on for 1.5 to 2 weeks, every night, with the time it lasts increasing. It is starting to concern me severely. Age: 19 Sex: Male Additional: Chrons, Asthma [/INST] You may have a musculoskeletal pain.simple analgesia like paracetamol and muscle relaxant tolperisone will help you. </s>

<s>[INST] My 11 year old son has been lightheaded and dizzy for a couple of hours. Has had some ringing in his ears. He played several hours of competitive soccer over the weekend in temperatures of 85-95 degrees. Body temp is normal. What might this be? He s nervous which makes us nervous because that s not normally like him. [/INST] Hi, welcome to HCM. Can understand your concerns. This could be due to hypotension, hypoglycemia or dehydration. Get the child examined by a doctor. </s>

<s>[INST] My 5yr old was complaining about his legs burning and now is running fever! He says he does not feel bad but all he s done is lay around which is unusual! I am out of my home state and he has fl medicaid and What I have been told is his medicaid would not cover him in another state!! And I do not have his card on me! [/INST] Hi...fever with burning sensation could be a symptom of viral illness. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.But if there is any rash or redness over the area of burning which you are quoting - I suggest you get him checked by a doctor.Regards - Dr. Sumanth </s>

<s>[INST] In my testis bag there are two testis and a circular body. This body is about 3 cm in size. It is soft and when pressed it disappear cusing irritation in my stomach. Wat is it? And why is it? [/INST] hello it is not necessarily cancer. there are many non cancerous tumours in testis.you should do some tests like ultrasound of both testis,urine analysis, blood tests like -cbc,esr. then you will get basic idea. further test or treatment will depend on these reports.bye </s>

<s>[INST] i have undergone rct in one tooth but due to repeated infection in the tooth, the tooth was extracted. Now after the extraction of the tooth there is mild swelling around the gum and down, little pain and heaviness around the affected area. 10 days have gone after extraction of tooth. Can u tell me what are these symptoms and treatment [/INST] Hi, Thanks for asking the query, Extraction of the tooth is often associated with post operative complications like pain and swelling. Dont worry about the symptoms as they will subside after sometimes. Follow the post operative instruction properly. According to your clinical history i suppose that the infection in your tooth was deep after extraction a curettage and rinsing of socket with antiseptic saline rinses was required. I would suggest you to take a course of antibiotics and analgesics for 3-5 days. If the symptoms persists or worsen visit the Dentist and get the checkup done. Maintain a good oral hygiene. Hope this helps out. Regards.... </s>

<s>[INST] Had organising pneumonia in summer. Not been well since. Steroids have had some effect. Now feet are swollen and smelly ( newly) productive cough is back, dizziness and fatigue worse. Ct scan of lungs, brochoscopy clear. Very little abnormalities in blood. Any ideas? Hospital and Gp baffled. [/INST] Organizing pneumonia requires a longer course of steroidsi.e. for few months..Swollen feet can just be a side effect of steroids.. Nothing to be worried about that.. Just reduce your salt intake </s>

<s>[INST] Hi, may I answer your health queries right now ? Please type your query here...I have chest pain that has been diagnosed as costochondritis, and it seems to alternate from my right upper back to my left upper chest. I am seeing a physio today and would like a cortisone shot. Are they allowed to do this treatment or is that a GP job? [/INST] hellophysiotherapists cannot give you cortisone shots. it is a steroid drug and you need to go to your gp for the same. is the pain so unbearable that u need a steroid shot? havr you tried NSAIDs like diclofenac </s>

<s>[INST] This side Tarun Chug.I am 25 years old and basically belongs from Gangoh and right now working in Noida as an Engineer. I have a query that I am suffering from unwanted hairs on my back and chest and I want to permanently get rid of it. Please suggest me is it possible and how much approx I will have to pay? Please let me know that when I can visit your clinic for consulting? Thanks & kind Regards Tarun kumar +91-0000 [/INST] hi Mr Tarun Chug yes there is solution for that for permanent get rid of it u have to undergo cryosurgery for permanent epilation and destruction of the hair follicles for which u have to consult a dermatologists and cosmetic surgeon he can guide u properly in this regard and ll tell u xactly how much u have to pay i think u got my point thank u </s>

<s>[INST] Hello doctor, Does the natural background radiation level (3 mS v per year) add to cancer risk on top of a dose from medical imaging, or is natural radiation separate or safe since we all receive it? [/INST] Hello. One mSv is the limit for the general public. The background is usually within this limit. But radiation workers have a limit of 20 mSv per year, which is also very safe. Also, doses from medical imaging can contribute. But the benefits from medical imaging offset any potential theoretical risks of increased cancer risk. Background radiation is 0.1 uSv per hour, which comes to about one mSv in a year. </s>

<s>[INST] Hi how are you? I thought that i had a uti however two urine samples taken by by gyno and then my pcp came back as neg for uti but had a high level of white blood cells. no i am getting a pain on my lower abd ( it feels like ovulation pain) what can it be [/INST] Hi ! Good morning. I am Dr Shareef answering your query. If I were your doctor, I would after clinically examination of your abdomen and a general examination, would advise for an ultrasound abdomen which would help in ruling out a few intra-abdominal pathology. The diagnosis would be based mainly on the physical examination finding, and the investigation findings.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. Wishing you an early recovery. Dr Shareef. </s>

<s>[INST] I had a root canal and crown done to a molar several years ago to treat a tooth that had grown in without an enamel. Now 7 years later I have a painful lump on the boney part where the gums connect to the jaw. Its located directly below the tooth that has the crown. I am getting a throbbing pressure like pain in the bone of the jaw and feels as though there is pressure in the tooth. There is no swelling of my gums or face, no redness or any other symptoms. Just a painful lump on the bone conneccting the gums to the jaw.....do I have an abscess?? Or could it be something else? [/INST] Hello, Welcome Thanks for consulting HCM, I have gone through your query, you have mentioned that you have undergone root canal treatment and crown placed on teeth several years back now you had pain dont worry may be there is Periodontal Pocket formation due to not proper maintain of hygiene , you do is consult dentist and go for investigations done If there is pocket formation or Periodontal Abscess then go for sacling and currettage and if due to Periapical Pathology then RE -RCT should be done Hope this will help you. Wishing you good health Regards Dr. Priyanka tiwari </s>

<s>[INST] Hello doctor, I have choroid plexus AVM (sm grade 2) in the right temporal horn of the lateral ventricle. Doctor said embolization and gamma knife are not possible. So they opted for microsurgery and said surgery would lead to weakness on the left side. I want to know what are the other effects? How long will it exist? Will the effect become normal after some days? Please explain. I am currently on Eptoin 100 mg. [/INST] Hello. I need to see the angiogram images to comment in detail. Anyways, I have listed the essential points : Your weakness will depend on the extent of the damage during surgery. If some blood vessels are damaged, which supply the bundle of nerves supplying the limbs, you can have a weakness. If it is damaged completely, you will have a severe weakness. Usually, that does not happen. If your weakness is partial, it will recover in six weeks. Provided you should do physiotherapy regularly. Apart from weakness, you may have a minimal visual impairment in the upper outer quadrant of your visual field. But this will not trouble you in your daily life. Apart from these two, there are no other major complications. Minor ones would be nonhealing wounds, CSF (cerebrospinal fluid) leak, development of hydrocephalus, etc. </s>

<s>[INST] hello i have a question and im sure you hear it much to often, i have been taking pain pills for 9 plus years and have run out!!! i got no sleep lastnight non, my legs drove me crazy and i tossed and turned the whole night long!!!! what can i do the get over this and quick? anything that i can do at home or get at a local store or drug store? Thank you so much [/INST] Hello, The symptoms seem to be related to leg pain,probably due to arthritis. I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. It can be found over the counter. I also suggest using cold compresses for relieve. Hope my answer was helpful. If you have further queries feel free to contact me again. Regards, Dr. Dorina Gurabardhi, General & Family Physician </s>

<s>[INST] Hi, may I answer your health queries right now ? Please type your query here...                                                                  Yesterday an elderly lady passed out on me in the shower. She had a blood pressure of 40/110. She ended up having blood as her hemaglobin was 80. Today I discussed this with my uni tutor she said no way could she have bp that read that. She told me I was wrong. Could the BP be correct [/INST] Hi, The correct interpretation of this BP is 110/40 mmHg and yes, that is possible and in fact, we do see this in a lot of our admitted patient. This reading of BP can cause loss of consciousness, giddiness and the patient should be given fluid with some salt temporarily before taking her to a medical facility. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameer Maheshwari, Cardiologist </s>

<s>[INST] Hello doctor, I have had fluctuating elevated blood pressure for three to four years between 135-180/85-112 mmHg. I did not take any medication. I have had episodes of sudden fainting, pain and burning in the chest. When tested, ECG was fine. But four days ago, it was different. I had felt extremely fatigued for two days, then I felt pain in my center and left side of my chest. My hands seemed numb. I had periodic episodes of cold sweats on the back of my head and neck, as well as a dull ache in my left upper shoulder. The heaviness was there also. This stayed off and on all evening, during which I took two baby Aspirin, which provided a little relief. The next day, I was still very tired and my chest was sore. The pain was sporadic in my chest, like a quick stinging pain. When I tried to do anything, it would try to start again. During this time, my blood pressure reached its highest at 167/112 mmHg. The third day I felt better. I am currently on Zoloft 100 mg once daily. Does this sound like a heart attack? I was terrified. [/INST] Hello. Your symptoms are not typical of a heart attack. They seem to indicate musculoskeletal pain or inflammation. Is the pain triggered by deep breathing or body movements? This would be another argument in favor of a musculo-skeletal pain. The increase in blood pressure values during these episodes is a normal physiological reaction to the pain. So, there is nothing to worry about. Anyways, an exercise cardiac stress test would help reassure you that nothing bad is going on. Regarding your blood pressure values, I would recommend you to measure your blood pressure frequently during a week and write those values down. If blood pressure values are frequently above the normal ranges (140/90 mmHg), antihypertensive therapy may be needed. Some blood lab tests are also necessary to investigate for other possible metabolic causes that may lead to this symptomatology: For more information consult a cardiologist online --> </s>

<s>[INST] Hello doctor,I am a 22 year old female. I am suffering from a bout of acne since a couple of weeks now. They redden and leave behind dark spots. I am not touching them and drinking plenty of water. I have used tea tree oil and lemon juice on them. I apply Betnovate but it is not helping much. Kindly advise me on how to stop more acne from surfacing and dietary precautions if any. Also, what to do about the dark spots? [/INST] Hello. I have seen the picture attached (attachment removed to protect patient identity). Please answer these questions so that we can get a better approach to the case. For more information consult a cosmetologist online --> </s>

<s>[INST] Hi, Mother has been diagonesed with angina pain today and doctor has advised for angeograpy and probably angeoplasty if required. I have just come to know something about CITI angeography. Can you plz advise if CITI ageography is something which I can go for to further diagonse my mother's heart problme and then if require, can go in for Angeoplasty.? [/INST] Hello and welcome to health care Magic forum. CT angiography s a noninvasive procedure, very specific but not sensitive. If your mother has high suspicion of CAD then she should undergo Coronary angiogram , because even after CT angiogram she has to undergo traditional angiogram . </s>

<s>[INST] My right knee starting to hurt this eve, it felt like my interior ligament was "rolling" over something & it hurt quite a bit. Then, after icing it, I felt a small pea size limp that I could manipulate to move it around. Any ideas? I didn't doing anything out of ordinary today , but I do have osteo arthritis and Lupus. [/INST] Hi...The interior ligament rolling inside your knee could be a tendon rolling over the bone. This is possible because your muscle tightness can tighten up the tendon rubbing onto the underlying bone... The spea sized ball what you feel is the inflammed tendon...I recommend you to..Continue icing frequently...5-6 times in a day on the pea sized lump area and area on the front of the thigh..keep it compressed with compression bandage...If you have a analgesic gel/ointment apply it on painful area...Gently knead on the muscles above the knee...Gently stretch the front thigh...back thigh...inner thigh and outer thigh muscles...Once pain gets relieved then start rehabilitation for your knee...keeping a rolled towel under your knee and pressing...Exercises like Bridging...leg extension...leg curls..calf raises helps to maintain strength around knee joint...and gentle stretch helps you to maintain your knee pain-free...Hope this is helpful for you...Kindly revert back in case you need any further information regarding this.... </s>

<s>[INST] hello doctor. i'm a nursing student from the philippines and we will be having our case protocol next week. i'm looking for an MRI scan, CT scan and laparoscopic result example for a person who has peptic ulcer and peritonitis at the same time and also had undergone billroth 1 a year ago.. [/INST] Hi.It is good to know that you are a nursing student and want to know more. MRI and CT scan have limited role int he diagnosis of the Peptic ulcer, not much indicated as the oral contrast should not be given in such cases. They will find collection of fluid inside the peritoneal cavity. In Laparoscopy , you will find the perforation , and pus filled peritoneal cavity, may be adhesions too. The best simple diagnostic tool is X-ray of the abdomen in the standing position to find gas under diaphragm. This is a sure sign of a Perforation. </s>

<s>[INST] Hi I woke up this morning with knee pain. I haven t knocked, banged or twisted it and found it painful to get out of bed and weight bear. It was sore to touch and got more swollen throughout the day. Little bit warm to touch. Do you think it could be gout or bursitis? [/INST] hi, i appreciate your concern.painful and swollen knee,without any injury or twist,appears strongly a case of GOUT,or its varients.i always investigate my such patients for blood test,joint fluid aspiration and testing,to confirm the desease.in the meantime ,immobilization of knee in splint,ice therapy ,and safe painkiller may make u comfortable,as per advice of your family doctor.thanks. iwill be happy to answer any further quary. </s>

<s>[INST] Hello doctor, My 16-month-old presents with intermittent limb weakness, hemiplegia, gait disorder, dysphagia, intermittent ataxia, brisk reflexes, seizures, and intermittent hypotonia. There are sudden bouts of alternating limb paralysis. There is sudden difficulty with balance and walking with falls every few steps. The baby is seemingly dizzy. There is dysphagia with no etiology. There is a paroxysmal tonic upgaze. The doctor has prescribed Diamox for ataxia today. The baby has a normal CBC, CMP, and CSF. I also have attached the spinal and brain MRI images here. I need a second opinion. [/INST] Hello.  I have gone through the images which you have sent (attachment removed to protect patient identity). Regards. For more information consult a radiologist online --> </s>

<s>[INST] My husband has had a toothache, went to the dentist a few weeks ago and dentist said he did not see anything. The last few days, he has complained about the same tooth and in the last few hours, his right cheek has gotten swollen.He is seeint the dentist tomorrow a.m. again, but i am worried about him this evening and can he wait until morning? [/INST] hello, if there is a swelling present than m sure there would be a infection.there is no need to worry. Just go to YOUR dentist ask fOR X-RAY of that area.if there is any deep cavity present related to that tooth than ask for root canal therapy. he ll be alright. </s>

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

<s>[INST] Hi doctor, My 2.5 years old is having a wet cough and running nose (no fever). It starts with a dry cough and in a day or two, converts to wet. The same process has been going on for a month. He stays healthy for 2 to 3 days and then falls sick. Advise medicine for current situation and supplements for immunity improvement. [/INST] Hi. What you are describing seems to be something like hyperreactive airway disease. In such cases, we initially give a trial of Montelukast for a few weeks to a month and look at the response. Based on the response, we may add steroids followed by inhalers (different combinations) (again based on response). This requires multiple follow ups and evaluation in the initial few stages till stability. Hence I would recommend you to go to your pediatrician and ask him about the above thought process that I have described. </s>

<s>[INST] I was in an auto accident over six weeks ago and got beaten up by some hoodlums about 3 years ago. Both Have caused me to have terribly swollen feet. As if I have serious neuropathy which is very painful. What would be solutions to my problem. Bob [/INST] Hello,As per your clinical history is concerned, please follow like this:1) Do a clinical examination by your treating Doctor [Ortho] and to confirm exact cause do [X-ray and an MRI scan].2) Do take OTC painkiller like [Ibuprofen + Paracetamol] for pain and swelling.3) Your Doctor will decide treatment plan after investigation reports only and normally it is [Reduction, Immobilization, and Surgery] which your Doctor will decide.4) After healing consult with your physio for a specific exercise plan.Do follow few lifestyle modifications like this:1) Try to wear proper shoes. Use hiking shoes on rough terrain. Wear steel-toed boots in your work environment if necessary. Choose appropriate athletic shoes for your sport.2) Replace athletic shoes regularly. Discard sneakers as soon as the tread or heel wears out or if the shoes are wearing unevenly.3) Try to build bone strength. Calcium-rich foods, such as milk, yogurt, and cheese, really can do your body good. Taking vitamin D supplements also can help.4) Try to strengthen your ankle muscles. If you are prone to twisting your ankle, ask your physio for exercises to help strengthen the supporting muscles of your ankle.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Uday Nath Sahoo </s>

<s>[INST] Hi i m 15, 5 3, and i m anemic and have low white blood cells. Every since i went on a school trip a couple weeks ago, everyone threw up including me but they felt better afterwards. But i keep feeling nauseous and throwing up occasionally. Is this normal? [/INST] Hi,As has been going on for a couple of weeks, It cannot be attributed to the same food poisoning which might have occurred two weeks ago to your colleagues. I feel that this might be an acid reflux. I suggest you consult your pediatrician regarding this.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sumanth </s>

<s>[INST] Hello, my names tyler and im 24 , i had my bottom left molar extracted Thursday the 22nd , i was out of the office by 12pm, theres a whitish layer where the blood clot is and it doesn't look hollowed, is this normal and am i allowed to masturabate or have sex . Its been about 50 or 51 hours since the extraction [/INST] Hello,As per your query, you have a blood clot at the tooth extraction which is normal after every extraction for the first 2 to 3 days. You can masturbate or have sex, no issues in that.I would suggest you maintain proper oral hygiene. Follow all post-operative instructions such as do warm saline gargles, do not suck or swish any liquid forcefully, do not eat hard food and avoid any kind of vigorous exercise.Eat very soft food. Drink cold water and have ice cream for rapid healing for 48 hours. Take a combination of Ibuprofen and Diclofenac drugs. Visit a dentist once, if symptoms keep on exaggerating or if bleeding does not stop.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harry Maheshwari </s>

<s>[INST] now i days i have 1 month or 19th day delay for my period. this time also it will happen this month 23day delay my period. and my question is this time me and my husband had a intercourse after 19th days period delay. so my question is that have any chance for for pregnant [/INST] yes, there is a chance that you get pregnant . you should get a pregnancy test and a pelvic ultrasound to confirm pregnancy </s>

<s>[INST] I am a 60 year old male, in good physical condition with history of elevated cholesterol (controlled with medication), and chronic low back pain. For several months now, I have experienced profuse sweating in my lumbar region, so much so that it soaks through my pants and I have to place a napkin between my skin and underwear. My FP said that he does not know what the cause may be....any ideas or recommendations? [/INST] Hi, Sympathetic overactivity of nerve cause increased sweating. You need to consult a neurologist for better understanding/treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist </s>

<s>[INST] Am feeling tired all the time, sick,leg pain,dry mouth, blurred vision, thirsty,feeling hot and cold,bubbles in the urine, headace symptoms happen diffrent times in the day and every day in the week.my cycle this month was 5 days heavy and last 2 days were very light. What could these symptoms be? [/INST] Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to a cold or flu.I suggest using anti inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest to rest,eat healthy and eat a healthy diet. I recommend to drink liquids.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician </s>

<s>[INST] Last year i had viral fever, and doctor gave me medicines where my bed became wet and after having medicine for 5 days, all my energy went away and i started feeling weak and my whole body pains if i do even small amt of work, I am tired easily, i am 44 years old and my weight is 72 kgs, so even going to gymn used to make me feel as if somebody has beaten me up, now after one year also i feel the same nerve pain and weaknessplease suggest, i will bless the person who cures me [/INST] Hello, I appreciate your concern for your health. Your Current problem has nothing to do with your past viral fever. With your narrations your weight seems to be in a good range, but still you are feeling weakness. One important thing is after visiting gym or exertion, you feel weak and exhausted. My advice is please check your Hemoglobin (Hb) level and Vitamin B12 Level. Due to low hemoglobin, your blood's oxygen carrying capacity is reduced and that's why you feel weak and exhausted. According to your lab reports you may take iron, folic acid and Vitamin B12 supplements.Meanwhile drink lots of water, eat fruits and fruits juices, eat green leafy vegetable, avoid junk foods and carbonated drinks. This will supplement your natural vitamin and mineral store. </s>

<s>[INST] i am suffring from dilated cardiomyopathy since last two years i feel tired and breathlessness in slitest exertion, can not walk even 50 steps feeling heavy in stomac as if there is fluied in te stomac feel dificulty in sleeping on both the sides only can sleep flat on the back dificulty in breathing after fast walking [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. Dilated cardiomyopathy (DCM) can cause reduction in heart functions. This can cause fluid retention in the body. This fluid can accumulate in lungs, abdomen and legs. In lungs, it causes pulmonary edema and this can cause breathlessness on exertion. In abdomen it causes ascites and this cause heaviness in abdomen. So you should consult cardiologist and get done 2d echo to measure heart function. If it is reduced then you will need diuretics to reduce fluid retention. After diuretics, you will mostly improve. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] hi my son had a cold two weeks ago. his throat was really bothering him. i did not give him any antibiotics because he told me he felt better. he did have a fever. now that i notice he has a small lump on the right side of his neck. i am worried thank you [/INST] Hi,It seems that he might be having upper respiratory tract infection or tonsillitis at that time leading to enlarged neck lymph node.nothing to worry, gradually it will be subside.Rule out any infection or carious teeth.Ok and take care. </s>

<s>[INST] Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> </s>

<s>[INST] basically i have been repeating myself alot lately i used to do it in the past but its been more common. its not like a stutter or stammer its only with one word out of a sentence. i will be speaking normally and then it hits me and i find my self repeating the word or sentance over and over sometimes even up to 20times. the wierdest thing is i can break away from saying it but to carry on telling the story i have to repeat it again. i was wondering if you have any answers as to what could be happening. [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. From the description it is not easy to diagnose you properly. But I see a case of obsession here without any underlying physical / physiological cause. You had that disturbing sensation 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. 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. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. </s>

<s>[INST] HAVE BEEN TAKING ESOKIT AND CYCLOPAM MEDICATION FOR 4 DAYS,LAB TESTS ON STOOL SHOWED I HAD H-PYLORI,NOW I FEEL BAD TEST IN MY MOUTH,HEART BUN AND TIRED,ARE THOSE SIDE EFFCTS ON THE MEDICATION ,AM SUPPOSE TO TAKE ESOKIT FOR 7 DAYS,BUT CYCLOPAM FOR 4DAYS(1X3).PLEASE ADVICE [/INST] Hello, It is due to acid reflux and gastritis. Continue your esokit; and reside the intake of spicy foods. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain </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] Hello Doctor, I have dry and scaly skin on my face. Especially cheeks. After I wash my face with mild soap or face wash I feel burning or streched feeling all over my face. I am not able to use any sun screen because of this as I feel irritation on skin after I apply sunscreen. Please help me get rid of this dry skin. I use dove soap and follow up with venusia cream after that. [/INST] Hello,welcome to healthcare magic.I understand from your query that you are having extremely dry skin on your face.I would suggest that you use a soap free cleanser like Cetaphil cleanser for sensitive skin to wash your face. Limit face washing to 2-3 times a day as excessive washing will strip away the oils.Use a cream containing urea and lactic acid along with other moisturizing factors like shea butter, glycerol,etc for better relief from dry skin. Apply the moisturizer immediately after washing on damp skin so that the water soaks well into the skin.Do not scrub/ rub your skin.Avoid cosmetics with fragrances and colour.Drink plenty of water.Hope this helps you.Take care. </s>