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<s>[INST] During the evening I am awaken by a numbness in my arm, or sometimes both. It eventually goes away if I squeeze a rubber ball or just hang it over the side of the bed or hold it to my chest. Most of time when it wakes me my arm is above my head. What is causing this? [/INST] Hello, I have studied your case. Due to compression of nerve root there can be numbness in arm.Also there can be large disc bulge which is compressing over spinal cord.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give you relief.I will advise to check your vit B12 and vit D3 level.If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. </s>

<s>[INST] Hello im a 46 year oldfemale i have sever pain in the crease of my right leg by i guess u would say groin can not lift my leg have to do i manually started two days ago when my daughtor who is nine fell asleep on me when we were watching a movie i have ffibro ra n degenerative disc disease [/INST] Hello, As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist you can consult an orthopedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>

<s>[INST] My father is having a course of interferon for Hep C. He has a platelet count of only 60, so he can't have a liver biopsy. he has severe cirrhosis but relitavely good liver function, considering the condition of his liver. What is the danger if his platelet count drops further? could this be potentially deadly? What other risks are involved? [/INST] Hi,This is serious disease and quitting alcohol is the most important thing that should be done. Also, medications which are hematotoxic should be avoided. This is necessary to prevent disease progression which is lethal in most cases. At early stages it can be treated with these measures but but in case of progression, only liver transplantation may help. Diet should be balanced and healthy and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on drinks with lots of sugar like sports drinks and juice. If there is viral hepatitis as underlying cause then antiviral medications are required.I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health.Kindly regards,Dr. Ivan R. Rommstein </s>

<s>[INST] I have a history of herniated disc, cervical low back, and a sciatica excruciating pain is going down From my low back down my right leg, and down my knee and my right shin . First my regular doctor told me to wait two weeks and he prescribed Percocet until we gets a little better to weeks later my pain has gotten worse and I cannot walk more than 100 feet before I need a wheelchair I spoke to my doctor over the phone again and she said to go directly to the orthopedic since he was more of an expert in this field The orthopedic told me that it seems from his manual physical test that she did to me that this may be something that could be treated with therapy for pain management and that now and did not even want to do an MRI until I requested that I want an MRI done because this excruciating pain that keeps me from walking is worse than anything else and he stays that I test better than two years ago I told him that Percocet and Tylenol ibuprofen and everything I take tramadol or nothing stops the pain so he said if he could prescribe something different he prescribed Tylenol with codeine but that doesn t work either . I am going to get an MRI on Friday morning 7 April and I am looking to go to a pain management expert I also have proteinuria which on my last urine test was 2+ that s why my regular doctor didn t want to prescribe me anything that had anti-inflammatory drugs, but I m no doctor but I have common sense and I know that you have to weigh the pros and the cons of the situation at hand I need to take something for pain and I was looking online and Aleve is supposed to work well my wife Also has Celebrex that is prescribed to her that she said I could take one in the meantime until I start to get treatment I need help suggestions any other medication that works better A sequence of operation of what I should do I cannot to therapy right now because of the excruciating pain I have on my right leg this pain increases as I walk or stand to excruciating fainting levels a 100 on a scale of 1 to 10 [/INST] Hello.Since the level of pain is so high and not dominated by so many drugs I would order you to do an emergent back MRI.The only drug that you have not used is LYRICA , used for nerve pain.I would try until you do the MRI. You can take start 75 mg twice a day for the first 2 days and then increase to 150 mg twice a day.The other option to calm down the pain, are injections with cortisone and lidocaine in the lower back under fluoroscopy performed by radiology specialist of the spine.Also you can use a lower back corse (brace) to limit some range of spine motion for a short period of timeOnce you have the MRI report then the treatment depends from that and can vary from physical therapy to surgery </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] i have constipation and after stool analysis all values is normal except pus cells 2-3 and RBC s 0-1 and fat globules (+) and pH is alkaline and few yeast can you help me please to know the reason of this constipation. [/INST] Dear Basically low fibrous diet is the main culprit for constipation. Having ir regular and ir rational meals makes the system upset. More non veg leaves no residue thereby compounding the problem, use of certain drugs, or even addiction to any intoxicant can cause constipation. having irregular time for visiting toilet fails to make any reflex. working late in night and improper rest, tension stress all contribute to constipation. have rich fibrous diet and add psylum husk as laxative this will also clear pus cells rbc etc. </s>

<s>[INST] Dear Doctor,I have a 1.5 years old sick daughter, I am looking for the written file to understand some clinical numbers of a normal young child(1-2 years old):1: what is the diameter of the hepatic portal vein? 2: what is the frequency of the hepatic portal flow?I will appreciate if you could help me with these information.Kelvin Lu [/INST] 4-8 mm is range for diameter for hepatic portal vein for 1.5 year of children , there is no thing like frequency of hepatic portal flow. please make it clear </s>

<s>[INST] Had uterine cancer, stage 1, Grade 1. Made it 3 years. At least I thought so. No futher treatment was needed after surgery other than 3 month check ups. Should blood work have been done during my gyn/oncol visits? Only had vaginal smears done. Now I have to see a hematologist because I had M spike para protein in blood work. 0.24. by my peronal care doctor. Could a cancer cell have entered my blood stream during the surgery? Thahk you for your time. [/INST] Hi, thanks for using healthcare magicThere is not likely any like between your procedure and the present results.Para protein is an abnormal protein found in the plasma aspect of the blood.It can be associated with benign causes or multiple myeloma. Multiple myeloma is a different cancer than uterine cancer.I wish you the best </s>

<s>[INST] Ok so on Saturday my girlfriend came over to my house. We did some freaky things and she stuck the tip in. I didn t have an orgasm but I m still scared. The next day she had her period. It is now Wednesday when I am typing this and she said she feels sick. Since she left my house she said she had heart aches., felt dizzy, wanted to throw up, and says shes never felt a stomach ache like this. Can my girlfriend be pregnant? She also says that she thinks she s sick because she accidentally ate old candy on Monday, but I don t think its the candy. She is now telling me she had heavy blood flow on Monday morning, like she stained the bed. [/INST] Hello dearI understand your concernPeriod followed by the unprotected sex does not cause pregnancy.Heavy bleeding after the sex could be due to infection/inflammation in cervix, vagina, polyp or any growth in cervix and uterus, cervix/endometrium dysplasia.Throw up, stomach ache could be due to stomach infection.Dizziness could be due to blood loss.I would suggest to consult the gynecologist and undergo vaginal examination, vaginal swab test, USG scan, PAP smear/colposcopy to rule out the cause.Specific treatment will depend on the cause.Bleeding can be reduced by the progesterone pill.Take tablet meftal spasMaintain proper pelvic hygieneTake proper rest, eat healthy diet with iron supplements.Hope this may help youContact further if follow up needed.Best regardsDr. Sagar </s>

<s>[INST] Hi, I took norethisterone to delay my period for a holiday. I bled for 1 day 3-4 days after stopping the tablets and I had excrutiating pain then the same 1 week later. I think I should have started my period over the last few days. If it turned out I was pegnant when taking these tablets would it harm the foetus in any way? [/INST] Hi there,Even if you were pregnant when you took the Nor-ethisterone tablets it's very unlikely that they would harm your baby in any way. You can be reassured that if at all you are pregnant it will not cause either miscarriage or any defect in the baby. Please do a home pregnancy test to check if you are pregnant or not and if the test is negative repeat it after a week. If it is still negative after a week visit a Gynecologist.Hope this helps.Regards. </s>

<s>[INST] I Have been having pain in my left side since the middle of july it sometimes is shooting pains and it hurts for clothes to touch it,it also burns like if it was sunburned.I take lantus,and noverlinR ,also amitiptylin 50mg,sertraline50mg and Trama-Dol-HCL50mg for pain.Could it be any of these medicines causing the pain? [/INST] Hi and thanks for the query,.This pain requires exclusion of an acute abdomen. An abdominal ultrasound and plain film of the abdomen deserve to be done accordingly. A complete blood count in search of raised white blood cells, A C reactive protein and erythrocyte sedimentation rates for acute phase reactants could be necessary to exclude an infectious process. Acute appendicitis, diverticultis and infectious acute abdominal syndromes must carefully be considered.I suggest you consult a gastroenterologist. Thanks and kind regards.Bain LE, MD. </s>

<s>[INST] I have been on depo for over a year and no spotting/bleeding and this morning I had spotting not enough for a tampon but more than a normal spotting and fpr 3-4 days been having terrible night/day sweating and I am not the person to sweat easy and it s been terrible theses couple days is this normal or should I talk to my obgyn? [/INST] Hello, and I hope I can help you today.Alhough most women will not menstruate at all after being on Depo-Provera for a long time, Depo Provera can give you irregular periods even years after you start using it. Whatever the hormone fluctuations that caused you to bleed probably produced the side effects of the night sweats.Most of the time, these symptoms resolve themselves after a week or so, so try to be patient and your hormones will probably be back to normal soon. Unless you have other reasons to have hot flashes (if you are over 40, or have thyroid disease or other medical problems) this is unlikely to recur. If you continue to have these symptoms for more than a week, you may just want to check in with your OBGYN regarding hormone tests for your thyroid and menopause if you are of an age to be at risk.I hope i was able to adequately answer your question today and that my advice was helpful.Regards,Dr. Brown </s>

<s>[INST] The blood vessels under my tongue are bulging and swollen, thick and more bluish/black in color. Last year a black spot was looked at by the ENT surgeon and he said to watch the spot for any changes. It has not changed but the veins under my tongue, below the spot, are 3/4 distended into my mouth, of the bed of the tongue. I have no pain but it feels funny and looks horrible. [/INST] Hello,Veins under the tongue or the lingual veins can appear large and dark, and it can be normal to see large veins under the tongue. At times there can be dilated veins under the tongue. As if there is no pain, you need not worry about it. However, if you have doubts, please send me pictures of the underside of the tongue and the black spot so that I can guide you better. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora </s>

<s>[INST] Hi, I have been told by my chiropractor that my L5 and L4 discs are paper thin. I am up all night in pain.My legs kill me as does my lower back.. I get up at night and walk around the house and it brings relief. But if I walk to far my legs hurt badly ..I am so tired from not sleeping due to such severe leg pain and lower back pain at night [/INST] HiThank you for your question to HCM.Commonest spine related reason for back and leg pain is degenerative changes in the spine which lead to compression of the nerves. Pain of degenerative spine is related more to activity and is called mechanical pain. Muscle spasms during sleep are not uncommon in degenerative spinal conditions however when pain increases at night during sleep other cause of back pain like inflammatory disorders and tumors need to be ruled out.For your symptoms I would suggest complete neurological evaluation by a physician and MRI of the lumbar spine which will show the cause of pain clearly. Treatment for degenerative back pain is1 Analgesic medications like ibuprofen, meloxicam, tramadol etc2 Nerve pain specific medications like pregabalin or gabapentin3 Muscle relaxants like tizanidine4 Local heat5 Back braceHope this is helpful. I would be happy to answer any questions you may have. </s>

<s>[INST] I've had a pimple bump on my lip for years now and was wondering what it could be? i cant pop it and it doesnt really change size or puss or anything. [/INST] It could be a submucous cyst which means a collection of mouth secretions.They look pink and are soft and may disappear for a short while and comeback, Or it may be some other kind of swelling .In any case it needs to be examined to know what is it.See A dentist or a surgeon for opinion.With regards rahulchhajlani@rediffmail.com </s>

<s>[INST] Hi Doctor, my 5 month old baby has a rash on the lower right side of her cheek and behind her right ear. She keeps pulling at her ear. Is it an allergic reacting to a solid food (she had some butternut squash for dinner) or is it an ear infection? Or is it something else entirely? [/INST] HI...I have just read through your query. The possibilities could be - 1. Eczema2. Food allergy3. Skin and soft tissue infection there...but unlikely as you have not mentioned about any fever.I Suggest you get the consultation of your pediatrician regarding this as - Skin conditions are best diagnosed only after seeing directly.Regards - Dr. Sumanth </s>

<s>[INST] Stomach problems. Hey there. I m a 25 year old female. For the past... Well, year... I ve had horrible stomach problems and now it s getting worse. I have terrible pain in my abdomen, mostly on the left side. I can t keep down much food, I m basically down to noodles or rice with margarine. Apart from that I ve had a terrible migraine and neck pain for almost 4 days. I went to a hospital about a month ago... They said they had no idea what was wrong with me, but that it might be diverticulitis. The long and short of it is, they gave me oxycontin for the pain and sent me home. Probably because I don t have insurance. I m almost at the point of going back to the hospital.... Help? [/INST] I. Insurance or no insurance = the pain in abdomen of such a severity and duration should be investigated. Minimum you need is an examination by a Doctor, ultrasonography to rule out ovarian and nodal and other problems, a course of an antibiotic and metronidazole for 5 days. If necessary colonoscopy. Left sided pains can be due to colitis( large bowel inflammation) , ureter , kidney or ovarian cyst or so. </s>

<s>[INST] Hi I m 41 years old I fell asleep in one position in a chair and I think I fell asleep on my arm it s my right arm and when I woke up I cannot move my fingers I cannot type or write or move my wrist up could you please get back to me 000000 thank you [/INST] Hello, I have studied your case. Due to compression of this nerve root there can be tingling numbness in your arm and pain. This can be transient for some time and you may recover early.I will advise you to MRI cervical spine if symptoms persist.You can take trinerve consulting your doctor then it will be more helpful.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. </s>

<s>[INST] Hello, I am experience discomfort on my left lower gums for the past 4 days, at first I thought I had a cancker sore but upon looking at it right now it is on my gums, not on my cheek, and it is greyish-white in colour. I'm very worried about it as the pain has increased [/INST] Hi. Welcome to Healthcaremagic.I read your query. Do you notice some cavity in corresponding teeth? If yes this can be due to infection at the root of teeth. An x-ray can be done to be sure. Or this can be due to some trauma, toothbrush injury or impingement ofsome food particle.If you had some infection in recent time, it can be due to that too.Maintain good oral hygiene. Tylenol and Ibuprofen may help in pain. Apply lignocaine gel before eating for burning prevention.Take good diet, multivitamins, lots of fluids.If it persists or worsen, get it checked by a dentist.Hope the answer helps you. Thank you. </s>

<s>[INST] Hi I have a nephew that is 5 years old he has always had a hard breathing murmur we saw a speacialts in mexico and was told he had a fallen palate how serious is this and is it dangerous to get fixed ...Due to that he does not speak very well what are ur thoughts [/INST] fallen palate mean an unusually long or extended soft palate, that might cause snoring or even lead to obstructive sleep apnea(lethal). This also affect language. In these cases, either the palate can be trimmed by doing a uvulopalatopharyngoplasty or stiffened by inserting implants to control snoring. i think this will help you. </s>

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

<s>[INST] I had mitral valve repair 4 months ago in Cleveland Clinic and having lightheaded and numb fingers from time to time. My Cardiologist thought it might be being dehyradated because pressure kept going down after exam. Felt great for a couple of weeks, today I had another bad eposide. [/INST] there is no obvious link between what you have described and the surgery. The combination of light headed and fingers numb is most commonly due to anxiety and hyperventilation. After surgery, you may not need the anxiety because chest wall irritation as you breath sometimes makes you breath shallow and fast. Next time you have these symptoms, count your breaths in a one minute period. Keep a record. </s>

<s>[INST] hai doctor i have black edges at my lips pls sugest home remedies [/INST] Hi,Aslesha, Thanks for query, This may be due to long time use of cosmetics. Apply good branded moisturizing cream. Do not wet your lip with your tongue. Take nourishing food. Take multi vitamin supplements and Iron. Ok and bye. </s>

<s>[INST] i a 43 year old woman, slim and active, I dont smoke, i avoid salt and i exercies at the gym 3 times a week plus i exercise daily walking my dog. I am currently taking 5mg Ramipril however on monitoring my blood pressure at home it is still high at 149/78. What could possibly be causing this and what else can I do to bring it down? [/INST] Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, we should first rule out diabetes and dyslipidemia because both these can cause poor control of blood pressure. So get done sugar level and lipid profile. If both are normal then you should consult your doctor to increase the dose of ramipril. You are taking minimal dose of ramipril. You can increase the dose to 5mg twice daily. Ideal dose of ramipril is twice daily only. So consult your doctor, get tested for diabetes and dyslipidemia and discuss about increasing ramipril to control your blood pressure. 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 a small tear in the knee joint, but the doctor advised me for arthroscopy. How to manage this problem? Please suggest. [/INST] Hi. Revert back after one week with the report to an orthopaedician and traumatologist online --> </s>

<s>[INST] The right side of my head feels heavy and contracting whenever I start studying or listening to a song. Sometimes I feel that my right ear is contracting too. And also I have the feeling of an earthquake with it. Can you please tell me the reasons for these? [/INST] Hi, Your symptoms are highly suggestive of some form of stress or generalized anxiety disorder more than anything organically wrong with either the brain or the ear. If the sounds of music bother you to an extreme extent you may have a condition referred to as misophobia which represents a person's extreme aversion to certain sounds or groups of sounds resulting in a sense of heightened irritability, stress, fear, etc. Basically, it's an extreme emotional state triggered by sonic stimuli. You could benefit from a full and complete physical examination with historical reporting of your symptoms as to when they began and if they were any different in the past but the likelihood of there being anything inside the head or ear causing the problem is almost nil in my opinion. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist </s>

<s>[INST] Is there really a doctor online? I was training in karate 2 hours ago and performed a front kick against an opponent. My kick was poorly performed and the underside of my foot connected directly with my training partner s knee. My training partner is fine. But I am experience pain in my foot, where contact was made, under the foot toward the heel, on the top of the foot up toward the ankle and the outside of the foot. Weight bearing can be painful, especially if I try to point my toes and then bear weight. All toes can move. Lateral and rotational movement of the foot is limited and painful. Thoughts? [/INST] rigHt now just do iceing and crepe bandage application keep your feet in elevation .Keep doing ankle pumping exercise in elevatad position </s>

<s>[INST] HELLO doctor my husband has been suffering from Hepetitis B since 2007.His HBV REAL TIME QUANTITAVE are H 0000 copies/mL in 2008. Now his HEPATITIS B VIRUS DNA QUANTITAVE(HBV VIRAL LOAD BY TAQ MAN) are 180IU/ML.What does it indicates? Is this is satisfactory? He is not taking any medicine yet . Shall I give him LIV52 HB or not? Please give me a satisfactory answer [/INST] Hello Regular estimation of HBV VIRAL LOAD gives an indication to your physician that how fast is virus multiplying on you. Treatment depends upon tne viral load levels . As your husbands viral load is less,he doesn't require any treatment and needs only regular monitoring of VIRAL LOAD. there is no role of medicines like LIV 52 in tnetreatment. Thanks </s>

<s>[INST] Yes, Hello and I need you to advise is there an oath by which any dentist has to treat someone with braces even though the doctor that put the braces on no longer exists My girlfriends teeth are breaking off and coming out; two this week! She is in horrible pain can yo please refer me to someone that will remove the braces and provide treatment on a opayment basis [/INST] Hi,Thanks for asking the query,I would suggest you to consult t an Orthodontist, get an complete mouth x-ray done OPG, to treat the condition accordingly.Removable plates can be given to prevent relapse.Pain killers can be taken to relief pain.Take Care! </s>

<s>[INST] can extreme cold in hospital cause pseudo gout in joints knee ankles . I need 5 blankets while I was in hosp. family had to bring comforter to me in order to warm me up took 24 hrs when my joints became very painful dx pseudo gout was given steroid shots made pain stop [/INST] Hello, You can consider analgesics like Acetaminophen or Tramadol for pain. If symptoms persist, you can consult a rheumatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician </s>

<s>[INST] My 4 yr old boy (weight=16 kg)complains about stomach ache since yesterday morning.Also he had fever 100 degree yesterday night.He also vomited twice today early in the morning.I would like to know is it because of food poisoning or something else and also what the medicine i can give him????? [/INST] HiWelcome to the HCMIt seems that your child is suffering from gastroenteritis. It may be a self limiting viral infection or a food poisoning if he had taken anything contaminated orally in past 1-2 days. Don't worry as both these conditions require just symptomatic treatment and a good hydration. They usually improve within a few days. At present you may take the following measures to help him out:1. Give him an anti emetic such as Domperidone or Ondensetrone for relief of vomiting.2. Also give ranitidine or Lansoprazole for associated gastritis.3. Offer him good, healthy home made diet with plenty of oral rehydration fluids.4. Acetaminophen will help for fever spikes.Hopefully this will help. Take care </s>

<s>[INST] I have a numb patch on the left side of my right foot under the ankle bone. It is extremely red, and itchy.. Its almost as if its a giant mosquito bite it itches so much.. but its not. Its one of those spots that if I barely scratch it while putting on my shoes it becomes inflamed and itchy. What could it be and how could I make it go away? [/INST] Hi,Thanks for contacting HCM. An area of the skin that is red, patchy, and itchy can indicate a skin fungal infection. Over the counter topical anti-fungal creams can help clear fungal infections, but at times prescription strength may be necessary.I hope this helps answer your question.Thanks. </s>

<s>[INST] my name is chandrasekhar i got married 5 years back after one year my wife got Pregnancy but after 3rd month doctor's did abastion because of baby growth is less we wait for normal pregnancy but some day we want for laperscopy in that test result is TB in Stomach its a insatl stage pls she can consive na [/INST] Hi.I would just recommend non-invasive imaging of your wifes reproductive system (i.e. if she was the one diagnosed with TB of the stomach). If all is well with her reproductive system, then there is nothing to really worry about.Best wishes. </s>

<s>[INST] My right testicle is swollen and getting larger. There is pain when it is touched and discomfort at rest. It has gotten huge over the last two days. I have iced it down with no affect. I have an appointment with my doctor tomorrow, should I be more concerned than that? [/INST] HelloThanks for your query,based on the facts that you have posted it appears that you have pain and swelling of your Rt testicle since 3 days.This could be due to infection of the testicle (Orchitis) .Please consult qualified General Surgeon or Urologist for clinical examination and get following basic tests to confirm the diagnosis.1) Routine Urine test and culture.2) Ultrasound scanning of scrotum.In the mean while take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Dr.Patil. </s>

<s>[INST] Im having pregnancy symptoms such as bloating nausea light headed lower back Ache growing breats tender hard 7 days after sexual intercourse and i doubt that I m pregnant but after sexual intercourse 2 day s later on the same day im experiencing heavy bloating and cramps right after sexual intercourse [/INST] Hello dearI understand your concernAll the symptoms of your are the variable symptoms of the pregnancy.Definitive sign of the pregnancy is the missed period.So it is difficult to tell about the pregnancy.I would suggest to wait for the period to come.If your period will delay by the more than 7 days from the normal expected period date then go for the urine pregnancy test an or blood HCG to confirm the pregnancy.In absence of the pregnancy it could be due to hormonal imbalance, stomach infection.Meanwhile avoid stress, take tablet gas x, tablet domperidone,tablet meftal spas, drink plenty of water, take proper restHope this may help youContact further if follow up neededBest regardsDr. Sagar </s>

<s>[INST] I am on day 30 from my last period. TTC from 6 months. I have been given progesterone supplements (intra vaginal insertion ) for supporting pregnancy. I have still not taken a pregnancy test . My pelvlic scan showed a 13mm endometrial thickness. What are the chances that i might be pregnant? I have a history of mild PCOD . [/INST] Hello, Thanks for your query. Its a good endometrial thickness, but pregnancy can only be confirmed after PREGNANCY TEST OR SERUM BETA HCG estimation. Just wait till you miss your period, all the best. Wish you good health. Regards, Dr Arif </s>

<s>[INST] I am a hypertension and Ventricular Arrythmia patient taking Metoprolol succinate 50mg and taking Cardarone 200 mg, Atorvastatin 10 mg daily since 2 1/2 years. Recently as shown in ECG i came to know that i have Lateral Wall Ischemia. Can you please explain this? [/INST] HiLateral wall ischeia in ecg is indicated by precordial leads v5 and v6 and has to be taken very seriously.. Most common cause of ventricular arrytmias and premature ventricular beats is ischemia., hypertension is also a risk factor for myocardial ischemia..i would suggest you few basic base line investigations of cardiology like tread mill test and 2 d echo cardiogram .both will help to rule out any compromised blood supply to heart , and if they are normal electrophysiological studies will be done to rule out the cause of arrthmia. </s>

<s>[INST] i am 36+3 days pregnant with my 3rd child, this pregnancy is completely different to my others. i am having bowel movements every morning, which is ab normal for me, i am feeling very tired and nauseous, i lost my mucus plug a week ago today, and im feeling an awful lot of pressure between my legs is this all normal? [/INST] Hi dear, I have gone through your question and understand your concerns.Loss of mucus plug and pressure between the legs in the lower abdomen is suggestive of the starting of labour.I will suggest you to consult your doctor as soon as possible for proper examination and treatment accordingly.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma </s>

<s>[INST] I recently fractured my fibula while ice skating with my girlfriend, directly above my ankle. My question is a bit of a strange one, but I recently read several articles explaining how cocaine use has been known and documented to streangthen broken bones and speed healing time. Where smoking deprives the blood of oxygen, and copious amounts of alcohol consumed can and will thin the blood causing delayed healing time, will cocaine use speed healing time or streangthen bones? The use of cocaine is associated with negative thoughts, the medical benefits of cocaine go unnoticed by many. Can levemnisole-free cocaine in fact provide positive benefits towards a fractured fibula? Whether its reducing swelling, providing better circulation towards a would? [/INST] Hello. Thanks for writing to us. Cocaine use does not cause a bone strengthening or hastens up the process of healing. Rather a healthy diet and avoiding the cocaine use can help. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal . For future query, you can directly approach me through my profile URL </s>

<s>[INST] Hi , My husband is 32 years old, when we got a blood test done, the report says his SGOT is 48 and SGPT is 58, his triglycerides are 86 in count, also he is under medication for Left Ventricle Hypothyrodism, he is taking beta blockers, can you please advice me what has to be done to control SGOT, SGPT and Triglyceride levels. [/INST] Dear Madam,Thank you for posting your query on HCM.Well looking into your problem I will like to tell you that yOu should get a USG abdomen to see if he suffers from fatty liver . He should reduce weight and avoid fat .Take care.Dr. Shruti </s>

<s>[INST] Hi I have some pain off and on to the right side of my stomach it has been getting more frequent over the past to years. I have seen to family doctors in the last too years and had hernia surgery since then and neither one of the doctors can figure it out . [/INST] hi dear thanks for the query on HCMthe site of pain if it is near the operated site it could be because of inguinodynia(nerve entrapment.). if you have sweeling at the same site could be recurrence of the swelling.if the pain is on the opposite site of the hernia then a hernia may by developing on the opposite side.for all the above you need to consult your surgeon and get a ultrasound abdomen for the confirmationthank you hope your query is aaddressed </s>

<s>[INST] obgyn help pleasei had a baby boy january 17 2012 amd when i did my 6 week checkup i got the merina iud put in. well everything was great and i was having my period the 13th of every month until sept. my last period was aug and i havent had one since. now i am feeling exactly how i felt when i got pregnant. headaches, lower back pain, tender breast, constipation, heartburn, sick at random times through the day, and slight movement in my lower abdomial area... oh and three days ago i started lactating... when i took a pregnancy test over a week ago and it was negitive but now my sympthoms are worse... am i pregnant... what should i do since i have the iud insert??? please help [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your history, as your last UPT test was negative, kindly repeat test after 8 to 10 days, in between you can do ultrasound abdomen and pelvis for confirmation after gynecologist consultation. Take care. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale </s>

<s>[INST] My baby girl is 5 months and 25days old. She got loose motion 2 weeks back doctor gave zinc and probiotics for 5 days and it got.cured and after few days it has come back..I went to another doctor he has given antibiotic. I have given 1 once and now I m.worried if it s safe. What should I do. She does not have bloody stool [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting, you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements and ORS, as hydration is very important and crucial part of treatment. Best regards. </s>

<s>[INST] Hi for a few weeks now I have been feeling heart palpitations they are so strong at times it feels.like my heart is going to stop ...I was admitted to a phsych hospital because my anxiety and depression was bad after being in ers so often they diagnosed it with anxiety related because my EKG came back normal also xrays I don't know what to do backside my anxiety medications aren't working I have to my psychiatrist that.klonopin,has worked in the past but she isn't allowed to prescribe narcotics there and I also don't wanna keep pushing and look like a drug seeker please help [/INST] Dear Nilsa You seem to know a lot but not about your body and its functions You know what is palpitation and don't know why it is coming. Palpitation, sweating, trembling, goose bumps etc are symptoms related to fear. They come when adrenaline is secreted. Normal procedure when human beings fear. Understand the body mechanism logically and you can win over anxiety. Again health conscious people have this kind of problem. Immediately consult a qualified counselor (not psychiatrist) Wish you good future. </s>

<s>[INST] Hi. I use Ortho Evra birth control patches. usually my period is only 4-5 days. however recently having sex with my boyfriend, after him ejaculating inside me, my period randomly came on 2 weeks in advance.But before my boyfriend and i had sex i wasn t wearing my patch when he came inside me. i put one on 2 days after us having sex.. the weird thing is my blood is dark red and clumpy and my flow is heavy. after a couple days upon me removing my patch the blood started to go away, however when i put on a new patch it started bleeding again and this time heavier, and it has been 7 days now of bleeding. im afraid im going to become anemic with all this blood loss. Am i pregnant? or sick? [/INST] Hi dear , I have gone through your question and i understand your concern.Ortho Evra is a contraceptive skin patch containing a combination of female hormones (ethinyl estradiol and norelgestromin) that prevent ovulation (the release of an egg from an ovary).So firstly your cycles are anovulatory- no ova, no fertilization and no pregnancy.secondly as per your details as you removed patch,hence it lead to withdrawal bleeding.thought the flow is heavy with clots but you must not worry because this is not pregnancy and this is due to hormonal fluctuations as you removed patch.you may take iron folic acid supplements if feel so much lethargic and pale looking .and take plenty of water and green veges.advice:-If an Ortho Evra patch is partially or completed detached for less than 1 day (up to 24 hours), reapply it to the same place or replace it with a new patch immediately. No backup contraception is needed. If this event occurs for more than 1 day (24 hours or more), or if the woman is not sure how long the patch has been detached, she should stop the current contraceptive cycle and start a new cycle immediately by applying a new patch. Backup contraception, such as condoms, spermicide, or diaphragm, must be used for the first week of the new cycle.don't worry you will get well soon with reapplying patch and starting new cycle.Hope you find the answer helpful, please do get back for further queries I will be happy to assist you.Rate 5 stars for answer if you are happy.Wishing your good health.RegardsDr.Vigyan Mishra </s>

<s>[INST] i am 20 years old i can do the handjob or not.after complete this i am feeling so light and i feel my energy is fully lost and my stamina level is dereased fully is it any solution. here after i do it or not and is it good for health or not. please reply me [/INST] HiDON'T worry you can do mastubation.its a normal and healthly excerise which every men do which will not lead to loose your stamina. Its totaly healthy.thank you </s>

<s>[INST] i m was diagnosed with diabetic in Nov 12. FBS-135 and PPBS-112 HbA1C-7.26. i lost my weight about 10kg. then i consulted doctor at Apollo hospital. i was advised to take glimulin-1. and then Pioglar15. but still i am filling weakness. please advise me how can i gain my weight and energy. [/INST] Hello, Pioglitazone may can cause weight gain rather than weight loss. Other drug also not much effect on weight loss. So don't worry, take plenty of protein contain food. Do regular exercise (musle building exercises) avoid smoking. If no improvement please consult with your physician he will examine (for hyperthyroidism,liver problems and malignancy) and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Penchila Prasad Kandikattu </s>

<s>[INST] hi i am a patient of ulcerative colitis and has suffered a relapse so was on steorids due to which i have terrible hair loss somebody has precribed keraglo forte how effective is the tablet to control hair loss and stop greying of hair?i am 33years old [/INST] Hello, This tablet is effective in controlling hair loss but needs to be continued for at least 3-4 months to see any significant results. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist </s>

<s>[INST] Hi, I ve just found out that I have simple cortical cysts in both kidneys, which were spotted during an MRI scan for my scoliosis . I know they are nothing to worry about, but my husband and I are planning to have a baby, and I wanted to know if they would affect the pregnancy in any way. Is there a particular diet I can follow to get rid of them? Thank you. [/INST] I would like to know your age and sizes of both kidneys and any family history of kidney disease. You pls check your serum creatinine, complete urinery examinations and 24 hours urinery and blood pressure. If everything is within normal limit , nothing to worry but do check up the same yearly once. Reduce high protien diet. During the pregnancy period take consultation with a local nephrologist </s>

<s>[INST] I have a displaced fracture of radius and ulna, left hand that occurred 15 days ago. EL got bones back in place through closed reduction, then casted. First with half cast, one week later full arm cast. Hand, fingers and thumb still quiet swollen and very painful. Should this be so? [/INST] HiWelcome to healthcaremagicI have gone through your query and understand your concern.Your swelling in fingers and thumb can be due to less movements and exercises of finger and thumb joint. You are advised active finger and thumb movements. These should not be so swollen. Analgesic such as ibuprofen may be useful for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care. </s>

<s>[INST] my husband 33yearsold obese had shoulder pain since 1week intermittently severe pain with swellingand cant lift left hand because of pain.he had severe chestpain n thought indigestion n admitted in hospital under observation for slightincrease cardiacenzymes and slight ecg variation.is it an attack or high bp n high cholesterol levels also creates such problems? [/INST] Chest pain radiating to arm is a classical symptom of Angina Pectoris usually also associated with profuse sweating. Evaluation having showed variation in ECG suggestive of a heart attack ( ST elevation) along with increased Cardiac enzymes is almost confirmatory of Myocardial Infarction (an ongoing heart attack). The next best step in case of persistent chest pain is to go through a Coronary Angiogram which will give a clear picture of the status of coronary arteries supplying the heart. Any blocks in these arteries if any will be detected and can be dealt with.If the chest pain has stopped, serial ecgs and cardiac enzymes can be taken to confirm an MI (myocardial infarction) or heart attack in simple words, and then the doctor can proceed to do an angiogram or treadmill test based on the changes.High cholesterol levels might also play a part in clogging up the arteries and hypertension can also lead to damage of arteries and plaque formation. All these are additional risk factors if present in leading to a heart attack. </s>

<s>[INST] i have a large painful lump between my pubic area and thigh. the lump is under the skin. its painful without touch. and the pain is radiating into my thigh. ive tried otc meds and heat and ice...nothings working. can you please tell me whats going on from your opinion [/INST] Hi, dearI have gone through your question. I can understand your concern. You may have enlarged inguinal lymphnode due to reactive hyperplasia, tuberculosis or lymphoma. Or it can be some soft tissue tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>

<s>[INST] My wife who is 49 years old began complaining of tenderness and swelling on her right axilla two days ago. We also noticed something the size of a large firm rubbery grape palpable under the skin and its mobile. She has a history of a right breast lumpectomy approx 2 years ago, and a history of thyroid nodules. The mass removed from her breast was a non malignant capsulated tumor. Im unable to remember the specific type of tissue that was removed at this time. last night she said she thought she could feel a smaller swelling adjacent to the original. She said they are somewhat tender upon palpation. Also I noticed what appears to be a slight reddened area on one of her shaven hair folicles directly above the area of the swelling. She denies any fever or sweats, but does complain of fatigue. She says she feels like sleeping all the time. Her mother had a history of colon cancer with mets to the breast, lung, bone and brain. Her father died of lung cancer...He was a heavy smoker. Can you help me? Should I be worried? [/INST] Hi,It seems that she might be having ingrown hair follicle infection giving rise to enlarged tender axillary lymph nodes.As there is history of having lumpectomy on right breast, it is advisable to go for breast examination of the breasts.If require go for mammography.At present go for one antibiotic medicine course for 3-5 days.Ok and take care. </s>

<s>[INST] My daughter 2 years has had a bad cough for a week she s vomited twice once Tuesday and once tonight, tonight her full body is burned up it feels like she is on fire but she doesn t have a temperature from both thermometers I have tried! She s sleeping but her nose is a little blocked and she s coughing in her sleep, I ve given her Calpol is there anything else I should do? [/INST] Hi your baby might be having a upper Respiratory tract infection which needs a symptomatic treatment like STEAM INHALATION and Nasoclear(normal saline) drops in her nostrils to relieve the blockage. If further high fever, you should consult your doctor immediately </s>

<s>[INST] My 4 year old has strep throat. We started amoxicillin this morning. He has had 3 doses today. I just checked on him and his temp was 105. I used a temple thermometer that slides from forehead to ear. Gave ibuprofen and cold water, temp izs down to 102. Do I need to take him into urgent care. [/INST] Hi Dear,Understanding your concern. As per your query you child have symptoms of strep throat and fever which could be due to bacterial infection of the upper respiratory tract. It seems to be due to poor immunity of body.Need not to worry. I would suggest you start with warm saline gargles and betadine gargles.You should consult ENT specialist once for proper diagnosis and rule out a condition like a viral infection. The doctor may prescribe antibiotics along with decongestants and anti-inflammatory. Avoid hot, sharp, spicy food substances and carbonated beverages. Give child proper rest.Hope your concern has been resolved.Best Wishes, Dr. Harry Maheshwari </s>

<s>[INST] I have pain on my left side behind my rib cage under my breast. It is an uncomfortable feeling uless I press against my ribs and then it feels painful. At times I will wake up in the night if I have rolled over onto my left side. It s not rib pain (I ve had that before with broken ribs).. it s something else. [/INST] Hello, Your symptoms seem to be related to costochondritis. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. If the symptoms continue, you should see a rheumatologist for a specific treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Dorina Gurabardhi, General & Family Physician </s>

<s>[INST] Hello, I ve been having a burning sharp pain in mid/lower abdomen on the right side for about 2 1/2 months. I have been through physical therapy the last 3 months for lower right back pain and muscle tightness. The abdomen pain doesn t seem to be related to food/ eating. It comes and go. I ve been noticing that at times it comes when I am in the car and reaching to the right to get something behind my seat. Other times, it just occurs for no particular reason. I ve had an abdomenal ultrasound which was normal. Please help!!! [/INST] hi welcome to hcm..It could be just a muscular pain if your ultrasound is normal..repeat your ultrasound abdomen after 2weeks to rule out any interval appendicitis..drugs like buscopan will be helpful..use an antibiotic course and antacids to treat underlying infection if any..consult your doctor for further queries.thankyou </s>

<s>[INST] I have been having pain in my buttocks and thigh and down into the calf. It is mostly on the left side. I do have a rod in my left thigh from a femur fracture that occurred over 40 years. The pain does ease somewhat whe I walk.Most prominent after sitting or lying down [/INST] Hi, I am sorry about the pain. It appears from your description that you may have "sciatica"- pain caused by pressure on the sciatic nerve that travels along the buttock region down the back of your legs. It is usually caused by arthritis of the lower spine or of the hip joint. If I was seeing you in clinic, I would recommend getting an Xray of the spine. For treatment of pain, I would you could try Acetaminophen (Tylenol) 325-650 mg every 4-6 hours as needed. Do not take more than 3,000 mg of Acetaminophen over a 24 hour period. You can also try Ibuprofen (400-800 mg three times a day with food)- it has an anti inflammatory effect. Do not take Ibuprofen if you have a history of chronic kidney disease, bleeding from your gut or severe reflux.Physical therapy is another treatment I would recommend. If pain is still not controlled, then options would be stronger pain medicines that are used to treat nerve pain (gabapentin, pregabalin, duloxetine), MRI of the spine to determine in more detail the cause of the nerve pain and referral to a neurosurgeon. While Acetaminophen (Tylenol/Paracetamol) and Ibuprofen are available over the counter, other medications and imaging studies need a doctor to prescribe and interpret. So, I recommend you see your primary care doctor/general practitioner to get treatment started.Please let me know if that was helpful. If it was, please take a moment to provide a rating. Thanks! </s>

<s>[INST] I and my hubby got married on 18 Dec.2010. We have been trying to conceive but it has nt worked for us. Before we got married I took emergency contraceptive pills(Lofeminal). This resulted in irregular menses. As of now the doc has prescribed me fertomid 50 for 20 days starting from 3 day after menses. Is nt this too much? [/INST] HiLofeminal is an emergency contraceptive.This drug may cause irregular bleeding as a side effect.Irregular bleeding also occurs due to hormonal imbalance. Polycystic ovaries is an important cause of irregular periods.Ovulation may not occur in the menstrual cycle of women suffering from Pcod.Fertomid contains clomiphene which is an ovulation induction drug which will cause ovulation and increase the chance of pregnancy.Hence it does not negatively affect pregnancy.You can continue the drug without hesitstion for the prescribed 20 days.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician </s>

<s>[INST] Hi, for the last few days i have noticed that i have a few white lumps at the back of my throat, theres one at either side. think they are on my tonsils but i dono. n it looks like one of them has a hole in it. i have experienced this b4 last year. ps the side of my neck is sore too. please help as im getting very worried if its sumthin serious like throat cancer. [/INST] Hi Dear,Welcome to HCM. Understanding your concern. As per your query lumps on throat with sore neck are indicative of viral infection. It could be due to enlarged tonsils but i would suggest you to visit ENT specialist once and get it examined. I would suggest Ultrasound and a simple needle biopsy from the lumps on throat to rule out any hidden cyst, fibroma or lymphoma. Need not to panic about it and go for FNAC ( Fine Needle aspiration cytology). Once a proper diagnosis have been diagnosed start treatment accordingly. Maintain oral hygiene. Avoid hot, sharp and spicy food.Hope your concern has been resolved.Get well Soon.Best wishes,Dr. Harry Maheshwari </s>

<s>[INST] Hi I am 34 yrs old n lost 3kgs of weight in last1 month. On LFT total bilirubin was 3.2, dir 0.9 n indir 2.3,others were normal. Before 2 yrs I suffered frm hepatitis A Igm 2.56, Bilirubin 31.5 Bil dir 12.5 Bil indir 19 SGOT 105 SGPT 125 ALK PH 1039 Thank u sir [/INST] HelloPast increased SGOT,SGPT and bilirubin level may indicate liver pathology.It may be due to hepatitis.Latest report shows only increased bilirubin level.You may need clinical correlation and further investigations.Investigations include routine hemogram,random blood sugar,viral markers,urine RE/ME.Viral markers and ultrasound of abdomen are important in your case.I advise for fat restriction and follow up bilirubin estimation.You can take B complex capsule once daily.Get well soon.Take CareDr.Indu Bhushan </s>

<s>[INST] Hi ther my baby is only two years old and she start getting headache on Wednesday then came the tummy ach and fever and thoughing up for about 24 hrs know I notice that she has these red dots on her tummy bum back legs and a few in her mouth in little bunches of five at least I really don t know if this is chicken pox [/INST] HIWell come to HCMI appreciate your concern, the given symptoms here could be due to the viral infection and this can be treated with antipyretic medicine and the best option would be Syrup Acetaminophen 5 ml as per requirement, soon the symptoms would improved, hope this information helps. </s>

<s>[INST] Right forearm has been weak for about 2 months. Can't lift like I used too. Curling motion is fine, but if I turn my palm face down and grab something and try to lift, it is super weak and hurts. Also very difficult to squeeze something firmly in my hand no matter the hand position. Now it is a constant ache that surges to a sharp pain about every 30 or 45 seconds. Doesnt feel like a strain or bruise. feels deeper than that. Difficult to sleep. Tried heat, cold, ibuprofen, massage. Nothing helps. Any ideas? [/INST] You have a neurological problem. We would need to evaluate you with a cervical spine MRI as well as a nerve conduction study with EMG. Kindly consult with a neurologist who would advice you further.This would need to be evaluated soon. </s>

<s>[INST] I have 9 years old son. He has one ailment since three years back. He use to have pains on his leg, knee, foot and sometimes on his arms. Sometime on the right side and sometime on the left side. This pain happen from time to time and especially in the evening when he plays more. We use to massage his leg or foot till he sleeps but sometime he use to wake up at night complaining severe pain. My other kids do not have this kind of illness. So kindly help us in getting treatment for him please. [/INST] Hello,I read carefully your query and understand your concern. Growing pains are a common cause of leg pain in children. These pains are muscle aches that can occur in the thighs, behind the knees, or the calves. Other possible causes of leg pain that may be more serious can include juvenile idiopathic arthritis.So,I suggest to exclude this diagnosis through examination such as Rheumatoid factor level. Meanwhile,I suggest to use Tylenol for the pain. 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] Sure I had a Percutanious Discectomy on Feb 7th this year,I left the Hosp and within 1 day had non stop Diharea and was dehydrated.went to the ER and found I had C Diff.(stated it was from Keflex)Was put on 12 days of antibotics and felt better until finished then excruciating different back Pain present ever since. [/INST] Hellowelcome to hcmwell your back pain in most probabilities is not related to clostridium diff and is most probably due to spasm of back muscles which in turn can be due to sprain or disc prolapse...you should take following medicines for 5 days n if the pain still persists then get a MRI OF LUMBOSACRAL REGION...take these medicines(1) TABLET IBUPROFEN 3 times a day(2) TABLET CHLORZOXAZONE 3 times a dayregardsdr rahuk </s>

<s>[INST] hi my wife is surfering from some kidney infection , and bioposy has been done and through primalary reports doctors suspect husshe has been given plasmaphersis 3 cycles followed by dialysis , still her hb count is not stablising and rbc also not stablising........hb is 6.5 , rbc 20.5 and platelets is 136000pls suggest me [/INST] She may need to take erythropoietin injections if her anemia is related to the kidney dysfunction. Do get a peripheral blood smear done. Consult your doctor for initiation of oral iron and vitamin tablets and work up before starting erythropoietin injections. </s>

<s>[INST] my dog scratch the tip of my fingers because i put her tag she did not bite me its an accident her sharp teeth scratch my finger get little lacerated , she is 4months old and two weeks ago she was first vaccinated.do i need to get the anti rabies. please help me, im so worried.thank you! [/INST] Hello,Welcome to HCM,Rabies is a disease which is transmitted by the dog, which is 100% fatal but it is 100% preventable by proper and adequate treatment. As you have been scratched by your dog. As it is a lacerated wound it is categorized into Cat III bite according to WHO categories and it is necessary to take both the active and passive immunization with Antirabies vaccine and Antirabies serum respectively. She has to be given both antirabies vaccine and antirabies serum, she has to take all the doses of antirabies vaccine on days 0, 3, 7, 14 and 28 and antirabies serum (Rabies immunoglobulin) on day 0 in and around the wound.In addition to this she should be given Inj TT and antibiotic like tab Augmentin for 5 days will suffices the treatment. Thank you. </s>

<s>[INST] My son is 2 years old.we were at the doctor last week and he had mild pneumonia. He has finished his antibiotics.He has been tested and his iron has been low, the last few months .Today I noticed his feet are slightly yellow and have a very strange smell to them. [/INST] Hello,Due to pneumonia, antibiotics, the iron level may decrease, and so you need to take iron tablets for your child. Also, I will suggest a healthy diet with soups, vegetables, fruits, and liquids to help him recover.About your other problem I can say that the slightly yellow may be due to iron decrease and anemia but for the strange smell, I will suggest taking in consideration a fungal infection.Of course is just an opportunity that you can take into consideration in this case. So, first do not let his feet wet, dry them well, use cotton socks and leather shoes as well.You can also try powder with antifungal which helps in this case with the problem and with the smell.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Elona Dashi </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] I have been having pain on my lower left side. The pain is worst when bending over or sitting at times it fills like a pressure of something getting ready to burst. I have had a ct scan done and the dr. did see some inflammation. I am waiting to see a specialist. Whats going on with this pain? [/INST] Hi, It may be due to muscular pain and nothing much to worry about it. You can take simple analgesics like Ibuprofen or Diclofenac for pain relief. If symptoms are severe consult a neurologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] sir I have Khansi problem with chest pain from last two months. i used all syrup for khansi but i did not get any relief please sir suggest me good medicine for that . second is continuously sneezing 5 to 6 times with allergy my eyes also got allergic i take medicine two times from government hospital when i eat this i got relief if i leave it same problem remaining. please sir suggest to me good medicine for that [/INST] Thanks for your questions.I feel your inconvenience for these continuous cough and allergy.If I were your treating physician,I would look for details history like>Cough : Productive or not?>Smoking habit, > Allergy : dust,cold or any other particular allergens,> History of fever,>Breathlessness etc.Then I would perform some physical examinations specially your chest.Since you have been suffering from cough despite of having syrup for 2 months,I may advice few laboratory investigations.After confirming diagnosis I would suggest medications.> For your second query: You may try to find out the cause of your allergy yourself like dust,certain food,occupational environment etc.Then try to avoid those conditions first.Use anti allergic medications if required as per your physician's advice.So my opinion is : Consult with a respiratory medicine specialist.Take care and get well soon :) </s>

<s>[INST] I have been married for 7 yrs but not able to conceive. i m seeing an infertility specialist . did all the tests which are negative. now, the doc has started AKT3 medicine for 2 months. my query is, if all my tests are normal, even TB tests are normal, im under medication . is it right? will the medicine have side effects if in case i dont have TB. [/INST] Hello Monica Thank you for getting in touch with us. As I see, your Doctor has started you on AKT3 for 2 months. Tuberculosis is a common cause of infertility and your Doctor must have had a valid reason for starting you with these medicines. Many people have TB present in them in the dormant form and it manifests itself only when the levels of immunity fall. As you have not mentioned the tests that were conducted on you, I am assuming that the Doctor must have conducted PPD test to screen for TB. Although, TB medicines do have side effects, but you need not worry about it much as you have been prescribed these medicines for only 2 months. Please follow up with your Doctor and check if he conducted any specific tests for TB. Hope this helped Regards </s>

<s>[INST] Is my mom dying ? She smokes, But I don't know how much, but think it is a lot. She had a bad head and neck ache last night, and this morning she started puking and retching and coughing. I'm really scared. [/INST] Thanks for the query Looks like your mom is suffering from gastritis. With her smoking history it is possible that she might be suffering from peptic ulcer as well Please take her to a gastro enterologist For now take tab pan 40 morning and night. Before food for 15 days. Syp sucralfate 2tsp twice Have a healthy life </s>

<s>[INST] My brother is taking invega sustenna and he has developed a vocal tic. I am wondering if switching his medication will help This began after his exposure to antipsychotics. He first began taking risperdal consta in Jan. 2016 and developed this tic in October 2016. In December 2016 we switched to invega sustenna and I think it made it worse. [/INST] hi and thanks for question.many a times antipsychotic drugs such kind of tics in pt when pt took it for long time. I will suggest that either decrease the dose of drug or start benzhexol or tic stop drug for some times and meanwhile consult psychiatrist near by u. thanks </s>

<s>[INST] I have discomfort at the top of my leg in the back where it meets the buttocks. This is noticeable primarily when walking or sitting. There are no lumps, redness, rash - nothing whatsever. This has been going on for a couple months and steadily is more prevalent - altho not so that I can t bear it. I just worry that it s some kind of clot altho reading the internet, I don t seem to have any symptoms of a clot. Any ideas? [/INST] Hi,In my opinion I think it is a kind of nerve compression or sciatica which have many causes but no main cause but it is due to nerve compression of your lower spine or certain underlying diseases like DM. I suggest you may ask your specialist for MRI, CT for proper diagnosis. Please give positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask.Regards,Dr. Ahmed Aly Hassan </s>

<s>[INST] i had a boxer s fracture back in october of last year. my right hand s 4th and 5th metacarpal tipi-ed up and i had a cast on for about five - six weeks. it pretty much healed to point where i had full usage of my hand again with no pain. the bone slightly jutted out a little as i decided not to have surgery. however last sunday i punched a wall while i was drunk and the next morning my hand was completely swollen. now the bone seems to be jutting out even more than before and there is discomfort when i touch the area. also there is pain in my ring finger with certain movements. it especially hurts when i push my ring finger into my thumb with a lot of force or try to grip an item with just my ring finger and thumb. i was looking for any advice besides, ask your doctor as i am trying not to miss work because of this. based on my description does my hand seem re-fractured? [/INST] Hello, Your hand had almost healed but it looks like you have re-fractured it after you punched it on the wall. You have Inflammation as well as swelling & pain. You are suggested not to strain your fingers unnecessarily. Get physically examined by an Orthopedic surgeon. Your treatment will depend upon the type of pathology, fracture detected. In the meantime take NSAIDS, Combiflam when needed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician </s>

<s>[INST] hello, I am Male patient . My doctor give me two test (Testosterone its 3.98 ng/ml) and (Prolactin 10.9 ng/ml) then he prescribed me 12 injections (Koragan 5000 I.U) and said 1 injection per week. also prescribed tablet Bromocriptin for 2 months. Now am worried about this hormone injection (Koragan), is this right for me or i shouldn't use it? please suggest me what should i do. [/INST] Hello, From the history given I understand that you are undergoing treatment of infertility associated with hyperprolactinemia (elevated blood prolactin) and hypogonadism (decreased male sex hormone 'testosterone') Koragon hormone (human chorionic gonadotropin) injection is used in the treatment of male hypogonadism to increase the testosterone level. Generally, it is well tolerated by most of the men however its common side effects include injection site pain, headache, fatigue, acne, sweating, deepening of the voice and depression. If these bother you or appear serious, let your doctor know. It is the correct treatment and continues to take injection koragan as prescribed by your doctor to overcome the issue of infertility. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Mohammed Taher Ali, General & Family Physician </s>

<s>[INST] Hello Doctor, I am 28 female married, My BLOOD ROUTINE EXAMINATION REPORT stated as below, BLOOD ROUTINE EXAMINATION REPORT HB                13.2 gm% TC                6,100 Cells/cumm Neutrophils           77 % Lymphocytes           18 % Eosinophils           04 % Monocytes           01 % ESR                30 mm/hr PLATELET COUNT      2.40 Lakhs/Cumm Kindly Help me. what is the issue problem with my health , I am having fever for the past 4 days. what is the problem in these area Monocytes           01 % -- Low [what is Cause and After effects being so] ESR                30 mm/hr -- High [what is Cause and After effects being so] Neutrophils           77 % -- High. [what is Cause and After effects being so] Kindly Guide. [/INST] Hi, dear. I have gone through your question. I can understand your concern. Your monocyte count is not significant. No need to worry about that. Your neutrophil count is slightly high. Its mostly due to some infection. Same way esr is also slightly high. Cause may be due to some infection or inflammation. No need to big worry. You should take antibiotics according to your doctor's advice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>

<s>[INST] Hi doctor, Every morning when I wake up my mouth is full of saliva and many days it comes out of my mouth while sleeping. And in the day, saliva comes to mouth every 2 to 3 minutes. The problem of morning saliva has been there for more than one year. I have to wake up every morning early because saliva starts coming out of my mouth. [/INST] Hi. As per your complaint, I can provisionally diagnose you as suffering from hypersalivation or sialorrhea. There are various reasons for the same like food debris in the mouth during sleep, use of some drugs like cholinergic drugs, malaligned teeth, improper lip closure due to forwardly placed upper teeth and suffering from the gastric problem, etc. I need to know the reason whether you are suffering from the above, if any, to suggest you the treatment or remedy. You can have an elaborated discussion with me online to mark out the causative reasons for excessive salivation and subsequent treatment. As a home remedy, you can brush your teeth before sleep and drink lukewarm water mixed with a couple of clove and mint leaves to reduce the salivation and also try Levocetirizine tablet for a couple of days. </s>

<s>[INST] Hi i'm 53 yrs old do a lot of lifting at work,am 10 1/2 stone,lower back does feel weak sometimes when stood still used to go to gym a lot.Last few days lower right back really hurts,and it hurts when i put my chin towards chest on right lower side. aside from that thinking of changing matress which must be over 15yrs old. [/INST] Hello, Thanks for your query.My suggestion would be-1. Usually 1-2 days of bed rest will calm severe back pain. Do not stay off your feet for longer, though.2. Avoid lifting weights as it imparts more strain on your back3. Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the intervertebral disc problems. If you want to bend forwards, do it with your hips and knees flexed.4. Use a lumbosacral back support to stabilize your spinal muscles and to provide support for your spinal column.5. After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery.6. You should maintain an optimum body weight to decrease the strain on your vertebral column causing more degeneration and arthritic changes.7. At times steroid injections at Facet joint of spine will help in alleviating the lower back pain.8. I usually give the drug pregablin/gabapentin for pinched nerve along with vitamin B12 and B6I do hope that you have found something helpful and I will be glad to answer any further query.Take care </s>

<s>[INST] Hi, My son had cold initially which got treated but then he had severe cough problem from last 3 weeks and we are giving him advent syrup from last 7 days now. doctor suggetsed 3.5ml B.D for him but by mistake we have given him 5 ml in the morning and 5 ml in the evening? will it have any side effects on him. he is 2.3 years old. [/INST] Thanks for your question on HCM. Advent is combination of amoxicillin with clavulanic acid, an antibiotic. And in pediatric patients, dose of antibiotic must be accurate. So 5 ml is high for him. And the common side effects of it is gastritis and loose motions (diarrhoea). And I think you will need antihistamine syrup too.So better to consult pediatrician and discuss all these. You may need chest x ray to rule out LRTI (lower respiratory tract infection) as cough is not improving since 3 weeks. </s>

<s>[INST] I have been diagonsed with C-Dif infection after being sick for 2 weeks, finally was diagonsed a week ago monday started FLAGIL and got sicker, finally friday admitted to hospital given FLAGIL through IV, (I was very dehydrated) and then Vancomycin orally. spent 4 days in hospital released Monday and home but still very week and pooping after eating anything, I am still on the oral antibiotic. [/INST] Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Doctors often suspect C. difficile in anyone with diarrhea who have taken antibiotics within the past two months or when diarrhea develops a few days after hospitalization. So far as treatment is concerned, the first step in treating C. difficile is to stop taking the antibiotic that triggered the infection. Ironically, the standard treatment for C. difficile is another antibiotic. These antibiotics keep C. difficile from growing, which in turn treats diarrhea and other complications.For mild to moderate infection, doctors usually prescribe metronidazole (Flagyl), taken by mouth which you were already been given. For more severe and recurrent cases, vancomycin is a preferred choice which also has already been given in your case. Another oral antibiotic, fidaxomicin should be prescribed in case of little improvement. In your case, I'd suggest complete rest for a week along with proper rehydration with electrolytes and a bland diet.Hope I have answered your query. Let me know if I can assist you further.Regards,      Dr. Prabhash Verma </s>

<s>[INST] I am very worried anout upcoming luing surgery. I m 54 year old woman with a 8mm nodule at base of rt lung. This was found by accident. However, apparetnly this lung nodule was present in a previous film in 2010 at 5mm but the dr never told me. The radiologist said on report it was benign. I had a pet scan that showed suv of 2.2. Im convinced its cancer. What is the percentage that it is. Also pet scan done on entire body and nothing was found excpet for that nodile. [/INST] Hello dear, thanks for your question on HCM. I can understand your situation and problem. Following are the possible causes for lung nodule. 1. Benign cyst2. Fibrotic or calcified spot3. Initial stage of infectuve granuloma4. Very early lung cancer.If you are smoker then possibility of malignant nodule is high.In 8 mm nodule we can not do biopsy or any other diagnostic test.The only option is to wait and watch. Get done repeat CT thorax after 6 months to know whether nodule is static or decreasing or increasing in size.And if you are smoker then quit smoking as soon as possible. </s>

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

<s>[INST] I am 42 female 5'4" I weigh about 195lbs. I have a history of chronic bronchitis. I quit smoking about 7 yrs ago. I have a family history of Stoke, Cardiac arrest, Heart disease and Diabetes although I don not have any signs of these dieases myself. I have noticed a couple of small varicose veins located behind my Left ear. Ever since I have seen them I have been experiencing superficial pain in the head surrounding the ear. I have also had an increase in dandruff. Should this be cause for alarm? [/INST] hai,having all that history in the background,regarding stroke,diabetes & so on,please try to change your lifestyle.this veins can be due to the dilated veins around the ear due to many reasons.or u can be suffering from migrane too,or any local mastoid infection,trigeminall neuralgiaplease meet an ent surgeon & neurophysician to get evaluated for the same.dandruff problem can be solved with the dermatologist.please get ur sugar levels & cholesterol levels checkedtake care </s>

<s>[INST] Dear DoctorI am 36 year old weight is 63 kg i have gastric problem since last 8 years due to the acidity i am taking acid 20 since last 8 years in morning continuously with out any break.my shot & sgpt ,ggtp alkaline phopostase always increase.i do not take alcohol .since last one month i am taking udiliv 150 twice a day can i continue it.does taking of acid cause this increased enzyme in lever.warm regardsathar [/INST] Hi thanks for asking question..Noted you are taking drug for six year.So it can affect liver and slight elevation of liver enzymes can occur.You have not mentioned value of sgpt and sgot.Regular follow up done.For acidity no need for use drug since that much long duration.Avoid excess spicy food.Drink more water.If you have fatty liver or high cholesterol then we can think of using udiliv otherwise here no need for use it....Fatty food taken less..Avoid alcohol.If still enzymes continuous increasing then complete LFT done with viral marker study.Take care... </s>

<s>[INST] Hi.. I am 7th month pregnant and I am having migrane.From yesterday i am suffering from headache and i took dolo 650 as per my doctor advice but still my headache didnt went out.Can I take another tablet again now..Will this effect my baby? I am very tensed [/INST] Hi, No, not at all. Dolo 650 is very safe. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] Yes, I am looking at having a replacement lt knee as serve real surgeries years ago and a failed ACL replacement using part of my patella also. I have for the most part been making do with strengthening what I have for the past 10-12yrs in the hope I could get close to 60 yrs of age before having this op. I have reached 50yrs old and now find I suffer far more pain and swelling and the. Time has come. I fear that the artificial replacement may wear out and want this op to be something that will last me out. I have been recommended to a Mr Reinhart Wuttke from myGP. I have looked. Him up this morning on line and an not find him listed under the Australian Orthopedic register. Aos.org.au. Can you please offer me some clarification. [/INST] hi,thank you for providing the brief history of you.As you had an ACL reconstruction, and now again the pain is bothering you, for which you want to undergo TKR, I will have a personal recommendation of not undergoing TKR so soon as you can still recover better with physical therapy. TKR might help you ease of pain but the knematic of the joint will be different and major activities might have to be restricted due to certain factors post TKR.Also, in my clinical practice I still prefer to avoid TKR for knee injuries. As long as the natural joint is saved it is always recommended to have one. My patients respond well to physical therapy.RegardsJay Indravadan Patel </s>

<s>[INST] Hello, I have pain under my right shoulder and it seems to go around my ribs. This has been going on now for about 1 year and has gotten worse, worse to the point that I can't do daily chores around the house. I have had x-rays and blood work on my liver and to 3 different doctors that can't find the problem. By the way I had my gald bladder removed in 1998. What could it be? [/INST] Hai.this looks like a neuropathic pain, u can rule out with a mri scan of ur shoulder, any nerve compression can be found out.u csn go for slow relaxing physiotherapy exercises. For pain u csn take combination of pregablin 75mgs with methylcobal, under supervisionoforthopaedic surgeon </s>

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

<s>[INST] Im, 18 years old, 132 pounds im 5'2 i have a histery of bad headaches well my pain started of with a very badtooth ache in the back where my wisdom teeth are on my left side went to a oral surgen yesturday and he gave me some meds called clindamycin so on da way home i started developing this werid feeling in my head just on one side of my head in the front near my eyes so wen i got home i ate and took two clindamycin and drank plenty of water but this morning i woke up with that same feeling in my head and a funny feeling in my stomch i been to the bathroom 2 time this mornibg its normal like stool. Its no pain my stomach but it feels like pressure or somethingi feel like i gotta vomit but i dont that funny feling in my head i only geag dat when i sit up or lay down so rite now i am laying down cause either way i het it [/INST] Thanks for using Health Care Magic.Read your query.Symptoms you have described suggests the side effects of clindamycin , the antibiotic may not be suiting your body.I would advice you to call your dentist office or visit him and get the antibiotic changed .Take the antibiotic on full stomach and have lots of fluids.For the pain you can take ibuprofen (if you are not allergic to any medicine )Hope this was helpful.Thanks and regards . </s>

<s>[INST] i am 27 years old,about 80kg weight, about 164cm tall and i always have continous chest pain with sever distention and slow bowel ;made ECG some doctors told me ihave ischemic heart and some say no i have made stress ECG it was normal in its conclusion but doctors donot see it but just look at its conclusion in the end one of these doctors told me that it is called splenic flexure syndrom [/INST] Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you are mostly having gastroparesis and reflux disease. In this normal emptying of stomach is delayed. So stomach gets distended. And this causes laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain. So better to consult gastroenterologist and get upper GI Scopy to confirm the diagnosis. You will need proton pump inhibitors and prokinetic drugs. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Avoid stress and tension, be relax and calm. Keep 2 - 3 pillows under head in the bed to prevent reflux. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] hello doctor, iv been having lots of pain in my lower back for a while now, but on monday night my back just gave way and the pain was ten out of ten, the pain goes all the way up the left side of my back up to my neck and at the same time my back locks up causing even more pain, also when i try and move i feel grinding and rubbing noises in my lower back aswell the pain also goes round the the sides of my belly. iv been to see my doctor and he has given my three lots of tablets to take which are-diazepam 5mg, tramadol 50mg and ibuprofen400mg, some pain has gone but 80% is still there, i feel i dont have to strength [/INST] Hellodont take medicines vaguely by hit n trial method..u first need to find out THE CAUSE whats causing it in the first place...u seems to have PIVD i.e disc prolapse...get a urvent MRI OF LUMBOSACRAL SPINE and send me a copy of ur reports </s>

<s>[INST] My cousin has developed a curvature of the neck. I don t see her often so to me it was quite noticeable that it had become more pronounced. Looking at her face on, the curvature is a C curve bowing to the left. I also noticed she doesn t turn her head to the left but turns at the waist. She tells me that after 4 hours sleep she is awakened with a severe headache. No c/o seizure, vision difficulties but have noticed she may not hear as well on that side. She is about 5 3 and 130 pounds. [/INST] Get xray of her cervical spine AP/lateral view.she may need MRI...consult neuro physician to get best advice..thanks </s>

<s>[INST] I am 49 years old. I have been getting pains shooting in different areas of my body (arms, legs, back) for year 1/2. all blood work fine, rhematologist checked for Rhematoid Artritus and Lupus was negative. a few months ago, i started getting pains in my shoulder blades and rib cage under the breast area, especially on the right. Had ultrasound of abdomen done and no gallstones, everything looked fine. could this be from my hormones and or pms? Pains in shoulders get worse when ovulating...pain all over body becomes less while ovulating! [/INST] Hello, I have studied your case. I will advise you to do PET SCAN so that activity and reaction around bone can be identified. PET scan will differentiate between simple or with metastatic lesion if any.Many of my patients ofget improvement in morbidity by yoga pranayama so you can also do that.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. </s>

<s>[INST] A cousin aged 60 yrs. has Cortical cyst in right kidney measuring 65x65 mm., detected six months back.prostate are also enlarged. However kidney size are normal. no other complain except fatty liver. Is this size of cortical cyst is dangerous? What precautions,/diet/ medicine he should take? [/INST] Hi, dearI have gone through your question. I can understand your concern.There are many ways to treat the cortical cyst.Puncture of cyst or decortication of cyst is used in large cyst. Drugs are useful to relieve pain only. They can not cure the cyst.Changing the way you eat can make a big difference in how long the cysts stay and whether they come back. You should avoid spicy and fatty foods, foods that are stimulants (like coffee or sodas) and processed foods. Smoking and drinking can also increase problems with the kidneys, so it pays to stop both activities altogether. Take low sodium diet to relieve pressure on kidney. Consult your doctor and plan accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. </s>

<s>[INST] In 2007, I had prolapse repair surgery through the vagina using mesh and bladder sling. It lasted 6 months. In addition, the surgeon cut my ureter and fortunately a urosurgeon was called in and it was successfully repaired. For several years I was able to manage the prolapse with exercise and estrogen , but last year I signed up for a yoga class and the prolapse .returned. I talked to a urosurgeon at Mayo s in Scottsdale, and he recommended robotic surgery and using mesh more extensively. My original experience was very unpleasant and it was a year before I was close to normal. I have also read about the negative side effects of mesh, and I am very nervous about surgery using mesh and the robotic surgery. John Hopkins recently had a report out on robotic surgery and it was not very supportive of it s use. Is there some where I can get the full report on how successful these robotic surgeries are?: What are my alternatives? Thank you. [/INST] Hi, as it is a recurance, of prolapse, and there will be stitches, and adhesions with the bladder and surrounding structures, it may not be prefered to have a surgery. I advise you to consult a gynecologist for diagnosis and treatment. Here you may have options to correct it temporarily by stitches, in the vagina, or fixing a ring around cervix. Wishing for the best. Thank you. </s>

<s>[INST] I awake with both hands asleep. It started with my left arm aching and my thumb and pointing finger getting a numb sensation. Now I awake at night and both hands are asleep (4-5 times a week). An MRI revealed moderate right C3-4 foraminal stenosis which could compromise existing right C4 nerve root. Severe let C4-5 foraminal stenosis which could compromise the exiting left C5 nerve root. Multilevel degenerative disc disease, spondolylosis and facet degenerative change. What treatment would you suggest? [/INST] Hi there, welcome to HCM, thanks for your question.Your symptoms suggest compression of nerves supplying both your uppper limbs.Such a compression moat commonly can happen in your neck or your arms at the carpal tunnel.The neck compression is seen in your MRI report and it correlates with your symptoms.But the carpal tunnel symptoms need to be ruled out by your physician by clinch examination and nerve conduction tests.If carpal tunnel syndrome is ruled out and your symptoms are present for more than 12 weeks with no response to conservative measures then as per your MRI and your clinical presentation you would need surgery at C5C6 level of your spine which will include discectomy and fusion with a cage and other levels depending on what is seen in the MRI.The Conservative measures to be tried before surgery is considered include: physiotherapy, exercises,medications, rest, guided inejections by experts.Presence of any kind of weakness or new onset numbness would be a nice absolute indication for more urgent surgery.Considering your symptoms and radiology finding's I would suggest you to follow up regularly with a spine surgeon and get appropriately treated.Hope this answers your question.All the best.Thank you.with best regards. Dr.SBK </s>

<s>[INST] Hi, Im a Police Officer. I arrested a male individual today well yesterday night, after I did the fingerprints 2 times! and speaking with this individual less that 1 feet away he told me he has Aids and TB. I know Aids is hard to get with just skin contact etc but my concern is the TB part, being that close and him breathing and speaking with me freaked me out a bit, should I see my doc ASAP?? I want to go to bed relaxed! :-) [/INST] Hello,Welcome to HCM,Pulmonary TB is a disease transmitted by droplet infection and droplet nuclei, as you arrested a male individual today and spoke to him at a distance of less that 1 feet.You are at a risk of acquiring this disease but all individuals can not develop the disease and it all depends on the immune status of the individual.Even though bacteria enters your throat it may not produce any disease in you but whenever there is suppression of the immunity you may develop the disease but chance of getting it is very very less.Thank you. </s>

<s>[INST] Hi I'm a 30 year old woman who is suffering from lower dull back pain that resembles pain suggestive of a UTI. The thing is I've been tested and everything came back negative. What esle would cause that. Another symptom associated with it is a very strong ammonia discharge. [/INST] Dear patient At you age this symptoms might be due to pelvic inflammatory disease or its muscular pain. Pelvic inflammatory disease is a condition in which there is inflammation of pelvic genital organs which leads lower back pain and mild lower abdominal pain with symptoms of uti. You need to be investigated with 1. Ultrasound of abdomen 2. Xray of lumbosacral spine anteroposterior and lateral views to confirm diagnosis. Need to consult expert gynecologist with report. </s>