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<s>[INST] Hi - I am a 54 year old male. Last night I cut down a large bush and for about an hour clipped it into small pieces using a hand held clipper. Afterwards I felt fine and then I took some clothes from clothes dryer and shook out a pair of jeans. My right hand, the one I was using to clip up the tree branches, suddenly had a bad paid in the middle of the hand and on the top side. Today it continues to hurt and there is now a red, bump in that spot. I can grip with it, but the pain is the worst when I splay all my fingers and try to raise them upward . . . Not sure if I could have broken something . . . Thanks for any help you can provide [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Dear due long holding may lead to tendinitis of joint lead to swelling. You may need to take rest and don't that joint for few days, use cold and warm compression. If symptoms not improved use NSAIDs for pain relief. Still not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu </s>

<s>[INST] Please tell me about Causes of kidney disease? [/INST] Hi Dhanshree There are several causes of Kidney diseases . it would be easier if you can tell me the exact problem .However the main causes are according to age group , heredity , etc. These are: 1. Congenital causes Since birth 2.Immunological 3.Infectious 4.Secondary to some disease like Diabetes mellitus,etc 5.Due to Obstruction by stones , etc. 6. Due to Vascular causes like Hypertension. are only a few causes. Thanks!!!!!!! </s>

<s>[INST] I am taking entecavir (baraclude) during the last four years ( 0.5mg/day). I. m a 61 year old man with a very good health except for being HbsAg positive. Normal liver funcion. After that Im lost 80% of my erection . All my hormones test are norma Entecavir, itself could be in cause of these problem? Thank you carlos Cesa filho [/INST] Hi,Thanks for posting your query.You are having erectile dysfunction.Erectile dysfunction is not a known side effect of entecavir.It could be part of aging process or due to organic causes like diabetes.Consult an urologist/endocrinologist for evaluation of your erectile dysfunction.I hope that answers your question.Regards. </s>

<s>[INST] i have pain in my right side of my waist.its pain comes like a stitch settled in the side of the waist.three weeks ago i had an abortion using the pill method.i was about nine to ten weeks old.is it because of the abortion the pain insist or is it something else. [/INST] Dear patient thank you for your question.THe pill method of abortion usually uses mifipristone and misoprostol and muscle cramping and myalgia is a known and fairly common side effect of both these medications.Therefore you are right when you say that is because of the abortion.Treatment is ibuprofen 800mg twice a day for a minimum of 4 weeksAlso please discuss this with your obgyn as soon as you can so he/she is informed about the complication </s>

<s>[INST] hello sir, pls help me and my child s problem... hello sir, pls help me and my child s problem is stool seen with blood and diagnosed may be due to constipation and straining when he passes his stool and that results in anal tear. my son s age is two years. what will be the reason for this. doctor prescribed laxopeg powder. [/INST] Hello, As you said that your son is having constipation, which is a very common problem in kids, he might face a little tear while passing hardened stools. this might seem like a brigh red colour streaks on stool. Another cause of blood in stool can be dysentery , but here the blood won’t be bright red and also will be quite foul-smelling. This is caused due to infection. He might have a fever and stomachache along with this finding. So the best way to cure constipation is to add more fiber in his diet and also at the same time keep a check on hydration. He should be drinking plenty of fluids. In case you suspect dysentery, please consult your doctor for antibiotics. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Gaurav Nigam, Pediatrician </s>

<s>[INST] Hello doctor, my 53 year old dad had been diabetic since 30 years, now he is in kidney failure. Now kidney specialist has advised for kidney transplant. What are the treatment options for patient with kidney failure other than kidney transplant and kidney transplant is better than other treatment options? Are there different kinds of kidney transplants? What is rejection? What are the chances that a transplanted kidney will continue to function normally? Will I need to follow a special diet? [/INST] When an individual's kidneys fail, three treatment options are hemodialysis, peritoneal dialysis and kidney transplantation. Many patients feel that a successful kidney transplant provides a better quality of life because it allows greater freedom and often is associated with increased energy levels and a less restricted diet. There are two types of kidney transplants: those that come from living donors and those that come from unrelated donors who have died or non-living donors. The most important complication that may occur after transplant is rejection of the kidney. The body's immune system guards against attack by all foreign matter, such as bacteria. This defense system may recognize tissue transplanted from someone else as foreign and attack the foreign tissue (transplanted kidney). Results of transplantation are improving steadily with research advances. In the event that a transplanted kidney fails, a second transplant may be a good option for many patients. Kidney transplants, like other treatments for kidney failure, often require following special diet guidelines. If someone is on dialysis before transplant, the diet which is recommended after transplant is less restricted. The length of time must follow the special diet varies. Progress will be followed closely, consulting doctor and dietitian will modify diet as needed. </s>

<s>[INST] Hi Doctor, I am 64 and have decided to gym. While I was under the direction of a trainer, I discovered that I had a slight pain in my head on the left side. Having visited my GP, he diagnosed a " heart stop?" He want to refer me to a Cardiologist, but decided afterwards that I should go for a second opinion. What do I make of this? [/INST] No idea. A heart rhythm disturbance is unlikely to be a source of head discomfort. Further, a minor rhythm disturbance with no symptoms may be no concern at all. The second opinion is a good choice. </s>

<s>[INST] my mother has red lines similar to streaking all over upper and lower right leg. she does not have any problems with them being itchy or painful what so ever. she has been complaining of joint discomfort that is worse when she firsts wakes however no pan in chest/increase with touch. I am not quite sure what it could be i see no sign of infection? [/INST] Hello,I would explain that her symptoms could be related to Cushing disease. For this reason, I recommend checking cortisol plasma levels and some other blood lab tests (ACTH, complete blood count, thyroid hormone levels, PCR, ESR). You should discuss with your doctor on the above tests.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist </s>

<s>[INST] Hi, I m having loud ringing in my left ear it only happens when I get my heart rate up then I m feeling sick and dizzy, I have been having memory problems slurred speech and balance issues. I have a doctors appointment on the 12 of October but this is getting worseby the day and I have been to the er three times for it and also burning pain on the center of my spine between shoulder blades also having a lot of pain in both arms. I m wondering what this could be? [/INST] Hi,I understand your situation. Your heart rate situation could be the origin of you problems. This condition could be associated with neurosurgical deficits like dysarthria, loss of balance, ringing on you ears. Visiting your doctor should not be delayed. You could be experiencing transitory ischemic cerebellar attacks.Pain at your shoulders is another condition to be determined. Differential diagnosis is large and this too should be done from your doctor. It could be cervical discal herniation, intramedullary syrinx, pulmonary pneumonia etc.....Hope this will help, wish you the best </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] Hello Doctor, My 7.5 month old baby has got loose motion and also red rashes on her bottom. For the loose motion, we are controlling her diet . But the rashes are bothering her a lot. She cries everytime she has a motion or urinates. I am also avoiding diaper and keeping her in loose nappies only. Please suggest how to make sure that rashes go away soon. Also suggest if I need to do something for more for her loose motion. Thanks, Harveen. [/INST] Hello Welcome! I would be pleased to answer your question . From the description of the lesions they seem to be either a eczema or irritant contact dermatitis. The Allergy can be due to external or internal allergic agent. Here is what will help: 1. Clobetasol propionate cream + Mupirocin cream: Mix and apply over the affected area on the right shoulder twice a day for 5days then switch to Fluticasone propionate cream once at night for 2-4 weeks. In the groin/upper inner thigh use Fluticasone in place of Clobetasol from the beginning. The specialist to see will be a dermatologist and he or she can prescribe these for you. Nothing over the counter will help much, the only product with some benefit is 1% Cortizone cream. 2. Syrup Claritin twice a day for 5 days to get relief in itching. 3. Sarna sensitive lotion can be used 2-3 times a day to give further relief from itching. This can be continued even when the above creams have been stopped. 4. Avoid scratching the affected areas as much as possible. This is most important. Whenever it is not bearable soak a towel in ice cold water and keep it on the affected areas or apply the Sarna sensitive lotion. Lastly keep the affected areas as well moisturized as possible with a moisturizer of your choice. NOTE: 1% Cortizone cream, Claritin and Sarna lotion can be bought without a prescription. Please feel free to ask if you have any queries. </s>

<s>[INST] I have recently developed to what my knowledge seems to be a yeast infection. I am a male, 20 of age, and have never had this before. I have severe itchiness around the anus as well as the penus area. No pain and I hope it stays that way. Could this be something different? [/INST] Hello,Welcome to HCM,The symptoms suggests me that you may be having fungal infection.The fungus are the normal comensals of the genital region which will be kept under control by the helpful bacteria whenever there is a change in the environment these fungus will activate and produces their symptoms.The fungus can survive for longer period of time in the areas which are moist and non hairy.I would suggest you to follow1.Keep these area dry and clean2.Apply topical antifungal creams like amphotericin B.Your symptoms will improve with these remedies.Thank you. </s>

<s>[INST] Hi doctor, I am 39 years old and my weight is 70. My blood pressure is 130/80 mmHg. I am on Seloken XL 50 once daily. Can I use non-selective beta blocker instead of beta blockers? Please advise if Amlodipine is good. [/INST] Hi. Your question is a hypothetical one. The reason being every drug is good and bad and has its own pros and cons. Metoprolol is a wonderful drug to slow down the heart rate without side effects on other organs. Metoprolol is a cardioselective beta blocke. Having said that, if you do not have any associated features or specific cause, then you ask your doctor to follow the protocol of the JNC 8 (the Eighth Joint National Committee) - the international guidelines for hypertension. I suggest you tablet Losar-H (Losartan) once daily as it is the safest drug. But, the switch has to be slow as you are addicted to beta blocker and removing it suddenly would cause withdrawal. Also, Amlodipine is not a good drug for you. Consult your specialist doctor, discuss with him or her and take the medicine with consent. For further information consult a cardiologist online --> </s>

<s>[INST] I started not feeling well this last sat. I felt a little shaky inside and had some pain when I took a deep breath. A little nauseous. By Monday, I was still the same, but now have aches in my chest, sides and stomach area when I take a deep breath, hiccup or burp. Went in to see a dr, ....he examined me, and took a urine sample. Nothing showed up. He thought I might be getting the stomach flu . I ve stayed home the last two days. Not really hungry, but am able to eat. Background..... 11 years ago...weighed 413 lbs....had a gastric bypass ....got down to 225. Diagnosed with ovarian cancer march of 2010. They got it, went thru 4 rounds of chemo to make sure......weight back up to 285, but generally feel pretty good, other than this. [/INST] Hi, you had undergone a bariatric surgery. The symptoms you are describing are vague and non specific. Based on this information no diagnosis can be made. You have given 4 cycle of chemotherapy means you had early stage ovarian cancer. From oncological point of view you are alright. Your chest pain may be due to angina and myocardial infarction is also a pssibility. Consult your physician. Take care. </s>

<s>[INST] Hello i have had my ears pierced for about 7-8 years now , for a few days now it has started to hurt when i try and put the earing in , its only on one ear the right one , this morning i tried to put it in and it felt like i had to repierce it ! its still stinging now. What is this? . [/INST] Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.It is either closed or it is infected. In my advice you should get it checked with nearby doctors. First important step is to diagnose whether it is closed or infected.For the infected ear you need to take the antibiotics. Oral cefixime 200 mg TDS for three days plus daily cleaning and dressing with dettol and polysporin ointment can clear the infection.For the closed whole, you need to dig it again. You can go to nearby doctor it will pierce it once again.Please take good care while piercing otherwise it will get infected again.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. </s>

<s>[INST] my 2 year old son has had diarrohea somtimes vomiting over the last 3 days i thought it was gastro but this evening he has trouble walking his leg went from under him ,there are no sign of injuries it only seems to hurt when he stands not when pressed or moved around.he has had no temps [/INST] Hi,Diarrhea and vomiting indicates acute gastroenteritis, which is usually viral and need only supportive treatment with antiemetics and plenty of fluids like ORS solution to prevent dehydration.But presence of leg weakness need further evaluation. This may be from an electrolyte imbalance like hypokalemia or hypocalcemia. Although rare, GBS (guillain-barre syndrome) can also have a similar presentation. Kindly take him to your pediatrician, as this needs evaluation without delay. Meanwhile give him frequent sips of oral fluids to prevent dehydration.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician </s>

<s>[INST] I recently started to feel a lump in the back of my mouth that I thought was on my tongue making it always feel like something was stuck to my tongue. When I looked in my mouth today, I noticed a pea sized lump in the back of my mouth near my uvula. I m a heavy smoker and have been for more than 15 years. I m concerned. [/INST] Hi ! Good evening. I am Dr Shareef answering your query.With a history of chronic smoking for such a long duration, I would advise you to seek the opinion of an ENT specialist/general surgeon at the earliest to have a detailed clinical examination and related investigations to arrive at a proper diagnosis and appropriate treatment without any delay. So, I would not consider it wise to opine on this problem of yours without a clinical examination. Till then, you could go for an antiseptic gargles only.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. </s>

<s>[INST] My 7 year old Daughter has had a high Fever since Sunday night. Her Bother just got over his fever, and her sister still has Fever which doctor confirmed was Viral. However my 7 yo is experiencing Leg Pains and cannot walk. Hospital took Urine Samples this morning and said appeared to be clear, and it is most likely Viral - but to come back Monday if things do not improve. Could it be something more sinister ? [/INST] Brief answer :Viral fever, dengue or chikungunyaDetailed answer:Hi, welcome to HCM. Any viral fever can present with similar symptoms of fever, leg pain, body ache. But If symptoms persists these symptoms are more common in dengue and chikungunya fever. In my opinion, you should do CBC, NS1 Antigen test for dengue. Keep child hydrated that is give adequate liquid diet. Further treatment will depend on above reports. I hope this will help you. Take care. Regards - Dr Deepak Patel, MD Pediatrics </s>

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

<s>[INST] My husband has severe knee,foot, and muscle pains. His doctor recommended for blood test to find the vitamin D3 levels. The reports showed levels as 5.5. His doctor suggested to take SHELCAL 500 -1 Tab / day. Now he started taking this SHELCAL 500 from last 2 weeks. But the muscle pain has not yet gone.Can you please kindly suggest how many days after taking this tablet, we can expect the pain relief. [/INST] Hello, In my opinion you are doing a good job by following the doctors instructions, however there is no specific number of days that he can feel better as it depends on many factors, but you can do things better by giving him more vitamin D from sun exposure for 20 to 30 minutes daily. Also increase food intake of vitamin D, Dried figs with a spoon of olive oil is a great option.walking also can help within tolerance of pain. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Ayman Darrag </s>

<s>[INST] I had 10 vials of antivenom for snake bite in 2001, have had constant allergy, joint, etc issues since then. Lab results this week show low IgM levels (34). Can this be caused by the antivenom years ago since I now have constant issues...how can I get this level up? OK, sorry for wasting your time, I m not comfortable entering my credit card info at this time. [/INST] Its not due to antivenom dont worry , dont be panic.Have your proper diet , do regular exercise and take proper sleep and rest. Your IgM levels will be raised definately. </s>

<s>[INST] I spend almost all of my time in my basement. Within the past two years I have experienced occasional increases in my heart rate from a resting rate of 50 - 55 to a resting rate of 100 plus. My cardiologist has suggested an electrical study and cardiac ablation. Is it possible the cause is basement mold spores? [/INST] Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that it is less likely for your symptoms to be caused by mold spores. It is important investigating for the possible causes of your increased heart rate. For this reason, I would recommend performing some tests: - a cardiac ultrasound to examine your cardiac function and structure- an ambulatory 24-48 hours ECG monitoring to examine your heart rate for a prolonged period of time- complete blood count for anemia- blood electrolytes for possible imbalance- thyroid hormone levels for possible thyroid dysfunction. Only after determining the possible cause and the type of cardiac arrhythmia, the possible treatment options should be discussed. Hope you will find this answer helpful!Kind regards, Dr. Iliri </s>

<s>[INST] I am constantly hot and then chilled, my hands are cold, I get clammy, very uncomfortable. I do no sweat, heat stays inside my body, at times my forhead aches. I take 40M blood pressure pills, right now my b/P is 163/83 Something is wrong. I called my Doc. he says I am OK?? [/INST] Hello, Pheochromocytoma is a possibility, in view of fluctuating BP and other somatic symptoms. Alternatively, you may be having paroxysmal hypertension without obvious provocative factors & repressed emotional trauma causing condition called pseudopheochromocytoma. You may go for plasma levels of free metanephrines as initial test. Thyroid function test (Free T3, Free T4 & TSH) also won't be out of place. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist </s>

<s>[INST] am carol last month was given clomiphene 50gm and no +ve results then this time i have been given clomiphene 100gm.unfortunately yesterday i took overdose and the dosage is supposed to end today.what should i do coz i do will it affect me?should i buy an extra dose? [/INST] Hi,Overdose of clomiphene can cause nausea, vomiting, flushes, visual blurring, bloating, ovarian enlargement with pelvic or abdominal pain. Based on the history you have taken an extra dose of 100 mg of clomiphene in the second course of your treatment on the 4th day of treatment. You need to take an extra dose of 100 mg on the 5th (the last day) day of your treatment after consulting your treating doctor.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician </s>

<s>[INST] i had mutiple hemorhoidectomy (surgery) in 1976. i was discharged with the expected rectal pain and a pain med (probably vicodin) which did not help-from what i understand is not effective on neurooogical pain (damaged nerves from the surgery). i have had this pain (drs. calling it proctalgia/proctodynea) for 38 years-off and on-- mostly on!!!! the pain now and has always been the same as the day i left the hospital. i am 74 yrs old.over the years i have seen/had dozens of drs., tests, lab., xrays, mri, meds,etc. with not one bit of help. it is has been very depressing and now along with my afib, spinal stenosis, neuropathy (both legs) and low grade rostate cancer i am at the point that i do not care to treat the prostate cancer-i have multiple pain scources(conditions)-treating the cancer may extend my already miserable life-for what? --to suffer longer? [/INST] take more vegetables nd salads with food...use syrup lactulose 4tsf HS if having constipation or strain while defecation....Take Tab pregabalin 75mg HS for neuropathy pain...you can also use Lignocaine ointment for per rectal application...take Tab CONTIFLOW D (Tamsulosin 0.4mg +Dutesteride 0.5mg ) at night time daily if you have increased urinary frequency and urgency... </s>

<s>[INST] How does spondylosis start? How would I know I have it? I have pain in the mid- to lower-back. Sometimes, pain barely starts down side of leg but goes away quickly, especially when sitting. I started doing McKenzie exercises. Could it just be I sit at computer for too long? Can spondylosis be caused by time at computer too? [/INST] Acupressure and Magnetotherapy treatment;- this is a case of disc slip L-4,L-5 , you maytake treatment from acupressure and magnetotherapy specialist to get releif. how ever u may use acupressure plate -10 minute twice a day .and place med.power south pole of magnet at paining place. half an hour twice a day for ten days andreport. IT IS EXACTLY DUE TO LONG SITTING AT COMPUTER. u can also use magnetic cushion on your back while sitting on computer. </s>

<s>[INST] hi. I had 2 wisdom teeth removed 5 days ago. the upper left one was out so that was easy. the lower left one was impacted so there was cutting in order to remove. all went well but I have been experiencing a bad smelling brown fluid oozing from the lower left. also all the teeth in the lower left gets sensitive and hurts especially after I brush and rinse. the last of my dissolvable stitch came out this morning. is this normal? on pain killers and antibiotics. also prior to extraction there was a slight open pocket by the lower left tooth and when I clean it out this oozing has the same bad smell. [/INST] HiWelcome to HCM forumAs per your details, it seems there is a dry socket.Consult dentist for irrigation of socket with betadine and ZOE dressing.Maintain good oral hygiene, use antiseptic mouthwash.Do warm saline rinses after every meal for a week.Follow antibiotic prescription for 3 days.Take care </s>

<s>[INST] Hello. I have undergone 2spinal fusions. Last being Jan 14 this year. Have had severe co plications w/ last one. I developed an unidentifiabl infecton that was treated over 2 months of.7 different anti biotics.It was my primary md that eventually stepped in & it healed.My concerns are I am still using a walker & am in pain I have an upcoming hip surgery. I have 2 insurances, Medicaid & United Health, but cannot afford the payments much longer. I would lke to have all hardware removed & replacedainw/ cadaver bone. With 2 cages & my md witnessing my vertebrae literally crack & see it move down to tailbone like dominoes...yes she was shocked & charted it. Other times, it feels my back is under water & is swaying side to side!!! Ruled out. Lazer I [/INST] Hi,Thanks for writing in.Your situation needs a more professional approach than taking out all the hardware inserted during surgery and replacing it with cadaver bone. The bone we have within us is a living tissue though it is hard and stronger than other tissues. This is because of calcium deposition and there is regular exchange of minerals between the bone and other tissues. The bone also gets its blood supply and remains alive. Therefore please do not consider cadaver bone replacement for yourself.The problem with two cages and its displacement at operated site requires proper management. Back fusion surgeries might not provide a good level of pain relief in some patients. Though the pressure on nerve roots at strategic locations seems to be relieved by doing surgical procedure, the patient might often complain severe lower back pain even after surgery. This happens in about 20 to 40 percent of patients and the reason is that the affected nerve roots are still under pressure in areas other than where surgical manipulation has been done.If laser is not an option for you then please discuss new methods like radiofrequency ablation and how effective it will work for you. The problem for your extended suffering was the infection that unfortunately developed in the operated site. Now that it is cured, healing should occur fast.Wishing you the best for hip surgery. </s>

<s>[INST] Two weeks ago i started my period and that Friday i started on my birth control i took the non active pills for seven days and my period only lasted for four days and my husband and i got together after my period was gone.after the non active pills where gone i started my active pills. Is there a chance of being pregnant? just recently i started to feel sick to the stomach and care of wired in the stomach.Additional DetailsThis was my first pack of pills and started taking the seven day pills first. Am sorry i've wording it wrong. I did not take any pills last month. Is there a change of baby? [/INST] Hi, if you came to my clinic with those complaints I would ask you to stop worrying. Many women that start using the pills for the first time experience similar problems. I understand that you have taken the inactive pills first and then started on the active pills. Also, you have had had intercourse only after your period was over that is about 11 days ago. The chances of pregnancy occurring after a single act of unprotected sexual intercourse are only 4%. Also for women that have regular periods the chance of getting pregnant is more if intercourse occurs after 11-12 days since the first day of the period. Hence the chances of getting pregnant are low if you have had contact before this period. You are also having a sick feeling in the stomach and most probably a cramp like feeling. This may be due to the pills as some females take time to get adjusted and may improve with continuous use and by taking the pills with food. The pills are not known to cause any major effect on the baby if they are inadvertently taken in early pregnancy. Since you have started taking the active pills late, I would recommend that you use a backup contraceptive measure like condoms, for the next 7 days while you still take the pills to avoid pregnancy. I would be pleased to answer any further queries that you may have, enjoy a wonderful day. </s>

<s>[INST] I have lymphedema in both legs. A couple of years ago I went to a doctor and the doctor prescribed therapy for me. I wear compression stockings now and use the Flexitouch machine every night. That doctor just said I don't need to come back but I want to find a new doctor that specializes in lymphedema. I live in Round Rock, Texas. [/INST] Hello friend, Thank you for posting your query through Healthcare magic.I feel sympathy for you not because of your disease but because of your poor understanding about your disease. Lymphedema is not your disease. Lymphedema simply means the accumulation of lymph at a particular area because of poor lymphatic circulation and defective removal of lymph from the area affected. Just imagine what happens when you pluck out a bud from a plant when you really want to remove the plant as a whole. Instead of destroying the plant with its 'roots', you are trying to remove the buds. You will only experience further growth of more buds from more areas in the plant. Just like that you are not doing anything to remove your disease in its totality. There will be surely an underlying disease that makes you suffer from lymphedema. Approach a physician who will help you to diagnose your disease after all necessary investigations. Still a conventional medical specialist cannot offer a satisfactory answer for your queries and that is why your doctor said you need not any more go to him. Very often the removal of the plant with its roots is not possible for him. He can maximum suggest another therapy, another machine or another stockings for you. Because the 'root' of your problem lies in your genetics and for time being conventional medicine cannot offer any genetic or constitutional treatment for you. Therefore I can suggest confidently that you may approach an expert Homoeopathic physician known to you or you can very well get back to me with all your details. I think I can offer cure for your lymphedema. Homoeopathy cure YOU and YOU only. With Best Wishes,Dr C. J. VargheseHomoeopath drcjvarghese@gmail.com. </s>

<s>[INST] Is it safe to put deodorant on your testicles? I have been doing this for the past 2 weeks or so to deal with odor but I am now worried that my health may be put in danger because of this. I don't experience any itching, pain or any other symptoms so I am just curious. [/INST] Dear, We understand your concernsI went through your details. Most of the branded deodorants are skin friendly. They are manufactured and meant to be applied or sprayed onto skin. Testicle skin is also like any other skin are in your body. Therefore, having reactions are rare.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care. </s>

<s>[INST] Hello there, Back in 2006 i was diagnosed with Autoimmune Liver Failure and spent six weeks in Hospital. They then started me on a cause of Steroids Prednisalone then changed me over to Azzaziaprin. I responded really well to these treatments and then was told that all of my tests were back down to normal so they stopped treatment and i have been fine for three years, just before i went to spain back in July i took some Piriteze tablets which i have read can cause problems with the liver and abnormal liver function tests and that is when i had a blood test a few months ago and was told that the Liver function tests were high (262) is this down to the tablets or is it a relapse? Many thanks, AAA [/INST] Hi Tom, usually autoimmune liver disease comes and goes. You can check your liver enzymes one time and they may be normal, and then one month later they may be up and so forth. Usually a low dose of azathioprine (generic) is enough to keep the disease under control. Keep in mind that if you don't keep it under control (with normal liver enzymes), then the inflammation can progress to "cirrhosis" which when the liver is almost non-functioning and requires a liver transplantation. Make sure you go to a liver specialist for treatment recommendations. You may even need a liver biopsy. </s>

<s>[INST] hello,I hit my head in December during the skiing. i had a head concession. Now, after 5 months of that i feel my neck is stiffed or some sounds in the neck when i move it, especially when it is cold. It can be connected to the concession that i had 5-6 moths ago? should i have a check up again? Especially what kind of check up and where, and what do you advice me to do? THANK YOU in advance. [/INST] hi,thank you for providing the brief history of you.A thorough neuromuscular assessment is advised along with MRI of cervical spine.As you are getting stiffness in the neck region and some sounds when you move the neck, it is related to the weakness of the muscles of the cervical region. Getting a Neuromuscular assessment of the cervical spine should help understand the cause.Also, with simple physical therapy and guided exercises for the neck muscles should give better results. In my clinical practice majority of patients having complaints of stiffness of neck region is due to weakness of the muscles of the neck and with physical therapy majority of them responds well.RegardsJay Indravadan Patel </s>

<s>[INST] Dear doctor, Iam 47 yrs old. suffering from upper respiratory tract problem for past 4 months. but for past 10 yrs i had sinus. dr adviced me to go for sinus endoscopy. due to scare, i refused. now unable to breathe always. taking only allarcet dc 10mg during nights for past i wk.pls help me for remedy. thanks banu [/INST] Hi. I can understand your concern. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. </s>

<s>[INST] Not an easy case 46 yrs old dx with multiple myeloma presented atypically 30% plasma cells in the marrow , no lesions or kidney failure , low grade fever 100-101 on an off for 6 months with a hemoglobin of 8. Also showed moderate dysplastic changes in the red cell line and mild dysplastic changes in my white blood cell line consistant with possible early mds. As doctors in both New York and Boston attempted to determin what was taking place Each specialist agreed I had their disease to an extent Myeloma or MDS but they felt that it was not their disease causing the anemia because the extent of each disease was minimal. Decided to try treatment with levoquin with no improvement and then prednisone with no improvement. Symptoms progressed developing bone and muscle pain, weight loss, migratory joint pain with numbness and intense pain to my hands and feet. At this point I developed Pure Red Blood Cell Aplasia and became transfusion dependent needing transfusions every 10 days for apx 3 months. The doctors at both institutions thought possible infection. Complete infectious disease work up done all of which was negative. Tests for Lupus also negative Labs showed : a monoclonal protein of .67g\dl at its highest (decreased over time with trial of levoquin and low dose prednisone ). Elevated lambda light chains of 115 mg/dl (decreased with levoquin and prednisone) Bone marrow involvement was continuing to increase moving from a showing of 7% plasma cells to 30%. Even as all my serum marker numbers were decreasing% of bone marrow involvement was increasing. Out of lack of knowing what else to do and now having developing the Pure Red Blood Cell Aplasia and needing frequent transfusions they started treatment with bortizimed. which improved my hct and fevers and brought my myeloma numbers down some . I then went on to have an auto transplant which did not seem to make much of a difference. M spike prior was 0.17g/dl and 90 days post is .31 g/ dl. Told the marrow shows a 5% population of plasma cells which seem to have not responded to treatment. At this point I feel I have fully recovered from the transplant. Unfortunatly over the past few weeks my fevers and pain have returned as well as the bone pain, numbness,muscle pain,cramps and twiching as well as a slight tingle sensation to my face and tongue .I am not anemic at this point but it feels like it is starting all over again. I am being told not to worry and we may never know what the exact cause is but should just cont with the various treatments for myeloma for however long they will work and then possibly an allo transplant down the line. At this point we have started bortizimed again only. Concern has been expressed with use of lenalidomide due to developing Secondary Primary Cancers. My question is has anyone out there seen a patient with a similar presentation and if further diagnostic evaluation is indicated since it has been stated they are not really sure what we are treating. I do fear we have muddied the waters with the treatments already given Had genetic studies done which may help in determining what is taking place and have not had if fully explained to me: Normal karyotype. Fish evaluation done in NewYork showed various abnormalities. Detecting four copies of the FGFR3 and IgH genes in 2.4% of the cells studied. The MLL gene in 3% of the cells.four copies of chromosomes1,5,7 and 8 in 3% and 4 copies of chromosome 17and 20 in 2.4% of the interphase cells examined . I also have Monosomy 13 and a 14q32 (IGH sep) translocation I was an healthy 46year old prior to all of this. Had not been seen by doctor for a sick call in over 20 years and was training for a marathon. I discovered I was anemic by accident while training as a student nurse. Side note Also ahad a fat pad biopsy which was negative for amloyd. Still will have occ. prickly feeling to tongue and around lip [/INST] hi therei am not sure i can help you fullybut i can just suggest you talk to your docs about smoldering myelomamaybe the suggestion to them can helpbest of luckand sorry to be of little help </s>

<s>[INST] Hi- I am a 40 yr-old femal, an athlete & in very good health/feel great (aside from some chronic pain issues from an accident long ago & high anxiety levels for which I take xanax & neurontin) otherwise (outsanding cholesterol, blood pressure etc), but have a history of excessive alcohol intake for the past 25 yrs. Approximately 3 years ago my ast & alt levels were very slightly raised & an unltrasound (they were checking source of upper right quadrant ache) showed mild fatty liver. I have since dramatically decreased my alcohol intake, and go through alcohol breaks. I still, overall though, drink WELL above the recommeded guides for women on vacation & on most wknds but nothing that seems to raise eyebrows of those around me (other wknds I abstain completely). My liver tests were normal after this up until one in 2/11 until one this past week which was done in conjunction w/ routine physical- at the time I had not had a drink in approx a wk but had a lot the holiday wknd prior. All bloodwork was good except my AST was 54 (alt was 35). I have been using marijuana from a vaporizor for a bit over a yr & also taking hydroxycut recently (I am actually very small but prefer to be about 3-5 lbs less than my current weight) and am wondering if I should have further testing/be excessively worried & also if the marijuana &/or hydroxycut can impact ast levels? Apparently the dr (not my regular) is not recommending further tests, but believes the ast is related to alcohol. I worry that after so many yrs of drinking it s to late for me & that the damage is irreversible (I know most liver tests come back normal when there is a problem & so feel must be something bad wrong if they are abnormal) which causes me to actually want to drink & just give up. Would an ultrasound be sufficient to tell me if I am past the pt of irreversible harm or is a biopsy necessary? [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. I think your opinion is wrong. You are just 40. Your body can repair those damages caused by illicit life style. Give it around 5 years and your body will show you how. Your problems are reversible if you stick to perfect life style.Many researches and researchers confirm that medicines alone cannot cure mental disorders. Life style changes, change in thinking pattern, relaxation etc are as essential as medicines. Psychotherapy can help you changing your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. </s>

<s>[INST] Just as I started to urinate I had the sensation of my penis, balls and stomach swelling and I could not finish urinating. I later finished and after sitting down on the bed I felt like I had to throw up.n I am diabetic with prostate problems could this be the problem? [/INST] you are having benign prostate hypertrophy which means enlarged prostate.it obstruct urine flow and it causes pain and swelling during urination.you can use prazosin 0.5mg prazosin bd for 2weeks if you are not taking any antihypertensive medications.surgical option is also available. </s>

<s>[INST] I have a sharp, pinching-like pain in my R hip/ groin area that is present with walking/ weight bearing. It is not present all the time, though it can be severe, so much so that I fear I will not be able to bear weight on my leg. NO injury history. I do not exercise. I am overweight though otherwise a healthy woman with no history of disease. At times, this pain makes me walk funny. What do you think it could be? Can I treat it at home? [/INST] Dear patient there is enough possibility of having hip pathology considering your symptoms. This should not be treated at home. I would like to advise xray of pelvis with both hips anteroposterior and frog leg views. An ultrasound of hip is also advisable to rule out hip synovitis. Start tab zerodol sp twice a day for pain relief. You need to consult orthopaedic surgeon nearby your with reports. </s>

<s>[INST] sir, i've suffering from skin problem i.e. pimples on my face. my age= 19 yrsWeight= 65 kg Height= 5.10 I've consulted with many skin doctors and also treatment but never got satisfied result . so, would you please suggest me a effective solution? [/INST] Hi,Thanks for writing to us.The treatment for acne depends upon the grade and severity of acne. So what would suit your skin best can only be decided once your skin has properly been analysed. However you may follow these guidelines to help you to some extentUse a salicylic acid or glycolic acid face wash twice in a day( if your skin is too oily). If your skin is sensitive use a mild cleanser like episoft, cetaphil OS or cutirinzIf having comedones, get them extracted.Avoid facials and massages. Avoid using greasy creams or cosmetics. USe water based moisturiser(neutrogena/clinique)Apply adapalene clindamycin/adapalene benzoyl peroxide cream full face in night. Use only pea size amount for full face.Follow these for two weeks to see, if you are having response. If not much improvement is seen, meet a dermatologist.Take care </s>

<s>[INST] My husband has weak sperm count. I ve done IVF 6 times and miscarried after 2 months each time because my body rejects the hormones I get injected with. I ve been told by countless doctors that I have no issues and my husbands sperm is the problem. I don t want to do IVF anymore. I want my husbands sperm to be made well and for him to get treatment. What are the treatment options for men? [/INST] Well, whether you need IVF or not, depends on exact condition of your husband's semen at present. To increase sperm count, we need proper diagnosis of low sperm count- by physical examination and some tests like blood test and ultrasound. And then we have to correct the cause of low count. Please read- </s>

<s>[INST] I recently had an abnormal stress test and another test that showed damaged to the two bottom chambers of my heart. I have noticed that I have been throwing up frequently and feeling very sick lately. What could be the issue? I am now seeing a cardiologist for the heart proboem. [/INST] hia stress test is highly sensitive for cardiac ailmentsif it is abnormal you need a thorough investigation of your heart damaged bottom chambers can mean that there is some motion abnormalitities in that chambera detailed analysis of your printed report is very essential before making any commentbut throwing up and feeling maliase can be because of cardiac conditions like coronary artery disease and congestive cardiac failurea detailed report is to be analysed as it is a matter of high concernthank you </s>

<s>[INST] Concerns about a knot/bump on my penis. Not on the outside but on the muscle tissue. Initial stage of intercourse there is pain but that goes away as my erection becomes less hard. After intercourse today, I have bruising and swelling in the same area. [/INST] Hi, It might be a genital wart. You can consult a dermatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. </s>

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

<s>[INST] I have lower abdominal pain on my right side. When I sneeze I or cough, it feels like a catch or something is pulled or out of place. It is very psinful for a few minutes then better. my stomach feels like it is bruised all over. I woke last week with nausea but it is better. My stomach stays sour. I have been belching and it is not getting better. [/INST] you need to know te condition of abdominal organs like stomach ulcersgall bladder liver problem pancreas and oter near by organs need to go for ultrasound and consult gastroenterologist who can help you for cure in mean while can take liquid antacidsfat greese and non oily non spicy food and lot of warm water water </s>

<s>[INST] i made folliculometry last cycle .Day 12 ova size was 16mm..Day 14 was 22.5 mm ..Day 16 was 28..after maturity it doesnt rupture am not on induction my doctor ask me to take choriomon 5000 injection ? is it true desicion or the ova is too big to take injection now am 15 days after injection missed period for two days..can i test now ? [/INST] Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply: 1) Inj choriomon you received was because of unruptured follicle which was must. 2) It is very early to get urine pregnancy test positive. 3) Wait for another 4 days and perform pregnancy test. 4) If you are eager to know pregnancy test get a blood test called serum beta hCG which is more confirmatory. I hope I answered your query. I will be available for any followup queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist </s>

<s>[INST] I am a pretty healthy 52yr old wondering if I am having a strange medication reaction. I take metoprolol 25mg for pac/pvc which are controlled. I take protonix for duodenitis/reflux (and probably caused by nsaid use for headaches which I am off of to heal that). I take progeterone orally. Bioidentical hormone therapy pellet implants of estrogen and testosterone. I recently started spironalactone for mild side effects from the testosterone. Finally, I am on my second 40 day diet plan using 18.5mg phentramine and hcg with b12/multivit injection weekly. I feel great during day but at night I am awakened by strange restlessness of shoulders and upper back and sinking feeling in chest th at is increasing in freq and intensity. help. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Check for nocturnal asthma or allergy or gastroesophageal reflux disease with laryngopharyngeal reflux etc. Until examination is done it is difficult to say what it is. It may side effects to hormone replacement or fluid retention etc. Please consult your doctor, he will examine and treat you accordingly. Take care. </s>

<s>[INST] hi im 17 years old i weigh about 115 height is 5 2.. my dermatologist prescribed me retin a( tretinoin cream 0.025) n she also prescribed me topical benzoyl peroxide every other day to use n its been 6 weeks n i dont know how it works? i use neautrogena fresh foaming cleanser in the morning i was using cetaphil to moisturize but today i started on neutrogena liquid moisturizer spf 50 with helioplex. n on evening before i put retin A i use the same face wash. an on the days i use benzoyl peroxide wash i only was my face in the morning n apply the moisturizer but at night just the wash n after that i apply cetaphil.... but i dont go out much...n im wandering if the moisturizer i have is not working cause of the SPF..? can anyone help me?? [/INST] Welcome to Healthcare Magic Good Day The Tretinoin increases the turnover of the epithelium and helps removal of blackheads in Acne and also to prevent furthur epidodes. Benzoyl peroxide has antiseptic and bleaching effect on the face. Sunscreen is necessary to prevent UV damage to the skin especially acne prone skin to prevent comedones. Use what the Doctor has given as advised. You should find considerable improvement. </s>

<s>[INST] A few years ago my Son was ice skating fell and hit the back of his head. We went to the emergency room, he was released shortly after. They said he didn't suffer a concussion. He was left with a small bump that we thought would go away in time. He eventually forgot about it, but has noticed a bump in the same area. Possibly it never went away, should we be concerned about this? It doesn't hurt to the touch, he doesn't suffer from headaches. [/INST] Hi,Dear Good Evening and thanks for the query to HCM.I studied your query and understood your health concerns.The lump your son had is not harmfull as its not with any concussion then and not painful to touch even now.-Its hard and still there-indicates -that the hematoma formed then has resolved and fibrosed bump without any pain in it.Hope this would resolve your query.Welcome for any further query in this regard.Plz write a Good Review-without fail,as it would help other patients coming to HCM.With Regards.Dr.Savaskar M.N. </s>

<s>[INST] My daughter has had a lump in her neck for about three weeks or so now. I've taken her to the dr. Twice and had two sets of antibiotics. The first dr. said it could be there forever, the second said to take her back to the first dr. in two weeks if it wasn't better. Well it's still there. Should I get a specialist to check it out? [/INST] Welcome to Health care magic.1.The possible cause could be lymph nodal enlargement.2.This enlargement will be seen in presence of any infection / inflammation ( it can be localised or generalised ) so if you are aware of any issue, please treat the cause.3.The other possible cause could be lymph nodal pathology itself - for which you need to get an FNAC - fine needle aspiration cytology (sample of cells) to confirm.4.In this case i would recommend an ultrasound neck, which will help to evaluate the sours of the swelling, its nature ( cystic, solid, mixed) and where all and what all its extending to.5.After that you can treat the possible cause - as many glands, congenital causes involved in this - so evaluate ant treat. Good luck.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. </s>

<s>[INST] i was in a car accident in december and in january was diagnosed with post concussion syndrome. i am so weak and can barely get around. my head feels aweful with ringing and like a halo vibration sounds. i can barely get out of bed and get around. My bp is also on the rise since then and had to be put on bp meds. I am going out of my mind and feel sick everyday. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Regarding your concern, I would explain that there is not any specific drug for this syndrome. Psychotherapy is the most important treatment. Another treatment option are antidepressants. In this regard, I would recommend discussing with your attending physician on the possibility of starting Sertraline or Duloxetine. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] hi I m biswajit from kolkata india my wife using the entero quinol tablets when suffering from pain in belly/under chest from last 6 yrs. so, many dr. give her so many medicine. but the pain back again every after 2 weeks. it happens every 10 days. and after taking this tablet, she relife after 30 mins. but not permanantly. now this medicine is not available in india. any other substitute for thsi....................... [/INST] Hi Mr.Biswajit Welcome to HCM Enteroquinol is not the pain killer drug , Tell me whether your wife has back pain or pain in abdomen , if pain is in abdomen and if it is releaved by enteroquinol then you must think for amebiasis / Gastric ulcer , go for Stool culture and upper GI endoscopy , first do confirm diagnosis then go for the treatment . REGARDS. </s>

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

<s>[INST] I have a white film growing on my glans penis, it is painless, itch-less, and can be easily take off by just gently robing it. I have tried washing it thoroughly, but it keeps returning; and after the white firm been washed out, my glans looks extremely sleek when it is erected. Also after i masturbated, the white film seems growing faster. I have no other any obvious symptoms, like painful urination, aching testicles, etc. and there is no other abnormal symptoms on my genitals either. I don't have circumcision and my foreskin is normal length. I'm worried I may have an sexually transmitted disease or candidiasis., may I answer your health queries right now ? Please type your query here... [/INST] Hello, It could be a smegma. Poor personal hygiene is the main cause for its development. As of now clean the foreskin with soap and water and apply topical antibiotics like neosporine. If lesion persists better to consult a dermatologist 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] Hi, may I answer your health queries right now ? Please type your query here...Hi, my seven year old has red eruptions on face and even black heads. On her butocks I find dried erupions. she is very suceptible to cold and cough and takes ages to get rid of it. her blood ess always come normal. The recent one in october 2010 was also normal [/INST] Hi Dear,Understanding your concern. As per your query your child have symptoms of frequent blisters on face which is mainly due to allergic reaction and contact dermatitis. Need not to worry. I would suggest you to :- You should clean affected area only with cold water , avoid rubbing of skin to prevent skin damage and cover the affected area with light cloth while sleeping to prevent the skin infection. Apply calamine lotion to prevent itchiness. Apply cream containing Azelaic acid. Visit dermatologist once and get complete examination done. Start treatment after thorough examination.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari </s>

<s>[INST] Hi, may I answer your health queries right now ? Please type your query here...i have a two year old daughter that keeps having redness in her vagina what causes that and what can i do to help her? Someone told me it was because i gave her red juice to drink. [/INST] Hi, A two-year-old child having redness in the vagina may be due to an allergic reaction or due to infections. Food additives will produce only red-colored urine. so you may need to take the child to pediatrician who can examine it and will give you drugs. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rajmohan, Pediatrician </s>

<s>[INST] Hi! On Friday night, I went out for a friend's birthday, but on the way to a diner, I started to feel a pain in my lower right abdomen, right above my pelvic bone. As I sat in the diner, the pain went from a dull ache to a stronger, sharper pain. 30 minutes later, as I was walking home from the diner, the pain got worse with every step to the point where I almost couldn't make it walking up the stairs to my apartment. When I finally got home, the pain turned into a very sharp pain that make me cry and wouldn't ebb no matter what position I sat or laid. I was tempted to go to the hospital, but didn't only because I have no insurance, and decided to wait an hour to see if it would go away. After an hour, the pain only subsided slightly, but I decided to wait it out. I fell asleep at some point, and woke up around 8:30 the next morning with only a dull ache where the pain had been. Since that morning, I haven't felt much pain in the area at all - only a very slight ache when I press down very hard on the spot it had hurt so badly before. Any thoughts? Obviously, I should go to the doctor and get it checked, but like I said, I have no insurance, and would rather not go unless it could be a symptom of something very serious and wasn't a freak accident. I should also add that I have one symptom of polycystic ovarian syndrome - facial hair growth, and my periods used to come around every 35 - 40 days before going on birth control 4 years ago. I've since quit using hormonal birth control, but my periods have been coming regularly every 28 days ever since. [/INST] Hi.Thanks for your query and an elucidate history. The pain must have been due to torsion of the ovary or a large cyst. You should at least get an examination and more important an ultrasonography as a minimum required investigation to know the exact problem. You may not have another attack but if the torsion is still present, you may have to get operated , irrespective of whether you have insurance or not. </s>

<s>[INST] hello dr , my husband had spinal fusion 13 years ago and still gets some pain after working all day or sometimes just standing for to long can cause him pain , he is a large man 6.2 feet tall and aprox 140 kilos weight. my question is can he use an inversion table, without hurting himself further? he also has high blood pressure. [/INST] Hello, I have studied your case.I will advise you to do MRI spine to see for any disc bulge or spinal canal stenosis.And also check your vit B12 and vit D3 level.Medication like methylcobalamine and analgesic will reduce pain.You can continue yoga exercises and focus on spine extension exercises.I do not recommend inversion table and probably no doctor will recommend it.Some exercises which can be done include- Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg.Now lift both hand and leg simultaneously, 6 inch off the ground and stayPosition for around 10 breathes. Core stabilizing spine exercises will help.You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case.If not relieved you can take epidural injection.Hope this helps. Wish you a speedy recovery. Take care </s>

<s>[INST] Hello doctor, My mother is diagnosed with cataract. The prescription of an eye specialist is attached (attachment removed to protect patient identity). Doctor has recommended for surgery and has prescribed some tests before surgery. My question is what is the most advanced surgery available at present without having pain. [/INST] Hi. As far as cataract surgery is concerned, any good surgeon would do under topical anesthesia (no injection). The most advanced option is Femtosecond laser-assisted surgery and the most advanced lens is Alcon Panoptix Trifocal lens. </s>

<s>[INST] I have degenerative disks in my back from a Navy ship accident ,also i had to have a hip replacement resulting from the accident and have been told my pain is chronic. I ache day and night having to take sleeping medicine because of pain.I ve been on so many pain medicines,what can I do??? [/INST] Hi, thank you for posting!I have gone through your query and I understand your concerns.According to your symptoms, in order to treat your chronic pain, you need to take non-steroidal anti-inflammatory medications (only when the pain is severe), accompanied by Lyrica (pregabalin). These two medications will manage your pain really well and will bring an improvement in your performance in everyday life.Anyway, you should contact your neurologist in order to determine the right diagnosis and treatment of your condition.Ask me for anything unclear.All the best,Dr. Behar. </s>

<s>[INST] Hello, my father is 92 suffering from renal failure . His specialist said his kidneys were at 4% when we saw him three weeks ago. He was admitted to hospital yesterday with pneumonia and has not been very good for a week or more. Difficulty sleeping, feeling very tired. I am away on holidays and am concerned that he has reached a time when he is dying. I need to know whether I should return to Sydney from the far north coast. I will phone the hospital today but throught a Nephrologist may be able to advise me. Regards Leigh [/INST] Hi,Thanks for writing in.Sorry to hear about your father's illness when you are away from him.The main criteria in this situation would first be the serum creatine and blood urea levels, if they have been stable for last 3 weeks or not. If they are unstable, he can go in for renal failure at any time (matter of weeks). The second point is how he is responding to pneumonia treatment. Has any particular pneumonia treatment medication further deteriorated his general health condition or not.You may discuss the above two points in particular keeping in mind his recovery from pneumonia with his present kidney function.Hope this helps. </s>

<s>[INST] I have had burning mouth syndrome and burning in other mucous membranes. Are they related? I got this 9 years ago. It is so painful and it had subsided but started up again very suddenly 2 weeks ago. Is there any new information you could give me regarding treatment? [/INST] Thanks for using Health Care Magic.Read your query.Burning mouth sensation as you have mentioned is usually of unknown cause, though some conditions like severe vitamin deficiency, stress ,dry mouth, diabetes , GERD ,allergies can aggravate the condition.I would advice you to get a complete blood profile to rule out any systemic conditions like diabetes, thyroid,nutritional deficiencies and get them treated.Drink lots of fluids and keep hydrated,avoid carbonated drinks .Avoid alcohol and reduce stress.Hope this was useful.Thanks and regards. </s>

<s>[INST] Good day Dr, Ive had pain for a week in my throat, no whiteness (infection) just a lump thats very irritating and painful. Cannot swallow, sleep nor breathe well. Also facing a lot of uncontrollable anger at the moment. I am a smoker. Could this be cancer? I freaked out because google pictures match. [/INST] Smokers are always at risk for throat cancer and a variety of other cancers. The symptoms that you have described are suspicious for cancer especially in the setting of your smoking habits. However, this is not definitive and it may just be a throat infection which you cannot see with naked eye. All you need to do is consult an oncosurgeon and get an endoscopy done. This is an OPD procedure and will settle the issue.Also, try to quit smoking and a lot of your problems will be solved including the anger. </s>

<s>[INST] Hi, I took a swab drug test after I left the dentist . I had a deep cleaning procedure and they also gave me a medicated mouthwash called Acclean. However about 26hrs prior before the drug test I smoked some weed, I was wondering if there s a chance that the medicated mouthwash along with the deep cleaning could have washed traces of the thc out of my saliva. I swished with the mouthwash less than 10min before the test. Thanks Veeda [/INST] Hi, Well, there is no sure shot document that deep cleaning can help in clearing swab test, if you have recently smoked weed. However, cleaning the mouth thoroughly can help in clearing old saliva and this can help in reducing the positivity of the test as the new saliva has lower concentration of the drugs. But the best way is to avoid using recreational drugs at least 72 hours before the swab test. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora, Dentist </s>

<s>[INST] himy daughter who is 4 yrs old gets fever along with chest congestion very often along with breathing difficulty.x-ray and cbp reports are showing normal.so what could be the reason for the breathing difficulty and frequent fever.whom sholud i consult again?kindly reply .thank you [/INST] Hello dear.I can understand your concern.I would like to know is there family history of asthma or allergy in your family?The symptoms which you have told,most likely represent allergic asthma especially if your child has breathing difficulty in the form of raised respiratory rate(more than normal for the age).It could be simple chronic tonsillitis also.I would recommend a detailed physical examination by an ENT specialist.You can also use some home remedies like 1 teaspoon honey in a glass of luke warm water daily especially when there ia start of infection(the very beginning symptoms).Steam inhalation and luke warm water saline with salt gargles are also effective.Please avoid giving cold drinks,icecreams,candies and ketchup.Hope it will help.I wish your child good health :-)Be blessed . </s>

<s>[INST] i was diagnised with TB adenitis two months ago after 5 months of lmph nodes swelling. i have been on medication for two months. two weeks ago i got severe back pain. on medication it cleared.i now have a severe hip joint pain though the xray showed normal hip joint. could this be due to the TB medication. i find it painful standing up. [/INST] welcome to Health care magic.1.TB it self can cause joint TB / bone TB with joint effusion, bony changes.2.Since x-ray says its normal, an MRI to evaluate the status of the disc and nerve roots.3.As there are several spinal problems seen with the TB lymph adenitis.4.It may be a simple back pain with nothing to do with the TB, just try some back pain exercises on daily basis, which may help.5.How ever you are on treatment.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. </s>

<s>[INST] i had got chicken pox around 14 yrs ago...n now i m 22yrs old..there r few scars left on my nose and other parts of the face ..i have also tried laser treatment,were in the Doc had promised it would go away but nothing like that happened and rather money of Rs30000/- got wasted.. but nothing seemed 2 work..its d same..i want to know that do these old chicken pox scars go away? Is there any particular laser treatment??can u suggest me any nice clinic? and also let me know that how much it shall cost me because i have already spent a lot on it..??i stay in mumbai(India) [/INST] Dear Patient, Yes chicken pox scars can be reduced substantially (70-80%).Normally it requires multiple (3-4) sittings of frextional Laser by an expert.Each sitting for will cost you 4000 Rs.Microderma will not help for chicken pox scars.If you wish you can send your photographs on our clinic mail( citylightskinclinic@gmail.com) & there after you can consult to me over phone (0261-6458426). Dr sharat Gupta </s>

<s>[INST] My Mother in law has been battleing Ovarian Cancer this year and now she is sick again and stomach bloated and hard having a hard time breathing she spent 5 days in hospital and they sent her home............they will not tell us anything......she is 85 years old .........sounds to me her cancer has spread .......so weak she cannot get out of bed or set up [/INST] Thanks for your question on Health Care Magic. I can understand your mother's situation and problem. Chemotherapeutic drugs are known to cause gastritis, vomiting and bloating. So side effects from the cancer drugs can be the cause for her symptoms. Another possibility is metastases to stomach and intestine. So better to get done 1. Upper GI (gastrointestinal) scopy. 2. CT scan of abdomen. If both these are negative for metastases then possibility of gastritis and related symptoms is more. So she will improve with proton pump inhibitors and prokinetic drugs. So consult her treating doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. </s>

<s>[INST] Dear Doctor, My name is Sri. I am from India, working in Computer Sciences Corporation as a Manager. I have been suffering with an issue for a quiet long time now, for which I was not able to find a possible solution. I have been trying to contact many doctors in India but none proved to be helpful. So I have been searching online and came across the below link hoping this is the last go, I am trying to find out what is the problem with me. dermatology .ca/find_derm/profiles/index.html When ever I have fever, loose motions ( Diarrhea ) or any health issues, I usually go for medication to abort the process , but some times some medication results in itchy sensation on my lower lip initially and with in an hour, the lower lip starts swelling. And it remains for a few days until it gets dried up. Later it forms a dark patch and comes off as a dead skin. But in the end, my lip and the surroundings remain dark for ever. This happened a few times with me. And when ever I had this problem, I immediately consulted doctor and they tried medicating me with a tablet or a shot called evil which works as a allergy neutralizer it seems. But that never worked for me. A kind man once told me that this happens when there is sulpher in the medication I take. From then I started avoiding medicines with sulpher content. But recently a couple of days back this issue repeated and this time the medication did not have sulpher content. But still my lower lip swelled and I rushed to doctor and its the same result, the doctor was not able to help. I researched online and came to know , that this could possibly be : Anaphylaxis for which the only solution is to avoid the drugs which cause allergy. But I dont know what causes me allergy exactly. I request you to kindly give me an advise , which could be a temporary or a permanent solution, but kindly advise.. as this problem is causing me some serious paranoids. Your experience and research in the past would help this patient. Thank you very much in advance.. [/INST] WHEN NOTHING WORKS IN ALLERGIES THINK OF FOOD THEORYAS THE THEORY SAYS MILK IS NEEDED FOR ONLY 2 YEARS TO CHILD THAT TOO ALSO BREAST MILKAFTER THAT NO MILK IS NECESSARYWHEN WE ADD MILK AND DIARY THE ALLERGIES GOES BEYOND 5 YEARS AND PERSISTS WITHOUT DIAGNOSISAS THE MILK IS ANIMAL PROTEIN AND ANIMAL PROTEINS ARE NOT COMPETIBLE WITH HUMAN PROTEINSYOU WITHDRAW MILK AND DIARY COMPLETELY FROM THE DIET ALL PROBLEMS ARE DUE TO ONE ALLERGEN INVOLVING MULTIPLE SYSTEMSGET ALSO BLOOD TEST FOR SPECIFIC ANTIBODIES FOR MILK WHEAT RICE POTATO CHANA NUTSELIMINATE THE OTHER FOODS IF POSITIVEYOU WILL GET EFFECT IN 3 WK </s>

<s>[INST] I have several symptoms. First I have type 2 diabetes. I have extreme pain in my feet, arms legs. My muscles tend to tighten up. Charlie horse type feelings. Shooting pain in my back and neck. I'm beginning to forget words in the middle of my sentences. I have no control over my bladder. Ever time I have to use the bathroom it is an emergency. I think that is all. [/INST] HI, thanks for using healthcare magicIf your diabetes is longstanding and there is a history of poor control, it is possible that some of your symptoms may be related to the effect of diabetes on the nerves.Diabetic nerve disease can be associated with abnormal bladder or bowel function as well as pain.There are medications that can help to reduce these symptoms.Your doctor can examine you and may also consider blood tests checking for other causes such vitamin deficiency, liver or kidney disease.I hope this helps, feel free to ask any other questions </s>

<s>[INST] I have had a lumpectomy in August and am undergoing chemo. I had a PICC line inserted a week ago and one dose of chemo since; however, I have a high incidence of anxiety that is like palpitations of the heart - I've tried deep breathing which works for a while.. [/INST] Chemotherapy drugs are known to cause palpitations and anxiety. If its too much like effecting your sleep mention it to your oncologist so he can precrobe antianxiety drugs or else deep breathing is sufficient. </s>

<s>[INST] Why do I have a dull throbbing pain behind my right eye? I have been having this pain for almost a week now. I am 35 weeks pregnant as well. I went into ob triage yesterday as a massive swelling in my legs and pain in my upper abdomen made my doctor think that I had preeclampsia. I came out with a clean bill of health but they still have no clue why my eye hurts. [/INST] if you take my opinion then I would suggest you to take these symptoms very seriously as these symptoms are typically those of eccllampsia so be careful and get your blood pressure chequed and get a urine albumin test done and also consult your gynaecologist </s>

<s>[INST] My daughter aged 5 is running a fever.i started with p-250 n novamox 250 syrup from day one.its been 3days now but the fever is recurring after 5-6 hours of administering paracetamol.kindly suggest an alternative antibiotic and course of action. Thank you. [/INST] Hi, welcome to HCM. Can understand your concerns. Since fever is more than 3 days, blood tests need to be done like complete blood count, malarial antigen test and widal test. Take care. </s>

<s>[INST] Been on lonazep for two years. Last year got it down from 1 mg to 0.25 mg. wanted to get off it. Someone put me on to trika 10 mg. seemed to work a few weeks but I get vivid dreams and last few days feel anxiety n depression that I di not with lonazep 0.25. I want to take as little as possible to control dreams, depression n anxiety [/INST] HIThanks for using healthcare magicIf you want to wean off benzodiazepine and control underline depression as well as anxiety symptoms, better to take sedative antidepressant like mirtazapine or tramadol. That would help to get sound sleep and control depressive symptoms. These drugs are not available over the counter, you have to consult psychiatrist for them.Thanks </s>

<s>[INST] I have been on lisinopril for a couple of years. (10 mg). About 5 months ago the doctor up it to 20mg. Back in earlier December I started having this painful and scary pins and needle sensation in my back and then traveling to other parts of my body. Could it be caused by the lisinopril? If so should I stop taken it all at once? [/INST] Hi, Well, this is the month of July...I don't know when you wrote your original question or whether your symptoms have since resolved. However, there are some patients who do get tingly feelings throughout their body who are on lisinopril. Therefore, it is possible this could be a side effect of the medication or it could be coming about as a result of an interaction with another medication. It is generally NOT a good idea to stop taking medications (of any sort) cold turkey unless you've spoken with your doctor about the symptoms you're experiencing. There can be other causes to explain feelings of pins and needles. But in case, your doctor feels these uncomfortable sensations are due to the medication he/she may prefer you slowly taper the drug off while starting or replacing your drug with another since the goal is to keep your blood pressure under control. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist </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] Hello Sir, I got married in december There are some conflicts in my family. Mine is a love marriage. There are some issues with family backgrounds and culture. These differences are hurting bad. My family is acting absurd and this set up is affecting my wife s mental stability. Kindly help me with your kind advice [/INST] Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Counselling and supportive psychotherapy with interpersonal therapy will help you in this regard. Get hold of a good psychologist who can help you with these problems. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy </s>

<s>[INST] I had a protected sex with sex worker about 50 days ago, I started to feel strange things 2 weeks after intercourse like high blood pressure sore throat dizziness , I went to urologist and general practitioner doctor, I had did blood test and STD test and urine test.in blood test I saw elevation of white blood cells and in urine test they said there is blood in urine, STD test was negative.I was prescribed Cipro antibiotic.I repeated Urine test and it was good .I dont know from where this if there was no bacteria in urine as the test said.My throat was still sore, I went to throat doctor (ENT), He said it is due acid reflux (I had it year ago), and I was adviced for gastroenterology Dr. anyway I afraid of HIV and worry, I'm feeling myself weak and sneezing too much.I did HIV test after 28 days, It was Negative.My problem is that My wife will be back in 8 days here to me and for sure she know nothing about being such guilty person and I dont know what to do, If I'm positive or not?..I can not tell her I can not use condom with herit is problemis there any test can give accurate results before her coming or no need for test or what?!!!!! [/INST] The hypertension is probably due to anxiety and guilt. If the ENT doctor did a laryngoscopy and looked at the vocal cords, they could see if there was evidence of either infection or of "reflux laryngitis." So, an type 2 anti-histamine (like ranitidine or famotidine) or proton pump inhibitor (like omeprazole or pantoprozole) medicine usually helps with the sore throat from reflux. It can take up to 6 months to sero-convert from an HIV exposure; in other words, for your body to produce antibodies to HIV that would be detectable on a blood test. If you were negative after 28 days, that's great; however, you need to be re-tested at 3 months and 6 months.There are 2 other tests that might give you an answer more quickly. One is a PCR for HIV Viral Load test, which may detect the RNA of the actual HIV virus, if it is floating around in your blood stream. Another possibly helpful test is a CD4 and CD8 count, which counts 2 specific subtypes of T-lymphocytes. This is more a measure of whether the HIV virus has adversely affected your T-cells, rather than a count of the virus itself. It is less important in your situation, unless you've had other possible exposures to the virus. Until you know your HIV status, it is morally and ethically your obligation to wear a condom to protect your wife from receiving HIV from you. Or abstain from having sex with her. It is possible to have the virus, but to not produce antibodies yet (what I said previously about sometimes taking up to 6 months to "seroconvert."). I know these are difficult decisions and conversations to picture having, but the alternative of playing "Russian Roulette" with her life and having unprotected sex with her while gambling on whether or not you have HIV is a horrible thing to knowingly do to your wife. In some jurisdictions, there can be criminal charges to knowingly transmit the virus to a sex partner without telling them that you have it or have been exposed. See if your doctor can send you for that HIV Viral Load PCR test, or if you can see an Infectious Diseases specialist who can help counsel you on testing, safe sex practices, and helping guide you to appropriate counseling if you need to tell your wife.Good luck to you. </s>

<s>[INST] Hi Doc,I wanted to postpone my period due to my wedding...my date last month was on 2nd and i generally get periods 1/2 days before..so the gyane had put me on Primolut Nor 10mg...and she prescribed 2tab for 3 days and then 1 tab for 7 days...and she said after you stop taking it you will have your period within a week....and she also suggested that 3 days after my period starts i shouldtake a contraceptive Pill ( Yasmine) for 21 days...but how ever i was not sure if i should be on medcines for so long so she said taking this contraceptive pill is your call...However can you tell me if i should take this contraceptive pill?..also its been a day since it started taking Primolut Nor 10mg...everything seems fine but i have read online that there could be slight bleeding initially....is that true and is the bleeding after i stop taking this medicine irregulat & heavy with prolonged days?? im worried cz i have always had regular periods with heavy bleeding on 2 days out of 5 days.Please help [/INST] Hi, I think if you want to delay your periods, you can continue primolut N. There is no need to take contraceptive pill if you don't want contraception now. You may get some heavy bleeding for 2 to 3 days. If it persists or is very heavy, you can take some medicines like Tranexamic acid to stop the bleeding. You can discuss with your doctor regarding this. Hope I have answered your question. Regards Dr khushboo </s>

<s>[INST] hi my husband did a liver function profile, serum and the report showed he has ASPARTATE AMINOTRANSFERASE (SGOT) is 63 ALANINE AMINOTRANSFERASE (SGPT) is 133 LACTATE DEHYDROGENASE is 283, its all in higher side. I am really worried please tell me how serious it is and what should i do next? my husband age is 35 years, weight 75 kg height 5.6 ft [/INST] HelloElevated liver enzymes like increased SGOT and SGPT may indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes etc.Your husband may need clinical evaluation and investigations like routine hemogram,random blood sugar,lipid profile,viral markers,ultrasound of abdomen.I suggest tablet ursodeoxycholic acid 300 mg tablet twice daily for three months.It helps in regeneration of liver cells.He should avoid saturated fat and go for brisk walk regularly.Avoid alcohol and smoking if he take these things.Get well soon.Take CareDr.Indu Bhushan </s>

<s>[INST] Hi, i have jyst recently noticed a few lumps in my inner thighs around my groin area. There are two on each side, one big one small. They are painless and not really moveable. Im not sure how long they have been there. They seem to be more or less symmetrical. When i place my finger on it and apply some pressure i can feel a strong pulse. I dont know whether its my recent taking to baseball that includes a lot of hip rotation have anything to do with it. I just want to know if i should be worried and if i need to get it checked. [/INST] HiWelcome to hcmThese are mostly lymph nodes which are enlarged due to infection and since large vessles run just bellow it ,it gives transmitted pulsations. Other possibility is lump of vessle . For exact cause you should see a surgeon.Regards </s>

<s>[INST] "I had unprotected oral sex just over a week ago. After 3 days I had a yellow discharge from my penis. I went to the walk in clinic that day. They gave me a shot and medicine for gonorreha & chlamyda. They also tested me for both and the test came back negative. The yellow discharge went away soon after the meds. It's been over a week and when I get an erection I have a clear muscus discharge, but not when flaccid. It does not hurt when I urinate, but I have discomfort what feels like in my urethra when just sitting around. It's not constant, it just comes and goes. What could this be? I am still worried about an STD, should I be worried?" [/INST] Hi. This looks to be just urethritis and may not be due to STD, but due to exposure to the oral bacteria of that partner.You must take antibiotics for 7 to 14 days to have a complete cure. You can go for the test of culture sensitivity tests of the urine and the discharge separately.Drink plenty of oral fluids to flush out the infection.Do not worry. And learn a lesson of protected sex next time. </s>

<s>[INST] I am a 24 years old married house wife having one kid. I have a small(around 1 cm) hard lump/tumour in my right hand forearm for an year or so.It was not painful earlier, but it started paining for a week now.It is paining when i tried to strongly hold any thing. The pain is like putting a injection in that place. Can you please suggest me what kind of lump/tumour it is and the treatment for the same. Hope it is not in the kind of cancer . [/INST] The chances of it being cancer are almost nil. The most probable diagnosis of the lesion is a ganglion.This is a firm swelling which does not move longitudinally on tightening the underlying tendons. the treatment is excision as it is symptomatic in your case. </s>

<s>[INST] hello and thanks. Developed a headache that felt like sinus pain; began about 2 weeks ago..but no sinus drainage or fever... about a week ago both sides of my jaw {TM joint} just tightened down to where it s difficult to open my mouth very wide..it hurts! Then just after that, I noticed the roof of my mouth feeling numb. My ears have hurts some. The roof of my mouth is still numb. Went to my PCP yesterday. He feels it s most likely a migraine and not sinus infection causing this awful headache and jaw soreness and tightness. He could not account for the roof of the mouth numbness. My BP is a tad too high..and I will be monitoring that. 150/90 yesterday. Doctor suggested that it might be elevated some due to the ongoing headache..or the HA could be partially due to the BP. I understand all of that. I m an RN... What I don t understand and can t find clear info on is the numbness of the roof of my mouth. Can you help? thank you! [/INST] Hello, Thank you for consulting with HCM.Migraine can not cause numbness of palate. It can be possible that you might be having some bony infection of palate, which is causing this numbness. And TMJ pain is caused by TMJ disorder, So better that you should visit a good dentist and get an x-ray of palate and TMJ done.Hope it will help you. </s>

<s>[INST] My husband is 59 and has had 2 heart attacks, 7 stents total. Has a 60% blockage in left venticle. He is not a heavy drinker but Dr. really does not want him to drink at all.His last stress test they said he had a 39%(I forget waht they called it) but to do with the pumping. why do they not want him to drink at all and what is his risk of more heart attacks (he smokes) and the last attack the stent itself was full of clots [/INST] Unfortunately he has significant risk factors for future cardiac events, including heart attacks that can be fatal. I would advise him to follow his provider's recommendations, stop smoking and be compliant with his medications. </s>

<s>[INST] My 2 year old daughter just had dental surgery 2 days ago. Everything went fine but now she has a rash where her arm band was and on the other arm where a band aid was. Could the rash be related to the anesthesia or is it possible the band aid & wrist band caused these? [/INST] Hello, Welcome Thanks for consulting HCM, I have gone through your query, rashes on arm is not related to dental surgery , may be it can be due allergic to anaesthesia . You should consult child specialist for examination of rashes . Hope this will help you. Wishing you good health. </s>

<s>[INST] my 6 month baby was having feaver and loose motion since last three days. i have given him paracetamol and ofloxacine and ornidazole. no fever now but loose motion is still there. however pimple like rashes has developed on face and other body parts. he is not active now, is it the side effect of these medicines or due to some other reason. m worried please advice. [/INST] Hi YOU can safely give paracetamol for your baby as per the dose prescribed by your child specialist.No need to give antibacterials for loose stools as mostly due to Viruses, in small kids.Give her ORS fluids 25 ml/stool to prevent dehydration and syr.Zinc 20 mg for 2 weeks.Skin lesions are also a sequelae of a viral infection and show her to a specialist who will examine them properly.Hope it answers your query </s>

<s>[INST] i have a barthilins cyst that was infected i took antibiotics and the pain has gone but had side affects from the agumentine and naproxen i was taking but the cst is still there and has not gone down the swelling has gone down but the cst is the same size as a duck egg [/INST] Hi, i do care for your concern.The bartholin cyst develops due to blockage in duct that drains the cyst, it is a benign condition.In your case it has been infected and treated with antibiotic.The consistent and recurrent cyst can only be drained under minor surgical procedure.I would advise to consult your gyanec, and to opt with different surgical procedure available for draining the cyst.In chronic cases marsupialization procedure will be more effective.Hope I have answered your question. If you have any further questions I will be happy to help. </s>

<s>[INST] I think I was bit by a spider or a tick. I live in Michigan and have been cleaning my garage. I ve been sleeping in the garage too for about six weeks. I woke up early thursday morning with severe elbow pain- burning and tenderness. Within a couple hours I had a large blister on my elbow. Within 24 hours the blister had popped and came back three times and by then I had an off/on fever, infected eyes , muscle/joint pain and weakness, and my elbow has been very red and swollen ever since. [/INST] Hi,Welcome to health care magic,Tick bite or spider bites could cause swelling,redness and tenderness over the skin.Your symptoms seem to be a allergic reactions following bitten by insect.You may require antibiotics (amoxicillin or cephalosporins) with antihistamines, antiinflammatory and topical steroids.You may consult dermatologist for further advice.Thanks. </s>

<s>[INST] due to abdonimal pain i was advised ct scan and the ct findings are: mild free fluid in perihepatic, inter bowel region and pelvis a few subcentimeter and enlarged mesenteric lymph nodes in small bowel mesentery and right iliac fossaI was advised to take ceftum 500 mg twice a day. now its almost 5 days still there is no change in pain can you advise what to do [/INST] HIThank for asking to HCMI really appreciate your concern, if I would be your doctor then I would treat you with the following medicines 1) Tab Dicyclomine with Acetaminophen three times in day2) Tab Ciprofloxacin 500 mg three times in day3) Tab Chlorodiazepoxide three times in dayif this fails to response then other differential diagnosis need to be considered hope this information helps you, have good day. </s>

<s>[INST] hi urm i i think i have forcyd spots but the forcyd spots ive seen are alot smaller and more of them and closer together. or i have white spots on my scrotom but lager than most ive seen i think i have blocked glads and my genatals get greasy fast like it gets greasy like an hour after getting out of the shower and seem to be getting bigger but slowly if i pop one a little white puss comes out but the spot is still their i would say i have about 40 on my scrotom and loads of little onse on my ball sack but alot less noticeable [/INST] Pus filled white spots can be fordyce spots or sebaceous cysts there is no medical treatment for it .only treatment of choice is surgical excision </s>

<s>[INST] LAST NIGHT I TOOK A PILL AT A PARTY AND LATER WAS TOLD IT WAS FILLED WITH METH. I FREAKED OUT AND WENT HOME AND WAITED FOR IT TO WEAR OFF. AFTER LAYING IN BED FOR THE WHOLE NIGHT MAYBE DRIFTING TO SLEEP FOR A MAX OF AN HOUR I NOW HAVE A PAIN IN THE RIGHT SIDE OF MY CHEST WHEN I TAKE A DEEP BREATH LIKE A HOT EMBER INSIDE MY CHEST AND MY HEART IS STILL POUNDING. ITS BEEN 20 HOURS SINCE THE PILL. IVE TAKEN TWO 350 MG ASPIRIN THINKING IT MIGHT LOWER MY BLOOD PRESSURE. ANY IDEAS? IS THIS NORMAL? I KNOW I SHOULD OF ASKED WHAT IT WAS BUT I WAS KINDA DRUNK...SO STUPID [/INST] Hi welcome to health care magic.... Your work up needed with..... -Auscultation to look for rhonchi if heard and heart sound -Chest x ray -Spirometry to assess severity of disease and subsequent management as bronchitis seems most likely -EKG if needed -Blood pressure measurement According to cause further treatment guided. ...Ex. If bronchoconstriction more than bronchodilator drug given.... Take careAdvise :Pulmonologist consultation for examination .... </s>

<s>[INST] my MRI results are in and I have a bulging disc mid spine. Is there home remedy for it such as ice and ibuprofen to alleviate this pain I have had for 3 years or do I need to make an appointment with surgeon? I already have a lumbar plate and cervical plate from previous surgeries from degenerative disc disease. This disc is mid back. I lay down frequently on ice and have tried to rest but everything is temporary. [/INST] Hello,Thank you for using healthcaremagic.I read your question and understood your concern.I think you can do exercises to strengthen your core muscles, such as back and abdominal muscle.In this way you will prevent progressing of disc bulgging into a disc protrusion or hernia snd the pain may decrease.Wish you quick recovery.Dr. Selmani </s>

<s>[INST] Hi am a 28 year old Male I work out 5 days a week for 1 -1.5 hours I have been informed that I have high bilirubin, high iron and high blood pressure I am currently awaiting lab tests for liver functions I am in the army and my wife wants me to see A specialist. What could it be and should I? [/INST] thank you for posting your query.High bilirubin has many causes: Hemolytic anemia, Hepatitis, Gall stones.in your case, its most likely due to liver cause (hepatitis). Liver function test may give a better picture.high BP in most cases, is essential. its cause is not known. Less than 10% there maybe a secondary cause.high iron (repeatedly) maybe due to a genetic disease and needs further evaluation.you are adviced to visit a hepatologist\ (liver specialist) at the earliest.if any further questions, feel free to ask.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik </s>

<s>[INST] My father had a massive heart attack 5 weeks ago. It came on all of a sudden and there were no warning signs. He has a minor one 8 years ago which required 2 stints. This time he had 100% blockage in on artery and 80% in the other. They put more stints in both of those and when he left the hospital his heart was pumping at 30-35%. At his 5 week check up he learned that his heart was worse and only pumping at 20-25% and he has a stationary blood clot in one of his left ventricles. They put him on the blood thinner Coumadin to try to dissolve the clot. He has been wearing a life vest since he was released from the hospital 5 weeks ago. What is his life expectancy? [/INST] When the pumping capacity of heart is 20-25% only, the prognosis is not very good. Further if the clot in is left ventricle is not dissolved, it will further makes things worse. With medical therapy he can survive for 1-2 years. Heart transplantation may help to improve his survival for 5-10 years; However this surgery has got high risk and can be performed only in a few hospitals. </s>

<s>[INST] My brother-in-law aged 61 years old diagnosed with 2 blocks in the heart and also a block in right way of passage to kidney and advised for bypass surgery. He has the history of Hypertention, Diabetics for a decade also suffers from gastric ulcers. Some of our well wishers contemplating on going for KEELEYs method of treatment to avoid surgery. Can you please give details about this method and how far it is successful as an alternative to bypass surgery. Thank you very much. P. Srinivasulu / INDIA. [/INST] hello thank you for posting here. i have gone through your description. Since he has two blocks in the heart arteries and he is adviced bypass, the right choice is to go ahead with bypass surgery. I dont know any therapy named KEELEY, but i suppose you are talking about chelation therapy. this therapy is of no benefit for the patient. The blocks in the heart artery are embedded inside the heart vessel and any amount of medication or therapy cannot decrease it to make it vanish. Medications can only help to stop progression of the block. definitive way to treat critical heart blockages is an angioplasty or bypass surgery. Had you been my patient my advice would be to go ahead with bypass. Bypass surgery requires a stay of 7- 10 days approx in the hospital. patient can start walking usually by day 5 after surgery. It requires a recovery period of 20 -25 days but the long term results of bypass are very good with patients having a good quality of life. gastric ulcers can be treated with long term antacids. Gastric ulcers are not a contraindication for surgery. wishing you good healththank you </s>

<s>[INST] I have a root cannel that has not been fully done yet my tooth hurts really bad and has a bad smell to it... The next day I woke up myleft side of my cheeck is all swollen and it feels like a ball I was wondering what I could do untill I get it pull and that s not untill july 25,2011 If you could help me that would be nice and I would be very happy to make this Pain go away [/INST] Dear friend.Thanks for sharing your concern.Please get your root canal treatment done.partial or incomplete treatment may cause continuous pain followed by abscess and further damaging the surrounding tissues too.Therefore please see your dentist soon.Medication alone would not help much.It requires intervention too.Hope it helps.Thanks.Take care. </s>

<s>[INST] I have not fallen on to my wrist but I did drag a heavy mattress down some stairs by myself. A couple of days after I started to have a severe pain in my left wrist which is getting worse by each day (now day 4). I find it hard to get to sleep and it wakes me up constantly. I am taking 400mg ibuprofen 3 times a day and rest and ice packs (told to by doctor). should I really go for an xray? [/INST] Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, the type of stress you are telling will probably need an MRI to ascertain any occult fracture and ligament injury. but still primary X Ray after consultation with an Hand surgeon is a must. I hope that answers your query. If your want any more clarification, contact me back.Dr Narender Saini </s>

<s>[INST] my sister who is 69 and has lucunima you know i mean i have tears in my eyes as now she has a blood infection please give the best best odds of living odds are something i belivie in but odds are not always right as i own a harness racing stabe there are upsets [/INST] HiI admire your concern.Prognosis of leukemia is poor.But it depends upon type of leukemia.Here you do not mention the type.it also depend on treatment also.So please do discuss with your doctor about it and get help.Thank you.Hope for the best. </s>

<s>[INST] I have a continuous spasm in my left cheek, and my right arm is starting to go numb. I had unexplained seizures 6 years ago, but I haven't had them since. When I was a baby and got hurt I would pass out for a few seconds. Do you know why I'm having cheek twitching and my arm going numb? [/INST] Hi, I had gone through your question and understand your concernsWith such presentations in my clinic, I would first ask for MRI brain to search for any central cause ,also i prefer doing EEG FOR YOUR BRAIN TO RULE OUT THE CAUSE OF SEIZURES. </s>

<s>[INST] Dear Doctor, My 8 month female baby facing watering problem from the birth and the same time yellowish dust collected and closed the eye during sleeping.We consultated the doctors some one is telling blockage problem and some one is telling that there is no blockage. [/INST] Thanks for consulting at Healthcare Magic,Consult ophthalmologist. He will advice antibiotic eye drops and procedure called "sac syringing". Sac syringing removes blockage of lacrimal duct allowing normal drainage of tears which prevents infection. </s>