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<s>[INST] hi doctor , from past 6 years i am suffering with sudden gastric pain, this pain will be severe but only 1-2 minute. please suggest me on this [/INST] hi, u can take the following medicines shanka bhasma 200 mg with indukantham ghritham 2 times daily thriphala choorna 1 tsp with honey 2 times daily make the meals 6 times a day little by little avoid spicy and hot food eat plenty of indian gooseberry daily aviod stress can drink chilled milk </s>

<s>[INST] I get this thing when im nervous my stomach makes really weird noises and I have to pass gas..i am scared of passing gas in school or in public and thats what gets me nervous i want to be normal like everyone else and not have to go to the toilet 6times before i go out just to feel a little bit safer about passibg gas please help me:-( [/INST] HiWelcome to the HCMI understand your concerns but don't worry. The most common reason for excess flatulence is gut infestations and high carbohydrates in diet. I would recommend you to take Albendazole twice (day 1 and 14 ) at bedtime. Ensure a protein rich diet with plenty of fibres. Take plenty of water daily and avoid refined carbohydrates. Hopefully it will be of help.Take care </s>

<s>[INST] I accidently ingested carmex a couple of days ago...my mouth still feels balmy and my right eye has started to have a dull throbing pain....weds morning I had an endoscopy I was wondering if the ingestion after that procedure would cause a more adverse effect [/INST] HiCarmex contains menthol which could be the cause of any burning sensation.In case you have any burning sensation in the throat,you can postpone endoscopy for a few days.Otherwise it does not affect your the endoscopy procedure.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician </s>

<s>[INST] hi. on the 10th day after my period i had a USG for ovulation . my follicles in rt. ovary 13mm and in left ovary 20mm. my doc gave me HCG hp 5000 iv and told me to have contact with my husband every alternate day. on my 14th day ff in pod found with et 8mm .we had sex on my 11th and 12th day but we miss the 13th and again on the day of ovulation .. i want to ask what are my chances to conceieve.. [/INST] Hi Sonia!Welcome to healthcaremagic.com.Since you had intercourse 48 hours prior to ovulation there is a fair chance of conceiving .Sperms survive upto 48 hours in female genital tract.So all the best.You can check just on the day of the missed period by doing urine pregnancy test.All the best. </s>

<s>[INST] I have many very small slightly raised flesh colored bumps on my hands. There s no itching. I have only noticed them recently so I do not know when they began but it was in the last year that I either got them or that they became much more numerous... [/INST] Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns.Cause of multiple fleshy red lumps on hands-These lumps seem to be skin papillomas due to herpes papilloma virus.History of 1 yrs to spread and develop in number corroborates HPV papilloma of the skin hands.I would suggest consultation with ER Surgeon.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good resume and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N. </s>

<s>[INST] dear sir, My husband is suffering from Psoriasis for the past 1 year. He initialy had itching in his little toe later started spreading. He consultated a Doctor & is under medication. Presently he is using Vunusia max moisturizing cream, Sorvate ointment & Propysallic NF ointment. Internally he is taking Folic Acid tablets. Kindly suggest me which is the best cure for Posriasis. Hw can it be kept under control. Wht r the food items to be consumed. Is Homeopathy a best way to treat Psoriasis. Plllll help me & give me proper giudance so that I can take care of him. [/INST] Hi..As you said your husband suffers from psoriasis since last one year.Psoriasis is a chronic relapsing and autoimmune disease. He may be having scaly plaques on various parts of the body,scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunitity,stress,dry wheather...etc may be responsible for precipitation and exacerbation of the disease.You consult dermatologist for firm diagnosis and treatment.I usually recommend cap acitretin 10 mg twice a day along with methotraxate 15 mg weekly in three devided doses 12 hourly. Folic acid may be taken if there is oral ulcers. All this may be taken for long time till good response. Blood tests may be done to monitor the treatment. He may apply mild steroid cream as he used propysalic or calcipotriol oint as he used sorvate on the lesions. He may apply moisturiser as he used venusia to improve the skin texture. Tell him to avoid soap bath for few weeks. He should avoid stress and worries as that might worsen psoriasis. Homeopathy response for psoriasis may be unpredictable, so, I do not know about its role.Your husband might get good result after few months treatment.I hope you got my answer.Thanks.Dr. Ilyas Patel MD </s>

<s>[INST] Sir, I am doing mastrubation daily from I am 15 years old now I am 26 year old unmarried boy. now result is my penis size is very small and sperm qty is also very low Reqested you kindly advice it will harmful for my married life or not ? please also advice how to increase sperm count and increase penis size kindly give me any medicine name [/INST] Hello,Welcome to healthcare Magic.I have gone through your query and Would like to reply in detail as follows:1. Sperm quantity the way you analyse is wrong.2. Please get semen analysis done in a standard laboratory.I hope your doubt is clarified. Let me know if you wish any other information.Regards,Dr. Mahesh </s>

<s>[INST] Hello doctor, I had sex with my office colleague 15 days back and he looks healthy and happy, but within two weeks of that incident, I got cold, fever 99.8 Farenhite, sore throat, toothache, and severe cough like never before. I am very scared. I got my period four days after sex. I am worried about HIV. I asked him if the condom was intact and not broken he said it was all intact, and I should not be worrying about HIV. Still, I am getting paranoid. Please advise. [/INST] Hi. If the condom was intact, then there is nothing to worry. Nevertheless, you can go for HIV testing at four weeks. </s>

<s>[INST] Hello Doctor, I have a mediem red stain in my biceps area which burns and itches. The same pattern is starting with minor dots that look the same on the other arm? I've had herpes in my tendons, never on the skin. I don't know if it is allergies, fungus or a spider bite. What could it be? Thanks! [/INST] Hi Dear,Understanding your concern. Burning and itching spot on bicep seems to be due to dermatitis as it is mainly allergic reaction which can be due to sun exposure, any soap, detergent. Need not to worry. I would suggest you to - Avoid sun exposure and keep this area covered.- Apply mild topical steroid cream.- Do Not apply soap, wash with only cold water.- Take Allegra 180 mg one a day.If symptoms keep on persisting visit dermatologist once and get it examined and start treatment accordingly.Hope your concern has been resolved.Best Wishes,Dr. Harry </s>

<s>[INST] Hi I am 7 weeks pregnant. Over 10 days ago, I was getting brown discharge and light spotting. I went to A&E and as it was too early the scan just showed a sac at 5 weeks. My hcg level was 23,000 which I think is high. My cervix was closed. The doctor ruled out an ectopic pregnancy. The doctor said things look ok but we have to wait for the 7 week scan. However, since last night I am getting bad back pain and mild abdominal pain as if I am going to start my period. I am getting yellowish discharge but no spotting. My scan is in four days. Do you have any idea what this severe pain is in my back and is there something to be worried about??? [/INST] HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] First of all do not panic.2] If the discharge was minimal, and has stopped now; you need not worry.3] USG shows a sac, and no ectopic pregnancy and good HCG levels are the things in your favour.4] Please be relaxed, do not panic. Take rest.5] Pain in back can be due to changes happening in the body due to pregnancy. 6] I will suggest you adopt correct posture. Tab CALPOL 500mg as needed for pain.7] Yellowish Vaginal discharge if not itching or foul smelling, can be considered as normal.8] Please do not worry,Things will be all right. Let god bless you with bundle of joy.I hope my answer helps you.      Thanks.Wish you great health. </s>

<s>[INST] will moderate excercise alter my lab results for liver function/damage. I had blood drawn 4 weeks ago with horrible glucose and triglycerides. Those are on the high side now but within living range. Now my liver levels are high. I worked out the morning of the test due to my blood sugar issue even though I was fasting. I also lost about 15 lbs in this 4 week period. wait for the ultrasound or worry now? [/INST] Yes definitely if you regularly exercise ,your liver functions will be normal with that you need to modify your diet too, like less of fatty and oily food.And regular monitoring of LFT atleast every 3 months till your LFT becomes normal.thank you </s>

<s>[INST] Hello Sir, My name is Amit, i want to donate my kidney those whose need very urgent. But before that i want to ask that after donating my kidney, will i face any problem in future. But i am ready to donate it what ever it may be. please contact me if some body need of kidney. my blood group is O+.,, Age- 22, Height- 157cm, Weight- 70Kg. my email id is " YYYY@YYYY " [/INST] Hi,Thanks for writing in.Donating kidney for money is illegal in India. You may donate it to any close friend or relative when such a person is matching with your HLA typing. Donating a kidney voluntarily to any one who needs it urgently without knowing the person and the illness they have is not correct. Donation of kidney is through a major surgery and requires hospitalisation and pre donation checks which need to be approved by ethical board appointed to oversee the donation process. There are organ transplantation laws in India and if anyone is caught indulging in malpractice then they will be scrutinized under existing laws of the land. </s>

<s>[INST] hi, my 8 yr old daughter has had fever off and on for two days now. fever ranges between 99.7 to 103.9 , and it is responding to tylenol and motrin. she has no other symptoms. i have some amoxil 500mg the md gave me a few weeks ago and ended up not even taking one of them. can i start her on this. [/INST] Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology </s>

<s>[INST] I took letrozole for ovulation and cycle 13 my follicle size was 20 mm and got hcg on same day and she prescribed to take duphaston after 2 days of hcg my question is unfortunately I took a dhuphaston tablet on the same day of hcg is it harms my ovulation pls help to come out from this :( [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I think it will not harm anything. So, don't worry about it. Continue duphaston as prescribed by your doctor. Do a urine pregnancy test to rule out pregnancy after course of duphaston. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khushboo Priya </s>

<s>[INST] Hi Monica I am having a death fear, like i feel I may get heart attack and will die because of that. can i know how to come out of that fear, i will get this fear during the nights and if I am fully occupied I am not getting such thougts, because of this my anxiety levels got increased and will get belching and my bowel movements will increased, This issue was troubling my daily routine, how to come out of this [/INST] Hi there ~ Panic attacks are very common and a sense of "doom and gloom" or what you experience as a fear of dying is very common. Anxiety that you are going to have a heart attack and die are also common. They are also fearful of having such thoughts at night and do not get enough sleep. Gastritis may worsen with this condition as stress and gastritis as well as hypertension are related. Seeing a good psychiatrist who can take care of your medications is helpful. I recommend that you do so at the earliest. Take care and have a nice day ! </s>

<s>[INST] I have Ehlers Danlos and a few weeks ago my left knee went out and since then I havent been able to feel anything from the knee down. A week after this, my left wrist dropped and I have no anbility to move it or the fingers on the hand...any thoughts? [/INST] Hello,I read carefully your query and understand your concern. Ehlers-Danlos syndrome (EDS) is a disease that weakens the connective tissues of your body. The immobility of the joints can be related to this diagnosis. I suggest to consult a rheumatologist for evaluation and specific treatment. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician </s>

<s>[INST] I have a 65 y/o female patient w PMH recurrent proteus mirabilis UTI, DM II controlled, Right residual hemiplegia, HTN controlled, obesity, homebound patient. She was treated w Rocephin IM first followed by Gentamycin IM. Urine Cx still positive w more than 100,000 col. Could you please let me know the antibiotic that you selected for her? [/INST] HIWell come to HCMI really appreciate your concern, Urinary tract infection in female patient is challenging, if the case is associated with other medical condition as it is being stated here then it would be more challenging. Ideally giving antibiotic in Urinary tract infection without culture sensitivity test is not advisable, the test rule out the possibility of infection due to organism because it may not be the organism that could cause the symptoms, second administered antibiotic without the test could cause the resistance, in geriatric patient great care need to be taken for urinary symptom particularly in female patient it may not be the infection but the whole urinary system need to be taken under clinical consideration, the most important is source of infection it is to be found out. hope this information helps. </s>

<s>[INST] Hey, so I have an OCD problem with being able to see my nose. One year ago I discovered I could actually see my nose at all times and ever since it s been giving me claustrophobia-not sure i spelled that right but anyway, it s made me feel trapped inside my head. Everywhere I look, two transparent arrows what the shape of my nose looks like from my eye view follow everywhere I look. I thought it was ridiculous that this is what I was worried about, but my brain just says no! It s a problem! against my will. Earlier in the year I even bruised my nose attempting to change its shape. It turned red with pus and got a bit flatter but within a few months its now healed good as new. The arrows are starting to resemble again from my eye view. I just remember all the bad memories of dealing with my brain on this issue; it s an endless war of thoughts that I can t stop. And even when I have good days, the problem is still there. I can t not care that it s there because the problem still stares me in the face. I doubt anything would help me but is there anything that can help? [/INST] hi greetings...I wonder whether it is a problem of OCD or body dysmorphic disorder...as per you there are repeated obsessions regarding your nose find in the similar way are there repeated compulsions???as in the past you had self injurious behaviour towards your nose its better you consult a psychologist initially and take cognitive behaviour therapy...many times all the symptoms might get reduced only with cognitive behaviour therapy...if you are not feeling any better with cognitive behaviour therapy, then consult a psychiatrist and take medications which relieve you from obsessions and compulsions and make you feel much better...by the way go for a morning walk daily and two to three times exercise per week...all the best for your future endeavours and I hope I answered your query and feel free to ask any further </s>

<s>[INST] My son has a rash all over his legs and arms. I took him to his pediatrician. She said cortisone cream and time was the only thing to help because it was an allergic reaction. I gave him a bath and covered him in cream and it seemed to aggravate the rash and now (the next day) it s spreading to his stomach and face. Could my Dr have been wrong? Or is the rash spreading normal for an allergic reaction? And why did the cortisone make the rash swell and itch worse? [/INST] hi there.your kid concern may be atopic or seborrhoeic dermatitis.stop using cortisone all over body ,though it can be suggestible for limited areas and limited period.start using liquid paraffin lotion along with levocetirzine syrup.take opinion from a dermatologist after physical examinationthis will help your kid </s>

<s>[INST] Hello doctor, I felt my heartbeat in my right shoulder blade for about 30 minutes and this concerns me. Is this heart related or stress related? Over the past three months I have had many EKG, echocardiogram and stress test, all were normal. Today I felt a very new and strange sensation while sitting down. My heart was beating fast for about 25 to 30 minutes and I felt it in my right shoulder blade and upper right chest. Please do not overlook because I am young and female. What could this be? Is it anxiety or stress or heart related? I am 40 and female. [/INST] Hi. The pounding or racing heart rate you are experiencing is known as palpitations, that is, awareness of one's own heartbeat. They usually are not serious and go away on their own. They may accur during physical or emotional exertion, anxiety, stimulants like caffeine, nicotine, alcohol. Unlike that if you have chest pain, shortness of breath, or dizziness or syncope, you need medical attention and evaluation. Some of the causes are listed here under: Anxiety, physical exertion, heavy meals, alcohol, coffee, smoking, medication like for cough or asthma, fever, dehydration, hypoglycaemia, hyperthyroidism, cardiac arrhythmias, cardiac failure, etc. So, now detail your history whether it is spontaneous or during exertion, or following any activity, fast regular or irregular, how many times a day, any associated with chest pain breathlessness or dizziness. ECG, hemoglobin, thyroid profile. After these tests according to the results further tests can be obtained. Stay chill, see if you are in any medication. Good sleep always helps. </s>

<s>[INST] When I masturbate sometimes, I get a burning sensation on the bottom side of my shaft. It only lasts about a minute or two then it goes away. It never burns when I don t masturbate either, just about 1 in 3 times I do masturbate. It also does not burn or anything when I pee. Do I need to be concerned? [/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.There is no need to concern.The burning is because of friction you received after each act. There is very false beliefs in peoples mind regarding the masturbation. There is no harm in doing masturbation of is safe act. It is very common in peoples during day to day life. So UPI can do it and can enjoy it.And your are not getting it with other acts that is because you are not receiving any friction in that case.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 granddaughter, 10 yrs. old, diagnosed with seizures, brief loss of consciousness, body rigidity, excessive salivation, duration 30 sec. 3 episodes occurred before a drs. appt could be obtained. on rx, ? name, x 2 months. 2 weeks ago started with changes in vision, unable to read for a time, missed one dose of rx and seizure occurred next day. Cannot see neurologist until Jan. 2014 , booked up!!!!! Seeking another resource for discussion, peditrician? [/INST] hi never stop anti epiletic drug untill unless your doctor says once u stop anti epileptic drug suddenly seizure recur immediately should never stop anti epileptic </s>

<s>[INST] My 24 yer old daughter called me this morning saying she was having chest pressure. I asked her if it felt like an elephant on her chest and she said no, maybe just a person. She felt her hert was fluttering a bit. She has no known heart conditions. I just spoke with her again and she says she also can t get a deep breath and she is still having chest pain. She in prone to anxiety and has had panic attacks before. This isn t the same. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is a possibility of acidity and gastritis. Just ask her if she has also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated. If she should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. She should get prescribed tab Pan DSR 40 mg or esomiprazole domperidone combination beforebreakfast once a day for a week. She should also get ecg and Holter monitoring done to rule out cardiac arrhythmias. Hope this helps you and get back if you have any doubts. </s>

<s>[INST] I am 13 5'3" and 120ibs and I got a cut on my big toe and it started to scab and i accidently cut it open and I went to go put peroxide on it but by accident I used rubbing alcohol and I noticed that there is some green on it so i was wondering if I was getting gan grene [/INST] HI, thanks for using healthcare magicGangrene is highly unlikely unless your immune system is compromised in some way.Compromise can occur with diabetes, use of steroid medications and other immune suppressants, HIV.It is possible that there is an infection present, you may need to use antibiotics.It would best to ask your parents/guardians to take you to your doctor for assessment.I hope this helps </s>

<s>[INST] Hi doctor,About a week ago, I got a sinus infection which turned into two ear infections. I have now been on Z-pak as well as Flonase and steroids for four days. My left ear feels substantially better. My right ear, however, is still a little plugged, and now I am experiencing pressure in my temple and jaw area on the right side of my head. Should I be worried? I have one more day left of Z-pak and steroids. [/INST] Hello. How do you feel now? Are you better? Did the pressure in the temple and area around the right jaw resolve? The reason for those two is the block of the eustachian tube on that particular side. This is the tube that equates pressure on either side of the eardrum by connecting back of the nose to the ear. When it gets blocked due to sinus or nasal problems we feel a sense of block and pressure classically in the area between jaw and ear. If the two have resolved and you are feeling better, then it is good. Otherwise, we have to check if the infection is persisting. Probably, the organism would be resistant to that particular antibiotic. In that case, I would suggest you take a course of Ciprofloxacin and Tinidazole and send a swab from the nasal cavity for pus culture sensitivity. Based on the report, we can change the antibiotic again. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Good supportive treatment is required - steroid sprays for the nose, systemic decongestants (Phenylephrine), and an antihistaminic (Allegra) to help keep the ear dry. A persistent sinus infection with ear problems requires a nasal endoscopy with documentation of ear findings also. Do revert with more details so that we can help you further. Hoping that you are just fine and that you do not require any further medical attention. For more information consult an ENT otolaryngologist online --> </s>

<s>[INST] I am boy age of 30,but my sprem is thin'i want thick sperm'i face problem when I watch any sexy movie I get wet' because my spram come automatically come out of my piens'kindy tel me any fruit or food which help me.l am poor I have no money to snd you' [/INST] DearWe understand your concernsI went through your details. Please stop worrying about these sexual matters because all these are normal. Sperm thickness or color is not the determining factor of your fertility or your ability to produce children. On an average, semen is almost 95% water. Therefore don't be anxious about it. When anyone watch porn movies, their penis discharge a liquid called pre-cum which is used for lubrication during sexual intercourse. This is also normal. I suggest psychological counseling to you.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care. </s>

<s>[INST] After taking myocardial perfusion test, I was told I had heart attack. I do not know when it happened. I am 52 years old. Now, I have been waiting to get appoitment with cardiologist in Calgary for 12 days. No one is calling me. Is it normal? Is it O.K. for me to be on remote locations, because I work on drilling rigs. [/INST] R u having any symptoms - chest pain, breathlessness etc? If yes, visit cardiologist immediately. Send ur ECG and 2D echo report too. </s>

<s>[INST] Hi my boyfriend had this knot located on the back of his head, he fell from a tree when he was a kid he mashed the knot one day and this pussie white stuff came out of out and it had the worse odor he was scratching his head today and he noticed the knot or lump still had the white stuff coming out [/INST] HiWelcome to hcm.First thing is that it has nothing to do with fall in childhood. Mostly it it Is a sebaceous cyst which requires complete excision surgically. Incomplete removal by pressing it will cause recurrence. So see your surgeon for it's removal. It is not very serious problem so don't worry.Regards </s>

<s>[INST] I have a lump just above my navel. When I apply even the slightest of pressure I get a very strong pulse that almost feels like it is lifting my fingers it is so strong. My hands often get clammy as well. Yesterday, my physical therapist noticed it and said it did not present normal and suggested I go see my primary doctor. I see doctors frequently from injuries resulting from a serious car accident years ago, I really don t want another doc visit unless truly necessary. What are your thoughts? [/INST] Hi,Welcome to HCM.You seem to have Peri-umbilical Hernia,as it pops out lifting fingers pressed on it.These lumps are abnormal and occur when the umbilical cord weakness remains in later life.I would suggest Second Opinion and its urgent repair from your Surgeon,as this hernia has chance of frequent obstruction and strangulation,with high risk to life.This would help you to plan treatment with your doctor.Hit thanks if convinced.Will appreciate Premium query for further enquiry.Dr.Savaskar,Senior SurgeonM.S.Genl-CVTS </s>

<s>[INST] I started axiron a month ago two pumps daily. After a month I started getting nauseous. I came off of it for a few weeks and started again yesterday. Today I am nauseous again and getting a metallic taste in my mouth. If the nasea will get beter over time I am willing to work through it. [/INST] Hi,Dear,Thanks for your query to HCM.Dear I read facts of your query and reviewed it in context to your query health issues.I understood your health concerns and feel Concerned about them.Based on the facts of your query the reply of your query is-Yes,Axiron does lead to nausea.But in the absence of other information,I would suggest you to go for Physician Consults.As the facts could be different from what you submitted.So looking in to the sensitive complaint of yours,I would suggest you to rule out-GI and other causes by Consulting and investigating with Physician.It would be prudent to have physical Check from Consulting Physician before planning further investigations and treatment for it.Other causes need to be ruled out in any case.Do's -suggested for your case-Check with Family Physician and thereafter with Consulting Physician if need beTab PPI-Penaprazole -1 x at 6 Pm would reduce nausea.Just don't worry and be patient and co-operate with your doctors,till you verify with your attending doctors..-Other causes need to be verified with your family GP doctor and with Specialist doctors, as the facts may be different what you submitted.-For this Second opinion from PCP-or Gp doctor and if need be with Physician-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above do's which would resolve your complex health issues.Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard.Good Day!! Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS </s>

<s>[INST] Hello, I recently had a abortion procedure and was taking dixocline bacteria pills, they gave me a rather horrible yeast infection. I also realized I had kept a tampon in for 3 days during the infection. The yeast infection I believe is gone now, but I have a sworeness and peeling around the outer labia? what is going on? [/INST] Hello and welcome to HCMYou have taken proper medication and are cured of both bacterial and fungal infection presently. The peeling of the dead skin around labia is a good sign of healing. Presently you should be careful and maintain proper hygiene and dryness of your private part.Take care </s>

<s>[INST] What is he progression of mantle cell lymphoma? My 74 year old husband had only 2 treatments when the oncologist determined the treatment was not working...his platelets were 72 and his WBC was 358,000. They basically told him to go home and die. That was a month ago. He has become steadily weaker. He has an appetite, but cannot eat much at one sitting. He has edema in his feet. He is now complaining of a pain in his upper right quadrant; somewhere around his under arm and radiates to the back of his shoulder blades.We are totally clueless. [/INST] Thanks for your quetion on HCM.Mentle cell lymphoma is one of the most aggressive tumour known till day.It is resistant to chemotherapy and rapidly worsening in days only.In your husband's case as he is having right sided back and chest pain, I think he is developing malignant effusion. So better to rule out this by chest x ray.If effusion than pigtail catheter insertion will help him symptomatically. So get done chest x ray and pig tail drainage. Also discuss end of life issues with him. This will give him more support. </s>

<s>[INST] I have night ejaculations on a frequent basis lately. I have them even without dreams of a sexual nature. In addition, I am becoming lothargic, and at the beginning of intercourse I have been ejaculating sometimes even before I enter the vaginal canal. This is abnormal from me, please, what could be the cause of this? [/INST] Hello. I have reviewed your query and here is my advice. Night fall or nocturnal ejaculation normal and has nothing to worry about it. PE must have been triggered because of the worry you have about night fall. I suggest sex counseling for you.Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further. Regards, Dr. K. V. Anand </s>

<s>[INST] I had a root canal last week. The dentist gave me a shot in the roof of my mouth. Now I have a huge sore in the roof of my mouth. It feels like a hole and it hurts like crazy. I can't hardly eat or drink anything except water. I'm already an antibiotics. Will this likely heal up on its own? [/INST] Hi..Thanks for the query..A huge sore on the roof of the mouth in the area where you were given anaesthesia injection can be due to soft tissue injury and infection..Many a times there can be hematoma formation due to piercing of a blood vessel with the injection needle leading to a painful lump..It generally heals on its own and you need not to worry about it but in case if it is painful you should consult your Dentist and get examined..You can be advised to apply a numbing gel over it especially before meals so that it eases the pain and eating becomes easy..Also Ibuprofen can be advised to reduced inflammation and pain..As you are already on antibiotics, you can continue with the same but also start applying antiseptic ointment like Chlorohexidine for fast reducing of infection..D warm saline gargles.Hope this helps..Regards. </s>

<s>[INST] My 9 year old son has been feeling chest pain, shortness of breath, random vomitting... we went to the doctors today, had an ekg that came back abnormal. The ekg said something about the left axis deviation. What does that mean??? He is not over weight, very active healthy little boy. [/INST] left axis deviation basically means increase in size or volume of left ventricle. it means there is some enlargement in left side of heart. however it can also be found if there is some problem in impulse conduction in the heart </s>

<s>[INST] Hi, I am a concernd grand mother. My grandaughter has being having seizures since she was 3 years old and she is now 8. Her seizures got worse through time but then stopped in the last 12 months. But she has now had a couple of short ones. I have been looking into the ketogenic diet. My daughter is not pushy enough to ask for this help. How can we look into it more. My daughter has already asked about the diet but is not getting any response from anyone. I feel i need to help both my grandaughter and daughter with this as as i said my daughter is too shy to ask. They attend Walsgrave hospital and only go to Birmingham on the odd occasions. Not enough appointments in my eyes. [/INST] Hi.... I understand your concern. In your query you have said that the kid is not having any seizures for the past 12 months. Then in that case I don't think a ketogenic diet will be necessary. Ketogenic diet can be tried only for intractable seizures. The other option which you can try if the seizures start again and uncontrollably - is using by Pyridoxine at 40 MG per day on doctor advice.Regards - Dr.. Sumanth </s>

<s>[INST] My urine tested positive for Staph. I was seen for Nausea, Vomiting and Diarrhea with Dehydration. I had an elevated WBC. Should I be concerned? I left the hospital a few days ago and they just called to tell me my urine came back positive for Staph. I have been feeling extremely weak. Does any of this sound like something I need to see the Dr about right away or can I wait. [/INST] Hello and welcome to HCM,Presence of bacteria in urine (Staphylococcus) and a raised WBC count suggests urinary tract infection.I guess you have had urine examination.A culture sensitivity of the urine sample can be done.This test will identify the antibiotic most effective against the bacteria.Symptoms of nausea, vomiting and diarrhea can be due to sepsis.Sepsis can occur secondary to urinary tract infection.You need to consult your doctor for clinical examination, and prompt management of dehydration.Fluid replacement has to be instituted for dehydration and antibiotics for the infection.Thanks and take careDr Shailja P Wahal </s>

<s>[INST] Son,5 fell and hit the area between his eyebrows on a large vase. It swelled up, but he is acting normal. This morning he woke to two black eyes, that are swollen and the bridge of nose swollen. Should I go get checked? He says he feels fine just cant open his eyes as wide [/INST] Hello, I understand your concern. First, be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery or bloody discharge from ears and nose4. Unconsciousness5. Altered sensorium or behavior.If none of them are present, I don't think you should worry about his trivial head injury. For pain, you can give oral Paracetamol every 4-6th hourly. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sumanth Amperayani </s>

<s>[INST] My 7 year old son has been on the Daytrana patch since last Monday. He gets .7mg of Daytrana. He had reddish urine tonight, I thought it might have been blood. The patch was accidentally left on for almost 12 hours today. He told me a few days ago his urine had also been red. Is htis because the patch was not removed promptly after 9 hours? [/INST] Thanks for question.I understand your concern. Color of urine depends from taking food, medicines,flavors. When child takes methylphenidate side effects occur :-Black stool-blood in the urine or stools-blurred vision -convulsions-crusting, dryness, or flaking of the skin-muscle cramps I suggest:1.Give urine analysis.2.Take Charcoal 1 tablet /10kg for absorption of medicine3.Vitamin E 1 capsule once for 1 month.4.Ascorutin 1 tablet once for 1 month, Dicynone 1 tablet twice a day for 2 days for blood in urine. Take care Dr.Svetlana Shrivastva </s>

<s>[INST] My 2 year has a fever, he won t let me check it, but when I did last night it was 100.9. Now he has chills. I noticed him shaking and shivering while drinking. He wants a blanket on him, and his heart is beating too fast. What I can at home to help him? [/INST] Give paracetamol syrup for fever and if fever persists do cold sponging. If fever persists than malaria should be ruled out. </s>

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

<s>[INST] I have had a history of slip disk 3 years back. Lately i have been suffering from lower back pain that to on the left side which shoots up till my legs And travels to abdominal area And something like a click or something happens in the vaginal area and then the pain stop immediately What is it? [/INST] HiThank you for asking HCMI have gone through your query. Your problem of back pain radiating to legs can be most likely (Sciatica) nerve compression syndrome from lumbar disc herniation. A physical examination by an orthopedician will give clue for that. MRI will needed to confirm in case of positive signs. In such case muscle relaxants like cyclobenzaprine , NSAIDs like aceclofenac and neurotropic drugs will be helpful. Physiotherapy and muscle strengthening exercises along with this will make you better. Wearing lumbar supporting belt also will be helpful.Hope this may help you. Let me know if anything not clear.Thanks. </s>

<s>[INST] I have diabetes and my bg avg for the last 2 months has been in the 120s. I started vyvanse on Wednesday and since then my bg has been quite high. My fasting has been 180-206 and after I eat it drops to the 120-130s. Is there a correlation between the two or just coincidence? [/INST] vyavanse (lisdexamfetamine) is a cns stimulant with major side effects being insomnia (lack of sleep) and abuse potential. It can also cause other effects like dryness of mouth and increase in heart rate. However, there are no documented side effects of derranged blood sugars with this drug.I think you should recheck your dietary and drug compliance . Also, if there has been a change in your daily lifestyle ( changed timing of meals, altered sleep wake cycle) , these things can alter fasting blood sugars.Lastly, it would be prudent if you tell about the anti diabetic or any other medication that you are on.. to rule out a remote possibility of drug-drug interaction. Thanks </s>

<s>[INST] I woke up three days ago really hot, so I took my blanket off and I got really cold, I couldn't control my body temperature. I had a head ache when ever I stood up and I couldn't eat anything. Then two days ago I still felt like I couldn't eat but I tried anyways. But every time I ate, my stomach pain would get really severe. That night my stomach pain was unbearable. And then today I woke up with stomach pains again. I went to the bathroom and had really liquidy whitish diarrhea. What am I sick with? [/INST] Hi! You have not mentioned if you ate anything from outside shop a day or two before. Most likely you have got a food poisoning due to ingesion of stale/infected food. Any kind of infection in the body will give rise to fever, and so you had a head ache and body ache with variation in your body temperature. If fever troubles you, then you should take a tablet of paracetamol/acetaminophen. The hot and cold flushes you get could be due to excessive sympathetic activity. Your treating family physician may advise you for getting a routine test of your stool or blood sample apart from prescribing you an appropriate antibiotic and some anti spasmodic if the abdominal pain is severe enough to warrant it. If you get nausea/vomiting which you might, then go for an anti emetic. At the same time maintain your hydratioin by taking enough liquids ( small quantity frequently) mixed with some electrlyle powder available over the counter. If the pain increases and you do not get relief even after these efforts, then you should consult a general surgeon, who may advise you for an ultrasound and other necessary test which can be decided only when he examines you. Take care. </s>

<s>[INST] I am 59 and I suppose a Heavy drinker. I am starting to get dark red blotches under my skin mainly on my hands. Is this liver related? I have up until recently been a smoker as well.My skin is getting thin, I bleed easily if I just nick myself. Therefore after 44 years of smoking, I am trying very very hard to stop smoking. My question is: "Are the dark marks [which seem to appear when I knock myself] liver related?" [/INST] I Hi and welcome to HCM. It can be related. It can be somehting called spider nevus too and this is then sign of serious deisease. YOu should do liver check up and blood tests to evaluate clotting factors, trombocytes and prothrombine time. YOu may have some of the clotting disorder. These can be caused by liver damage or by haematologic disease. WHatever it is it can be treated and isnt very serious. Wish you good health. </s>

<s>[INST] Hi. I am a renal transplant patient. I have had my transplanted kidney for 16 yrs. As of recently my creatinine levels are raising.. I believe it is due to the medication i take. I believe the meds are now becoming toxic to my transplanted kidney. I've researched post transplant patients getting off all meds. can you tell my why this is not something that is more common. I understandthe need for the immunosuppressant pills - but after this long wouldn't the transplanted kidney be "my own" at this point. My way of thinking is, the kidney now has my blood running thru it and has for years.. Would my body still try to attack it after this long? [/INST] HIThanks for your query.There is a risk of rejection of the kidney by the recipient's body at any point in the lifetime of the patient.So it is absolutely essential to continue the immunosuppression if we wih to preserve the kidney.If one particular pill is causing problem, speak to your nephrologist whether it can be substituted.Hope this helpsGood luck. </s>

<s>[INST] Hi. I had a Irena iud placed approximately 1 week ago. This evening I have pain running from my left abdomen to my trombone, internally on my left side. I did eat some Spiceynfood today and have frequent kidney stones that move down this same side. I just thought I should rule out problems with the iud. [/INST] Hello,I have gone through your query and understand your concern.As you suspected, Both are possible1. IntraUterineDevice that are placed recently may be lead to infection or it might be misplaced or migrated. This may be the cause for your abdominal pain.2. As you already have the history of kidney stones, these stones may be migrated down to ureter and got stuck. This may also cause the abdominal pain.But both can be easily ruled out by simple Ultrasound abdomen and pelvis.Further ultrasound also helpful in identifying the other causes when both these causes are ruled out.If it is due to IUD displacement, then it can be removed by Hysteroscopy.If the pain is due to kidney stones, better treated by Shock wave lithotripsy or removal of stones.If both are ruled out, then you need thorough examination of abdomen and pelvis to find the cause. Based on the identifiable cause, treatment varies.Drink plenty of water.Hope this helps.Please write back for further queries.Wishing you good health. </s>

<s>[INST] I have a mechnical heart valve and I have been sick with a bad cold or flu. I had a fever, the body aches, runny nose, head ache and cough. I still have weakness runny nose and a severe cough. What is still wrong. I have no health insurance due to cut backs at work what can I do. [/INST] hi sir, its a viral fever.. benedryl cr syrup 10ml thrice a day.. dolo650 tab thrice a day, after breakfast, after lunch, after dinner.. extracef plus tab after breakfast, after dinner... xyzal m tab once after dinner... follow the treatment for 5 days... dont take cold drinks, oranges, grapes, fridge items etc... thank u, have a nice day.. </s>

<s>[INST] My friend woke up from a medically induced coma (was in it for 8 days) yesterday morning. She was confused and distressed tried to pull out the tubes and wires before her mum calmed her down and explained what happened. She doesn t stay awake for very long and each time wakes up confused and upset like she doesn t remember what was told to her the time before. Is this normal at this stage? She also hasn t spoken yet but tried to say something to her mum this afternoon but we couldn t make it out was too low and mumbled. Is this normal also? and will her voice eventually get stronger and become more than a mumble and be understandable? Also the fact she sleeps more than she is awake, is that normal too? [/INST] Hi,Medically induced coma is reversible. the symptoms you talk about are generally present in all patients admitted to and intensive care. they are temporary and will be reversed eventually. try to calm her with gentle music or talk to her about some happy moments also if allowed try to take her outdoor on a wheelchair, sunlight fresh air will make her feel beter and oriented.thank you </s>

<s>[INST] Mother is going through depression and has anxiety/panic attacks. Has been seeing a doctor and psychiatrist for over 2 years. This past week has been experiencing constant belching. Everything she eats, she belches, What could be the cause of the belching? [/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.the most common cause for belching is acidity/gastritis. She needs to take rabeprazole 20mg per day for her acidity. This will take care of her belching. Belching occurs when the diaphragm gets irritated, which mostly occurs cause of increased acid content of the stomach.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 been getting these like dehydration nerve episode well not sure what it is I start to panic I start to get really hot and delusional my both hands start cramping and going numb so badly they shut tight and its painful hole body is just in pain my neck and right side of body from my hand to my elbow shoots half down my back to my neck then all around the rest of my neck like my nerves tightens up [/INST] Dear userWe understand your concernsI went through your details. All the given symptoms could be related to panic attack as well as underlying anxiety disorder. But I need to have proper diagnosis and for that I need more information. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. </s>

<s>[INST] Hi. I'm not a smoker, but I've had lung infection and heart infection 10 years ago. I went through pericarditis surgery. I've been doing well. My job requires me to do home visits with clients. Some of the clients I work with smoke. There has been a number of times where I feel chest pain after I made a home visit to a client who smokes and his/her home has very strong smell of smoke. The last time this happen, I had chest pain for two days. Can you help explain why this is happening and what would be the long term effects. Thank you. ---- Viv [/INST] You may have sensitive airways. This could be full blown asthma or simply just bronchial irritation. If it triggers symptoms that are this severe and prolonged, it would be best to avoid this exposure all together. You can try taking an albuterol inhaler immediately prior to or during this kind of exposure, it may help reduce the symptoms, but avoidance is more important. </s>

<s>[INST] my 5 & half month old daughter having acute onset diarrhoea for 1 day-passed stool six times since morning,no vomiting or fever.i have given her lactobacilli n coconut water along side breast milk and stopped formula feed today.but she is not weaned off to solid food n my breastmilk is not adequate for her caloric requirements since im working n she was on mixed feeding.what food i can offer to her during this illness to meet her calory need? should i start colistin drop? what about racecadotril? can ors therapy recommended by who cause overload on her kidneys? [/INST] Hi...Thank you for consulting in Health Care magic.It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics LIKE COLISTIN - unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).1. Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.2. Do not start Colistin.3. Racecadotril is not indicated and licnesed in this age group.4. WHO recommended ORS will not cause overload on kidneys.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. ou can approach me at the following link. In this way even in health care magic you can follow up always with a single doctor who knows the history of your kid completely. Please find the link below - www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696Dr. Sumanth MBBS., DCH., DNB (Paed)., </s>

<s>[INST] I have fatty tissue under my collar bone and between. It hurts when cold and when I bend down. I am to have thyroid surgery this Wednesday because they found Hurthle cells, which they said may be cancerous, but don t think they understand that I am having difficulty by my collar bone. I have told them, but they seem more concerned about my tyroid. I don t want to have to be opened up and not have it checked also. [/INST] Hello, I have studied your case. There is possibility of enlarged lymph node or lipomaAs per your symptoms and history it can be lymph node enlargement may be due to infection or chronic disease.As swelling is not reducing I will advise you to further investigate for the cause of swelling.You may need blood investigationLymphangiography may help.local sonography will help.Till time you can take anti-inflammatory and antibiotic if infection is suspected.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. </s>

<s>[INST] I am 75 years old. Male. I have also had a dry skin all my life. For the last 3 months I have been having a problem of red itchy spots erupting on my skin, first on my right leg, and now on various places on my arms and chest . Suspecting a fungus problem [which I have had a problem with in the past] I used Mycota cream on the spots on my leg which removed the spots, but left some scar tissue. Because of the meager pension we get, I cannot even afford the consultation fee, let alone the possible medication. Hence I am trying this method. I am even suspecting a possible allergy , but can that cause this? [/INST] welcome to healthcaremagic generally only a examination can help u out..take tablet chlorphenarimine maleate 0-0-1 for five days ..try checking out your AEC levels.. </s>

<s>[INST] Hi, I have been TTC for 1 year and 5 months now with no luck. My doctor is an HSG and all of my tubes were open. I have very low progesterone, last test after provera induced menstrual cycle and Clomid on days 3-7 results came back at 0.4; the doctor said anything under 10 for progesterone is considered too low. I am now on Metformin 500mg. I was taking it 2x per day up until last Thursday, now I have been taking it 3x a day going on day 4. I finished provera 10mg for 10 days 8 days ago now and still have no sign of a period? Also, I have been noticing an odd odor during urination and bad cramps in my stomach followed by a burning sensation in my vagina. Any idea what the cause may be? Please help? Thank you! [/INST] Hi,Thanks for the query.As you are not getting periods even after progesterone challenge, there is possibility of both estrogen and progesterone deficiency.So you better consult your doctor and go for combined pills to induce bleeding.And also there may be some vaginal infection as you are having pain abdomen, burning in the vagina etc.Get examined to rule out the infection also.And if there is any signs of infection go for antibiotic therapy.For more details you can ask me through: care. </s>

<s>[INST] Hospice told us they were prescribing Atropine but the pharmacy delivered Atopine Sulphate which is labeled as a opthamolic (sp) solution. The label says 2 drops under the tongue every 2 hours as needed for excessive secretions. I suspect they sent the wrong prescription, what would you say? [/INST] Hi,Yes, both of these medications have the same effect. Atropine sulfate and atropine both are anti-cholinergic drugs equally effective in the treatment of excessive salivary, mucus or other secretions. Hence, atropine sulfate may be used safely instead of atropine.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] Hi. Me and my girlfriend had unprotected sex 1 am, but due to anxiety (mine) i didn t release any sperm at all. I made her take nordette this 6 am, then later at 6 pm. Sex happened two days later after her fertile days, and She said she had a regular menstrual cyle for the past two months, when would we suspect the bleeding? [/INST] Hi, your girl friend had regular periods, in last 2 months, and after unprotected sex she had nordette, so she must have period, with in a week of the pills. Any how why do you play with the natural process,you can have other physical measures. With this she will have total reshedule of the periods. So take care of the both. Thank you. </s>

<s>[INST] as of a week and a half ago my back started hurting.since then ive been smoking meth and now the pain is really svere to where its hard for me to move around could meth be the cause of it?are you for real i have to pay for an awnser what about probono! [/INST] Hello, Thanks for your query.From description it seems you might be suffering Mechanical back pain.     It is a common medical problem.Mechanical back pain implies the source of pain is in the spine and/or its supporting structure. The surrounding muscles and ligaments may develop reactive spasm and pain.1. Lie on hard bed2. Taking muscle relaxants in combination with mild pain killers will help you.3. Hot water fomentation to back 2-3 times a day and applying a local analgesic gel on the affected area will also help in providing a relief.4. Physiotherapy - Interferential therapy (IFT) to your back will help you relieve the pain5. Avoid driving, leaning forward, sitting for prolonged time or lifting heavy weights. These activities can increase your back pain.You can start with swimming and mild aerobic exercises. These do help a lot in the back pain. Do adequate warming up before starting the exercises daily.Taking calcium and vitamin D 3 supplements will also help in early recovery. You can get these prescribed from your orthopedician.I do hope that you have found something helpful and I will be glad to answer any further query.Take care </s>

<s>[INST] I am 35 yrs old, 5'10", 190 lbs white male. I also have Sarcoidosis but it has been in remission for almost 2 years and I had a check up 4 months ago with my lung specialist. Last Wednesday I was leaving early from work to go on vacation when I started getting a dull pain in my chest. I also felt like somthing was pushing my chest in. I finally left and went home and lied down because I also felt weak. After lying down for 20 minutes or so the pain started to subside. I have been very fatigue since but I still able to do normal activities. It has been very trying at work over the past few months and I wonder if it is stress related. I don't want to bother my doctor if it is just that and since it happend last week. [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. Yes, possibility of stress and anxiety related symptoms is more likely in your case. Your medical examination I'd normal just 1 week back. So no need to worry for major lung related diseases for your current symptoms. Avoid stress and tension, be relax and calm. Drink plenty of fluids orally and keep your self hydrated. Sometimes heartburn can also cause similar symptoms. So take pantoprazole tablet on empty stomach. Avoid hot and spicy food. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] Broke a blood vessel in left index finger at first joint (closest to hand) yesterday. While maneuvering grocery cart at market this afternoon, that finger became numb and white. I rubbed it and it normalized eventually. Now it s numb and white again. ??? [/INST] If it hurts, apply ice. Take pain killers. Get an Xray of you can't lift weights or use that finger for regular work. </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] I have no energy, depressed. My husband, son, all of my relatives are all gone. I ve trying to sell my home,just to get out of the house. I think I would really be better in another town. I don t really know what is wrong. I do and then I don t . I know I m blessed to be getting around and they say, I don t look 81 and I don t feel 81, but I guess I m just lonesome. HA Ha. Maybe I m just feeling sorry for myself. All by myself. I don t know. Marivonne [/INST] HiI admire your positive outlook and congratulate you for the attitude. Now I guess you have depression and it could be due to some stress in your personal life. In that case, you need some help. However let me give my opinion here. I think a combination therapy of antidepressant and low benzodiazepine would help you. You can try some relaxation exercise like JPMR or deep breathing exercise. That would keep you calm and relax. For this you need expert's guidance by psychiatrist or psychologist . Hope this helps. </s>

<s>[INST] I have experienced a lot ot itching after having a hip replacement, my leg was very red after theoperation and very itchy this itchiness has now spread to different parts of my body namely my arms and my other leg, also on my back, what can I do to stop this? [/INST] Hello, This must be a skin infection and can be treated with the medication. You can consult a local physician to prescribe anti-allergic medicine by which itching comes down. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist </s>

<s>[INST] I was given 2 nicorettes to try from a friend and ate one (hated it) and put the other one away a shelf in the kitchen. My 2 year old has become quite the adventurer and used his new playdesk to access the counter and ultimately the shelf. he ate the one piece. Should there be a major concern? [/INST] Dear, Welcome to HCMWe understand your concernsI went through your details. People who use nicotine replacement therapy are being warned of the harm it can do to children. Nicotine gum, lozenges and related products are safe if used by smokers at recommended dosages, but major overdoses can cause symptoms including irregular pulse, breathing difficulties. I don't know how many hours passed by, please take your child to a health facility for poison treatment. It is essential.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. Happy New Year. Take care. </s>

<s>[INST] Dear doctor, I was diagnosised with TB infection in my left upper back by ultrasound guided FNAC in february 2013, Medications: from March to May 2013 (1st 3 months) i took 4 tablets daily contained Rifampicin 150mg + Isoniazid 75mg + Pyrazinamide 400mg + Ethambutol 275mg/tablet. Then from June to December 2013 (next 7 months) i took 2 tablets daily contained Rifampicin 300mg/ + Isoniazid 100mg/tablet. In December 2013 i had the TB skin test which was 12 mm. Then from januray 14 to april 30 i again continued the second dose as usual. But still now i feel a pinch type pain inside while i stretch my left upper back muscle. Please give me your valuable suggestion whether i should go for the surgery now to get rid of the infection. [/INST] HelloAs you mentioned that there is a tuberculosis in the back ( in my opinion this may be extra pulmonary tuberculosis after fnac report).But dosage you mentioned of anti tubercular medicine is not perfect ( in my opinion ).The dosage are adjusted according to weight wise as:Rifampicin 8-9 mg /kg body weight.Isoniazide 10 mg /kg Ethambutol 16-18 mg /KgPyrazinemide 25-30 mg /kg.In my opinion this treatment should be for initial 2-3 months according to severity of symptoms ( known as intensive treatment ) .After this 2nd treatment started depending on condition of disease 6 months to 1 year ( total ).As about tuberculin test , still you may have disease.In my opinion consult a Tuberculosis physician and get his opinion about all these .In any condition patient should not develop resistance to anti tubercular drugs.Hope this will help you. </s>

<s>[INST] I have a pink bump on my butt. It really hurts. I have had them before but I never really looked at it until now. I often get them between my legs but they arent pink, they re raised bumps and they are hard. They usually go away in a few days. I dont know what causes these bumps but they re are really painful. What do I do. [/INST] Hi, dear. I have gone through your question. I can understand your concern. Your history and symptoms suggest that you may have piles. You should avoid spicy food. Take high fiber diet. Avoid constipation. You can apply lignocain jel over it to releive pain. If needed go for surgery for piles. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>

<s>[INST] Hi , i m Ivan. I have been having very little back pain , it comes and goes though. But i m not sure what the cause could be? Maybe an excersize that I do, such as lifting dumbells or doing sit-ups, or maybe even sitting at my desk chair for too long. It s nothing too serious but I just want to know how to get rid of it. By the way i m 17. [/INST] such backache could be because of ur poor postural habits and low back muscle tone. So along with ur dumbells do flexion and extension exercise of back, and sit straight in ur office chair rather than in reclining pose </s>

<s>[INST] 9 years old male pt , came to paediatrics ER , stuper condition , no fever or vomiting or headach has bowel and urinery incontinence since 1 week has myoclonus since 3 months has auditory hallucination and loss memory since 3 months past history : one attack of seizure before 8 month there is history of head trauma since 2 years the first syptom was before 9 month was speech disorder then after 2 weeks pt develop gait ataxia . MRI normal LFT and RFT normal CBC and serum electrolyte normal chest x ray normal doctors in my poor country cannot reach diagnosis please help in examination : reactive dilated pupil pt is aphasic Bp 90 on 60 afebrile no jaundice no pallor no cyanosis there is visual field defect positive plantar reflex bilateral knee reflexes are abscence in both no neck rigidity , negative kerng sign [/INST] I read the symptoms.The case has got complicated by trauma,convulsions,speech disorder and later ataxia.I would suggest to do blood gases study for now.also know the pO2, pCO2 Ph of blood. bicarb level and base excess.Also c reactive protein, ESR,mantoux,Also i would ask for a deeper history of hypoxia, anoxia, suffered any time during the seizure and brain injury.a decreased po2 at that time for 4 minutes is enough to damage the brain and keep the pupils reacting and dilated.A decreased serum sodium would suggest hyponatraemia nowHowever sub clinical gram negative infection must also be ruled out, esp tuberculosis and meningitis.( its not always with a neck rigidity) </s>

<s>[INST] I fell skiing 2 weeks ago, injured my right hip. I had a good size black bruise which is going away, but i have a large bump of soft tissue that is still present. I cannot sleep on my right side because of the pain. Short distance walks are OK. Long distant as in a mile or more seem to irritate it. [/INST] Hello, The symptoms are consistent with a hematoma.It is nothing but a collection of blood underneath the skin.Generally it will settle by itself. In your case it is still there even after two weeks.Better to consult an orthopedic and plan for an ultrasound scan. If the size is large it has to be aspirated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>

<s>[INST] 2 weeks ago , i had abdo pain, fever for 3 days. went to doctor, prescribed cipro 500mg bd for presumed uti. 3 days later admitted to hospital , abdo pain, fever , rigors. crp 350, ct ,ultrasound of abdo, mrcp outruled gall stones, obstruction etc. pylonephritis (urologist felt secondary , not cause of infection). continued cipro , iv gentamycin x 3 days. blood , urine cultures etc all negative. yesterday crp 24 but lfts raised significantly, microbiologist said to have cipro x 7 more days. discharged home yesterday, now temp 37.9, abdo pain back , some back pain. pain across centre of abdomen. any thoughts welcome. [/INST] HI. Gone through the history. 2 Weeks : fever and pain in abd- cipro- admission- pain , fever, RIGORS, CRP - investigations- genta- crp reduced- LFT elevated- pain- backpain- center of abd...I would advise such a patient...Repeat ultrasonography for pancreas, hepato-billiary. Widal for typhoid, slide and antibody test of malaria. Add Metronodazole 400 mg thrice daily- immediate clinical response suggestive of an added amoebic hepatitis and will give complete response within 5 to 8 days.Blood culture may help. I would change to another / add another antibiotic. And adjust according to reports. </s>

<s>[INST] Hi, My son is about to be 5 in 2 weeks.yesterday night all of a sudden he bought his fallen teeth & put it in my hand.He didn't even complained about it shaking or hurting.I am so worried he is just 5 & didn't show any symptoms. Do i have to take him to dentist or what should i do? [/INST] Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain falling of milk teeth at the age of 5 years is not abnormal as by the age of 6 years the permanent teeth will start erupting, therefore the milk teeth will gradually fall by then..So it is not at all abnormal and if there was no pain or loosening was not noticed, it is also no an abnormal finding..If you have any doubt then you can consult a Pedodontist and get him evaluated and he can take a Panoromic x ray so that the exact condition of the permanent teeth and the falling deciduous teeth will be ruled out and you can be advised accordingly..Hope this information helps..If you find the answer helpful please give me a Five Star Review and click on found the answer helpful as a token of appreciation..Thanks and regards..Dr.Honey Nandwani Arora. </s>

<s>[INST] .hi my penni is getting small in size or i should say it's getting in and the nerv's r not that much powerful they use to be plz help i am not able to any thing i am just thinking that i wont be able to have sex in my life. [/INST] Hi, Many Research says the average length of a flaccid penis is 3.61 inches, while the average length of an erect penis is 5.16 inches. Few studies recommended flaccid penis length of less than 1.6 inches or an erect penis of less than 3 inches should be considered for treatment. Surgical (liposuction around their pubic bone, skin graft), inflatable penile prosthetics are helpful if size less than 3 inches. Share your penis size when flaccid and erect. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist </s>

<s>[INST] I am 49 with CHF. My question is I have been bloated most of the last 2 months and have terrible head pressure. Can hardly put my shoes on or walk to the car. Heart Dr says all fine but this is not fun. I chew skoal everyday and thought maybe this was it. I just want relief. [/INST] Hiit can be because of acid peptic disorder or severe gastritis.you should tke proton pump inhibitors like pantoprazole or esomeprazole for 14 daystablet antacids can also be taken along with it , once problem of bloating and belching goes away, head pressure wil also reduces .As your doctor says that you are clear from cardiac side , most likely reason is acid peptic disorder. </s>

<s>[INST] Sir, since 10 days my daughter is having loose motions, 3 days back her stomach become boating, became pale, without blood ? can you suggest what would be the reason [/INST] Hi, Diarrhea without blood may be due to food poisoning and viral infection. she may need probiotics and Zinc supplementation. Zinc should be given for 14 days at least. She will be alright if you give proper nutritious food. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rajmohan, Pediatrician </s>

<s>[INST] i had my gaul bladder removed about 3 years ago, ive had nothing but trouble since i now have blocked bile ducts , ive had stents put in but these have not worked the doctors tryed to re do the stents for a 3rd time and were unable to get any in , i had a MRI scan done the other day the results were normal is this normal [/INST] Hi,It may be caused by 3 issues. First, there may be stone in common bile duct and it should be removed with ERCP or another surgery. Second, it may be tumors and third it may be stenosis. You need to do ERCP and if there is stenosis or blocakage and then further treatment can be planned. Wish you a good health.Hope I have answered your query. Let me know if I can assist you further.Kindly regards,Ivan R. Rommstein </s>

<s>[INST] Hi, may I answer your health queries right now ? Please type your query here... I went to see dr about numbness in testicle. The phy. asst. checked my prostate then the urologist came in and checked me again, when he checked me it was very painful he put his finger right and left rubbing inside. Later my anus and rectum became very planful. Now when I get just a little erection I feel pain and sqizzing in my butt with pain, after coming I have pain for days. I've been to dr after dr and they just keep saying its prostate infection and been on at least 3 different antibot. I need answers, I can't get reg. erection and coming. [/INST] Hello, Numbness happens When a person loses some or all of the feeling in their penis, it has become numb. The penis contains many nerve endings, and it is usually very sensitive. Numbness can occur when a person sits in a certain position for a long time. It can also result from low testosterone levels, another health issue, or an injury. Peyronie's disease, nerve problems, prostrate problems, etc can also cause these numbness issues. But proper evaluation is necessary for successful treatment. Therefore I suggest consulting a urologist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. K. V. Anand, Psychologist </s>

<s>[INST] I was sweeping this morning and i IMMEDIATELY FELT A PAIN ACROSS MY LOWER BACK AND RADIATING ROUND MY RIGHT SIDE. i HAVE HAD THIS A YEAR AGO, AND IT DID GET OK WITH TIME. I DO HAVE A BAD BACK ALL YEAR ROUND BUT JUST A TWINGE, BUT LAST TIME I HAD THIS I COULENT WALK OR STAND UP STRAIGHT THIS TIME IM NOT THAT BAD. THANKING YOU [/INST] Hello, I have studied your case. Due to compression of this nerve root there is pain in your back.I will advise you to do MRI spineFor these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.Ultrasonography abdomen and pelvis will help to rule out other pathology leading to pain.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care </s>

<s>[INST] Hi there Dr. Rynne , I am a 45 yr old female, w/ genetic genes w/ mental illness mostly depression, and BP. I have never had many problems w/ over the years, I was adopted as a baby and nvr knew of my grandmother, biological suicide overdose they think was cause. That was on bio-fathers side, she had mental, illness, my bio-father who was 16 when had me ended up being a recovered alcoholic...Ik one of his natural daugters he has now as adult is having trouble w/ alcohol abuse. The other side of bio-family my mother being a twin, both her and sister both have some form of drug abuse, I feel due to mental depression or BP never being diagnosed and them self medicating. The mother on that side perfectly fine mentally that is, and the father as well, and their a third sister who is very bright, & does quite well for herself, & has made a very successful life for herself... My question is ik some of this depression or BP illness that the Dr s suspect I may have, which I had depression, that I could not deny if wanted to, its kind of attn. stealer & hard to miss! haha! Now that Im coming out of a 2 yr struggle w/ what I thought was just depression due to genetics and the other part of my story is the family I was adopted by also added a environment very ideal for depression to grow, such a molestation by adopted father when 7, 8 yrs old, and others relatives trying but I avoided their ploys to do just that...also a lot of very intense fighting btwn parents all the time very dysfunctional although did feel loved at times, had horses, pool, vacations 3 brothers that I love, and are the only ppl in the family that stay in each others life both, the mother and father, are not involved in any of their kids lives, b/c of their inability to see anyone but their own pride, and my children wouldn t recognize grandfather who lives 2 miles away if he walked passed. I forgave him for wht he did, yrs later the rest of family found out, by accident thru a good friend I had shared that private info w/ told them, my mother decided to answer to finding out about the incident: Well why didn t u report if that was actually happen and that was her only response and acted as if we were discussing a recipe I lost or something, no other questions were asked, ie..who was it when did occur nothing! I forgave her too and cont a relationship it was not her fault but her saying things like figments of what occurred in my childhood were the reason for our family fragmented and falling apart, which is not tru, she has always had trouble w/ whole family and there has no thing that has ever been easy w/ this woman EGO is her name being right is her game, and ik she too must have some sort of mental illness b/c Ive never seen or dealt w/ anyone close to her, she has never said sorry to me or anyone she has many problems very intelligent works at University at age 72, moves every few yrs...dragged us kids around to different states when she was feeling not satisfied w/ my dad she go somewhere and enroll in a college to earn another degree has several so not an unintelligent person so wondering am I destined to have problems due to the amount of mitigating factors in my life, Ive tried to turn to Lord for guidance and I def take med the Dr. s recommend but isn t there better test to see exactly what ur dealing w/ as far as just depression or if its a more serious condition that has to b so closely maintain as far as ur sleep, diet, exercise, taking medicine and then still struggle to feel normal sense of well being after following all those guidelines is there any other things ud suggest to findout exactly what it is BPII would b fine if that is indeed wht I have its the unsure testing being used thatleaves me feeling like what else could b lurking around corner for me...Ive taken all blood test that the dr. recommended but why hasn t anyone came up w/ a brain scan that shows wht ur particular wiring is defaulting on and how they can fix it w/o being on medication for rest of life...Do u know of any advances in fixing the willy nilly way they diagnose these illness and the way Dr.s really just try different cocktails that a lot of the times makes u must worse than before taking...There has to be research being done, for better methods to help ppl struggling everday w/ this...Can u tell me wht u kno or any advice u have on this matter? I thank u for ur time and what a lovely service u provide thank u! Thanks for Caring...all the best! terri :) [/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.From what you have stated it is quite clear that you are having a depressive episode. Depression can occur with regular stress and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the drug therapies then there is also an option of cognitive behavioural therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.Ones depression settles down, alcohol abuse will also come down. 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] white circular patches on skin.... on my triceps and on my thighs.... last year it was only on my left arm and left thigh, but now it spreads....i had it for a while, it comes and goes, and it is not always visible, but applying powder on the skin reveals it position, it doesn t seem serious but it definately not normal... i feel its dry skin or something because i rarely apply lotion. [/INST] Hi, Godsonxx, Thanks for query. It seems that you might be having Tinea versicular ,a fungal infection. Apply some anti fungal lotion like Micoderm,Multifungin lotion. Take tablet Flucanozole 150 mg once in a week for 4 weeks orally. Take antihistamine like Cetrizine if itching is there. Ok and bye. </s>

<s>[INST] i have come off the pill after being on it for 8 years. i have been off it now for about 8 weeks because my partner and i are wanting a baby but i have still not had a period but i have never had regular periods but i was wondering can you still ovulate without a period? [/INST] Hi, I think you can ovulate without periods but it is rare. So, you will need some medicines for ovulation. You can take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your partner 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Hope I have answered your question. Regards Dr khushboo </s>

<s>[INST] hiya my name is rebecca wilson i am on the depo injection and have bin for very nearly a year and i was thinking of coming of it as i would like to start trying for another baby but i have bin told and have read a lot of stories that the depo could have damaged my body is this true? [/INST] Hi,Don't get worried reading unfounded stories. Depo shot does not damage your fertility.Although the Depo shot needs to be repeated 12-16 weeks, when it is stopped usually it does not lose its effect in that time period. The effect can last longer because the microcrystals of depot injection sometimes dissolve very slowly. Therefore there is some delay in ovulation and conception.Although pregnancy can occur as early as three and half months after the last shot, the average time for ovulation to start is about five and half months. But the time for becoming pregnant takes a little longer, the average being about 10 months from the last shot. For some women it may take up to 18 months.I hope I have answered your concerns. If you have any further queries, do contact me through Healthcare Magic </s>

<s>[INST] My 11 year old son just started taking carbatol and he has had several urine accidents. Is that related to the medication? Will it get better as he gets used to the medication? It seems to happen at night after we give him his meds. Tomorrow we start 2 times a day and I wonder if we should expect the same in the am? Any suggestions? My son is autistic so he can't really tell me why he has had these accidents. Thanks [/INST] Hi,Thank you for your query.Carbatol is not known to interfere with urine control. It is advisable to discuss the issue with the treating doctor who may be in a better position to guide you as he has examined the child. One of the known side effect is the change in the amount of urine which may be responsible for these accidents.I hope I have answered your query to your satisfaction.Wishing your son an early recovery.Regards,Rajiv K Khandelwal </s>

<s>[INST] Hi my name is samantha and I was diagnosed with hodgkins lyphoma 3 months ago I've done 4 cycles of chemo and it didn't seem to work so now I am going to do radiation I am in need of some radiation oncology help I have masses in my neck chest and under my left armpit I am into body piercings and my birthday is saturday so I would like to get 2 facial piercings back but I need to know if its okay to get them even though I'm getting radiation I wint be using surgical steel or metal I will be using thick plastic I just want to be safe for the healing part of it [/INST] Hi,Thanks for writing in.Usually thick plastic does not interfere with radiation therapy. Also your radiation treatment will be directed to the chest and left armpit and the piercings are going to be on the face. You can have the piercing done provided your blood counts are good and you do not have any infection. The piercing wounds also require to be dune under strict hygienic conditions to prevent infections and complications.For the piercing pat, please discuss with the radiation technologist and it is suggested to have removable body piercing because we never know if the material used is safe when giving radiation treatment, though in most cases it is considered to be safe. Please do not worry. </s>

<s>[INST] Hi, I have just noticed a hard small lump (half an inch by 3/4 of an inch) an 1.5 inches below and two inches to the left of my navel. It is hard, and I have not been able to press it back through the muscle wall. Are hernias general hard or soft? Thinking that it might be a Spigelian hernia. Have had it for about three weeks. Also, I have been told that hernia repairs can be very painful. Is a high pain level common with hernia fixes? [/INST] Hi....thanks for sharing your problem here in this forum...The location you are telling is associated with hernias mostly...hernias are mostly soft and they can move in and out if not obstructed or strangulated...spigelion hernia may be hard...hernia repair is not very much painful if done under general anesthesia...under local anesthesia its painful...i will advise you to see your surgeon so that he examin it and give you proper diagnosis and treatment....thanksDr ihsan </s>

<s>[INST] Hi doctor, I was told by my primary care physician that I have some fluid in my inner ear. I have also had dizziness, nausea and feeling like the room is spinning. I also think that I have vertigo, but I am not sure. The episodes happen at night and sometimes during the day. My current medication includes Lisinopril, Gabapentin and Mecklezine. Is there something that I could do to get rid of this feel? [/INST] Hi. Do your symptoms increase on changing position? Do you have fullness in the ear, ringing sensation in ear or reduced hearing? There can be two possible diagnoses in your case, but I need to know if you have any of the above symptoms. Either it can be benign paroxysmal positional vertigo or Meniere's disease. I would advise you to take complete bed rest for about three days (minimum) and restrict salt. I suggest any one of the following tablets for a week. Betahistine, Cinnarizine or Prochlorperazine maleate. Consult your specialist doctor, discuss with him or her and take the medicine with consent. For further information consult an ENT otolaryngologist online --> </s>

<s>[INST] I was seen in the er for right flank pain. Blood work, urinalysis , and a CT was done. Urine was clean, I have an elevated white cell count on my CBC, and kidney stones in my right kidney. Dr said the elevated white count was due to the prednisone I was given for an allergic reaction I had the day prior and could not give an answer for the flank pain. Could the kidney stones be causing the pain? I have had at least one of the stones found in my kidney since Oct of 2009. And would only 3 doses of prednisone elevate my white blood cell count? [/INST] Hi there,I hope you are feeling better now. Your elevated white cell counts can indeed be due to prednisone treatment, or it also could be because of any underlying infection.As you say that you have kidney stone the pain could be caused if the stone is small enough to have passed into the ureters that is the tube that connects you kidney to the bladder. The passage of these stone give rise to flank pain. Even a single dose of prednisone can give rise to elevated WBC counts but then tend to come back to previous levels once the drug is stopped. If the pain continues it would be a good idea to get a KUBor IVP done to rule out stone in the ureter and a permanent treatment. Neglected cases may lead to kidney damage in the future. Your urologist will be the best guide in such matters. Take care! </s>

<s>[INST] My 16 month old son has been sick with a stomach "virus" for the past few days. The last 4 diapers i've noticed small (1/2") worm like peices in his stool. At first I thought it was related to bananas, but now there are large clumps of these reddish brown peices in his stool, thousands with each diaper change. What is the liklihood of him having a parasite? [/INST] Viral infection with rotavirus is a very common cause of diarrhoea in children. It generally resolves on its own. All you need to do is to prevent dehyration by the use of ORS.It is not clear whether the white pieces that you refer to are worms or undigested food matter. The latter is more probable. However, worms are quite common in children of this age as they have a tendency of putting anything in their moutn. In case you think that he could have worms could be present. Giving a single dose of albendazole 400 mg syrup (10 ml) and repeating it after 14 days should be helpful.I hope that helps. Feel free to revert back with further queries if any. </s>

<s>[INST] I just had a tooth extraction tues n the pain n sickness I feel is indescribable! I hv pain n my neck, ear throat n head only on the left side where the tooth was extracted. Im taking amocicilin 500 mg n they seem to not b working. It feels like my whole left side of my face n throat is infected. Help me please!!!! [/INST] Hello,thank you for consulting with HCM.As you are mentioning that after extraction of the tooth you are experiencing pain on the right side of the face it looks like the extraction has traumatized your joint of the jaws that is temporomandibular joint.In this condition you have to start with muscle relaxants as only antibiotics will not solve the problem.You should visit your dentist again get an x-ray done of your joints as it will confirm the problem and then he will prescribe the medications.Hope it will help you. </s>

<s>[INST] hi my son was bite by a dog. on tat day he take a tetanus toxoid, and verorab, on is 2nd dose and third he take rabipur...is it okey? the doctor said my son should take three shots...the first was verorab and the 2nd and third was rabipur should i stop? [/INST] Hi, thanks for using HCM.Your son need to take rabipure injection. It is recommended to take any one type of anti rabies injection. If the dog is good with no problem after 10 days of bite then you can stop taking injection. Regards </s>

<s>[INST] I am a 70 yr. old female just recovering from a respiratory type flu . However, I have also had pain in my stomach area. I have confirmed diverticulosis , but am wondering if I may have diverticulitis now. The pain is in the area of the transverse colon, not the descending, has spread a bit to my back, and is kind of low-grade pain. I really don t know if it might actually be in the stomach, but I don t think so. It gets worse if I try to eat, so I have not been eating much for the last six days. The flu is much better, but the stomach pain is not going away. No cramping, no diarrhea, no fever, no nausea or vomiting. Is there a simple, but definitive test for diverticulitis infection? I live in a remote area and called a clinic 40 miles away and the nurse said the only way to confirm is a barium enema . This does not sound logical to me. [/INST] Hi, Welcome to Healthcare Magic Forum. Diverticulitis occurs when the diverticula in your digestive tract become infected. Diverticula are bulging pouches that can form in your digestive system, including your esophagus, stomach, small intestine or large intestine. Are your Bowels habits regular? Get yourself evaluated further by a Gastroenterologist to rule out appendicitis, IBS, PID. A CT scan would be a better option for your Doctor to come to a final Diagnosis. IF Diverticulitis is confirmed you may need a Surgery. If your symptoms are mild, a liquid or low-fiber diet and antibiotics may be all you need.Drink plenty of fluids, When you need to use the bathroom, don't delay, Try to exercise at least 30 minutes on most days. All The Best, Take Care. </s>

<s>[INST] I have harmons imblance problem due to this I have blackish cheeks day by day I have used may skin creams for which sometime its lighten but after that it become darken and darken I do not know the solution My blood test is all right and clear and my homeoglobin is 13.5 I am used to take good diet and water. [/INST] Hi, dearI have gone through your question. I can understand your concern. Hormonal imbalance may leads to darkening of skin. You should check your hormone level. You should take vit D, vit c and plenty of water. Use good quality of face wash snd cream.Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. </s>

<s>[INST] Hello doctor, My 2-year-old threw a book on my 10-year-old, and the corner of the book hit the 10-year-old in the head. It felt like there was a small hole, but there was no pain. This happened four months before. Now it feels like an opening or cracks is going down my 10-year old's forehead. It is as if the impact created a break that extends down towards her left eye. There has been no pain. In the past two days, she has been complaining about a headache and nausea, and I am now worried. I can take her to a chiropractor only after two weeks. Please assist because I am afraid. Not sure what to do? Should I treat this as an emergency or wait for two weeks. [/INST] Hello. Yes, this needs proper care and investigation and should be treated in an emergency. It seems to be a head injury, as the symptoms are increasing and pain killer is not much relieving, there is no sense of having nasogastric medicine as such without CT scan. Hit or injury. CT scan. First, go for a CT scan. Start medication as soon as possible to prevent further damage. Lie down with little raised head. </s>

<s>[INST] If I've had CHRONIC (not cold) urticaria. Are there any risks in getting pregnant for myself and or a baby? I already have 2 kids. I didn't get chronic urticaria anywhere near my previous pregnancies, but just recently, 2.5 years after my second child. On the fence about a third & want to know about any red flags... [/INST] hi there, I have understood your concern and I will suggest you the best possible treatment options.Please getin touch with your treating skin consultant and gynecologist. Please give clear idea to dermatologist about your pregnancy planning and please let your gynecologist know about the medicines given by dermatologist.Pregnancy is a bit immune lowering condition,so you need to consider this. Else, start with Folic acid and vitamin B 12 supplements.You can very well. go ahead to get pregnant.I hope this answer helps you.thanksDr. Purushottam Neurgankar </s>

<s>[INST] I fell thru an attic floor on 12/6,my L knee turned blue instantly. The bruising traveled from knee to ankle. Alot of pain and swelling. A week or so later, I had a blood pool in the bottom of my foot. I was advised may be a blood clot, went to ER. Had labs,doppler and xrays. All negative. The swelling is still very painful. There is a large area on the R side of the knee that, I was told today by an ortho. Dr. that it is a hemotoma, that could take several weeks or even months to begin to heal. This happened 12/6 but the knee pain is worsing. Dr. said to just suck it up, even though it is painful and limits the bending of my knee. I don t know what to think of this, I have never seen this Dr. before. So I am not too familiar with his demenor yet, but I felt like he just blew me off. And of course was told needed to go back in 2 weeks. (Why if I am gonna have this up to several months?) [/INST] Hello, It is a contusion or hematoma, which is nothing but a collection of blood underneath the skin. Nothing much to worry as it will settle by itself with time. You can apply warm compression for faster recovery. If symptoms persist you can go for an MRI scan to look for any tendon or ligament injury as well as to know the extent of the hematoma. 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] ok i am a 200lb 36y Latin women i have asthma . Ok about 2 week ago i was getting in the the bed. i bent my leg letting my knee touch the bed first and then i felt a sharp pain. i tought nothing of it at first. but as time go by the pain has increased. it hurts to walk and i now have like a small swelling pouch inside what should i do? [/INST] these are symptomps of trauma and the blood form hematoma below skin causing swelling and pain it may take 3 wk to go take oflox 200 mg bd for 3 days to prevent infection take xyloric bd for 2 wk it might not increase any comlication on asthma this will clear pain and swelling apply sensor oil on the sffected portion and heat therapy by cotton pad it will go slowly when the swelling and hematoma resolves </s>

<s>[INST] Hi, My daughter has been a little unwell overnight, she complained of her stomach hurting, then an hour later she vomited a little, then just after has been having regular very loose BM. I thought maybe a stomach bug, but she has been fairly happy throughout it and we put her in the bath as she had messed her self and then has done another BM in the water and washing out the dirty water, there seems like a little sand left behind. She is 6 [/INST] Hello. I just read through your question.I agree with your initial diagnosis, that this is a stomach virus. Stomach viruses come in many varieties. The symptoms you describe sound like a mild form. As long as she maintains her hydration, she will be fine. The illness will resolve on its own within several days. </s>

<s>[INST] I have a small lump appeared on my lower back, it's sensitive to touch but doesn't seem to affect my movement. I did fall a couple of days ago but have only just noticed the lump and the soreness. Any ideas what it could be and whether I should get it looked at or wait for it to go down? [/INST] Hi...it could mostly be a hematoma following your fall... take some analgesic and it will resolve...if it still persists after a week or you get fever show to a doctor...Dr. Ashish Verma </s>

<s>[INST] my mom had an accident last sunday, was told she had a core muscle strain and she would be better in a few days. Had an MRI and yesterday and has l1 & l2 fracture, she been up and moving as much as she can. Do you think she did more damage over the week with no treatment? [/INST] Hello, As she was of late diagnosed with vertebral fracture. Complete bed rest is advised. Usually, the vertebral fracture doesn't lead to more damage if it's a non-displaced fracture. Taking proper bed rest in the initial stages and later after 6-8 weeks doing simple exercises will help her recover well. There is nothing much damage can happen so you can stay relaxed. But please insist on your mother for more bed rest. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist </s>

<s>[INST] Hello doctor, I have brown patches all around my neck and on my chest. On closer inspection these patches are actually made up of small brown or black spots. On my chest, they feel rough and have a matt texture. On my neck they are pretty much noticeably raised from the skin surface if I feel it with my hand. After a bath, if I rub them with my hand very thoroughly or if I scratch them with my nails when wet, they come off pretty much like dead skin. There are loads of skins that I shed when I do that. It does get lighter and much less noticeable, but never gets removed. They grow back in just two to three days. I have had this issue for more than two years now. I tried taking antifungals and applied Fluconazole cream for a week, but nothing seemed to help. I have been to quite a few dermatologists who seemed to have different opinions. I read it could be pityriasis versicolor. Please help me. [/INST] Hi. Revert back with the asked details to a dermatologist online --> </s>