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<s>[INST] my 15 year old daughter has chronic intermittent abdominal pain with abnormal liver function and abnormal clotting profile. previous ultrasound showed coarse liver texture. the liver appears to be enlarged and exhibits a diffusely coarse echotexture with no apparent focal leisons identified.the spleen appears enlarged for her age. [/INST] HI Well come to HCM Abdominal pain may not be due to the liver findings detected in ultrasonogragy and not even due to spleen enlargment, such pain is common in female of this age this could be vague type of abdominal pain, nonspecif, such pain can be treaed with following medicine, dysmanorrhea need to rule out. 1) Tab Clinidium with Chlordaizepoxide three times in day this is nothhing to worry would come around soon, take care. </s>

<s>[INST] Have severe pain in T6/7 vertebrae and shoulder pain. Been doing the tennis ball pressure point massage. This turns the tennis balls in to egg shape. My muscles contract and relax and never stop doing so. It does help soothe the pain but why are my muscles doing this and will it be a problem in the long run. Fyi...was injured in rear-end car accident 2005 and will be having cervical disc surgery in 2 months. [/INST] Hi...The problem is due to less movement in thoracic vertebra.In addition to tennis ball point massage I recommend you..to doLot of icing frequently ...Roll a foam roller in your back byvlying on too of it with your back..go for back arches..while doing slowly move upwards and downwards..along the thorax...cat and camel exercise will help to maintain the mobilisation...Hope this is helpful for you..Kindly revert back in case you need any further clarification... </s>

<s>[INST] Hi doctor, Is that fine to bring peanut butter (PB) on an airplane? I would like to know the ways that bringing PB on a plane might or might not pose a threat to others? What should you do if you are bringing PB and if you have an allergy and want to keep safe in case someone else brings some on the plane? Thanks. [/INST] Hi. You have asked an interesting question. Peanut allergy is one of the most severe food allergies. It can cause itchiness, urticaria, swelling, eczema, sneezing, asthma, abdominal pain, drop in blood pressure and cardiac arrest. It may even result in anaphylactic death if not controlled at the right time. The routes of exposure of the allergen are mostly the accidental ingestion of peanuts or PB by the concerned person (who is hypersensitive to peanuts). Air-borne particles in a farm or factory or crushing environment may cause respiratory symptoms in allergic individuals. However, the odor of peanut butter or its mere proximity has not produced any allergic symptoms in various studies conducted. Hence answering your questions. </s>

<s>[INST] My 2 yr old went to the dentist friday and was fine. Saturday he started having swollen gums and today I noticed some blisters on his tongue. Before he went to the dentist he had a fever for a couple of days. What could the problem be and what can I do? [/INST] Hello, thank you for consulting with healthcaremagic. It looks that your son is having a viral infection because of which he started up with fever and now he is having multiple ulcers on his gums as well as on the tongue. You have to start with anesthetic mouth washes as they will give him relief, anti viral medications and excessive water intake.But once you should also visit your dentist again to get it examined properly. Hope it will help you. </s>

<s>[INST] I am 18 years old, 5"9 and weigh 9 stone. The past few months i have been experiencing bad headaches and randumly feeling dizzy throughout the day. I also get really hot and feel as though my heart is beatin out my chest and every now and then get sharp shooting pains in my chest. I was on antidepressants for my depression but came off them about 2 months ago because i thought they may have been the cause of this but it hasnt went away. I still struggle to sleep at night, sometimes dont sleep at all yet i constantly feel tired and really weak at times aswell. No one seems to have any real answers. Could you help me please? [/INST] please do a TSH and ecg and then let me know the results. it can be a thyroid problem . if there is any cardiac problem it will be known once ecg is done </s>

<s>[INST] Hi i am 24 years guys..i lost my strength before 7 years..my cock is not strong and it comes with in one minute..and i see my sparms coming out when i am in toilet..i think its leaking automatically..plz help me..my cock is very weak and not getting even a small strong.. [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. Sperm leakage is an automatic body process with which the body expels stored sperm. This can be controlled by occassinal masturbation for you. Your anxiety and apprehension could be the reason for your penile weakness and premature ejaculation. I suggest you to consult a psychologist or sexologist.If you still need my assistance in this regard, please use this link. Please remember to describe the whole problem with full detail.Hope this answers your query. Please feel free to post follow up queries. Available for further clarifications.Good luck. Take care. </s>

<s>[INST] hi, im diabetic and been noticing a achy left arm and shortage of breath as well as neck pain which i usually brush off? im wondering if i could b possibly having a mild heart attack? and i have no idea what i should do because by the time i get a appointment at my clinic the symptoms will most likely gone. [/INST] Hello. Thank you for your question and welcome to HCM. I understand your concerns. During diabetes, especially in subjects that have poorly controlled diabetes, it comes at a moment that small vessels of the body and nerves become affected. Therefore, it is not surprising that a diabetic patient lacks the specific symptom of coronary artery disease - angina. Instead, these patients more likely tend to have non-specific symptoms, such as dyspnea (shortness of breath), sweating, drowsiness and/or tenderness in places where angina usually radiates (in your case, the left arm). I will not go on and say that this is definitely coronary artery disease, but there is a chance it is. So, I would recommend you to go to the clinic, with or without these symptoms, have an EKG, echocardiogram and a cardiac stress test, eventually a coronary angiogram. If you are diagnosed with coronary artery disease, proper treatment should be undertaken immediately. I hope I was helpful. Best regards. </s>

<s>[INST] I was getting out of the shower and I looked down and saw a bug. Asked my dad to come and kill it and when he came into the room he said theres nothing there, he checked around the entire room. I looked it up and it said it could be a form of anxiety? but I'm not too sure, my friend told me to try this website, I hope you can help me. [/INST] Hi.I had gone through your query.Hallucination either physiological or pathological.But visual hallucination that occur in fully conscious mind indicate pathological.You have visual hallucination along with fearfulness.It may indicate underlying psychopathology.Proper evaluation will give more confirmatory diagnosis.It can be treated once proper diagnosis will be made. Anti psychotic can help.It can be result of anxiety but it is secondary to that hallucinations.So consult psychiatrist and get help.Happy to help you further.Thank you. </s>

<s>[INST] hi .,. i have a problem .,. frome last night . having skin rashes . but these are not appeared at the skin only red round patches are seen . also having pain and itching .,. also have fever 101. sore thoart . sneezing .,., and i also suffering from . my elder sister also have this problem befor a week ., and reports sayes that is viral infection .,. i use augmentin and penadol .,.,but she use tercica, and cifixime , amoxiclave and penadol .,. i need treatment [/INST] Hello thanks for the query posted I would be pleased to answer your query . I would suggest that to get treatment you will need to book an appointment with the physician Dermatologist . Viral fever with rash , sore throat would be better off treated with Oral Vitamin C 1000mg per day , Oral Antibiotic like Azithromycin 500 m twice a day for 3 days and topical applications of Calamine lotion . Please do book an appointment with the Dermatologist to discuss the same . Thanks and Take care </s>

<s>[INST] Hi, Recently I ve been having lower left abdominal pain. My pain ranges from sharp, dull, and cramping sort of pain. The other day I d noticed some type of white substance in my stool before flushing. Visit the emergency room yesterday, to only tell me, I might had an STD. Okay how can they be so sure, when I was told to come back in four days for my results. Can you give me some other reasons what may be going on with me? Unless they are right. I hope not, because that means my partner of 8 years is sleeping around unprotected. Thank you, A concerned one [/INST] Hi! Good morning. I am Dr Shareef answering your query.The symptoms of abdominal pain and passage of white substance in your stool points more to an intestinal infection than a STD. I would advise you to go for a stool test for ova and cyst and get it treated if positive which would relieve you of your symptoms. Chances of having an STD with this kind of symptom would be remote, and if in doubt get yourself investigated as advised by your treating doctor.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. </s>

<s>[INST] I ve a one month old son, he was suffering from a respiratory distress with stridor when born and had been NICU for almost 5 days. Even though his respirtory rate has been normal, he has a rattle sound when he takes his breath. would like to know how long will he have this sound? [/INST] Hi, Your child appears to be having laryngomalacia. In laryngomalacia, the muscles of vocal cord are weak and so the child makes stridor like sound, although respiratory rate and heart rate is normal. Laryngomalacia usually gets corrected at 7 to 8 months of age. I hope this has helped you. Regards Dr Deepak Patel, MD Pediatrics </s>

<s>[INST] On Oct 1, last year I hospitalized with a severe all over body rash which was treat with rednisone and antihistamine. During my hospitalization I went into respiratory arrest as my throat closed and was kep in intensive care fr a week. Since then I continue to get rashes daily all over my body and feel fatigued all the time. The rashes are brought on by food (the list of food changes all the time and I seem to become tolerant of food if I persist eating it), also going outside in the countryside with lots of vegitation brings on a rash. Further, exposre to cold air or change in temperatur/wind, brings on the rash. Also physical exertion such as fast walking/exercise/gardening. The type of rash varies and where it apepars on my body. It is always itchy. I also experience heart pounding, shortness of breath, general unwell felling like flu symptoms when the rash appears. Nobody seems to be able to diagnose the problem. I have been on low dose steroids for long peridos, but it does not sold the problem. Can you help? [/INST] Hello, Thanks for the query to H.C.M. Forum. All the symptoms ,which you mentioned in your query correlates with a lung disorder as note down, Airway hyperresponsiveness that is secondary to inflammatory airways disease that results in recurrent or chronic episodes of wheeze , shortness of breath ( S O B) ,chest tightness &/or cough particularly at night or early in the morning.Symptoms are usually associated with airflow obstruction, obstruction is usually reversible either spontaneously or with treatment. This is actually allergic asthmatic bronchitis. Consult a physician and get expert opinion. Hope I have answered your question. If further any question I will help. Good luck. Dr. HET </s>

<s>[INST] Dear sir, From last few days I am suffering from fever.. In last two months I have taken paracemtol. And antibiotics. Yesterday I visited max hospital he have provided this tablets ursodeoxycholic acid 300 mg but since no relief .there is more week I am a patient of 64 years old and I am suffering from bronchial asthma..I take daily asthma sprays [/INST] Hello welcome to the health care magic For fever ursodeoxycholic acid not prescribed.. You might have fatty liver for which this drug prescribed For fever your Auscultation and general physical examination done and investigate with CBC, ESR and sgpt For asthma daily prescribed inhaler should be taken Mention your specific clinical complaint and detail of all medication and report for giving comment Take care </s>

<s>[INST] i had a Nexplanon contraceptive implant fitted in yesterday, whilst having a surgical abortion as i had a miscarriage and they told me i should only have sex after a week.. Do i need to wait for a week or can i have sex right after the abortion and the implant fitted in, as i seem to only be bleeding very very lightly. I am going to be using a condom of course so that i don t have any infections, isn t that the main reason why they ask us to wait for a week till we recover from the abortion? I forgot to ask them yesterday, please help me [/INST] Welcome to Healthcare-MagicGreetings of the dayAvoiding sex after abortion is basically advised to prevent ascending infection from occurring when the product of conceptus is passing out. Sometimes there could be little amount of product of conceptus left even after surgical abortion. Because of raw area infection can easily be transmitted. Even using condom is like introducing a external object which can lead to infection. So there is no harm in waiting for a week.Take care </s>

<s>[INST] Hello,My big toe nail turns black and about every year or so it seems to rot and falls off. Always grows back and soon starts to turn black again and falls off.What can I out on it to prevent it from turning black again? No pain but something not right,Thanks very much,DAN YYYY@YYYY [/INST] Treatment for a fungal nail infection includes using medicines and possibly removing the affected nail.A combination of oral antifungal medication such as Griseofulvin and antifungal nail lacquer. These treatments are brushed onto the nail in the same way that you would apply nail polish. </s>

<s>[INST] hello dr. i am SOIKAT age 18 years and i am feeling and i am unfit becoz of following points i observed:- 1.i get tired quickly during physical work like playing cricket. 2.while making sex with my partner i cannot satisfy her and get over within 1 min. 3.i cannot concentrate in my work. 4. my weight is 70 kg for last 1 month. [/INST] hi dear,what ever you describes may be due to you have depression. but for depression to diagnose detail history and mental status examination is necessary.is there any other symptoms like sleep disturbance, appetite disturbance, easy irritability, negative thoughts, low mood, loss of interest in work etc.....for satisfaction of female you have to do foreplay to excite her first than do sex and after play for better satisfaction.for detail counselling and treatment consult psychiatrist.not to worry.there are many medication and psychotherapy which help you.Thank you </s>

<s>[INST] I am a 35 year old who underwent a mini CABG off pump using my right internal mammary as a conduit in August 2010 (had sudden cardiac damage due to a congenital right coronary anamoly). Since then, the right side of my chest feels significantly heavier then my left side and I experience intermittent episodes of right arm pain which last several hours at a time. Are these common post-surgical symptoms or should I be concerned? [/INST] Hi ThereAfter reading your medical details I would like to advise you that whenever you feel that heaviness again try to get one ECG done at that time if that ECG doesn't show any ST T changes then you need not worry. Sometimes while taking out the RIMA from the chest some part of nerves also gets affected which later on causes the symptoms that could be the reas on in your case.If there are no dynamic changes in the ECG you need not worry. For your right side discomfort you can talk with your surgeon.Good Luck </s>

<s>[INST] Hello, I just want to ask about my mom we currently live in Saudi Arabia about 4-5 months ago she had a check up about her painful arm , the doctor then requested for an xray then when the xray result came there is like a black smoky thing in the bigger bone of her arm..the doctor suggested for an MRI then the MRI result came and they said she has an unspecified benign tumors inside her bone then he scheduled her for a biopsy they took out a sample then he adviced her to go to a hospital when we went to the hospital the useless oncologist didnt actually explain us anything further with her condition he just made a medical report which he just copied from the previous report then advised her to have a radiation therapy to kill the tumors but unfortunately the private hospitals here does not have this kind of treatment so we need to go to the government hospitals since we are not allowed to go there as it is government unless we have a ROYAL DECREE letter from a Royal Office as my mom s medical sponsor. we got frustrated and we tried sending her medical records from some doctors we know and they are saying that it is malignant so we are so confused some say it is malignant but her previous doctors say its benign..please help me [/INST] It is essential to know that if the tumor in the arm is benign or malignant. If possible you need to have second opinion on the biopsy report because the reports of two doctors are controversial.Request the doctor who performed the biopsy to provide you the slide for review. Secondly you need to see a competent orthopedic surgeon to take his opinion and see if the debunking or exicion of the tumor is possible. Even if proved malignant , after debulking or excision of the tumor radiotherapy will be more successful. </s>

<s>[INST] I took omnicef 300 mg twicw a day x10 days for a sinus infection but it didnt help. every morning i cough up alot of secertions, cough through out the day. cant seem to get a good deep breath. I take clairinex every night before bed. do i need another antibiotic or just deal with it and hope it goes away. i also have been feeling really bloated ever since this has been going on. [/INST] HiThank you for asking HCMI have gone through your query. You shouldn't take antibiotics with out any prescription from a doctor. It can do more harm than good. Bloating you have is most likely due to dysbacteriosis after antibiotic therapy. For sinusitis not always antibiotics is needed. Nasal decongesants like phenylephrine or local decongesants like oxymetazoline, NSAID like nimusulide and antihistamine like cetirizine will be helpful. But in case of moderate to severe infection antibiotics can be used judiciously according to need. Omnicef is cefdinir which is quite strong antibiotic. If there is no improvement even after decongesants and antibiotics then x ray of paranasal sinus should be done and puncture and drainage of sinus will be needed in some case. Hope this may help you.Let me know if anything not clear.Thanks. </s>

<s>[INST] My almost 5 year old daughter has developed a spreading rash that looks like hickeys on the back of her legs just above her knees towards the inside. What is it and what can I do for it? I've tried hydrocortisone cream, anti fungal cream, and Benadryl. We have not changed any of our usual eating habits or hygiene habits, lotions, detergents etc. They don't itch or hurt. They keep spreading all over her legs now looking again. [/INST] Such rashes are frequently caused due to certain viral infections although fungal infection due to sweating is also quite likely. Treatment is generally supportive and consists of application of emollients and moisturisers. You can use hydrocortisone cream which is a steroid but I would not suggest its indiscriminate use without supervision of a doctor. Rather than use of anti fungal cream, I would prefer use of antifungal powders like Candid (clotrimazole) powder. Giving some antiallergic like levocetirizine can be helpful. Since they are not associated with fever or itchiness, I would not worry but please visit a doctor if the rashes get worse or associated with fever. </s>

<s>[INST] hi i found a small round lump in the front of my neck on the left hand side just above the collar bone. the doctor asked me to move my head from side to side and said its just a strain . How long does it take for the lump to disappear and should I get it checked out again if it doesnt go ? Thank you [/INST] Hi,It seems that there might be having enlarged supra clavicular lymph node producing this lump.It shows that there might be having some infection in surrounding area.nothing to worry if it is not painful or further increase in side.Gradually it will be subsided.Ok and take care. </s>

<s>[INST] Hii doctor , I had my Chest X-ray today and one observation reported in BOLD letters is " Bilateral hila are mildly congested with few calcified foci in left hilar region". Should I worry about it ? Sometimes in 2-3 days I also feel some momentary chest pain . kindly guide me through ..What should I do...? [/INST] Respected user , hiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* There are many conditions for the same as - infections - allergy - tuberculosis or other pathology * Every co relation is must with detail history and symptoms of the patient to comment in details .Hope this clears your doubt .Welcome for further queries anytime .Regards . </s>

<s>[INST] Hello..Iam 46 yrs male..i undergone CABG (4 grafts) six weeks ago..Still Iam having chest tightness aronud sternum on either sides. which causing me discomfort at the time of sleep. Iam forced to sleep only in flat position.. Rest of the things are ok..iam not diabetic. My BP is normal...I walk for 30 mts regularly...using medicines as advised by doctor...Please advice for my chest tightness....Iam 5'5"..weight 66 Kgs [/INST] Dear Sir,Don't worry. If you underwent CABG recently, you may have some pain in sternum, as they have cut it and it need time to recover. It is very individual, in some patients pain disappears quite quickly and some patients may have pain for months. Pay attention if there is no inflammation, redness or soreness in the area of the surgical cut, don't worry, pain will disappear gradually.Take careCome back if you have any further questions </s>

<s>[INST] I am having hair loss for 1 year now, my thyroid levels are normal as of July 2013. the loss is mostly on top of my head. I am using Nutriox for the pas month to no avail. I take atenolol for many years and have been taking prenatals for the past 3mos and biotin for the past 1 1/2 mos. but the loss is significant and every day oh and Im 55 yrs old [/INST] HIWell come HCMI really appreciate your concern, looking to the history is given here, I would say that you can managed the hair fall with "Minoxidl 5%" lotion if you are male person then it may be due to Male patron baldness, hope this information helps, take care and have a nice day. </s>

<s>[INST] hi i have had Pernicious anemia for many years which i have 3 monthly injections for and i take folic acid too because this is always low when having it checked. i suffer with a lot of headaches and find it hard to get to sleep and stay asleep and have a very bad memory. i have recently been told i have hypothyroidism after gonig to my doc with things like muscles aches and cold etc. i also have a high cholestrol pleaee can you tell me if these things are all linked and whats the best way to lower my cholestrol ty [/INST] HelloHypothyroidism may altered lipid profile.It is important to know exact level of LDL,cholesterol,triglyceride,HDL level.You may need few more investigations like routine hemogram,complete liver and renal function test,random blood sugar,lipid profile,urine RE/ME,ultrasound of abdomen.I suggest tablet atorvastatin 10 mg daily at night after dinner.You may need to take few more medicines after complete investigations.You should avoid fatty food.Go for brisk walk regularly and take lot of fibers in diet.Get well soon.Take CareDr.Indu Bhushan </s>

<s>[INST] Good morning Doc, hope you can help? My doctor told me that I have inherited high cholecterol from family. Recent result shown my cholesterol mmol/L 7.2 and HDL-cholesterol mmol/L 3.1 and LDL-cholesterol mmol/L 3.8, total/HDL ratio 2.3. My doctor wanting to put me on cholesterol tablet and I'm not keen, I'm 5.3 inches weight 50kg, exercise 7 days a week, walk 1.3ohrs from monday to friday, saturday I run for 2 hrs and 2hrs gym workout on sunday. I take muesli and fruits for breakfast, lunch chicken salad without dressing and small portion of rice at dinner or grill fish someday for dinner. Do you think I should change my diet to get my cholesterol down and how. As it is my diet is so control and the only think is I will have to cut my coffee in the morning. I only have a cup of coffee and 2 cups of teas a day with low fat milk and the drink 3 ltr of water every day. Can you help? Nora Thanx [/INST] Hi NoraI have read the details provided by you and I would like to tell you that Familial hypercholesterolemia usually require some cholesterol lowering drugs during the initial part of the treatment to bring down the levels. You are on a good exercise and diet schedule so need not change that. Along with that I would like to start the cholesterol lowering meds as advised by your doctor. Take them for minimum of 3 months after that check your cholesterol levels again. Hopefully this strategy will help you and once they are low u can stop the medicine and continue with your healthy lifestyle routine. wish you good health </s>

<s>[INST] I m taking Celebrex for after orthoscopic knee surgery. Generally once a year, my other knee will just swell up for no reason. It is currently doing that, but my question is, how can my knee swell up when I m on a NSAID already? And is there anything I can take in addition to the Celebrex to get the swelling down? Thank you. Vicki [/INST] This case mostly of autoimmunodeficiency ,so you need to do some lab invetigations such Rheumatoid factor, blood sugar, CBC and detect other autoimmune factors also. </s>

<s>[INST] I have been having pain in my back located under my left sholder which I can feel thourgh my chest for a few weeks. The pain is medum in the back and light through the chest. it seems to be at its worst in the am. Could this be related to heart issues? [/INST] It is more likely to be muscular than heart-related. Cardiac pain is much more associated with exertion. However, cardiac chest pain must be ruled out, especially if you are in your 40's or beyond. But if you get physical treatments to the shoulder blade, such as massage or physical therapy, that fully resolves the pain, then it would be more clearly muscular. </s>

<s>[INST] ello doctor.... Iam 21 year old male, i have some question please answer them. 1.sir , i daily have a handjob , does it effect on my future sexual with partner. 2. as i have read more on web on different websites , all says differents answer, my question is does daily handjob effect on my face or on my body, because i have pimples on face and i am weak in body. 3.does daily handjob effect on penis size, because i do handjob from about 3-4 years. 4.what are cause of pimples on face and solution on it ? please give answers as iam scared and worried... [/INST] HIWell come to HCMMasturbation is also kind of natural instinct and this does not caused any harm if done in limit with proper mental and physical care, if you have some acne or face pimple so this could be due to something else and not because of masturbation, this is totally harmless if done in descent way, take care have a nice day </s>

<s>[INST] hi, I have a problem with my hands that i think may be due to circulation. They are always cold, and always red if it is warm outside/purple if cold from fingertip to wrist. My hands sweat at an abnormal amount which may have to do with my condition. They turn normal color when i put them above my heart but as soon as I drop them back down they turn back to red/purple. I m wondering if you know what I have and how I could fix it. Thanks. [/INST] Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion you judged it right such symptoms could be due to vascular phenomenon. the condition is known as Reynaulds syndrome, and is quite common due to constriction of small vessels of the hand and foot in exposure to cold. The ways out are1 Do not let your hand get cold, use warm water, protective gloves, and be careful only you know what causes them and avoid them.2 consult a vascular surgeon and get investigated on any other cause that may be there.3 some drugs could relieve your symptoms but usually do not cure themHope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.Special note- Any medication prescribed needs to be taken after consultation with your personal doctor only. </s>

<s>[INST] Hi. My 2 yr old suddenly got a strange rash around his eyes, a bit on the cheeks near the eye. They aren't raised bumps, they're under the skin. They started out purple then after a dose of Benadryl, they seem to be more red. They're not very big, tiny, scattered not forming any pattern. He doesn't seem bothered much but he did wake up crying this morning & he's rubbing his eyes a lot...he said "eyes!!!" and whimpered a bit out of the blue. Then he was fine all day. Called the nurse who said don't worry yet, bring him in if it doesn't improve. Should I be worried? [/INST] HelloThanks for the queryThe way you are describing it appears to be allergic rash.I would suggest you to give him some antiallergic like cetrizine or hydroxyzine.Consult a dermatologist as she may need steroid in case antiallergic does not work much.Regards </s>

<s>[INST] I m 36 male who regularly uses meth intravenously. I m having lower back pain and sever testicular swelling and pain. I have looked stuff up and I have many symptoms of Epididymitis. Could this be caused by my use? Is this passable through sex? Do I need to go to the doctor? [/INST] HIWell come to HMCThis may not be because of using of narcotic drugs but such drug are not good for health because this may aggravate the symptoms and may lengthen the course of disease, here the chances of infection is very likely and this need to be ruled out, take care. </s>

<s>[INST] my sisters daughter get very hateful and mean and they put her on medication .I am no way a doctor but I do know doctors put kids on meds that I don t think they take the time to see whats really wrong1 medication is risperidone she takes in the morning and I highter dose at night 2 one is sertraline 3rd one is benzonatate 1 tab as needed [/INST] Thank you for the query.The description of the child is not complete and I believe that the doctor must have seen things (signs) which you have not. These medicines are prescribed only after complete cautiousness on the part of the doctor.If you have any doubts, it is advisable to visit another doctor and take second opinion. When in doubt always take another point of view. As per your illustration it seems you do not have faith in any doctor. And nothing can be cured if you do not have faith.How do I believe that you will believe in my answer? </s>

<s>[INST] Hello and good day....I recently 1 week now have welcomed a puppy into our home and although I know that some breeds are better for allergies I have a mixed breed but the symptoms are unbearable.....which antihistamine would be safer than others to relieve my classic symptoms and is there anything else I can do to live with my pet and not get serious future problems with my health due to antihistamines daily.Also I am confused...do I look for loratadine or desloratadine tablets...help plsRegards, linda [/INST] Thanks for your query.Brief answer: Yes,you can take any of the antihistamines(Loratadine/desloratadine/fexofenadine ) to relief your current symptoms of allergy.Detailed answer:I understand that you are very much affectionate towards your puppy.You are talented enough that you have found out the cause of your allergy. Many allergens are found in animals’ hair, saliva, urine, stool and shed skin.The best treatment for allergy is to avoid allergen or its source if possible.If your allergy is due to puppy, I would request you to keep a distance from it. Otherwise it may create other health problems like asthma in future. Antihistamine is useful to relief symptoms but long term use of a medicine is hardly rational.Hope this answers your query.Wish you good health. </s>

<s>[INST] i had sex a few days in a row. ive been on birth control for about six months now. we didnt use a condom but he didnt cum in me, there was pre cum though. i took a pregnancy test two days before my period and it came up negative fast. i'm still scared though. do you think im pregnant? [/INST] Hello dearUnderstand your concernYou forgot to mention which type of birth control. If you are on oral contraceptive pill then chance of pregnancy is nil as it is very effective.(failure rate 1-3 percent). Also there is no ejaculation inside the vagina. but chance is less as only precum inside the vagina.Pregnancy test is negative because you did very early. It will become positive 8-10 days after delayed period.You have to wait for period to come, if delayed by 8-10 days then go for home urinary pregnancy test and or blood HCG to confirm the pregnancy.If you will become pregnant then still you can terminate the pregnancy by using mifepristone plus misoprostol under the advice of gynecologist.Hope this may help youBest regardsDr. Sagar </s>

<s>[INST] I had a bad cough for over a week or two. A few times while I was laying down, I felt like something pulled undone (or just pulled) in my lower stomach area while I was coughing real hard. Then 2 days ago when I woke up, I looked down at my penis area and noticed that my scrotom was all blackish purple on the left side. Like the blood all came up to the surface. There's no serious pain, just a mild soreness all around my lower belly (especially when I cough).What could have happened? Will it go away on it's own? I don't wanna go to a doctor for something this embarrassing. [/INST] HiWelcome.I have gone through your query.It is difficult to comment on it without examination, so I would either suggest you to see doctor for examination and for exact diagnosis or upload the pictures here, I'll go through them, and provide you with specific advice.Hope this helps.Take care </s>

<s>[INST] Hi, I am a 30 year old male, married for the last one year. We got married in February 2014 and because of job, we used to stay in different locations for the first 6 months. From last September we have been staying together. My wife is a good looking, well educated, smart girl and I adore my wife a lot and take care of her really well. Unfortunately I do not feel any sexual attraction towards my wife. Frequency of sexual intercourse is as low as once in a month and in any of those sessions I had, I was never able ejaculate. Below are few facts which may help you understand my problem: I used to masturbate once/twice every day before we started staying together. Now also, I continue doing the same, but not that frequently. I am able to ejaculate whenever I masturbate. My style of masturbation is quite different than the too and fro action that happens in normal sexual intercourse. I used to watch a lot of porn earlier which I have almost stopped in recent past. I have paid for sex in the past before marriage. I feel sexually attracted towards other girls. And sometimes I feel like having sex outside, though I have not done that. I do not have any extramarital affair. My testosterone level is normal. I used to be underweight 2 years back. I have gained almost 25 Kg in the past 1.5 years. Currently I weigh 75Kg and my height in 167cm. Almost every day I wake up sleepy and unfresh. I work in branding job and my wife is a banker. Everything is great in our relationship apart from this. This issue is putting a lot of stress on us (mainly on her). She is going into depression which is hurting me a lot. I want this married life to continue really well. Please Help. [/INST] Hello,  Welcome to icliniq.com. I understand your concern, both of you need to do a few things, especially you. Try these methods and I am sure you will be able to improve. Revert back to a sexologist online after a month for follow up --> </s>

<s>[INST] I had an ectopic pregnancy at May09,2011 which my right fallopian tube was removed. When is the right time for me to get pregnant again and how can I avoid the risk of ectopic pregnancy again? [/INST] Hi! Thanks for choosing healthcaremagic.com.Post A Ectopic gestation,the outlook for future pregnancies depends on several factors, especially whether the other Fallopian tube is patent and also that side ovary is normally ovulating. As a general guide, after one ectopic pregnancy, 20 per cent of women will experience another ectopic pregnancy, 30 per cent will not become pregnant again and 50 per cent will have a successful pregnancy inside the womb. Best to start conceive is wait for a cycle or two for Hcg levels to drop completely till zero.Take care. </s>

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

<s>[INST] My allergist, at my request, approved cessation of Symbicort 80/4.5 (2 puffs, a.m.) while maintaining Montelukast (10mg, p.m.), with a retest scheduled for 30 days. On the second day of skipped dosage, I developed laryngitis; and reverted to 160/4.5 2puffs, a.m. & p.m. This is the protocol for URI, etc. I ve had no colds in over a year. Laryngitis last year (same month, at the start of cold weather). No use of rescue inhaler for about 4 years. Original symptomology was adult onset, precipitated by stress and exhaustion. Would a taper be better, once I get back to baseline? I m wondering whether the sudden stop (after 8+ years of habituation) added to this event? Will be following with my doc early next week. Any taper suggestions would be much appreciated. [/INST] hi sir/madam,Thanks for your question on Healthcare Magic.Other alternatives are:-1. Advair (fluticasone / salmeterol):-Take it daily and consistently for the best results. It is not for on-demand treatment of wheezing or asthma attacks.Rinse your mouth with water after each inhalation to avoid fungal infections of the mouth.2. Breo Ellipta (fluticasone / vilanterol):-Breo Ellipta (fluticasone / vilanterol) contains an ingredient, which may cause yeast to grow in your mouth and throat.Not appropriate for those allergic to milk since it contains milk protein.Other types of combination inhaler for COPD may work better to reduce the frequency of COPD attacks.Consult your doctor for further treatment.hope this was helpful.have a healthy day. </s>

<s>[INST] I had an injection in my right upper quadrant of my leg of a similar drug of zofran(forgot the name) for anti nausea after waking up from surgery. This was over 3 weeks ago. About 1 day post recovery I had a constant numbing sensation near the injection site about 3-5 inches wide. 3 weeks has passed and the numbness is still constant with a little tenderness (pain) when pushed on. I just noticed when I got goosebumps today and I happened to look down at my leg and saw just in that same patch of numbness there were no raised goosebumps it was smooth, but surrounding the patch was covered in goosebumps. I m concerned there might be nerve or muscle damage? [/INST] hi Hope this msg finds u in good health. i have gone through your complaints and under stand your concern. u r right. d injection needle might have injured d underlying nerve that causes pain swelling and inflammation. u can get nerve conduction studies done to find out whats wrong. nothing to worry bout. Hope your question has been answered. if u have any follow up queries, feel free to consult me anytime. thanks Take care god bless </s>

<s>[INST] Backache started when i stand up after sitting i feel pain in my lumber region area & my feet cannot stay at earth.I am a poor man plz help me. [/INST] Hi, welcome to HealthcareMagic. Low back pain could result from various causes. it is necessary to identify and rule out the cause of low back pain.consult a Orthopaedic Doctor and start spinal exercises.postural guidance during rest and work is very important. Thanks </s>

<s>[INST] Hi im in my 9th of my pregnancy.i never took any iron tablets all these days because i get vomit continously or stools with stomach pain.now my HB level is 8.3 so doctor advised me to take iron injection .so my question is will the injection darken the skin of my baby.kindly tell me will my baby gets black colour skin. [/INST] Hello dear,I understand your concern.In my opinion the iron injections will not darken the baby skin.The iron injections are given in two methods like IM and IV.IM means intramuscular-Here the injection is given into buttock muscle.And that area might get darkened.But with proper technique called 'z' technique it might be lessened.IV is intravascular- Here the iron injection is mixed in normal saline and transfused over a period of 30-45 minutes.IM or IV injections are given on alternative days and appropriate dose is calculated prior .So with IM injections the injection site area might get darkened.But never the colour of baby skin is effected.So relax and go on with the treatment. Because as you are 9 months already the dietary iron and oral iron will not be able to improve your HB by the term.Nothing to worry.Iron injections will do the work.Hope this helps.Best regards... </s>

<s>[INST] Sir, I am having a very severe pain in head from last 4 days, as the back of the head , at the right side, there is one knot. I am feeling nausea and dizziness. I have taken medicine, but no relief. Can you please give me the right treatment. With regards Sangeeta [/INST] HIWell come to HCMMost of the headaches are functional in origin and some time this could be severe if the psychological elements are more dominant, so first thing you need to do is control your thoughts, come out of stress, depression, anxiety, just relax, try to take some sleep, taking more analgesic is not advisable, if still headache is there then you can try Tab Carbamazepine 200 mg twice in day" but try to come out of this even without this, hope this information helps, take care. </s>

<s>[INST] my father died of a cardiac arrest. However, he had an abdominal aortic dissection that was detected on the last day. his intestines, gall bladder and part of the liver were removed. BP and pulse were high during the operation. later stabilised. then at 1.20 am, he had a cardiac arrest and passed away. He had no history of blood pressure, or heart disease.He first reported stomach, back n chest pain on 7th december, 2010. Also fainted and vomitted. However, doctors suspected food poisoning, colitus and later gall bladder inflammation. the actual problem was discover on 23rd Decemeber, he died later the same night.(24th december) I need to know how and why this happened [/INST] Hello, Cardiac arrest is usually the mode of death in majority of the cases. Whenever any disease becomes severe, it ultimately lead to cardiac arrest and death. In his case, it is aortic aneurysm. I don't know entire scenario here, but just considering the information you have provided, it may be possible that aneurysm might have ruptured leading to blood loss, low BP and leading to cardiac arrest. Did he has any infection or sepsis which can also cause low BP and cardiac arrest which ultimately leads to death. Hope this helps you and get back if you have any doubts. Take Care Regards Dr. Sagar Makode, Cardiologist </s>

<s>[INST] My 2 1/2 month old son has a cough, low fever, lost his voice, is congested but no runny nose. Just a mucusy clogged sounding cough and tears when he coughs. Very tired and can t sleep unless very elevated. [/INST] Hi...Thank you for consulting in Health Care magic.Cough and cold are viral 95% of the times in children. For cold (AT THIS AGE) you can use saline nasal decongestants.Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Do not use any other medicines. Not safe and not licensed at this age.Regards - Dr. Sumanth </s>

<s>[INST] face hurts badly my skin breaks out into bad pimples. or I think they are. they are very deep won't fully mature to be able to heal and my skin is puffy and red around the "pimples " I am fearing a skin infection. what can I do? I am in tears because of it. please help me [/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.This is looks like pimple.There are few home remedies that can help clear the pimple and associated infection. This are drink as much water as you can. Avoid exposure of the sun direct to the pimple skin.In addition to it antibiotics like Doxycycline 100 mg two times a day pantoprazole two tines a day can cure the pimple and associated infection.Please wash the face daily four to five times a day. This will clear the bacterial load from the skin and so infection associated with it.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM </s>

<s>[INST] Hello doctor, I am a 26 year old male, who weighs 60 kg and I am 5.8 feet tall. I am facing problems like bleeding gum, bad breath, and also my gums are getting separated from the teeth. What should I do? My gums bleed on brushing, so I tried using lemon for it. [/INST] Hello. The problems you are suffering from are common among people, but you need to know the reason behind it. For more information consult a dentist online --> </s>

<s>[INST] Last night my husband was able to get an erection but not ejaculate. After we gave up trying, his heart rate was racing and ever-so- slightly uneven. His dad died of a heart attack at only 46, so I'm worried. This is the first time this has happened. My husband is slightly overweight but he's otherwise quite fit (we have 4 kids to chase after) even though he doesn't have time to take regular exercise. Any ideas? [/INST] Hello, Please do not say that your husband does not have enough time for exercise. He has to make sure that he gets time for exercises. Exercises as important as breathing and food and sleeping. Secondly, regarding hear related issues, you can consult a doctor and get your husband tested. With the given information, when a person is exhausted after sex (it is also an exercise) racing heart is common. I don't think you have read too much into it. Here, you are already suspicious about heart problem and you have a hereditary condition get your husband checked for confirmation. 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 have had numerous stents and lithotripsies for my kidney stones, all on the left side. I had my last stent removed in January and I still have a stone yet to pass. I have had moderate to severe pain, the exact same as when a stone is trying to make its way out. My Urologist has done urine and ultrasounds and says he sees nothing that should be causing me pain. I am really in a lot of pain. Should I get a second opinion? Or go by what he is saying? I am almost at the point where I sometimes need to go to the ER again. [/INST] Helloif u r having constant pain n ultrasound dont show anything u should get a test named INTRA VENOUS PYELOGRAPHY and XRAY KUB REGION </s>

<s>[INST] hello, So here s my issue. I m 23 with a complextion a few shades ligher than dark skin black..most call it light skinned or red skinned. All my life since a teen I ve been getting this terrible acne on my face everywhere... now this acne is viscous usually start off as bumps under the surface and as they progress they get harder and more painful until the white head comes to the surface until it pops on its own or i pop it usually secreting this yellowish whiteish substance like string cheese mixed with a little blood, usually popping the substance isnt enough and the bump stays and hyper pigmentates leaving dark spots all over my face. sometimes these bumps cluster, sometimes they re random. Problem areas being jaw line, right under eyes, creases of nose, cheek and seldomly forehead . I don t have much facial hair , (just small mustache and chin beard) none on my jaw really. I take vitamins , i use noncomogenic scrubs and washes daily, also using pure honey as a mask afterwards multiple times a week. I ve tried tons of products to get rid of the ance, sometimes it seems something is working and after a little time passes it seems like the patch of severity moves. last winter-spring most of the acne was under my eyes on my cheeks not really on my jaw, now its mostly on my jawline. I dont really get this acne anywhere else on my body. I quit smoking a month ago from being a pack a day smoker, cold turkey. Since then I ve also changed my diet to more pastas and veggies, although every now and then i have a soda. I drink about a gallon a day in water due to my sport activities. i can send pictures. Im just trying to see if theres an over the counter remedy for this type of acne. If not what type do you think it is so i can see a dermatologist. This doesn t seem like normal acne which is what i have been believing for a while now. it seems like i wake up with a new bump every day/ bumps form during the day. Thanks [/INST] Hi, your descriptions seems interesting and i think you should consult a dermatologist for it as oral isotretinoin would be a great choice for you but it is not available over the counter in your territory probably so consult someone start this magical drug and you would be looking great in 3 months. take care </s>

<s>[INST] My brother have pain in whole back with little bit pain in legs also he has heavy pain in left side as compare to right side.he is can t able to sit and lying.. What is the problem and how to diagnosis.the x-ray report is showing back is in good condition [/INST] HelloYour brother need proper clinical evaluation and investigations.Pain may be due to many reasons like visceral pathology,disc prolapse,arthritis,hypocalcemia etc.Investigations include routine hemogram,random blood sugar,liver function test,renal function test,urine RE/ME,serum calcium level,MRI L/S spine.MRI can exclude disc prolapse which may the reason for pain.He also need proper evaluation for arthritis.Proper treatment depend upon findings.Take CareDr.Indu Bhushan </s>

<s>[INST] I am in extreme pain in my lower right molar (the molar that is the farthest back). I noticed a little swelling in the gums in that area so I went to the ER in the middle of the night, as the pain was unbearable. The ER doctor prescribed me oxycodone and clendamycin. I just started taking these medications today, but the pain remains very intense. When will the clendamycin start having some positive effect? [/INST] thanks for your query, i have gone through your query. the pain and swelling could be because of the gum infection around your wisdom tooth it is called pericoronitis. you can take penicillin with metronidazole is more effective than clindamycin and clindamycine costly. the permanent solution for your problem is you need to get the overgrown gums around the tooth removed or the tooth. if there is no sufficient space for the tooth to erupt, then it has to go for extraction. do saline gargling. i hope my answer will help you. take care. </s>

<s>[INST] I have pain in the left pelvic joint, radiating pain numbness in the left leg for about 2 weeks now. What is the remedy? [/INST] According to ayurveda its due to raktagat-vatta dosha.Take BALA-tailam internally,also apply externally,kaishore guggule 2tabs thrice a day with warm water/milk.This information is just a protocall,original treatment may differ if the "samprapti' is differant. </s>

<s>[INST] Hi im of normal complex, i do have dark circles under eyes and on eye lids im just 23 years and i do use contact lenses due to eye power problem , sleep well for nearly 9 hrs and also work on system so every day i have to look at the PC for nearly 9 hrs a day. Please advise me [/INST] Hi, If you are under nourished and having anemia you can develop under eye circles. You go for your hemoglobin estimation for anemia and if it is found then you should go for treatment. Take nourishing food,milk,dry fruits,green vegetables and salads,take multi vitamin supplements and mineral suppliments. </s>

<s>[INST] My left side is swollen, lumpy, and numb just above my waist. Sharp pain on my left side when I lay on my right side. Back is very sore across my waist. This has been getting worse for about three days. No injuries or stressful activities preceding this. [/INST] Hello,Welcome to the magical world of health care, I went through your query, and feel numbness and swelling in the area you are telling usually in the abdomen, and a USG is usually done to see any abdominal pathology. consulting a General surgeon will help I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.I hope a 5 star rating if you feel guided in your treatment,Thanks </s>

<s>[INST] My 16 month old boy started vomiting and diarrhea on Saturday. Vomiting stopped on Sunday, but diarrhea has not. It is mucusy and foul smelling. He does not have a fever now, but did at the beginning. Today, he is getting red spots around his belly button and they are spreading up to his chest. He had his 15 month wellness checkup on Monday and dr wasn t concerned. I am starting to get concerned now that the spots started. Ideas? Not eating and drinking very well at times through this. [/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 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).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 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).Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., </s>

<s>[INST] hi i am kavitha,i am planning for a baby for the past 4 months.but it didnt click.i had check up with doctor .there is no problem in my utrus and my body same for my husband also good health.i dont know what is wrong with me. i want to know any procedure to follow while doing intercourse ......pls help me .... somebody is saying after intercourse should not wash vaginal area like that ....is it right. pls tell me ... today for me 2 nd day of my period...for me 30 days cycle regular..... thanks in advance [/INST] First relax while performing the act U may use a pillow below ur buttocks if semen flows out Have ovulation study done and perform intercourse accordingly Happy Parenting Soon </s>

<s>[INST] Hello doctor, For the past three weeks, I have been feeling a strange sensation which seems to be a form of vertigo. When walking, it feels as if the ground is bouncing or rocking (as if on a boat). I seem to not have this sensation right away after waking. However, after an hour or so, it comes back. I have also experienced what may be migraine aura symptoms (seeing black spots occasionally) which is sometimes also accompanied by a headache or head pressure or fullness. This bouncing or rocking sensation is really starting to worry me. I am not sure if it is due to an inner ear issue or neurological. I have started taking Meclizine and Ibuprofen which do not seem to help entirely. If possible, please advise on some potential causes, I would greatly appreciate it. [/INST] Hello. I have gone carefully through your question and would explain that your symptoms could be related to an inner ear disorder. Anyway as your symptoms are not improved by Meclizine, I would recommend consulting with a neurologist and performing a brain MRI study. It is also important checking thyroid hormone levels for thyroid dysfunction. </s>

<s>[INST] Hello doctor, Actually, I get my periods once in 40 days for one month and within 28 days the other month. It is continuing for a long time. Previously, I had one miscarriage and vaginal infection. Currently, I am on Folinal. Please help. [/INST] Hello. Periods can be irregular. It can be normal. When periods are irregular than there could be two problems. One is difficulty in getting pregnant. And second is more bleeding and the variance cyst. Do FSH (follicle-stimulating hormone), LH (lutenizing hormone), Prolactin level, estrogen, progesterone, serum TSH (thyroid-stimulating hormone), andone ultrasound scan. All these investigations to find out anything abnormal. If anything found then treatment can be given. Or you may require treatment if you want to conceive. If everything found normal and you also do not want to conceive now then there is no need to take any treatment now. Do drink more water. You can elaborate on other problems if you have. </s>

<s>[INST] My father had bypass surgery on December 10th, he was discharged on the 16th. He has chest pains on the right side of his chest when he coughs and sometimes when he walks or uses his right hand for chores (e.g washing his dishes). The pain lasts for a few minutes and then goes away. Is this something I should be concerned about? [/INST] Hello! Thank you for asking on HCM!Regarding your concern, I would explain that your father's pain doesn't seem to be of ischemic cardiac origin. So relax! Nevertheless, I would recommend a medical check up to differentiate the cause of his complains. A careful physical exam, resting ECG, chest X ray study, complete blood count, PCR, AST & ALT, bilirubin, abdominal ultrasound, even cardiac ultrasound, etc are necessary for a comprehensive differential diagnosis. Possible causes like, pleural or pericardial inflammation, backbone discs degeneration, herpes Zoster, gallbladder calculus, thoracic wall structure involvements (intercostal muscle & costochondral joints implications, etc), should be taken into consideration. Meanwhile, a painkiller drug would be helpful to relieve the pain.Hope to have been helpful! Greetings! Dr. Iliri </s>

<s>[INST] my son 19 years old diagnosed with typhoid with s typhi "O) +ve 1:160 dil , s typhi "H" +ve 1:160 , S.P.Typ: "AH" negative 1:20 dil and S.P.typ: 1:20 dil "BH" neg today: has been advised to have zenflox plus(OFLOXACIN and CEFIXINE) , PAININ( ACECLOSENAC), PAN D and a to z ( vitamin) and Unienzme . kindly advise re diet and precautions . vegetarian diet . thanks and regards [/INST] Hi, Thanks for posting in HCM. I understand your concern. Diet needs a close attention while treating typhoid fever as it may relapse, if not taken care of. Generally during fever, a bland diet, which is smooth and soothing, is preferred. Care should be taken while cooking food and also choosing foods that are easy to digest. Fluids in the form of tender coconut water, barley water, electrolyte fortified water, fresh fruit juice, vegetable soup, buttermilk and water can be given. Begin with semi-solid diet for a few days and then gradually include fruits like bananas, watermelons, grapes and peaches. As the appetite gets better, semi-solid to solid foods can be given. Boiled rice, baked potato, baked apple, yoghurt, vegetable soup can be given.Gradually, by 3 to 4 weeks, normal diet can be restored.The following foods to be avoided:1. High fibre foods like whole grain cereals and their products like oatmeal, whole wheat bread and raw vegetables in the form of salads2. Vegetables like cabbage, capsicum and turnip as these can cause bloating and gas.3. Oily foods, spices and seasoning like pepper, cayenne and chilli powder to prevent aggravation of inflammation of digestive tract. Hope the information provided would be helpful. All the best. </s>

<s>[INST] i am a 17 year old male who is experiencing back pain and it took a diffrennt turn where i started to feel needle like pains in my back it goes and comes like when i get up from sitting and bend to take something up it the needle like pain occurs . i need help to know what to do and who to speak to [/INST] welcome to Health care magic.1.This kind of pain is see in the nerve irritation, but for your age i don't think there is much to worry about.2.There might be some trauma which you have not noticed.3.Get an appointment with your GP and get a Lumbar spine AP/LAT x-ray, to see if there is any gross pathology ( bone pathology - alignment )4.Make sure that there is no underlying systemic diseases. 5.Do simple back exercise on daily basis, and flat bed to lie. which should help you.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. </s>

<s>[INST] I have psoriasis on my hand i use diprobase but it doe not stop them itching is there anything i can use in conjuction with the cream [/INST] Hi!, Welcome To HealthcareMagic forum, There are lot of options for psoriasis of hands..there are good oral tablets like methotrexate ,cylcosporin etc ,creams containing steroids ,tazoretein ,calcipotriol etc...moisturizers etc..We also give phototherapy for psoriasis if needed.So you need to consult a good dermatologist as the treatment is slightly chronic and needs good follow up. take care, Dr.chawda </s>

<s>[INST] Is there any alternative for cellcept, my husband on cellcept for 8yrs post kidney transplant, just has colonoscopy and endoscope with result showing of 2-ucler which is the result of the drug as per pathology .The GI doc recommending cellecpt to change.please help. [/INST] **1. since he is a transplant candidate, thus check with your attending doctor regarding the change of medicine suggested by GI doctor [ mycophenolate mofetil-associated injury of the upper GI tract] who is in better position to make amendments in line with his kidney status. </s>

<s>[INST] severe pain in my left ankle after slight brush of a curb. took acupuncture and when the needle was placed in position I moved my ankle slightly and the pain was intense. After that I notices that the pain grew worse and sharp. Now it constant and unbearable. What is happening; or has happened? [/INST] Hello, I think the nerve is irritated with the needle and the post this the movement. You have to take TENS therapy along with ultrasound therapy for reducing pain and inflammation of the irritated nerve. Having a physiotherapist help will be good for this. 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! Last June, I had my back lower-right wisdom tooth removed due to being impacted and becoming infected. Now, it has been noticed that my right tonsil is considerably larger than my left, and it has been suggested to me that I get both of them removed. However, I have not been having tonsilitis, nor does my tonsil hurt. Could there be a connection between the wisdom tooth removal, and the enlarged size of my tonsil? [/INST] hellooo...read through ur query and in my opinion i feel that if at all any relation between the wisdom tooth and tonsil had then the enlargement should have happened that time itself...and i feel that after so long without any previous history i think that this enlargement has no relatiin with wisdom tooth removal...and more if u want to see u have to meet an oral surgeon and find out how the socket is now clinically and exclude the relation of wisdom tooth and tonsil.....and i feel that if u dont have problem with tonsil now take another ent surgeons opinion and then go for removal...(just a suggestion)..be cool as from dental side i feel no relation..hope ur benefitted something from this reply..have a healthy day!!! </s>

<s>[INST] i had urine problem..i went for ultrasound 1 year ago and report came as ,left kidney-is normal in size 10.1cm and outline.cortical thickness and echogenicity are normal.cmd is maintained.mild pelvicalyceal system prominence is seen..no calculus is seen..same for right kidney only size differs i.e is 10.5cm. now i had ultrasound yesterday and it says everything is normal execpt,,there is mild prominence in renal pelvis..ap dimensions of renal pelvis is 25mm.i am worried about the dimensions of renal pelvis.what should i do.i had this problem from 1 year can it cause scarring in kidneys.i had no protein or wbc in urine.my doctor did t say anything.plzz reply i m very much worried.what is my future?? [/INST] Hi, Thanks for writing in. The size of the renal pelvis is almost normal and not something you should be unduly worried about. We however would need to know the case of the dilation. A CT scan of the kidneys and the bladder would be a step in the right direction. Once we know the cause of the dilation, we will know whether it causes scarring or not. Scarring is a complication of untreated hydronephrosis and it is unlikely that you are down this path. Please see a urologist who can help you identify the nature of the obstruction. Regards </s>

<s>[INST] My 22 year old son has a puffy bottom lip. as far as we know he has no allergies. I gave him a couple benadriyl. do you have any idea what might be causing it. this is the second time this has happened. as far as he knows he didn t eat anything different today [/INST] HI THANKS FOR POSTING YOUR QUERY ON HEALTH CARE MAGIC.ISOLATED LOWER LIP SWELLINGS CAN ARISE IN CONDITIONS WITH INFECTION OF ORAL CAVITY LIKE CARIES TOOTH,SORE THROAT ,EAR INFECTIONS ETC.ANOTHER RARE BUT MOST IMPORTANT CONDITION THAT HAS TO BE RULED OUT IS HEREDITARY ANGIONEUROTIC EDEMA,.SERUM LEVELS OF C 1 ESTERASE TESTING LEVELS WILL HELP.TREATMENT INCLUDES CORTICOSTEROIDS,ANTIHISTAMINICS,ANTI ALLERGICS LIKE MONTELEUKAST.CONSULT YOUR DOCTOR FOR FURTHER QUERIES.THANK YOU.TAKE CARE. </s>

<s>[INST] Son aged 8 years is having white spots on his legs, knee, back my son aged 8 years is having white spots on his legs,knee,back, I have consulted skin specialists, they have diagnosed this disease as vitiligo. They have prescribed flutivate ointment & Tacrolimus ointment.But the effect is a bit slow.Pl. let me know how much time it takes for these spots to vanish or there is some other line of treatment that we can undergo. [/INST] hi; htere is limited treatment available for vitiligo as it is auto-immune disease ;it comes by itself please continue the treatment.keep him stress free & healthy ;he should improve evenif the effect is soww if it is positive continue the same. thanks </s>

<s>[INST] On Tuesday of last week, my 10 month old son threw up a lot - no fever - he s had diarrhea ever since. This morning he finally woke up at 8am; he went to bed the night before at 6pm, his normal time. He was awake for one hour, had a 6 ounce bottle which he kept down and no diarrhea, but wet diaper . He was incredibly lethargic, really listless and fussy, just wanted to be held and cuddled. Once again, no fever. What do you think I should be doing? [/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 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).Regards - Dr. Sumanth </s>

<s>[INST] Hello doctor,I am a 28 year old male. I have a dull pain in my right testicle leading to my abdomen. I believe it started when I lifted something heavy. At the moment, it is a dull pain but, if I feel it, then it is worse. I am currently out of my home country on work and do not want to go to a local hospital as I am concerned about the hospitals here. If you could advise, I would be grateful. [/INST] Hello. I understand your concern regarding a pain in the right testicle after lifting a heavy object. Avoid lifting heavy things for now. Best wishes. For more information consult a general practitioner online --> </s>

<s>[INST] Hello doctor, We are trying from past two years for a baby. I am facing an ED problem, and I am advised to take Penegra 50mg tablet. I also, have vitamin D deficiency and taking Eficent plus tablets. And taking Paternia tablets, for less sperm count. I have teratozoospermia. Kindly advice as we are planning for the second baby. [/INST] Hello. Please share your semen analysis report as that would help evaluate your teratozoospermia and the degree of it. Unless teratozoospermia is treated the chances of pregnancy are limited. </s>

<s>[INST] hello I am 28 years old and pregnant for the sixth time (one abortion 3 years ago, and 4 living children). I am experiencing cramping in the lower abdomen and lower back and even bleeding with passing of clots. What should I do. I have been to the hospital twice for this issue. The first time I was told baby was not doing good and to come back when I came back they said everything was good. I did not experience back pain the first time but now I am. [/INST] Hello dear,I understand your concern.In my opinion the pain abdomen with bleeding with or without backache first gives a suspicion of miscarriage.But as the ultrasound is normal it doesn't go in favour of miscarriage.So need not worry because there might be some other cause for bleeding like:-1)Hormonal abnormalities like thyroid abnormalities,progesterone insufficiency.2)Bleeding from cervix etc.So the above causes should be ruled out by getting done thyroid profile and other necessary investigations if needed.Avoid physical stress and intercourse.Take prenatals and progesterone hormone supplements.Don't worry as many cases which present with bleeding in pregnancy continue till term and also have good outcome.So relax.Take iron rich diet and supplements to combat anaemia caused due to bleeding.Hope this helps.Best regards... </s>

<s>[INST] my son has temperature of 38.4 degrees,woke late this morning complaining of stomach pain and discovered he had a fever.I gave him homeopathic remedy belladonna and hour later gave him 7.5mls of calpol.How long should it take for his temp to come down?Thanks [/INST] HIThank for asking to HCMI really appreciate your concern for your son Acetaminophen is the right drug (calpol) for fever and other system of medicine wont work here and not advisable to treat simultaneously with both the system of medicine, underlying cause of fever need to be found out, usually antipyretic takes half an hour to bring down the temperature if given with right calculated dose, take care and have a nice day. </s>

<s>[INST] Last night while taking a bath, I got chills,shaking, fever, short of breath and dizzy,body aching, my head felt like it was going to explode. My husband took my temp it was 102.9, this lasted for about 30 min, took a Bayer asprin and everything seem to be ok. I am a 37 yr old Afro American female, and I keep headaches.Any ideas what was going on [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. Sudden onset breathlessness, fever, chills, headache etc are seen commonly with heart diseases like hypertension, acute heart failure, pulmonary embolism etc. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. Ecg 3. 2d echo 4. Stress test 5. CT pulmonary angiography. If all these are normal then no need to worry for heart related diseases for your symptoms. Sometimes, simple viral fever can also cause similar symptoms. So drink plenty of fluids orally and keep your self hydrated. Do warm water gargles 5-6 times a day. Take antihistamine and anti inflammatory drugs. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] Hi,I Had The Implant Inserted 6 Weeks Ago After A Termination,Due To The Termination I Bled For 2 Weeks Then Not Had Nothin Since,This May Be Due To My Implant But My Implant Is Badly Infected/Allergic Reaction And I Have Recently Started To Experience Some Pregnancy Symptoms,Could You Tell Me If I Could Of Concieved Within The Last 6 Weeks Of Having My Implant Inserted As I Am Approzimatley 12 Days Late...Thank You. [/INST] chances of pregnancy after implant is very very less. this delay in periods is because of implant only. still if you have doubts go for upt test. </s>

<s>[INST] Hi, I am Aman (Male) from Kabul Afghanistan. I am very happy from you that u help us to be healthy and hopefully advice us in positive side, actually when I was 17 years old I was introduced with some ladies which they want my love every day then I was also young on that time every day we did the sexy love with them, it continues till now which I am 25 years old, but now I am feeling some weakness and pain in my waist just now I am requesting you Kind Doctors to guide me some medicine or some others to stop this. And how to come back like first time or how I can be strong because I have lose lots of energy from my waist. Just I am waiting to hear from you soon. Thanks. [/INST] Hi,Excessive indulgence in sexual activity can lead to weakness and fatigue. I would advise you to less indulge into such an activity, reduce its frequency to 2-3 times/ week. In my opinion you should take healthy diet consisting all the nutritional supplements, fresh fruits and vegetables, egg, fish and meat if you are non vegetarian.You should go for exercise regularly which will help you in regaining your strength and stamina. I would advise you to take multivitamin and vitamin E and B12 supplements. Hope this answers your question. Please feel free to ask for follow up question and I will gladly answer you.Best wishes,Dr. B R Hudda </s>

<s>[INST] Hello yesterday suddenly i get hurt in my back while trying to stand from my sitting position on floor. now the pain is so bad that i cant stand or sit properly. this is not the 1st and previously it happened few times. i took clophenak supository (spell can b wrong) n still nt cured. should i meet any doctor? please advise what need to do now. im 27 woman. thanx [/INST] Try a muscle relaxant like Tab Osteoflam MR along with local anti soothing ointments like Sensur after hot fomentation. you should be relieved, need to see a orthopaedic surgeon </s>

<s>[INST] Hi doctor, I have been suffering from the derealization symptoms for the past 5 years. I believe they were caused by B12 shots I was taking to treat autism. After my brain scan I got to know that my inhibition was too high. I do not find any safety net to keep my mind from deconstructing things. A part of me have a dislike for anything involving neuroplasticity. There are too much dichromatic thinking and lack of magical thinking. Currently, I am on Adderall and Prozac. [/INST] Hi. I read your query and understand your concerns. I am sorry to know that you are suffering with multiple problems related to thinking and inhibition. Before saying anything I must assure you that vitamin B12 is not known to cause any of the mentioned symptoms and we need to find out the alternative reason for causation of these symptoms. They can be due to autism itself or may be due to other psychopathology that has been arising due to autism. It is also possible that you are excessively sensitive to minor changes in thinking process. Before we make final decision, I would request you to post follow up query with the following details. I will be glad to assist you in recovering from all kind of problems related to mental health. Revert back with the information requested above to a neurologist online --> </s>

<s>[INST] About 2 months ago I had severe chest pains with shortness of breath, sweating, slight pain in my left wrist, and shortness of breath. We went to the emergency room and the EKG and blood work were all fine. My BP was 120/80 with a heart rate of 70-80 bpm. I still have the same episodes, sometimes daily or multiple times a day. The feeling in my chest is similar to when you swallow something too big or if I had a gas bubble. Some times I do get burpy right after. I rarely have episodes during the day, they are more frequent in the evening about 2 hours after dinner. We have a blood pressure cuff at home. My normal daily average is 117/80 with a heart rate of 72. Yesterday we measured my BP when I was having a rather painful episode and my BP was 141/84 and my pulse was 64. [/INST] It would be ideal for you to consult a pulmonologist. As symptoms could be related to your lungs as your cardiac workup as mentioned by you is normal. </s>

<s>[INST] My period ended may 8 but was a tad bit spotting i had unprotected sex 2 times,where he released inside me in fact just yesterday in which we just used the pull out method now im cramping a little feels like my period is trying to come on again my stomach is making all types of noises is there a possibility of pregnancy im very anxious to know.... [/INST] Hallow Dear, Immediately on the next day of the unprotected sex, pregnancy will have no symptoms what-so-ever even if the conception has occured. So you cannot attribute your cramping tom pregnancy. Pull out method is not a reliable and safe method of contraception. Before ejaculation of the sperms, pre-seminal secretions (precum) are deposited in the vagina unknowingly. Precum does contain some sperms which can impregnate the woman. The earliest test you can perform for detection of pregnancy is Beta hCG test on your blood. This test gives reliable results 10 days after the last unprotected intercourse. Values more than 25 mIU/ml are diagnostic of pregnancy while in nonpregnant state, the values remain under 5 mIU/ml. Alternatively, you may wait for the menses to appear. If you get your menses, you are not pregnant. If you miss periods, perform pregnancy test on the overnight morning first urine sample a week after the missed period; earlier these tests may report false negative. I hope this helps you today. Dr. Nishikant Shrotri </s>

<s>[INST] hi,i am shilpi jaiswal,age 42 years,weight 92 kg.height5.6inch.female.suffering from ,thyroid,since 14 years,also have blood pressure,having medicine,under control.on15 april i had gall bladder removal (stones)leproscopic operation successfully.since 20 march 2011,i am having vertigo(bppv)feeling dizziness ,after a day or two.having elotrxin for thyroid.kindly suggest for proper remedy for vertigo.for vertigo i had vertin 16 for some days. [/INST] Hi,Usual treatment options are medicines, physical manoeuvres and lastly if not responding surgery. Usually Vertin is given. Also various manoeuvres are done which will be ENT specialist in a clinic. Also various home based manoeuvres like the Brandt-Daroff exercises, a modified Epley maneuver, and the modified Semont maneuver are there which you can get from internet.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode </s>

<s>[INST] My husband has been suffering from a 4mm kidney stone for 5 days. We have had two trips to the ER for s total of 20 hours. He is in severe pain most of the time, even with prescribed pain killers. He just started peeing black specs. Does thismean the stone is close to passing? At what point do we demand it be surgically removed? He has barely eaten in 5 days and is very week. He can't work and is miserable. He us drinking LOTS! [/INST] Hi, it appears that the kidney stone has come near to the urethral opening. As it is a stone of 4 mm, only it may come out automatically. Hi may need to have analgesics for controle of pain, then he wont have the contractin of urethra and there is possibility of the expulsion. so i advise you to consult a urologist for diagnosis and treatment. Surgery may not be necessory. Thank you. </s>

<s>[INST] Hi, on the 7th July 2008, during labour, my womb severley ruptured, resulting in the still birth of my second son. My first son was 10lb 9oz and my son who was still born weighed 10lb 10oz. The surgeon amazingly managed to save my womb. They said I may possibly be able to one more child. I obviously grow my babies big, with being over 10lb. I am now wanting to try again for another baby. Are there any risks to me? What are the chances of me conceiving with my womb being repaired from a severe rupture (it ripped top to bottom and left to right, so i have a large cross shape of scar tissue). I hope you can offer some guidance. [/INST] The delivery is possible in such cases and once you are near term , you are advised to go for elective c-section to be on the safer side. </s>

<s>[INST] hello doctor, my child is 4 years old, suffering from cold and cough since 15 days 10 days back i took him to peadritican he diagnosed him ear infection as he also complained of ear pain and prescribed him amoxycillin culvunate and candid O ear drops along with ibugesic and syrup advent , after he finished his full course his ear pain disappeared but he had still cough and cold , i continued the advent vsyrup but his cough didnt subside and today he vommited and has fever of 100 degree, i gave himn ibugesic 7.5ml plz advise me which medicine shld i give and does he need antibiotic, if yes plz advise which one . [/INST] Hi...Thank you for consulting in Health Care magic. Greetings from Chennai.15 days of cough going on in this season could be an indication that it could be wheezing.By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does he cough or feel breathless?2. How many nights per month does his sleep get disturbed due to above symptoms?3. Does he feel breathless when he runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever?Please revert back to me with answers so that I can guide you better.You can approach me at the following link.Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.Please find the link below -www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696Regards - Dr. Sumanth </s>

<s>[INST] hi, i have lower back pain, my feet are tingly, sometimes i cant feel them, i am only 30, but feel like old lady, i cant normally walk with my kids.....i was to my gp, he give me exercises and strong pain killers, but pain killers not fix the problem....i have this problem nearly 5 years, and it is going worse...i am very active - running, aerobic, salsa dancing, but back is stil in pain..... [/INST] Hi, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You need to done MRI to rule out other causes.Back exercises, neurotropics such as mecobalamine and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised, if it is low than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily.You can discuss with your treating Doctor about it. I do hope that you have found something helpful and I will be glad to answer any further query. Take care. </s>

<s>[INST] Hello, Im writing from Latvia. My friends father has a pancreatic cancer in IV stage. The doctor told him, that the last hope and chance that could help is Cannabis or Hash oil. I would like to know is it possible to get ir from India? Or maybe there is a possibility to go to You country and treat him there? Please help us..it is realy our last hope.. [/INST] Hi,Thanks for writing in.Pancreatic cancer is one of the most feared diseases and gives no time to the patient for survival. Almost every patient of pancreatic cancer will survive for months or few years at most unless it is detected at early stage and resectable.Cannabis is being studied in the treatment of pancreatic cancer since the last decade. This has been with some positive reports in some patients. However a lot of research is still to be done on the topic to say with conformation that cannabis oil is a certain cure for pancreatic cancer.Cannabis is a banned substance in India and procuring it is not easy. Even after procuring it the quality and purity might not be good enough for medical use. I suggest your friend gets medical grade cannabis with a prescription if possible and go ahead with treatment. </s>

<s>[INST] I have hep-c. I have been taking different medicines for systemic yeast . I was taking nystatin for about 1 week (stopped taking nystatin) and starting itching really bad on elbows, knees, sides of thighs, back of right calf . They are like red welts, itch so bad (had to get cream for it), and rubbed them on the outside of clothing, then that made them bruise . When I stopped taking the nystatin, doc gave me itraconazole now, but I m still having the same symptoms. Before all this started with the white stuff on my tongue and my throat and sinuses giving me gagging problems (which I feeling my tongue has always been swollen, also), I always had like swollen, fluid like pocket just below my inner part of both knees. Now they called me after 3-1/2 weeks that I don t have the yeast ( candida ), but I called a few days later after they did the tongue culture and they said I had oral candidios. So what would cause the white stuff on my tongue and why do I have swelling and the welts [/INST] IT IS FUNGAL INFECTION AND IS COMMON IN THE CONDITIONS DESCRIBED EVEN FUNGI CAN CAUSE ALLERGIES AND IT IS LOCAL REACTION YOU CAN USE ANTIFUNGAL COURSE FOR 2-3 MONTHS APPLY ANTIFUNGAL LOCAL TOPICAL OINTMENTS IN AREA ADD ANTIALLERGIC TAB ALLEGRA 120 MGM DAILY O THE COURSE TILL IT GO AWAY </s>

<s>[INST] BEFOR THREE YEARS I GOT INJURED BY THREE PERSON BY BEAT ME IN BACK SIDE AFTER SECOND DAY AFTER TAKING ANY FOODS I VOMET AFTER 1 HOURS WITH KHATTA PIT AND I TREATMENT IN KM HOSPITAL & OGD SCOPY I HAVE DONE BUT THERE IS NO PROBLEM IN REPORT I AFTER TAKING MEDICIAN NO RESPONS DAILY WE GOT VOMETING & I TREATMENT MR. N H BANKA THEY GIVING ME SPASARIL & OTHER MEDICIAN BUT NO RESPONSE THEN I TAKEN PENDIT 800 I THOUGHT THAT I HAVE INJURED SO I TAKEN PENDIT 800 THEN I GOT SOME RELIFE CAN U SUGGEST ME MY E MAIL YYYY@YYYY I CAN SEND MONEY BY POST PLEASE GIVE ADDRESS IN MY EMAIL [/INST] Hello, Thanks for writing to us, I have studied your case with diligence.Internal injury may be in oesophagus or diaphragm.Further investigation like CT scan and Ultrasonography can be done.You need to take muscle relaxant and analgesics.Physiotherapy like USG,TENS will help in early recovery.Till time take rest ,avoid lifting weight.Hot fomentation will help in reducing 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, may I answer your health queries r. I have been getting hives for the las 5 years. They cover my whole body at times and my face swells. I have been to an allergist and nothing seems to help except predinsone. I am now having pain in my ankles and it is very frustrating. Do u have any recmendations? I need help please. [/INST] Hello,Thank you for asking at HCM.I went through your history and would like to know more about your hives and swelling as follows:a. Do they last for more than 24 hours or less? b. Do you have any other allergies, like food, rhinitis, asthma, etc? c. Do you have any other medical conditions? d. Do you need to take any medications regularly/frequently?Above information would help me to understand your complaints better.At present, from your given history, I would make suggestions for you as follows:1. I usually suggest such my patients cetirizine in morning and hydroxyzine in evening. As you have complaints for last 5 years, I would suggest to take them regularly for at least a month.2. I also suggest my patients to avoid too spicy/too hot foods/fluids.3. Please do not scratch the itchy area as it can worsen itching. I would suggest you to apply a lotion like calamine or a moisturizer over itchy areas.4. I would also suggest you investigations like complete blood counts, ESR, CRP, SGPT, serum proteins, thyroid function tests, ANA, urine and stool examination, etc. This may help me for diagnosis.5. If stress is a significant factor for you, I would also suggest you stress-reduction measures like relaxation, meditation, etc.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards. </s>

<s>[INST] Hi, i went through afollicle study last month and the follicles were normal and 20mm follicle got ruptured on day 15...but i did not concieve....i am again undergoing a follicle study..today is day 13 and follicle in left ovary is 19.3mm....i also got a PCT done this morning and result was normal per the gynae...however,she asked me tp take HCG 5000....how would this help? [/INST] Hi, thanks for writing..HCG helps in rupture of the ovum.. Rupture will take place in 36 hrs after the injection.. This is the time you should have intercourse or get an IUI done.. In the post ovulatory phse take progesterone for 10 days for luteal phase support.. HCG has two roles. One is ovulation and second is to support the pregnancy.. Hope I have answered your query.. Good day.. </s>

<s>[INST] I was diagnosed with kidney stones last year and today i am suffering pains from lower back, groin and sides on my belly. The result of urinalysis:Color: light yellow pH: 7 S.G : 1.010 WBC: 0-1 /HPF RBS: 0-1/HPF epithelial cells: occasional Crystal: amorphous urates/phosphate : Occasional Bacteria: occasional Mucus threads : occasional [/INST] Hi,Thanks for writing in.Having a kidney stone causing obstruction to flow of urine can cause you a lot of pain.Urinalysis gives and idea of any infection and blood in urine.In your case following are urinalysis results(i) Color: light yellow is normal(ii) pH: 7 is normal(iii) S.G : 1.010 is normal(iv) WBC: 0-1 /HPF is normal(v) RBS: 0-1/HPF is normal(vi) epithelial cells: occasional is acceptable(vii) Crystal: amorphous urates/phosphate : Occasional is acceptable (viii) Bacteria: occasional is acceptableYou need to take treatment for kidney stones first and please drink lots of water to flush down the stones in to the urinary bladder.(ix) Mucus threads : occasional </s>

<s>[INST] i m doctor 37 year old and 8 weak pregnant i want to abort it because i m working in busy hospital.with pregnancy very difficult to work.i have 3 children last one 3 year old.please solve my problem i used cytotec 4 times but no benifit plz snd me home remidies to abort it soon.thanks [/INST] **1. since you yourself are a doctor, thus you are very well familiar that Medical termination of pregnancy laws remains the same even for ayurveda. Under the act, abortion can be provided only by a registered medical practitioner who has the necessary qualification, training and experience in performing MTP and only at a place which has the facilities, meeting standards specified in the Rules and Regulations of the MTP Act. ii. Moreover abortion is associated with serious complications, a few even life threatening ones. Therefore I do recommend all my patients to follow up with the treating doctor during and after the procedure. iii. Without an opportunity to physically examine the patient and monitor the process of termination, it is very unsafe and unethical on my part to suggest you the measures. So please visit your healthcare provider for safe termination. </s>

<s>[INST] my husband has a lump on his lower right side of his back. he feels the pain in the back and also in the front of his stomach. its hard for him to sleep on his back and when he walks around @ work. his work requires standing and walking around alot it hurts more. any suggestions? [/INST] Hi, dearI have gone through your question. I can understand your concern. He may have some soft tissue tumor like lipoma or neurofibroma or dermatofibroma. He should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then he should take treatment accordingly. Surgical excision is the treatment of choice. Consult your doctor and plan 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] i am a 55 yr old woman 5'7' and weigh 206,i've gained 30 lbs since quitting smoking 2 yrs ago..today i don't feel good.kinda shrt of breath,heavy feeling in my stomach and my blood pressure is 116 over 73 with a 102 pulse after a short walk. any suggestions?don't know if it matters but i had a upper banded gastro in 1989...lowest weight was 165..B.P ran around 80 over 60. [/INST] Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of bronchitis is more. Bronchitis is common in smokers. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test). Chest x ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] Hello doctor, Can we take Kalarchika during periods as I have PCOD? I started to take it two weeks before but yesterday I suddenly had mild pain in the lower left abdomen. Kindly advice. [/INST] Hi. Kalarchika or Kalchikai is a well known Siddha medicine to manage PCOD. In Ayurveda, it is identified as Kuberaksh or Lata karanja. It helps to reduce the size of an ovarian cyst and regulates hormonal imbalance. You should continue this even in periods too. Pain or cramps may be due to irritation or constipation. It can be managed by symptomatic treatment. Hormonal imbalance, pelvic inflammation, constipation, etc. USG abdomen, thyroid profile, FSH, LH. You can take Kalarchika powder 3 gm twice a day with warm water after meals. If bleeding is there then you can take Styplon two tablets twice a day after meals. You should take proper line of treatment of PCOD. Avoid spicy and fried junk foods, eat fibrous foods and fruit as well as green leafy vegetables. Do regular Kapalbhati and Mandukasana. </s>

<s>[INST] I have a weltlike rash on my upper body stomach back breast area they are not itchy the largest is the first one I got on my left side it is a little bigger than a quarter any ideas what it is I have had the first one since last Wednesday and the others since Saturday [/INST] Hi,Nonitchy rash on chest and back may be most probably tine a versicolor. Kindly consult dermatologist for the firm diagnosis and perfect treatment.i would suggest to apply ketoconazole cream and to take ketoconazole tablets for two weeks. As the causative fungus resides on scalp,do shampoo with ketoconazole shampoo daily. I hope this would be helpful. Thanks.Dr. Ilyas Patel MD </s>

<s>[INST] I am a nurse. While at work, I got a drop of blood on my index finger (intact skin area) that also got along the side of my nail (no obvious signs of non-intact area). The patient denied having any infectious diseases and states that he used to donate plasma and was "clean". I am just concerned about possible risks of true exposure as it got on the side of my nail. I immediately washed the area for several minutes, but I'm still concerned. According to my hospital, this is not considered a true exposure as I had no obvious signs of non-intact skin. [/INST] Hi,Welcome to HCM.Your hospital is right, your exposure can be termed as EC1 type of exposure which is minimal risk. There is no need to worry unnecessarily. The status of the patient also seems to be free from infectious diseases. EC1 type of exposure does not warrant any post exposure prophylaxis. Even if your skin was compromised, the volume of infected fluid and duration also matters in determining the risk. As the volume of blood was very small and you washed it right away, your risk is lowered to a minimum.Please do not get stressed about this episode but I would like to suggest you use universal precautions whenever dealing with patients.Thanks. </s>

<s>[INST] So earlier today while I was minding my own buisness on the computer, this suddern day dream/flash back kinda thing happened. I was sat there and then all I could hear was the scream of a woman who sounded like she was being dragged away, and someone in my face who kept saying It s all going to be okay, I will all be fine, just stay there . This was all I could think about, I was wrapped in this thought that felt like a past experience, when I know nothing like this has ever happened to me before. This boilin hot feeling started happening on the inside of my chest, not painful, just extremely hot, and it kept happening. If I tried to hunk of something else, all I could hear was this screaming that brought me back. I was completely glazed over, i wasn t doing anything at all. And then I just cracked, I curled into a ball on my chair and just started crying, and couldn t stop, it was like I was hiding, I felt just petrified, curled up in a ball. After a few minutes, I got control again, and just put some music on and tried to forget about it, but it has been a shock to my system. I ve had minor panic attacks in the past, but non of them were this bad. [/INST] Hi, thanks for using health care magic. I have gone through your available history. Your symptoms are of panic attack only. initial day dreaming is part of anxiety. You should also rule out one very rare diagnosis of complex partial seizure. You should consult psychiatrist for the detailed evaluation and treatment. You can try breathing exercise , yoga and meditation and stress management. Avoid caffeine in excess. it may also cause panic attack. i hope you will be fine soon thanks </s>