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<s>[INST]Dear Sir Iam male 38years of age weight 70kgs height 5 2 having a serum creatine value of 85 iam taking renalog tabs but not reduced is there alternative medcine other than dialysis please advice thanks[/INST]can any one replay please</s>

<s>[INST]My mom is 67 and typically in great shape 3 weeks ago her lower back started hurting Its increasingly gotten worse with the pain moving down into her bottom back of her legs and now into the front of her legs and knees MRI and CT scan at the ED this weekend were both negative Doctors said she was very constipated and most likely had pulled muscles in her back They prescribed rest pain meds muscle relaxers and PT She felt better after the first day but has been in more pain the past few days and is having difficulty walking This seems like more than constipation and strainedpulled muscles to me and Im worried shes getting worse and not better Any advice would be much appreciated Thank you[/INST]Hello,After going through your case history, I would suggest few more tests for your mother which are:1. Vitamin D3 analysis2. PPBS (Postprandial blood sugar) and FBS (Fasting blood sugar) tests3. Blood Pressure (BP) checkupBecause the most common reason for such pain is disc prolapse which has been already ruled out in your case as MRI and CT scan are negative.So, now it can be some neuropathic pain which can arise due to either diabetes or hypertension or due to Vitamin D3 deficiency.And if I would have been your treating physician then i would have started some neurogenic pain revealing medicine like Neurobion Forte along with the other medicines.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Medhavi Agarwal</s>

<s>[INST]Hello I m Marty and I ve been on probation a year now I have never been able to go to the bathroom with others around let alone watching I fear I m gonna end up in prison cuz I can t produce a urine sample yet I m 100 clean any advice plz also I have no money to pay you I guess I m fucked six ways to Sunday wow[/INST]Dear Marty,Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The treatment of shy bladder is often accomplished with use of medications and psychotherapy. As you might be aware no two patients are similar and often complete assessment is required before starting the treatment. I understand that you are unable to pay (and I am not charging) so in that case there are self help websites which can help you. In case there is little possibility to pay please see a psychologist in your city as they will guide you to control your irrational thoughts. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]My mother was diagnosed with Parkinson s several years ago while in her late 50 s/early 60 s, but then a few years ago the neurologist withdrew the diagnosis because she did not have cog-wheel rigidity. His new diagnosis, benign essential tremors, but is still treating with Levadopa/Carbedopa. My mother has continued to decline over the last few years. She has lost a significant amount of weight, has a difficult time with maintaining her train of thought, and is now experiencing hallucinations and uncharacteristic behaviors. Should we look for another neurologist, or a different specialist all together?[/INST]Hello! Welcome on Chat Doctor ! I read carefully your question and understand your concern. You should know that her symptoms could be related to Levi dopa adverse effects. From the other hand, levodopa is not effective in the management of benign essential tremor. But as she has been taking levodopa for a long time, she may have Chat Doctor. Coming to this point, it is necessary consulting with another neurologist for a physical exam and some tests (brain MRI, blood lab tests including blood electrolytes, thyroid hormone levels, etc.), some cognitive tests, etc. In order to make the right diagnosis and discuss the proper treatment options based on her clinical situation. Hope you will find this answer helpful! Kind regards,</s>

<s>[INST]Hello I had a colonoscopy this morning it all went fine but about an hour after leaving the hospital I experienced cold symptoms in the form of running nose sneezing and tears is my left eye nose is running on the left side only as well I had no flu or common cold symptoms prior to the colonoscopy and was wondering if the symptoms I have been experiencing the whole day since have to do with the nasal oxygen I got during the procedure the tube went through my left nostril an what can I do about it Many thanks An[/INST]Hello dear... The symptoms as mentioned in your post suggest that you might be having Allergic rhinitis, due to the oxygen tube. Management includes: 1. Antihistamine preparations like Allegra can be taken for symptomatic relief. 2. Montelukast, which is used as a maintenance therapy 3. Maintain adequate hydration & take a healthy balance diet. 4. Also make sure that you are well protected from cold, dust & other allergens. Wishing you a good health. Thanks & take care.</s>

<s>[INST]Have a picc line inserted last friday because of difficulty getting a vein, and have a foot operation coming up next thursday. Am home, but now feel like Im getting a cold or flu. Should I get the picc line checked to make sure its not a blood infection?[/INST]Thank you for following up. It is very smart to ask this query. Any kind of the PICC can cause penetration of bacteria. You should be very attentive to your health. If you observe inflammation:hyperemia, swelling, high temperature then you should replace it. If your doctor take care about PICC very correctly then everything will be normal. The PICC should not be in vain for a long time. Wish you good luck and sturdy health you and all your family. Kind regards Chat Doctor.</s>

<s>[INST]Hello just been discharged from hospital after 36 hours with a kidney stone in the right ureter and when I read the letter I ve seen that I have gallstones aswell I ordered Cystone for the kidney stone and I would like to know if will work for gallstone aswell and if not what is best to use to get them off Thank you[/INST]Hello, The mentioned medication will work for kidney stone and not for gall stone. For your gall stone if you are asymptomatic than nothing is to be done. If gall stone causing frequent abdominal pain than it needs to be removed along with gall bladder by the laparoscopic operation. Udiliv tablet can be prescribed for that. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician</s>

<s>[INST]hello,yesterday i went to dental hospital for cavity filling. As i went through the treatment the dentist i suspect he was using the hand piece which is used for tooth drilling and the pipe which is used for sucking saliva have been reused without any sterilization.So im worrying if i contacted with HIV,or HCV or HBC. Is my worry genuine.Please answer me.[/INST]Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should not worry. As this type of infection won't spread by saliva. Saliva contains a some inhibitory substance which prevent replication of these viruses. In addition to above doctors also uses antiseptic solutions to dip the instruments which readily kills the other viruses. So consider that instruments are free from viruses. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist.</s>

<s>[INST]I have been itchy everywhere since sunday I mixed baking soda with my shampoo the other day to get hairspray out Could I be allergic to baking soda[/INST]Welcome to HCM.It is possible that you are allergic to baking soda, though this does not usually occur.Avoid baking soda for some time and do a re-exposure on the inner side of the forearm,this will help confirm the allergy.Use of antihistamines like Chlorphenazine and Fexofenadine will help.</s>

<s>[INST]Hello doctorI started having right sided pain in the rib area around one year and three months ago It got really bad last week and I went to a doctor They did an ultrasound and found several hyperechoic nodular foci on the liver He said this could simply represent hemangiomas but could be mucinous metastases I started panicking as I have always had bad health anxiety I went to get a CT scan and could not do a contrast so found well defined mildly hypodense mass measuring 446x329 mm I started to get really bad not sleeping not eating losing weight bad headaches ringing in ears muscle twitches shaking etc They scheduled me for biopsy and when I got there the surgeon said they pulled up my old CT from six years ago and the mass had not changed So it was most likely hemangioma and not going to do a biopsyI still kept on the downward spiral as I did not believe them I was told an MRI with contrast was the best test for liver lesions so I paid and had that done Also had a brain MRI done because I thought I definitely had stage 4 cancer All of this was one year back MRI showed multiple liver lesions with largest 305x239 mm T2 hyperintense and several others All identified as behaving as hemangiomas and simple cysts Not being satisfied with that I had a colonoscopy and upper endoscopy done Both alright Decided to go to liver specialist and they did another MRI with 9 cc Multihance Findings were all clear except liver with multiple lobulated T2 hyperintense hepatic lesions largest being 31x25 mm All consitent with hemangiomas No suspicious hepatic lesionsThe specialist also told me if I had stage 4 I would be in very bad shape with no treatment I started back working out and put all my weight back on up to 200 lbs and feeling better except same pain in right side rib area every day Got another six month follow up MRI last month and nothing had changed Last week I started having pain again in right rib area and started internet searching again and finding most hemangiomas are single not multiple and most metastases are multiple which mine are Also that hemangiomas are mostly in women not men So now I am back to not sleeping not eating and feeling like I have some type of stage 4 cancer Never had any cancer diagnosis though and none in my family Eat good worked out twice a day only drink water maintain a healthy weight Even though I know in almost a year and a half with no treatment and stage 4 I would be bad shape or actually dead as the average lifespan of stage 4 metastases without treatment is 87 years but I do not really believe that because they are not oncologists I looked up and saw that NETs could be slowgrowing cancers and maybe I have that I just need an independent second opinion on what could cause right side pain besides what is showing up in all the tests I have had done Also if having three MRIs with contrast saying the same thing is specific enough to rule out liver metastases Online it shows MRI with contrast has a 97 specificity when done one time so is three times even better to rule it out Why would a male in great shape otherwise develop hemangiomas throughout the liver Would a PET scan be better than MRI at this point Thanks[/INST]Hello. Do not worry and do not panic. All your reports (attachment removed to protect patient identity) are pointing towards hemangiomas. It is easy to differentiate between cancer and hemagioma by a radiologist on CT scan, MRI, or ultrasound. Your reports are clearly indicating cystic lesions (hemangiomas). If these liver lesions were cancerous, usually they will be symptomatic - progressive weight loss, poor appetite, jaundice and deranged liver function tests, sometimes dark urine, etc. Any cancerous liver lesion will progressively increase in size. Even slow-growing metastatic neuroendocrine in liver is usually stage 4 neuroendocrine tumor. Your blood report is showing normal liver parameters, CT scan/MRI showing cystic/hemangiomas in liver. Any radiologist can easily differentiate between hemangioma and metastasis. So, your radiologist has mentioned clearly benign cystic lesions. Also, you have no weight loss, poor appetite, and your liver parameters in blood test are normal. Also, colonoscopy and gastroscopies are normal (there was no need to go for endoscopy). So, relax and do not worry at all. But keep following up with the hepatologist for these hemangiomas. Internet search information will confuse you. If any questions, contact me for free for one more time in the next few days. For further queries consult a medical oncologist online --></s>

<s>[INST]hi my baby boy 8 month old has a lomp in his left armpit its painless not tender about15 cm in size its attached to the deeper tissue and the skin above it is mobile there is no discoloration of skin above it the babys health is generally well and i noticet this lump only yesterday[/INST]HI,Welcome with your query to HCM.Based on the facts of your query,your 8 mths old baby has a painless lump mostly from Reactive adenitis to the Vaccine shots,which he might have had lately,or it could be post-viral infection of the throat/chest.I would suggest Second Opinion after Xray Chest/blood tests,from Surgeon,who would after proper diagnosis could treat according to its cause.Hope you got the answer for your query.Hope this would help you.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS</s>

<s>[INST]I was involved in a domestic violence assault. I injured my right side but did not go to the hospital as I have no insurance. This was 10 days ago. I do not think I broke anything but I have severe pain with coughing and a very tender right side, that hurts to touch in areas. In your opinion would an xray or mri be worth the $? Or does it sound like bruised ribs? I would have to go to the emergency room, so it will cost a lot of money for me. I would avoid it if I could but the pain worries me.[/INST]Rather than doing an MRI, it is feasible to do a Chest X-ray so that we can visualize the bones and ribs easily. You can start a stronger painkiller like indomethacin 20 mg daily twice or Naproxen 500 mg daily twice to control the pain. I was quite unaware that an emergency room visit can cost you more than an MRI, that u prefer doing the latter and not going to the ER. In India both are cheaper alternatives than procuring and insurance claim.</s>

<s>[INST]Dear Doctor,Will harmoni-f pill prevent pregnancy if taken continuously before and after having an unprotected sex?[/INST]Hi. Harmoni-F is a contraceptive or birth control pill that needs to be taken daily to give the desired contraceptive effect. It is not an emergency pill as you have been thinking. Please use additional protection to avoid unplanned pregnancies. If you have any further questions, feel free to ask an obstetrician and gynaecologist online</s>

<s>[INST]hiDr im frm pakistan im 37years old my married gone 2 years 1year b4 i attempt abortion 4 weeksi hv swell utrus i used velosef n canesteennw i feel bettermy hubby z abrod plz telme can i use canesteen 4 conception bcz my Dr advise me use canseteen after 3 hrs do intercourseplzz telme thiz z right or nt Plzz prescribe me any medicine 4 conception[/INST]Hi thanks for your question. What I could understand from your question is you had some uterine infection for which you took antibiotic and now it is better.You want to concieve and your Doctor has advised you to take canesteen 3 hours before intercourse..Canesteen is Fluconazole which is an antifungal medicine used to fungal infection and yeast infection of vagina.It can help in concieving only if you have vaginal infection and your Doctor think this vaginal infection is responsible for infertality,otherwise it has no role in fertality. Medicine for fertality depend upon the cause and there are hundreds of causes of infertality and there is no single medicine which can be prescibed for concieving. Both you and your husband need to be investigated for causes of infertality and only then medicicine can prescribed depending upon the cause of infertality. I wouuld suggest you to consult a gynaecologist who will be able to investigate both of you and may prescribe medicine accordingly,if needed. Hope this answers your question.</s>

<s>[INST]hello i am 31 year old male i am at the moment on trt inject 1ml biweekly i also take hydoxyzin50mg 3 times a day and mirtazapine30 mg at bed time i am a full fledged STONER i smoke about 7 grams a week of high grade buds Now i have always smoked weed but i started to have major panic attacks and insomnia so the doctor gave me the other meds my question is when do i go to the E R today my panic attacks would not stop i can not get the fear of sudden death out my mind because my sister had the same type of problem with panic attacks but it was her heart she was obese i am 6 4 280 please help YYYYYYYY[/INST]DearWe understand your concernsI went through your details. I suggest you not to worry much. Please understand the fact that the fear of sudden death is worrying everyone of this world. Everyone fear death, worry about diseases and unhappy future happenings.Then, tell me, how are they living normally? How are they able to live peacefully? The answer is based on their attitude. Those who have the right attitude, has the right behavior. Bad habits and bad attitudes are always a boost to anxiety. Kill both of them and live happy.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck.</s>

<s>[INST]Hi doctor I had a blood work on my liver The results came back saying that my ALT and AST are very high and out of range So I would like to know what that exactly means When I received my laboratory test report they said that I should seek medical advice My AST is 75 and ALT is 35 My MCV 116 and MCH 392 Also I am a heavy drinker Please explain the report[/INST]Hi. Based on your query, my opinion is as follows: Alcohol induced liver damage has caused increased enzyme levels. Possibly early stages, as no jaundice is seen. MCV high (mean corpuscular volume) is due to associated vitamin B12 and folic acid deficiency. Malnutrition due to alcohol abuse has caused this. Need to abstain from alcohol on an immediate basis as liver would take another six months to possibly recover. Repeat the test after three months. Also start Vitamin B12 and Folic acid supplements. Nothing major for now. If it progresses then may require liver transplant in next few years. For further information consult a hematologist online --></s>

<s>[INST]hi I have osteoposis I all ready took forteo for 2 yrfew years a go A I just had a bone density and my dr says it is worse and he would like me to get Prolia shots every 6 month Is prolia safe to take after taking forteo what are its side efects[/INST]hiIf forteo has not responded, prolia may help.some common side effects are backpain,cloudy urine,skin rash,frequency in urine.Take plenty of water daily .Report to doctor if any other effects.also have your parathormone and thyroid hormone tests done.Your doctor may try to search other reasons for osteoporosis for not responding well to forteobest wishes</s>

<s>[INST]i undergone medication for 6 mos for PTB minimal i had my xray last August and the result says that clearing of previously noted minimal koch infiltrated in the left upper lobe Does it mean no scars found in my chest Am i already cleared Does it affect my medical result if i will have my xray againi am applying for work abroad thank you for answering God bless[/INST]Hello,With the use of good AKT drugs, tuberculosis can be resolved completely. If clinically and the chest x-ray shows improvement, then no need to worry. Post-infectious fibrosis can be present in some cases as sequels. If you clinically and radiologically improved, then no further workup needed.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Parth Goswami</s>

<s>[INST]Hi Im 15 years old and i have a question I do things that scares me for example when im on my way home at night i choose to go the way through the wood cuz I know that it will make me feel scared And i watch horror movies alone even if i get really scared I watch movieclips on sites when people die on real I do all of these things and more weird stuffs even if I get so scared when i do it but i like the feeling some kinda wayand hate it too Whats wrong with me I cant stop[/INST]DearWe understand your concernsI went through your details. I suggest you not to worry much. You should talk to your friends. At the age between 15 and 20, young people do undertake so many tasks which are off the normal and such an attitude is natural. At this age period, young people do have risk taking attitude and is universal attitude. Nothing to worry about. Such attitude shall diminish when you understand the fact that risk taking behavior is actually harmful, and such a wisdom comes after a delay. Don;t worry.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck.</s>

<s>[INST]HI sir my father have BP of around 180120 and also high cholestrol he is taking the following med nicardia 20mg Rantac 150mg selokenXL 150mg tonact 20mg its almost 2months he started taking medicationbut the swelling on his feet hasnt decreased should he continue the medicine[/INST]Hi, dear. I have gone through your question. I can understand your concern. Your blood pressure is very high. Specially diastolic blood pressure is very high so you should concern for that. Serious cardiovascular events or stroke may occur at this blood pressure. You should consult your physician and reset your drug dose. If needed add one extra drud for hypertension. 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 58 and hypertensive since last 15 years. Until 2010, i was taking one Concor 5 right after waking up in the morning. Now I take one Concor 5 after the morning breakfast and one after the dinner. Is this Okay? Initially my pressure was 150 / 100 but now is consistently around 135 / 85.Please advice.[/INST]HiT hanks for using Chat Doctor Normal range of blood pressure is 140 to 90 for systolic and 60 to 90 for diastolic. Your blood pressure is in normal range. In that case, there is nothing to worry. Just carry on with same Chat Doctor. You can also try morning and evening walk and normal salt diet, that would help to control blood pressure. You can also try relaxation exercise, that would keep calming in tense situation. In case, you need further help, you can ask. Thanks</s>

<s>[INST]Hey, doctor. I am having extreme abdominal pain, fever, and nausea. I think I might have peritonitis.[/INST]Based on my diagnosis, it's confirmed that you have peritonitis. You need to take a combination of medications such as metronidazole, fentanyl, vancomycin, ceftazidime, Zosyn, cinacalcet (Sensipar), rocuronium, cefoxitin, iohexol (Omnipaque), diatrizoate, and sennosides, Usp (Perdiem) to treat this disease.</s>

<s>[INST]hello sir I am 27 yrs old I usually have left abdominal pain diffuse severely When I visited doctor I was informed that I had focal areaof consolidation left upper lobe He prescribed me some medicine and I am taking it but it doesnt seem to make any good improvement So please tell me what to do which treatment is best in your opinion allopathic or ayurvedic Why I would be very grateful to anyone who shares my problem and suggests me Please help me[/INST]You have not metioned leftupper lobe of what. But It seems from your description that it is left upper lobe of your lungs. Pain of Consolidation o f upper lobe may be envolving lower lobe aswell May radiate to left abdomen. I an allopath l can only advice about allopathic treatment. A broad spectrum antibiotic ; antiinflammatory; analgesic; plenty of fluids ; steem inhalation. Full rest is also must. Keep visiting your doctor regularly. He may like to alter your tretment. May also like to investigate you further for any abdominal involvements. Get well soon.</s>

<s>[INST]Hi, I believe I may have panic disorder. I was recently diagnosed with an anxiety disorder and put on medication to help with it. A few weeks ago, I had my first panic attack. I was hyperventilating, trembling, sweating, and felt like I was going crazy and detached. I have had multiple attacks in the past month, often in my bathroom and at my mother s work office. Because of this I have begun to avoid these areas like the plague. My doctor told me I had nothing to worry about, but I can t help but to feel scared of having another at school or in public. Any advise?[/INST]Hi, I understand your concern. It's nice to note that you have already started treatment for your problems. The medications generally take some time to act, and you will have to patient about it. If I had been your psychiatrist, I would have started you on one of the selective serotonin reuptake inhibitors like paroxetine, sertraline or Escitalopram. In addition, you can also consider the option of cognitive behavior therapy together with your medications which can help you overcome your fears. Best wishes.</s>

<s>[INST]i have some type of zid on the back of my head it hearts when i touch it and that bumb is hairless, but i picnhed it already and yes lots of pus came out of it i took ice and had for like 5 minutes, what do i do now? thanks for helping i need help please[/INST]Thank you for query. It may be due to bacterial infection. Clean the area with warm water twice daily. You can apply topical antibiotics like Funding or Tract, and take analgesic like broken. You may need oral antibiotics .see that there is no friction or irritation. If it does not subside consult dermatologist else you can send the photo directly to me with the details I will be able to help you. Chat Doctor.</s>

<s>[INST]While running in the park this morning I saw a woman take a hard fall off of a bike and I stopped and joined two others to attend to her, get her to the side of the road, await medical assistance, etc. When I left I noticed a drop of her blood on my hand, she was bleeding pretty good from her chin where she hit the pavement. I washed it off immediately with the water I had with me, although I was a couple of miles from home so it was about another 45 minutes before I got in the shower for a full scrub.Anything to be concerned about, do, keep an eye on?Thanks.[/INST]Hi. Thanks for the query. As per your complaint blood-borne infection can occur from one person to another in case if the blood from one person reaches under the skin of the other person, and it can occur if the other person has a break or laceration over the skin surface which is exposed to the blood. If you do not have any broken skin or laceration in the area where the blood Chat Doctor. But in case if there has been some laceration, or you got any small injury in the same area while helping the women there can be chances of infection, and you can get a blood investigation done for confirmation at least after ten days and if anything is diagnosed treatment can be planned accordingly. Hope this helps. Regards.</s>

<s>[INST]I used to get red rashes on the face when I consulted a dermatologist she proscribed hhzole everything went away but when I discontinued to use they reappear So I continued to use it for almost 2 years after which I realised it was wrong so I stopped Its been over a year now Now I m starting to get those reaches again with big acne I m worried my skin is getting worse please help[/INST]Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Please stop using creams containing steroids such as Mometasone, Clobetasol, Hydrocortisone and Fluticasone. Now, you can start applying Metronidazole gel for few weeks. If you did not find any improvement, consult your dermatologist.Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]I am only hearing parts of my mothers condition she is suffering from stave iv gallbladder cancer that has spread to her liver. she is in the h0spital now they have just placed a stint in her bile ducts and most of her liver is covered with the cancer. she is not producing urine but they keep giving her bags and bags of fluid. what can this mean? And in your opinion should i be on a flight to Seattle to be with her asap?[/INST]I am afraid to say this, but your mother is in a very serious condition from what I gather. She has stage 4 gall bladder cancer which as it is a very poor prognosis and a survival ranging from 3-6 months. On top of that she is in kidney failure (no urine) probably as a result of her jaundice (for which she has been scented). This is an acute complication and can be life-threatening unless quickly corrected. Even if she comes out of this crisis, she doesn't have long to live.</s>

<s>[INST]Dear Doctor Surya tv broadcasted a story about Mr Harindranath a chemical engineer hailing from Kerala got complete cure of cancer by using ASHWAGANDHAM What do you think about ASHWAGANDHAM Where can I buy it from if it helps cure cancer Do you have contact information for Mr Harindranath Thanks Rajan USA[/INST]Hi,Thanks for writing in.Some medications like ashwagandha might help control cancer. However cancer should not be treated by this medicine alone and taking regular medical treatment is also advised.Ashwagandha is an ayurvedic preparation and has been in use for hundreds of years for its medicinal properties. Apart from suppressing certain cancer cells, it can also be used for conditions like arthritis, anxiety, trouble sleeping (insomnia), tumors, tuberculosis, asthma, a skin condition marked by white patchiness (leukoderma), bronchitis, backache, fibromyalgia, menstrual problems, hiccups, and chronic liver disease.Cancer can be due to many causes and all cancers cannot be cured with ashwagandha. You can purchase it from the retail store of well known ayurvedic medicine manufacturers in your place. Please take in recommended and discuss with your doctor if there are any potential side effects when taking chemotherapy treatment. Please do not worry.</s>

<s>[INST]Hi doctor My husband takes medication for uric acidcholestrol blood pressure Its not that he has to have them but jst to b on the safe side he takes these medication My question is Will it create any problem if i want to conceive[/INST]Hi thanks for contacting HCM....Drugs used for hyper cholesterol usually not affect sperm or not causing erection problem....But few antihypertensive drugs can lead erectile dysfunction like thiazide diuretic and beta blockers mainly .....This two drugs mainly causative ...So better to chose another drug for hypertension if needed....Certain antidepressant drugs , coccaine , steroid , alcohol , marijuana can affect sperm quality.....You have not mentioned name of drug using ..If problem in conceiving with use of these drugs you can consult psychiatrist for that ...Take care</s>

<s>[INST]Dear Doctor I am diagnosed with PMA on both my lower and upper limbs after conducting the following tests The first time the tests were conducted in 2006 2007 and again on 24 Jan this year He confirmed that the progression was 30 compared to the one recorded in 2007 Electromyogram Nerve conduction velocity Cervical spine MRI He suggested that I under the treatment using the same methods used for cancer patients i e Pulse Cyclophosphamide therapy The IVR method is to be applied every month for 5 days for six months May I ask your opinion on this treatment Thanks and with regards KP Keshavelu 9980833672[/INST]This is really an expert query and only a doctor can answer it. You should consult a Neurologist or a General physician. Physiotherapy is also helpful I believe.</s>

<s>[INST]Hello doctor I am a 26 year old female My periods were slightly irregular so I checked in with a gynecologist who prescribed blood tests My TSH FSH and LH were at normal levels but my prolactin was high at 72 ngmL I have been taking Domperidone prior to the test for 15 days My doctor suggested that I should stop this for a month and he prescribed me 025 mg Cabergoline for a month 8 doses I got stomach pain and my periods are more delayed than usual after taking this tablet I took four doses Should I complete the course or stop the tablets Please guide[/INST]Hi. For further doubts consult an internal medicine physician online --></s>

<s>[INST]How to clear skin of dark spots From when I was 3 to the age of 6 I was constantly bit by mosquitoes and had a bad habit of scratching and peeling the scabs off leaving very dark spots After that I stopped scratching and peeling off scabs but if I got a scab and the scab healed there was still a dark spot After 4 years I still have the same dark spots since and I don t know what to do How do i and what should I use to make the spots disappear Please helppp[/INST]hello, i think the marks are due to post inflammatory hyperpigmentation and for which you can try a kojic acid or hydroquinone cream during day time and a topical tretinoin cream at bed time. take care</s>

<s>[INST]Had an EKG at ER for severe pain under left rib cage radiating through my chest to back and up my shoulder blade The EKG reports a sinus arrhythmia ventricular premature complex and probable left atrial enlargement They sent me home with a diagnosis of Costochondritis and I am following up with my local doctor tomorrow I have been in severe pain for 6 days now Could you translate the EKG report[/INST]Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. But it would b helpful if u could send me the pic of your ECG but as much I understand with your words I feel that premature complexes z nothing to worry. And you might also get a chest X-ray done. It would b helpful in diagnosis and better repeat your ECG again to rule out other cardiac anomalies. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]If I have sever upper stomach pain what could it be im not pregnant nor im I on my perio been going on for a while now, and I have lower back pain also very bad bck pain, what could it be? Also I seen something that looked like a red kidney bean in my stool today very bright red.[/INST]Hi, Upper abdominal pain can be due to gastritis, gastric ulcer, gallstones or renal stone. Kindly monitor your stool color and watch for any alteration of color or any fresh bleed in stools. I would like to know if you have any history of constipation before the bleed, because excessive straining during constipation can cause anal fissure and bleed. In case there is any mass protruding out of anus, it could be piles.Meanwhile, you can watch stool color regularly, take plenty of fluids and high fiber diet. In case you have constipation try taking some laxative. Hope it helps.</s>

<s>[INST]Hi doc, I just fell from a windowsill where I was hanging some blinds and hit my shin against a radiator. It is quite painful, and I am having pain while flexing my foot. I was wondering if I should go To a doctor about this, or just have home treatment. Thanks[/INST]Hi I am Chat Doctor. . In my opinion if your injured leg could withstand your body weight without the help of your other leg (weight-bearing) some analgesics when needed only, icing it for the first 48 hours, massaging it with topical gels, elevating your leg will be fine. If pain persists with swelling I recommend an X-ray to exclude minor fissures or fractures. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask.</s>

<s>[INST]I have been having severe back, lower abdominal, and leg pains consistantly for over 3 weeks now. I have had this before & it used to come & go, but now is constant. I has now began 2 make me dizzy, light headed lethargic, & overly tired & moody. It has also began to cause issues with my breathing and walking[/INST]Hi, As this indicates me the weakness of the spinal muscles which has lead to pain. Also, due to pain in legs the mobility might have got compromised and led to symptoms of indigestion leading to abdominal pain as well. Breathing might also get affected as the strength in the muscles of the lower limb is reduced leading to abnormal vascular physiology. I will advise to simple low intensity exercises which will help you come out of the symptoms. Exercises like - deep breathing exercises, huffing, coughing exercises, core stability exercise, spinal muscle strengthening exercises, hip muscle strengthening exercises, static Qua Chat Doctor. This will help improve the muscle physiology and strength in the muscles leading to improved breathing and reduced pain and aches. Hope I have answered your query. Let me know if I can assist you further. Jay In</s>

<s>[INST]I was diagnosed with trigeminal neuralgia Now Im noticing every three to six weeks I get really swollen glands and the facial pain comes back AND I have been breaking out really bad on the lower part of my face Weve been joking its my pimple beard Ive always had clear skin I wonder is this all connected[/INST]the whole problem is a part of the trigeminal neuralgia.you need to get in touch with a pain physician and get proper treatment for this i.e. RF ablation of the nerve or neurolysis of the nerve or gamma ray ablation of the nerve to get your remedy.</s>

<s>[INST]Hi doctor I am a mother of two children My daughter at the age of 21 started showing signs of depression She had to drop from university After six years of struggle and treatment she is on her way to recovery But even now she gets panic attacks and feels depressed and is unable to handle stress My son at exactly the same age 21 years started showing signs of depression My kids had a very normal childhood without any issues We are a normal healthy family My husbands family has a history of mental health issues I have heard that at least one member from all our extended family branches had mental health problems My fatherinlaw was a patient of chronic depression all his life Please let me know if depression is genetic and is it possible that my childrens problem is because of the genetic predisposition[/INST]Hello. You have asked a very pertinent question. As a parent, I can understand your quest for answers for your children's illness and treatment. Depression is usually caused by a combination of genetic and environmental factors. If there is a positive family history, a person is more vulnerable to develop depression, especially when faced with environmental stressors (epigenetics). So to answer your question, yes, genetic predisposition could have played a part in your children developing depression, but it may not be the only responsible factor. It is positive that they have a normal childhood. But any factors like academic pressure, or peer relationships, or social interactions or demands of growing up, etc., could have contributed to them feeling stressful which can then trigger depressive episodes. With effective treatment, depression can be very well managed and your children can live productive lives. Treatment involves a combination of medication, psychological therapy like CBT (cognitive behavioral therapy) and lifestyle changes. Regular exercise, yoga, and mindfulness meditation will be helpful. I hope this helps.</s>

<s>[INST]My Dr gave me an allergy test and she said it came back as having a mild allergy to shrimp not shelfish though I haven t had shrimp in months and the reason I had her test me is I am suffering from rosacea Other than that I have never felt sick when i have eaten shrimp My question is are there any ingredients in canned foods that are shrimp related without listing shrimp as the ingredient I should be looking out for[/INST]It is mendatory to write every ingredient on canned food if there is no shrimp on the ingredient list it means there is no shrimp you can have it</s>

<s>[INST]My father weighs 113, height 58, age 89, congestive heart failure, several bouts of pneumonia in the last few years, cannot eat without feeling nauseous - Dr. wants to put him on Megace (have already tried various other things). Is Megace a good option?[/INST]Thank you very much for asking me this question menace in high doses can increase appetite in some cases since your father has been just of heart failure, so you should be careful because it can worsen shortness of breath it has some other side effects like thrombophlebitis and pulmonary embolism, but usually it is a common practice to give this medication, and you should be under constant of care off your physician I hope this was helpful thank you</s>

<s>[INST]Hello my son is 20 month s old. The past 4 days he has had hard dry foul smelling stool. The smell is so strong I can smell it from a room or two away. It is not a funny color just hard n very dry n foul smelling. He is going about 10 times a day n its just a small amount at a time. He also has a hard belly n it seems to be painful to go. He is eating and drinking like normal. IV tried prune juice and lactalosse but no change. We have a Dr appt tomorrow but wanted to get advice now.[/INST]Hi... I think your kid is having habitual constipation. I have few suggestions for you - 1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.</s>

<s>[INST]I had 4 wisdom teeth surgically removed 17 days ago. After 6 days had to go back due to dry socked. had them filled with packing then 5 days l.ater removed. While the packing was in there was no pain. The pain has been pack for a week now as well I have developed over the last week alot of bright green weird tasting phlem in the back of my throat that comes from my nose. the pain goes from my jaw on the right side around my eye to my temple, back of the head and in the ear. I have taken all meds they gave me, and still have been on 2 extra strength tylenol every 4 hrs to keep away the pain. I have tried on 2 seperate days to not take any pills but cant make it past 2pm. I am worried that taking stuff for 2 weeks is too long. I am 44 years old.[/INST]Hello, Thanks for consulting Chat Doctor, Read your query, as you have undergone extraction of wisdom tooth now you have pain don't be worried so much in surgical extraction there is pain and takes time in healing, for this pain you can take dispensable Paracetamol tablet for pain, Follow all post-operative instruction given by your dentist, take proper course of antibiotics, Take soft diet. If your pain continues then consult dentist and go for examination of extraction socket. Hope this will help you. Wishing you good health. Regards,</s>

<s>[INST]Hi, I am a 28 year old woman, 4 months post c-section with second child and almost 2 months ago i found a lump on the left side of my neck.. i guess it would be by my jugular, it extends from right behind my left ear lobe,I was told it was a swollen lymph node. I do not have fevers, chills, feeling sick or extra tired or anything. I do have pressure in the ear and down to the lymph node but also have sinus pressure and post nasal drip since before the swelling of the lymph node... It hasnt gotten any bigger and is NOT painfull. What could cause this to swell and stay that way? I tried taking an antiboitic but the pills are to big for me to swollow so i didnt finish them. I am seeing my PCP this friday but as of right now I am scared i have cancer....[/INST]Welcome to Chat Doctor .1. The different pathological conditions seen in that areas are Lymph node always stays as first (but reason for that ? Any recent illness, any other pathology giving rise)2. The other differential is parotid gland mass, salivary ductal dilatation due to some obstruction (stone)3. All these can be ruled out or confirmed by an ultrasound scan. Which will find out the origin of the lump, constancy of the lump, and involvement of the adjacent structures.4. You don't have to fear as cancer does not give such delayed symptoms.5. Hope it helps you. Anything to ask ? Do not hesitate. Thank you.</s>

<s>[INST]Hello doctor,I had a D and C four months back after a miscarriage, and I got my last periods two months back. So, I went back to the doctor to make sure there is no continuing pregnancy. I had a vaginal ultrasound, which she said is all clear, and I am perfectly fine. She said I just have a little infection, for which she prescribed me Azomox. Does vaginal ultrasound show if I am still pregnant? I am still waiting for my periods now. Is it normal to have irregular periods?[/INST]2nd trimester ultrasonography can also detect fetal heart activity. This will be done by your gynecologist or obstetrician. The ultrasonographer may hear the fetal heartbeat with a Doppler device, but this is not always reliable. It is important that the ultrasonographer knows how many weeks of pregnancy you are at when they do the scan. This is because the baby grows at different rates during different stages of pregnancy. The size of the fetus and its position in relation to the placenta are important information to determine whether or not the pregnancy is viable. It is possible that your ultrasonographer did not know that you were at 4 months of gestation before doing the scan.</s>

<s>[INST]My husband had dry heves with chest pain he has a history of heart disease After the dry heves he was still having chest pain He lays in floor as he can t get up and walk he is weak His drs say his heart tests are good His liver enzymes are up due to cholesterol meds he was on I wish drs could find what is going on and if there are meds to relieve his condition[/INST]Hi welcome to health care magic.....Here your detail work up needs to be done with..... -Auscultation -CRP -Blood pressure measurement -CBC -EKG-Chest x ray -Echo only if needed If allergic cause or cardiac cause present than it will revealed by above investigation... According to cause further specific treatment will be guided.... Avoid stress as it can lead pain sometime If no specific respiratory, cardiac causes present than it could be muscular pain.. Take care Consult pulmonologist for examination</s>

<s>[INST]Hello I was diagonised with hepatitise B for the last seven months back my first doctor has put me on antivairal drugs lemuvudine but later i was advise by the second doctor to stop taking the medicine becouse the vairal load was low and it doesn t qualified me for treatment and later liver biospy was done but i don t have the varius in my liver but since then my liver enzyems keep on elevating especially the alt alkaline billrubin total protein ggt at times the mentions ones also reduce though HIV B varial load was done later and it was below 25mm in DNA What could be the problem am so scared of liver concer and chriosis Secondly can someone grow up with hepatitise B from child hood up to the age of 60s if so what is the life span of the person having a chronic HIV B[/INST]if you have elevated liver enzymes and hepatitis B you should probably get treatment, but it also depends on the results of your liver biopsy (if there is active inflammation or not). Also getting treated will prevent your chances of getting liver cancer. If you are co-infected with HIV, then you should definitely control the hepatitis B with medications since the risk of liver cancer is higher if you have both HIV and hepatitis B. Keep in mind that some HIV medications also work against Hepatitis B (such as tenofovir, also known as truvada) reasons why your doctor may have stopped lamivudine.</s>

<s>[INST]Hello doctor,My 36-year-old wife has a urine infection. She was diagnosed with postpartum preeclampsia after two days of delivery of a female child. She had high blood pressure at the time of delivery but now it is normal. Her average blood pressure is 110/75. She had a severe urinary infection before the birth of the baby. The infection was not controlled after birth too and an antibiotic was given. As per urine culture report, blood tests, and the doctor\s prescription, antibiotic and other medicines were given but the infection has not improved at all. What should be done?[/INST]1) Blood sugar, creatinine, urea levels should be checked to rule out diabetes or kidney problems2) Urinalysis and culture are necessary to identify the organism responsible for infection so that appropriate treatment can be started3) It is important to know whether she is having any symptoms like burning while urinating, cloudy urine etc. 4) You need to take her to a specialist who will be able to tell what further investigations may be needed</s>

<s>[INST]gd morning drmy baby is on 22yrs now he has admitted in hosp during feverafter 7days drs couldnot catch the wht type of fever after testing of all tests from labs he is continuing taking antibiotis but not cure so i want ur helpregardssatya[/INST]HIWell come to HCMOnce the child is hospitalized then it is nothing to worry, fever of unknown origin is difficult to diagnose some time it is not being diagnosed and patient recovered and such case called "God only knows" you need to be very patience, several factors are there which plays the role right from resistance to antibiotic to multiple organ infection, some time this could be viral infection, later or sooner it would be fine soon take care.</s>

<s>[INST]Hello doctor,I am a 25 year old male. I am facing serious premature ejaculation issues since the last 7 years, and it has become worse with time. I have been masturbating five times a week since the last 10 years, but now when I masturbate, I ejaculate within 10 seconds. I also have two huge nerves or veins on my penis. They are quite huge and look odd. The head of my penis has also become huge, and the rest of the penis is getting thinner. If I do not masturbate for a week, l get wet dreams. My body structure is very thin, and I feel weak throughout the day. I want to solve this PE problem. Can I train myself with start and stop technique while masturbating? Will it help? Or should I stop masturbating? Please suggest a solution for my PE problem. I do not want to take antidepressants or SSRIs as they have major side effects.[/INST]1. Hi, thanks for writing in.2. Premature ejaculation (PE) can be treated by psychological techniques like desensitization, relaxation exercises etc. The most effective method however is behavioral therapy which involves training the person to delay ejaculation.3. You might try the start/stop technique wherein you don't ejaculate until you reach the point of no return. Stop at that point and then repeat. This will help you learn how to control your orgasm.4. If all else fails, there are medications available like SSRI's etc. which can be tried.5. In any case, it is best to consult a urologist who can examine you and give appropriate advice.</s>

<s>[INST]dear sir recently i have tested my semen the result is liquefaction 45 minutes ph alkaline, appearance normal, consistency normal, sperm count 10 million, Volume 2ml, actively motile 5%, sluggish motile 70%, non motile 25%, morphology normal forms 90% abnormal forms 10%, wbc 1 -2 hpf, please give your valuable suggestion, sir can i increase the count, what i want to do sir,[/INST]Hi, You need to decrease stress in your life and in the testicles. Avoiding hot showers wearing boxer shorts or no underwear eating vegetables and exercise and a healthy lifestyle will go a long way to improve your semen. We also need to do an urinalysis rule out infection and scrotal ultrasound with Doppler to check if you have varicocele. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]Female 52 yrs diagnosed with Cervical spine stresssevere loss at C6 andC7 and space loss at C5 and C6 Mininal grade 1 antherolisthesis at c3c4 and c5 normal alignment[/INST]Dear ,you need to consult an orthopedic surgeon.As per the age normal wear and tear happens.He will advise your calcium supplement and set of exercise which is very important.Keep your weight under control and be very regular in exercise to slow down progress of disease.bye.</s>

<s>[INST]I am a 45 yr old femalerecently I noticed a lentil sized but rounder lump at the beginning of my right thumb When I touch it it definitely hurts but there doesnt seem to be any radiating pain Can you give me some ideas what this is caused from[/INST]Hello!Thank you for the query.This lump is a ganglion most likely. It is a kind of cyst which is connected with a joint. It is filled with clear fluid. Does not lead to a cancer and can be removed with small surgical procedure.I suggest you to consult a surgeon with it. In case of doubts, ultrasound of this area should be done.Hope this will help.Regards.</s>

<s>[INST]I have heart conditions that run in my family, and my father has A. Fib. My symptoms have been pain in ankles/feet while resting, cold extremeties, discolouration, severe chest pains, tightness in chest, pain in chest, heart burn, tingling/numbness in left arm, palpitations. I am 22, 511 and 140-145 lbs.[/INST]Hello! Thank you for asking on Chat Doctor! I read your question carefully and understand your concern. Your symptoms seem to be related to anxiety. Your family history for atrial fibrillation doesn't seem to be related to your symptomatology. Has anybody besides you noticed the skin discoloration of your limbs? You are too young for such cardiac disorders. Anyway, a metabolic disorder (like thyroid dysfunction, etc.) can not be excluded. I recommend consulting with your GP for a careful physical examination and a complete check-up : - a resting ECG- a chest X-ray study - blood lab tests : complete blood count, thyroid hormone levels, blood electrolytes, fasting glucose, kidney and liver function tests, cortisol plasma levels, etc. A treadmill test and an ambulatory 24-48 hours ECG monitoring may be necessary if suspicions of a cardiac arrhythmia are raised. If all the above tests result normal, the main cause of your symptoms would be just pure anxiety. In such case, I would recommend consulting with a specialist of this field to help you manage your anxiety. Hope to have been helpful! Best regards!</s>

<s>[INST]my father is of 56 years and he is suffering from brain tuberculoma but doctors are not sure weather it is brain tb,neurocystosarcosis or brain metastasis .he has two lesions in his brain and is not suffering from any epileptic seizures or severe headache.he is taking anti tubercular treatment and is saying that that day by day he is feeling weak and is suffering for dizzinines .so please help us.(ct of abdomen ,and thorax is also normal)[/INST]Hi, Thank you for posting your query regarding your fathers' illness. The only absolute method of finding out the brain disease is a biopsy of the lesion. However, since biopsy requires brain operation, many doctors start TB treatment on empirical basis, as it is common in India and is fully treatable. You can repeat the MRI of brain in your father. If the lesions have increased in size, a brain biopsy of the lesion may be done to find out the exact cause. Another test that may help is the PET-CT scan of whole body, which is helpful in cases of metastases. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/</s>

<s>[INST]I am type one diabetic I took 9 amoxicillan caps two caps per day for a sinus infection I then ate a large number of blueberries I developed bad diarreha for 48 hours Many undigested blueberries came out in my stool I took amodium to control it I no longer take amox or Imodium and do not eat berries but stool is still loose after one week I quit taking stool softner at night before bed time I quit eating all bran cereal I still have loose stool I am 61 years old and have diabetes under control with an a1c of 62 What is your guess as to why I still have loose stool[/INST]Hi, . Do you have associated nausea, vomiting or fever? You are having either a Gastrointestinal Tract Infection or Indigestion. You may want to get yourself examined by a Physician and if necessary get a Stool Routine and culture to rule out the infection and the causative Organism. You will require antibiotics and Anti Diarrheals. Gradually begin to eat bland, easy to digest foods bananas, rice and chicken. Stop eating if your symptoms return. Avoid dairy products, caffeine, alcohol, smoking and fatty foods until you feel better. Get adequate rest and Drink plenty of fluids. Wish you Good Health.</s>

<s>[INST]This is Negar Aryanpour from Iran31 years old 170 cm 60 kgFollowing my xray alignment picture the left foot has the degree 49 and D433 and for the right foot degree 39 and D430 I should mention that one of my knees has a little pain and after walking for a long time and sense a pain on my right Pan Let me know if the surgical correction is necessary now or not is my age appropriate for doing surgery Please Im wondering do the instrument placed in the knee get removed latter on Or do the patience stay with it for life Too deep for meI want to know what if the edge of the bone left space Or will the bone regenerate in that space[/INST]Hi,As per your history and age surgery is not the only option. Physiotherapy can help you out in releiving pain with machines (ift and tens) for pain control and graded exercises protocol for strengthening the muscles do visit any physiotherapy clinic they will help you out. Hope you find the answer useful. Let me know if I can assist you further.Regards, Dr. Harsh Swarup</s>

<s>[INST]Hi doctor I have suffered from acne since I was in high school and have used overthecounter creams such as Benzoyl peroxide The sides of my nose produce a clear yellow substance that crusts over my pores When I clean the area and the crust is removed it then produces the liquid again I have had this for nine months and whenever it clears it comes back within a week[/INST]Hi. It could possibly be an infection of the sebaceous gland. Please provide a picture of your problem. Revert with the pictures to a dermatologist online --></s>

<s>[INST]Hello doctor I got a cyst removed from my breast and now I think I have skin necrosis It seemed to be healing fine but I thought the stitches dissolved a bit soon First I had a huge bruise then I got a scab off to the side of the incision The scab went away within a couple days and skin seems to be disappearing now I have about a 1 inch by 12 inch by 12 mm deep spot with no skin but instead a yellow film There is no apparent discharge but appears to be some on bandaid every time I change it It is itchy hurts with pressure and the spot seems to be getting bigger Does it sound like necrosis or just infection I have a doctors appointment tomorrow but I have anxiety and I just want an immediate opinion to tide me over[/INST]Hello. I have noted your concern and I have viewed the image (attachment removed to protect patient identity). It seems like the wound has got infected. I would suggest a course of an oral antibiotic either Amoxicillin or Cephalexin for a week or 10 days. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. In addition, I suggest that you clean the wound with hydrogen peroxide to remove all the slough and dead tissue following which you may use a topical antibiotic such as Neosporin (Neomycin) ointment or Mupirocin ointment, twice daily. Regards. For more information consult a dermatologist online --></s>

<s>[INST]Hi I m a 39 year old 3 time cancer survivor I m not sure which surgery I had that left over 20 staples in my body Some day s I get severe abdominal pains also blood in urine and rectum I have searched Hi and Low to find a doctor to help me get these things out but no doctor will touch me How do I find a doctor that will help[/INST]Hi, I do not know your past medical history. Severe abdominal pain can be caused by many reasons but bleeding per rectum and urethra is very alarming signs. If the previous cancer history and type of treatment were available to me it will be easier to address your issue. Any tumor in bladder if invade rectum may give similar symptoms but to make sure at least an abdominal ultrasound to be done. Please try to contact your treating oncologist. Take care.</s>

<s>[INST]helo sir my mother is suffering from pain in bone she is 55 years old and diabetic too way back she also attacked by chikinguniya after that condition worsen now she felt pain and itching in bones specially of palm and her fingers goes bend and difficult to make it correct plz recommend some medication thanx[/INST]Thanks for your query at HCM!I am Infectious Disease Specialist! I went through your query!Chikungunya is a enzootic virus. The disease is characterized by a sudden onset of high grade fever, rash and arthralgias. It causes polyarthralgias which is the most disabling symptom. Is there any swelling?She can take non-steroidal anti-inflammatory drugs. In most cases it will subside in few days. Treatment is mostly symptomatic with analgesics, antipyretics and non-steroidal anti-inflammatory agents.Also get an RH factor test done. Follow up with investigation.Do not do exercise of joints if acute pain.Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query.Take care!Dr. Sheetal VermaInfectious Disease Specialist</s>

<s>[INST]hi,my father is on acitrom therapy .He got a stroke on 20 th april.At that time he was on warf 6 mg daily. He got a brain stroke on 20 th april at that time his inr was 1.24.after the stroke his inr fallen to 1 and then he started acitrom. now his inr is 1.91 but his sugar level is very high ( fasting 200 and pp 310) .he is having headache too.please suggest me what to do[/INST]HIT hank for asking to ChatDoctorI really appreciate your concern, if this is cerebral stroke then your father would be having some headache for some time and no need to worry about this the tight control of blood glucose level is very important and the controlling of blood pressure otherwise keep continue the medicine as it is for the headache he may be given "Tab Acetaminophen only when needed, hope this information helps you, take good care of your father, have nice day.</s>

<s>[INST]hello dr well im venkatesh doing my bpharmacy final yr i hv got a prb dat i can read well all my subject topics n get byhearted but by morning i couldnt recollect it but some how i can write the answers but some subjects will have sideheadings if we remember those side headings then only we can able to answer the whole answer but i dont remember those side headings inspite i know the whole answer kindly suggest me what should i do is dat amnesia as i dnt hv much leafy veggies i purely depend on pulses n ihv fat content only at my waist part n normal all over my body organs[/INST]Hi, First of all, the severe stress can affect your memory and your ability to concentrate on small details. You need to be relax,avoid too much caffeine, smoking and drinking. You do not have amnesia. But you have a lot of stress. You should eat healthy food and avoid fast food. Moreover, you should decrease eating fat-rich diet and salt intake. The physical exercise 30 minutes 4 times per week can help you to relax and activate your body and mind. Music can also help you to relax and have a good mood. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mustafa, Neurologist</s>

<s>[INST]Hello Im hoping you can help me I was playing with my 19 month old son and his back arched backwards It made a crunch sound He wasnt in any pain and has not shown any signs of discomfort Im just worried that there could be some kind of effect from what happened[/INST]Hi,If child is comfort then no worry, if you more concerned that problem give only vitamin D supplementation, otherwise no need if no sign and symptom present.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Narendra Maurya</s>

<s>[INST]I ve had problems with a swollen thyroid gland and a swollen area above right collar bone The pain shoots to my shoulder My tonsils also where hurting I m thinking it s a broken tooth but I havnt had alot of pain coming from there This has been going on for a month now Tonsils and thyroid gland are going back to normal but still have pain above collar bone[/INST]HelloPain and swelling in collar bone area may be due to thyroid pathology or enlarged lymph node.It need clinical examination and investigations.Area around collar bone is common site of lymph node enlargement.Since you have enlarged tonsil,it may be an enlarged lymph node.You may need ultrasound of neck region.Ultrasound is very helpful in assessing its origin and management.Treatment depend upon findings.Get well soon.Take CareDr.Indu Bhushan</s>

<s>[INST]PregnantIm really confused Oki never knew when i ovulate untill i checkd yesterday It said my next ovulation is april21 2012april 26 2012 I had sex april 26 around 100 am something and the condom broke and spermed inso will i end up pregnant[/INST]Hi, When there is union of sperm and mature ovum conception is possible. At ovulation mature ovum is ready for the unions and broken condom allows sperm entry in vagina and uterine cavity to meet the ovum. So yes, you do have possibility of conception. It can be confirmed by blood test around menstrual date or by urine pregnancy test after 8 days of delay in period. Hope I have answered your query. Let me know if I can assist you further.Thanks,Dr. Vasudha Jayant Athavale</s>

<s>[INST]Hallo Dr I am NK and 45 year old I am a Sw Engg since last six month i notice that the right side of my face turned black perhaps due to direct sun stroke while driving in the day time pl advice some medicine creams to remove these black tans However would like to tell you that I use Lakme Moisturizer regularly Thanks[/INST]Hi NK, You have developed photopigmentation. First thing that you should do is to prevent further photodamage. This can be done by wrapping cloth over the face or by using broad spectrum sunscreen. Oral photoprotective drugs can also be taken. Moisturizer will not play any role in photopigmentation. Already developed pigmentation can be treated by demelanising agents as advised by a dermatologist. Regards, Dr.Ajit Singh MD - Skin & VD</s>

<s>[INST]My 6 year old daughter has a red rash on her abdomen, flank area, buttocks and thighs. It is simply red, with no postules and is not scaly. She says it does not itch and does not burn . I noticed it about a week ago before she went to bed and when I checked her the next morning it was not as red. Tonight she called me into the bathroom and she was about to get in the shower to show me again.[/INST]Hello, Thanks for the query, Asymptomatic rash is quite common in child Chat Doctor. However, the rash of your daughter is persisting and typical. Another possibility is allergy to clothes. A photograph would have helped in diagnosis. Please meet a dermatologist for final diagnosis and treatment me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/</s>

<s>[INST]Hi my breathing is laboured and my throat feels swollen and like something is in it When I go to sleep I wake up with an accelerated heart beat about 20 mins later and feel like I cant breathe Can you help Sarah age 51 9 stone 9 5ft 2fairly fit[/INST]Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of viral upper respiratory tract infection (URTI) and bronchitis is more. Your swollen throat is due to viral URTI. Bronchitis is common after viral URTI. And bronchitis can cause breathlessness. So follow these steps for better symptomatic relief. 1. Drink plenty of fluids orally and keep your self hydrated. 2. Do steam inhalation and warm water gargles 5-6 times a day. 3. Take antihistamine and anti inflammatory drugs. 4. Avoid oily and spicy food. Don't worry, you will be alright with all these in 1-2 weeks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]I have pain that runs from my hip to my foot in my left leg only I have no insurance since being laid Jan 30 and I am told this could that thousands of dollars to diag if at all some save nerv damage others say arti of course none are doctors cause me not to sleep at night and a limp Help I take no medication and am not a fan as I see my Mom and Dad have to do that every day it scares me Today is really bad I you ad says FREE which is not so you can wait for the next person who has the money to ask a question[/INST]Hello, I have studied your case. I will advise you to do MRI spineDue to compression of this nerve root there can be tingling numbness in your leg and pain associated with it.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.Core stabilizing spine exercises will help.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care.</s>

<s>[INST]I have variance angina my Dr put me on the nitro patch today shortly after I felt faint dizzy and short of breath I got frightened and took the patch off I am also on a lot of heart meds and wonder if they interacted I have three stentsI am 80 femaleMedical history is longOnestent in r artery2 stents in left artery irrregular heart beat variable angina type 2 diabetes Meds avapro300mg once dailymetformin1 am and metoprolo50m 112 75mg lovastatin40mg dailyranitidine150mgam and pm promitzazapine30mg bedtimesyntroid 025i dailynitro spray as requires Surguries I have had Colon resectiongall bladder plates and screws in ankle partial histoectomy I am 5 3ins 145lbs[/INST]Your right some time medicine can cause these symptoms...specially nitro patch which is vasodilator and can lead to decrease in blood pressure and lead to decrease transiently blood circulation in brain and lead to dizziness... either u have reduce nitrate dose or other blood pressure medication after checking Ur blood pressure when u have dizziness</s>

<s>[INST]hi i have suffered an injury through my brain in the right piece of it wich resulted in hemiparesis in my left side. 3 months passed the injury, i am getting better but not like before . i still find my self a little bit heavier and still have neurological problems but what u need to know is that everyday is passing by i feel a little bit better than before but i am progressing so slowly. may i know when i will be 100 % back normal ?? thank you[/INST]Hi there. Thanks for the query. Since after the injury you are not getting worse but progressively better, it is a good sign of only temporary neuron loss. This means recovery will take place. Regarding 100% recovery, it is highly difficult t comment because this depends very much on your original disability stats. If the grade of disability is lesser the chance of full recovery is excellent. It is best to stay positive and do daily exercise to increase the strength of your muscles very gradually and not forcefully. Wishing speedy recovery.</s>

<s>[INST]HiI have this rash on my neck Ive had it since Sunday and today it seems to have spreaded to my cheekback of the neck and my left shoulderthe bumps are quite smallfor treatment Ive been using a gelsoothing cream which my mum uses for her eczemado I need to be worried at all[/INST]Hello,Thank you for posting on HCM.I can understand your concern regarding the skin lesions but its difficult to point specific diagnosis in absence of clinical examination.Therefore, I insist you to post good clinical pictures to me so that I can help you in a better way.You can mail pictures to attachments@healthcaremagic.comwith subject titled ' ATTN Dr Hardik Pitroda'.ThanksDr Hardik Pitroda</s>

<s>[INST]I ve had this rash for almost 2 months now have not shown signs of herpes no discharge It s red spots sometimes itchy sometimes not so much Doesn t really burn at all Now I have a red shiny skin on scrotum and going up the penile shaft not itchy or burning Went to the doctor on campus and he said that it look led like tinea and take this pill for 2 weeks along with anti fungal cream And it should go away if not get a blood test done Any ideas what this could be[/INST]Hi, It may be scrotal dermatitis. Consult the dermatologist for the perfect diagnosis and proper treatment. Antihistaminics like Cetirizine and oral steroid in tapering dose may be taken for two weeks. Apply mild steroid with antibiotic cream. Avoid soap bathing. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel Dermatologist</s>

<s>[INST]Doctor, I have been feeling very tired and weak lately. My appetite has decreased and I have sharp abdominal pain. I have also noticed my voice becoming hoarse. What could be wrong with me?[/INST]Based on your symptoms, it sounds like you may have esophageal cancer. We will need to run some tests to confirm this diagnosis, but it is important that we begin treatment as soon as possible.</s>

<s>[INST]im a 24 year old male with heart disease that runs in my family my father has had 3 heart attacks in 6 years and hes only 49 i check my blood pressure today and its 14593 and my bpm is 101 i have numbness in my hands and im dizzy is there cause for concern or am i just freaking out because of the history of heart disease in my family[/INST]Its all because of the stress.I suggest you to relax for some time.Then you check your BP and heart rate.</s>

<s>[INST]Hello doctor I am a 19yearold girl In my first year in school I feel helpless and depressed because I cannot make friends more specifically they do not like spending time with me because I am serious most of the time And my way of thinking is different also I cannot focus on studies I do give my best to succeed in the exams but still I m feeling like it is not me or it is not what I want to do But I am not sure those are just thoughts that makes me all the time unfocused on what is necessary at the moment I also suffer from a lack of confidence in myself and cannot say that my situation is the worse but all these 19 years I only learned to hate and hurt myself more than anyone can else do to me I am scared of taking any wrong decision because I cannot afford it either mentally or financially Please can you help me Going to a psychiatrist in my place is expensive and suspicious I was a great person until nine years everything has changed I struggled alone till 16 which made me talk to some friends and my brother and my secret fiance Still I think it is too late because I became a person who is afraid of being happy for more than half a day[/INST]Hello. First of all, you should stop hating yourself and stop blaming yourself for anything. The symptoms like helplessness, worthlessness (hating self), difficulty in making friends, weak confidence, lack of focus, indecisiveness, etc., are occurring most likely due to some mood disorder. This could be depression. Depression results in impairment in functioning. To come out of these thoughts, there are two treatment options. Medicines especially antidepressants are the first choice for these symptoms. But since you cannot afford to visit a psychiatrist so this option at this point is not possible. Another option is cognitive behavior therapy (CBT). This is a session based therapy. A therapist is needed, and this helps a lot in coming out of depression. Over the years since childhood, a person learns wrong things, but these thoughts become cognitive distortions like for example if you did not perform well in a group of friends, then you will imply this to your whole life that you are worthless because you fail to perform well in friends. Maximizing negative things, minimizing the positive things, disqualifying positives, generalizing things, etc. are examples of cognitive distortions. In CBT the cognitive distortions are identified, and an individual is made aware of these distortions. Then therapist and individual work together to eliminate these distortions and to work how an individual can live happily. Thanks</s>

<s>[INST]Hai I have three children And 3 c section my tubes or tied after my third child born after 8 months I had kidney stone and infection and stone was removed now my periods are regular when my getting periods Im having right side abdomen pain and three Im having vomiting plz advice want I have do the pain so horrible I cannot stand to 2 sce also[/INST]You seem to be suffering from dysmenorrhoea which is little more severe than the usual discomfort. You may take an antispasmodic like meftal spa just before your periods are to start. Hot water bottle may also give relief. For nausea, take a Pan-D.</s>

<s>[INST]Hello doctor,I am 32 years old and had an herinated disc and had surgery a few years back, it was a post delayed surgery. Due to the delay in surgery (18 days) I left with a foot drop and right leg weakness. I was bedridden for 4 months. Totally weak. But I gradually developed doing physiotheraphy and with some Ayurvedic treatment. I started waking now with out any help. But my foot drop is still there. But I can lift my toe and ankle little bit from last month. Can I come to my normal life, how long I need to wait to get cured from foot drop?[/INST]Hello. I can advise you in detail if i have your detailed neurological charting including assessment of motor power, sensory charting of lower limbs and evaluation of deep tendon reflexes. Also, latest MRI of LS spine is required to see for adequacy of decompression. To answer your query, the best results come early after the spinal decompression surgery, if motor loss can be ascribed to compression in spinal cord or roots. Also intensive physical therapy helps you to gain power . But since you have started gaining power, it can continue for at least 6 more months, so my advise to you will be to continue with intensive physical therapy including muscle stimulation, vitamin B12 intake and come back to me with your neurological charting and MRI films so that i can see and advise you further.</s>

<s>[INST]im17yrs old my weight is 64 k.g., height is 5 feet &under treatment for1yr but im having headach. pls, suggest me what will happen after the treatment? is omipital tubroculosis totaly curable or is there any chance of its reprtition in future?what precautios should i take because im becoming down.[/INST]Hi, Tuberculosis is a bacterial infection and totally curable. One year treatment should be adequate. Discuss with your doctor for multi Chat Doctor. Improvement of immune system with nutritional diet and exercise is important. Immunodeficiency diseases can reactivate the disease. However, there is no terminology of occipital TB, check the correct terminology and get back. Any further queries, happy to answer again.</s>

<s>[INST]gd. evening mam, i am nitu, 30 years old, my doctor had suggested me for IUI . HSG , USG , prolactin level and my husband s sperm count is normal.I m afraid that will first time Iui be successful.please suggest me what is the sucess rate of conception after first IUI in my case. last year i had misscarriage, it was my first pregnancy.today i m first day of my period and taking ovacare forte on suggestion of doctor. THANKS[/INST]Hi, Thanks for your query. I have read your query & I understand your concerns. GUI is not Hun Chat Doctor. Generally it has success rate ranging from 8 to 25 %. It depends on quality of sperms during GUI, your eggs etc.... Continue the medications as per your doctors' advice. Be positive & hope for a positive pregnancy. I wish you all the best. I hope I answered your query. Furthermore, I will be available for any followup queries you have.</s>

<s>[INST]Dear Doctor I have a spot on my spine Thoracic area that is painful when bending forward or hunching over The spot where the pain radiates from also is painful and tender to the touch The pain is not debilating just very aggregating I have no weakness in arms or legs The pain has been around about a month now I ve had no injury to that area that I know of The pain hasn t gotten worst but hasn t gone away I m 33 male no history of health problems[/INST]This type of problem appears in a person who is using Mattress since long time and the place where u r lying definitely there will be a sagging of matress so first u have to change ur matress and use Firm bed then follow Physiotherapy advices like UST, Maitland mobilization some extension exercises & Ergonomic advices if u r habitual to work in a slouch posture, be attentive for ur posture.</s>

<s>[INST]I went to the ER on Thursday with fever vomiting diarrhea and painful navel My wbc was 19k They did CT of the abdomen with and without contrast which showed enlargement of my appendix but no airfluid levels or signs of rupture or abscess Essentially they said my CT was normal They prescribed Phenergan and sent me on my way Now two days later my belly button has a small round protrusion on the inside of my belly button It is in the very center I normally have an inny In addition the area directly behind my belly button is very hard I continue to run a mild fever but have not been vomiting My question iscould the changes to my belly button be related to appendicitis or is it completely separate[/INST]Hello! Thank you for the query. Finding enlarged appendix with 19k WBC and fever and sending you home is more that risky for you and for the doctor who did this. You obviously may be suffering from appendicitis and the only way to diagnose it is to rule all other possible reasons of such conditions. The lump in your belly button can be an umbilical hernia (if it has gotten stuck, may be causing such symptoms as well, and should be treated right away) or persisted urachus ( this is a connection between urinary bladder and umbilical cord which should disappear). Persisted urachus gives umbilicus discharge and urinary tract infections. It is advisable for you to go again to the doctor and have abdominal ultrasound with abdominal wall view, full blood work (CRP and WBC will tell either infection is rising or not), abdominal X-ray (stuck hernia can cause intestines obstruction), urine analysis. Hope this will help. Regards.</s>

<s>[INST]my daughter is 6 and is not a sweaty child.. but since last 1 week she is sweating much regularly without a reason. even is sweating in AC. she have regular diet and exercise and school. and have no other physical complaint or abnormality. what can be the reason?[/INST]Welcome to the ChatDoctorAs per your description, it seems that your child has acute hyper Chat Doctor. If they are not associated with any fever or signs of infection, I would recommend you the following:1. Go for a complete thyroid profile. Hyperthyroidism can cause excessive sweating like this and is a cause to be treated immediately.2. Kindly get her complete blood count, ESR, blood sugar levels and manitou test. 3. ALSO, rule out any anxiety. You can follow up with the reports so that I may help you in a definitive way. Take care.</s>

<s>[INST]I am 40 yo Male I have been having mild i stress mild abdominal discomfort on my right side but also occasionally left and lower abdomen It is mostly on the left side but it does not have a specific spot higher lower sometimes could be on the back on the front just under the ribs etc and as I said sometimes is on the left side No history of cancer in my family but history of IBS and stress related symptoms I have diabetes diagnosed less than a year ago have had tendency to it since a kid 57 and 54 where my last A1C readings from 2 days ago and mid March respectively 57 was the reading that triggered the glucose intolerance test upon which diabetes was confirmed Im on 250mg a day of metformin 500mg when I eat more during the weekend I take enalapril for high blood pressure which runs in the family Since starting these medications I have been limiting carbs a lot eating lots of steamed boiled vegetables I have never been eating a lot of meat or fish my whole life I am a very anxious person and tend to worry about any symptoms Before feeling this abdominal discomfort I have had symptoms of anxiety attacks mild chest pain in no specific area feeling of panic building up tingling of upper body arms etc Other tests and ECG were negative The lab work performed 2 days ago showed everything is fine apart from low level of vitamin D abdominal ECO was negative My doctor prescribed me vitamin D supplement Could the abdominal discomfort may be linked to diet and lack of vitamin D Thanks sorry for the long posting[/INST]Hi.I understand your concern..i assure you nothing is wrong with you, abdominal discomfort may be due to metformin,it will improve with the time. IBS has low chance. Keep relaxed,enjoy your life.As for as your diabetes is concerned,i appreciate your dietary changes. Do regualr excercise.Analapril is good enough for your hypertension.Repeat your HB1Ac after 3 month,hope it will be in normal range if you have such strick diet control.I hope i gave your answer,i will be happy to help you further.Thanks for using healthcaremagic</s>

<s>[INST]I had three cavities filled on the bottom left side of my mouth yesterday and today I woke up to find it hard to swallow. The tonsil on that side looks like its gone. I have big tonsils and the left one is no where near the size it was before. It hurts to swallow, only on the left side though. Is this normal?[/INST]HelloThanks for consulting ChatDoctorRead your query as you have difficulty in swallowing don't worry this can be due to throat infection, I will suggest you to consult ENT surgeon for examination of throat and in meantime for throat infection you can do warm saline rinses 2 - 3 times a day, and you can take medicine like Azithromycin if you are not allergic to Chat Doctor. Hope this will help you.</s>

<s>[INST]Dear doctorI am 28 yeras oldtrying to conceive for past two monthsanalysed follicular studyOn 13thday right ovary 148mmLeft ovary 11mmET thickness 85mmand on n 14th day right ovary 16mmleft ovary 12mmET 83mmplease suggest when would i have relations so as it ruptures and i be able to conceive[/INST]Hi, I think in 2 to 3 days , your follicles will grow to a size more than 17 to 18 mm. After that only, follicles will rupture. You can also take one injection for rupturing the follicles to be sure that they rupture. You can be in contact with your husband every alternate day from now onwards till the ripture os confirmed on ultrasound or if you take the injection, you can be in contact for 2 to 3 days starting from day of injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Hope I have answered your question.Regards Dr khushboo</s>

<s>[INST]my sister was diagnosed with stage 4 jaw cancer she is a heavy smoker and drinker she had not been to a dr in over 25 years is it too late to turn things around how long will she live roughly it is squamous cell most likely as far as we know as of now[/INST]Hi, dearI have gone through your question. I can understand your concern.If it is stage 4 squamous cell carcinoma then prognosis is poor. At this stage surgery is not possible. Only treatment options are chemotherapy and radiotherapy. Despite of treatment prognosis remain poor. Life expectancy is not good in stage 4 cancer. Sorry to say but it is fact. consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.</s>

<s>[INST]Hello doctor My baby is 13 months old still crawling and trying to walk He got some blister in his right knee and punctured it about two weeks back The wound appears dry at times and at times it is again looking fresh This could be due to the fact that he crawls Please tell me what to do It has become a lump like thing[/INST]Hello. I understand your concern for your child. But I need to know a few more things: For more information consult a paediatrician online --></s>

<s>[INST]Hi Doctor Good Day I have been married from past 10 years my age is 37years and I dont have a child My sperm count is 72 million but motility varies from 0 to 15 What treatment medicine herbal or English I should take for improving my motility and what would be the reason behind low motility Kind suggest Thanking You in anticipation[/INST]Welcome to HCM!According to WHO study if a person has 15million sperm he is considered to be a normal man earlier it was 20 million. It is good that you have such a high count but motality rate is low.There are so many medicine in homeopathic system of medicines which will increase the sperm count as well as it will increase the motality rate. So consult a good physician.Take care.Dr.Minhas</s>

<s>[INST]Hi I have some discomfort in my urethra specifically in the upper part near head of penis Discomfort manifests itself when urinating and is most felt during the initial stream flow It also feels like the flow of urine is scraping my urethra The sensation is reduced if I reduce the rate of flow of the urine Have been tested for bladder infection which came negative Also tested for STDs like HSV1 HSV2 Cyclamida and Gonnorea but also negative On rare occasions I also noted that a blob of what looks like congealed dark blood is pushed out of the urethra head of penis as soon as the urine flow starts but the rest of the urine flow looks normal albeit lightly pink This clears up after a few hours and plenty of water I am not sure if the 2 are related I ve also had a cystoscopy and everything was said to be normal Prostate was also ok Your advice would be greatly appreciated Thanks James[/INST]Hello!Thank you for the query.I`m not sure if after so many test you will be able to find answer here. Your diagnostics seems to be done fine (so the bladder cancer has been ruled out). But the symptoms clearly indicate an infection. It can be urethra infection. In such case urine analysis will be negative.I suggest you to have urethra swab test and urine culture test.Please also start cranberries supplementation.Hope this will help.regards.</s>

<s>[INST]Im 32 women who had a baby Sept 2012 followed by tubal ligation I have experienced insomnia upset stomach low blood pressure puffy veins arms headache tingling in hands I work out 4 days a week for an hour I drink one latte early in morning but never experienced this I feel stressed and lack of oxygen and dont know why I only work 3 hours a day I have had mild depression on and off with little hair loss I have been tested for my thyroid already[/INST]Hi, Thanks for the query. You once consult physician, go for physical examination and go for complete blood picture. If everything is normal, the symptoms can be possibly due to depression. You once consult your regular psychiatrist and discuss related to this. Try to spend more time with your family members and baby that can elevate the mood and can decrease the symptoms. For more details you can ask me through: Take care.</s>

<s>[INST]I was termed lupus anticoagulant after 1st miscarriage.Now iv conceived and have been advised to take ecosprin150+daily clexane 0.4mg+susten25 mg twice weekly + lobet 100mg daily+ thyronorm100mg because I have thyroid and I was a high BP patient too. Currently the BP stays Normal. Current test of lupus is also negative but doc still keeping me on these medicines. Is it safe in first trimester.i am more worried of Aspirin dose.[/INST]Hi, The four medications you are taking is absolutely safe during pregnancy. Esprit and Clean will prevent the formation of blood clots which is very important in individuals diagnosed with lupus anticoagulant. Formation of micro-thrombus (small blood clots) in the placenta will lead to miscarriage. So please be advised to continue the medications. Austen is a progesterone which helps maintain pregnancy. Thermoform is thyroid hormone, and it is very important to continue taking it as prescribed. Normal thyroid hormone levels are very important for healthy pregnancy outcomes. Please ad Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]just like when you crack your knuckles or back or whateverBeen going on for a couple of days Leaned back in a chair and felt a crack or pop in my sternum It felt good and I ve felt the need to do it again whenever I feel a bit of tightness in my sternum Now I can just do it by spreading arms and expanding the chest cavity Is this normal I lift weight 4 day a week upper body on Mondays and Wednesdays[/INST]Hello,Welcome, and thanks for sharing your concern I went through your query, and I feel, this is probably coming from the muscles and not the bone, as stretching of the muscles cause, relief tightness sensation, so continue with this and see if you have any other associated problem. 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.Thanks.</s>

<s>[INST]Hi doctor I recently had my blood tests done for unexplained bruising mouth sores muscle pain and headaches The neutrophil number came back as low of 12 I looked back at my past laboratory results and the neutrophil number has been dropping as follows First it was 34 then 32 29 27 21 and now 12 Could this be a sign of something more serious I take Enbrel for psoriatic arthritis and also my immune system is low[/INST]Hi. Based on your query, my opinion is as follows: For further information consult a hematologist online --></s>

<s>[INST]Hi doctor My 3 years and 8 month old kid has a middle ear infection from the past ten days The doctor prescribed an antibiotic but it is not cured How long can I wait for it to get cured[/INST]Hello. Hope it clears your doubt. Feel free to ask in case of doubts. For more information consult an ENT otolaryngologist online --></s>

<s>[INST]Hi doctor,I have a skin rash on my legs or arms all the time. There is only one rash at a time and at different places every time. What could this be? I have had this issue for at least 10 years and maybe more.[/INST]Hi, Welcome to Chat Doctor Forum. It seems that you are suffering from Seborrhea dermatitis. You should consult your doctor and get it checked. I would like to suggest you some home remedies which will help in getting rid of this condition. Take one tablespoon of cinnamon powder and add to half liter of water. Boil it till its reduced to half. Apply this mixture to affected areas. Do this twice a day. Another option is to apply lemon juice directly to affected area. This will also help. Hope this helps. Wishing you good health.</s>

<s>[INST]Around every 10 minutes my heartbeat starts getting very fast, it ll feel as if it stops for a second and beat once very hard, then it ll go back to it s normal rhythm. Also, I have asthma and whenever I take my inhaler, I ll hold it in for not even 5 seconds then my heart rate will almost triple, blackness literally starts quickly consuming my vision and I ll start to collapse unless I exhale. After I exhale, my vision returns kinda slowly, I ll have a bad headache until it returns and once those two are over my heart beat returns to normal. Do I have a heart condition? If so, is it potentially lethal?[/INST]Hi, thanks for using Chat Doctor Reliever inhalers such as Ventolin cause an increase in heart rate, it is a side effect of these types of medications. It should not go up to the extent that you start to feel faint, however. In addition, when you are at rest and not using your inhalers, there should not be changes in your heart rate every few minutes. It does not mean that there is any significant abnormality, but you should be assessed by your doctor. This means physical examination to check your heart rate and investigations such as an ECG. This looks at heart rate and rhythm. I hope this helps</s>

<s>[INST]i am 21 years old and for the past few months ive been loosing alot of hair and my skin is very dry on my face and scalp i think its seborrhoeic dermatitis im more concerned about the hair loss though could it be a lack of iron or over active tyroid[/INST]Hello, yes, for a diffuse hair loss without a significant preceding history, u need a complete blood count and a thyroid profile done, if any abnormality appears on these, correction of those will rectify ur problem.For the dry skin, use a good soap like dermadew soap for bathing and apply a good moisturiser like efatop-PE lotion post bathing.Seborrheic dermatitis presents with itching and extensive flaking on the scalp, ears, nasolabial folds etc., if you have these problems, then consult a dermatologist for confirmation of diagnosis and appropriate management.ThanksTake care.</s>

<s>[INST]I have been tested for HSV 1 and 2 I am married and have a partner I told my partner about it as soon as my husband told me He got tested and told me he didnt have it but he was exposed to it Is there such a thing as being exposed to it I thought either you have it or you dont Now hes telling me he just wants to be friends and not be together anymore I feel so ashamed and rejected I cry about this every day because before he was ok with it and we were careful and then all of a sudden he just wants to be friends Do he have it or not[/INST]Dear patient,I totally understand your frustration and how this is affecting your personal life.Regarding HSV 1 and/or 2 infection the following points should be taken into consideration in order to understand the situation better.1- In case someone got infected by HSV 1 and or 2 then the virus will be always present in the body but wouldnt cause a reccurence unless there are certain circumstances like stress, sun exposure, other infection, immunosupression ... So if your partner has been exposed to the virus meaning he has the virus but the virus is not replicating (sleeping mode).2- Reccurence means that the virus that was sleeping is now replicating and this will cause symptoms (vesicular lesions with an erythematous base : blisters with redness of the skin) and pain. Any patient who has been previously exposed to the virus can have a reccurence.3- The way to know if someone has been exposed to the virus is by doing IgG and IgM against HSV 1 and 2. if they are positive it means that this person has the virus. However to detect if certain genital or oral lesions are due to HSV (meaning reccurence) then a testing of the blisters (tzank smear and culture) or a PCR from a swab from these blisters can give you the answer.4- there is no cure for HSV, however in case of reccurence the treatment will be acyclovir 400 mg three times daily for 10 days.I recommend that both of you to do the labs mentionned above and hence know your status before taking rapid decisions.Best regards</s>