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<s>[INST]Hi I have a bleeding ulcer under my big toe nail I have been treated for a fungal infection for some years with a drug called Lamisil and now have been told its psoriasis I went to a foot clinic and she seemed alarmed at the ulcer dressed it and reminded me of another patient who had to have toes amputated disagreed about the psoriasis and took nail clippings for analysis I have been out for nearly ten weeks now with a trapped nerve in my back for which I have been on a concoction of drugs lyrica vimovo Valium and tramadol am only taking the lyrica and vimovo now so any help would be much appreciated[/INST]Hye! You must be having trophic ( neuropathic) ulcer. You may be having loss of sensation due to nerve damage. You use phenytoin tab powder with silver sulphdaiazine cream for dressing of ulcer. Take antibiotic, anti inflammatory drugs. Consult dermatologist and neurologist. Keep your foot protected from injuries and friction. Thanks... Best wishes.</s> |
<s>[INST]I just had an MRI on thursday Ive had many MRIs in the last 10 years but this was my first experience in a 30 Tesla imaging unit I have relapsing remitting multiple sclerosis and am on Tysabri as my disease modifying drug I have tested positive for the JC virus papovavirus and so my MRIs are to watch out for possible signs of PML My head has been pounding off and on since thursday and I was wondering if this is common in higher Tesla MRIs[/INST]Hi,Thank you for posting your query.It is possible to get headaches after 3.0 Tesla MRI and several of my patients have also complained about that earlier to me. I am not sure of the exact reason, but may be related to noise or higher magnetic field. It settles down in a few days. Wishing you a favorable MRI report.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My email: drsudhirkumar@yahoo.com</s> |
<s>[INST]I was diagnosed with high blood pressure last Oct. when I was extremely dizzy to the point of not being able to stand up, vomiting and nausea. Since then and once on medicine, I had side effect of dizziness that lasted 5 weeks. Two weeks I was okay after the 5 weeks of side effect and since November 2014, I am dizzy 24 hours a day with a different type of dizziness (more severe than the side effect dizziness) that I was unable to walk straight, etc. for 4 months...now it is milder but dizzy all the time for the exception of sitting. I have been tested and it is not vertigo or any vestibular disorder. YYYY@YYYY[/INST]As you were diagnosed as hypertensive and all your vestibular battery tests are normal as said by Yugo for a MRI brain this dizziness can be because of some migratory thrombus which may have occluded any minor vessel in brain...though a feeling of associated nausea and vomiting are again pointing more toward any peripheral disorder (like labyrinthine or possible deniers disease right now I would suggest you to go form brain carotid artery Doppler(look for occlusion of main artery to brain)pure tone audiometryserum vitamin B12 Levels</s> |
<s>[INST]I arrived in New Zealand from a long haul flight this morning I am currently suffering from vertigo while standing up and I would really like to know how I can relieve these symptoms fairly quickly without sleeping I would like to get in to the time zone routine Thank you[/INST]If your vertigo is associated with the room spinning (or a sensation of movement even though you are still), and there are no other symptoms associated with this, like weakness, numbness, difficulty hearing, etc, then a trial of meclizine (start with 12.5 mg by mouth twice a day) may be helpful. A scopolamine patch from your physician may also help. If you are having symptoms of vertigo only when you move your head, I recommend going to see your doctor (or an ear nose throat specialist) to have them perform Dix-Hallpike maneuvers, as you may be suffering from BPPD. (benign paroxysmal positional vertigo). If you are lightheaded when standing up but the room doesn't spin and there is no sensation of abnormal movement, you most likely are suffering from orthostatic hypotension and at this point I would recommend trying to stay well hydrated and you can consider also purchasing some over the counter compression garments for your legs.</s> |
<s>[INST]My 7 year old was in pain Tuesday all night we had a emergency visit to dentist they took 3 x rays well they make the choice to pull the tooth well thur and Friday he was in pain with swollen check n eye took back to dentist sat morning did exray again n looked and said took area fine...said if pain worsen n more swollen take to er ...what is going on n why[/INST]Thanks for your query, I have gone through your query. The possible causes of the swelling could be the infected tooth leading to cellulitis resulting in extension of the swelling to involve cheek and eye region. Consult an oral and maxillofacial surgeon and get Intravenous antibiotics injected. The infection will come down after that the infected teeth can be removed. Do not delay, if the infection spreads then it leads to complications like difficulty in breathing and swallowing. I hope my answer will help you, take care.</s> |
<s>[INST]My 2yro daughter was playing with a medicine syringe I had a bit of water with some Clorox to mop the floor I started to mix the soup I was making and turned around to see her licking the syringe She had dipped it into the water with clorox I have her milk and have been monitoring She hasnt vomited and seems to be ok This happened 30min ago Should I be at the ER already[/INST]HIWell come to HCMI really appreciate your concern, if no symptoms are there and you are not sure about this then it is nothing to worry but ideally it should not be taken as granted and better to see the ER it is just on safety basis, it is good to see the ER than not, because it is kind of risk taking if not seeing the ER hope this information helps.</s> |
<s>[INST]hi i have had chest pain lasting a couple of weeks following a sever chest infection which landed me in hospital for a couple of days. i get chest pain all over but mosstly o the left side and on my upper back. sometimes the pain is accross the center and it radiated doown the arms mostly the left. i sometimes get discomfort up my neck and jaw. im only eighteen and am sure its nothing but would like some advice. thanks[/INST]Respected Sir, hi I evaluated your query thoroughly.It's lpost-infective pain involving some neurons of referred pain centers. Not much problematic but * Continue your medications for infection properly.* Analgesic tablets as when required in collaboration with your treating Chat Doctor. Try and see the magic.* Have adequate sleep of 8 hours.* Avoid smoking / alcohol if consuming.* Get relieved from stress and anxiety for recovery period because you would be fine soon. Hope I am clear to rectify your query. Thanks for using Chat Doctor and reading my answer with patience. Regards. Wishing you a fast and speedy recovery from the same. Bye Dear Take Care.</s> |
<s>[INST]I fell a week ago and landed on my knee It swelled up but then went down rather quickly 56 hours Now I have bruises down my shin calf and on both sides of my ankle and top of foot My ankle and foot are very swollen I went to the ER and they xrayed it and there was nothing broken Prescribed me Tramadol and Ibuprofen I have been keeping it elevated and icing it It seems to be getting worse[/INST]Hello, I have studied your case.As per your age and history there is possibility of soft tissue injury in knee.Most commonly meniscus injury occurs may be associated collateral ligament injury. If pain persists then you may need to do MRI knee to see for any functional defect.As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion.Rest and ice fomentation along with supportive brace will help to reduce swelling and pain.Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS.Meniscus injury can be managed by arthroscopic repair.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care.</s> |
<s>[INST]Hi im 20 years of age and ive recently been sick Last week I went thru some very unlikely symptoms Im a very healthy girlso all this is very rare I went thru two night with chills in my sleep Next morning on wensday I had diarreah cramping Thursday morning woke up with bumps all in different places in my body but mainly in my wrist arms upper back Their very itchy Went to my nearest clinical help the doctor only said its was a slight chance of it being chickenpoxbut im very doubtfulwell I had CP when I was young The red bumps keep coming outi scratch liquid comes out What can this be Food poisoning[/INST]Hi.Thanks for your query.Read and understood your history. From the detailed history all your symptoms are fitting into the disease called chicken pox and this being a viral infection can cause other constitutional disturbances like that of gastroenteritis or gastroenteritis can co-exist due to reduced resistance power of the body. Take a proper treatment as advised by your Doctor and you will be fine.</s> |
<s>[INST]Hello. I m 34 year old female overall fit and healthy. I have had right shoulder pain on and off for 4 years now. Chiropractors have worked on spinal adjustments and seem to recover than comes back. I also feel rush of energy and sensations in my left arm through to palm and fingers. Ball of left heel had been aching lately and physician said it could be Plantar Faciitis . Do I need a spine surgeon to look at it or MRI ? Some advice will be really helpful. Thank you.[/INST]Hi welcome to Chat Doctor I have gone through YOUR QUERY regarding issue of Plantar Fasciitis. It is a matter of concern. Dear, recovery of your shoulder pain treated by chiropractor comes back after a while means, there is fault in your immune system, which can be rectified by modification of your lifestyle and food habits. Inclusion of essential nutrients in diet strengthen your muscles and tissues and regular exercise enhances blood circulation help strengthens all vital parts of your system and pave way for your trouble free life. Plantar fasciitis is thickening of the plantar fascia, a band of tissue running underneath the sole of the foot. Whatever the name given, It can be due to recent damage or injury, or can be because of an accumulation of smaller injuries over the years.,Risk factors are long periods of standing, an increase in exercise, and obesity. It is also associated with inward rolling of the foot and a lifestyle that involves little exercise, high arches of the feet, the presence of a leg length inequality, and flat feet. The tendency of flat feet to excessively roll inward during walking or running makes them more susceptible to plantar fasciitis. For treatment, include rest, heat, ice, calf-strengthening exercises, techniques to stretch the calf muscles, Achilles tendon, and plantar fascia, weight reduction in the overweight or obese. Arch support can be most effective when combined with stretching. Supportive footwear, arch taping, If problem persist consult your physician to know if any surgery is required Hope this helps solve your query Take care All the best.</s> |
<s>[INST]I was bitten by a street dog this morning and I took medical care from nearby hospital what I would want to know is that whether there is any diet restriction I was informed by many not to consume tubers coconut non veg food I also want to know whether I can wash and dress up the wound Id like to inform that there are 2 teeth marks and there is no severe cut or tear of flesh Please answer my question[/INST]hi.you have get vaccinated with anti rabies vaccine.you can follow the normal diet.wash the wound with soap in the running tap water.thank you.</s> |
<s>[INST]my 10 year old daughter has lately been having trouble with swelling of her lymph glands in her throat This has been an on going problem with her for about a year now I am concerned that it may be something more severe of a problem like maybe Hodgkins disease what are other symptoms of that disease[/INST]There may be fever with evening rise of temperature, with night sweats and pruritis if patient has Hodgkins. Before thinking of this disease you have to rule out many other causes of lymph node enlargement. Act by the advice of your doctor who will differentiate the cause.Dr. J. Ticku</s> |
<s>[INST]I get very bad muscle spasms in my legs as well as leg cramps. Mostly when I am laying down for a while and then suddenly get up. Sometimes the leg cramps are pretty extreme and very discomforting and painful. I am not sure if it is because of my back, but I have bad lower back pains as well. The back pains are pretty bad. On a scale from 1 to 10 it is usually a seven or eight. Have you heard of a condition with these symptoms?[/INST]Hi, thank-you for providing the brief history of you.yes. There is a possibility that due to the nerve impingement there are chances of the muscle cramps as well. Since it will be a disturbed sensory functions. Also, taking an MRI and NCV study will help put more insight to the symptoms. Also, usually with exercise and medicine combination 99% recovery is recorded. With the grace of God I wish you a speedy recovery</s> |
<s>[INST]my son was shot 4 times once in the head once in the thigh the bullet went though the left leg once in in c7 and once in clavical and 2wk in hosp then he was sent to a Rehab now he has blood clots in both legs They are so swollen he cant use them What is the best treatment for him[/INST]HelloYou can take laser therapy for blood clots.It takes a series of treatments, usually 8 to 30, depending on the severity and duration of the condition.Patients often have to return to the doctor for treatments at least 2 to 4 times per week. Old injuries may be aggravated for a few days after treatments.physiotherapy will help but temporary, pain relief is good with out side effects.But you may need to take for long time.Ultrasound and TENS therapy may help.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 was suffering from dull abdominal pain for 23 dayshence i went for abdominal ultrasound the results were normalconsecutively i underwent Liver functioning test following is the result of the test total bilirubin231 conjbilirubin131 unconj bilirubin 10 SGOT52 SGPT41pls helpr d results alarmingi m 25 yrs old maleamit singh[/INST]Hi Welcome to Healthcare Magic Forum SGOT is raised. Total bilirubin is high, so is conjuagted bilirubin, These indicate a liver disease /hepatitis/ blockage of bile ducts/ alcohol intake for long term , liver cirrhosis . Most likely hepatitis. You need to see a physician for confirming diagnosis 7 treatment. Takecare.</s> |
<s>[INST]hi there I have a sore toe and has been sore for 2 3 days now I thought it might be a chilblain but have just looked at toe and noticed two white dots just smaller than a pin head and the don t look filled like a blister or have any holes in in but are tender to touch[/INST]Hello. Thanks for writing to HCM.I read and understand your question very well.I try my best to help you.As you have white spot on toe nail which is tender to touch. This may be due to local trauma , due to excessive cold , may be local infection.I suggest to take Tab Dan P and antibiotic for this.If symptom not resolve than consult a good dermatologist for this.I hope my advice will help you a lot.Thanks and Regards.Dr Vijay</s> |
<s>[INST]I have been diagnosed with small fiber neuropothy I am not diabetic I am thinking of taking alpha lipoid acid but do not know the brand and how much to I should take I have also taken antibiotics that contain fluoroquinolones which I understand could be the cause of the peripheral neuropothy Please tell me what you recommend Thank you Kathy[/INST]First of all , i would like to ask you that on what basis you was diagnosed to have small fiber neuropathy? If the diagnosis is right, it need to evaluate more to find out the cause of neuropathy. Till cause is not found, the treatment is symptomatic to relieve the tinglings in your limbs. and the medicines helpful are- gabapentin, pregabalin, duloxetine and few more. If cause is found out, the treatment will be based of what cause is detected</s> |
<s>[INST]Hi doctorI have some sores that have shown up on my buttocks It started off as red itchy bump and I used some apple cider vinegar on a few of them thinking it was ringworm and it scabbed I am not sure what these scabs are It does not look like the pictures I had seen of STDs But I am wondering if I should be concerned about possible STD[/INST]Hi. I have seen the pictures attached (attachment removed to protect patient identity). It seemed to be caused by a fungus named tinea. You have got a fungal skin infection. You can apply Clotrimazole ointment after consultation with dermatologist and take Ibuprofen per oral. Wear cotton only and loose clothes. Avoid tight fitting jeans as that causes the buttocks line to closely approximate and the itching to aggravate. For further information consult an internal medicine physician online --></s> |
<s>[INST]sometimes my heart beat increases due to some fear and the next day i have a bit of fear and there is a very slight pain in the chest reason but these passes away with 1 to 2 days and i am just 16 years old and dont want to go to doctor as i am afraid and i am still studying[/INST]Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This is in relation with psychosomatic manifestation of underlying stress and anxiety disorder .Hope this will help you for sure .Wishing you fine recovery .Regards .</s> |
<s>[INST]I had my gallbladder removed 2 weeks ago. They also did liver biopsy and I am now being tested for Hemochromatosis. Over the past week I have noticed a very strong vaginal oder. I have no fever and haven t changed soaps, prescriptions or my diet. I have showered every night. There isn t any pain but I did bleed lightly for 1 day (which is strange bc I usually don t have a period bc I m on Depo). Any way the oder could be caused from the surgery or hemochromatosis?[/INST]Hi, Welcome to Chat Doctor. I have read carefully your concerns. Hemochromatosis is manifested with symptoms like fatigue, weakness, joints pain and if there is massive hemochromatosis patient suffers loss of sex Chat Doctor. Vaginal odor is normally not causes by hemochromatosis. Common causes for vaginal odor are Bacterial vaginosis, trichomoniasis and poor hygiene. You have said about your hygiene status. Please go to local physician or gynecological doctor to check for vaginosis and trichomoniasis. Hope I have answered your query. If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health.</s> |
<s>[INST]My siister has had left jaw pain her glands under her jaw are swollen and she is having green stool Is this related to each other and a concern She has not had a big intake of chorophyll containing foods food coloring or diarrhea I am a nurse and am not sure of what could be going on She denies any feelings of feeling sick other than the jaw pain and swollen glands She is 23 and in great health Any ideas[/INST]hi as per the information provided by you, the swelling around the jaws seem to be due to the erupting 3 molars. the localized inflammation leads to to benign lymphadenopathy . the color of the stool has no relation with the jaw pain . take care</s> |
<s>[INST]My friend is sufffering from Kidkey desease in Silchar Town, Assam. The treating doctor has said that his both the kidneies are damaged. only one kidney is wirking at 20% level and he can be alive at best for six months more from now if hir kidney is not replaced. Please advise what he should do immediately to be alive for years.[/INST]Kidney disease even if the function of kidney is lost 90% will not kill a person. Medicine has progressed and hemodialysis is an option having thrice weekly 4hr sessions will help him survive for years. Off course renal transplantation is definitely superior option provided renal donor is present. To initiate hemodialysis first an AV FISTULA ACCESS has to be created which becomes functional only after 6 weeks of creation. So hemodialysis and renal transplantation are two options for your friend, and he can live Definitely for years on either of the modalities.</s> |
<s>[INST]Hi there I took the contraceptive pill for one cycle starting on the day of my last period 2212 I experienced unwanted sideeffects from the pill in the form of constant spotting and general irritability so stopped taking it after finishing the first packet of active pills 3 weeks worth My husband and I have used condoms since My cycle is usually anywhere from 2835 days I would suspect my peiod to be due around about now Yesterday I had a very short episode of light bleeding pinkish colour and since then it s completely stopped I have cramping today This has never happened to me before Is it because I took the pill for one cycle and didn t actually ovulate this month Or could I somehow be pregnant[/INST]Hello ma'am and welcome.The current presentation of cramping could be due to a hormonal imbalance brought about by the use of the pills. But this should be temporary and will subside in a while.Please visit your doctor if this lasts for more than a month after discontinuation of the pills and get yourself examined.Hope this helps.Best wishes.</s> |
<s>[INST]I have been being treated for achilles tendonitis for the past month but continue to get worse The orthopaedic PA put me in a walking boot told me to elevate and ice the tendon and to stay off of it as much as possible I have worn the boot and followed the other directions to no avail Now the swelling will not go away even with ice application and elevation there is severe pain and bruising to the back of my knee and I have muscle spasms in my calf at night I just had an MRI done last week but now my doctor is on vacation for a week so I will not know my results What can I do to stop this pain and swelling and to heal this[/INST]Hello, We have to rule out possible causes like arthritis and associated knee joint effusion. Consult an orthopedician and plan for an MRI scan. As of now you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician</s> |
<s>[INST]I pinched my lift little finger at work between a cement corner of a building and a steel garbage containier it is not broke but the complete tip to the first knuckle is blue and swelled up cant touch anything including ice can not put it in ice water or their is unbearable pain I don t knom what to do[/INST]Hi, Consult an orthopedician and get an X-ray to rule out the fracture. Apply ice packs and you can take analgesics/anti-inflammatory combination like Aceclofenac/Serratiopeptidase combination also. Most probably it will settle by three to four days. You might require a finger immobilizer also. Your orthopedician can help you further. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician</s> |
<s>[INST]Tongue feels as though it has been scalded Small lump on right side of neck Soreness in right lower jaw wslight swelling Dentist took xray Confirmed it is not my teeth Mouth staying dry Have already taken antibiotics for 7 days for sinus infection[/INST]hi,thanx for your query. reasons for scalded tongue are :nutritional deficiency,oral candidiasis a fungal infection of mouth,diabetes,anxiety,depression. this small lump on right side of neck is a lymph node swelling ,might be due to infection.soreness in right lower jaw might be because of infection to sub mandibular salivary gland.burning mouth can be treated by sipping fluids in regular intervals , use of alcohol free mouthwash,making changes in diet and lifestyle,spicy ,hot & acidic food should be avoided.a very simple and tasty medicine is mixing honey with milk and coating the tongue with the mixture.identifying the cause of the disorder is the key to starting the right course of treatment recommended for this condition. hope this is helpful.</s> |
<s>[INST]Hi My cousin is age 24 Doctors have diagnosed him with irreversible kidney failure last week There is no family history of such disease They have placed him on dialysis I want to know how long he should b on dialysis and is there anyother alternative other than transplant And if can lead is a happy married life is he gets married and approximately how long can he live[/INST]Hello,Thanks for choosing HCM. I can understand your concern and pain about your cousin. I m sorry to tell you that if he is having small kidneys in ultrasound then yes transplantation is the final option. Please ask his family members to donate kidney so that he can survive and have better life if there is no rejection. But at point of time dialysis itself have some side effects and he will be having some gealth issues which will interfere with his daily life but with good dialysis he can live longer.ThanksDr.Alekhya</s> |
<s>[INST]I got new upper dentûres early Nov now my jaw is in so much pain especially in the joint and my temples The Dentist adjusted them today Inside it is very irritated even my upper lipleft sideand a little swollen He said it should go away in a couple of dayshopefully in the mean whilerinse with warm salt waterfour times a day Nothing for the jaw pain Im miserable Will Ibprofen help[/INST]Hi..Thanks for the query..Well it is commonly seen that if the vertical height adjustment during the denture fabrication is not appropriate then it causes pressure and stress over the jaw joints leading to pain..So for this you should consult a Prosthodontist and get evaluated..If the denture is not appropriate then you need to get a new denture fabricated with proper vertical height and horizontal adjustment..For soreness inside the lip can be due to any sharp areas over the denture that is irritating the mucosa..It should be checked and smoothed..For relieving pain along with salt water rinses you can apply Lidocaine gel over the mucosa..For jaw pain take Ibuprofen..Hope this helps..Regards.</s> |
<s>[INST]Hi DoctorMy son 11 years and 3 months diagnosed with epilepsy on July start medication on 19 Soduim valporate and was free of seizure from 139 to 2012 and question if the onset of this episode link to the recent tooth braces placed recently 4 days before seizure think to remove ASAP please adviceRegardsAmer[/INST]Hi,It is unlikely that your son is having epilepsy because of tooth braces. For epilepsy to occur, cause in the brain must be investigated. This may require a CT scan and EEG tests.</s> |
<s>[INST]i wake up every morning for the past 90days with watery eyes and runny nose a cough and sore throat which sometimes last all day,what is your best suggestion,i tried several otc medication with little relief. what can i try to help me with my condition. Thank You.[/INST]Hello, Welcome to Chat Doctor, Your history is suggesting of some allergic reaction. As it is there for last 3 months the cause should be found out. The reason for the allergy can be tested by skin prick test using all kind of allergens like food, mite,dusts and Chat Doctor. Skin prick test help to identify the allergen causing the symptoms, after identifying the allergen you can decide whether to take sublingual immunotherapy or subcutaneous immunotherapy. For immediate relief of symptoms you can take some medicine like Monte LC after consulting your doctor. Thank you.</s> |
<s>[INST]HI I am a 36 year old female I have had two children Recently and it only happens occasionly when I bend down to do my shoes or go under a desk at work to plug computers in etc I get this lump inbetween the two rib cages just under where the cages are joined It is hard but will subside after a while I would not say it is painful it is very uncomfortable and hurts while the lump is there The lump then just starts to disappear I am very small in build and have lost a small amount of weight recently Please could you shed some light on this Many thanks[/INST]Hello!Thank you for the query.From your description it sounds like a hernia. However in this location hernia is possible if you have had any surgery before. However without surgery it is also possible to have hernia in this location. I suggest you to consult general surgeon with this lump. IN case of doubts, ultrasound should be done.Hope this will help.Regards.</s> |
<s>[INST]I cut my finger pretty badly on Monday afternoon I immediately cleaned it and wrapped it in a bandage Today is Sunday and it is white swollen and the flap of skin from the cut has not closed yet The cut was pretty deep and longer than 14 of an inch I could and can still see this pinkish tissue like thing on one side of the cut Do I need stitches What should I do[/INST]hi,thank-you for providing the brief history of you.A thorough clinical examination is advised.As you have a cut injury I will advice you to get a thorough clinical examination and if required the stitches will be advised.Depending upon the layers of the skin got injured the clinician has to decide if stitches are required.Also, cut injury will take a time to heal and depending upon the depth of the cut the tisses takes time to heal.In my clinical practice patients come with similar complaints and we perform a thorough clinical examination and based on the clinical examination to perfrom stitching or not is planned.Regards Jay Indravadan Patel</s> |
<s>[INST]I have a lump on my anus, I discovered it tonight, while i was in the shower cleaning my anus area. This past week, Ive had diarea and even one night had stringy poo. It was kinda nasty. Can you help me figure out whats wrong with me? im abit worried. im 25 years of age male. Athletic[/INST]Hi. Thanks for your query. Noted your history of lump in anus, had diarrhea and stringy poo. This indicates that you had intestinal infection which might have caused you to strain a lot, This in turn must have caused the enlargement of the internal hemorrhoid to have external prolapsed hemorrhoid. You have not mentioned pain; this proved this is not a cellulitis lesion or a forming abscess. I would advise you to get this checked from a General Surgeon and get operated. Take laxatives and have site bath. Avoid constipation.</s> |
<s>[INST]Hi Im an 18 year old girl Im 55 and 136lbs I have asthma symbicort inhaler Im tired and weak all the time i find it hard to get to sleep and when i do i dont get a goods night sleep Im always thirsty and craving sugary and salty foods I have really bad mood swings i often feel vulnerable and emotional and my concentration is very poor especially with school work I get headaches quite a lot and feel faint from time to time and when i close my eyes i see red or blue colours and sometimes my vision can be a bit blurred do you know what might be wrong with me[/INST]HI, thanks for using healthcare magicThe difficulty sleeping, moods swings and problems with concentration may be related to a psychological condition but you may be able to be initially assessed by your general doctor.Increased thirst, food cravings and abnormal vision would also need assessment.These can be due to different possible conditions for eg diabetes, electrolyte disturbanceBlood tests may be needed.It would be best to see your doctor for examination and investigationI hope this helps</s> |
<s>[INST]My father having Parkinson last 15 Years he takes Sandopa 275mg (6tablets) Sandopa c r (5 tablets) Ropark (4tablets) now his Problem is illussion he Sees Some One Sitting in our room under the bed People Sitting what we Shoul d do he is having 7 0 Years NO other health Problems[/INST]They are called HALLUCINATIONS and not ILLUSIONS to begin with.... Hallucination is seeing something that's not there whereas ILLUSION is misinterpreting something that is present for something else. In your fathers' case the first thing I would check would be an urinalysis to make sure he didn't have an infection since this is extremely common in elderly patients who do not move very well for whatever the reason. I might also look to any NEWER medications he's been taking for a short period of time before these HALLUCINATIONS started to see if this could be influencing. It is not uncommon for Parkinson's patients to have hallucinations but then, this may suggest he could be having a variant of Parkinson's disease as well...or that he may be suffering the earlier stages of dementia which can accompany Parkinson's patients in about 25% of cases. Please rate this a 5-STAR ENCOUNTER and write to me at www.bit.ly/ Chat Doctor.</s> |
<s>[INST]Hi doctor I had vaginal sex with two condoms without a breakage before two weeks I do not know the person whom I had sex and do not know whether she has HIV or not Am I at risk of getting HIV infection from vaginal sex with two condoms Does the partners fluid that touches the shaft cause HIV transmission[/INST]Hi. Never use two condoms, and there are higher chances of having a slippage. Protected sexual activity shows a reduced chance to have HIV. The rates of transmission stand at 1 in 10000 sexual activity. So, you have a less probability of acquiring the infection. It is always better to get tested for your contact which clears your most doubts. You have negligible chances of getting an infection.</s> |
<s>[INST]So I am a law school graduate and a former city commissioner and the reason I mention this is that I have a very debilitating disease coined Morgellons Disease or Syndrome I have a history of Axis II trauma based condition BUT I do not have a history of psychotic delusions or the likeand neither do the 100000 individuals including the famous singer Joni MItchell who all have this unbelievably consumptive illness I as a person with a history in social justice activism and I am told even my mainstream psychiatric employees that the reason the CDC stopped studying this and implied it was delusional is simply that no money is to be made at this time in the search for etiology from this odd type of immune system disease which is mostly treated with immune supports herbs topical treatments stress reduction to reduce outbreaks on the skin and stress on the organs sleep and exercise to again reduce stress What ethical doctors are out there who give a damn about this situation I now have very atypical mood swings depression and anxiety extreme fatigue memory loss and the famous black effoliations and other Morgellons symotoims Anyoine who takes a logic course can demonstrate why the external symptoms are not a producto f somatic delusion or a statistics class on the improbability of so many cooccuring delusions Who are the eithicl MDs who actually will give me the antibiotics which help this I dont know if it cures it but it helps I took Bacerium once and it helped for infected lesions Among the MDs Ive heard of Brad Gould of Millennium Health in Atlanta Georgia Raphel Stricker of San Francisco CA Dr Kanjaroo Los Gatos CA I have NO CLUE who is an opportunist and who is a real or ethical MDCan someone helpmy degree is in law not medicine and I am in trouble hereKim Nemirow YYYYYYYY[/INST]DearWe understand your concernsI went through your detailed problem description and am very much surprised to see that you know so many things about your illnessess even though you are not a physician and you are a lawyer.But I sincerely believe that your knowledge is your problem. Every MD has their own way of treatment and way of diagnosis and way of assessment. Once you become typecast, or over expectant, you are bound to undermine them. Means disbelief. Means firther dissatisfation. Dissatisfaction leads to further doubts. Belief in a doctor, is key. If your current doctors are not believable, find someone who is believable and stick to them.Also you should go for yoga and meditation to streamline your thought process and metabolism. They should help you immensely.Hope this answers your query. Available for further clarifications.Good luck.</s> |
<s>[INST]A few months ago my tooth broke off (molar) I went to dentist and had it filled... He said it was deep and I may eventually need a root canal . About 4 weeks later I start having ear pain, face pain... Headaches so I went back to the dentist and he prescribed a zpack last week... Since then I have gone back and he started the root canal... But last several days my chest feels heavy. Kinda shortness of breath. Not wheezy and no fever. Should I be concerned?[/INST]Hi as per the information provided by you the symptoms of your chest have nothing to do with the dental procedure you have undergone. Had it been some allergic reaction to the procedure or medication taken for the procedure the chest symptoms should have appeared earlier. So unless you feel the shortness of breath or fatigue for another 1 week you should NT worry otherwise see a general physician and tell about your symptoms. Take care.</s> |
<s>[INST]My daughter is 22 years old and recently has experienced pins and needles She is vegan and her diet has apparently not been brilliant because shes just graduated and started a new job as a waitress in a casino as you do Any suggestions She also complains of upset tummy[/INST]HI. The history is not sufficient to say what she is really suffering from. Where are the pins and needles feeling? In abdomen or all over the body? Being Vegie does not cause such problems. What are the other associated symptoms along with upset stomach? What do you mean by ( as you do) ???</s> |
<s>[INST]hi Doctor my mum is 50 years old and she started to have some sort of flip on her outside of the belly 810years ago but after her sever pain on her tummy she been admitted to the hospital and found she has a lump in her womb and finally the doctors said that she has to go through the surgery inorder to remove that lump where her blood test is normal i m just wonder if she has cancerious tumour in her womb will it definitely shows on her blood test or to find out does she has to do CA 125 test[/INST]Hi, dearI have gone through your question. I can understand your concern. She has lump in her uterus. It can be leiomyoma or cancer. Blood test has no relation with this cancer. It is possible that despite of cancer blood test is totally normal. So she should go for ct scan to know exact location and spread. Then she should take treatment accordingly. Hysterectomy is the treatment of choice. With or without chemotherapy depending on stage. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.</s> |
<s>[INST]Dear Dr Raj I am Dr Parija Prof Head Head Neck Surgery at the Regional Cancer Center at Cuttack Orissa I have a relation who is suffering from Myelitis since 3 months can send u the MRI plates with TB Enchephalitis On Anti TB drugs Have taken Immunoglobulin 20 mgKg at HIMHANS Bangalore Need to consult fr further line of treatment an appointment Email YYYYYYYY Mob 0000[/INST]High dose methylprednisolone is usually the initial treatment of acute transverse myelitis, (although only Class IV evidence supports this practice, which constitutes "insufficient evidence"). Similarly, "insufficient evidence" supports mitoxantrone. Plasma exchange is "possibly" useful based on 1 Class II study, and rituximab "possibly" effective based on 2 Class III studies. "Insufficient evidence" supports azathioprine, cyclophosphamide, and IVIg to alleviate symptoms or prevent future attacks.</s> |
<s>[INST]sir i meet train accident two week beforei was seted in the door i put my leg in stairs suddenly small station cameand heat my leg lower portion its was cut to my kneebut any effect to bonesafter that i went to goverment accident they gave 8 stichechafter 2 days i went to private hospitaldoctor told sticheh not given properystill everyday i am taking antiboitic injuction tomaarrow i am going to cut my sticheh tommarow is my 12 days sir suggest some madicene how many days it will takwe to recover it[/INST]Hi, If there is no infection, then wounds usually heal up in 8- 10 days. If there is no injury to the tendons, nerves etc., then you can start you activities gradually. The dictum is 'gradual return to usual activities '. For more specific questions, I would like to examine you personally. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopedic Surgeon</s> |
<s>[INST]I fell real hard and hit an object on the ground with my knee, just below it. I cut that area open because of the hard impact, almost like an indention. That part is almost healed, but now a huge awkward bump remains. Should I see a doctor for that bump, it almost looks deformed.[/INST]Hi, happy to help you on your health concern! In the present case of post injury complicated/unhealthy wound healing and a resultant lump, if I were your consulting physician, I would consider following facts:1. As per your description, their is also some injury to underlying bone also! This needs x-ray for confirmation2. The would is not closed with good alignment causing some chronic low grade infection there!3. There could be impaction of some foreign body creating an epidermal inclusion cyst or some granulators inflammation could be fungus also! Take caution not to get injured there as this might invite more serious infection. If you are still worried, please get an FNAC test /X-ray with microbiological culture/sensitivity test for confirmation and thereafter get examined by a surgeon or revert to us. Hope you got your answer. Please feel free to write to us if any more queries. Wishing you the best health!</s> |
<s>[INST]I am from Dhaka Bangladesh age 45 I was diagnosed with stones in both kidneys I had undergone a ESWL procedure for my right kidney But now the crushed stones are not clearing up Recent xray report shows the following calculi are seen in both renal region calculi are also noted at the right side of the L2 L3 vertebrae along the line of right ureter phlebolith is seen at the right side of the pelvic cavity I am suffering from bouts of severe pain in the lower back and abdomen What should be my next course of treatment[/INST]HelloThanks for query .You have undergone ESWL for Rt renal calculus and is having severe pain in abdomen .Your pain is due to residual fragments of the stone that got impacted in ureter and causing pain due to hydronephrosis .Consult your Urologist for clinical assessment and get following basic test done 1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvisTaking Tomsulosin once daily along with antibiotic like Cefixime and Dratovarine twice daily will help to pass the fragments down into bladder within a week .,If this fails you may need to put a double J stent in ureter to help to pass the fragments out .Dr.Patil.</s> |
<s>[INST]I have a feeling of salt while gulping and a feeling of blisters on the edge of my right side of my tongue .This has been for over a month now.I get a very bad smell from my mouth which irritates me further.I had checked with a dentist to which he said its not a dental problem and also i drink over 3 litres of water a day.I need to know the reason to which such a problem can occur.[/INST]Hello there... There are various reasons for that... Please mention your age? ... Since you have already got yourself examined from a dental surgeon the other reason could be from the upper respiratory tract... Salty discharge could happen if you have upper respiratory tract infections. Post nasal discharge that runs down through your hypopharynx would taste salty...and you would appreciate it more when you lie in the supine position . Person with chronic sinusitis would also have bad breadth from their mouth... If the dental examination has ruled out your problem visit an ENT for further evaluation or visit an Oral and Maxillofacial Surgeon for further management.</s> |
<s>[INST]YES YOU MAY MY LEGS ARE WEAK UNSTEADY FEEL LIKE A LOOSE WAGON WHEEL WITHIN 10 TO 20 STEPS THEY TIGHTEN SO I CAN HARDLY BRING THEM FORWARD FOR A STEP AT NIGHT JERKING CRAMPING STIFFENING INVOLUNTARY MOVEMENT I CANNOT WALK GETTING WORSE IF I PUSH IT AND TRY TO SHOP OR WHAT EVER IT MAKE IT MUCH WORSE AND I CAN HARDLY CONTROL MY STEP I HAVE HAD BACK SURGERY LEGS AND VEINS CHECKED OUT COMPLETLY I THINK THIS BETWEEN THE MUSCLES AND BRAIN I DO HAVE FIBROMYALGIA AND LUPUS AMONG OTHER THINGS PLEASE HELP NO ONE HAD BEEN ABLE TO FIGURE THIS OUT AND IT S GETTING WORSE[/INST]Hi, You should have the habit of some general conditioning exercises daily. Start with normal walking. Increase distance gradually over days and target is 4 km. When you are able to walk 4 km with ease then start brisk walking. As far as medications are concerned, you need to message me privately and I will tell you some medications. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anuj Gupta, Spine Surgeon</s> |
<s>[INST]the outer right side of my right knee is swollen and causes my calf to cramp severelymid to right side when i extend my leg fully or retract my fully the cramping feeling stops and is replaced by a dull ache i had pneumonia a couple of days ago and had to sleep sitting in a chair one morning i woke up and it was unbearable any ideas what it could be and any suggestions on treatmenti am currently using lineament wrapping it and a heating pad separately not any of them at the same time[/INST]Hi...Your knee pain is because of your tight butt muscles pulling up the non contractile illio tibial band... the band is attached to the outer side of your knee slightly below the knee....When this gets tight your calf muscle will get tighter too as it induced spasm due to its attachment...so every time you bend and extend your knee you feel stiff and very painful knee...when you walk on this stiff knee it demands a lot of strength...and gets fatugyeceasily onvtop of it you are in antibiotics to combat pneumonial infection lose micronutrients resulting in cramps...I recommend you to..Increase your water intake..Take good diet...Apply ice frequently in the outer asect if your knee...15 mins for ever 2 hours..Keep it wrapped in compression bandage...If somebody is there for your help ask them to knead in your calf especially over the outer calf and outer side of thigh especially lower part near the thigh..it will be tender and follow this up with icing....keep your legs flexible..keep stretching your calf... Hamstrings..and your gluteus.. frequently...once you are out of pneumonia then you can begin with stability exercises for your gluteus and knee..this will prevent the problem. in future..Hope this is helpful for you...Kindly revert back in case you need further clarification .</s> |
<s>[INST]Hi I am 25 I was diagnosed with TB 3 years back Currently I do not have any symptoms of TB coughing fever etc However everytime my xray is done it appears on that Also I was told to have medicine for 6 months but because I use to throw up after having the medicines I stopped Now I am planning to get pregnant however a little apprehensive on where it will affect my new born child what should I do[/INST]first thing that you did wrong was that you stopped the Tb treatment in between which should not be done. this can lead to multidrug resistance tb which will be difficult to treat. so first get yourself check by chest and tb specialist, start treatment again. then plan for pregnancy.</s> |
<s>[INST]Hello doctorWhat is LV diastolic dysfunction grade 1 Doctor suggested stress echo cardiography And conclusion includes this line I can show you reports What is the treatment for this Any medicines[/INST]Hello. There are various causes of LV diastolic dysfunction like advanced age, hypertension, diabetes, and obesity. It has stages 1 to 4. In your case, it is grade 1, that is, mild diastolic dysfunction. Treatment for it is to treat underlying causes like hypertension, diabetes and to treat symptoms related to it like dyspnea. The doctor has suggested stress echocardiography probably to rule out blockages in heart arteries. Hope this helps. For more information consult a cardiologist online --></s> |
<s>[INST]I have been taking a beta-blocker for six months. I began having sever palpitations in late June (>5,300 in a 24 hr. period). They did many heart tests and my heart is not the problem. My thyroid blood tests were normal as was an adrenal test. I still get the palpitations, but they are manageable while I am on this medication. Now I am getting goosebumps! From my head to my toes several/many times per day. Even while I am covered up in bed and not chilly![/INST]Thanks for your question on Chat Doctor. I can understand your concern. Since you are on beta blocker, heart related diseases are unlikely to because such symptoms. Sometimes, undiagnosed stress, anxiety and panic disorder can cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need additional anxiolytic Chat Doctor. Don't worry, with counseling an</s> |
<s>[INST]I am going to the VA on 11212 so I was just trying to find a free answer to my hurting forarm after about three days I felt my arm and found a lump about as big as a marble and soft It hurts when i push on it My mother died from bone cancer that started in right arm[/INST]Hello,Your symptoms are not suggestive of cancer, because it does not hurt. The fact that it hurts, is indicative of local inflammation or infection. For this reason, I recommend consulting with your attending physician for a physical exam and some tests (complete blood count, PCR, ESR and an X ray study).Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist</s> |
<s>[INST]is eating too much ice bad? I actually sit at work and my mouth waters just to get home and eat a tray of ice!!! i fill the trays on an average of 3 times per day!!! i also experience bad stomach pain after eating a lot of ice!! is it caused from the ice???[/INST]Hi there! Thanks for posting your query on Chat Doctor! Many people do have similar craving for different substances, including ice. Medically we call it Pica. Pica is generally a symptom of anemia, either iron, zinc or Vitamin deficient. I would suggest you get a complete blood checkup done, to exclude anemia. If anemia is confirmed, treatment will range from a daily dose of supplementation, to blood transfusion, depending on your levels not anemia, then the craving could be related to another condition named obsessive compulsive disorder, in which the underlying emotional factors, if any, need to be ad Chat Doctor. Excessive ice cravings can also lead to weight fluctuations. So please do check up on that. Hope this helps.</s> |
<s>[INST]Im 15 years old and ive had spots around my anus for 3 or 4 years now. When they fist occured i asked my doctor about them, and he said they were realated to molluscs. He said theyd go away by themselves within a few years but they havent yet... will they ever?[/INST]Welcome to ChatDoctorI have read and understood your query Hope it may helpBumps or raised skin lesions caused by molluscan goes away without treatment.However, the time taken by them varies in different individuals. It may take two months to up to 4 years. If you try to remove bumps by scratching, or getting them removed by a physician using cryotherapy (freezing) or curettage (scraping) can cause pain, irritation, or permanent scarring would suggest you not to worry about them if they are not causing any pain or discomfort. I will be happy to know if it was helpful. You can approach us anytime with another queryRegards Chat Doctor.</s> |
<s>[INST]Hello doctor I am a 46yearold female preschool teacher Recently I was struck on the head by a first aid kit a small box fan and a child car seat while I was putting another first aid kit on the top shelf in the storage closet at work I did not lose consciousness but had mild nausea extreme fatigue difficulty processing information and a strange feeling in that part of my head for four days before I went to the ER It has now been almost three weeks since my fairly mild incident and I am still experiencing some symptoms from my concussion I still get nauseous if I am exposed to fluorescent lighting up close like in a room with a low ceiling or close to a TV or monitor as well as bright sunshine I have not resumed working out because the last time I tried I became quite nauseous in a moderate and short workout I also feel bad when I need to process information as in yesterday when my team was being trained on how to operate our new copymachine My husband says I am more flustered and forgetful than usual I get tickling and a dull headache in that part of my head when I do anything or if I am exposed to things that I have previously mentioned I was diagnosed with a concussion I do not have any brain bleed or other acute problems in the CT scan I am having a hard time finding a neurologist that accepts Workers Comp and I really do not think I need further treatment I have taken Tylenol as needed My symptoms are improving but have not entirely gone and I just want to make sure I know what to do and what not to do[/INST]Hello. Kindly revert back with the answers. For more information consult a neurologist online --></s> |
<s>[INST]HI, I been having a ache like feeling in the center of my chest and my left arm has been aching off and on. my arm only aches on my shoulder elbow and sometimes my wrist and fingers and I have a burning feeling between my shoulder and elbows at times.The Dr did a ekg,blood work and took xrays and everything came back normal so why does my chest and arm still hurt[/INST]Thanks for your question on Chat Doctor. In my opinion it is muscular pain only. Since your cardiac and pulmonary work up Is normal, it seems muscular pain mostly. So try to follow these steps for better symptomatic relief in muscular pain. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site.</s> |
<s>[INST]I am 70 yrs old and have a spiradenoma cancer on my head which was removed twice The second operation is not healing as well as the first operation I have a home care nurse who comes in every day to change the dressing What I would like to know if taking zinc would help me heal faster I am on warfarin[/INST]Hi and welcome to HCM,thank you for your query.I dont htink that zinc can help in these conditioon and there is no proof that it can faciliatet healing. however it cant harm you and any proved supplements can only be beneficial. But dont expect some miracle. The most important thing for wound sis to prevent infection and have frequent dressings changes.Wish you good health. Regards.</s> |
<s>[INST]Sir I have recently have MRI of Lumbosacral spine and the finding ara as follows 1 Small posterior disc bulges at L4L5 and L5S1 levels indenting the thecal sac 2 Mild facetal hypertrophy and ligamentum flavum hypertrophy at L3L4 to L5S1 levels[/INST]Hello and welcome to " Ask a Doctor" service.I have read your query and here is my advice.These MRI findings are compatible with minor degenerative spinal changes.Anti-inflammatory drugs and physical therapy may help you feel better.Hope this helps.Feel free to ask if you have further questions.</s> |
<s>[INST]I had ultrasound dr office just called said I have cyst on liver I have been having stomach issues and he though may be gall bladder Didn t get appt to go in to talk to him until 718 can you tell me if this is serious If it was don t you think he would have referred me to someone[/INST]HelloMostly simple liver cysts are asymptomatic and it is an incidental finding.It may cause symptoms if there is increase in size or infection inside the cyst.It is important to know present size of cyst.CT scan of abdomen can be done for proper assessment. If cysts are symptomatic then surgical removal can be considered.Generally it is not a serious issue.Get well soon.Take CareDr.Indu Bhushan</s> |
<s>[INST]hi i am 42 years old and i just recently notice a lump on the left side just a bit above the collar bone i have been short of breath acspecialy with any walking i also find even my stomache feels as it is being crush and i am sure i can feel swelling everytime i touch it like there is a rock there or something hard what could this be and is it all related or is it seperate problems i also had a mini strike 7 weeks ago thank you for your time[/INST]Hi dear, After careful consideartion of your symptoms, in my opinion the lump above the left collar bone is a collection of enlarged lymph nodes, what we in medical jargon call Virchow's nodes. They indicate pathology in stomach. Contact a general surgeon for biopsy of nodes and a gastroenterologist for endoscopy of stomach. Do it on priority basis.</s> |
<s>[INST]Hello there,My 10 month old sons bottom lips quivers almost all the time. I am not noticing any sort of pattern like when he is cold, when he gets upset, etc.I spoke to my sons doctor who only suggested that I keep a log off of when it happens. Honestly, it is continous so not sure how that is helpful.What are your thoughts about what this may be?[/INST]Hi. Welcome to Chat Doctor. As per your complaint lip quiver in infants is commonly seen as they have an immature nervous system, and it is resolved as the child grows and reaches further milestones. But in case if the quivering does not resolve, or it becomes more severe you should consult a Pediatrician and get evaluated and a clinical evaluation and investigations like MRI Scan and blood tests to check for any nerve related problem or nutritional deficiencies and syn Chat Doctor. . As of now it does not seem t be anything related to any pathology, so you should wait for at least a month and watch. Hope this helps.</s> |
<s>[INST]my name is aa...i had hepatitis A seven months back...after that i to totally recovered..now again i had my liver function tests everything is perfectly normal but my total bilirubin is high...the normal range given is 1 but mine is 1.5plz can u tell me what problem i have,,,[/INST]Hi, In hepatitis A convalescent period is seen where resolution of the disease is slow, but patient recovery is uneventful and complete. Relapsing hepatitis occurs in 3 - 20% of patients 4 to 15 weeks after the initial symptoms have resolved. Homeostatic hepatitis with high bilirubin levels persisting for months is also occasionally observed. Chronic sequela with persistence of hepatitis A infection for more than 12 months are not observed. Since you are having mildly elevated bilirubin after seven months, it is suggested that you maintain proper diet with low oil and preferably home cooked and get bilirubin levels repeated after 3 months</s> |
<s>[INST]my mom started being told she had high bpabout 1yr ago they gave her norvasc5mg when she takes it she sees people that aren t theredoesn t think she s at her home She is and just found mold under kitchen floor behind the tub in bath and something black on th lv rm ac vents She is confused weak constanly fatigued and does alot better away from home I think some of the mold has been here for a long time like years Shes been living here since 96 i think some of it s been here since 2000 i didn t know what it did to people iv e lived here since 2006 full time with her just visiting before that i never got sick until i would come out here And i have had 2 bouts with bronchitisinfections in both ears throat lump in my throat skin rashes that itch just get bigger and spread And before a year ago my Mom had to almost run around the table to get her bp up high enough to take We didn t know what mold did and if she s been exposed for several years like I think she has maybe more than 5 could it be the black mold Oh yeah she s 81 this started about 1122 years agoher confusion is not like alzdementia or any of that I am only 48 and latley have been dizzy just sitting or standing in the house[/INST]Hello, I passed carefully through your question and would explain that her symptoms could be related to low blood pressure and low blood flow to the brain. For this reason, I recommend you to closely monitor her blood pressure values. If her blood pressure values are within normal ranges, I would recommend switching to another anti-hypertensive drug. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist</s> |
<s>[INST]My wife has memory losses that sound like TGA. There is a question whether it is TGAS or non-convulsive seizures. She takes seizure medication which is tweaked each time she has one. She has had 4 since Nov. and 8 over the last 3 years. Is it normal to have this many TGA s? An EEG and CT show little and she caa not have a MRI because she has a pacemaker.[/INST]Hi, Thank you for posting your query. Both Transient global amnesia (TGA) and non-convulsive seizures can occur repeatedly and may be difficult to distinguish from each other. CT and EEG may be normal in both. If she has risk factors for TGA such as high BP, cholesterol or sugars! They should be controlled. In addition, she should be on aspirin or clopidogrel.Anti-epileptic Chat Doctor. I hope it helps. Best wishes,</s> |
<s>[INST]Hello doctor I had an IV treatment for fever I took four doses of Monocef 1 gm My fever is gone and I am feeling better I still have a sore throat and there is a lot of mucus generated The mucus is transparent How do I confirm that I have got a viral or bacterial infection Since my fever went down with antibiotics can it be bacterial I asked my treating doctor regarding this and he said it is bacterial How did he know it[/INST]Hi. For further information consult an internal medicine physician online --></s> |
<s>[INST]Hello doctor,I have a black type of a crack on the inside of my cheek and lips, no pain, a bit of irritation, and kind of like a small bump. I am a daily smoker and drink occasionally. I noticed it only a week ago. I have been smoking for five years and drinking ocassionally these years.[/INST]1. First do not smoke or use any tobacco product as it is injurious to health.2. Do not consume alcohol either.3. The lesions can be due to trauma, infection or other inflammatory conditions.4. Please consult an Oral Physician who will examine your mouth and give treatment accordingly.5. You may need antibiotics and anti-inflammatory medicines.6. Do warm saline gargles two - three times a day.7. Avoid spicy foods.</s> |
<s>[INST]hi, i m 26 weeks pregnant, recently got done gtt and post pardinal blod sugar tests. results of which are as follows fasting : 79 with 75gm glucose 1 hour: 199 urine : 3+ 2hours : 149 for fasting plasma glucose: 85 post pardinal plasma glucose : 84 i m confused because post pardinal level is well in control whereas one hour gtt is 199 which is quite high . pls advice on the same and how will it affect or not affect the baby thanks[/INST]Hello dear, I understand your concern. In my opinion your report suggests borderline GTT. Your first hour value is more. As per criteria it can be taken as gestational diabetes mellitus (GDM). But nothing to worry as the diet and exercise is sufficient. It doesn't need any medication. So relax.Don't worry. Take dietician advise regarding the diet. And do walking for an hour daily. Nothing to worry as it doesn't affect the fetus. Avoid stress. Hope this helps. Best regards...</s> |
<s>[INST]Hi , for the past 5 months I was Suffering from trigeminal neuralgia. MRI of brain taken suggests that vascular loop is mildly indenting on the right trigeminal nerve in the prepontine cistern seen.then doctor suggested tegretol 150 mg to be taken half in the morn and half at night for 15 days and later 1 in the morning and 1 at night.it was getting worse so I tried homeopathy along with that . They suggested sanguinary 30 . Mean while I set my missing tooth also by bridge . And also did 2 rootcanals . After this only my pain started more day by day. For the past 2 days I couldn t speak, or eat .whenever I say to open my mouth the painstarts and the attack is continue . Now daily iam taking 300 mg tegretol in the morn and 150 mg at night . Also homeopathy 4 pills 4 times daily. I Wang to get completely cured without doing any operation . Iam 41 yrs old[/INST]Hello, I will suggest you to look into the aggravating factor of your trigeminal neuralgia. You should consult a dentist first. The primary problem may lie in bridge fixation and 2 root canals which you have done recently as the pain was well controlled before these procedures. Meanwhile, add some analgesic in your regimen, like diclofenac sodium 50 mg twice a day to get instant relief. Hope I have answered your question. Let me know if I can assist you further.</s> |
<s>[INST]how long will a person with stage 4 ovarian cancer live completed chemo a year ago latest 2 pet scan shows recurrence and increasing size and locations just trying to estimate how long if no chemo is donealso what does the end stage look like cancer in lower abdomen not in liver or bonesyet thank you[/INST]difficult to determine exact time but she has only few months. it is better not to worry how her end stage looks like. most people has this doubt but you need to understand that end of life events are hard to predict. most of the ovarian cancer patients have ascitis and some have pleural effusions but terminal event should not be predicted</s> |
<s>[INST]I drank 34 glasses of wine almost every night this summer I have just been diagnosed with diverticulitis I am 56 year old female and the ER did a liver tests as routine procedure My liver enzymes were 70 on one test and 49 on the other I have stopped drinking now Will my liver enzymes return to normal[/INST]Hi there,Thanks for using HCM.Alcohol intake can elevate the liver enzyme levels. Usually the AST level is more increased than the ALT.There are other causes as well for elevated liver enzymes like viral infections (Hepatitis B & C), autoimmune causes, metabolic causes and toxins and drugs.All these causes should be ruled out in your case.Yes you liver enzymes can return to normal.If the elevated levels are only due to alcohol intake, then the enzymes would return to baseline levels in 3-6 months time after stopping alcohol.Is this answer helpful?</s> |
<s>[INST]I am a patient suffering with rheumatoid arthritis and have lot of sleepless nights due to pains and take zolefresh 5 and 10 mg as per loss of sleep How does it affect your system other than that you receive a good sleep and feel fresh the next day E B Mathews[/INST]Hello, Amnesia (forgetfulness) is more common if you do not get a full 7 to 8 hours of sleep after taking this medicine. Avoid driving or hazardous activity until you know how zolpidem will affect you. You may still feel sleepy in the morning, and your reactions could be impaired. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr AJEET SINGH, General & Family Physician</s> |
<s>[INST]About 2 1/2 months ago I went to a strip club and got a lap dance from a dancer. During the dance she put her lips to my crotch. I had on jeans and was fully clothed during the dance. I can t be sure if my penis came out of my underwear but had jeans on and zipped the whole time. She blew into my jeans and I could feel her breath on my penis. Her lips or mouth did not make skin contact with my penis or testicles. I did not touch her genitals or my mouth or penis at the club. I could have touched my face when I got home but can t remember. About two and a half weeks ago I got a fever and sore throat and about a day after that my hands and soules of my feet broke out in painful sores which some of which blistered. I am still in the process of the blisters going away. They don t hurt but I can still see where they were. I am worried this is a rash from syphillis. I don t remember seeing a chancre but can t be sure. What are the risks that I contracted an std from this woman I am scared to death about it. Is it possible to get syphillis even if you are clothed like if her saliva soaked through the cloth? I can t be sure if I precummed but I know I didn t cum in my underwear. I also am pretty sure the outside of my jeans were not significantly wet.[/INST]Hello, As per your clinical history is concerned, please follow like this:1) Do a clinical examination by your treating Doctor [Dermatologist] and to confirm do [CBC with differential].2) Discuss with your Doctor Prescription medication [Acyclovir tablet and cream] and paracetamol for fever. Do follow lifestyle modifications like this:1) Try to avoid skin-to-skin contact with others while blisters are present.2) Try to avoid sharing items like Utensils, towels, lip balm and other items.3) Keep your hands clean.4) When you have a blister.5) Wash your hands carefully before touching yourself and other people. Hope I have answered your query. Let me know if I can assist you further.</s> |
<s>[INST]I am taking Physiotens and Sevikar separately but daily for High Blood pressure but my blood pressure is over the last two days very low 11559 and 11860 respectivelyI am having dizzy spells on and off feeling very fatigued and sluggish what should I do Peter[/INST]Hi Mr Peter. You need to decrease the medications. Your BP needs to be lesser than 140/90. Its quite low and that is why you are feeling the way you do. I suggest you half the dose of physiotens. If you are still not better stop it and see. This drug has a higher chance of causing postural fall in BP. Take care.</s> |
<s>[INST]Hi may Ikno one thing regarding my brother s conditionmy brother is 22 years old and he has blood pressure 170110he is well built and doing regular exerciseafter Ultra Sonography doctors told that kidney size is differentieleft kidney is 79 cm and right kidney is 105 cmand now they are preparing for surgery so doctor i want to know that what disease condition it is and what is happening with himi am so tensed plz reply me[/INST]Hello, I passed carefully through your question and would explain that your brother symptoms could be related to renal arteries fibrodysplasia, which is narrowing of the renal arteries. This could be the cause underlying arterial hypertension, as this is a very uncommon disorder in young patients. Surgery will help improve his situation and preventing further aggravation of arterial hypertension and the renal function. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist</s> |
<s>[INST]I have congestive heart failure. Heart was 13 times to big, 2 years ago. Over the last week, I started failing. Blood pressure yesterday was 112 over78, 82 beats a minute, temp 97.6, but can t sleep and going down hill quickly now. I did find out, I breath better in the mountains at 5111ft or above.[/INST]Hi, After going through your case I want to know - 1) Your age and gender. 2) What is the cause of CCF, any heart attack in past3) Associated conditions like Diabetes, blood pressure or cholesterol problem. 4) Current medication are you on. 5) Earlier 2DEcho report if available. 6) Habits like smoking and alcohol. 7) Any current symptoms like puffiness of face, swelling over body, breathing difficulties. 8) In night you are not able to sleep it is because of breathing difficulties and inability to lie down flat on bed or some other causes. Anemia (low hemoglobin), kidney problem or new heart damage, undue exertion, febrile illnesses may aggravate the heart failure. I will advise you to consult cardiologist and get done clinical Examination. Following investigation may be advisable that can help in management. 1) ECG. 2) 2DEcho to know pumping capacity of heart. 3) Blood tests for heart like cardiac enzymes (troponin I/T, CLIMB), Pro - BNP. 3) Kidney, liver function test, urine Examination. 4) Complete blood count. 5) Chest X-ray. Following may be helpful for you - 1) Restrict salt and water intake. 2) Strict compliance with your medicines. 3) May need increased dose of diuretic medicine if already on or otherwise needs to start it.</s> |
<s>[INST]Hi..Iam Vinu..age 20..Iam here to ask about risks of masturbation..i have this habit for about 1 and half years..at the initial times it feels good..but recently iam feeling a little pain in my right testicle..however it disappears after 2 days...is it normal??...pls send me measures or steps to do...waiting for your kind advice....[/INST]Hello, The excess masturbation that is frequency more than 2-3 times in week can cause groin discomfort. So you can have pain because of that. However, if testis pain present than investigate with ultrasonography of testis for primary work up. Yoga, meditation, less porn can help in reducing frequency of masturbation. Make short term and long term study goals which will help in reducing frequency. Hope I have answered your question. Let me know if I can assist you further.</s> |
<s>[INST]The discomfort is off the side of my right breast It feels like off and on something is pulling on a muscle or maybe duct It is not a sharp pain but it is there The more I concentrate on it the more often it occursI am an anxiety person Any connection[/INST]Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.I generally see many cases like this at my clinic.We generally try to find out the exact cause of such pull in that region. Then i get an mammogram and if necessary an mri done to find out the exact location of the cause.In your case,there are 3 possibilities-POSSIBILITY 1. Soft tissue swelling- only the soft tissues around the region might have a slight swelling that may cause a feel of muscle pull.POSSIBILITY 2. nerve involvement- there may be a partial or complete straining of one of a nerve in that region that may cause such a feelingPOSSIBILITY 3.breast tissue,glandular involvement- there may be a blockage,swelling of glandular local tissues in the axillary tail of spence that is connected to the breast tissue.But i assure one thing, even if it is either of the above 3,all have a good prognosis and you should eventually get back to normal in coming few days.Nothing to worry about. I suggest u to get an mammogram and a n mri done.Do get back to me after ur reports are ready.I dont think there is any connection between ur symptoms and anxiety. I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless.</s> |
<s>[INST]hi, Im just wondering if the medicine phentermine can cause any side effects such as absence of period. I have had my tubes tied for 3 years, and my fiance and i are sexually active but use no protection., I have never missed or been late as far as my period. I felt like a crazy woman, when I went to the grocery store to buy a test.I have been taking phentermine for 3 weeks now, and am a week late. Can there be a correlation?[/INST]Hi there, Thanks for your query. Phentermine is not known to affect periods (as per the literature of the manufacturing company. It is common for ladies to have an occasional delayed period, once in a blue moon. Chances of pregnancy are remote. You have neither mentioned your age, nor the reason for taking determine (which is used to reduce body weight). In case, you are overweight, please exclude hypothyroidism, which can cause irregular periods. As this is the first time of a delay in period, you need not be concerned about it. However, you should see your gynecologist if the next 2-3 periods become irregular.</s> |
<s>[INST]Hi Doctor I spent yesterday in the ER with thumping heart beats ie palpitations I had all blood work a full panel enzymes etc EKG chest exray and TSH 04 because I ve had a total thyroidectomy In October of last year I had a walking stress test and all the same tests then all of which are normal showing no sign of any cardiac issues My palpitations are benign I m told Fine how can I slow them or stop them with out some antirythmic meds Of course even though I ve been told I m fine I feel them and sometimes worry which triggers the stress bug then my chest gets tight I have to take deep breaths and eventually a half of an Ativan to get out from under the stress Is there anything I can do relieve them They really started when I started taking levothyroxine Thank you Amy[/INST]Hello Amy,I have gone through your details and i also agrre that your heart is perfectly okay. So don't worry regarding your heart.The cause of your palpitations is hyperthyroidism due to Levothyroxin induced. You have not mentioned the dose of Levothyroxin.So my advise is kindly reduce the dose of Levothyroxin once a day associated with start Tab Propanolol 40 mg once a day with Tab Clonazepam 0.5 mg at bed time.Thank You</s> |
<s>[INST]66 yr old male construction worker with no recent cold or upper respitory episode History of chronic sinusitis Sinus gets stuffy while sleeping improved with use of breathe right strips Dry cough with intermittent metalic taste in mouth What could be going on[/INST]hi,Welcome to health care magic,dry cough or metalic taste in mouth could be as a result of your chronic sinusitis problem.Sinusitis can be treated with medicines like antibiotics, decongestant, antihistamines and anti inflammatory drugs. If sinusitis does not reduce with conservative medicines ,and if sinusitis is recurring very frequently, may be 3 episodes in 6 months then we advise for surgery. And if the sinusitis is associated with nasal poylp, nasal mass, fungal sinusitis then also surgery is a must. Surgery for sinusitis is a endoscopic surgery. In this surgery mainly we clear the sinuses and provide good ventilation for the sinuses. We do have to cut the soft tissue, debride, drain and then clear the sinuses. It's a day care procedure, patient can go home the same day. Once the surgery is done,, there are very less chances for sinusitis to recur.In my opinion if this is your first episode of sinusitis then you can wait and watch. If you are a chronic patient of sinusitis then I suggest you choose surgery. Hope this information will be helpful. Regards</s> |
<s>[INST]Ive been having severe upper back and neck pain for about 56 days the only thing I can think I did was hit the top of my head on a heavy cooler door that was open after I bent down to pick something up out of the bottomI havent really had any headaches or anything though and that was 3 weeks ago[/INST]This type of pain can occur due to sudden movement of neck. This causes muscle sprain and muscle tightness, so much so that even slightest movement become painful. I would like to suggest you Diclofenec gel and also muscle relaxant like Myoril or Myospaz. Local heat application also works. Do not use heavy pillow.</s> |
<s>[INST]I am 29 year old and 3 of my teeth right under the gum line are turning black. I have never had any cavites or major problems with my teeth. I am a smoker so I thought maybe that could have something to do with it. Does this mean that the tooth is dead?[/INST]Hi Sir, Blackening of tooth near the gum line can be because of1. Hard calculus deposit for a long time which was unnoticed or 2. Less chance to be a smoking stain since it usually involves more than three teeth3. Tooth decay which involves root of the tooth also4. Tooth wear out near the gum line which acquired stainWhatever may be the reason for your blackening, your tooth is absolutely not dead until you have any pain or swelling in relation to it. So don't worry at all. Still it is treatable. Hope your query is answered. Please don't hesitate to contact me for further queries.</s> |
<s>[INST]HI,I had a slipped disc and was in severe pain about a year ago. It got much better in about 3 months and then once again, after moving, I was in pain again ---- though not severe. This has been going on for about one year. Im not in much pain now, but I have difficulty walking!!!! After a year of pain, being inactive, and trying to protect my back, have I compensated so much that I have just lost strength in my legs. When I walk, I have some pain in my hips and legs, though not severe.(The slipped disc was at L5/L6)What should I be doing to help get back my strength and be able to walk normally?Thanks so much[/INST]HI, thanks for using Chat Doctor You may want to consider asking your doctor for a referral to a physiotherapist. A physiotherapist would be able to guide you through various exercises that you help improve your coordination and strength. This would be the best option. You may not want to start a regimen on your own. After the therapist goes through the regimen with you, you may be able to do them on your own at home. I hope this helps</s> |
<s>[INST]my son uday kumar maurya aged 40 plus is suffring with psychectric symptom like depressionanxiety withillusions since over 20years he likes to be alone calmavoids to mix with relativestreatment is continuing at calcuttaplease suggest me for betterconcreat treatmentmy email is _uday kumar YYYYYYYY[/INST]Hello and welcome to Healthcare Magic. Thanks for your query.I can understand that you are concerned about your son's problems. You have mentioned multple psychiatric symptoms such as depression, anxiety, 'illusions', poor socialization, etc. In such a case, it is important that he first has a detailed psychological assessment in order to arrive at the correct diagnosis.Further treatment will depend on the diagnosis. There are many treatment options available in the form of medication or counselling. So, I would advise you to take him to a good psychiatrist in your place for a proper evaluation. Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist</s> |
<s>[INST]Can I take Nexium 40mg and Yasmin together Also I am on xanax 1mg three times a day and just wondering if that is a high dose to be on I suffered with very bad acid and nausia for over 6 weeks and got hospitalized with it which was very difficult as I have a 4 month old baby My partner works away a month at a time so told them I cant keep feeling so ill It was worse in the mornings but still had it all day I would only ever be sick with acid never any food would come up I told my doctor I have suffered with anxiety and stress for quite awhile after I lost my first child when she was 4 years old Once my doctor put me on nexium and xanax within a day I was feeling so much better and the nausea has stopped I have suffered with anxiety in the past and never had it so I have felt so unwell like I did with the nausea and vomiting acid I also want to know that my little boy is now 55 months and is teething and have been told so many different stories on what he should be having I have had him on pandol and then changed to nurofen but was told they can be taken together Im using bonjella too but of a night 2 or 3 times he can wake up so upset which isnt like him and I can see 2 teeth coming through the gums How should he take both of them together safely Thanks I know there is quite a few different questions in this one for youKind RegardsAAAAA[/INST]Hi, The proton pump inhibitor esomeprazole (nexium) and the contraceptive ethinyl estradiol (yasmin) do not have any serious side effects when taken together. Alprazolam (xanax) is a sedative that has a potential to cause side effects in your baby while he is breastfeeding like sedation or symptoms of withdrawal as well. Paracetamol (pandol) and Ibuprofen (nurofen) both are given for the same purpose so any one of it will suffice provided there is a necessity for both (under supervision). Do make sure he is receiving the right doses.Hope this helps,Dr A Rao</s> |
<s>[INST]I have a terrible pain in my right groin area and it is getting worse I am a female aged 42 I hurt myself during the night which is what led to the pain I cannot cough without it hurting and now I cannot stretch properly or workout properly without it hurting If I sit down I cannot get up without it hurtingWhat can I do[/INST]Hi, dearI have gone through your question. I can understand your concern. You may have some muscle pooled or spasm. You should take analgesic with muscle relaxant. It will help you to releive your symptoms. If it remains persistent then you should go for examination. 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]doc, my first sgpt reading is 135. so the doctor told me to have a medication for 1 week and advice me to take godex 2x a day for seven weeks. after 1 week, i go back again and see wat happens. i was so disappointed with the result because i took medicines for 1 week and then my sgpt result becomes higher. it reaches 160 instead it decreases..wat should i do?please give me guidelines for wat i have to do to make it normal.[/INST]Hi, Welcome to Chat Doctor, You have high liver enzyme called SGPT, first it is most important to know the cause of such rise then treatment becomes easy. Commonly liver enzymes rise due to Viral Hepatitis, Chat Doctor. These are some of common causes, it is not clear from your description what was the cause of liver dysfunction. Please visit a Physician /Gastroenterologist and examination followed by required investigations like complete liver function test, abdominal ultrasonography. Treatment depends on cause, so no specific therapy is there for liver. In some cases these enzymes may take some time before they come back normal. We must remove cause to improve this, take care of diet and do not take alcohol if it is there. I am sure this is mild derangement of live and in few weeks time it will come back to normal. Take care Good Luck.</s> |
<s>[INST]hello i am on birth control pills for months and last month i only had spotting and crampts and vomiting and back pain with sore breast but i tested negative on 2 pregnancy test I have already been pregnant while taking birth control and i miscarried last year around this time Do you think I could possibly be pregnant I have a lot of the same symptoms[/INST]Hi, Thanks for writing to us. The chances of pregnancy are very rare when you are taking birth control pills regularly but chances are still there. You may consult a gynaecologist for urine, blood test and ultrasonography to rule out pregnancy. Good luck. Take care.</s> |
<s>[INST]i undergone pneumonia treatment in hospital for 3 days by taking antibiotics (IV). After discharge i am getting more back pain and chest tighten pain. If I use hifenac-mr it is giving immediate relief, can i continue it, if so please give dosage. i am 36 old and female[/INST]Dear patient It seems you have got back stiffness due to rest. Since you were under treatment for pneumonia in hospital you must be on rest which might lead to muscle stiffness and pain. You need physiotherapy with back extension and back strengthening exercises and do hot water fomentation for your back. If you are feeling better with higher Mr you can continue it. Dosage is twice a day for 5 days. All the best</s> |
<s>[INST]I am a 63 year old woman who has been dealing with extreme stress over the past few years Suicide of an abusive spouse Loss of home due to his suicide and debts resulting in my personal bankruptcy Alienation from children and loss of income due to an injury I suffered in 2007 Only grandchild was born a Downs baby with many health issues she will have to face with multiple surgeries and supportive care I have no health insurance at the present time and am having a difficult time with fatigue I have gained almost sixty pounds over the past two years I also have lower right side abdominal pain and a tugging sensation in that area I get muscle cramping in that area when I bend over There is a history of a sluggish bile duct but I have not had an attack for seven years Appendix was removed many years ago Hysterectomy at age 40 I had a gastric bypass ten years ago and lost a 100 pounds and felt very well and full of energy Now I am so tired that it is sometime an effort to walk to the car I try to exercise but pain makes this hard Go to the gym and do strength training and walk a bit I try to watch my diet but get very depressed and food has always been a source of comfort I am recently remarried to a wonderful supportive man and we will have health insurance in a few months I have problems sleeping and worry that I might have some serious illness as cancer runs in my family My main problems are extreme fatigue weight gain and lower abdominal pain It feels as if I am slowly drowning[/INST]Hi, Thanks for writing in. Your symptoms are suggestive of depression rather than any other illness. Cancer would typically cause weight loss than weight gain. Comfort eating, difficulty sleeping, fatigue all point towards depression. Since you have been through so much, I would suggest you give yourself some time. Slowly, things would start looking up once you decide that things are changing and for the better. The pain in the abdomen is likely to be muscular and your excessive weight could be contributing to it. I would also suggest you see your general physician for an evaluation of the depression. At the end, drugs would help provide relief but its your own battle which I am sure you would win. Hope this helps Regards</s> |
<s>[INST]experiencing periodic once every 3 to 4 months and brief 2 3 minutes tightening in chest my right front usually happens upon waking in the am no pain able to breath adequately subsides gradually after a few minutes 68 year old male in good shape 5 10 160 nonsmoker run daily no medications have experienced about 2025 of these episodes over last 6 years Thoughts[/INST]Thanks for your question on Healthcare Magic.I can understand your concern. Mid night chest tightness in old age (more than 60 years) individual is more suggestive of cardiac disease.So in my opinion, you should definitely consult cardiologist and get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test).If all these are normal then no need to worry for heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s> |
<s>[INST]Hi , Wednesday evening i had a tender groin and a little swelling at the groin/top of thhigh area with redness. By the next morning the redness had started to go down my leg and it has been itchy and warm with some swelling where it is red . It also feels like i have a thick hard vein? Or something like that going down from top of thigh to where the redness stops . It was still a little red this morning and i thought it was going but by late afternoon it s started to get itchy again . It is warn to the touch . I got bitten by something on Tue afternoon on my calf and by wed morning and my calf was very swollen but that seems to be less hard and swollen today . Wondered if it was to do with the bite . Thanks Angela[/INST]Hi, Angela. Certainly this could possibly be related to the bite, but there are 2 other possibilities that require prompt evaluation. One of these is a blood clot in the deep veins of your leg. This can create swelling, redness, heat, and pain. An infection in the skin can create similar symptoms and eventually spread into your blood. If you are still having any of these symptoms or the thick hard vein, get checked at an urgent care center or emergency right away. An untreated blood clot or infection like this could progress into a life-threatening situation. Hope this answers your query. If you have further questions, I would be happy to answer them.</s> |
<s>[INST]the guy i know is really attached to his mother and always compares me with her..however he doesnt hates his father as mentioned in the oedipus complex definiton. but he is never able to accapt my love completely because of his love for his mother. he overreacts at times and i can feel that he is torn between me and his mom.. i dont want to hurt him but cant leave him either.. where to seek for help[/INST]Idealization of parental figure and internalizing the primary caregiver is quite a normal phenomenon in development of any person. From what you are describing, it seems this has gone too far and is causing significant interpersonal problems between you two. The first thing to do, I suggest, is for you to talk to him about this. This would not only start getting the process of getting help but also will let you know his reaction to getting help. Any kind of help offered will obviously work with the hard work of the actual people involved and hence this is very important. Interpersonal therapy appears to be a good form of talking therapy for you too but before anything of this sort is sought out, please have a preliminary assessment by a mental health professional to see if there is any need for you both to seek help or is it that it may be you that may be overly sensitive. Sorry for suggesting this, but a competent professional has to look at all angles of a problem. Guidance</s> |
<s>[INST]hello dr i have somatropin HGH which I am currently using as gym supplement I am 21 years old and I still want to increase my penis size I have heard thats possible by injecting hgh into the penis my question is where do i inject it exactly how many iu and for what period of time[/INST]Thanks for asking in healthcaremagic forumIn short: Never inject any thing over there nor any supplements to increase its size.Explanation: Nothing can increase your penis size permanently except implants. So, please do not even try to read such thing in net. You cannot increase your penis size from any medication. Be happy with what you have.</s> |
<s>[INST]Hello I recently had a blood test taken and my ALT had risen from 42 in December to 95 at the end of January Are you able to advise how long it takes before ALT returns to normal I was also taking Trazodone which can elevate ALT I stopped taking this two weeks ago Many thanks[/INST]The liver damage (hepatotoxicity) with trazadone is idiosyncratic, it means it is not related to the dose and cannot be predicted. You did a very wise thing of withdrawing it, as per recommendations the drug shouldn't be ever used back. Try taking an alternative drug. As for liver ALT you can repeat after 3 weeks and should have normalised by than. However the above side effect is very rare, make sure that no other drugs, herbal preparation or even a binge of alcohol was taken at that point of time. Regards Dr priyank mody</s> |
<s>[INST]WHAT ARE THE SYMPTOMS OF LATEX ALLERGY I PUT ON A PAIR OF NEW RUBBER GLOVES TO WASH SOME DISHES MY HANDS STARTING ITCHING SLIGHT PUFFINESS I GUESS WHEN I TOOK THEM OFF I MIGHT HAVE RUBBED MY FACE SIMILAR REACTION I DO HAVE SHELLFISH IODINE NOVACAINE ALLERGIES ALWAYS CARRY EPI PEN BENADRYL MANY THANKS[/INST]Thanks for query.latex allergy may be of three types irritant contact,allergic contact,immediate allery reaction.The most serious reaction to latex. It can show up as rhinitis , conjunctivitis (pink eye), cramps, hives, and severe itching. It is rare, but symptoms may progress to include rapid heartbeat, tremors, chest pain, difficulty breathing, low blood pressure, anaphylactic shock.as you are saying that it happens everytimep you wear latex gloves.if the reaction subsides on its own.it might be of allergic contact dermatitis .try avoiding those and use alternate latex free gloves.if you do not have rapid breathing and rhinitis(running nose)you would not need epi .antihistamines would do well.regards</s> |
<s>[INST]My boyfriend was just confirmed positive for having contracted mono! I am his first girlfriend but even though I have dated others and have not ever had symptoms of mono, is it possible I gave it to him? We have been dating officially for only 2 months... I don t want his mono.[/INST]Hello, Welcome to Chat Doctor, Infection with Epstein-Barr virus (ABV) is very common and usually occurs in childhood or early adulthood. ABV is a contagious infection that spreads from person to person.ABV is the cause of infectious mononucleosis and the symptoms are fever, sore throat, swollen lymph nodes in the neck, and enlarged spleen. The symptoms like nausea, vomiting and diarrhea are very much rare with ABV infection. Individuals with ABV infections requires1. Adequate rest 2. Plenty of Fluids3. Corticosteroids to treat significant swelling in the throat4. There is no specific medicine to treat ABV infections. Thank you.</s> |
<s>[INST]I m age 16 now and have low self-confidence in my appearence. I m just wondering after age 16 does your face change ?. My face is chubby while I m relatively thin and my nose looks massive. Do you look alot better at age 18 ?. Is there anything I can do to improve my appearence. Thanks.[/INST]Hello !! Yes, to a little extent you are right this age 13- 19 years is the age of transformation of a child to a well-developed physically and mentally healthy adult. There are some physical changes as well as some hormonal changes and secondary sexual characters start appearing due to which the teen Age feels quite uncomfortable but once you overcome this period and achieve your full physical and mental development there would be lots of changes in you by that time, and you will feel comfortable with it. All you need to do at present is to take balanced diet, do proper exercises, focus on studies and communicate properly with your parents and friends about your problems. There is nothing to be shy. This is the age where, at many times you would be in dilemma where you have to judge a lot of things , you have to consider lots of things, so proper clarification of your queries is must for overall personality development. Hope you would benefit a lot from this clarification. Any further queries are welcome!!</s> |
<s>[INST]My wifes heart was racing very fast to the point where you can see her chest moving. She sat down and the heart rate evntually went back to normal after 5-8 minutes. After the rate slowed she had chest pain where the heart was beating. Any idea of what could have caused this. She is not on any medications.[/INST]Hello Thanks for posting at Chat Doctor. The symptoms of palpitations and chest pain may be of cardiac origin. So she must get evaluated from cardiac side. She must undergo an ECG and @ 2 d echo test at first. It will show the hearts electrical activity and also the heart muscle structure, valves and pumping function of the heart. If both the above tests are normal, then she must undergo a treadmill test which requires you to walk on a treadmill while your ECG is continuously recorded. These three tests will give us an idea whether there are any heart related issues. Please do the above tests and revert. Wishing you good health. Regards.</s> |
<s>[INST]Im a 44 year old African American man who recently stopped working because of chest and back pain and well quite frankly I just didnt have the energy anymore My body feels really wears most of the time sharp pains everywhere and flashes of light in my periferral visionWhats wrong with me[/INST]Hello Thank you for trusting HCM When the vitreous gel inside your eye rubs or pulls on the retina, you may see what looks like flashing lights or lightening streaks. You may have experienced this sensation if you have ever been hit in the eye and see "stars."These flashes of light can appear off and on for several weeks or months. As we grow older, it is more common to experience flashes. If you notice the sudden appearance of flashes, you should visit your ophthalmologist immediately because it could mean that the retina has been torn. Along with that your having minor depression or viral myalgia. So consult your doctor as early as possible.</s> |
<s>[INST]I was having severe lower back and went to doctor in XXXX and was given injection XEFO 8 MG INJ IVIM My lower back pain was reduced but later the pain started in my buttocks and then in things and now right feet is numbed When revisited doctor i was suggested for xray and was told about some disc problem and asked to take NERVAX 75 MG Will this reduce the pain and numbness please suggest me[/INST]Mr Shaikhfir, You have not mentioned the duration of the problem that you are having, but if the back pain has progressed to buttock and thigh pain and then to numbness in the right foot, it is highly likely that you have a nerve root compression in your lower back, most likely due to a disc prolapse. You must undergo an MRI to identify and confirm the level and reason of the compression. The medication should give you pain relief briefley but if the numbness and weakness in the foot and leg are increasing with time, it is wise to get an evaluation done by an orthopedic surgeon or spine surgeon as early as possible to prevent further progression of the neurolgical deficit. Good luck and get well soon.</s> |