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<s>[INST]I have undergone IVF treament last sepit failedthey saidits due to poor egg qltyfor meif they give injections for ovulationit didnt respondi have high FSHIE LIKE 1208 last junebefore i did ivfhoweverit was reduced by taking many tablets for me 4 iuiand ivf failedthey r asking to go for egg donor kindly sugest as wht can i do[/INST]Hi.In my opinion, if you don't mind being more patient with having a child then you can try a few more times, but if you do not and if your doctor thinks it would not be wise, then I would also suggest an egg donor, why don't you talk to some one close? That way it stays in the family, if you are fine with that i.e.?Best wishes.</s>

<s>[INST]Sirmy baby is 10 months old and now it is observed that he is unable to digest mothers milkwe consulted a docter and it was confirmed it has been two weeks passed and still now the mucus content is high and it smells too badalso his stomach appears to be bulged he shows resistance in taking any kind of medicines Stool is yellow in nature and no blood or bio organisms observed in the Stool routine pls help with valuable sugggestions[/INST]Hi, I'am Dr Suresh K Yadav MD (paediatrics), I had gone through your question and understand your concerns,What symptoms actually your baby is facing? Is it increased freq of stool ? is stool large and watery ? Stomach appears to bulge , means ? abdominal distension . Apart from breast feed what diet is your baby taking ? It looks like post diarrhoeal lactose intolerance , which needs diet low in lactose like , curd, chach , khichdi , stop top milk if any ( or give zerolac formula feed ) . If symptoms are persisting, , baby needs evaluation by a paediatrician to pin-point reason for these symptoms.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questionsTake care.</s>

<s>[INST]my husband is 44 years old and has just been diagnosed with a brain tumor in the left temporal lobe. his symptons have been headaches and trouble saying what he wants to say. He was diagnosed 6 days ago. The neurosurgeon and a team are meeting to make a plan. They already have told us that they will operate and take as much of the tumor as they can, but they can t take it all because it has wrapped itself around the temporal lobe. My questions are is it normal to wait a week or so to have surgery, what is the prognosis of him living more than five years?[/INST]I read your question carefully, and I understand your concern. Regarding your first question, yes it is normal to wait for a week or so, it doesn't change much in the tumor evolution while careful planning can change the outcome. As for your second question, it is a hard one to answer. There are many types of brain tumors, some more aggressive some less. So each of them carries a different prognosis. That will be better determined after the surgery and the biopsy results. I hope things work out for the best.</s>

<s>[INST]Hi my daughter has viral fever and says that there is pain in her legs unable to walk and rather limping after walking for few minutes she is okay but once she sits again finds it tough to walk What could be the reason Is it normal in other kids too[/INST]thanks for posting your query to HCM .Firs I want to know age of your child as different infection are common in diferent age group. second weather is feeling any weakness , numbness, tingling sensation in that leg or not . If it is only pain then no need to worrry but if pain is assicuated with some other feaure as I mentined contact to your Paeditrician for immideiate care .Take care .</s>

<s>[INST]Hi i am doing a project on the male reproductive system and i cant find an answer to this one question and that is What are the functions of the male reproductive system and to be specific When i look it up they dont really give me much I was wondering if you could help me Destine[/INST]Hi, the function of the Testicles is to form sperms which are then transferred to the Urethra via the Vas Deferens. On their way, the secretions of Seminal vesicles are added to the Sperms and is then called Semen. this secretion provides nutrition to the Sperms. Semen then enters the Penile urethra or the urine tube in the penis and is secreted in spasms caused by the Cavernosa layers in the Penis. Dr Rishi, New Delhi, India</s>

<s>[INST]MYSONINLAW IS SUFFERING FROM ADENOCARCINOMACANCER IN STOMACH WHO IS A DOCTOR IS ON FOURTH STAGE. HE IS NOT ABLE TO SWALLOW EVEN WATER.KINDLY ADVICE ME IS THERE MEDICINE IN SIDDHA PARTICULARLY AT COIMBATORE TAMILNADU AGE 35YEARS HEIGHT 160cms weight 40 kg[/INST]**1. Since the said condition is surgical, and because he is in fourth stage of cancer, your doctor might have given up the idea of doing surgery, thus it is best to have your Doctor to look into the matter, and since he is unable to swallow even water, in the best interest kindly treat him in ICU [intensive care unit] with possible intravenous fluid and nasogastric feeding.2. No Alternate Medicine will work orally [as unable to take even fluids], and giving them through nasogastric tube will depend upon your attending doctor discretion.</s>

<s>[INST]im from Michigan and i moved to ga one week ago and i have really bad back pain and my tailbone has always been hurting during my pregnancy and after the birth and i also have fibromyalgia im just in alot of pain i dont know what to do i cant sleep and im having a hard time walking i dont know that to do[/INST]Hello, Thanks for your query.You are suffering from coccydynia- inflammation of the bony area (tailbone or coccyx)Cure for your coccyx pain-1.Use a well-padded seat when sitting and avoid long periods of sitting when possible.2.Do sitz bath- take warm water in a tub and sit in this.It will relax the muscles around the coccyx.3.Do exercises that will strengthen your tailbone's supporting muscles and stretch ligaments near the pain. Consult a physiotherapist for this. Therapists may perform a combination of:Levator ani massage and Levator ani stretching.4.Correct your posture. Poor posture may be contributing to your tailbone pain. Try to sit upright. If you get a sharp pain when getting up from a sitting position, lean forward and arch your back before rising.5.You can take anti -inflammatory drugs like Tablet Motrin 1 tablet as and when required ( do not repeat a dose before 6 hours) with food will help relieve the pain.6.Apply diclofenac gel on the affected area.I do hope that you have found something helpful and I will be glad to answer any further query.Take care</s>

<s>[INST]today my daughter put a heart moniter on her wrist for the first time in PE Within minutes both her arms turned blueish green She took the wrist monitor off right away That was about ten hours ago and her elbows and inside upper arms are still discolored[/INST]Hi, She needs colour doppler study of blood vessels as it may be due to a blood clot. Otherwise, do not rub or heat the affected part. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Varinder Joshi, General & Family Physician</s>

<s>[INST]My mom s MRi report shows degenrative changes in the spine . Transitional vertebra at lumarosacral junction with sacralisation of L5 vertebral body. Also its mentions posterocentral and paracentral disc protusion at L5-l4 with minimal cranial migration causing identation of thecal sac and narrowing of bilateral lateral recess / foramen compressing exiting nerve roots. Doctors in India have adviced undergoing an back surgery with 50 -50 percent chances but we are a little concern about undergoing a back surgery. We are not sure about the chances and also recovery time needed. Your advise will be greatly apprciated.[/INST]Hi, Thank you for posting your query and MRI spine findings of your mother. The decision to operate would depend not only on the MRI findings, but also on the clinical symptoms and examination findings of the patient. In general, only about 10-20% of patients with these findings would require surgery and the rest can be managed with medications and physiotherapy. In operated cases, the success rate is more than 95% cases, if the case selection is correct. I would request you to get back with patients symptoms and examination findings. Best wishes, Chat Doctor.</s>

<s>[INST]hey me nd my husband we r trying for 6 months to hav a baby. but unsuccessful .can u tellme wat is the best position to conceive nd also sm tips for getting pregnant faster. one more thing i dnt feel orgasm easily i dnt find much pleasure in doing intercourse is it necessary to feel orgasm by female to get pregnant[/INST]Thanks for contacting Chat Doctor. To get pregnant faster buy a thermometer and start taking your oral temperature at bedtime daily from first day of periods. When egg is released in females(usually from 14th to 17th day of beginning of menstruation), body temperature is raised by half degrees and that is the ideal time to conceive. This is allowed you to identify your fertile period. From next month you will have an approximate date of egg release and your husband can abstain from sex for 4-5 days prior to egg release. As soon as the temperature is raised, you can have intercourse for next 2-3 days. Best position for conceiving is straight with husband on top. Please lie down for 20-30 mins after intercourse and do not wash after intercourse. Yes, you do not need to have an orgasm to conceive. Regards</s>

<s>[INST]my sister age 17 years old diagnose with ASD since birth now 44cm she has been given electric shock 360 jule 2 times within 3 months and admitted to CCU currently a doctor said she also suffered RBBB please advise me the best option for herthank you in advance[/INST]Thanks for your question on Healthcare Magic. I can understand your concern. RBBB (right bundle branch block) in ASD patient is suggestive of worsening of heart disease. And ASD size of 4.4 cm is too large. Better to consult cardiac surgeon and discuss about surgical repair of ASD. Surgery is the only option for her. She might need valvular replacement also. So consult cardiac surgeon as soon as possible and discuss all these. Don't wait at home. Hope I have solved your query. I will be happy to help you further. Wishing good health to your sister. Thanks</s>

<s>[INST]I have a sinus infection that has been going on for a long timeHave been on 3 antibiotics now and yet I feel better but its not gone I had cultures done and two of the 3 antibiotics should have taken care of it Ive also tried the nasal rinses daily What should I do now[/INST]I suggest you can visit an ENT specialist and get a Nasal Endoscopy done to clear your sinusitis problems.. Simple procedure less hospital stay and good results..</s>

<s>[INST]I have a strange pressure on the right side of my head above my ear Almost at my temple It hurts slightly now and I had it last night too without pain I take 20mg Cipralex however I havent taken it yet today Could it be a withdrawl symptom or an anxiety thing Thanks[/INST]Thanks for your question dear first please mention your age and second that you are adict to what?? Now causes include there is due to tention injury medication alcohol</s>

<s>[INST]Hi My 7 year old son told me he was red on his penis When I looked it was really swollen I brought him to the ER and the doctor told me it was an ant bite We have used to cream he prescribed to us but it hasnt went away and this is going on 5 days now I need a second opinion please Thank you[/INST]kindly review with photo of that area.i think he is having inflammation in that area.apply metronidazole and clotrimazole in that area.keep that area hygienic.</s>

<s>[INST]I m 31 , married 4 a year now wt no child,I did a sperm analysis test n I av over 20million sperm wt traces of staph aures but d doctor gave m an injection and Augmentin tablet,but we still tryn 4 a child and I m living a. Healthy live wt fruits,suppliments n exercises.pls doc wot do I do?[/INST]Hello You may need recent semen analysis. Findings suggests normal sperm count. It should be at least 20 millions/ml. You were rightly treated with antibiotics for semen infection. It is important to know other parameters of semen analysis like sperm motility, morphology etc. You may need investigations like routine hologram, random blood sugar, semen culture and sensitivity, ultrasound of scrotum. You are rightly taking nutritious diet and doing exercise. Fertility is expected to increase with above measures. Your wife also need proper evaluation. You should consult renowned infertility center. Get well soon. Take Care Chat Doctor.</s>

<s>[INST]Hi, I have a 1 year old baby. She keeps eating pretty well and suddenly she refuses to eat for 2-3 days. Few days later she continues to eat as usual. I am suspecting that there might be issues with her digestion. Can you suggest what might be her issue?[/INST]Hello dear!It's normal for the child to have tamper tantrums at this age. I would advise you to not panic and reduce the amount of milk. I would you to please don't give her bottle-feed. Give her by cup and spoon as they take a lot of milk through bottle and that fills up the tummy, leaving no place for food. There can be other causes like a sore throat,toothache or tummy ache, but they all have clear signs of them. In their absence you can safely say it's because of the usual behavior of the child of this age. I would recommend a healthy balanced diet preferably of what your child prefers like rice, wheat,vegetables of your babies choice, his/her choice of meat and fruits and also dairy products like cheese etc. Hope it will help. Wishing your child good health :-)</s>

<s>[INST]I am getting a lot of muscle spasms and cramping in my legs Sometimes cramping in my feet at night Right now very sore thigh muscle Also really sore back the past few days I m 59 and don t often have much pain aside from headaches so this muscle pain is unusual[/INST]In my opinion you are having sciatica originating from spondylosis in your lumber vertebra i suggest using NSAIDs 3 times a day ( like cataflame 50 mg or alphinturn )do beurger exercise before you go to sleep ( check it on youtube ) also i recommed professional physical therapy which will fix you up in no time you can do CT scan to confirm but i am 90 % it is lumber spondylosis Good Luck</s>

<s>[INST]My mother is 81 yrs old and has a large pulsating lump on the right side of her neck. She had a cat scan today to rule out an aortic aneurysm. It was negative. She is currently being treated for a ruptured ear drum, from an untreated sinus and ear infection. Could it be related or something else? Thank you[/INST]Hi, If I were her treating Doctor for this case of a pulsating lump, I would come up with only one and one possibility that is a hematoma or some vascular tumor! And it is not related to any infection... I suggest you to go for an FNAC test and Doppler USG of the lump for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing her good health.</s>

<s>[INST]I have been undergoing many tests for some swollen lymph nodes and other issues The most enlarged node is in my inner left elbow It ranges from about 34 to 1 inch across and over an inch long It is not terribly hard and it can be moved a little bit I also have a shadow on my right lung that has persisted through two ct scans Some other tiny nodules in my lungs didn t show up on the second scan What is your first through about the possible cause Of course I will continue to work with my doctors for an answer[/INST]Hello,I can understand your concerns.Such type of lymph node enlargement can be due to:- Lymphoproliferative disorders- Diabetes- Infectionsas a rare cause leprosy is one of the common reason for solitary enlarged medial epicondyle lymph nodes. If this continue to persist then you may ask for biopsy which will rule out the diagnosis. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon</s>

<s>[INST]is letrozole 25 mg good for me i want to get preg fast 29 yrsi have pcod irregular periods overweight taken three month course of doluteL finsihed on marchjan2011 to march2011 after that i have taken duphaston for 15 days next month sysronn for periodsall my tests were normal ie insulin but little hormon problem ie fsh456 LH511 now my doctor gave me letrozole25mgintragettablet for five days from my day2 of periodi have this tablet 1Is this tablet safe for me because i have heard some side effect like birth defect triplet etc 2now is my third day982011 3plssssssssssss suggest is this a right way any other suggestion[/INST]You can take letrazole 2.5 mg from day 2 for five days.There should be any side effects you mentioned.</s>

<s>[INST]i have a one year old just found out 3weeks ago and wont find out how far long i am until next week since i didnt have a period this whole time because of breastfeeding. i really feel like i feel the baby moving but i estimate maybe 6 to 8 weeks but i guess i could be more yet not showing at all. how early would be normal to feel baby movements? and is it ok to only feel a bump on mostly my right side and not somucj on left. like i can press down my belly on lower left side but not right. i dont remember last pregnancy lke that. afraid of ectopic pregnancy or something.[/INST]Hi, Baby movements can be perceived by the mother only after 16 weeks in the second pregnancy. And if you are perceiving baby movements it is very unlikely that it is ectopic, as ectopic pregnancy does not continue into 2nd trimester without major complications. Get an ultrasound done to know how far long you are, it will also confirm the location of the pregnancy. The expected due date will also be calculated by the scan. Hope this helps. Regards.</s>

<s>[INST]HI i am 37 year old and i have on baby 5 year oldafter this baby i dont have another child from last 5 yearas per my medical reports my sperm count is 47 but sperm motility is just 10 and as per doctor your sperm motilaty should be above 40 then you become father againPlese advise me wot i will do now[/INST]Hi thanks for contacting HCM...You have less sperm motility ...Cause searched for and treated accordingly ...Avoid stress /smoking / alcohol these three can decrease sperm motility so....Avoid excess heat exposure .Wear somewhat loose cloths ...Hot shower not taken ...When you had submitted semen for analysis at least three day abstinence should be there ....Avoid using anabolic steroids if taking....Take antioxidant and vitamin rich foods like ....Broccoli /red peppers /spinach / orange /blue berries /peaches etc .. L carnitine tablet can be taken as it is useful in increase sperm motility...Take care</s>

<s>[INST]I have a diagonal crease on my right ear lobe and have had for at least 20 years (if not more). I am a 44 year old woman and take statins for cholesterol (purely preventative measure). My father (who was a GP) died at 61 years old with a sudden stroke and my GP said my cholesterol was at the high side of normal and that statins would be a good measure. I do not have blood pressure. Is this crease a definite indicator of heart disease? Many thanks. RJ[/INST]Hello, I would explain that there are many studies which indicate that ear crease is an independent cardio-vascular risk factor. Anyway, dyslipidemia, family history are other independent risk factors. For this reason, I would agree with your doctor on the description of statins for dyslipidemia. It is also recommendable to closely monitor your blood pressure values and follow a healthy lifestyle (regular physical activity, avoid smoking and alcohol and follow the Mediterranean diet). Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]Hi, i just had a quick question. I have been diagnosed with PCOS, and have been given Dianne 35 birth control pills for this reason, and also to clear up my acne. I also plan on using it for contraceptive purposes just to be safe. My question is, since my periods are irregular (the last one i had was 3 months ago and still no sign of getting it soon), am i able to start the pill at any time or does it have to be on the first day of my next period (i just dont want to wait that long, as it could take months). Thanks![/INST]Hi, I think what you can do is to take some progesterone for 7 days for your periods to come. When you will stop the progesterone periods will come within 1 to 2 weeks, then you can start Dianne from day 1 of your cycle. Just don't forget to do a urine pregnancy test before taking progesterone. Also, I think you should do a thyroid profile and prolactin and an ultrasound for your follicles to rule out the cause of irregular periods. Dianne can be used for contraception. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]I am experiencing pain in my upper right side right below my rib cage I do not have an appendix and experience nausea bloating distention and belching I have loss of appetite eating very small amounts but have not lost weight I am a female age 49 I Have had a colonoscopy endoscopy stint placed in bile duct sonogram and ct scan Results are inconclusive I take omeprazole 40mg daily to no avail Please help me[/INST]HI ! From your history, it seems that you had undergone appendicectomy. You have mentioned about stent in the bile duct, but you have not mentioned anything about your gall bladder. If it could not be, then may be your gall bladder is getting inflamed which caused the pain. Presuming that your gall bladder is also removed, there is a possiblility of the stent getting partially blocked or there could be inflammation of pancreas. Your doctor may advise you for a serum amylase and serum lipase test.In the mean while, you can go for a bland diet without any fat and lot of roughage in it, and continue with the omeprazole. You can add a prokinetic drug after consulting your doctor. Good luck</s>

<s>[INST]hi doctor my name is akanksha m at my 24th week of pregnancy frm last few days was feeling some contractions so doctor asked me to take duvadilan 10 mg twice a day ans susten 200 after dat there was relief but frm yesterday in site of taking regulat medication i can mild contractions which last for fraction of second Is this normal[/INST]HIWell come to HCMI really appreciate your concern, if this is the symptoms then it need to be brought to investigation and in my opinion better to get done the ultrasonography, you can not take this as granted because of medicines, hope this information helps.</s>

<s>[INST]hi doctor i m zeeshan from pakistandoctor i have problem of discharging while sleeping and it from last two or three years i had discharge probably every night and having sex dreamsi dont knw why plz plz plz help me from thishow i can control this plz help me out[/INST]Hello, Nightfall or nocturnal ejaculation can be troublesome and embarrassing. I can help you in this matter of nocturnal ejaculation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist</s>

<s>[INST]39-year-old white female. Just had routine blood work last week and platelets came back at 120,000. Apparently rest of blood work within normal limits. B12 barely at normal but better than when last taken over 1.5 -2 years ago when I had been put on B12 . Can green leafy vegetables and protein really increase platelet count? I have to go for repeat CBC tomorrow. I have read lymphoma and leukemia can be a cause of thrombocytopenia . Is 120,000 really that serious?[/INST]Hello, welcome to Chat Doctor, Firstly, you do not have reduced platelet level. Platelet count of more than 1 lac is not counted as low platelet. To confirm, a low platelet count, you have to do separate blood test only for platelet count. It will reveal the condition. So, you do not need anything right now. But for your kind information, green leafy vegetables, cannot increase the platelet level. Only platelet transfusion can increase the platelet level. Regards.</s>

<s>[INST]MY NAME IS ERIC M BOAFO I HAVE AFFECTED WITH HEPATITIS B VIRUS AND HAD TAKEN THE HBV PROFILE AND I WENT TO HOSPITAL AND A DOCTOR PRESCRIBED LIVOLIN FORTE TO BE TAKEN AND ANOTHER DOCTER OF MY INSTITUTE SAID LIVOLIN ARE NOT FOR HEPATITIS B PATIENCE IN THIS CASE WHY SHOULD I DO CAN YOU PLEASE PRESCRIBE A MEDICINE FOR ME[/INST]Hi and welcome to HCM. Livolin is medicine which helps to protect your liver from damage. It is helpful in people who have hepatiits of any kind. BUT it will not cause full recovery and cure your from virus.There is no specific medicine for hepatiits B. It will just make your liver less damaged. So you should follow recomendation of your first doctor.Wish you good health.</s>

<s>[INST]Hi doctor Sometimes a white colour liquid is coming from my penis with hard stools I am facing this from last one monthmay be I have not noticed before I am not facing any pain or other disturbances at the time Is it common or anything to worryI am 28 years old unmarried man and I never had sex thanks Jithu[/INST]DearWe understand your concernsI went through your details. The white discharge you are talking about here is semen itself. semen discharge through penis during bowel movement is quite common and there is nothing to worry about it. your body produces semen whenever you are sexually aroused. Such produced semen will be stored inside your body and it is a waste product. Body will try to clear it out of the body. If you do not masturbate or engage in sex, and eject the semen, body has to find alternative methods. Body uses nocturnal ejaculation method or ''viction through urine'' method. These are natural process and you do not have any control over it and therefore do not worry or be anxious about it.If you still need my assistance in this regard, please use this link. Please remember to describe the whole problem with full detail.Hope this answers your query. Please feel free to post follow up queries. Available for further clarifications.Good luck. Take care.</s>

<s>[INST]hello my son is 1 yr and 2 months he is getting all four of his molders and two of his front teeth at the same time he has red around the teeth that are growing and they look a little purple and he has two blisters one on the tip of his tongue and one on the roof of his mouth Im guessing hes in a lot of pain because he wont eat any solids what could this be[/INST]Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns.....As per your complain it seems that your son is in the teething phase and inflammation and swelling of gums is not abnormal finding..During teething there is inflammation and swelling of the gums due to pressure and breaking of the gums for letting teeth to erupt in the mouth by cutting through the gums and the child can experience slight temperature rise also..Canker sores on tongue is also due to inflammation while can also be due to viral infection..So my suggestion is to give him Acetaminophen [Paracetamol or Tylenol] for pain and do cool compresses over the gums..You can use a very soft toothbrush to clean his teeth and also be gentle and careful, not to touch the gums...Give him a soft and semisolid diet..Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora..</s>

<s>[INST]So l have had people tell me I sleep talk and a few days ago I was at a b day party and I had a R rated dream about my new bf any ways I have gone to sleep before at a friends house in a chair and woke up in there bed they were sleeping on the couch acrost from me and seen me sleep walk I mean I walked right threw a room u couldn t even see a floor to get to the bed Iv had my friends over for my b day party and about 4 am they woke me up freaked out I had my eyes open and my mouth open asleep I tend to do this next one early in the morning when my mother wakes me for school so she will come in and say get up for school I will SIT UP LOOK AT HER EYES OPEN AND SAY ok I m up I m awake and talk to her till she leaves then lay back down asleep and she gets so mad at me I m really scared of this I slept with my friend once and she said I kicked her in the face but any ways besides my symptoms WHAT IS WRONG WITH ME Is there a cure Any thing I can do I really want to stop it all[/INST]Hi ,sleep walking and sleep talking are types of sleep disorders and antidepressants are used in treatment for this . Advised to consult psychiatrist for this.</s>

<s>[INST]Hi Playing cricket last night whilst fielding in close proximity I took a ball at quick pace to the shin bone It had swollen massivley but this morning the swelling appears to have subsided a little Unfortunately however I am still unable to put any pressure at all on the leg Walking is near impossible due to the excruciating pain It feels okay when it s resting however the minute I try to walk on it the pain becomes quite unbearable Also unfortunately a cold compress is out of the question as any form of pressure on the spot is far too painful Thanks D Harris[/INST]Hi,Thanks for your query.It could be soft tissue injury or due to a hairline fracture. You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory drug like motrin to reduce pain and inflammation.I do hope that you have found something helpful and I will be glad to answer any further query.Take care</s>

<s>[INST]Hi doctor I need to find out about something that I am very nervous about I made out with a woman and realized that there was a bump on the side of her mouth She also perform oral on me The bump looked yellowish with brown edges I have no idea whether it was oral herpes But I am freaking out Last week I was itching near my thigh pelvis and below the belly I do not know whether it was because I recently shaved down there But the itching was on and off I did not notice anything unusual until I saw two pimples near my pelvic area I popped it and pus came out and got cleared A few days later I saw something looked like healing razor bumps The bumps were not crusty but they were itchy It has been a few days and the bump have not left I did a herpes vinegar test and the lesions become white after I applied the vinegar Today the bumps have a black scab Do all these symptoms sound like herpes I also took a photo of the bumps Please explain[/INST]Hi. I have read your query in detail and do understand your concern. Also, viewed the attached pictures (attachment removed to protect patient identity). A lesion on the side of her mouth may or may not be herpes. Lesions on your pubic area are not herpes or any STD (sexually transmitted disease). They seem to be those of folliculitis due to bacterial infection or razor bumps. Moreover, herpetic lesions do not cause itching, but pain and inflammation are the predominant symptom. So, your lesions and symptoms do not sound like herpes. For further information consult a venereologist online --></s>

<s>[INST]I fell and hit my head over the weekend There was initial swelling near my temple but after a day or 2 it is almost gone My jaw bone still a little sore and it feels like water is in my ear My vision is fine Could that be a sign of a concussion or something internal[/INST]From your description of the injury and your symptoms- you do not appear to have suffered a concussion. You may write to me with more questions to: www.bit.ly/drdariushsaghafi Please rate as a 5 STAR ENCOUNTER.</s>

<s>[INST]I have a white patch thats almost forms a circle on the inside of my cheek in the back near my wisdom tooth Its painful especially while chewing or swallowing Ive had sores in the mouth before but theyve always gone away in a few days Ive had this for about a week now should I call my dentist[/INST]thanks for your query, the white patch could be frictional keratosis resulting from chronic irritation of tooth on the cheek..if the white patch get traumatised and results inn ulcer that can result in pain..consult your oral physician and see the condition of the wisdom tooth if it is not in favorable position then get it removed..for the ulcers you can take topical anesthetics and analgesics...do saline gargling.. i hope my answer will help you..take care..</s>

<s>[INST]my father 67 is suffering from high urea 225 and cretanine 27he is already a heart patient with a conbo device implanted 5 yrs back as his heart functioning is 15 20doctors say his heart n kidney are failingis there any diet which can help in lowering his urea as he is taking medicines which are important to avoid water accumulation in his body ditorzitenexbut are increasing the urea n cretanine levelshe is a pure vegetarian n non smoker[/INST]What we can do for him at this point is to slow the progression of kidney disease. Normalisation or bringing down of creatinine is not possible. With a false hope don't use herbal medicines. It further damages the kidney. Continue vegetarian diet. Avoid all fruits and coconut water but he can take apple and papaya. Take salt restricted diet. If he is having high BP control it. Daily walking, exercise is helpful. All the best. If you have any questions feel free to contact me.</s>

<s>[INST]My sister , age 30, got kidney failure, (doc describes as ARF). This happened after she delivered baby thru c-section. She has been struggling for more than 7 weeks and has gone thru number of dialysis till date. 1 week ago she shifted to big hospital in Calcuta. what are the chances of getting out of this. If needed I can send the respective doctor a soft copy of the latest report. Please suggest and guide.[/INST]Hi, Thanks for your question. Sorry to know about your sister. ARF means Acute Renal Failure. ARF following C- section may be due to-1) Blood loss or hematoma (blood clot formation).2) Hypotension (low blood pressure).3) Infection.4) Direct injury to ureter.5) Aggravation of pre-existing kidney problem. Chances of recovery from ARF depends on upon-1) Correction of underlying causes.2) Serum urea, creatinine, uric acid, calcium, phosphorus level, arterial blood gas analysis.3) Urine production per hour.4) Level of Blood pressure maintained with or without medicines.5) Signs of fluid overload. After knowing this one can comment on recovery. Over all there is definite chance of complete recovery of kidney function in most of the cases of ARF Hope this helps you. If so do vote as helpful.</s>

<s>[INST]My son 6 yrs old had a pimple right above his penis. Its in the fleshy area. The Dr. thought it may be a bite and prescribed antibiotics and a cream this Thursday past. When I brought him in there was a red dot with an area of redness around it, (like an infection). After applying the cream the all the redness went away but not the pimple. Just now I notices the redness is coming back. It doesnt hurt him, but sometimes I catch him itching that area.[/INST]Hello, Welcome to Chat Doctor, The symptoms of your son suggest me that he may be having some fungal infection. The fungus is the normal comedians of this area, which will be kept under control by the useful organisms whenever there is a change in the environment this fungus will activate and produces the symptoms of itching and pain. Your sons symptoms requires physical examination to find out the actual cause for the symptoms, and then it can be treated appropriately. For his symptoms I would suggest you to followed that area clean and Chat Doctor.</s>

<s>[INST]Earlier this week I had bad pains in my chest that became worse when what felt like electrical pulses coming through my left chest I was admitted to hospital and had blood tests and ECG s with no negative results showing up The ECG s had some slight irregularities but nothing to worry about according to the specialists I had a stress test as well however this showed up nothing as well so I was sent home This doesn t seem right what can I do next I also currently have hypertension and IGA nephritis[/INST]Hi,Chest pain can be because of many reasons, right from the superficial skin inflammation to muscular, bony cartilage, lung and it coverings, heart or even a gastric acidity can cause such a pain.Each pain has a peculiar character. It would have been much helpful if you would elaborate about the type of pain you have.Is it continuous through out the day? Or does it occur only on coughing or deep breathing?How would you best describe the pain, Stabbing type, Burning Type or a dull aching type? Does it occur during exertion or during lying down? Do you have frequent burping? Any Cough?Which all medications have you been taking? Does it include an Antacid?Since ECG was within normal limits we can rule out a cardiac cause. Though a repeat ECG can be advised if chest pain is recurrent.Chest X- Ray can be useful in ruling out many etiologies of chest pain. Till then analgesics and anatacids shall be helpful.Awaiting your response. Any more queries are welcome.Thank You,Regards.</s>

<s>[INST]Hi. Im just wondering if effexor can cause a 19 year old man to lose his better judgement in the area of sexual fantasies. Im talking about my son, who has sent some inappropriate messages to girls on fb and by text. He would never do any such thing face to face. Of course, hiding behind a screen makes that kind of thing easier but the fact that he knows better and still did it makes me wonder if the anti-depressant he is on has anything to do with it.[/INST]Hello!effector i.e. Venlafaxine doesn't case these side effects. From the details you have mentioned, its clear, he is doing it consciously, may be to get rid of his sexual impulses which are very common in this age. But please educate him about the hazards moral as well as legal. If the habit persists, please show him to a psychiatrist for this matter also, some Chat Doctor. Secondly if the Venlafaxine is given only for Depression, other Antidepressants can be tried instead which can control his sexual obsessions and impulsivity too. Hope this helps you.</s>

<s>[INST]Hi, i am now in mexico city(Guadalajara), i am staying here for past 4 months, due to climate change i have applied the moisturizing cream from walmart, after two day, i have rashes and hitching in my had part alone, i have visited the general doctor here, She put me the injection Celestone and the TABLET Clarityne. After having this injections and tablets it reduce little bit, could you please provide me any alternative solution, i have CANDIDERMA plus cream, can i apply that? please advice.[/INST]Hello, There is no need to apply another antifungal cream with probably a steroid in the Candide plus. The tablet clarity should be enough to control the heat rash. If there are any areas of low pigmentation and appears like a fungal infection, your doctor would have given the antifungal cream. Try a suiting ointment like Calamine lotion on the skin where it burns the most and sun creams with SPF of at least 30 before going out. Thanks.</s>

<s>[INST]Hi My mother was diagnosed with Simple Hyperplasia wo atypia last May 2013 but hadnt taken any medication to solve it out What was done to her was blood transfusion so as to replace the lost blood due to continuous bleeding Now four months after the same scenario happens and we are afraid that she will undergo the same process will be ok after and will eventually suffer from it again after another couple of months What also concern us is the thought that her case would get worse and would lead to cancer Any comment on this matter Thanks[/INST]welcome to HCM!as your mother is diagnosed simple hyperplasia without atypia,there are two options-medicines,hysterectomy.better will be operation if u don't want to take risk.all the best!</s>

<s>[INST]Ive had an infection in my lungs x3months currently on 3rd antibiotic also have HX of Benign mass 2007 with left lobectomy and resection my current cxr showed pleural thickening at the Apex and Osteopenia productive secretions of yellow pus and light green moderate amount should I be concerned I also worked as a phlebotomist for 7 years in a local hospital that was torn down for asbestos[/INST]Hello, According to the history of your situation, yes, it might be related. However, if you have currently done a chest CT than the situation might be more clear. Mostly this might be related to bacterial bronchitis too. So better for you to consult your doctor for this to be sure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist</s>

<s>[INST]Hi doctorI have taken primoult n tablet twice daily for 5 days to delay my periods in the month of marchI was not aware of the pregnancy at that time but now when I tested in April month it is positive in pregnancyso my question here is does this tablet effect my baby[/INST]Hi, Thanks for the query. I understand your concern. Primolute N-a hormonal preparation of female sex hormone... is contraindicated in pregnancy. It can cause fetal congenital abnormality &so such pregnancy (with intake of pills like promolute n ) needs to be terminated. Thanks.</s>

<s>[INST]I have six to seven red small lumps on my toungue at the back which I have had on and off for years. I believe they were caused by bushing my toungue which I do twice a day as they occurred around the same time. I have spotted what looks like an extension of one of these on the far left back of my toungue which is bigger than the rest which I ve only recently noticed. I am concerned this Kay be a growth- and lead to cancer. What is the best course of action?[/INST]Hi! Had you gone back further, your concern would just increase! But I think you just examine any ones tongue these are there; just because these are not only normal, these are also very necessary part of our immunity system within the tongue! Yes, these are taste buds and submucosal collections of lymphoid cells to fight against any offending organism like tonsils; these could be red, brown, whitish, dark etc. in color depending on their reaction! Their number increases as backwards we go on the tongue. No chance of cancer; don't worry!regards!</s>

<s>[INST]Hi.. To all doctors im Chris and im 28 years old n im married my problem is while having sex my penis gets discharge fast like within 1min so my wife gets fedup of me please help me doctors and my penis is also bend in shape n my wife want my penis to make straight n strong n it sud b last for long while having sex and I think this problem is bcoz of masturbation bcoz I use to masturbation for so many years n im thin also some time back pain come after masturbation please help me to improve my sex life[/INST]Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. The condition that you are suffering is called premature ejaculation. Now it's a type of anxiety disorder and the person normally suffers from performance anxiety where in he is anxious if he can perform or not. First you can try the start stop technique. Your wife is supposed to start stimulating you and the moment you are about to be ejaculated she is supposed to stop all the stimulation and hold your penis head hard. Now this should be repeated. Perineal exercises also help. These are the muscle exercises that occur when you contract the perineal muscles like when you are trying to stop the urine or feces. You have to do this contractions repeatedly daily to tone up the perineal muscles. One solution is medications. Some patients are not willing to wait for these acts to produce results and instead demand medicines. I prescribe them 12.5 mg paroxetine at night, and they are doing good. Normally one should try until 25 mg of Paroxetine. If paroxetine is not effective then Duloxetine is an option. It has to be given 1 hour before having sex and will prolong the sexual interval. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to know further details, you can use the below-mentioned link:bit.ly/ Chat Doctor.</s>

<s>[INST]respected siri m an mbbs graduatei met with a smaal accidentluckily escapedi gt a mild cut injury 2 or 3mm in the ventral aspect of scrotumbleeding nt muchcleaned with dettolapply mupirocin ointment or simple betadinewl take which antibiotic[/INST]Topical anaesthetic is enough, provided the wound is not very deep. Keep the area clean With regular dressing. Topical clotrimazole looks enough</s>

<s>[INST]Hello Doctor Myself Karthik I am suffering with ringworms in my thigh area since 3 weeks and it causes severe itching sensation in the night I have been using emoderm cream and it doesn t show any improvement and from today I have been advised to use zimig tablets for 1 week does it work in curing my problem sir[/INST]Definitely it will work. You have received the proper treatment in the form of tab ziming which contains terbinafine 250 mg. And it is the drug of first choice for the ringworm/tinea infection now a days. It should be taken on once a day dosage at least for seven days can be extended for total of 14 days as per the requirement.Along with that it is better to use topical anti fungal such as oxyconazole or irtaconazole which will hasten the recovery. For itching you can have tab levocetrizine 5 mg at night time for 5 days.There is no use of the emoderm in this infection. Caution: Tab levocetrizine may cause drowsiness ij few patients .it is advisable not to drive after having tablet.</s>

<s>[INST]Question My 6 month old son has a naval point which is leaking a liquid which dries out to a white colour The problem has persisted for 3 weeks and the baby has already been treated for infection with an antibiotic but this did not help Presently suspected is gall bladder complications The general condition of the baby is normal except for this liquid coming out of his umbilical cord Your advise on this will be very helpful[/INST]Good morning my dear ---your son most likely has a connection which was present in the embroyo which normally closes but can persist sometimes.This is called the omphalomesentric duct ----it can be a sinus,a cyst or a fistula---can be in connection with any internal organ and can sometimes contain a lining similar to stomach or intestine .Best is to check wit a pediatric surgeon who will make some ultrasound images and may give relief by surgically excising the connection.antibiotics alone may not heal and there will be recurrent discharge fronm the site.</s>

<s>[INST]i was put on a 2.5 bystolic blood pressure pill Jan 5, when my company wanted it below 90 on the bottom for me to drive. it was 140/108 at 1 pm. I have been under a good deal of stress due to a friend committing suicide. I was sitting last night typing an email and my heart went to beating faster than ever.....I had earlier in day been shopping, ate a steak and had a margarita. I drove back to my parents 45 miles...then had relaxed for about 1hr. I am 57. my blood pressure was 103/62 pulse 89 during the heart racing. My normal blood pressure is 127/78.....I havent taken a blood pressure pill for 5 days.....Will this cause the problem.....it was scary feeling. I have not been on a blood pressure pill for over 15 years ago....which I only took 6 months. I do not smoke at all.[/INST]The blood pressures that you report most recently are not high. You should let your doctor know that you have stopped taking medication. The racing sensation is probably not related to medication. Blood pressure recording should not be sporadic. Single measures are not very helpful. Decisions are best made from an average value from a two-week span. Record your blood pressure on a schedule every day. When you meet with your doctor again, bring the record to help determine the need for medicine.</s>

<s>[INST]i had a ct scan done foe severe migraine headaches constantly... findings there is no hydrocephalus.there is increased density in the nasopharynx.and enlarged adenoids. And all the doctor tells me take double Topomax 50mg2xday and results are normal till i asked for copy of my results.[/INST]Hello dear, Migraine,if diagnosed, is not a diagnosis based on CT scan, rather it is a clinical diagnosis in which patient typically have episodic hemicranial(on either side of head) headache, which is throbbing or pulsatile, usually associated with nausea, and increased on exposure to light or sound. It may be associated with aura(like vision abnormalities of seeing zigzag or flashing lights).CT scan is normal in migraine. Topiramate, as you are taking is one of the good Chat Doctor. If your frequency of episodes are reduced after taking topiramate, that is your result. You yourself judge the result. What copy are you asking doctor for?(Please specify). Increased density in hypopharynx and enlarged adenoids may or may not be significant to cause symptoms. For this you need to visit an ENT(ear nose throat) surgeon. I hope it helped.</s>

<s>[INST]Hi doctor I am 18 years old I have a problem that suddenly an anxiety is taking place and my heart beat increased the heart is like a balloon sometimes I think that my breath is going and I am going to die What should I do[/INST]Hello. The problem you are experiencing is called a panic attack. In this problem, the person feels as if he is going to have a heart attack but this does not happen. This problem usually starts in young age. I would advise you to get your thyroid function test done and also follow the following. Regular deep breathing exercise, meditation, and yoga, regular physical activity. You should go for a formal psychiatric consultation if it occurs again.</s>

<s>[INST]Hello doctor I am a 46 year old male I have a desk job where I need to be sitting for eight hours continuously at the computer I am suffering from these problems since 27 years When I was 19 I did heavy exercises once and suddenly the heartbeat increased to approximately 180 times per minute It came back to the normal rate in a minute But from that day I have been having heart palpitations I stopped all the exercises I tested ECG and 2D Both the tests were normal The doctor said my heart is almost normal But another doctor said that it may be a valve problem He said this just without testings But my experiences are heart palpitations and I feel some weight in the heart continuously for four to five months Then I felt normal and tried doing the exercise again I feel the same experience So again I stopped exercising So many times these repeated Three months back I experienced the symptoms I felt giddy too So I feel very afraid I immediately consulted the cardiologist But ECG 2D and treadmill this is first time tested came normal I did not test the angiogram Now I have breathing difficulty dizziness and uneven heartbeats when I lie on my side I quit exercises completely I am only walking I do not understand what is going on Am I straining myself during exercise Or is it a serious problem Please help me[/INST]Hello. You have done some tests already related to the heart and found it to be normal. I suggest you do free T4, T3, TSH, Holter monitoring, and Hb %. Based on the reports, the next course of action could be taken. I think you need not worry. Try to control your stress. Do breathing exercise for five minutes two times daily and Yoga for half an hour. Listen to music, spend quality times with friends and family. For more information consult a cardiologist online --></s>

<s>[INST]Hi I am suffering from Typhoid Fever diagnosed three weeks before I had chocolate color Thick blood cause of internal bleeding I consult with doctor and he suggest l some medicines But even after taking medicines from three weeks I am not feeling well extreme weakness including sexual weakness I feel too tired and lazy enough to do daily jobs Please advise me are all these are Typhoid effects or there can be some other problems I shall be thankful to you Best Regards Hassan[/INST]Hello Hassani share your concernInternal bleeding leading to low hemoglobin could be a reason behind your weakness Which can be a complication of typhoid as well In my opinion you should consult a gastroenterologist for examination and an endoscopy or colonscopy as well as blood test for hemoglobin CBC and nutritional assessment for the confirmation of diagnosisyou can have multivitamin supplementshave plenty of fluids If you can upload me a complete medical history I will be able to help you even betteryou can write back to me by asking a direct question to methanks for your questionbest regards</s>

<s>[INST]Hi my names Claire im 26 female I have not long been diagnosed with ADD and having anger issues I can feel very down and feel I want to cry and I get so angry and frustrated Lately however iv been experiencing strange things Iv been seeing people who arent there and occasionally ill hear someone shout my name but either no ones said a word or theres no one else there iv also been talking outloud instead of keeping the thoughts in my head and i dont realise Im doing this until someone replies to my outburst I do drink quite abit and my work can get ontop of me at times but i work from home with my own business and the drinking is approx 2 glasses of wine a night and ill go out one night every two weeks I also shake alot and my temperature jumps high and low Im becoming very concerned as i feel like Im about to snap[/INST]You are having more of a psychiatric problem and that can be treated. What you need is the right medications as of now to come out of this as early as possible. But do not expect quick results. Give the medicines atleast about 3 weeks of time to act.</s>

<s>[INST]hi for the last 3 months i have been getting a rash on my neck thats itchy and has little red lumps and also on my eyes under both and on both lids that starts off red and stingy and then dries out making me look like im wrinkly The day before the rash appeared i was stung by a wasp on the foot maybe it has nothing to do with it but i said i would mention it i have tried various steroid creams that do not help and i have also taken steroid tables that worked brilliantly but as soon as i completed the course the rash was back and im afraid to be taking them long term Please can you help as I am a beauty therapist and have to be able to wear make up[/INST]Hi itchy rash on the neck and over eyelids can be allergic contact dermatitis.or insect bite reaction.use of atarax 25 mg at night.antibiotic twice daily.use of oral steriods for short course along with calamine lotion in the morning and moisteriser along with flutivate ointment in the night can cure it</s>

<s>[INST]Hi I am a 19 year old female Last night I noticed that right behind my right knee there is a tiny bruised lump on my hamstring I rolled over my ankle earlier last night but my ankle is fine it doesnt hurt or anything After I rolled over my ankle I was in a concert sitting for 3 hours on a hard plastic chair hitting right up against where the bruised lump is now I dont know if that is what caused it or if it sounds more serious and if I should get it checked out There isnt much pain really its an achey feel when I stretch in certain ways Thank you[/INST]hi.based from your description, it could be just an inflammatory reaction. apply cold compress on the affected area for now, at least 2x daily, for 10-15minutes. swelling and inflammation will subside in a few days time. if the symptoms persist, a consult with your doctor may be necessary for clinical evaluation.hope this helps.good day!!~dr.kaye</s>

<s>[INST]I was going to the Doctor for about 9 months now for kidney pain, fatigue, flu like symptoms, and horrible neck pain. I had blood tests February where my calcium was 9.5, April 10.5, and July 11.1. I was also tested for parathyroid; I was wondering if there is a high chance that I have parathyroid disease? My dad has dangerously high calcium levels resulting in kidney stones.[/INST]High calcium levels usually co-relate with parathyroid disease, it would help to get the parathyroid levels checked. Weakness, bodyache and kidney stones may occur if parathyroid hormone(PTH)levels are elevated. Familial Endocrine Neoplasm 1 is a genetic disease in which elevated PTH levels are seen in families. A CT/MRI scan of the thyroid may help identify any adenoid/malignancy of the parathyroid glands.</s>

<s>[INST]Hi Doctor my age is 19 n halfmy height is 56n it has been stopped from last 2 years but now not grewingi heared very much about HGH humane growth harmone which starts remaining inches in u r bodyplease suggest me a good HGH medicine which i useTHANKS[/INST]thank you for query.I do not recommend any hormones.natural is best.You can try with exercises like skippingpull ups swimming etc.Have a balanced diet rich in proteins vitamins and minerals.It also depends on heredity.</s>

<s>[INST]Sir from last 5 years i get infected with pvivax malaria 2 to 3 times in a year Sir how i can get rid from this disease permenently 3 months ago i got operated in my left kidney was suffering from PUJ obstruction get treated with pyeleplasty surgeorysir can i take Larigo DS medcine despite of kidney problemregardsRafiq Lone[/INST]Hello Rafiq, In your kidney disease Lariago DS( Chloroquine) can be taken safely. But it is a prescription drug, so I advice you to consult your physician before taking it. You have suffered from multiple episodes of P. vivax malaria. I wanted to know if you have received the drug primaquine for malaria. Primaquine prevents relapse of vivax malaria. If you have not received this drug previously I think you should discuss this with your physician. May I know in which country are you situated? There are certain endemic zones of malaria in the world and if you are staying there you will have to take drugs for malaria prophylaxis. Hope that helps. Wishing you good luck.Regards,Dr.Preeti</s>

<s>[INST]before 2 weeks from today my father got a stomachache he was Unconscious hospitalizedAccording to the doctors his CRP is high PUS CELL range was 1525also he had a high fever for Continuously after 4 or 5 days time he is getting normal again the same thing happensSo plz let us advise about this situation[/INST]Hi.Thanks for your query and an elucidate history. Getting unconscious after stomach ache along with the findings of CRP and Pus cells you have noted is highly suggestive of septicemia due to severe urinary tract infection.He has continuous high fever, the attack is recurrent. I would suggest the following in such a situation::MRI of the brain to find out any problem in the brain or its coverings.Spinal fluid tapping and to send it for chemical analysis.Culture and sensitivity : of the blood, urine and spinal fluid.Routine blood, urine tests must have been done- these need to be done repeatedly to review the progress. Also to follow kidney function test.Get an opinion of the Urologist, Neurologist .get the treatment as per the reports of C/S examination.</s>

<s>[INST]I have pain in my lower back that is felt to the lower left side of my stomachit also sometimes extends to my legsI have checked with a gynecologist but no problem in the uterusI also felt pain in my lower back before that it was so painful to sit down or walkCould the problem be on my backThank you[/INST]Hello,I had gone through the case and found that it might be related with lumbosacral spine.It might be lumbar spondylosis, sciatica or slip disc.So go for MRI of lumbosacral region amd vitamin D3 blood test.After getting the proper diagnosis take consultation with orthopedic.Meanwhile take painkiller and muscle relaxant gel.If pain is severe then take physiotherapy.Hope my answer will be effective for you.Thanks</s>

<s>[INST]Hello Dr Mia Lundi my name is Latisha shivers and I am 34 years of age and I been going thought some female issues I been on birth control since high school and until now and I been having on and off bleeding and I also been through several different types of birth control and it seems like the same constant bleeding keeps on recurring Now as we speak I went to another doctor for an second opinion today and she told me to take one pill in the morning and one pill at night Now Dr Lundi I dont feel comfortable with that but for and three opinion am I suppose to do that because I really want to which to the patchI[/INST]Hello LatishaThanks for writing to us for your health concern.You might be experiencing on and off breakthrough bleeding due to low dose of birth control hormones.In this scenario, doctors often prescribe preparations with higher hormonal content.Hence, the advice to take two pills a day.I understand your reluctance to do so.The generic patch too might give you trouble, as it has equivalent hormonal content ( similar to the pills ).Why dont you give the IUD a try , or maybe Implanon ?That might serve your purpose better.All the best.Take care.</s>

<s>[INST]I had all my wisdom teeth removed this saturday will be 2 weeks. But now the tooth on the bottom left right next to the wisdom tooth that was removed is still hurting when i bite down. It feels like it shifted if that makes sense. Is that normal to be hurting still[/INST]Thanks for your query, I have gone through your query. The pain after 2 weeks of extraction is not common. The pain can be because of any sharp bony margin left during tooth removal or any infection in the next tooth. Consult an oral physician and get a radiograph done to rule the infection or any bony sharp edges. If there are sharp edges, then you can get it reduced. If there is infection in the next tooth, then get that tooth treated with RCT. I hope my answer will help you, take care.</s>

<s>[INST]my 22 month old daughter is suffering from cough for the past one month in the beginning she was given allegra and bricanyl in between she had fever doctor diagnosed it as pneumonia then she was given ambrodyil and another antibiotic for a week now fever is ok but still she coughs once or twice what can be the remedy[/INST]Dear parent, I understand your concerns. for cough you should give a cough suppressant as dextromethorphan . if the cough is with phelgm then you need to give an expectorant as Mucinex . make sure the child drinks plenty of fluid to prevent the phelgm from getting thick. if after a week from using these medications the cough was still present then you should use a mast cell stabilizer as singular sachets once daily for 14 days</s>

<s>[INST]Hi I have low rbc count low hgb and low hct I have fever four for days now The same thing happen to me last first week of April where I have severe cough with the same lab results Last January it also happen to me For more than one year now I loss weight I have severe body malaise and joint pains please let me know what to do[/INST]Hi, Infection can lead to reduced blood counts. However low hematocrit values with low hemoglobin levels is more likely due to a chronic condition unrelated to recent infection. The values are more likely an incidental finding picked up on investigation of fever. If the fever has reduced by now, please get the blood counts repeated. In addition you will need evaluation for chronic anemia. Test such as serum ferritin levels, GI scopies, etc might be needed. A hematologist will be able to guide you through the tests. I encourage you to visit a competent hematologist near your locality for the needed investigations. Weight loss is most likely related to chronic anemia. Hope this helps. All the best</s>

<s>[INST]have very poor circulation in my feet and handswhen im going for a walk with my husband my toes go numb when I go to the gym and do the bike or elipical my toes go numb I have to shake it off for a min and then I can go for maybe another five min before it happens again its very uncomfortable what can I do please help by the way im 36 years old and have had asthmas all my liferecently my right arm and hand has been giving out and have been getting sharp pains in my fingers[/INST]Hi, the problem you are facing is called the atherosclerosis, due to more of cholesterol, and obasity. It also may be due to the peripheral neuritis. I advise you to consult a physician for diagnosis and treatment. I to my patient with such symptoms prescribe neurotropic injections for 10 consecutive days, and one injection every week. Atrovastatin, and if necessory vasodialators. Thank you.</s>

<s>[INST]i just got dizzy out of nowhere I ate Chinese food like about 7 hours ago this has never happened before and I m kind of scared I just ate cup noodles and I m drinking a bottle of water write now what does this mean and my bones kind of feel weak what does this mean[/INST]Hi, This is known as MSG symptom complex this happens after eating Chinese food. One may headache, sweating, nausea, tiredness, and rapid heart rate. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Gaurang B. Shah, Orthopedic Surgeon</s>

<s>[INST]I had a blood sample taken today for my annual physical After the attendant removed the needle she pressed down on the needle hole and I felt a sudden painful sting that subsided slowly after a few minutes Twelve house later there is a swollen hard lump in this spot peanut size it is now sensitive to the touch and a little pink spot surrounds the needle hole The skin is not discolored This has not happended to me before but I have had bruised skin several days after giving a blood sample I am concerned since I leave for Mexico this weekend on a Habitat build Should I ice it Thoughts please[/INST]Hello,In fact had you pressed the injection site for few minutes,this wouldn't have occurred.There is no problem as it is just collection of extravasated blood from the puncture site.Just ice it 3-4 tomes a day and it should be all right.The skin discolouration would take couple of weeks to go as gradually iron from the bruised site would be absorbed by the body.Thanks</s>

<s>[INST]Hello doctor,I am currently having acne on my cheeks. I am currently applying Benzoyl peroxide gel on my acne. It only reduces the inflammation but bumps are not reducing. I also have pigmentation caused by acne before. I only get acne on my cheeks. What may be the reason? I usually get cyst acne bumps on my cheeks. If acne clears, then it comes again. I have red pigmentation caused by acne. Can you recommend a product for acne and after acne has cleared, can you suggest a product for pigmentation? Can you recommend a product for controlling further breakouts? Also, I wanted to know which sunscreen and moisturizer to use?[/INST]Hi. Acne reduces in severity with aging. Use cleanser like Cetaphil to wash face. Apply Retino-A (Retinol) cream in the night, Clindamycin gel in the morning. Treat dan ChatDoctor. You can use sunscreens like Shade (Avobenzone, Oxybenzone) lotion. Retino-A helps in pigmentation and to some extent scars. You can consider lasers later if scars persist. For more information consult a dermatologist online</s>

<s>[INST]sir,i have a female patient 45 yrs old, who presentd with altered mental status and generalized tonic clonic fits . her CT SCAN showed a hypodense area in rt parietal lobe . post contrast findings were similar to plain scan. Radiologist labelled that hypodense area as CSF GLIOSIS . plz explain what is this disase and what is its treatment.[/INST]Hi, First generalized tonic-clonic seizures and altered mental state is a medical emergency. She should be in intensive care unit for stabilization. Gloss is a proliferation of astrocytes (type of non-neural brain cells) in damaged areas of the central nervous system (CNS). It does not indicate cause of problem. For treatment, she should be stabilized, treated for seizures, monitored for sensorial, investigated for cause of lesion and treated according to cause. I hope this information has been both informative and helpful for you. Wish you Good Health.</s>

<s>[INST]Doc my son had done KUB and the result is having very few scattered microlithiases non obstructive on his kidney and after after taking tascit 3 x a day for 2 weeks now and tergecef as antibiotic we again examined the urinalysis yesterday and it has still blood that is too numerous to count kindly explain why[/INST]HelloYour son's KUB findings suggests multiple small kidneys.It is not causing obstruction means there is no hydronephrosis etc.This is a good sign.He is rightly getting calculus dissolving medicines like tascit.He should drink plenty of water.Blood in urine(hematuria)may be due to renal calculus.This condition may be cured after treatment of renal calculus.Get well soon.Take CareDr.Indu Bhushan</s>

<s>[INST]Hi doctor,I am a 31 year old unmarried male. Over the last few months my sperm looks watery whenever I ejaculate. Will it create any problem? Also my erection is not like earlier. Kindly advise me doctor.[/INST]Hi. I have read and understood your problem. The fluid that male organ secrete during ejaculation is called semen. Semen is a visible liquid. It contains millions of invisible microscopic male counterpart of female eggs called sperms. It does not matter if your semen is more watery, the sperm count in semen should be normal and that can be detected by semen analysis, which is done at a pathology laboratory. Erection problem appears to be due to stress or anxiety. So, do relaxation exercise. However, to exclude other cause you need to do some blood tests like sugar and hormones. Stop smoking if you smoke. Check your BP (blood pressure). If you are taking any medicine or nutritional supplement on regular basis then it may be due to side effect of that. For further information consult an an ChatDoctor. ChatDoctor/ask-a-doctor-online/an Take care.</s>

<s>[INST]Hello doctorI have a thyroid problem and weight gain problem I want to lose my weight TSH is 763 I take Thyronorm 100 for last three years[/INST]Hello. There are a few things that you need to know. For more information consult an endocrinologist online --></s>

<s>[INST]My mood naturally turns frustrated during the night time only, sometimes i get suicide thoughts, they don t happen in daytime though, sometimes when i lay on bed i get little jerks and get anxious. My doctor suggested me Levroxa tablets twice a day, one in the morning and one in the evening, can i reduce it one time a day? cause i think don t i need them in the daytime. But night dose is relevant for me. Help![/INST]Degree understand your concerns went through your details. I suggest you not to worry much. I hope you consulted a psychiatrist. The symptoms may not be enough for a correct diagnosis, but it seems that you may be troubled by anxiety disorder. But it is also obsessive type because it comes only during nighttime. You may be thinking too much during night when you are free from other works. Please understand that your negative thinking can harm your whole 24 hours. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck.</s>

<s>[INST]I feel recently and now both my feet swell n are bruising My left shin has numbness I get tingling pain in both legs n feet Last night I woke up with tingling needle sensation on my neck n chest I m 56 Femalen in good shape No known issues[/INST]Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After reading the details provided by you , In my opinion you are suffering from deficiency of vitamin B12 ,since you have tingling all over. Other possibility could be peripheral neuropathy. I suggest you get Blood test for Vit B 12 , Electromyogram studies and start a combination of pregabalin and methycobalamine. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]When my daughter was about 4 months old I noticed she had a veiny and squishy little lump kind of below her right ribs on her tummy The doctor said it was probably a little cyst and to just watch it She is 1 year now and it has not gone away and almost seems to have grown a bit[/INST]Hi.Thanks for your query and good explanation. The lump is most probably a hemangioma and usually heals on its own. In a normal course this should have been regressed ( reduced). If you think it is enlarging , please consult a Pediatric Surgeon and follow his advise.</s>

<s>[INST]when I am sitting my feet and ankles are always cold and my legsit seems by sitting it cuts off my circulation because when I get up and walk around it does get a bit better also when my ankles get cold my legs get a bit restless and I have to walk around[/INST]HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that because of the poor sitting posture you must be having such symptoms and along with this possibility of low Hemoglobin could be there, in my opinion maintain the good posture and get done the Hemoglobin test, take care and have a nice day.</s>

<s>[INST]Hello my father has severe knee pain RH LH when walking he is 86 about 30 lbs overweight but other than that in good shape physically and mentally His quality of life is declining due to the pain whould he be a candidate for replacement surgery[/INST]Hi, The indication of knee replacement is when the person is not able to continue with his daily activities. By this criteria I would strongly recommend knee replacement. Hope I have answered your query. Let me know if I can assist you further. Thank you. Regards, Dr. Gopal Goel Orthopedic Surgeon</s>

<s>[INST]Hello doctor,I have tiny rashes all over my body. It started with my hands, then my laps, now it seems to be all over. Sometimes, it looks very dry, as though it is peeling and whitish. I went to the hospital and I was told it could be an allergic reaction and to relax but it has been almost a month and the rashes has spread to other places. Please help. What can this be?[/INST]Hi, Welcome to Chat Doctor forum. I have gone through your complaint and reviewed the attached photograph (attachment removed to protect patient identity). It seems to be dermatitis. I would recommend you to apply topical steroid like Clobetasol propionate cream diluted in a moisturizing lotion in the ratio of 1:3 on the affected areas twice daily and take antihistaminic like tablet Cetirizine 10 mg once or twice daily depending on the intensity of itching for 10 to 14 days.</s>

<s>[INST]Hi doctor I am a 22 year old female I am not sexually active Recently my friend gave me one of her toy things I am not sure what it was at first glance until she told me She said she cleaned it and to be safe I cleaned it again But after a few days my vagina felt unusually weird like something was in it It started feeling different and turned red I was scared and kept wiping and caused it to flare up I am not sure about the reason A couple of days later my throat starts to hurt It is sore and my nose is runny I do not have diarrhea but my poop is a little runny I am nervous and I want to know could I have caught something from using her toy I have been told numerous times while growing up that HIV dies once it makes contact with air So I have been freaking myself out looking my symptoms up Please help me or point me in the right direction Also I am not sure the last time she used it Please give me a hand[/INST]Hi. For further information consult a HIV AIDS specialist online --></s>

<s>[INST]Hello doctor My baby is having fever ranging from 100 to 104 F which subsides after taking Mefenamic acid of dosage 60 mg per 11 kg of body weight There are no other obvious symptoms except fever What should I do Please suggest me the course of treatment[/INST]Hello. Since when is this happening? Is there any difficulty in breathing? Is the child feeding well? It seems just viral fever, I would say just give Paracetamol every six to eight hourly. Do not give Mefenamic acid if it gets controlled with PCM.</s>

<s>[INST]I have been prescribed Gabapentin dosage to be weened up to 2700 mg for severe nervemuscular pain I am concerned that I have had periodontal gum disease which is now stable after 2 years of periodontal treatment Could this medication cause the gum disease to flare upSue[/INST]Hello, Thank you for consulting with HCMNo gabapentin does not causes any periodontal problem. even it is used in trigeminal neuralgia also in that case also it does not cause any gum problem. You just have to maintain your oral hygiene.But if you are diabetic also then you have to take proper care of your gums.Hope it will help you.</s>

<s>[INST]Hi my name is sarah and I am spitting up blood and brown stuff and my face is numb and I have a tooth ache and I am tasting metal. Hello! But I dont have a credit card or anything to pay with. I dont understand why I have to pay to ask a question. Can I just give you my cell number?[/INST]Hello, Thanks for consulting ChatDoctorRead your Queens you have blood and brown stuff on spitting with toothache this can be due to infection in tooth due to caries or due to poor periodontal health. Don't be worried so much I will suggest you to do warm saline rinses 2 -3 times a day, you can take medication like analgesic diploma or painted for toothache and when you can arrange money you should consult dentist for examination of oral cavity and rule out the cause of pain. Hope this will help you</s>

<s>[INST]Hello this past Monday I went to a weight loss bootcamp for the first time I am female 52 and weigh 229lbs While running I lost my balance and fell hard landing on my left knee I left pain but I completed my workout while in pain My knee was scraped and swollen and hurt when I walk I have kept my knee iced and elevated since then and the swelling is getting better and the pain isnt as bad but cant seem to place my full weight on it Because of my weight and injury when will I be able to return to the bootcamp and attempt knee push ups and strenous exercise Thanks for your help[/INST]Rest, ice application are the two most effective methods to get rid of such pains.If doesn settle in 7-10 days follow with your doc & get a skiagram.</s>

<s>[INST]My son has lump on his right upper stomach area with bruising. He says there is no pain in the area even when touching the lump. The bruising was deep purple but is now fading but the lump persists. He says he has no memory of injuring himself. Ay idea what this might be. He is an otherwise healthy 23 year old.[/INST]Hi! Good evening. I am Chat Doctor answering your query. Possibly your son might have had some kind of trivial trauma which he did not remember, but sustained a hematoma which might be resolving now. You can wait and watch the lesion. This might get dissolved completely. If it persists or increases, then I would advise you to get is assessed clinically by a general surgeon who might go for an FNAC if need be to arrive at a diagnosis. I hope this information would help you in discussing with your family physician/treating doctor in further management of your sons' problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.</s>

<s>[INST]I have had stomach pain on and off for over a year i go to the doctor and they tell me its a small amount of fluid over my uterus But the pain is no where near there its closer to my rib on the right side and under my rib it puts alot of presure and shoting pain I dont have insurance so i dont want to keep goin in if there not going to help me Can you[/INST]Hello,Pain under the right ribs can be due to following reasons:- Inflammation of liver- Inflammation of gall bladder- Stones in gall bladder- Pleuritis or infection of covering of lung- Lung infectionIf you are having unrelieved continuous pain under right ribs then I will advise you to have an USG (whole abdomen) with routine blood examination to rule out pathology. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon</s>

<s>[INST]sir i have severe back pain no more than pain its like catching hold with some hook like i cant turn in a particular direction at that time this happens i cant predict which direction it is the pain will be at the right side of the backbone last end sometimes it will be at the front side where the thigh joins the stomach i can walk but standing up after sitting on a chair is difficult i cant sit on soft chairs beds etc what is my problem what can i do for it it started 3 weeks before[/INST]Hello, Thanks for your query.You are suffering from what we call the industrial back ache. The first step is to ensure that you maintain an appropriate posture while working on the computer. Take frequent stretch breaks and drink lots of water. Discontinue using pillow while sleeping straight. Do not lift heavy objects, especially after bending down. Eat a healthy wholesome meal which should satisfy your minerals and proteins requirement.The most essential and long lasting remedy is exercises. There are certain back strengthening and neck isometric exercises that you must learn from a physiotherapist and perform them at home or work whenever possible. You can also undergo a weeks session of traction at your physiotherapist's clinic. Last but not least, if its unbearable take medications or muscle relaxant prescribed by your physician. And if it has been long standing illness visit your orthopaedician and clinically-radiologically establish a diagnosis to commence definitive treatment.I do hope that you have found something helpful and I will be glad to answer any further query.Take care</s>

<s>[INST]i am a 28 year old mother of 2. I am in good health. except for pallots in my gulbadder. but my biggest concern is that, i never feel hungry and when i eat or force myself to eat its not a lot. I can drink a meal and so i eat and never drink when eating. i am 5 7 and i used to weigh 130 LBS but now i weigh 113LBS. im at a loss. please help. Tiffany[/INST]Hello Gall bladder stones are not expected to cause loss of appetite. It may be due to some other reasons like chronic illness, mental state(like anxiety, depression), hypothyroidism etc. You need proper evaluation, and may need further investigationsHowever, you should go for definitive treatment of gall bladder calculus. Definitive treatment of gall bladder calculus is surgical removal of gall bladder(cholecystectomy). Gall bladder calculus is prone to infection and obstruction, so it is advised to get rid of calculus early. Take Care Chat Doctor.</s>

<s>[INST]my husbands losing strength in his right hand dropping things and some pain started out he had a little knot in his wrist you could see it stuck up a little bit it was tender to touch please help what would be going on he said theres no tingling or numbness or anything like that[/INST]I understand your symptoms.This is symptom of nerve compression which may be at level of axilla, elbow or wrist. Cervical x ray and CT and axillary nerve conduction test should be done. You should start with vitamin B12 injection every 3 days now.</s>

<s>[INST]I shave my pubes and a couple days ago I noticed a medium sized round red irritated bump that itches and hurts when I close my legs I ve had a partner for over a year but we recently split and I had sex with one other person what are my possibilities of having genital warts I ve had bumps befor like this but not as big as this one. this one doesn t show any signs of like a puss head or like a hair in it so I m scared. there s only one. me and my partner are back together of one year and he had sex with someone else too so maybe I might have caught something from him but I normally get bumps when I shave so I feel like this is a razor bump how do I know? I take birth control and recently missed a day or two so if had some reddish discharge[/INST]Hello, thank you for your contact to Chat Doctor. If I am your treating doctor I would like to tell you that your bump is razor bump. It is not a genital wart. Genital wart has long incubation period. It won't appear in this much short incubation period. Secondly it has size in mile miter. It is reactionary bump. It will be self limiting. If you have to ask anything else kindly contact me. Chat Doctor. Infectious disease specialist.</s>

<s>[INST]hello Doctors,my father is about 74 years. he was having itching whole body since long time and past 10 years it was little bit significant. he consulted "N" number of Allopathy, Homepathy, Ayurvedic doctors but there is no progress and no one confirmed/ diaganised exact problem why itching is occuring frequently. this winter, itching is tremandously increased and he is suffering a lot. please guide me what to do. thanks[/INST]Hello, Thank you for the question and welcome to Chat Doctor ! In order to help you more I will need some more information about your fathers condition like where is the itching located?is the itching area has any boil/discharge/ulcer/redness? Does he suffer from any chronic disease? From the limited information from the question it seems your father can be suffering from atomic dermatitis which is seasonal. As this is a chronic condition, there is no permanent cure. It is managed by diet by including less of sour food and any cloth or climate area. Medicines include episodic antihistamines. For reply to my questions message me back to help you better. Takecare!</s>

<s>[INST]Hi mom wisdom tooth is growing in and it seems to be growing in just fine Were the tooth is growing itself is not that painful at all But I have this one part of my cheek near it which hurt It really sore when I touch it and when I look at it it looks very pinched and a little red in some areas Is this a normal thing for a growing in wisdom tooth Is there anything I can put on it I really dont want to have to get the tooth pulled[/INST]Hello, Thanks for your query. I read your problem,i would like to tell you that you have infection in your erupting wisdom tooth region. This wisdom tooth area is inaccessible because of that bits of food particles retained in that area and results in to inflammation which causes pain. So i would like to suggest you please visit an oral surgeon and get the complete examination done including x-ray,if wisdom tooth is having sufficient space for it;s eruption,it should be left like this,if not,it should be removed,because wisdom tooth is vestigial tooth it does not play any role in food chewing. Mean while you can take amoxillin,for pain can take pain killer and use warm saline rinses 3-4 times a day. Rinse your mouth after every meal and maintain good oral hygiene. Nothing to get worried. Take Care.</s>

<s>[INST]my child have 6 yrs old he birth weight 4.5 kg now he is not good weight now only 14 kg , and he is very lern, some time her hand and plam are swet ? wht is the reson doctor, his arm and leg are also very thin, pls, give me reply , Doctor symptom, swet the arm and plam.[/INST]Hi, Following advices will help :Dietary advice: child should be given food in addition to milk, like Fruits : banana, apple, mango, Chimu, Rice , cereals, paneer, yogurt, piranhas, eggs, ghee and butter in every meal. Investigations: complete blood count with peripheral smear Treatment: depending on the report, multivitamin or iron syrup. Appetizer Syrup Deforming syrup The sweating in palms could be normal or due to thyroid hormone abnormality, so do a thyroid profile of baby, and consult after reports. I hope this has helped you. Wishing your child good health. If you have any more questions, please don't hesitate to ask me. Wishing your child good health.</s>

<s>[INST]Hi doctor My baby is 6month old n he will turning 7month in two days from birth he was eating s26 n today I changed him into NAN HYPOALLERGENIC Will it couse any harm in him between NaN n Nan hypoallergenic which got more power n make baby fat[/INST]Thanks for consulting in Healthcare. I want to share wit you that i have never seen negative effects from NAN hypoallergenic. Yes, children can gain more weight when they eat formula, but from breastfeeding also , don't worry about it. Baby needs to grow. When he will more active- crawl, wa,lk, swim, then they will grow, calcium will better absorb by born. You see it is normal when children till 5 years round, have abdomen as baloon, it is because they don't have press and can't visit jim club. Thats why it is really important to do massage to baby, do exersises, sit and stand, crawl, on the big gymnastic ball for streching, joga for babies, then we will receive resultBest regardsGrow qucklierDr.Svetlana</s>

<s>[INST]what is bilateral medical renal disease both kidneys are normal in size with mild increase in echogenecity suggestive of medical renal disease no evidence of hydronephrosis or calculi a 23x20 cm simple cyst in midpole of RK no evidence of renal artery stenosis pl advise what i shall do[/INST]Hello Thanks for writing to HCMMildly increased echogenicity indicate renal parenchymal disease.Medical renal parenchymal disease are due to many causes like chronic hypertension,diabetes mellitus,glomerulonephritis etc.You need clinical correlation and complete renal functions test(RFT).Renal function test include serum urea,creatinine. Creatinine level in blood is very sensitive indicator to assess renal functions.Routine investigations like routine hemogram,random blood sugar,urine RE/ME should be done.Further investigations like GFR,creatinine clearance,serum electrolytes like serum sodium ,potassium,calcium,bicarbonate,chloride,bicarbonate etc can be done if needed.You should consult nephrologist for further management.Treatment depend upon renal function test reports.Simple cyst in kidney is a benign finding and it only require follow-up.Get well soon.Hope I have answered your question.Take CareDr.Indu Bhushan</s>

<s>[INST]My 29 yo son was recently found to have Hepatitis C He also drinks heavily and does not want to quit Someone at the hospital must have told him that he will die if he doesn t stop He is now telling my husband and I that he doesn t think he is going to live much longer He also has cerebral palsy since birth He s old enough that we weren t told any of this I m not sure if he is overreacting[/INST]Hello, Hepatitis C(HPV) is a blood-borne disease that causes inflammation of the liver, the virus invades the cells in the liver and causes swelling & dysfunction. Liver is one of the largest & the most important organ of the body. HPV patients should abstain from all kinds of addictions, taking alcohol is life-threatening. Alcohol intake will reduce the efficacy of the medications(Interferon & Ribavirin) being given for treatment & may worsen the illness. It is recommended that hepatitis patients should be given homemade boiled food. Spices, oily, junk food is to be avoided. Fruits, veggies, berries should be given. Hepatitis patients need much care. HPV patients need much care, they should not take alcohol even after treatment to avoid relapses. Get your son treated at the earliest. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician</s>

<s>[INST]Hi my son is 7 yr oldAs told by Dr he has allergy problem and due to this he is hving treatment for frequent redness and itching in eyes and now he has also started hving cold and cough attacks very frequently In october he has given tab CEFADROX DT Syp Levolin and Soventus D along with Dualin through Nebulisation Now again he is hving the same problem Can i nebulise him thrice a day for 35 days as he feels better with this He is hving dry cough continuously Is there any side effect of nebulizer[/INST]HI, it is good to nebulise but before that levosalbutamol inhaler should be tried as it is more convenient, to manage the condition he should also be given some antibiotics, expectorant cough syrup containing ambroxol and some anti histaminic groups of anti allergic is advisable.if symptom persist then consult a physician for further examination and treatment. thanks and with regards.</s>

<s>[INST]My grandpa 75 has been diagnoised that out of his 4 valves only one one is functioning now The docs have told that there is no chance of doing on this as his body will not fit for surgery Presently he is in Coma stage Is there any hope for his survival[/INST]Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Surgery on heart is always a big deal, and pt need have a reasonable health status , being in come , yes the doctor are very right she may not tolerate such a major surgery. Regarding hopes for her survival , this is difficult to say for sure ,this depends on the cause ,though coma itself is really serious condition . still you can talk to the doctors regarding this . Hope I have answered your query. Let me know if I can assist you further.</s>